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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 ;z Outdoor Bedroom Deck on a O Ol oI c— Bedroom Bathroom Living Room O Bedroom 5itting Room SVLflr�orv°. oa� Gp z--H o-7`t-7 CIO = in a en Kitchen = Floor Pion _ scale 1/4"=1'-O" Charles N. Southard Jr. Rental House for Loring Floor Plans July 28, 2020 ARCwH I TECT EA 435 Bay Home Road A — I Southold, New York 119'il 1240 West Rd Phone (631) 4-71-522b1-5228 Gutchogue, New York IIQ35 so R� cwsarchitect@optonline.net SGTM #1000-110-5-13 Y of I Outdoor Bedroom Deck , „ on iAa CIO CIO Bedroom Bathroomev = Livin9 Room 0 IN Bedroom Sitting Room /Y T CIO in e en = Kitchen = Floor Plan _ scale I/4"=1'-O" 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 'L—.cA(,oarGl -A Aaq '&q✓1 �a �v�- 1�` �._ �'� �•1�� •� � FORMER OWNER I7-{`CCor,:7/,L4 N E v ACR. ✓ .- ! r ,'a' Ili n b� J7 ��•e � 1]��� n;� � �� � I 6or-e � fd1�� 36 �n I IV Dore- )C[1)-1e:2) #ors. S �� W TYPE OF BUILDING � �z!z Cores _ LOs � /� , J F�o g g g at� (RES s.7 I SEAS. VL. FARM COMM. CB. MISC. Mkt. Value LAND IMP. TOTAL DATE REMARKS F 1 ` bl)l-P Owe Iv 0 0 d 0 0? a en '_ 9/i 0,/ (rAn„1 Y' C a m is ,Q AlI, 00 3 00 a0 ,� �o �a `Z S-,/)a6o,- i (,Az:bass I re Pri'a Lame--F-Dr5 �la3lqt-Ll 19/Q'- efG 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 Acre WAC1 -1�I'�,�3t�j) Ske b M n �. , � '.-.c — - Tillable 1 Tillable 2 Tillable 3 i Woodland Swampland FRONTAGE ON WATER Brushland FRONTAGE ON ROAD House Plot DEPTH B UKI4F.AD- 1 Total DOCK �t arR ger. ti: ,; s. ,� s :�. �' •� ;�;. E■■■ ■■■■■■■■■■■■■■■■■■ $ ` ,. : a � .i 3 `d a` :ti. :' ,. � • •• ■■■■■■ ■■■■■■■ ■■■■■■■■■ NONE■ ■■NNNEWEN ■NONE■■■N ■■E■ luumb ■■■■■■E■■■■ No`�-- - ri E96600 MENNNEMEM '�■■■■iii■■■■■■■■■■ NEE■■�11 1EEEE■ ■ ■■ENENE■E ONENE■ ■oEii■■1■■■■■■EN■■■■ ■MOMEMS BE 11■■■E■■NE■ErE111111■■■®■■ ■■E■ NEE■E■ Both WAM :. Floors lnteri)r Finish Rooms 1 st Fla Rooms 2n �I b. LM. , i - 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