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Home My WebLink About1000-109.-1-11 TOWN OF SOUTHOLD Rental Permit �M' 3 Permit No. 0218 Owner WW Farms LLC Occupied as Single Family Dwelling Located at 24085 Route 25 Cutchogue 109-1-11 Village S/13/1- Maximum /B/LMaximum Permitted Occupancy 5 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. 11/12/2019 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 Fax(631)765-9502 54375 Main Road P.O.Box 1179 � E . � Southold,NY 1 197 1-0959 '�N � , � BUILDING DEPARWEN TOWN OF SOU" .HOLD RENTAL PERMIT APPLICATION ,u xr 9 Rental Permit Fee $200(Application must be renewed every two years) Section A. Property Information: Rental Property res p Y s: t' . ......., Tax Map Dumber: 1000 SECTION � � -BLOOI � _-LOT _ SECTION B. OWNER INFORMATION: Property Owner Name: Property Owner Legal Address: Property Owner Mailing Address: Evening` EmergencyTele hone Number s : Daytimed Property Owner Email Address: ��" � �° Page 1 of 5 Town Hall Annex � W1 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 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 fo occupy Dwelling Unit: Number of rooms in Rental Dwelling Unit: Use and Dimensions of each room in Rental Dwelling Unit: 13 Xl / 25, f , m Page 3 of 5 n � C?eo CO Town Hall Annex �F Telephone(631)765-1802 54375 Main Road � " Fax(631)765-9502 P.O.Box 1179 Southold,NY 11971-0959All a }. BUILDING DEPARTMENT TOWN OF SOUTHOLD Section C. Authorized a Information: Name of Authorized Agent of dwelling unit, if any: Address of Authorized Agent (no P.O. Boxes):_ Mailing Address of Authorized Agent:._ ... _ .„_mm �,,, Telephone Number(s): Daytime___._--, Eveningd_mmm Emergency.-_ Email Address: Section D. Managing n Information: Name of Authorized Agent of dwelling unit, if any. _m Address of Authorized Agent(no P.O. Boxes): Mailing Address of Authorized Agent: ..._ _..........._IT.._............ 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:___,, ___.. .,�� .._.w..... Address of Managing Agent (no P.O. Boxes):_._,-_.--,......-.,....... Page 2 of 5 M arm, i+ Telephone 631 765-1802 Town Hall Annex a P 54375 Main Road Hf ��" Fax(631)765-9502 P.O.Box 1179 Southold,NY 11971-0959 �J 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. 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) ZZ certify and r pe�na�� of penury,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 w � Town Hall Annex Telephone(631)765-1802 �' 54375 Main Road Fax(631)765-9502 P.O.Box 1179 Southold,NY 11971-0959v �1 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 Narrrw AXI Property Owner's Signature: Sworn to before me th , day of ' �x�� 20 � Official Notary Public Signature and Origin' Notary Stamp DONNA McGAHAN Notary Public„ Slain of New York No. 01 bC451459 Oualffied In Suffolk County Commission Expires,Aug... 15, V-�, Page 5 of 5 el- TOWN OF SOUTHOLD BUl;LDlNG DEPT. co 765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION T [ ] FRAMING /STRAPPING [ ],/FINAL [ ] FIREPLACE & CHIMNEY DA FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) i [ ] CODE VIOLATION [ ] CAULKING Dct)1 j V Utr4,/atJc, nvl DATE - INSPECTOR I �'" � �t �' I^' ,� �r°��, °ry��°suM�� • �P 7"��,f„ "�Y��0 u� ,�rr��,°r�rr n�r ��,�a � �" ��r ry�',�,�'° p %�lua ��, y�,-�»i arf I I d � I N I N I I m' _ raiz a � d jj(y aP� i b i kV3 w i r p vnr" J 4 y IFy�^ 61 f ry� N, v� �pr r��R�� W� �'Ndu� N � �,t� 7�r� � f �i y��""� !^ i - ��✓";"P I a.. m .r t i a . i atl4,�"2 WN a h i J e' d` I I r a .trr �r r ,7 pt 17 OR 4 r O[I � E y � i z � r - d i I i M1 1 e I I I Z ol i k D r to rm m m cn F i r j (i c C: -u O O T. --I z z m Dx jai r 0U d m m 0 O o o m fiL2— r, 6 i P � rt O O m 8 m p O F- z' m O D j 1 s E a IT tn C ,ni ¢ ,,.' k ; w n. N 70 k i a n 131 JA x � I I I JI� F TM 4 _ 4 � F p .. BMW 0 171 tz tl ,6 4 r� o- „ I Y � , u (�f, f EA w Ln u s � ° II r- r .,M r � V o s, r m a a 7 ! i � k � e -� ® p Qu& W ® ( O X rn o m i m o w N S 4 S Vl b 4+b CL, O C) k� �. IpI s u v ' v 9 " tiY f c T J (1 h b N r n a CD 70 rn "' � . _ n a. 1 C a ' _. 0 o cn o w. o 0 .®.... _ 3 S w C »9 M r r Town of Southold 11/12/2019 53095 Main Rd Southold,New York 11971 PRE EXISTING CERTIFICATE OF OCCUPANCY No: 40845 Date: 11/12/2019 THIS CERTIFIES that the structure(s)located at: 24085 Route 25, Cutchogue SCTM#: 473889 Sec/Block/Lot: 109.4-11 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- 40845 dated 11/12/2019 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 frame one family dwelling with sunroppm and ara>e under,one small accessory woad frame g�Egg ,,,gne,.small accessory me-kl shcgq .c35 80 concrete bloc atat In accesso wood frame barn with loft. �ra ,. .m-_ccs_.�s_o ccessM wood, frame Barra writl aft aohe i shed. Note:BP 43559 electrical service COZ-40507 The certificate is issued to WW Farms LLC (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED *PLEASE SEE ATTACHED INSPECTION REPORT. Vol _ ..... . tlao Signature BUILDING DEPARTMENT TOWN OF SOUTHOLD HOUSING CODE INSPECTION REPORT LOCATION: 24085 Route 25,Cutchogue SUFF.CO.TAX MAF NO.........�1 ...................................... 109.-1-11 ......................... SUBDIVISION: NAME OF OWNER(S): WW Farms LLC . .. OCCUPANCY: ADMITTEDBY............................................................... ................................................. ....-..................._.......... SOURCE OF REQUEST: WWFarms LLC DATE: 11/12/2019 DWELLING: #STORIES: 1 #EXITS: 3 ...... FOUNDATION concrete CELLAR: full CRAWL SPACE: BATHROOM(S): 1 TO .. ................ -......._.-... ILEI ROOM(S): UTILITY ROOM(S): PORCH TYPE: DECK TYPE: PATIO TYPE: BREEZEWAY: FIREPLACE: 1 GARAGE: under DOMESTIC HOTWATER: x TYPE HEATER: electric AIR CONDITIONING TYPE HEAT: oil WARM AIR: forced hot air HOT WATER: #BEDROOMS: 3 #KITCHENS: f BASEMENT TYPE: -� �- unfinished OTHER: ACCESSORY STRUCTURES: GARAGE,TYPE OF CONST: STORAGE,TYPE OF CONST: 1 metal; 1 wood frame SWIMMING POOL: GUEST,TYPE OF CONST: OTHER: 2 barns; 1ota m .. p to barn VIOLATIONS: REMARKS: INSPECTED Y.: JOHNJ DATE OF INSPECTION: 9/19/2019 TIME START: 10:55am END: 11:59am ——------------- ............ _..._ Town of Southold 7/16/2019 E P.O.Box 1179 rh 53095 Main Rd Southold,New York 11971 CERTIFICATE T :FICATE OF OCCUPANCY ANCY No: 40507 Date: 7/16/2019 THIS CERTIFIES that the building ELECTRICAL Location of Property: 24085 Route 25, Cutchogue SCTM#: 473889 Sec/Block/Lot: 109.-1-11 Subdivision: Filed Map No. Lot No, conforms substantially to the Application for Building Permit heretofore filed in this office dated 3/15/2019 pursuant to which Building Permit No. 43559 dated 3/15/2019 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 ELECTRIC SERVICE TO MOBILE HOME The certificate is issued to WW Farms LLC of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 43559 04-15-2019 PLUMBERS CERTIFICATION DATED Authorized Signature Bunch, Connie From: awickham@wbglawyers.com Sent: Thursday, November 07, 2019 2:59 PM To: Jarski, John; Bunch, Connie Subject: FWD: Water heater Attachments: IMG_0438 jpg John - attached is a photo of the water heater valve extension pipe which was installed at the house you inspected at 24085 Main Road, Cutchogue, NY 11935 1000-109-1- for WW Farms, LLC. Please send the Pre-CO and Rental Permit to me at: s P.O. Box 1424 Mattituck, New York 11952 631298-8353 631298-8565 (Fax) Thanks very much. Gail Wickham 4 --------- Original Message --------- n 0! 7 Subject: Water heater From: 'Ejb' <6bt (,0)aoLoni Date: 11/7/19 7:40 am To: awickham@wbglawyers.com Sent from my iPhone ATTENTION: This email came from an external source. Do not open attachments or click on links from unknown senders or unexpected emails. i f t f;�o iir f�i I