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Home My WebLink About1000-85.-2-23 TOWN OF SOUTHOLD Rental Permit r`{ 0267 Owner Beverly Spielman 31 fl I Occupied as Single Family Dwelling Located at 2540 Bridge Lane Cutchogue 85.-2-23 ; 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. 1/13/2022 Code Enforcement Official This Notice must be posted by the main entrance at all times TOWN OF SOUTHOLD Ci K &A Rental Permit Permit No. 0267 Owner Beverly Spielman Occupied as Single Family Dwelling Located at 2540 Bridge Lane Cutchogue 85-2-23 Village 5/B/L 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. 1/8/2020 John Jarski Date of Issue Code Enforcement Officer This Notice must be posted by the main entrance at all times 0 � A-7119 Town Hall Annex Telephone(631)765-1802 54375 Main Road NOV 4 2019 Fax(631)765-9502 P.O.Box 1179 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. Property Information: Rental Property Address: m p .. - LOT Tax Ma Number: 1000 SECTION � _ „-BLOCK _ ,,,�a _m SECTION B. OWNER INFORMATION: d� Property Owner Name: .. _— Property Owner Legal Address: Property Owner Mailing Address: _...... ..,�....... �y0 •• •F y "� pry,� Telephone Number(s): Daytime ,14,4 ,45 '__ Evening Emergery '75-14 G ; 3 L� 3 Property Owner Email Address: � 1 dw � �. i . . Page 1 of 5 Town Hall Annex Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1179 Southold,NY 1]971-0959 BUILDING DEPARTMENT TOWN OF SO' THOLD Section C. Authorized Agent Information: C 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---q.- 0.0 "1 Evening.,. " �tf Emergency Email Address: 'STL6;'L LO 5 melk�) Section D. Managing Agent Information: Name of Authorized Agent of dwelling unit, if any: ---- ------ Address of Authorized Agent (no P.O. Boxes):aITITITITIT ....... 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): 10 V, Page 2 of 5 Town Hall Annex Telephone(631)765-1802 54375 Main Road Fax(631)765._9502 11.0.Box 1 179 Southold,NY 11971-0959 BUILDING DEPARTMENT TOWN OF SOUTHOLD Mailing Address of Managing Agent: cII Telephone Number (s): Daytime Evening., ,., Ernergeo • 4 Email Address: . _ ' , .. SECTION F. PROPERTY DESCRIPTION: w 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 .o occupy Dwelling Uni : Number of rooms in Rental Dwelling Unit: __ � � 11 Use and Dimensions of each room in Rental Dwelling Unit: k` :� I phi cx I7 f ® p Y 4 D (S4 C , Ilk Page 3 of 5 Town Hall Annex Telephone(631)765-1902 54375 Main Road Fax(631)765-9502 P.O.Box l 179 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 thelawsadopted by the New York State Fire Prevention and Building Code Council. Tg 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) ertify 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 1 197 1-0959 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 g ,., PropertyOwner's Signature: )7 _ Worn to before me this day of "� 20 M �6fic�ial NotaryPublic nature a d O�ginryal Notary Stamp SAMANTHA SAINT JEAN ' Notary Public,State of Newyork No.01SA6323816 Qualified in Rockland County. " Commission Expires Clay 04„ Page 5 of 5 . .�" �� , C�kcG�o vii .--• Z- Z3 o * TOWN OF SOUTHOLD BUILDING: DEPT. 765-1802 INSPECTION [ ] FOUNDATION 1ST ROUGH PL . [ ] FOUNDATION 2ND INSULATION/CAULKING` [ ] FRAMING /STRAPPING [ ] I L [ ] FIREPLACE CHIMNEY [ FIRE SAFETY INSPECTION ( ] FIRE RESISTANT CONSTRUCTION, [ ] FIRE RESISTANT PENETRATION ( ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) [ ] CODE VIOLATION [ ] PRE C/ • DATE 1 tz m r m < CD �C •e [n r III '" _ , , ," 00 z G7 w 00 o 00 7" "" cn (&D 00 61 4'r C : _.._13, 1 w' F-81711 10",+3, 3,"i wT 1 N N ."x" C1 p 111 1„� Aw1 `3 3 c� <• C7 '302 T O00 ya �a 17, 1", 301211 �p N T o It F--10"--�1 � SZ:aBed VOURJ£ MVW'131dS A'lW3A38 J001:1 PLIZ +, -14,U ��"T' aIrrPP?Y�T X mooipag 1 8a I � - JV�r 1 T 1t m0onPeg V Yui YZ'I 148 r,8, ID Asia sPaf-g 110 8a'I IIT YZl 1 -- A .9z - 1001i PUZ 9Z:aftd 8IOVIUf RVV4'l3IdS�A-MIAHfl luawas>?g ddb 101 �l Cz mw o ^/ z uZ dOZ I"J N C-` luauraseg CS IUOWM8 „w 0 S � s a rn � f y ; m (� C p r Z i m _.a. _. m X X i 0 ° o 0 0 ov_ 0 0 n � y z z W UI a.' x; r Yj W f \ m cc M tA n OO r r� ^w d I r� h W r joll ... J p . N V r 0° r li 1 1 1F: . f I, r, t' °r t� 7 . .._.,.,. .._.. .. .......� ..._ a...- ,dam. I F 3 J p 70 7D 2 ll Pi oil CA ., .. CL r s�. ..... �A. , _ .. w........._�_�. , I . w� ay ., l° �n p ..,. roam IM s TOWN OF SOUTHOLD BUILDING DEPARTM3M_ Town Clarks Office Southold, N. Y. Certificate OF Occupancy No. , , ?9316. . , , Date . . . . Novemberm . . . . .27 .. . ., 19. .78 THIS CERTIFIES that the building located at . 2540 .15r .49 3. 14Mg. . . . . . . snexx Map No. . . . . .587.2. . Block No. . . . . . . , . , .Lot No. . . . . . . . . . . 8 . . . . . , , - . . . . . . . . . . . . conforms substantially to the Application for Building Permit heretofore filed in this office dated . . . . , pt, , , .?B. , . . ,, 19. 78 pursuant to which B Permit No. . . . . 99'!82 dated . . . .August. . . 29. . . . . .1 19. ?8, was issued, and conforms to all of the require- ments of the applicable provisions of the law. The occupancy for which this certMwte is issued is . . . . . . . . �'ivAte. One.Family. )Dw.ejj.0 8 . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . The certificate is issued to . . . Gwynne .Construntion .Carp.. . . . . . . . . . . . . . . . . . . . . . .. (owner, of the aforesaid building. Suffolk County Department of Health Approval 8-SO-10 3A . . . . . . . , . . UNDERWRITERS CERTIFICATE No. . .. , . . .N410$40 ,. . . . . . . . . . . HOUSE NUMBER . , . , 2540. . . . . Street . . . . a Lane . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . teb 4 ,e, New,York, . . . . . . . . ,. . . . Building Inspector County Tac Number 9000-85-2-23 Town of Southold 2/28/2019 i Ir fyP.O. Box 1179 53095 Main Rd Southold, Nem"Fork 11971 CERTIFICATE OF OCCUPANCY No: 40237 Dante- ",:0 19 II is CERTIFIES that the building At.-If 1[ZA l iON Location of Property: 2540 Bridge V_tX., C'titclloguc S(-.'TM #- 473889 see/Block/Lot: 85a-2-23 Subdivision: Filed Map No. Lot No. conforms substantially to tl'nc Application for Building Permit heretn�l`ore fled in this office dated 4/9/2018 pursuant to which Building Pen-mit No. 42609 dated 4/26/201 4 wa.,..s iSSUeal, and conl'orn'ns to all of the requirements of the applicable pr-ovisions of the lmv- The occupancy Is�rr' wilicll tl'iis eertificate is lssLied is atI �.:r Ida�¢��d_a&mllu ''wc r lld jle%� ��rrrir�O)vs ilA "uli w:�M;fim'!cmc IIumlll ; I eaw.°IIHI„ler ,u;a tirl�grl�ti�rl I'i,!, l_G"tl2 111Ytl 1.ltd fall NSR iL"1ar91 lR'r t The certificate cate ns issued to Spielman. Beverly of"the aforesaid buildiiig. SUFFOLK COUNTY DEPARTMENTOF HEALTH H APPII2CDV AL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED � Ji Town of Southold 2/28/2019 gi f/ I�ariim P.O. Box 1179% 53095 MainlRd Southold, N eyv York 1197 1. CERTIFICATE No: 4023£ Dal e: 21/2,81/20 1 9 THIS CERTIFIES that the building At"CE SSORY Location of Property: 2540 Bridge t.,ra., Cutchcoguc SC,PD"l #; 473889 Sec[Bl®c l.QDt. 85,2-23 Subdivision: tailed Map No. t,®t No. cconfbrms substantially to the Application for Building Permit heretofore filed in this office dated 4/26/2018 pursuant to which Building Permit No. 42608 dated 4/26/20]8 was issued, ind conforms ms tco all of the requirements of the applicable provisions of the law, The occupancy for which this certificate is issued is: sepail-ed, Xist swig pool, 1"n a.i" qvlicd li61' The certificate is issued to Spietm an. Beverly of the:albresaid buildim, SU FFOI..,K COUNTY D P.4. °Il' .ENT F kgEALTH APPROVAL 1a',LECTRIC'`AL CERTIFICATE NO. PLUMBERS CERTIFICATION ION IIDATE D f ,t04hIiZed ` i�,natttr-c: Town of'Southold 2/28/2019 P.O. Box 1179 l x53095 Main Rd Southold, New Vork 11971 CERTIFICATE NO: 40238 Date: 2/28/2019 THIS ::,➢EERI TIFIEa: that the building ACCESSORY JE...,ocap.ion of Property, 2540 Bridge Ln, C:autcho puue SCTM #: 473889 Seeffflockll,ot- 85.-2-23 Subdivision: Filed Map No. ➢[_,ot No. con1brms substantially to the Application for Building Permit heretofore filed in this office dated 4/26/2018 pursuant to wbich Building Permit No. 42608 dated 4/26/2018 was issued, and coun6onns to all of the requ it uunents of the applicable provisions of the law, The occupancy for which this ecutpficate 1s issued 1s: pappz� pxjo.d_j. j!�. g, z1jiJrli..)= The certificate is issued to Spidman, Beverly of the aforesaid building. ing. SI.JF'Y-,'OLK COUNTY DEPARTMENTOF HEALTH APPROVAL, ELEC III."] .ICAL CERTIFICATE 1 IFIC: Tpl«"R Caw NC I.dUMB E R CERTIFICATION..TIO DXTED ups u1iZCd S� 1/7/2020 20200107_152400.jpg C 2 Ilk Y 0 Z JAN 7 2020 https:HmaiI.google.com/mai1/u/1/#inbox?projector=1 1/1 1/7/2020 20200107_143034.jpg r al / r p'pmv it ' /i', 'Al ( ci rv� i i 1 b ' c JAN https://mai1.googIe.com/mail/u/1/#inbox?projector=1 1/1