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Home My WebLink About1000-102.-1-13 4 To"WN OF SOUTHOLD { Rental Permit F 0284 Owner Jerry & Esther Chrisafis Occupied as Single Family Dwelling (House #1 - small house) Located at 27475 Route 25 Cutchogue 102.-1-13 Maximum Permitted Occupancy 1 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. J 6/3/2024 e n � c This Notice must be posted by the main entrance at all times e t fi=icial 631 -765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION/CAI [ ] FRAMING / STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY IN! [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PE [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (F [ ] CODE VIOLATION [ ] PR / [ µ� Town Hall Annex x Telephone (631) 765-1802 54375 Main Road Fax (631) 765-9502 P. O. Box 1179 "I Southold, NY 11971-0959 "f BUILDING DEPARTMENT TOWN OF SOUTHOLD RENTAL PROPERTY CERTIFICATION Form is to be completed by a licensed architect, licensed engineer or licensed home inspector Separate form is required for each individual Rental Dwelling Unit Professional seal re aired for Architect or Engineer, Licensed Horne Inspector roust provide cogy of valid current certification Rental Property SCTM Number: 1000-102-00-01.00-013.000 Rental Property Address: 27475 MAIN RD CUTCHOGUE 11935 Owner/Name: JERRY&ESTHER CHRISAFIS Rental Dwelling Unit Identifier: 1 (Small House) Number& Square footage of each bedroom as depicted in the attached floor plan; (i.e. Bedroom#1 — 100 sgft., Bedroom#2—90 sgft., etc.) Studio- 198sgft Property Description (Include all improvements indicated on survey) 1 Story Frame Building, 1 1/2 story frame building, porch I certify that I have done a physical inspection of the subject rental dwelling unit and find that it fully complies with all the provisions of the Code of the Town of Southold, the Residential Code of New York State, the Building Code of New York State, the Plumbing Code of New York State, the Fuel Gas Code of New York State, the Fire Code of New York State the Property Maintenan ode New York State and the Energy Conservation Construction Code of New York State, Anthony Portillo, RA �� »q° .- "r 2 l2024 Print Name and Title 'final Signature Please place Professional Seale ' a m, TOWN OF SOUTHOLD _` ;. Rental Permit 0285 Owner Jerry & Esther Chrisafis Occupied as Single Family Dwelling (House #2) Located at 27475 Route 25 Cutchogue 102.-1-13 Maximum Permitted Occupancy d 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. 3/11/2024 Code En ice o Official This Notice must be posted by the main entrance at all times TOWN OF SOUTHOLD BUILDING DI 631 -785 188E INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PL13G. [ ] FOUNDATION 2ND [ ] INSULATION/CAL [ ] FRAMING / STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INS [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PE [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (Fit [ ] CODE VIOLATION [ ] PRE C/O [ REMARKS: -W bVlft 5P4CC � Le DATE INSPECTOR Town Hall Annex Telephone (631) 765-1802 C 54375 Main Road Fax (631) 765-9502 P. O. Box 1179 Southold, NY 11971-0959 ' �y BUILDING DEPARTMENT TOWN OF SOUTHOLD RENTAL PROPERTY CERTIFICATION Form is to be completed by a licensed architect, licensed engineer or licensed home inspector Separate form is required for each individual Rental Dwelling Unit Professional seal required for Architect or Engineer, Licensed Hoare Inspector must provide copy of valid current certification Rental Property SCTM Number: 1000-102.00-01.00-013.000 Rental Property Address: 27475 MAIN RD CUTCHOGUE 11935 Owner/Name: JERRY& ESTHER CHRISAFIS Rental Dwelling Unit Identifier: 1 Number& Square footage of each bedroom as depicted in the attached floor plan. (i.e. Bedroom#1 — 100 sqft., Bedroom#2—90 sqft., etc.) Bedroom#1- 110 sqft., Bedroom#2- 138sgft., Bedroom#3- 124sgft. Property Description (include all improvements indicated on survey) 1 1/2 Story Frame Dwelling and 1 story frame dwelling certify that I have done a physical inspection of the subject rental dwelling unit and find that it fully complies with all the provisions of the Code of the Town of Southold, the Residential Code of New York State, the Building Code of New York State, the Plumbing Code of New Yorle State, the Fuel Gas Code of New York State, the Fire Code of New York State, the Property Mainte nce de of New York State and the Energy Conservation Construction oe of New York State. Anthony Portillo, RA Print Name and Title ��' d`� Crinal Signature ', Please place Professional Seal:Ix OL �°° * TOWN OF SOUTHOLD Rental Permit � 0284 Owner Jerry & Esther Chrisafis Occupied as Single Family Dwelling (House #1 - small house) Located at 27475 Route 25 Cutchogue 102-1-13 Maximum Permitted Occupancy 1 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. 3/14/2022 �ci � This Notice must be posted by the main entrance at all timesjderr e o OWN OF SOUTHOLD TO Rental Permit 0285 Owner Jerry & Esther Chrisafis Occupied as Single Family Dwelling (House #2) Located at 27475 Route 25 Cutchogue 102-1-13 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. 3/14/2022 ' ods E trc a Official This Notice must be posted by the main entrance at all times 765-11802 INSPECTIO' N [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION/CAULKING [ ] FRAMING /STRAPPING [ ] FINALA,,,4,4, [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION ] ELECTRICAL (ROUGH) [ ] .ELECTRICAL (FINAL) [ ] CODE VIOLATION [ ] PRE C/O REMARKS: v Ail Sl\'e" TOWN OF SOUTHOLD Rental Permit Permit No. 0284 Owner Jerry & Esther Chrisafis Occupied as Single Family Dwelling (House #1 - small house) Located at 27475 Route 25 Cutchogue 102.-1-13 Village S/B/L Maximum Permitted Occupancy 1 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. 1/31/2020 John Jarski Date of Issue Code Enforcement Officer This Notice must be posted by the main entrance at all times TOWN OF SOUTHOLD Rental Permit Permit No. 0285 Owner Jerry & Esther Chrisafis Occupied as Single Family Dwelling (House #2) Located at 27475 Route 25 Cutchogue 102.-1-13 Village S/13/1- Maximum /B/LMaximum 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. 1/31/2020 John Jarski Date of Issue Code Enforcement Officer This Notice must be posted by the main entrance at all times l ' ISD!l1�0 `~O Town 13a11 Annex Telephone(631)765-1802 1� 54375 Main Road r - Fax(631)765-9502 P.O.Box 1279 Southold,NY 11971-0959 BUILDING DEPARTMENT TOWN OF SOUTHOLD RENTAL PERMIT APPLICATION Rental Permit Fee$200(Application must be renewed every tln�o YON JAN 2 4 2020 Section A. Property Information: = s s Rental Property Address: +`Y_ qI Tax Map Number: 1000 SECTION l o ®_o- -BLOCK �oZ -LOT l � ___L3 SECTION B., OWNER INFORMATION: Property Owner Name: Property Owner Legal Address: Property Owner Mailing Address: s en _cta C__ 1'lV ")�,r� o C Z A :�o " n- l 1 C- ". --11$ 2'4- 0'�`r L1 3 1 foq--6�*-( �' crl Telephone Number(s): Daytime Evening„ Emergency >,t e Le•- 0) ' �— [�ll Property Owner Email Address: r �%F r �"C� r 0 Page 1&5 Sb�ly�. Town Hall Annex Telephone(631)765-1802 54375 Main Road �c Fax(631)765-9502 P.O.Box 1179 Southold,NY 11971-0959 BUILDING DEPARTMENT TOWN OF SOUTHOI D Section C. Authorized Agent Information: Name of Authorized Agent of dwelling unit,if any: tw s C s �- �s rLe Address of Authorized Agent(no P.O. Boxes): Mailing Address of Authorized Agent:' c't �c `Jl �cK l 13 i 2 -7i2 Z?-t.o272 0 3'�-? 90"e-L`f"y Telephone Number(s): Daytime Evening Emergency Email Address: .l C s G �s t} C"q 1" 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: �~i i s�° N`0 <<3 bZ C-) Telephone Number(s): Daytime Evening Emergency Email Address: cy T-" C �� < (j '� "=).— ' h 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 N '! Fax(631)765-9502 P.O.Box 1 179 Southold,NY 11971-0959 •CDUI�T'l BUILDING DEPARTMENT TOWN OF ISOUTHOLD Mailirig 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 Uni : r =i- Number of rooms in Rental Dwelling Unit: Use and Dimensions of each room in Rental Dwelling Unit: S�'Ac CS Page 3 of 5 1 Town Hall Annex Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1179 + Y� 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. ❑ 1 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) czti�fNs ) . COUNTY OF Ste) I a c�r -.� �: c- ' , 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 { l�/' Telephone(631)765-1802 54375 Main Road ` Fax(631)765-9502 P.O.Box 1179 Southold,NY 11971-0959 BUILDING DEPARTMENT Towle 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: Property Owner's Signature: Sworn efore me this®i day of 20 2� Official Notalic Signature and Original Notary Stamp ' JOHN-PtTTAS Notary POblic,State,_{, ork No:02P14785801 Qualified in Quee6s'0aunty Commission Expires F®b:28,20if7— Page 5'of 5 vfi�4S�iPOIKcoG Town of Southold 12/30/2019 P.O.Box 1179 53095 Main Rd Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 40967 Date: 12/30/2019 THIS CERTIFIES that the building AS BUILT ALTERATION Location of Property: 27475 Route 25,Cutchogue SCTM#: 473889 Sec/Block/Lot: 102.-1-13 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 5/29/2019 pursuant to which Building Permit No. 43851 dated 6/12/2019 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: "AS BUILT" INSTALLATION OF A WINDOW IN AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR The certificate is issued to Chrisafis,Jerry&Esther of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED ut zed' ignature 4��pf SOV,�yor ~ 'Telephone(631),765-1802 Town Hall Annex � Fax(631)765-9502 � 54375 Main Road _ P.O.Box 1179 • Southold,NY 11971-0959 BUILDING DEPARTMENT TOWN OF SOUTHOLD RENTAL PROPERTY CERTIFICATION Form is to be completed by a license architect,licensed engineer or licensed home inspector Separate form Is required for each individual Rental Dwelling Unit ProfesslonQi seal required for Architect of Engineer Ncensed Home Inspector must arovlde copy of valld current certlRcatlon Rental Property SCTM Number: — Rental Property Address: a- "I Owner/Name: Rental Dwelling Unit Identifier: Number&Square footage of each bedroom as depicted in the attached floor plan: (i.e. Bedroom#1,–100 sq., Bedroom#Z-90 sq., etc.) Property Description (Include II improvements indicated on survey) Na 1 certify that I have done a physical Inspection of the subject rental dwelling unit and find that it fully complies with all the provisions of the Code of the Town of Id,the Residential Code of New York State,'the Building Code of New York State,the P mbing ode of New York State, the Fuel Gas Code of New York State, and the Energy Conser ation uction Code of New York State. Print Name and Tit Original ignature �G� O O s � Please place professional seal: � n 7 O �A`IP S) h 7.+ SOUra Town Hall Annex Telephone(631)765-1802 �, � ,� 54375 Main Road Fax(631)765-9502 P.O.Box 1179 Southold,NY 11971-0959fJ BUILDING DEPARTMENT TOWN OF SOUTHOLD RENTAL PERMIT APPLICATION Rental Permit Fee $200 (Application must be renewed every two years) Section A. JAN 24 2020 Property Information: Rental Property Address: 63,s 2-71-(-7s- M ,— (Cns� c\-v S . V3 Tax Map Number: 1000 SECTION \vJ -BLOCK \01 -LOT SECTION R. OWNER INFORMATION: Property Owner Name: S C 1. �� .s s e ��Y C Property Owner Legal Address: Property Owner Mailing Address: %'N� u3( �. ta� , Telephone Number(s): Daytime Evening Emergency Property Owner Email Address: C ( -_s S 3 dao° Page 1 of S s' - ti 91 Town Hall Annex Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1179 c ' _K. �` Southold,NY 11971-0959 '` x- ��'= h �� nfel # BUILDING DEPARTMENT TOWN OF SOUTHOLD Section C. Authorized Agent Information: Name of Authorized Agent of dwelling unit, if any: �- s```-er Cir: Address of Authorized Agent (no P.O. Boxes): 5>--z �e C«l Mailing Address of Authorized Agent: 1v,K 1(3 C y CL)'4og 22c-oz�z L) 3�� gock-c?Y-) cc«, zel rJ Telephone Number(s): Daytime Evening Emergency Email Address: --Ell C�- Section D. Managing Agent Information: Name of Authorized Agent of dwelling unit, if any: -'1k sCS-3 Address of Authorized Agent(no P.O. Boxes): a Mailing Address of Authorized Agent: ��- L)`/�$ Q j[�crr Telephone Number(s): Daytime Evening Emergency ct\d (A 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): Page 2 of S d S,o Town Hall Annex r' ,, Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1179 Southold,NY 11971-0959Of �, 6 BUILDING DEPARTMENT TOWN OF SOUTHOLD Mailing Address of Managing Agent: tj [A 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 Uni Numberof rooms in Rental Dwelling Unit: Use and Dimensions of each room in Rental Dwelling Unit: 6�-1C—col Page 3 of 5 lei Ad Town Hall Annex r l j{ Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1179 Southold,NY 11971-0959D�` `� coU .-I 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. ❑ 1 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 SUff-Otlf) I �f•Y G�<< , 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 r So Town Hall Annex Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1179 ; . Southold,NY 11971-09590<Y 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. I 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.- J Property Owner's Signature: Sworn to before me this C`�day of Tama? 20.2-0 Official Notary Public Signature and Original Notary Stamp =— Page HYUN KIM tate of New York 6054927 assau County pires Feb 12,2023 Page 5 of 5 Town Hall Annex Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1179 G.� @ Southold,NY 11971-0959 OR BUILDING DEPARTMENT TOWN OF SOUTHOLD RENTAL PROPERTY CERTIFICATION Form is to be completed by a license architect, licensed engineer or licensed home inspector Separate form Is required for each individual Rental Dwelling Unit Professional seal required for Architect or Enaineer,licensed Home In -spector must provide - - -- ----- ------ - --- _ -- copy of valid-current certification Rental Property SCTM Number: Rental Property Address:_a --'(Y WO RCS Y l&�10 _ W P W_ h-c� 1,19 3S Owner/Name: ��,'f'(� ` ES`W)tf C lSab� -- - - Rental Dwelling Unit Identifier: Number&Square footage of each bedroom as depicted in the attached floor plan: (i.e. Bedroom#1-100 sq., Bedroom#2-90 sq., etc.) Property Description (Include all improvements indicated on survey) I certify that I have done a physical inspection of the subject 1awelling unit and find that it fully complies with all the provisions of the Code of! To n of Sout,old,the Residential Code of New York State,the Building Code of New York State, a Plumbin of New York State, the Fuel Gas Code of New York State, and the Energy Co servati C nstructio Code of New Yo State. - J Print Name and Tie Original Please place professional seal: Nq� 0.3 406 d� SOF NEVA - I (h -_C004--- � ql"5, i 1 4 Thp� � - } # # TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION 1ST- [ ] ROUGH PL13G. [ ] FOUNDATION 2ND = [4_]. INSULATION/CAU KI G [ ] FRAMING /STRAPPING [ INAL4t4& [ ] FIREPLACE & CHIMNEY- ] FIRE SAFETYINSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) [ ] CODE VIOLATION [ ] PRE C/O REMARKS: V d DATE 0 70 INSPECTOR 6, v porgy -w4,oqt,,-OFSO # # TOWN OF SOUTHOLD BUILDING DEPT. cou765-1802 INSPECTION [ ] FOUNDATION 1 ST [ ' ] ROUGH PLBG. [ ] FOUNDATION 2ND - [ j]. INSULATIOWCA LKING [ ] FRAMING /STRAPPING [ �/INAv�G�T''C, - FIREPLACE &-CHIMNEY'- [ IRE`SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL- (FINAL) [ ] CODE VIOLATION [ ] PRE C/O REMARKS: 4- s eP4i)p'%, DATE l INSPECTOR EXIST. 95. 29 3 ® UNDER MC.T. REF. EXIST.BATHRM, NO CHANGES XIST,KITCHEN NO CHANGES +s, EXIST. I x CLOSET r N STUDIO LIVING SPACE SEDROOM/LIVING RM. W CHL.HEIGHT ADD NEW CO2 DET.& SMOKE DET. r - uNi rn N EXIST.HEADER REPLACE DOUBLE JACK STUDS& 8, WINDOW STOOL DUE TO ROT EXIST. 5848 FIXED PIC.UNIT FLOOR PLAN 1/4" V-0" 5.24. 19 ►T er .o+ — y^.- oc�� ._. .Ts•.. j�ne 4; c�M 9 0�;c 1ljj ��l ci �3 rico swco a y, _. ,_r-----• pATFILQppM �CV — 9 f 4 C4 .ao 1 Y KITGf-fN I oY j n I� i 1 1 m LAM ATrJ n 1 ✓\G b 1 INI ¢QOM ROOM w xI � — I I t--s�•r_ I FlFz6T Fl40R PLAN 'V Y) ,ftq 2O.'aw- 4' STEP II II �ATTIG WISHED 1 1 NH=ATE SII � ry 1 II II 1 II n II I II FLAB TTIC, FL -V�-ALrz, 114- TOWN OF SOUTHOLD PROPERTY RECORD OWNER STREET VILLAGE DIST.' SUB. LOT -'erip her 4. �- r �21'1 — - FORME OWNER N /� E ACR. S W TYPE OF BUILDING RES. SEAS. I VL. FARM COMM. CB. MICS. Mkt. Value ~ 21,o 'o� LAND IMP. TOTAL DATE REMARKS 01 36 6 }} �t S J 3' 00 171S 50� - --- �� L 1 6o-_a 1-Beau 1(�s 46 "As i2tel l�v dots C G7 y 1 �D� AGE BUILDING CONDITION �' `J NEW NORMAL BELOW ABOVE FARM Acre Value Per Value Acre Tillable FRONTAGE ON WATER ' Woodland FRONTAGE ON ROAD SQ �7t Meadowland DEPTH House-Plot- BULKHEAD Total' " DOCK I 10a 1 - 13 COLOR .! TRIM f , - , � 1 I i M. Idg. - Extension I 1 Extension 3'°� g3r� 0 Extension ,Foundation N c_.t� �;i Both Dinette Porch i ;Basement Floors K. Porch Ext. Walls (/�( " c ; Interior Finish I," LR. Breezeway Fire Place HeatR J DR. Garage Type Roof Rooms 1st Floor Y BR. Patio Recreation Room ;Rooms 2nd Floor IFIN. S i 0. B. (Dormer ;Driveway _- Total L.e/ /S/ V�O L ' ''YG^ TOWN OF SOUTHOLD OFFICE OF BUILDING INSPECTOR TOWN HALL SOUTHOLD, NEW YORK CERTIFICATE OF OCCUPANCY NONCONFORMING PREMISES THIS IS TO CERTIFY that the / Land Pre C.O. #- Z15449 /{x/ Building(s) Date- December 3, 1986 F/ Use(s) located at 27475 Main Road Cutchogue Street Hamlet shown on County tax map as District 1000, Section 102 , Block 01 Lot 13 , does�not)conform to the present Building Zone Code of the Town of Southold for the following reasons: Insufficient total area. 2nd residence insufficient front and sidevard setbacks. On the basis of information presented to the Building Inspector's Office, it has been determined that the above nonconforming /xx/Land �x/Building(s) /_/Use(s) existed on the effective date the present Building Zone Code of the Town of Southold, and may be continued pursuant to and subject to the appli- cable provisions of said Code. IT IS FURTHER CERTIFIED that, based upon information presented to the Building Inspector's Office, the occupancy and use for which this Certifi- cate is issued is as follows: Property contains two one family dwellings situated in the A-Residential Agricultural zone with access to Rt. 29; a state maintained road. The Certificate is issued to F,Gt-ate of Josef zielonka (owner, bea67-2x=A§nz i)X of the aforesaid building. Suffolk County Department of Health Approval N/A UNDERWRITERS CERTIFICATE NO. N/A NOTICE IS HEREBY GIVEN that the owner of the above premises HAS NOT CONSENTED TO AN INSPECTION of the premises by the Building Inspec- tor to determine if the premises comply with all applicable codes and ordin- ances, other than the Building Zone Code, and therefore, no such inspection has been conducted. This Certificate, therefore, does not, and is not intended to certify that the premises comply with all other applicable codes and regula- tions. din€ inSpector •zr. _ df �LUQev Town of Southold 1/17/2020 P.O.Box 1179 CA 53095 Main Rd Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 41009 Date: 1/17/2020 THIS CERTIFIES that the building AS BUILT ALTERATION Location of Property: 27475 Route 25, Cutchogue SCTM#: ' 473889 Sec/Block/Lot: 102.-1-13 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 5/17/2019 pursuant to which Building Permit No. 43800 dated 5/28/2019 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: "AS BUILT"ADDITION AND ALTERATIONS INCLUDING UNHEATED NON-SLEEPING FINISHED ATTIC AND REAR STOOP TO AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR The certificate is issued to Chrisafis,Jerry&Esther of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 43800 12-02-2019' PLUMBERS CERTIFICATION DATED 01-08-2020 A r,, Josep uomey A&L \\li Au ognature o�OSuff��cpG Town of Southold 1/17/2020 y� P.O.Box 1179 co .� 53095 Main Rd o�g Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 41009 Date: 1/17/2020 THIS CERTIFIES that the building AS BUILT ALTERATION Location of Property: 27475 Route 25,Cutchogue SCTM M 473889 Sec/Block/Lot: 102.4-13 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 5/17/2019 pursuant to which Building Permit No. 43800 dated 5/28/2019 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: "AS BUILT"ADDITION AND ALTERATIONS INCLUDING UNHEATED,NON-SLEEPING FINISHED ATTIC AND REAR STOOP TO AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR The certificate is issued to Chrisafis,Jerry&Esther of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 43800 12-02-2019 PLUMBERS CERTIFICATION DATED 01-08-2020 ORsephNiney Au ed i ature �g11FPOlKcp�'ez Town of Southold 12/30/2019 00 � P.O.Box 1179 0 53095 Main Rd oy�01 �oo� Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 40967 Date: 12/30/2019 THIS CERTIFIES that the building AS BUILT ALTERATION Location of Property: 27475 Route 25,Cutchogue SCTM#: 473889 Sec/Block/Lot: 102.-1-13 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 5/29/2019 pursuant to which Building Permit No. 43851 dated 6/12/2019 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: "AS BUILT"INSTALLATION OF A WINDOW IN AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR The certificate is issued to Chrisafis,Jerry&Esther of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED o o ' ed ignature