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Home My WebLink About1000-83.-1-6 40 TOWN OF SOUTHOLD Rental Permit IN3 0295 Owner Glen Court LLC Occupied as Single Family Dwelling Located at 545 Glen Court Cutchogue 83-1-6 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. 3/7/2022 Code Enforce*nt Official This Notice must be posted by the main entrance at all times ° W SOUTHOLD TOWN Town Hall Annex 54375 Main Road Rental Inspection PO Box 1179 Southold, NY 11971-1179 Tel: 631-765-1802 Fax 631-765-9502 7t,*-* SCTM # Date tl 2--2- Owner f o Phone c -Zj'&U AddressL �� C oi�C�� Zip Hamlet CV e Inspector , Address visible from"street? LEVELS SUB "' 1 2 3 Smoke Detectors (#-bedroom detectors excluded) Carbon Monoxide Detectors (#) Fire Extinguishers (#) Exits( ) BEDROOMS 1 2 3 4 5 Smoke Detector Alarms (#) if Carbon Monoxide Alarms (#) L Egress (windows) (Y/N) BUILDING SYSTEMS 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 M Y/N POOL BARRIERS Y/N Pool present Pool is completely enclosed Pool surface alarm and/or door alarm Barrier is a min. 48" high resent POOL GATES Y/N 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: FOL.t TOWN OF SOUTHOLD _Rental -Permit- Permit No. 0295 Owner Glen Court LLC Occupied as Single Family Dwelling Located at 545 Glen Ct Cutchogue 83-1-6 Address S/B/L 1 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. 2/19/2020 John Jarski Date of Issue Code Enforcement Officer This Notice must be posted by the main entrance at all times c A - Town Hall Annex Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1179 ' Southold,NY 11971-0959 a ' E'_- I :_l iffy_I _ . . BUILDING DEPARTMENT TOWN OF SOUTHOLD 'RENTAL PERMIT APPLICATION. Rental Permit Fee$200(Application must be renewed eve >wo yp#) 2 1 2019 Section A. Property Information: Rental Property Address: 7 �k VA 1/1 Lou ' Tax Map Number: 1000 SECTION -LOT SECTION B. OWNER INFORMATION: Property Owner Name:, G L I\ UIC • u e Property Owner Legal Address: Property Owner Mailing Address: x; 9 G Lz o cwt' Cl- Telephone Number(s): Daytime73Z Evening Emergency, Property Owner Email Address: �0\ -_ - i . �faaJlg Page 1 of S Town Hall Annex Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1179 ." Southold,NY 11971-0959 " BUILDING DEPARTMENT ,. M t�pp TOWN OF SOUTHOLD MAY 2 1 2019 T. Lj RENTAL PERMIT APPLICATION INSTRUCTIONS i ,s Rental Permit Fee $200 (Application must be renewed every two years) The items listed below are required to be submitted with the completed ' application. ' ,2"Floor Plans: Floor plans of each Rental Dwelling Unit, please show location of all smoke &carbon monoxide detectors. Certificates of Occupancy and Pre-Certificates of Occupancy: Certificates of occupancy or Pre-Certificates of Occupancy for each rental dwelling unit. , ❑ Certification of Code Compliance(form enclosed): Must be submitted by a license architect or engineer or license home inspector if an inspection by Town of ;: Southold Inspector is declined. ❑ Rental Permit Feer $200.00 - - e Sol Town Hall Annex Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 CA 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: ECTION F. PROPERTY DESCRIPTION: Numb ental Dwelling Units on property: 0c For each Rental Dwelling Unit set forth the Rental Dwelling Unit identifier(for example, J 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. 1 For properties with multiple Rental Dwelling Units use "Rental Permit Application E $Gb aktW. d 4LL O � Addendum. U� f1 � Rental Dwelling Unit Identifier: ✓� CzWA-- Requested Maximum number of persons allowed to occupy Dwelling Unit: Number of rooms in Rental Dwelling Unit: Use and Dimensions of each room in Rental Dwellin nif's .� - f 3 X Page 3 of 5 Town Hall Annex Telephone(631)765-1802 54375 Main Road be Fax(631)765-9502 P.O.Box 1179 ; Southold,NY 11971-0959 �� BUILDING DEPARTMENT TOWN OF SOUTHOLD Section C. Authorized Agent Information: 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 Evening Emergency Email Address: 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: 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):. f Page 2 of 5 i� b 4 Town Hall Annex Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1 179 Southold,NY 11971-0959i!r�r ' �OUId1`t '. BUILDING DEPARTMENT ✓ TOWN OF SOUTHOLD SECTION G. INSPECTION: k 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 '4 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 F by the laws adopted by the New York State Fire Prevention and Building Code Council. W 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. ' h DECLARATION: Signature must be notarized and MUST be the owner of the dwelling unit. :b STATE OF NEW YORK) COUNTY OF SUFFOLK) I, Y,�ktA V'WS , 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 mK r Sol Town Hall Annex Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1 179 iak Southold,NY 11971-0959 '` BUILDING DEPARTMENT TOWN OF SOUTHOLD V applicable laws and rules. I further acknowledge that I will notify the Town of Southold `T .' 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 Managgr. Property Owner's Name: F Property Owner's Signature: - �CA IDOL'P DS E Swor o before me this day Q _ 20f c! Official Notary Public Signature and Original Notary Stamp REBECCA A LUCAK f Notary PubliC-State of New York No.OILU6386882 ®uaiified in Suff lk Count 2023 my Commission Exp ires Feb. Page 5 of 5 aoe sours # TOWN OF SOUTHOLD BUILDING DEPT. `ycourm, 765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING /STRAPPING [ ] INAL Aww [ ] FIREPLACE & CHIMNEY [ FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION , [ .] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) [ ] CODE VIOL AT [ ] CAULKING REMARKS: - 110�m W t aA V/,* 7 (X' �.G•. V , • '� �1'S �ZUt� y DATE *wf ?�I INSPECTOR seqi en + L��v �C�o l� els 57 a Vi si 4" r4l, r e 17, FN JUL 1 2 2019 RUMDING DEPT, TOWN OF SOUTIJIGFIT-) j s l v }Y. Y v TOWN OF S®UTHOLD P0,1PERTYCORD CARD OWNER STREET VILLAGE DISTRICT SUB. LOT r Yu S FORMER OWNS E ACREAGE -- S W TYPE OF BUIL15FNG RES. FA SEAS. RM COMM. IND. CB. I MISC. � / I LAND IMP. — TOTAL DATE REMARKS ax °e'AGE \'' BUI DING 4CONDON IT - -- — NEW NORMAL BELOW ( ABOVE } 4 G% G1O, Farm Acre Value Per Acre Value �� j/ `fU U G 58 jo1�! Tillable 1 �DG f f� rpt ��1, J'!1 Tillable 2 �2 J4 qyU Y1 niGS Qnn�os r• /y t Ct`{ Tillable 3 �.� _ �t�G��4hlts?S_TXLi:a'r' Cp-tvtec�,_S 4� Wccc'_land Swampland low Brushland .- HOUse Plot T.-.t'!I i f vv (�� d , 11D -- t ! I Idg. �` i _ 4 Foundation Cj. Bath f s - -- Qr�y -r fte�slong 7b 2- -— G — — _ Basement _- �� I( i Floors °~ r X l3 t. as Interior ns Exte ion y ��'� '� -- i00 v�/ 6 Walls -- aIiFinish Jai�. �f`a� _ - Extension Fire Place ! „ Heat )S'�R< 7`t-, Porch ' Attic Porch Rooms lst Floor Breezeway Patio Rooms 2nd Floor Garage b X = ✓ /"CU "g D v Driveway i- O. B. a s FORM NO. 4 TOWN OF SOUTHOL.D BUILDING DEPARTMENT TOWN CLERIC'S OFFICE SOUTHOLD, N. Y. CERTIFICATE OF OCCUPANCY No. .0_33,23............ Date .....................Jime.....M................. 19.61B.. THIS CERTIFIES that the building located at .Glenn-Court.......................................... Street Map No. :Via........ Block No. ...................... Lot No. ........................ BlUff conforms substantially to the Application for Building hermit heretofore filed in this office -dated ........................Novealb r.....15........... .. 1967.... pursuant to which Building Permit No. 3:7.09.:Z. dated .............N..4>VA1OAX....10............. 19.0.7..., was issued,and conforms to all of the requirements of the applicable provisions of the low. The occupancy for which this certificate is issued is ........ Pv �..Q0.0.1mily:...11we lin5........ ................................................................................ The certificate is issued to ...kWa......phaebfs...V. C4Tl ........... ..................................... (owner, lessee or tenant) of the aforesaid building. Health Dept, Approval, June 20, 1968, by Robert Villa Building Inspector 1 ��psut'fcp Town of Southold 2/19/2020 0 P.O.Box 1179 VD 53095 Main Rd Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 41087 Date: 2/19/2020 THIS CERTIFIES that the budding AS BUILT ALTERATION Location of Property: 545 Glen Ct,Cutchogue SCTM#: 473889 Sec/Block/Lot: 83.-1-6 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 2/10/2020 pursuant to which Building Permit No. 44709 dated 2/18/20,20 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"WINDOW AND DOOR REPLACMENTS TO AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to Glen Court LLC of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED n o L o ' e Si ature