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Home My WebLink About1000-137.-2-10 TOWN OF SOUTHOLD Rental Permit Permit No. 0337 Owner Richard & Margarita Schreiber Occupied as Single Family Dwelling Located at 4870 Stillwater Avenue Cutchogue 137-2-10 Village S/g/L Maximum Permitted Occupancy 3 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. 9/18/2020 John Jarski Date of Issue Code Enforcement Officer This Notice must be posted by the main entrance at all times p�'Soo d - Town Hall Annex Telephone(631)765-1802 54375 Main Road V 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 niust°be renewed every tw s SEP 1 7 2019 Section A: Property Information: Rental Property Address: r _ Tax Map Number: 1000 SECTION -BLOCK-- -LOT-10 SECTION R. OWNER INFORMATION: P Property Owner Name: 6/[ Property Owner Legal Address: Property Owner Mailing Address: Telephone Number(s): Daytime Evening 5'gM.Emergency 3 Property Owner Email-Address: / �` a 'r Page 1 of 5 Town Hall Annex `"' '° Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1179 Southold,NY 11971-0959 BUILDING DEPARTMENT TOWN OF SOUTHOLD Section,C., + Authorized Agent Information: Name of AU-thorized*Agent of dwelling unit, if an': (`G/ Address of Authorized Agent (no P.O. Boxes): Mailing Address of Authorized Agent: 4114 u 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): " n Mailing Address of Authorized Agent: Telephone Number(s): Daytime Evening Emergency - Email Address: SECTION E. SITE MANAGER-INFORMATION: (required for rental properties`containin'g 8 or more rental units) Name of Managing Agent of dwelling unit, if any: //nn Address of Managing Agent (no P.O. Boxes):, vl w _ . Page 2 of-5 n y Town Hall Annex 1 Telephone(631)765-1802 54375 Main Road Fax(631)76.5-9502 Y.O.Box 1 179 G O Southold,NY,I 1971-0959 - U�(d. BUILDING DEPARTMENT TOWN bF SOUTHOLD Mailing Address of Managing Agent:' Telephone Number(s)�Daytime i { ;, Evening y Emergency" Email Address: SECTION°F. PROPERTY DESCRIPTION: Number of Rerital 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. V) ------- Requested-Maximum number of persons allowed-tooccupy Dwelling Unit: Number of rooms in Rental Yelling Unit: Use and Di ensions of each 1Qom in Rental.Dwelling Unit: � iD ( cU� 120vK l3 �. .v " .... Page 3of3n o •- _ Town Hall Annex xLL 4/ ,, Telephone(631)765-1802 5437.5 Main Road Fax(63 l)765-9502 P.O.Box 1179 _ v Southold,NY 11971-0959 Ud r 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 thafthe 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 a`nd Building Code Council. ❑ I 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) COUNTY OF SUFFOLK) G -KJJ�PkVertify 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 w °Page 4 of 5° ' Town Hall Annex e Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1.179 Q' Southold,NY 11971-0959 ` 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. t have read arid received a copy of Chapter 207 of the Code of the Town of Southold and agreed to abide by the same. o 4. 1 will notify the Town within five (5) business.days as to any change to the information regarding Authorized Agent, Managing Age n , or Site Manager. Property Owner's Name: 416,a 14 y I _ et Property Owner's Signature: Sworn efore me this day of 20, y R ffi al Notar Public Signature and Original Nota r y Stamp = ° u :'.MARGAR-T',,M. SULLIVAN Notary Public, State of New Y6'�k Registration#01 SU6010599 Qualified In Kings County Commission Expires July 20, 202.2 'Page 5of5 Town Hall Annex Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 CP- P.O.Box 1179 Southold,NY 11971-0959 y°` BUILDING DEPARTMENT TOWN OF SOUTHOLD RENTAL PERMIT APPLICATION ADDENDUM Rental Dwelling Unit Identifier: Requested maximum number of persons-allowed to occupy eachAwelling unit: Number of Rooms in°Rental Dwelling Unit: Use and Dimension of each room' .- 04 U Rental Dwelling Un) dentifier: Requested maximum n ber of persons allowed to occupy each dwelling unit: Number of Rooms in.Renta welling Unit: Use and Dimension of each roo Rental Dwelling Unit Identifier: Requested maximum number of persons allowed to occupy ach dwelling unit: Number of Rooms in Rental Dwelling Unit: - Use and Dimension of each room: - ' ��p s 'ilw �'e✓lilt- # # TOWN OF SOUTHOL-D BUILDING DEPT. 765-1802 INSPECTION = [ ] FOUNDATION 1 ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION/CAULKING [ ] FRAMING/STRAPPING [ ] PNAL �' [ ] FIREPLACE &-CHIMNEY IV FIRE SAFETY INSPECTION [ ] FIRE-RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) [ ] CODE VIOLATION [ ] PRE C/O REMARKS: oL4 DATE INSPECTOR X970 . llWim' �- j a-� °�� F SOUIyo� # # TOWN OF SOUTHOLD BUILDING DEPT. `ycourm,N�' 765-1802 - INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. ' [ ] FOUNDATION 2ND` [j INSULATION/CAULKING [ ] FRAMING /STRAPPING [ ] FINAL [ `] FIREPLACE & CHIMNEY [• 4/FIRE SAFETY-INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) [ ] CODE VIOLATION [ ] PRE C/O REMARKS: I -DATE 3 INSPECTOR. % c 'f Of S0l/lyo Yg:�v J w �0 6 * # TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION . ( ] FOUNDATION IST [ ] ROUGH PL13G. [ ] FOUNDATION 2ND [ ] INS LATIOWCAULKING [ ] FRAMING/STRAPPING [ ] AL 140 [ ] FIREPLACE & CHIMNEY [ FIRE-SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) [ ] CODE VIOLATION [ ] PRE C/O REMARKS: Vol UCt/L)O DATE 91101 Z0_>0 INSPECTORXAQWi,,� r � SCnecf Flourn 17'x 15' } i r� Store Kitchen/ I1�1��41:h.1?I7 fi FIBreakfast Room 13' x 7' Linen s "T 101 Sun �. Room wx ' Living Room 15'x13' a Bedraown 0 esu r►� r ♦ -� 7/ cAO/ 19 -� E . TOWN OF SOUTHOLD PROPERTY RECORD CARD E r fie' TREET ! — VILLAGE DIST. SUB. LOT -16 T,-wln, s��- I ��, /w JY�. FORMER OWNER (1'w i'✓1 jqCl i c,- , ' N E ACR. �17, F //&.6 Vit S W TYPE OF BUILDING �S`11e1ry-a At RES. U I SEAS. VL. FARM COMM. CB. MICS. Mkt. Value LAND IMP. TOTAL DATE REMARKS ffa w %.. 6 jd li- SIZZ IV-] 72 8 0 3 � Q o _ `_ ✓" 1� - n 7-M i7ph ,'rJt E 2z, n -4 Li NRL /03-L1604an4l- (rw n- -f-p Iridi_v,) j -if.0fo. - ti/r.• las 7( !Sr. 3 /� o3 �dc-) 3 0 �11*1,-A %rf-?- -m Ararle C.14A 1 - fano. r /- . -nI AGE i BUILDING CONDITION '7, �-(,��7�-�-�(�t/�Y� &CS /v�'fr�7f-e/booP,IfL0311�!c✓ NEW NORMAL BELOW ABOVE FARM Acre Value Per Value Acre Tillable Woodland i FRONTAGE ON ROAD G? �` l/wafer Jt,, Meadowland _ DEPTHIY6 -If, Hous,T f'Jet�• , � ... BULKHEAD I i Total DOCK i I VAL rte ■t ��N�� N��N�:■■:�■ EMMEMM MEMO ME M ONE INNINNINNES � MONSEN 00 0 loor MENEM MEMINMEN INEENEEMMEN -s�u�■■■�■�■�EME MEN MEN ME■■■moi■■�� ■�■�■u■�■■��■�■ nisi■■ Basement ,Interior Finish FORM NO. 4 TOWN OF SOUTHOLD— BUILDING` DEPARTMENT Office of the Building Inspector Town,Hall Southold, N.Y. PRE EXISTING,. - CERTIFICATE OF OCCUPANCY NO: Z- 339474 Date: 09/15/09 THIS CERTIFIES that the building DWELLING & ACCESSORY Location of Property 4870 STILLWATER AVE CUTCHOGUE (HOUSE .NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 137 Block 0002 Lot 010 Subdivision Filed Map No. Lot NO. conforms substantially to the Requirements for a ONE FAMILY DWELLING built prior-to APRIL 9, 1957, p1qrsuant.to,w4ich CERTIFICATE ,OF OCCUPANCY NUMBER Z- 33947 dated SEPTEMBER 15, 2009 was issued,- and conforms to all ,of. the requirements of the applicable provisions of the law. The occupancy for which this certificate is issued isONEFAMILY DWELLING WITH SCREENED PORCH AND ACCESSORY ONE CAR GARAGE.* The certificate is issued to DONALD P IRWIN JR & ORS (OWNER) of the aforesaid building. n SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. N/A PLUMBE:Rs CERTIFICATION DATED N/A *PLEASE SEE ATTACHEDINSPECTIONREPORT. A-60 r'zed S' nature Rev. 1/81 BUILDING DEPARTMENT TOWN OF SOUTHOLD HOUSING CODE INSPECTION REPORT LOCATION: 4870 STILLWATER AVE CUTCHOGUE SUBDIVISION: KAP NO-: LOT (S) NAME OF ONNER (S): DONALD P IRWIN JR & ORS OCCUPANCY: ONE FAMILY DWELLING DONALD P IRWIN JR & ORS ADMITTED BY: ACCOMPANIED BY: 109Y AVAILABLE: SUFF. CO. TAIL MAP NO.: 137.-2-10 SOURCE OF REQUEST: JERRY CIBULSKI, REAL ESTATE DATE: 09/15/0 DWELLING• TYPE OF CONSTRUCTION: WOOD FRAME $ STORIES: 1.0 $ EXITS: 2 FOUNDATION: CEMENT BLOCK CELLAR: 1/3 CRAWL SPACE: 2/3 TOTAL ROOMS: 1ST FLR.: 5 2ND FLR-: 0 3RD FLR.: 0 BATHROOM(S): 1.0 TOILET ROOM(S): 0.0 UTILITY ROOM(S): PORCH TYPE: SCREEN DECK TYPE: PATIO TYPE: 13RHE23MY: FIREPLACE: _ GARAGE: DOMESTIC HOTNATER: YES TYPE HEATB�: E ECTRIC _SRCONDITIONING: TYPE HEAT: OIL WARM AIR: H0THATEP OTHER: ACCESSORY STRUCTURES: GARAGE, TYPE OF CONST.: 1 CAR WOOD FRAME STORAGE, TYPE CONST.: SWI)DEM POOL: GUEST, TYPE CONST_: OTHER: VIOLATIONS: CHAPTER 45 N.Y STATE UNIFORM FIRE PREVENTION & BUILDING CODE LOCATION�DESCRIPTION�ART�SEC. REMARKS: BP16910 ADD COZ17071 INSPECTED BY: - DATE ON INSPECT 09 19 09 GARY J F H TIME START: END- (, Y Y � FORM NO.4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy No. . .Z- 1707 1. . . . . . . Date . . . . 88 . . . . . . . . . . . . . . . . THIS CERTIFIES that the building . . . , , , ,AD D I T I 0 N Location of Property4570 ,Stillwater Ave Cutchogue , New York House No. Street Hamlet County Tax Map No. 1000 Section . . . . 13.7. . . . .Block . . . . .?. . . . . . . . .Lot . , , 19 Subdivision . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Filed Map No. . . . . . . . .Lot No. . . . . . . . . . , . . . conforms substantially to the Application for .Building Permit heretofore filed in this office dated April 6 , 1988 16910 . . . . . . . . . . . . , pursuant to which Building Permit No. . . . . . . I . . . . . . . . . . . . . . dated Ap r i 1 2 2 , 19 8 8 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 . . . . . . . ... ADDITION TO EXISTING ONE FAMILY DWELLING AS APPLIED FOR The certificate is issued to , DONALD IRWIN, THEODORE IRWIN & BRUCE IRWIN (owner,le �bX ' . . . . . . . . . . . . . . . . . . of the aforesaid building. Suffolk County Department of Health Approval . . . . . . . . . .NIA UNDERWRITERS CERTIFICATE NO. . . . . . . . . . . . . . . . . N/A PLUMBERS CERTIFICATION DATED: N/A �. . c . . . . . . . . . . . . . Building Ins for Rev.1181 ('54170 Town of Southold 12/30/2020 :IP.O.Box 1179 53095 Main Rd l �V0 V Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 41718 Date: 12/30/2020 THIS CERTIFIES that the building SOLAR PANEL Location of Property: 4870 Stillwater Ave, Cutchogue SCTM#: 473889 See/Block/Lot: 137.-2-10 Subdivision: Filed Map No. Lot No. conforms substantially to the Application.for Building Permit heretofore filed in this office dated 9/24/2020 pursuant to which Building Permit No. 45289 dated 10/6/2020 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: roof-mounted solar panels as applied for. The certificate is issued to Schreiber,Richard&Margarita of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 45289 11/23/2020 PLUMBERS CERTIFICATION DATED �g Authorized Signature