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HomeMy WebLinkAbout1000-111.-11-1.5 TOWN OF SOUTHOLD Rental Permit Permit No. 0460 Owner Yvonne Sheehan Occupied as Single Family Dwelling Located at 1105 Caffington Rd. Cutchogue 111-11-1.5 Maximum Permitted Occupancy 6 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. 6/10/2021 Yodrforc m t i c i a This Notice must be posted by the main entrance at all times 'I .- S.0 T7jI , Town Hall Annex ty Telephone(631)765-1802 54375 Main Road Fax(631)765-9502AP.O.Box 1179 - Southold,NY 11971-0959 BUILDING DEPARTMENT TOWN OF SOUTHOLD 5 RENTAL PERMIT.APPLICATION Rental Permit Fee$200 (Application must be renewed every two years) Section A. Property Information: Rental Property Address: I I O 5 �a(��n��+et��Zo a , . (',,� �n o►u� 1 19 3 5 ' Tax Map Number: 1000 SECTION /// = 00 BLOCK 11 ,00 LOT 60 ► •G8S SECTION B. ..���V� ® �- OWNER INFORMATION: ,? u � roperty Owner Name: IVC(�nP ��Il�� t� JUL� 2 2 209 Property Owner Legal Address: Property Owner Mail itag Adydress� Cj �•�5; �,j (Cannot be the same as Rental Property Address) 1c eE v�n►�e She�l�4l� 4 Qw_ e ��y Jb0a,9-ayv9 .r Telephone Number(s): ( (' -3 — 1, 09 Property Owner Email Address: alDoQ�` ey'fn 4J Page 1 of 4 � J O Section C. Authorized Agent Information: Name of Authorized Agent of dwelling unit, if any: 1J Pr Address of Authorized Agent (no P.O. Boxes): Mailing Address of Authorized Agent:- Telephone Number (s): Email Address: Section D. Managing 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): Email Address: SECTION E. SITE MANAGER INFORMATION: (required for rental properties containing 8 or more rental units) Name of Managing Agent of dwelling unit, if any: N or Address of Managing Agent (no P.O. Boxes): Mailing Address of Managing Agent: Telephone Number(s): Email Address: Page 2 of 4 SECTION F. PROPERTY DESCRIPTION: Number of Rental 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, 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 U ' s use"Rental Permit Appli tion Addendum." Rental Dwelling Unit Identifier• - �. Requested Maximum numb of persons allm occupy Dwelling Unit: Number of rooms in Rental welling Unit: Use and Dimensions of ea room in Rental Dwelling Unit: 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 NYS licensed architect, a NYS 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. am requesting a fire safety inspection to be performed by a Code Enforcement Official from the Town of Southold. �40- 3 5hfiF�nat� Page 3 of 4 ❑ 1 am submitting a,completed Town of Southold certification form from a licensed architect, a licensed professional engineer, or a licensed home inspector who has a valid New York State Uniform Fire Prevention Building code Certification. SECTION H. DECLARATION: Signature must be notarized and MUST be the owner of the dwelling unit. STATE OF NEW YORK) ; COUNTY OF SUFFOLK) 1. V certify under penalty of perjury,the following: 1: I 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 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 s to any change to the information regarding Authorized Agent, Managing Agent, or Site Manager. Property Owner's Name:.: Property Owner's Signature:, Lvaa-F Sworn to before me this day f 20,�g 4�'A � OIVC 9®AR 9 p�i�W Y®AK a �4� Official N ublic Signatu a and Original Notary_ �j gg Iii au us coum �3Rll lblcl a0i;G0 ON 11.13-M Page 4 of 4 NOTES a SPEGtFIGATIONS 1 �_�--, " �— is - IJba INSULATION d F-INE5TRATION RFOUIREMEI75 ((�� wv��*oa..eQ..-.,..w,evcw•wwuv,ca _�- 1 7_ ` - - NYSC]GIS TALE r-� COMPONENT oRGPCRTlCS R60].IZ LOMPLIES viniN, . Aa wruum[ac+l r,e ; i-v rm.e.,w \.. C I ¢r ivm w m 1 1 a..•uE aaxA!Iw1 a¢r G,Cc+rn..c=MvfYP�vun 1 +Kin¢ Aw - ,K wr..,c..u�rc,re„nr�.¢ro�.a�m b1 11 I,..•a„ - I�ama...x _—___'_ I n oca ,om vvu�.K[ "11 11 TA5LE R-5 1.7 1 ALLOWAELE DEFLECTION of STFCICTIRAI.t-�`.9eR5 _—._-_ �� ' stun r.e nr . wrcvoA�d wn rooarvub 1 9TWKTURAL MEM@R �ALLOh'ABLE DEF.ECTIONI .m rorausar�ovuwcrarrn�.nno,ual mn�w 111 _ 111 - __[_�•v®� _ �o IX . LOCATION MAP SCALE,I'-O'•10b' R r�u.r,.u,m„nv wnanw+cn,n[as.cwcs 11 11 I �STRUGNRALaDE516N LOADS / sea=Ar wnr d¢ a _FUSE _ LIVE LOAp pEAp LOPD ,cm.•c=a w.rn,rouom w...,nw 1 p pw wrM I .uro r mNi.raa ,oaowx i.w+rea f CARRINGTON r . rlmm : nu+.rKnm CLIMATIC Alm GE0GRAPr11G E516N CRITERIA-- CSISDNO rM raoMTP,Kr G.'me(wrrU.w[u,u,ax¢[Gu.w. �n $ . rwe rowL aeawmu.cwe we ioo warurr k1 _ __ a ATowawswwwrm.,.pes,co�ecer"nwrc.�e�"� �� ��/ �� E�0 AP R YED AS NOTED ru LL F l ELEOTRIOA ttJGPFILEUMCA IRED b 1Y� NOEttw Dn110 iHR -M J PY K ' o..� 1 � � �a��[n = FIXLD. em• i,u wn TIE a a, `di° INO P�:SPECiq!:5: OF NE .raa acruRrn I p �G� i.Fox iaw:in cawE-E R =sir m,ana L �'T° Blower do° PROJECT: acw ! imlu.wlisirlmtw:l Lvsi end ductw°r o�..av ro«,e..i,ca oa-._..,r-o w.r n..Foaoa acoK Aae awL Iz s,Alann arm[.[nor onm wLVAa�ro. 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A_100 _ I OF OCCUPANCY aaJ- �,,..ar•-- 9 YJA DATE°3/OT/�0 1of1 PARTIAL FIRST FLOOR PLAN a GARAGE PARTIAL 5EGONO FLOOR PLAN ABOVE GARAGE SCALE.I/9••I'd' SCALE,I/a•.Ib• I I—� -- - - - - - - - - - - - - - Reza I/6.. I ------- Ica 13 -- ,WZco I. zli c"d,. W -2%/O 2dE'L ,t I� I — - — — — — JFC ..._6.-4. 6•-�. q:o' '1`-5" -.4•" �'-O" 6•_q". I -'-�,. of I i _ UN/JEATEL twS lv\CNT '• is I I I a� a� I � p'v e" I�.y,. ..7�-g^ - �'-s' e'�L 'ec.5{-i" nr - _�—._------.-.— 31•'01 ---"—'------ . I7YE1ZdU4T£b 1 I I .. I i _— '.7JN!lEAT6�� .4R4A4E itltl;�1 - _ 4" ( I /2E%.VLF�,CCEG1' /0/0 I W.W. ME-ill/ I � r I uc•�r\ m ' I ticY, '';• _ Ma, Maa. -FWOMA..5 411r4WN-$' /WISSgU A�/NT. CUTCNayGpi _-6,--0.. I i i - 'm I I UNN�a[ep SroRnO� r 10 ^--- — :;.MIL AAIL v l 7U5 r-- �` I gia4.laoon ro, RW974Y_..I �� •Sly �a � S.y I uvER�rr.rla��.lr' rkPAAz,J-1L.CiW $- i CEDAR.(iEAGH , SGN-M1l o�p ' Ro Ylzio FR°n 1�r�nY 61 auum.mu ir P. q 12 > Lu pr V:�ll vjo,, 2 B' mHc,4 ql 4 ti Th � l Ct3 CZ5, 5—t 41, 4'AZ 37 PIL OWN=C snow GAR IN CER79MYS APPROVED As NgrW 0 4kTE: 4)5124 B.P 3 N VA4 TER J MAWOF Ma 6—Al 116LW. 765-1802 9 All TO 4 11 FOR FOLLOWING THE I FOUNDATION REQUIRED "R�OU.Fo CONCRETE e 4 L 2 ROUGH FtIAMIPIC,&PLUMBING 3 INSLOLAnori 4 THE RECI ST M T, rw FINN. roNSTRUCTION MUST LOF.,PLETIL RIR C.O. ALL 61N UIN '' far Eer dolbe UIME OF T111.v d STATE mESIGN 0R CONSTRUCTION ERRORS. T4VI/N OF: SOUTHOLD ; PROP ; ARD A ;:, ► OWNER , �,�,' S . STREET fir% VILLAGE - DI STI .- 'SUB. ' 'FORMER OWNER'' ' NE ACR. 1 ` o��' n'S : .' Cj+r��n t'✓€ctR "�' ;���t�Q� S W TYPE OF BUILDING RES. ;,,, _SEAS;' VL.. FARM: COMM. . CB;; MISC. Mt. Value ' t LAND, ' IMP: TOTAL DATE' REMARKS , , ter�.�,;�; �/ / !- p ✓ �J' i� V %r�Cel: ✓ /r / GA1v11LPl,j'i i `l l9�J ;`/�L7'�! ' �° �I11 7 7: t?.. L. l�.)c"7�"'N ( ( r�tr --".., �-1`I erg' ., �, 'f.;t_5 ' `7 C:�'�i': ✓ :D v f J�' (3 f3 3�' 1 Z-_° l rn►!_a. _t�i1.t_t ,�' � - / C ''u! r ��� 1(r)�� _�w�� G �'P71�F�f" �tCl' L7�:��'h� -•)k (�Tfd -?'i:::''....r<- '1>t::� _..�,:r,�".•. I !r = - - - .'Df;% 3 l C/., .r� _�C.1•7 lt,-, .�?r. o Hl(z.. 1\L\' ,�C "�f�, .J,-1»✓.:_ 3__ 'j AGE BUILDING CONDITION �" r7{ C _ :�1, !- if �, l Zr: Cut r h'c, s�:,r '< I,. - �'�F. G G� ." -�' NEW, NORMAL BELOW : . ABOVE 3 1C1�1'4"Al_ 4.MT-4!2'/-.1/4 FARM! Acre V416e:Per Value 1 ;. Acre a ,.\ 1'7,:-L.ta1:�'s©n 'Tiilabfe.. j :1 Tillable `21 Swamp;ld`nd FRONTAGE ON WATER Bruslilarid FRONTAGE ON.ROAD House Plot... DEPTH' : . BULKHEAD c : Totals ^' `�,'• [DOCK. 41, ■.■ ■. ■II■■■■ ■■■ ■ ON E00,11 ME SOMME t OMMEEMEENUMMEMN ■■■■. ■■RME■■■.■■■■■� ■■■■■■ ®MOMHO.■■NFINE MEN INE REEMEMEMONNEEM - c"4e1A .■■■E OMM■■■■ o ` f MOEN ■■ U■■■■�■� ■ ■■.■■■® HN■■■■..■.■■■■.■■� �.■■.M IMENE■E■.■.■■E■■■■■ Foundation :. • :. - t •• nterior Finish - • •lace - f FORM NO.4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector ,Town Hall Southold, N.Y. Certificate Of Occupancy No, Z 15342. . . . . . . . . Date March„12,. . . . . . . . . . . . . . . . . .. THIS CERTIFIES that the building .9 FF- ,f am i l y dw e I I i n g , .. . Location of Property 1 105 CARRINGTON ROAD CUTCHOGUE House IUo. Street Hem%r County Tax Map No, 1000 Section . . J.1.1. . . . . . .Block . t.1. . . . . . . . . . . .Lot . ?.-.5 . . . . . . . . . . . . Subdivision . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Filed Map No. . . . . . .. .Lot No. . . . . . . . . . . . . . conforms substantially to the Application for Building Permit heretofore filed in this office dated March. 3,1., , 19 S 6 pursuant to which Building Permit No. .14.7.3 2 Z, . , . _ , . . , . , . dated . . .. A p r i i, ,3, 19 8 6, , . . . , , 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, with deck , and attached garage . The certificate is issued to „T H OMA S H I G G I N S (owner,%1Fs�e� i ) . . . . . . . . . . . . . . . . . . . . . of the aforesaid building. Suffolk County Department of Health Approval . . . . ,8,6.-.$p-4.3, , , , , , , , , , , , , , , , , , , , , , , , , , , UNDERWRITERS CERTIFICATE NO. . . . . . . . . . . . N 7 7 7 9 9 8 . . . . . . . . . . . . . . PLUMBERS CERTIFICATION DATED: 9 /24 /86 . . . . . . . . . . . . . . . . Building Inspector Rev.1/8Z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-22273 Date APRIL 22, 1993 THIS CERTIFIES that the building ACCESSORY Location of Property 1105 CARRINGTON ROAD CUTCHOGUE, N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 111 Block 11 Lot 1.5 Subdivision Filed Map No. Lot No.� conforms substantially to the Application for Building Permit heretofore filed in this office dated FEBRUARY 16, 1988_ pursuant to which Building Permit No. 16759-Z dated FEBRUARY 26, 1988 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 ACCESSORY INGROUND SWIMMING POOL & FENCE The certificate is issued to JAMES H. KASSCHAU (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N-033220- SEPTEMBER 14, 1988 PLUMBERS CERTIFICATION DATED N/A 1.e�- /Pui ding Inspector Rev. 1/81 Y1140 �g�FFDt,ycoGy i Town of Southold 9/11/2020 P.O.Box 1179 o53095 Main Rd �� Southold,New York 11971 �„ p� .� strf CERTIFICATE OF OCCUPANCY No: 41433 Date: 9/11/2020 THIS CERTIFIES that the building ADDITION/ALTERATION Location of Property: 1105 Carrington Rd., Cutchogue SCTM#: 473889 See/Block/Lot: 111.-11-1.5 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 12/18/2019 pursuant to which Building Permit No. 44581 dated 1/8/2020 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: "as built"addition and alterations,includingfamily amily room with storage above garage,to an existing single-family dwelling as applied for J The certificate is issued to Sheehan,Yvonne of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 44581 6/30/20 & 8/26/20 PLUMBERS CERTIFICATION DATED 009 Signature