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Home My WebLink About1000-103.-1-17 p4 G TOWN OF SOUTHO D 3 4 Rental Permit R �v Permit No. 0153 Owner Joseph & Heather Spinelli Occupied as Single Family Dwelling Located at 1255 Stillwater Ave Cutchogue 103-1-17 Address Village S/13/1- Maximum /13/LMaximum Permitted Occupancy 6 Is in compliance with all of the provisions of the code of the Town of Southold, the laws and sanitary and housing regulations of the County of Suffolk and by the laws adopted by the New York State Fire Prevention and Building Code Council. Expiration is two (2) years from date of issue. The operator is responsible for arranging for the bi-annual inspection. 8/16/2019 John Jarski Date of Issue Code Enforcement Officer This Notice must be posted by the main entrance at all times Town Hail Annex Telephone(631)765-1802 54375 Main Road C' Fax(631)765-9502 P.O.Box 1 179 y Southold,NY 11971-0959 BUILDING DEPARTMENT TOWN OF SOUTHOLD ?I'�11 JUL - 1 2019 RENTAL PERMIT APPLICATION Rental Permit Fee$200(Application must be renewed every two years),OM n'Fso r Section A. Property Information: Rental Property,A dres : �pe � Tax Map Number: 1000 SECTION 02) ®-BLOCK -LOT_ I SECTION B. OWNER INFORMATION: Property Owner Name: Property Owner Legal Address: Property Owner Mailing Address: Telephone Number (s): Daytimee ( tEvening Emergency Property Owner Email Address: a 'C' �► �3� Page 1 of S ni 9 Town Hall Annex ` Telephone(631)765-1802 54375 Main Roads fFax(631)765-9502 P.O.Box 1179 Southold,NY 11971-0959 1 BUILDING DEPARTMENT TOWN OF SOUTHOLD Section C. Authorized Agent Information: r� Name of Authorized Agent of dwelling unit, if any: I r 1 Address of Authorized Agent (no P.O. Boxes): Mailing Address of Authorized Agent: Telephone Number(s): Daytime Evening Emergency Email Address: Section D. Managing Agent Information: Name of Authorized Agent of dwelling unit, if any: Address of Authorized Agent(no P.O. Boxes): Mailing Address of Authorized Agent: Telephone Number(s): Daytime_„ Evening Emergency Email Address: SECTION E. SITE MANAGER INFORMATION: (required for rental properties containing 8 or more rental units) Name of Managing Agent of dwelling unit, if any: Address of Managing Agent (no P.O. Boxes):_.. --_ . Page 2 of 5 Town Hall Annex Telephone(631)765-1802 54375 Main Road r� Fax(631)765-9502 P.O.Box 1 179 C-,, Southold,NY 11971-0959 ®UNT°d,` � ;.x BUILDING DEPARTMENT TOWN OF SOUTHOLD r Mailing Address of Managing Agent: Telephone Number(s): Daytime Evening Emergency Email Address: SECTION F. PROPERTY DESCRIPTION: Number of Rental Dwelling Units on property:--A For each Rental Dwelling Unit set forth the Rental Dwelling Unit identifier(for example, Unit 1, Unit 2, Unit 3 or Apt A, B, Q the use of each room in the Rental Dwelling Unit (for example, Kitchen, Bedroom 1, Bedroom 2, Living Room) and the dimensions of each room. For properties with multiple Rental Dwelling Units use "Rental Permit Application Addendum." Rental Dwelling Unit Identifier: Requested Maximum number of persons allowed to occupy Dwelling Un" Number of rooms in Rental Dwelling Unit: Use and Dimensions of each room in Rental Dwelling Unit: Page 3 of 5 1 Town Hall Annex (', Telephone(631)765-1902 54375 Main Road Fax(631)765-9502 P.O.Box I l79 tri w� Southold,NY 11971-0959 Utf BUILDING DEPARTMENT TOWN OF SOUTHOLD SECTION G. INSPECTION: Pursuant to the Town Code of the Town of Southold Chapter 207 (Rental Properties), a safety inspection by Code Enforcement Official is required. If the owner chooses not to have said inspection performed by the Town, a certification from a licensed architect, a licensed professional engineer or a home inspector who has a valid New York State Uniform Fire Prevention Building Code Certification is required stating that the property which is the subject of the rental permit application is in compliance with all of the provisions of the code of the Town of Southold,the laws and sanitary and housing regulations of the County of Suffolk and by the laws adopted by the New York State Fire Prevention and Building Code Council. I am requesting a fire safety inspection to be performed by a Code Enforcement Official from the Town of Southold ❑ 1 am submitting a completed Town of Southold certification form from a licensed architect or a licensed professional engineer. SECTION H. DECLARATION: Signature must be notarized and MUST be the owner of the dwelling unit. STATE OF NEW YORK) COUNTY OF SUFFOLK) 1 Aw51 - certify under penalty of perjury,the following: 1. 1 am the owner of the property identified in "Section A" of this application. 2. The property owner's legal address set forth in "Section B" of this application is my legal address and I understand the Town will use the address for service pursuant to all Page 4 of 5 Town Hall Annex r Telephone(631)765-1802 631 54375 Main Road Fax� � C� ( )765-9502 P.O.Box 1 l79 Southold,NY 11971-0959 BUILDING DEPARTMENT TOWN OF SOUTHOLD applicable laws and rules. I further acknowledge that I will notify the Town of Southold Building Department of any changes of address within five (5) days of any changes thereto. 3. 1 have read and received a copy of Chapter 207 of the Code of the Town of Southold and agreed to abide by the same. 4. 1 will notify the Town within five (5) business days as to any change to the information regarding Authorized Agent, Managing Agent, or Site Manager. Property Owners Name: p.. Property Owner's Signature: Sworn to before me this day of 201 1 Official Notary Public Signature and Original Notary Stamp CONNIE D BUNCH Notary Public,State of New York No.Of BIJSf 85fd5 Otualifierd in Swolk county Comm's ionExpires April 'tom Page 5 of 5 yhklwAdft`' ke-1 TOWN OF SOUTHOLD BUILDING DEPT. 7651802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION FRAMING /STRAPPINGL RAMING /STRAPPING [ ] INAL *"" 4'�'( , [ ] FIREPLACE & CHIMNEY [ FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) [ ] CODE VIOLATION [ ] CAULKING MARKS: A Pa vc,>, fj�e- DATE INSPECTOR i 0 NO PIS N,�o 04 ee . ' 4 17 in Cge S . vo 00 {� a � -� Z m f Om o — -- D Z � Z co G1 a �m a m 3° i�tru ,.�� w 4 '631, 765-1802 V m... _ 715-9502 x75 �A� �. `63 outhold,NYI Q1-0959 n � Z D O BUILDINC DF PI A �T EN, r< � o W r O D E- 0 (D nm O Z y z 0 G,CD r O Z ... __..,. :M > rN� O �\ < m zy 0 o � < U, ro p II d ------ r ; p v O O O �.# . �u 7C r p m m I to e Z Z9 � ml IV � , e O D 6 QQpp4 � t, r / B pq' y V^ F v E' LM w O c LN LA a a Nin w� 3 f . i p .,,.� .... ...w ..... .............w,.,.w .._...............,. � ,.,....... .... -- .......... - X X ��.. o o N 0 n m rn IN m s 7 � r N a r N LA. �. �✓ u o v �> /l4�1 0 6 .� r ocIY r � r .......... �a �w . p E o O d � m ........�, ... . ! _ �_.. r H nom -171 S _ m. 0 CD 0 _a En o �. 'Il -n N' 9 � GIG J, os 40 1 OILL ryN f � i Q " ' N app — — :: e w 50— r,M X �.II L I J xog 0,d�� 9L M Z08[ KIS gip,,, 1 vh t� i 4 m 7 FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. CERTIFICATE OF OCCUPANCY No. ...Z...3284.......... Date ............Septembgr...1.9................ 19..50. THIS CERTIFIES that the building located at St1.llwateX..A71anme............................. Street Map No. ...................... Block No. .................,.... Lot No. ....CUtCh0.91 e.,_ OW...york.I......I.......... conforms substantially to the Application for Building Permit heretofore filed in this office dated .....I..............March....29,,....................... 19.60.. pursuant to which Building Permit No. .3g $..Z. dated .........M+3rah.....30,...................1., 19..6.0., was issued, and conforms to all of the requirements of the applicable provisions of the low. The occupancy for which this certificate is issued is ........ ... .13rlvat4s..,one.•gemily--4d all-,ng......... The certificate is issued to ..... ....... .,................ ............... (owner, lessee or tenant) of the aforesaid building. Health Dept. Approval, September 18, 1968, Robert Villa ... .,.�.�,..,. 1111!... ��. .. .�......... ............... - Building inspector FORM NO.4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy No. 1 31 5,4. . . . . . . . . Date . .JanuarY. 1 8 , , * « . . . . . . . . . . . . . .. 19 85 THIS CERTIFIES that the building . .C -Qq e d ,p o r c 11 . , „ , , , , , , „ . . , . . . . . . . . . . Location of Property , . . . . . . . . . . . . . . .C t(;U Pgu e . . House No. Street Hamlet County Tax Map No. 1000 Section 1 03. , . . . . . . .Block . . 0.1. , , , . . . . . . ,Lot . . . .R 17. . . . . . . . . Subdivision . . . . . . • . . . .Filed Map No. . . . . . . . .Lot No. . . . . . . . . . . . . . conforms substantially to the Application for Building Permit heretofore filed in this office dated p... .14. . . . . . . . . , 19$4.pursuant to which Building Permit No. dated . , F e b.. .2.2 . . . . . . . , . . . 19$4. ,was issued,and conforms to all of the requirements of the applicable provisions of the law. The occupancy for which this certificate is issued is . . . .$�mo�'e. e�c�4S t,I.ng. de.��. &. .�ori�tru�t. .u�he.a��. r44I�.•. . . . . . . . . » . , » . . . , . , , The certificate is issued to . . . . EMILY K 0 S C I U S[ t J .« , , , , , , , , , , , , , , , , , , of the aforesaid building. Suffolk County Department of Health Approval . . . . . . . . . . . .N A, , , , , , , , , , , , , , ., . . . . . . . . » UNDERWRITERS CERTIFICATE NO. . . .. . . . . . . . . . . . . . . . .4' A. , . , . . . . . . . . . . • . . . . • . . . « « Building Inspector « Rev.1181 Town of Southold 2/22/2018 P.O.Box 1179 'y 53095 Main Rd Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 39507 Date: 2/22/2018 THIS CERTIFIES that the building DECK Location of Property: 1255 Stillwater Ave., Cutchogue SCTM#: 473889 Sec/Block/Lot: 103.-1-17 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 9/27/2017 pursuant to which Building Permit No. 42004 dated 9/27/2017 was issued, and conforms to all of the requirements of the applicable provisions of the law. The occupancy for which this certificate is issued is: N EXISTING ON1�FAMILY DWE':L[,ING A APPL[ED IJFRA" IQN ,L fiI�AR C�1A 0 "� HT1 PS"I"O �l .. FOR The certificate is issued to Fritz,Kimberly of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 37435 12-03-2012 PLUMBERS CERTIFICATION DATED 02-05-2018 an Wils' ,e°g tat r zed Signature Town of Southold 4/12/2018 P.O.Box 1179 ;all`' f 53095 Main Rd d Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 39594 Date: 4/12/2018 THIS CERTIFIES that the building ELECTRICAL Location of Property: 1255 Stillwater Ave, Cutchogue SCTM#: 473889 Sec/Block/Lot: 103.-1-17 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated P g 7/24/2012 pursuant to which Building Permit No. 37387 dated 7/24/2012 was issued, and conforms to all of the requirements of the applicable provisions of the law. The occupancy for which this certificate is issued is: 200 AMP OVERIJEAD ELECTRIC SERVICE UPGRADE The certificate is issued to Fritz,Kimberly of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 37387 04-10-2018 PLUMBERS CERTIFICATION DATED Authorized Signature .