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Home My WebLink About1000-116.-4-23 TOWN OF SOUTHOLD Rental y Permit f� 0201 Owner Hans Family Living Trust Occupied as Single Family Dwelling Located at 505 Beachwood Road Cutchogue 1164-23 Maximum 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. 1/10/2022 xf Code Enforc�ent Official This Notice must be posted by the main entrance at all times d Town Hall Annex ,. UTHOLD TOWN 54375 Main Road �a PO Box 1179 Southold, Rental Indp ectin o NY 11971-1179 Tel: 631-765-1802 'oFax 631-765-9502 SCTM ?j Date Z Z ------------ Owner S {� W Lt (,' Phone ILI ySv _Y�5 Address a Zip I Hamlet v-CG C Inspector Address visible from street? SUB 1 2 Smoke Detectors (#-bedroom detectors excluded) Carbon Monoxide Detectors (#) Fire Extinguishers(#) Exits (#) BEDROOMS 1 z 2 3 5 Smoke Detector Alarms (#) Carbon Monoxide Alarms (#) Egress (windows) (Y/N) BUILDING SYSTEMS COITI 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/operational Handrails &guards present POOLS V Y I / Pool present Pool is completely enclosed Pool surface alarm and/or door alarm Barrier is a min. 48" high resent POOL GATES Y/N 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 ' � TOWN OF SOUTHOLD ltn Rental Permit Permit No. 0201 z Owner Hans Family Living Trust Occupied as Single Family Dwelling Located at 505 Beachwood Road Cutchogue 116-4-23 Village S/B/L Maximum 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. 10/24/2019 John Jarski Date of Issue Code Enforcement Officer This Notice must be posted by the main entrance at all times Town Hall Annex �, �� Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1179 Southold,NY 11971-0959 0 r° "T BUILDING DEPARTMENT TOWN OF SOUTHOILD RENTAL PERMIT APPLICATION Rental Permit Fee $200 (Application must be renewed every two Section ,tea.. .. .,,. •, m,:x':°" Property Information: Rental Pd Property Address: ) C4, ck�(5' Tax Map Number: 1000 SECTION .IT -O10 'K__.. %S::_-I-OT,_._�m;� SECTION . OWNER INFORMATION: L Property Owner Name � . Property Owner Legal Address: Property Owner Mailing Address: 3b " . Telephone Number (s): Daytime 12 m eveningµ ° G , " 'Emergency3 � .. � Property Owner Email Address: �C� C-) __w....,. �..,.�._.��. .... Page lofS '51„". i Jd r Town Hall Annex Telephone(631)765-1802 54375 Main Roads �, Fax (631)765-9502 P.O.Box 1179 , 15 Southold,NY 11971-0959 ��ll BUILDING DEPARTMENT TOWN OF SOUTHOLD Mailing Address of Managing Agent: ,w_ 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, C); 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 it: ( OZ Number of rooms in Rental Dwelling Unit: Use and Dimensions of each room in Rental Dwelling Unit: _. } w lit Page 3 of 5 Town Hall Annex �u P Telephone(631)765-1802 Fax 765-9502 631 54375 Main Road a ( ) P.O.Box 1179 Southold,NY 11971-0959 ro 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 th laws adopted by the New York State Fire Prevention and Building Code Council. v7 am requesting a fire safety inspection to be performed by a Code Enforcement Official from the Town of Southold ❑ I 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) i d I certify under penalty of p rjiury, 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 Fax(631)765-9502 54375 Main Road P.O.Box 1179 u. Southold,NY 11971-0959 40, 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: /441-1 / 9 4:4 r 77` p Y Property Owner's Signature Sworn to before me this day of 20 Oigin LOficial NotaryPublic Signature and rary Stamp CHRISTI=FARRELLYYNotary Publiw YorkNO.0Qualified iuntyMy COMMiWon19, 2022 Page 5 of 5 TOWN OF SOUTHOLD BUILDING DEPT. � a 765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] .FOUNDATION 2ND [ ] INSULATIOWCAULKING [ ] FRAMING /STRAPPING [/1] FIIRE N L 4(0,m [ ] FIREPLACE &-CHIMNEY [ SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE�RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) [ ] C DE VIOLATION [ ] PRE C/O RE ARKS-0 t�4wt�, I ay . . 6 * a� ' Lv w 47 AL— ,:7P ui IV LD {I i _ c ! Tr —_. . lilt To U, Ci Its. t n 77 aU � YI ®I 4 � ;' AI- mm e 4 Z 4a wn y s n r. i — C �. eu rin: I ... n 0 m N i 0 f d ' } m Oli 99 s .r o f�� v r i,,k l f p C7 7-1 m oj m —{ r m 14 r al rl oj Cil (,} wd l Ij (( fff t j 4 mwJyrylJ IN r' 9fl 444 �n4 dt i w Ar 40 JW ', ci 1 B W r Ino "r CD 16 y, 71 1 1 , 5 y i O U rt NCD P ..fin.,._ N � � I 1 .✓V 04 v- - a ;u i i I J t Town of Southold ......—....... .._ .._. 10/24/2019 . ...._ 53095 Main Rd Southold,New York 11971 PRE EXISTING CERTIFICATE OF OCCUPANCY No: 40806 ` Date: 10/24/2019 THIS CERTIFIES that the structure(s)located at: 505 Beachwood Rd, Cutchogue SCTM#: 473889 See/Block/Lot: 116,4-23 � Subdivision: Filed Map No. Lot No. conforms substantially to the requirements fora built prior to pursuant to which CERTIFICATE OF OCCUPANCY APRIL 9 1957NUMBER Z- 40806.. dated 10/24/2019 was issued and conforms to all the requriements of the applicable provisions of the law. The occupancy for which this certificate is issued is: qqgmal wawaaadi Tana _Qne family d11 ' ith screppd_porh end acc(L .:rame COZCOQ 3 �. p .. .._ .� Cc�ravrl�t�r .__�.�. for ea�istin acccssory ara B 09 B1. 2()76°ajt/add n new SOual d Cllin ca Pcar aou d,076 �su Doan and dont and rear decks _.. The certificate is issued to Hans Family Living Trust (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED *PLEASE SEE ATTACHED INSPECTION REPORT. art rig d "rgnature r,a BUILDING DEPARTMENT TOWN OF SOUTHOLD HOUSING CODE INSPECTION REPORT LOCATION: 505 Beachwood Rd,Cutchogue SUFF.CO.TAX MAP NO.: 116.-4-23 SUBDIVISION: NAME OF OWNER(S): Hans Fa. ... mily Living Trust OCCUPANCY: ADMITTED BY: SOURCE OF REQUEST: Hans Family g.... - Livin Trust DATE: 10/24/2019 DWELLING: #STORIES: 2 #EXITS: 3 FOUNDATION: cement block and pier CELLAR: CRAWL SPACE: BATHROOM(S): 1 TOILET ROOM(S): 1 UTILITY ROOM(S): PORCH TYPE: screened DECK TYPE: PATIO TYPE: BREEZEWAY: FIREPLACE: GARAGE: DOMESTIC HOTWATER: x TYPE HEATER: electric AIR CONDITIONING: TYPE HEAT: none WARM AIR: HOT WATER: #BEDROOMS: 3 #KITCHENS: 1 BASEMENT TYPE: OTHER: ACCESSORY STRUCTURES: GARAGE,TYPE OF CONST: wood frame STORAGE,TYPE OF CONST: SWIMMING POOL: GUEST,TYPE OF CONST: OTHER: VIOLATIONS: REMARKS: INSPECTED BY: JOHNJ DATE OF INSPECTION: 10/22/2019 TIME START: 9:24am END: 9:41am FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-26693 Date: 09/16/99 THIS CERTIFIES that the building ADDITION Location of Property: 505 BEACHWOOD RD CUTCHOGUE (HOUSE NO. ) (STREET) (HAMLET) County Tax Map No. 473889 Section 116 Block 4 Lot 23 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated OCTOBER 1, 1998 pursuant to which Building Permit No. 25362-Z dated DECEMBER 1, 1998 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 PORCH ENCLOSURE AND NEW FOUNDATION FOR AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to MARGARET REINHARD, TRUSTEE (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. N 493733 07/08/99 PLUMBERS CERTIFICATION DATED 08/23/99 J. ZEES PLUMBING, & HEAT. Building Insp for Rev. 1/81 FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-33609 Date: 03/23/09 THIS CERTIFIES that the building FOUNDATION Location of Property: 505 BEACHWOODmmmRD CUTCHOGUE (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 116 Block 4 Lot 23 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated MAY 18, 2006 pursuant to which Building Permit No. 32076-Z dated JUNE 5, 2006 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 RAISED FOUNDATION FOR AN EXISTING ACCESSORY GARAGE AS APPLIED FOR. The certificate is issued to MARGARET REINHARD REV TRT (OWNER) of the aforesaid building. A SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/ ......`_... . ELECTRICAL CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A ....... .......... ....Aut prized Signature att g ure Rev. 1/81 FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-33610 Date: 03/23/09 THIS CERTIFIES that the building ADDITIONS/ALTERATIONS _ CHWOOD CUTCHOGUE RD Location of Property: 50S BEA ._. .. (HOUSE NO. ) (STREET) (HAMLET) County Tax Map No. 473889 Section 116 Block 4 Lot 23 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated MAY 18, 2006 pursuant to which Building Permit No. 32076-Z dated JUNE 5, 2006 was issued, and conforms to all of the requirements of the applicable provisions of the law. The occupancy for which this certificate is issued ONS, INCLUDING SEASONAL DWELLING CONVERTED TO YEAR ROUND, AND is ALTERATIONS, ._... _. . ......... m ..... ADDITIONS,, INCLUDING SUNROOM AND FRONT AND REAR DECKS, AS APPLIED FOR; The certificate is issued to MARGARET REINHARD REV TRT (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A, -- Ell CTRICAL ..........ELECTRICAL CERTIFICATE NO. 7306 06/20/07 K PLUMBERS CERTIFICATION DATED 06/21/07 MATTITLT�"� PLUMBING Ae " .m AuG riz.... ed Signature Rev. 1/81