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Home My WebLink About1000-84.-1-4.4 Y=7 TOWN OF SOUTHOLD Rental Perrnt � e 0387 Owner 14990 Oregon Road LLC Occupied as Single Family Dwelling Located at 14990 Oregon Road Cutchogue 84-1-4.4 Maximum Permitted Occupancy 8 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. 1/20/2022 oder _ e Official This Notice must be posted by the main entrance at all times Town Hall Annex Telephone(631)765-1802 54375 Main Road Fax( 31 765-9502 ;;,, �.... 6 P.O.Box 1179 u " r f 4 1 Southold,NY 11971-0959 ^ 0 tlk 2021 .� BUILDING DEPARTMENT TOUN OF SOUTHOLD °p °t. RENTAL PERMIT LIC T Rental Permit Fee$200(Application must be renewed every two years) Section A. Property Information: Rental Property Address: ....., .... Tax Map Number: 1000 SECTION _ -RLOC .__D -LOT ._�. SECTION B. OWNER INFORMATION: .....pi . Property Owner Name: ,�� _...... Property Owner Legal Address: Property Owner Mailing Address: .IT JLIa Telephone Number(s): Daytime," C1111 �E nng IT Emergency Property Owner Email Address: - ._ " . .. Page 1 of 5 iii �UQ�i E 5 , r J 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 Authorized Agent of dwelling unit, if any: ._.,,. Address of Authorized Agent (no P.O. Boxes)a,_ Mailing Address of Authorized Agent: C)-S � � _ � r ?0 Telephone Number(s): Daytirn 3 I 9-evening .................. Emergency ..._. ,,-- Email Address: . .M ..�� Section D. Managing Agent Information: Name of Authorized Agent of dwelling unit, if any: _IT �. _... ....._ ............... _. Address of Authorized Agent(no P.O. Boxes): mm ,,,,,,,, ............ .. ...�. ....... _......_ Mailing Address of Authorized Agent: _.. _ ....._.. Telephone Number(s): Daytime _ Evening Emergency,,._IT_ITIT.... Email Address: _.._ .. . .. _ ......m. 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):_ .- Page 2 of 5 Town Hall Annex r' � � � � Telephone(631)765-1802 54375 Main RoadFax(631)765-9502 P.O.Box 1 179 Southold,NY 11971-0959 BUILDING DEPARTMENT TOWN OF SOUTHOLD �. Mailing Address of Managing Agent: F�ww .......--4 ..� ... . .� _... ime _ ._ Evenin Emergency,Tele hone Number(s : Da t Email Address: M �...... ........ _ . SECTION F. PROPERTY DESCRIPTION: Number of Rental Dwelling Units on property: IT_,, __...__ .__..... 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." �o S Rental Dwelling Unit Identifier: Requested Maximum number of persons allowed to occupy Dwelling Unit Number of rooms in Rental Dwelling Unit: _ � ��...._. _ �. U� Use and Dimensions of each room in Rental Dweg f . . .- ---- .,_.. ..�. a .. ........_.� � � � cI , ,. �.��6 ... �.. '2,0 " a....." �....�m. t t'f Page 3 of 5 Town Hall Annex Telephone(631)765-1802 54375 Main RoadFax(631)765-9502 P.O.Box 1 179 jv 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. ❑ 1 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) 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 Town Hall Annexe Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1179 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. 1 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: Property Owner's Signature: Sworn to before me this. day of 20' ..................... Off -. - Nota mmibli Sign reW andOriginalNotary Stamp Taylor l udowulc Notary Public,State of Now York No,01,KU6404083,Suffolk,CountY �'UmMssion expires,lFahruM 10, Page 5 of 5 July 1 , 2021 Town Hall Annex Telephone(631)765-1802 54375 Main Road P pr Fax(631)765-9512 P.O.Box 1179YH i N Southold,NY 11971-0959Ell 022, JAN m BUILDING DEPARTMENTi„„ �tU6 N a ,F)r 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 Pro essional seal re uired fior architect or En !neer licensed,Horde Ins ector must provide copy of valid current cerci lcotion Rental Property SCTM Number: Rental Property Address: 14990 I-e ori, utcho ue NY 11935 Owner/Name: No la Leslau Rental Dwelling Unit Identifier: Number & Square footage of each bedroom as depicted in the attached floor plan: (i.e. Bedroom.#1 -100 sq., Bedroom#2-90 sq., etc.) Bedroom #3 180 f Bedroom #2 140 s ft Bedroom #4 156 sqf Property Description (Include all improvements indicated on survey) 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 Conservation Construction Code of New York State. Victor Cornelius III CEO Inspector cb Print Name and Title oeo2 - 2 Oriunal Signa94 Please place professional seal: r sou * CAr " TOWN OF SOUTHOLD r U 765-1802 INSPECTION w FOUNDATION . FOUNDATION 2ND INSULATIOWCAULKING FRAMING /STRAPPING [ FINAL-Re4l�� FIREPLACEI INSPECTION FIRE RESISTANT CONSTRYCTION FIRE RESISTANT PENETRATION ELECTRICAL (ROUGH) ELECTRICAL 4 1 CODEVIOLAT r a. I / EIK : �r/, IPA leiPV DATE INSPECTOR gQ, 0 1, r" Illrf w i r� 1r/ r �Ur { j X54 n S ti °: l • w m Y I � F •l ry - m r a w k Q7 �uY lu Ic iz y d w , ;' c' im a g mry tr R N hia ti` D {gin ^. • _ J w� g r I 9 iJw n T t n 33 c4 t 1 S n D rPN - ...._..® a �v_ rr N 13 co D .p q� 1 w � S$ P1 � t 0 � i mw" � n f �e ✓^/`°r''r 5 �/ f'&� ��!.J,: � ��: a .fir I 8 �`r, 5 ti€ ". 'tititi��7i C � s Lh— �� 6a 3 a xn I • r r '� YlA I, y l w Ilk tn �;L 1 R � M a -a " . tit rely .Qa{�� y n��,}p� I � � ; � , 4.��• gl �..�� sir,:a r ; t. i U We G a} hflill ,.y �� j x S r'y (D VpMC,kJ+ o n w s 1 xAQ pu NSF Mle III ' tl IC\ r NPP � ��" � �� s '�`✓ III t. Oi� 0 d p i ml t 0 1 i i Q C " a � � 1 P i V" f r � _ v m (7 O m �jcn> „ . J� m CO p T m O O 1 m , 2 = Z Z g m D D �. .., D m m G1 O ' r, Om Or r D Z Z M o � f 1 0 y O D p '� I (np y - 1 . m r o p O CD �" Im I p D z m \ m IF LA LO qp kI L R: 'A 0 tcx G) m 115 , u TJ DIF Z I m fa CA r C Q> 4, Cb k < 46 %'day ta % m "0 z liz 4L DO C, -4 In M >fn M In on T Id. C) 5 NJ 0 o rj r, ri � �q WM ( aha wn w +rs G p �W --Ai ru �� In e 1 r I C n ; wCb q yo M p� 'll gl LCO, w —.... �. ,w w.. r o.. } �m fr a a FORK NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the BuildingInspector Town l Southold, N.Y. CENTIFICATZ OF OCCUPANCY Z-23086 THIS CERTIFIES tat the uildin Location of Property 14990 OREGON ROAD CUTCHOG,uE, N.y. House o Street Hamlet County Tax Map No. 1000 tion; S 4 Block Lot 4.4 Subdivision Filed Mapo® conforms substantially to the Application for Building Permit heretofore filed int is office dated FEBRUARY l 7 1993 t .____pursuaot to which Building Pr it No. 212,32-Z dated was issued, and conforms oall ofthe requirementsof the applicable provisionsof the law. The Occupancy for which this certificatei issued is ONE FAMILYDWE"ING AS APPLIED The certificate is issued to LIBB VINEYARDS, INC. (owner of the aforesaid building. SUFFOLK COUNTY F° UNDERWRITERS HEALTH APPROVAL 92-SO-89-JURE 28, 1994 IC 037816-1.0/ / ' PLUMBERS CERTIFICATION 6/13/94 ti 6/94 - XSX PLUMBING "f4 jilinr Inspector v, 1/81 FORM NO. 4 TOWN OF SOUTHOLD BUILDING PAS Officeof the BuildingInspector "'own Hall Southold, ® ® CERTIFICATE OF OCCUpANCr No Z-23085 Dat 8T�8, 1994 IS CERTIFIES that the building Location f 'Property 14990 OREGON ROAD m House o. Street Hamlet County Tax Map No. 1000 Section 84 loch of 4.4 Subdivision Filed a o® Lot conforms ub t nt lly to the Application for Building Permit heretofore filed in this office t 17 199 .—___Pursuant to which Building r it No. 21232-Z dated was issued# andconforms to all of the requirements Of the applicable provisions of the law. The Occupancy for which this certificate i issued is ACCESSORYBUILDING I TH DWM:EN(; UNIT AS PER ZON BOARD OF APPEALS #4144. The certificate iissued to LINE VINEyARD (owners) f the aforesaidbuilding. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPRCvAL 92-S0-,89,-jtW UNDERWRITERSC 7816 .10/2 PLUMBERSSSI I W PLUMBXNG & HEATING ding . nn ctor — v® 1/81 FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.X. CERTIFICATE OF OCCUPANCY No Z- - ...24001 Date NOVEMBER 2 1995 THIS CERTIFIES that the building ACCI:SSoRy Location of Property House No -xW P Y 14940 O�REGOg�g ROAD - C UTC,H4 [ IZ Street Hamlet County Tax Map No. 1000 Section 84 _Block 1 Lot 4,4 Subdivision -—,_,Filed,Filed Map No._Lot No._ conforms substantially to the Application for Building Permi - t heretofore filed in this office dated p CH 23 1994 - -- p'�rauant to which Building Permit No. 21974-Z datedV MARCH 2y� -1994 was was issued, and conforms to all of the re �. � � - quiremente of the applicable Provisions of the law. The occupancy for which this certificate is issuedis PENCSSASXAPPLIO"D SWIMMING POOL WITH CC`E SD . ._ TER1[AC[ AND POR. The certificate is issued to LIEB VINEYARD (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL UNDERWRITERS CERTIFICATE NO. N-32670$ _ SICPIE PLUMBERS CERTIFICATION DATED lld ng Inspector Rev. 1/81 FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-24002 Date: 03/05,/99 THIS CERTIFIES that the building AGRICULTURAL BUILDING Location of Property: 14990 OREGON RD MATTITUCK (HOUSE NO. ) (STREET) (HAMLET) County Tax Map No. 473889 Section 84 Block 1 Lot 4.4 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office datedJULY 26, 1995 pursuant to which Building Permit No. 22940-Z dated AUGUST 11�, 1995 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 AGRICULTURAL STORAGE BUILDING 601FROM ROAD AS APPLIED FOR. The certificate is issued to LIEB VINEYARD, INC. of the aforesaid building. (OWNER) SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL - N/A ELECTRICAL CERTIFICATE NO. N-480947 02/25/99 PLUMBERS CERTIFICATION DATED N/A B aldin Inspector Rev. 1/81 ......................... ................................. ..................... ........ Town Of Southold P.O.Box 1179 11/24/2015 bn ,pd 53095 Main Rd Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 37915 Date: 11/20/2015 THIS CERTIFIES that the building ALTERATION mm Location of Property: 14990 Oregon Rd, Cutchogue ............ SCTM#: 473889 See/Block/Lot: . ............. 84-1-44 Subdivision: ............— .......----------- .......... ................. . ......... ...... .......... Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 4/6/2015 pursuant to which Building Permit No. 39712 dated 4/28/2015 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 R�S TO -i As M. The certificate is issued to Lieb Vineyard LLC .............. of the aforesaid building SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 39712 11-10-2015 PLUMBERS CERTIFICATION DATED . ............ ...... ... .. ..... . .......... Altft/ho pzed Signature