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Home My WebLink About1000-136.-1-31.4 � aF TOWN OF SOUTHOLD Rental Permit Permit No. 0340 Owner Susan McKenna Occupied as Single Family Dwelling Located at 615 Oak Street Cutchogue 136.-1-31.4 Address Village S/13/1- Maximum /B/LMaximum Permitted Occupancy 4 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. 10/2/2020 John Jarski Date of Issue Code Enforcement Officer This Notice must be posted by the main entrance at all times !'S Town Hall Annex Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 k P.O.Box 1179 Southold,NY 1 197 1-0959 '- `;� -�► L J / BUILDING DEPARTMENT TOWN OF SOUTHOLD � JUL 3 0 2019 RENTAL PERMIT APPLICATION Rental Permit Fee$200 (Applicatlon must be renewed every two years) Section A. Property Information: 'f Rental Property Address: }; U 15 1�t'E1E H0�L�'�, Tax Map Number: 1000 SECTION -BLOCK_- -LOT .s SECTION B. OWNER INFORMATION: t' k Property Owner Name:,-- S V s A N ,rv�C_VZ t IQ N �N Property Owner Legal Address: Property Owner Mailing Address: L4 S _ G t� c s C �z `� `-(- S G R r=se F ViwnkvtiON,L6N y It jkt-vv-,1►---j,t)ALE t _ r Telephone Number(s): Daytime(O I ( 45-55?51EveninEmergency. Property Owner Email Address: S v `"-EL-')f k C' &KA k U_. G DL"` k i s Page 1 of 5 \ i' S' Z s Town Hall Annex Telephone(631)765-1802 54375 Main Road `� " � ' •'�, = Fax(631)765-9502 ^: P.O.Box 1179 Southold,NY 11971-0959 ")C BUILDING DEPARTMENT {' TOWN OF SOUTHOLD Section C. m 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: _ i Section D.f ` Managing Agent Information: Name of Authorized Agent of dwelling unit, if any: I'n P%\N k L- 'Av4 v n^k'Rk4s Address of Authorized Agent(no P.O. Boxes): C'J- `A o n Mailing Address of Authorized Agent: S �t a�—� 1 \ --d 1 ?' Telephone Number(s): Daytime`�! 8`t4�-R�,a�_Evening sy Emergency' Email Address: lv\NVi% `dU C� SHutL�cp��E��-.�jC3e�E.a14FPrST. coves. SECTION E. SITE MANAGER INFORMATION: (required for rental properties containing 8 or more rental units) Name of Managing Agent of dwelling unit, if any: ;R Address of Managing Agent (no P.O. Boxes): Page 2 of 5 5 � 6 'fSO Town Hall Annex °' '��; Telephone(631)765-1802 €' = s .< 54375 Main Road °��' ,,�� Fax(631)765-9502 , P.O.Box 1 179 Southold,NY 11971-0959 ` c®U . BUILDING DEPARTMENT TOWN OF SOUTHOLD Mailing Address of Managing Agent: Telephone Number(s): Daytime Evening Emergency . Email Address: s SECTION F. PROPERTY DESCRIPTION: zf Number of Rental Dwelling Units on property: For each Rental Dwelling Unit set forth the Rental Dwelling Unit identifier(for example, 70 Y 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 iE Addendum." Rental Dwelling Unit Identifier: v%4 t T 1 - s v I-E a A Requested Maximum number of persons allowed to occupy Dwelling At: �o Number of rooms in Rental Dwelling Unit: g�t, _, LZ ` Yti wTH Use and Dimensions of each room in Rental Dwelling Unit: et)�+oo rn E h�o 0 vin -2- Lk v *-j L. 9110 n \J- %T c ly N �7�VFLC)O �'�n Page 3 of 5 8 ..,.__-..�« ._�_.�.,....s,..._,-..__..a..�e.....�_�.............._.....a.__,.,.».�.....»`.._.-.-......»�,..e....«,...,..�.,._,..�..............�,. ...«......,...._.,.,....,.d.......«...�....o,.._,..a.,.e�........,s..._,.-w-.._.�_�,...r. ...,.,..s.-...>,._.,...._......,,.s......-�.__........,«___.,,-.,..,.....2 �k Town Hall Annex S, Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 }; r P.O.Box 1179 l 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. V, 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 4 architect or a licensed professional engineer. SECTION H. r DECLARATION: Signature must be notarized and MUST be the owner of the dwelling unit. STATE OF NEW YORK) COUNTY OF SUFFOLK) v� S a0...� 1 v' (��v►rc� 't I „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 :K S. M }: Town Hall Annex Telephone(631)765-1802 ;V 54375 Main Road .'` �. �* Fax(631)765-9502 3 P.O.Box 1179 z ' Southold,NY 11971-0959 BUILDING DEPARTMENT TOWN OF SOUTHOLD r 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 �E thereto. .t 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:. / 1i-s 42- a Property Owner's Signature: •<i M Sworn to before me this-13 day of 20L-11 Officia Notary Public Signature and Original Notary Stamp Theresa Mantovanl Nay Publk:,State of New York Reg.No.01MA6389531 Quallfied in Nassau County Commission Expires 04/01/2023 Page 5 of 5 0+ cdt� pF SOUIyo� TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 = 1 N-S-PECTION ( ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION/CAULKING [ ] FRAMING /STRAPPING [ZIRE INALeFIREPLACE & CHIMNEY [ SAFETY INSPECTION r [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) [ ] CODE VIOLATION [ ] PRE C/O REMARKS L+ i , o Cts,, C4) :FmlW NOK/ - Ot tNiZ 4t, �$4$f01 Q / IV vc�V_ mox DATE D INSPECTOR 43' 10' En Laundr FKitchen Bath Bedroom'j 6 N LavLn �^ GarageN 6.5' 16.5' b Living Room Bedroom 7- 36.5'36.5' SC GA►N►3oti v`^tva +� l5E �ETt GTc�►Z l S►H o I�E � E 'T'E G'r�2 Comments AREA CALCULATIONS SUMMARY LIVING AREA BREAKDOWN Code Description Net Size Net Totals Breakdown Subtotals GLAl First Floor 1031.5 1031.5 First Floor GAR Garage 270.5 270.5 43.0 x 15.5 666.5 10.0 x 36.5 365.0 Net LIVABLE Area (rounded) 1032 2 Items (rounded) 1032 2820 MERRICK ROAD, BELLMORE, IVY 11710 516-781-5400, FAX 516-781-5474 L7/ c1011g TOWN *F 'SOUTHOLD PROPERTY C%.VRV uffi►ilcd OWNER STREET ' / _ VILLAGE DISTRICT SUB. LOTr t� �r Y t: -r T 71 ORMER 0wt4ER L�C//l� AAA!� N E ACREAGE ' S W TYPE OF BUILDING RES. 2/0 SEAS. VL. FARM COMM. i IND. CB. MISC. I Est. Mkt. Value LAND IMP. TOTAL DATE REMARKS – J6Q( A �er9, 14, F�7 �:: 8U"/d 'Iew A0V,,a 00 G Z;60�0� ._..-_1�� T - ��2_ _?JF 3�,3-�r�;# l.e-1 s`T�.�'?'�-kx.�bra v �1 •w f Ir' 7'y 77 5-0' a O J ' 3 000 , 3 / ! 7 T- -r a `r AGE BUILDING CONDITION �� 1_ 4 NEW NORMAL BELOW ABOVE FRONTAGE ON WATER u Farm Acre Value Per Acre Value FRONTAGE ON ROAD '� �)'; , 00Ai Tillable 1 BULKHEAD 'S Tillable 2DOCK `Tillable 3__ Woodland 4SY/b` Swampland Zk� (7 &J • Brushland House Plan- oeftl- 10 m4b Tctal �- 1 I - �eIIr)LV 136.-1-31.4 9/12 . 4 . M. Bldg. Foundation C.vww,. Bath Q 1 20C) a_'7 0 P t -- Extension Basement Floors Extension I - Ext. Walls JA e 0 Interior Finish Extension _ —_ — Fire Place Heat Porch : Roof Type Porch Rooms 1st Floor i Breezeway Patio Rooms 2nd Floor Garagei a s 1, s Y Driveway Dormer O. B. —300 � 6 a (/ FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. CERTIFICATE OF OCCUPANCY No. .....Z..2.+1 ........ Date ..........................r+)'.y.............I........ .. 19. 66 THIS CERTIFIES that the building located at WSS......QaX.ft............................................ Street Eugene Heigths Map No. ...................... Block No. .....=........... Lot No. 75'176.1.`ter7t........C.Ut.0w9vo.................. conforms substantially to the Application for Building Permit heretofore filed in this office dated .....................................Alm. .... , .27..... ., 19.65.., pursuant to which Building Permit No. 79.1. dated ...........................SAP.t.....28........... 15 ...., 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 ........ .............Priva et-one...family....dxelling. ..................................... ............................................ The certificate is issued to ....G:eor.ge—Yber.gex..&.WJXe....................... X11'Cmer..,j......................... (owner, lessee or tenant) of the aforesaid building. H.D.Approval Mav 61 1966 by R. Villa ..........................Building..ins pector...............�. ...... Town of Southold Annex 8/7/2012 P.O.Box 1179 f, 54375 Main](load Southold, New Fork 11971 yr�7r1�1 CERTIFICATE OF OCCUPANCY No: 35869 Date: 8/7/2012 THIS CERTIFIES that the building ELECTRICAL Location of Property: 615 Oak St, Cutchogue, SCTM#: 473889 Sec/Block/Lot: 136.4-31.4 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore Paled in this officed dated 6/12/2012 pursuant to which Building Permit No. 37290 dated 6/12/2012 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: Install 100 AMP Electric Service The certificate is issued to Millin, Cecilia (OWNER) of the aforesaid building. SUFFOLK COUNT'DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 37290 08/06/2012 PLUMBERS CERTIFICATION DATED 7i�� ® �A-Authorized Signature it r i >r r 4 "S gar` i� �Y Ap .� _..�. � � '. a, �. ��. ..� N n l � , �,� •�. 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