HomeMy WebLinkAbout1000-110.-5-13 TOWN OF SOUTHOLD
Rental Permit
0364
Owner Katherine Loring
Occupied as Single Family Dwelling
Located at 1240 West Road Cutchogue 110.-5-13
Maximum Permitted Occupancy 5
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.
3/1/2023
o e Ef ce Jda,
This Notice must be posted by the main entrance at all times
so
Town
w
Town Hall Annex m4 Telephone(631)765-1802
54375 Main Road Fax(631)765-9502
P.O.Box 1179
Southold,NY 11971-0959
BUILDING DEPARTMENTD,R
��I
TOWN OF SOUTHOLD �� ,
RENTAL PROPERTY CERTIFICATION BUILTompki GDnt n►n
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 re uired Lor Architect or Engineer licensed Home Inspector must provide
copy of valid current cert[icotl n
Rental Property SCTM Number: 1000-110-13-05
Rental Property Address: 1240 West Road Cutcho ue NY
Owner/Name: Katharine Loring
Rental Dwelling Unit Identifier: Single Family Dwelling
Number&Square footage of each bedroom as depicted in the attached floor plan:
(i.e. Bedroom#1 -100 sq., Bedroom#2-90 sq., etc.)
Living Room 13'-8"x 21'-3", Kitchen 8'-7"x13'4Bedroom#1 13'-4"x10'-0" Bedroom#2 13'4"x 10'-0"
Beftom# "" "" ""
Property Description (Include all improvements indicated on survey)
Sin le Family Residence with outdoor attached deck
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 PlumCode of New Y State,
the Fuel Gas Code of New York State, and the Energy Conserva o str ion f New
York State.
Charles W. Southard, Jr
Print Name and Title ERED Original Signature
Please place professional seal: �� `
so 1-k D Wo;T_Ab
631-765-1802
ELECTRICALINSPECTION
FOUNDATION 1ST ROUGH PCBG.
FOUNDATION 2ND INSULATIOWCAULKING
I FRAMING /STRAPPING FINAL
FIREPLACE & CHIMNEY FIRE SAFETY INSPECTION
FIRE RESISTANT CONSTRUCTION FIRE RESISTANT PENETRATION
ELECTRICAL (ROUGH)
CODEVIOLATION PREC/O [ZRENTAL
e V � TOWN OF SOUTHOLD
co Rental Permit
5 Permit No. 0364
Owner Katharine Loring
Occupied as Single Family Dwelling
Located at 1240 West Road Cutchogue 110-5-13
Village S/B/L
Maximum Permitted Occupancy 5
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.
12/2/2020 John Jarski
Date of Issue Code Enforcement Officer
This Notice must be posted by the main entrance at all times
Town Hall Annex , Telephone(631)765-1802
54375 Main Road Fax(631)765-9502
Nc
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)
C� O�C
DD
Section A. o
AUG - 3 2020
Property Information:
BUILDING DEPT.
Rental Property p Y Address: TOS',17" ti HOLD
1240 West Rd, Cutchogue, NY
Tax Map Number: 1000 SECTION 110 -BLOCK 05 -LOT 013 -
SECTION B.
OWNER INFORMATION:
Property Owner Name: Katharine Loring
Property Owner Legal Address: Property Owner Mailing Address:
121 4th place, apt 2, Brooklyn NY, 11231 121 4th place, apt 2, Brooklyn NY, 11231
Telephone Number(s): Daytime (978)852-4972 Evening Emergency
Property Owner Email Address: kateloring flgmail.com
`g l�
Page 1 of 5
Town HaII Annex }' 4 Telephone(631)765-1802
54375 Main Road Fax(631)765-9502
P.O.Box 1179
Southold,NY 11971-0959 la
Y �°
Cou
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
Section C.
Authorized Agent Information:
Name of Authorized Agent of dwelling unit, if any: not applicable
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: Katharine Loring
Address of Authorized Agent(no P.O. Boxes): 121 4th Place, Apt 2, Brooklyn NY, 11231
Mailing Address of Authorized Agent: 121 4th Place Apt 2, Brooklyn NY, 11231
Telephone Number(s): Daytime (978)852-4972 Evening Emergency
Email Address: kateloring@amail.com
SECTION E. '
SITE MANAGER INFORMATION: (required for rental properties containing 8 or more rental units)
Name of Managing Agent of dwelling unit, if any: Not Applicable
Address of Managing Agent (no P.O. Boxes):
Page 2 of 5
Town Hall Annex 4 �.'' ti� Telephone(631)765-1802
54375 Main Road Fax(631)765-9502
P.O.Box 1179
Southold,NY 11971-0959
i
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
Mailing Address of Managing Agent:
Telephone Number(s): Daytime Evening Emergency
Email Address:
SECTION F.
PROPERTY DESCRIPTION:
Number of Rental Dwelling Units on property: (1)
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: Single family Residence ell
Requested Maximum number of persons allowed to occupy Dwelling it: 6
Number of rooms in Rental Dwelling Unit: 7
Use and Dimensions of each room in Rental Dwell Unit:
Living R om 14'x21', Kitchen 13'-4"x 8'-7", Bedroom 13'-4"x 10'-0", Bedroom 13'-4"x 10'-0",
Bedroom 9'x12' , Bathroom 8'x8', Sitting room 9'x 15'-4"
Page 3 of 5
Town Hall Annex Telephone(631)765-1802
Road 54375 Main Roas Fax(631)765-9502
P.O.Box 1179 ,
SI
Southold,NY 11971-0959 ', .�• � r�
ouffN
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
X I am submitting a completed Town of Southold certification form from a licensed
architect or a licensed professional engineer.
X
SECTION H.
DECLARATION: Signature must be notarized and MUST be the owner of the dwelling unit.
STATE OF NEW YORK)
COUNTY OF SUFFOLK)
I Katharine Loring , 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
'I
' �Q'F•SOp
Town Hall Annex J l� 4 Telephone(631)765-1802
54375 Main Road Fax(631)765-9502
P.O.Box 1179
Southold,NY 11971-0959 Q '"
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:_ K q r'1�)'e, ii. _Lbr�
Property Owner's Signature:
,"-
Swo n to before me this dayof_ _ 20 (7
Official Notar ublic Signature and Original Notary Stamp
WENDY W.WAILER
20
Page 5 of 5
�; A
VSoo ``L~
Town Hall Annex41- t!, Telephone(631)765-1802
54375 Main Road Fax(631)765-9502
P.O.Box 1179
Southold,NY 11971-0959
'poutt
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 Engineer, licensed Home Inspector must provide
copy of valid current certification
Rental Property SCTM Number: 1000-110-13-05
Rental Property Address: 1240 West Rd, Cutchogue, NY
Owner/Name: Katharine Loring
Rental Dwelling Unit Identifier: Single family Residence
Number&Square footage of each bedroom as depicted in the attached floor plan:
(i.e. Bedroom#1 -100 sq., Bedroom#2-90 sq., etc.)
Living Room 14'x21', Kitchen 13'-4"x 8'-7", Bedroom 13'-4"x 10'-0", Bedroom 13'-4"x 10'-0",
Bedroom 9'x12' , Bathroom 8'x8', Sitting room 9'x 15'-4"
Property Description (Include all improvements indicated on survey)
Residence&outdoor deck
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, and the Energy Conservati n Constr 'o od of,New
York State.
Charles W. Southard Jr /
SIT
Print Name and Title Original Signatu 0 W.S G cti
Please place professional seal: 302
NEW
o�aOF SUUTyo
# TOWN OF SOUTHOLD BUILDING DEPT.
76S-1802
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[ =] FOUNDATION 2ND [ ] INSULATION/CAULKIN
[ ] FRAMING/STRAPPING [ ] INAL
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION'
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL)
[ ] CODE VIOLATION [ ] ' PRE C/O
REMARKS:
DATE �� - INSPECTOR
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Living Room O
Bedroom
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scale 1/4"=1'-O"
Charles N. Southard Jr. Rental House for Loring Floor Plans July 28, 2020
ARCwH I TECT
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435 Bay Home Road A — I
Southold, New York 119'il 1240 West Rd
Phone (631) 4-71-522b1-5228
Gutchogue, New York IIQ35
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cwsarchitect@optonline.net SGTM #1000-110-5-13 Y of I
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Floor Plan _
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Charles IN. Southard Jr. Rental House for Loring Floor Plans July 28, 2020
A R G H I T E G T 'RED qqc
435 Bay Home Road
Southold, New York 11111 1240 West Rd N�
Gutchogue, New York I1g35 Fo 3 .�
Phone (631) 4-11-5228
cwsarchitect@optonline.net SGTM #1000-110-5-13 of I
TOWN OF SOUTHOLD PROPERTY RECORD 1
OWNER STREET ' �[ VILLAGE DIST. LOT
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AGE ' BUILDING CONDITION a, !(tj{Oaf - a �Cr •,�-£fir_ ..rte kl oDy)e,d
j NEW NORMAL BELOW ABOVE y
FARM Acre Value Per Value
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Tillable 1
Tillable 2
Tillable 3
i Woodland
Swampland FRONTAGE ON WATER
Brushland FRONTAGE ON ROAD
House Plot DEPTH
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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-22381 Date JUNE 9, 1993
THIS CERTIFIES that the building ONE FAMILY DWELLING
Location of Property 1210 WEST ROAD CUTCHOGUE, N.Y.
House No. Street Hamlet
County Tax Map No. 1000 Section 110 Block 5 Lot 13
Subdivision Filed Map No. Lot No.
conforms substantially to the Requirements for a One Family Dwelling built
Prior to: APRIL 9, 1957 pursuant to which CERTIFICATE OF
OCCUPANCY NUMBER Z-22381 dated JUNE 9, 1993
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 ONE FAMILY DWELLING *
The certificate is issued to JAMES & SUSAN TRENTALANGE & ORS.
(owner)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A
UNDERWRITERS CERTIFICATE NO. N/A
PLUMBERS-CERTIFICATION DATED N/A
*PLEASE !S:-1E ATTACKED INSPECTION REPORT.
//Building Inspector
Rev. 1/81
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
HOUSING CODE INSPECTION REPORT
r
LOCATION: 1210 WEST ROAD CUTCHOGUE, NEW YORK
number 6 street municipality
SUBDIVISION MAP NO. LOT (s)
NAME OF OWNER (s) JADES TRENTALANGE 5 ORS.
OCCUPANCY A-1 RES. OWNER
type owner-tenant)
ADMITTED BY:. GERRY PAGLIARO ACCOMPANIED BY: SAME
KEY AVAILABLE SUFF. CO. TAX MAP NO_ 1000-110-05-13
SOURCE OF REQUEST: JAMES TRENTALANGE 6 LEONARD INFRANCA DATE: MAY 30, 1993
DWELLING:
TYPE OF CONSTRUCTION WOOD FRAME # STORIES ONE # E%ITS FOUR
FOUNDATION CEMENT BLOCK CELLAR PARTIAL CRAWL SPACE
OMS:
IST FLR. 5 2ND FLR. 3RD FLR.
ATHR (s) ONE FULL TOILET ROOM (s) UTILITY ROOM
PORCH TYPE SCREEN PORCH DECK, TYPE IN REAR (WOOD) PATIO, TYPE
BREEZEWAY FIREPLACE ONE GARAGE
DOMESTIC HOTWATER YES TYPE HEATER LILCO AIRCONDITIONING
TYPE HEAT OIL WARM AIR %S HOTWATER
OTHER:
ACCESSORY STRUCTURES: NONE
GARAGE, TYPE OF CONST. STORAGE, TYPE CONST.
SWIMMING POOL GUEST, TYPE CONST.
OTHER:
VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION S BUILDING CODE
LOCATION DESCRIPTION ART. SEC.
REMARKS: BP #16261Z - CO Z-16254 FOR DECK ADDITION.
INSPECTED BY: DATE ON INSPECTION JUNE 7, 1993
GARY//J,//FISH TIME START 9:00 ENO 9:15
0-211z'
FFOt Town of Southold 10/3/2019
P.O.Box 1179 J,
C* T 53095 Main Rd
���y0 yon Southold,New York 11971
CERTIFICATE OF OCCUPANCY
No: 40747 Date: 10/3/2019
THIS CERTIFIES that the building RESIDENTIAL ALTERATION
Location of Property: 1240 West Rd.,Cutchogue
SCTM#: 473889 SecBloddLot: 110.-5-13
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
8/26/2019 pursuant to which Building Permit No. 44133 dated 9/6/2019
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:
existing screened porch converted to sunroom(non-sleeping)and central airconditioning installed in an existing one
family dwelling as applied for.
The certificate is issued to Mooney,Edward&Mary Ann
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 44133 9/27/2019
PLUMBERS CERTIFICATION DATED
A—
dA6
ature
FORM NO.4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold,N.Y.
Certificate Of Occupancy
No. . 216254. . . . . . . . . Date „October 6 , 1987 , . . . . . , . , .
THIS CERTIFIES that the building . . . . a a i t,i o n„ . . . . . . I . . . . . . . . . . . . . . . . . . . . . . . . .
Location of Property 12 10 West Road . . . C u t c h o g u e
House Afo. Street �Hamlet
County Tax Map No. 1000 Section . .1 f fl. . . . . . .Block . . .5 . . . . . . . . . . .Lot . , ,13
Subdivision . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Filed Map No. . . . . . . . .Lot No. . . . . . . . . . . . . .
conforms substantially to the Application for Building Permit heretofore filed in this office dated
July 2 0:
.1.987. pursuant to which Building Permit , 1 6 2 6 1 2
rm t No.
dated . . J u l.y. 2 3 ,, l 9 8.7 , , , . 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 . . . . . . . . .
7)ec)c, ,e�ldi,tiQp to an existing, one, family. .dwel.ling .
'Die certificate is issued toJAMES N. TRENTALANGE 6 LEONARD INFRANCA. ( trustees)
_ . . . . . . .(owner�l�s�'e1�dFr}St �X X X . . . . .
of the aforesaid building.
Suffolk County Department of Health Approval . . . . . N,/A. . . . . . . . . . . . . . . . . . . . .
UNDERWRITERS CERTIFICATE NO. . . . . . . . . . . . . N,/A , , , , , . , , , .
PLUMBERS CERTIFICATION DATED : N/A
. . . . . . . . . . . . .
Building Inspector
Rev.1/81