HomeMy WebLinkAbout1000-111.-7-1 3 ' WN OF SOUTHOLD
Rental Permit
a�
0168
Owner S. McFadden
Occupied as Single Family Dwelling
Located at 1955 Haywaters Road Cutchogue 111.-7-1
Maximum Permitted Occupancy 7
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.
9/12/2023
Code E farce Official
This Notice must be posted by the main entrance at all times
3t so
8
631 -765-1802
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLRG.
[ ] FOUNDATION 2ND [ ] INSULATIOWCAt
[ ] FRAMING / STRAPPING [ ] FINAL
[ ] FIREPLACE & CHIMNEY [ j TIRE SAFETY IN!
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PE
[ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FIl
[ ] CODE VIOLATION [ ] PRE C/O [
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ft Town Hall Annex
Town of Southold 54375 Main Road
CD Rental Inspection Report PO Box 1179
Southold, NY 11971-1179
Tel: 631-765-1802
D
SUM # _. P�teone
..
Owner
_... �. .
Visible
Address , r'.
Hamlet Inspector
Floor Level Quantities Sub 1 2 3
Smoke Detectors not located in bedrooms _ .- . ..
Carbon Monoxide Detectors
Fire Extinguishers
Exits
Bedrooms _ 1_ 2 3 4 5 6
Smoke Detectors
Egress
Occupant Count
Building Systems Maintained & Operational Condition of Property
Heating Building interior
Hot waterBuilding exterior
Electrical Property clean, maintained &safe
Mechanical Handrails&guards installed &secure
Pool Safety - Pool on Site
Surface water alarm Date of CO issuance
Door alarms Pool completely enclosed
Self closing/ latching gates Pool fence to code requirements
CO's far all items present Prior Rental 0/(o
Comments: , No o� A-1*11011
TOWN OF SOUTHOLD
Rental Permit
z 0168
�v
Owner S. McFadden
Occupied as Single Family Dwelling
Located at 1955 Haywaters Road Cutchogue 111-7-1
Maximum Permitted Occupancy 7
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.
8/16/2021
E � R
Code Enforcems fficial
This Notice must be posted by the main entrance at all times '�_�
Town Hall Annex
SOUTHOLD TOWN 54375 Main Road
PO Box 1179 Southold,
Rent al InspectionNY 11971-1179
Tel: 631-765-1802
Fax 631-765-9502
SCTM # Date / 6
Ownermc
Phone �d '2 t( 7 -I?v5-
Address IIWLI�c -5 2 Zip
Hamlet Gv �o v C Inspector
Address visible from street?
LEVELS SUB 1 2 30
Smoke Detectors (#- bedroom detectors excluded)
Carbon Monoxide Detectors (#)
Fire Extinguishers (#)
Exits(#)
BEDROOMS 17 2 3 5
Smoke Detector Alarms(#)
Carbon Monoxide Alarms (#)
Egress(windows) (YIN)
BUILDING SYSTEMS YN CONDITION OF PROPERTY ' N
Heating system maintained/operational Building Interior is clean/maintained
Hot water system maintained/operational Building Exterior is clean/maintained
Electrical system maintained/operational Property is clean/safe/maintained
Mechanical system maintained/operationM Handrails&guards present
POOLS Y POOL BARRIERS Y
Pool present Pool is completely enclosed
Pool surface alarm and/or door alarm Barrier is a min.48" high
resent
POOL GATES Y/W All openings in barrier less than 4"
Self-closing, self-latching Max. 2"clearance @ bottom of barrier
Latch on pool side of gate, meets height Barrier capable of being locked &child-
requirements proof when unattended
COMMENTS:
TOWN OF SOUTHOLDRental Permit
t ,
2YPermit No. 0168
Owner S McFadden
Occupied as Single Family Dwelling
Located at 1955 Haywaters Road Cutchogue 111-7-1
Village s/B/L
Maximum Permitted Occupancy 7
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.
8/27/2019 John Jarski
Date of Issue Code Enforcement Officer
This Notice must be posted by the main entrance at all times
Town Hall Annex w, Telephone(631)765-1802
54375 Main Road Fax(631)765-9502
P.O.Box 1 179
Southold,NY 11971-0959
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
RENTAL PERMIT APPLICATION.
Rental Permit Fee$200(Application must be renewed every two years)
Section A. FED) ,_ : r U
ti .
Property information: ,
JUL 2 3 2019
Rental Property
Address:
?a T,
T TAT (1 TIT'".
Tax Map Number: 1000 SECTIO - LO,C —7 -LOT '
SECTION B.
OWNER INFORMATION:
Property Owner Name: a
Property Owner Legal Address: Property Owner Mailing Address:
3osn
t d
Telephone Number(s): Daytime � EveningM qM Emergency_ Q_ 510
Property Owner Email Address: 5 VV.C(:�j C-) "`
Page 1 of 5
1
Town Hall Annex k j. Telephone(631)765-1802
54375 Main Road Fax(631)765-9502
P.O.Box 1 179 -39)Y
Southold,NY 11971-0959
� ,1
. i01 "
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
Section C.
Authorized Agent Information:
Nagle of Authorized Agent of dwelling unit, if any:
Address of Authorized Agent (no P.O. Boxes):
Mailing Address of Authorized Agent:
Telephone Number(s): Daytime_, — Evening Emergency
Email Address:
Section D.
Managing Agent Information:
Name of Authorized Agent of dwelling unit, if any:
Address of Authorized Agent (no P.O. Boxes).
Mailing Address of Authorized Agent:
Telephone Number (s): Daytime Evening Emergency
€mail,Address:
SECTION E.
SITE MANAGER INFORMATION: (required for rental properties containing 8 or more rental units)
Name of Managing Agent of dwelling unit, if any:
Address of Managing Agent (no P.O. Boxes): _,
Page 2 of 5
Town Hall Annex Telephone(631)765-1802
54375 Main Road Fax(631)765-9502
P.O.Box 1 179
Southold,NY 11971-0959
w "10 �$ f"(l�0
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
Mailing Address of Managing Agent:
Telephone Number(s): Daytime. Evening Emergency:
Email Address:
SECTION F.
PROPERTY DESCRIPTION:
Number of Rental Dwelling Units on property:
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 Unit: _
Number of rooms in Rental Dwelling Unit:
Use and Dimensions of each room in Rental Dwelling Unit:
5C DCwtivk,
Page 3 of 5
Town Hall Annex Telephone(631)765-1802
54375 Main Road Fax(631)765-9502
TUC
Y.O.Box 1 179 4R� y
Southold,NY 11971-0959 r
V,h
. 1u
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.
e 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 , "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 " Telephone(631)765-1802
54375 Main Road Fax(631)765-9502
P.O.Box 1179
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 Owner's Name:
r-.
Property Owner's Signature:
Sworn to before me this ga day of LA 20
Official Notary Public Signature and Original Notary Stamp
CONNIE D,BUNCH
Notary Public,,'Slate of New"dor
No.01SU6185050
Qualified in Suffolk C,oulnty
Commission Ex6rems r'V 1 A, C) L
Page 5 of 5
�04 C At.Ao�w"" M.- 7 - 1
OFSOUTHOLD BUILDING
765-11802
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INSULATION
[ ] FRAMING /STRAPPING [ ] F AIL pow,
[ ] FIREPLACE & CHIMNEY [vI FIRE SAFETY INSPECTION
i
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL)
[ ] CODE VIOLATION [ ] CAULKING
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Town of Southold 8/27/2019
53095 Main Rd
Southold,New York 11971
EXISTING
CERTIFICATE OF OCCUPANCY
No: 40660 Date: 8/27/2019
THIS CERTIFIES that the structure(s)located at: 1955 Haywaters Rd, Cutchogue
SCTM#: 473889 See/Block/Lot: 111.-7-1
Subdivision: Filed Map No. Lot No.
conforms substantially to the requirements for a built prior to
APRIL 9, 1957 pursuant to which CERTIFICATE OF OCCUPANCY NUMBER Z- 40660
dated 8/27/2019 was issued and conforms to all the requriements of the applicable provisions of the law.
The occupancy for which this certificate is issued is:
wood fraaaae one f,M l dwellin with glass ericlosqLl V(.)rcb,
Notes: BP_4 6 additiota tq„dwellaaag..,QL/-m/01 BP'4799,Accet s-ro ara_e with slc r oras C'0 -7290.,
The certificate is issued to McFadden, S
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
*PLEASE SEE ATTACHED INSPECTION REPORT.
A :t arra . �.._ ........
coal Signature
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
HOUSING CODE INSPECTION REPORT
LOCATION: 1955 Haywaters Rd,Cutchogue
SUFF.CO.TAX MAP :--111. 7 1 SUBDIVISION:
NAME OF OWNER(S): McFadden,S
OCCUPANCY:
ADMITTED BY: ......... ...........8,—/27/2019
SOURCE OF REQUEST. 'McFadden,S
..............
DWELLING:
#STORIES: 1 #EXITS: 2
FOUNDATION: cement block CELLAR: fall CRAWL SPACE:
BATHROOM(S): UTILITY ROOM(S):
PORCH TYPE: glass enclosed DECK TYPE: PATIO TYPE: ...... .....
BREEZEWAY: FIREPLACE: 1 GARAGE:
yes TYPE HEATER: 60ND1Ti6NI--NG: MT
DOMESTIC HCTWA—TER-- electric AIR
TYPE HEAT: electric WARM AIR:— HOT WATER:
• #BEDROOMS: ' 3" #KITCHENS: 1 BASEMENT TYPE:
OTHER: ..............
ACCESSORY STRUC`I 1URES:
GARAGE,TYPE OF CONST: STORAGE,TYPE OF CONST:
SWIMMING POOL: GUEST,TYPE OF CONST:
OTHER:
VIOLATIONS:
REMARKS:
...............
.................... ................
INSPECTED BY: JOHN) DATE OF INSPECTION: 8/26/2019
...........
..........
J TIME START: 10:28am END: 10:50am
---............ ..........
NQ 4
TOWN OF SOUTHOLD
BUILDING D
Town Clerk's Office
Southold, N. Y.
d.
Certificate Of Occupancy . W� v Z- 1
No. Z7290 Date . . . . . . . , i9. .7.4
THIS CERTIFIES that the building located at - -Haywaters .&.. 0J d .Menhad et
Map NoNa AA. ,Pt, . . . Block No. . . . . . . . . . .Lot No. . 3'4. . . . .Cutc hogaze . . . . . . . . . . . .
fo substantially to the Application for Building Permit heretofore filed in this office
eted . , . . . . . . . . . .Av9 .12. . ., 19.09. pursuant to which Building Permit No. 47997, .
dated Je. . .10. . - 19. .x., was issued, and conforms to all of the require-
ments of the applicable provisions of the law. The occupancy for which this certificate is
issued is .Private accessory building . (_ .garAZq .l;ith. S�q;p�Ag.xc)PrrS). . ,
The certificate is issued toRos sa„"►i.- Cglg , . UW-Qr, , . . . , . , . „
(owner, lessee or tenant)
of the aforesaid building.
Suffolk County Department of Health Approval -lit i{... . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
UNDERWRITERS CERTIFICATE No.H30642.5 . . . . .Oct. . .5 . . 9L76. . . . . . . . . . . . . . . . .
HOUSE NUMBER . . x.955 . . . Street tiayuWatera .Rd. . . . . . . . . . . . . . . . . . . . . .
1075 Old Manhadden Rd
*BuUding Ihspector
TOWN OF SOUTHOLD,NEW YORK DATESeptember 118 1969
ACTION OF THE ZONING BOARD OF APPEALS
Appeal No. 1282 Dated August 12, 1969
ACTION OF THE ZONING BOARD OF. APPEALS OF THE TOWN OF SOUTHOLD
To Rossa W. & Agnes M. Cole Appellant
Haywaters Road
Cutchogue, NeM York
at a meeting of the Zoning Board of Appeals on September 11, 1969 the appeal
was considered and the action indicated below was taken on your -
( ) Request for variance'due to lack of access to property
( ) Request for a special exception under the Zoning Ordinance
(X) Request for a variance to the Zoning Ordinance
1. SPECIAL EXCEPTION. By resolution of the Board it was determined that a special exception ( ) be
anted ( ) be denied pursuant to Article Section .................... Subsection paragraph
.................... of the Zoning Ordinance. and the decision. of the Building Inspector ( ) be reversed ( ) be
confirmed because 7:45 P.M. (E.D.S.T.), .upon applIcation of RosSa W. &
Agnes M. Cole, Haywaters Road-Nassau Point, Cutchogue, New York, for
a variance in accordance. with the Zoning Ordinance, Article III,
Section 300, Subsection -6, for permission:to build accessory building
in front yard area.Location of property: corner of Haywaters and Old
Menhaden ,Roads,- Map of Nassau Point Club Properties No. 806, Section
D, Lot No. 374., Cutchggue., New Ygrk,. bounded north by Old Menhaden
Road, east by P.J. George, s.oufh by Geo. H. Starkie, .west. by Haywaters
Road.
2. VARIANCE. By resolution of the Board it was determined that
(a) Strict application of the Ordinance (would) (would not) produce practical difficulties or unnecessary
hardship because
SEE REVERSE
(b) The hardship created (is) (is not) unique and (would) (would not) be shared by all properties
alike in the immediate vicinity of this property and in the same use district because
SEE REVERSE
(c) The variance (does) (does not) observe the spirit of the Ordinance and (would) (would not)
change the character of the district because
SEE REVERSE
and therefore. it was further determined that the requested variance ( ) be granted ( ) be denied
and that the previous decisions of the Building Inspector ( ) be confirmed ( } be reversed.
SEE REVERSE
APPROVED ZONING BOARD OF APPEALS
FORM ZB4
,� 1 Se ty evAle,, Secretary
La stili ; u.: l wig `M is 1, � Southold Town Board of Appeals
After inve I st I igation and inspection the Board finds that the
applicant requests permission to build accessory building(garage
with bedrooms) in front yard area. Subject- property is a corner
lot, located on Raywaters & old Menhaden Roads, Cutch6gue. There-
fore applicant does have a hardship because he fronts on two streets.
Applicant also has a topographical hardship due to the contour of
the land, The Board fepls that they have an obligation to provide
relief for the applJcant. The Board feels that the only latitude
they have in this instance is in regard to tJie location of this
building. Applicant has applied for building to be setback 25
feet from old menhaden Road, the Board shall require that he be
setback 42feet from old Menhaden Road. Said building shall not
exceed 12 feet in height. Applicant will not be permitted to have
any cooking facilities, of to rent or lease this building.
The Board finds that strict application of the Ordinance -would
produce practical difficulties or unnecessary hardship; the hardship
oreated is -unique -and would-not, be shared by. all properties alike
10
jcj_uity�, f this property-and in tbe,same use district;
is! -the immediate V .
andthe -variancewill not change the character of the. dist rict and
, -
will observe� the spirit of the ordinance.
THER I FSORE 'ITIWAS RESOLVED Rossa W. & Agnes. M., Cole, Haywatersa
)int" Cutch0gue, New York be GRANTEA
Old Menhaden Roads-Nassau, Pt 0 arage w
g / bedrooms), in
permission to locate accessory building (
front yard area on property located on corner of Haywaters. & old
Menhaden Roads, Cutchogue, New York# subject to the following
conditions:
1. Accessory building must be setback 422ft. from old menhaden Road
2. 11 11 may not be over 12 feet in height.
3. so must not contain any cooking facilities.
may not b*ented or leased.
4.
FOEM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN CLERICS OFFICE
SOUTHOLD, N. Y.
CERTIFICAT.E OF' OCCUPANCY
Z 761 Date . 2 . , 196
.. .....,.. .... ................
T,.
THIS CERTIFIES that the building located ai ,� ... rs o .d Made„xtx�
Map No. $g 1l......Block No. ....***.......Lot No. ... ................... ...........'M.**.........................I............
conforms substantially to the Application for Building Perinit heretofore filed in this office
dated
October` 1'4•••••••� 1`95•..• pursuant to which Building Permit No. ........74..40.6...
dated .............� QJ?.ox•••14.. ••.••. 19SEL, 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
PRIV.AU On JrAMILY DWELLING
This certificate is issued to , .R00,10 ...W1.111AM-0.010"....owner...,..... ..... .........
(owner, lessee or tenant)
of the aforesaid building.
Building Inspector
P�
FORM NO. 2
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN CLERK'S OFFICE
SOUTHOLD, N. Y.
BUILDING PERMIT
(THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL
COMPLETION OF THE WORK AUTHORIZED)
486 , Z
• Date .............QQtOber.....14................... 19...15.8.
Permission is hereby granted to:
. d.-HDcrj&- A/C.. $A..0O3,11k..................
............. 1.4attitul* ....X,Y...............,......
to .......$33fld..an..sdjdi.t .On..l;m..An..9miztlxlg..Ova1.li.rA8.........................................
..„...,..,
at premises located at ....O1d.-Menhadd.AA.A.AaX-VStars..ad.....................................................
Nassau pointy.....Cuta�o�ve.�.....N.Y.,.. , ,...,.. ,........,....
pursuant to application dated ...... ?°..1�., 19.�8.., and approved by the
Building Inspector
Fee $.50Q....PW
Buildmg Inspector