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Home My WebLink About1000-111.-1-13.1 a TOWN OF SOUTHOLD Rental it 0253 Owner Archivist Capital Fisherman's Beach LLC Occupied as Single Family Dwelling Located at 370 Fishermans Beach Road Cutchogue 111-1-13.1 Maximum Permitted Occupancy 8 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. 2/2/2022 Code Enfor ent Official This Notice must be posted by the main entrance at all times Town Hall Annex S�UTHQL� TOWN 54375 Main Road aPO Box 1179 Southold, Rental Inspection NY 11971-1179 Tel: 631-765-1802 " Fax 631-765-9502 SCTM # ,,,,.. . Quuner (' Phone :Address is�lCr nw�►s �� d7 �� Zip Hamlet ,. C_�J`r��v P lInspeotor 'edM v14fe from street? LEVELS Smoke Detectors (#- bedroom detectors excluded) Carbon Monoxide Detectors(#) Fire Extinguishers (#) Exits (#) BEDROOMS I 3 Smoke Detector Alarms(#) LX Carbon Monoxide Alarms (#) Egress(windows) (Y/N) BUILDING SYSTEMS 1 CONDITION OF PROPERTY 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 / POOL BARRIERS /N Pool present Pool is completely enclosed Pool surface alarm and/or door alarm Barrier is a min.48"high resent POOL GATES YIN 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: w R — fD TOWN OF SOUT OLD Rental Permit g . Y Permit No. 0253 Owner Archivist Capital Fisherman's Beach LLC Occupied as Single Family Dwelling Located at 370 Fisherman's Beach Cutchogue 111-1-13.1 Address Village S/13/1- Maximum /B/LMaximum Permitted Occupancy 8 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. 12/18/2019 John Jarski Date of Issue Code Enforcement Officer This Notice must be posted by the main entrance at all times e _ Town Hall Annex Telephone(631)765-1802 54375 Main Road �F � ��; Fax(631)765-9502 P.O.Box 1179 ZZ �J Southold,NY 11971-0959 UN BUILDING DEPARTMENT TOWN OF SO OLD RENTAL PERMIT APPLICATION � ,,. Rental Permit Fee$200(Application must be renewed every t DeqrOLJA,l ' i' 19 H" Section A. Property Information: �� dbp �� Rental Property Address: r: 1000 N -BLOCK -L T ) - b Tax Ma Number: SECTIO �� 0 SECTION B. OWNER INFORMATION: Property Owner Name: k "i 'S bmm LLC" Property Owner Legal Address: Property Owner Mailing Address: SW L �C tL > > Telephone Number(s): Daytime �I7S7Z' ening Emergency q � 5 l72—�57 Property Owner Email Address: ts Page 1 of 5 Town Hall Annex M Telephone(631)765-1802 54375 Main Road ,ems �" Fax(631)765-9502 P.O.Box 1 179 � • �� Southold NY 11971-0959 i' 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, 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 Unit: Number of rooms in Rental Dwelling Unit: ID Use and Dimensions of each room in Rental Dwelling Unit: 'F1YC-E' 00 pD rPl1 r' 151 ssa ur l r0 Page 3 of 5 Town Hall Annex 0 Telephone(631)765-1802 54375 Main Road + n Fax(631)765-9502 P.O.Box 1 179 4` Southold,NY 11971-0959 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. 1Dk 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) IInt Fi0 ' 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 olf' Town Hall Annex r Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1179 ` Southold,NY 11971-0959 d BUILDING DEPARTMENT TOWN OF SO OLD 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: I ' i SLG Property Owner's Signature: Sworn to before me this day ofc 20_E Officiallota Pubi'ic Signature and Original Notary Stamp 1# PFnAl.STAMP JU LIA L DISE M'CALLABTER NOTARY PLISU"REGON COMMISSION NO,985408 My COMM,SSION11 KPIRES APRIL 03,2023 Page 5 of 5 TOWN OF SOUTHOLD BUILDING DEPT. 802 Tya«, 1 INSPECTION [ FOUNDATION 1ST ] ROUGH PLBG. [ � FOUNDATION 2ND [ ] I S L TIGN/C L I �G� [ ] FRAMING /STRAPPING [ ] FINAL �` �� [ ] FIREPLACE-•&..CHIMNEY [ FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIE RESISTANT PENETRATION " ] ELECTRICAL (ROUGH) [ ] ELECTRICAL ( 1 ) CODE VIOLATION [ ] PRE C/O [ . a. DATE, I` INSPECTOR 4 28' .Yl, UvIng Room KlIcheli Bedroom Den mw 141 14, Master Bedroom `" ��^ °rl'r� A •^,Fwon�l Vy) �� ioNuw 5t- 4,loov' l �a T-1 oav „ S I.yo . . .lo m �: W ;;;.1. 1 01 2 0 19 0 4 l s I 0 M t o LJ D cn r ® m m m m ® n mI r .a e� O w T m wµ M v m n 0 O � � m x 1 i u k I i wIn " c 03 ,1 0 0 n u, m 0 a i VI ............. o '10 C4 rn wirr Z-� > Z, PJI"I 70 .......... I.........�': .......... 3, IJ: (q, Ln 1,71 m t"O Of Ln ij NJk Ism, m .......... .......... X7 n x q q y v " N D � III wa n i r ^� M r r r � I SU S hi h a ,x H 1 i TI � � I I O ❑ 7 rt ! rr 3 nn � r I 0 0 _� $ o C 0 o _. s _ _.. �. 3 .CA 3 In Tl P i . r „ m _ O� ORiM wL r . L Illy _ e i FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-30754 Date: 02/11/05 THIS CERTIFIES that the building NEW DWELLING Location of Property: 370 FISHERMANS BEACH RD CUTCHOGUE (HOUSE NO._'_ µ._... ((STREET) _ _. .... (HAMLET) County Tax Map No_ 473889 Section 111 Block 1 Lot 13.1 Subdivision Filed Map No_ Lot No_ conforms substantially to the Application for Building Permit heretofore filed in this office dated DECEMBER 7, 1976 pursuant to which Building Permit No. 8997-Z dated DECEMBER 7, 1976 was issued, and conforms to all of the requirements of the applicable provisions of the law. The occupancy for which this certificate is issued r is ONE FAMILY DWELLING WITH FIRST AND SECOND FLOOR DECKS AND ATTACHED TWO CAR GARAGE AS APPLIED FOR. The certificate is issued to MARK SCHWARTZ & LAUREN PRAUS (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL 6-SO-96 12/29/77 ELECTRICAL CERTIFICATE NO. H 049112 03/15/96 PLUMBERS CERTIFICATION DATED N/A 'zed Signature s Rev. 1/81 FORM N0. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: 229663 Date: 08/27/03 THIS CERTIFIES that the building ALTERATION Location of Property: 370 FISHERMANS BEACH RD CUTCHOGUE (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 111 Block I Lot 13 .1 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated MARCH 8, 2001 pursuant to which Building Permit No_ 27398-Z dated TUNE 13,__2001 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 ALTERATION AND SHED ADDITION TO AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to LAUREN PRAUS (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO_ 1159451 08f7.9 ()3 PLUMBERS CERTIFICATION DATED N/A � o/edgnature 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-22594 Date SEPTEMBER 16 1993 THIS CERTIFIES that the building ALTERATIONS Location of Property 370 FISHERMANS BEACH RD. CUTCHOGUE N.Y, House No. Street Hamlet County Tax Map No. 1000 Section 111 Black. 1 Lot 13.1 Subdivision Filed Map No._ Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated JULY 1 1993 pursuant to which Building Permit No. 21552--Z dated JULY 23,___1,993 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 ALTERATIONS TO EXISTING ONE FAMILY DWELLING AS APPLIED FOR The certificate is issued to MARIAN J. PRAUS (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL NLA UNDERWRITERS CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED NLA , �Aaildi.iq Inspector Rev. 1/81 FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Sall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-24752 Date NOVEMBER 20, 1996 THIS CERTIFIES that the building ADDITION Location of Propert,y _370 FISHERMANS BEACH ROAD CUTCHOGUE, N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 111 Block 1 Lot 13.1 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated OCTOBER 17, 1996 pursuant to which Building Permit No. 23796-Z dated NOVEMBER 1� 1996 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 DECK ,ADDITION TO EXISTING ONE FAMILY DWELLING "AS BUILT" AS APPLIED FOR. The certificate is issued to MARIAN J. PRAUS (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A ui ' ing Inspector 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_m29664 Date: 08/27/03 ... THIS CERTIFIES that the building ACCESSORY P y= rt _ RMH RD CUTCHOGUE Location of Proert 370 FISHE ANS BEACH� .e. W W (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 111 Block 1 Lot 13.1 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated MARCH 8, 2001 pursuant to which Building Permit No_ 27398-Z dated JUNE 13, 2001 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 ACCESSORY SHED AS APPLIED FOR. The certificate is issued to LAUREN PRAUS (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 1159451 08/19/03 PLUMBERS CERTIFICATION DATED N/A 'hor zed Signature Rev. 1/81