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HomeMy WebLinkAbout1000-73.-4-2.2 TOWN OF SOUTHOLD a0f Rental Permit " 0480 s Owner Debra Cavanaugh Greco Occupied as Single Family Dwelling Located at 30170 Cabots Wood Rd Peconic 73.4-2.2 Maximum 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. 6/26/2023 Code E fore ray rat Officia This Notice must be posted by the main entrance at all times JOWN OF SOUTHOLD BUILDINGT. 631-765-1802 INSPECTION [ ] FOUNDATION 1 ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION/CAULKING [ ] FRAMING / STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) CODE VIOLATION [ ] PRE C/O [ ENTAL DATE t � a #a ;, Hal.Annex � t TOWN r. X43 a Rau - DELL' NY R--,'al InSnection �C 3" 51 scTM '�3- a as � a� a3 !Owner Phone �� ` Zip Address 30/ 70 Inspector pty SUB � ,� 2. !LEVELS room detectors �xoe0s oz.Q>t� Carbon M:nox,ce Du:a-:o s ; Exits (#) - �BEQROOMS 3 i 4 5 Smof<e Detector X amy 1:a, _ m —a,ess %IWI-Iu0WSt �, ;x R . SYSTEMS - - -„ 2_' —eruijcn b i v, 1 I C ,s C ' .`' � � `T_ ir-3 "fig --. _ „ at o-1a -zinG arca s erCS I Sear Me-han:-a' swem ma mained—er='5 COMMENTS, afc i ! � � - = TOWN OF SOUTHOLD rd Rental Permit r 0480 Owner Debra Cavanaugh Greco Occupied as Single Family Dwelling Located at 30170 Cabots Wood Rd Peconic 73-4-2.2 Maximum 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. 6/23/2021 •G/ . Code Enforc ment Oficial 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 P.O.Box 1179 0 a +yt Southold,NY 11971-0959 �, � ``• � boyVV BUILDING DEPARTMENT h3 + TOWN OF SOUTHOLD L' RENTALPERMIT APPLICATION MAY 3 2021 Rental Permit Fee$200(Application must be renewed every two years) Tor �• F,,_.•,_ __ 4. Section A. Property Information: Rental Property Addre ' LC Tax Map Number: 1000 SECTION - 1- -BLOCK -[' -- -LOT. a r. SECTION B. OWNER INFORMATION: Property Owner Name: b.eb'_C'i - ��1/i- �'V �C� Property Owner Legal Address: Property Owner Mailing Address: O ev 5-1 - - . '604-t0 codoo o0 �O -PCS_ -0$ � - � p P CG V1-\�C' � Telephone Number(s): Daytime .45Yb- ll Evening -:N j 6dif Emergency a -jL Property Owner Email Address: Page 1 of 5 Town Hall Annex 4 Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1179 Q�� Southold,NY 11971-09594 Coua� jf}' 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): 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: 0'-Q (/ Address of Authorized Agent(no P.O. Boxes): Mailing Address of Authorized Agent: Telephone Number(s): Daytime _Evening Emergency 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:. Address of Managing Agent (no P.O. Boxes): Page 2 of 5 �fl*; S1 Town Hall Annex ` Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1 179 s Southold,NY 1 1 971-0959 V°®u I�NR .: BUILDING DEPARTMENT TOWN OF SOUTH% D V6 'D6) � I Mailing Address of Managing Agent: L 1� Ot , Telephone Number(s): Daytime Evening Emergency-. - Email Address: vctk0 o SECTION F. PROPERTY DESCRIPTION: Number of Rental Dwelling Units on property:- I 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: Woo A b3 Requested Maximum number of persons allowed to occupy Dwelling Unit:' Number of rooms in Rental Dwelling Unit: - Use and Dimensions of each room in Rental Dwelling Unit: . "Bekoo L--\',j I w-) KAc e Xi-/ - Page 3 of 5 Town Hall Annex `E . n 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 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 licensQd 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) I ��r� Ct�1a1r1 - (%(�t0 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 A- a 7 Hall Annex 4` '5 Town ad7$a.. - Telephone()3 65-1802 54375 Main Ro , P.O.Box 1179 , ` ' T Fax(631 765-9502 Southold,NY 11971-0959 ?, BUILDING DEPARTMENT TOVIN 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. 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: Property Owner's Signature: ` rd Sworn t efore me is=day of 20 Official 061tary Public Signature and Original Notary Stamp JASON.DARREN RUBINSTEIN Notary Public-State of New York NO. 01 RU6261722 Qualified in Suffolk Cou y My Commission Expires Page 5 of 5 Mar 20, 2021 Town Hall Annex Telephone(631)765-1802 54375 Main Road 1 Fax(631)765-9502 CA P.O.Box 1179 Southold,NY 11971-0959' 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 roust provide copy of valid current certification , r Rental PropertySCTM Numb�O1�3Db — `TDO r �20 ra - Rental Property Address: 30170 Cabots Woods Rd. Peconic NY Owner/Name: Debra Greco Rental Dwelling Unit Identifier: Cabo+5 UD©ojis Lo Vt 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 #1 140—ssgft Bedroom #2 170 sqft Property Description (Include all improvements indicated on survey) single-family home 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 Print Name and Title ceo# 1216-0283 Ori n igna e Please place professional seal: ow Myx .-W s � t 3 w3 { r' .r 4 y_ ' TOWN OF SOUTHOLD PROPERTY RECORD CARD OWNER ;, F1 1 , STREET . i VILLAGE - --,I DIST 1 SUB. LOT V, .✓"'+w„�i �,^s..'t i$m^ � S'Y r°^ ____ �<r^ t (� _� S ka-.,r<: "w`& •! . FORMER 6WNER } N 1 - E ACR— Is CR, IS !W TYPE OF BUILDING 'A, RES. _ ...w, °I SEAS. VL. 'r �FARM � COMM. CB. MICS. � ,t J ;�y ICS. Mkt. Value LAND IMP. TOTAL DATE REMARKS 21 �.' ��f�',� `�• ` --- `-'--- --- �,�°S�'-.s.c.t r r".�"? ,,,� �"�,"��"` :-�'1 ".�j"tom�""��'', �: ' .'.a •� ✓ ,.,. f Imo` I «" — 1 —r��" r 'P"�; �+ 4�:.�r ,.j ,s"' `4�{} j ..``L':r L) 256 _�'� 3�✓ � C.+ ` `�.,1 � t'r d 'i �' � ".?d art" ts' � ,�,'°"*�a �, i L.�G,/ pi.'a1 .,.� "` � ,� �' .r•..� , t"}.�p}'"; ,Zv j �� �"µ' � g; �'," b"r�^� ,�t`�� �. f ,sem �' T`w�'T '�� 39oo 1 - yy - ,� w.g� FRONTAGE ON WATER Woodland �^ j FRONTAGE ON ROAD - Meadowlandr, —�-DEPTH � J House Plot BULKHEAD Total3 I� 44 -- t COLOR TRItv1 � � i I f 11 mow. ,_,. �. � •�o � � , t M Bldg Extension L/o y� E Extension Qy Foundation — Both I Dinette �, Basement _.__ Floors K. Interior Finish i LAR. Walls _' Ext. ; _.� 'Fire Place Heat Breezeway — T- _ DR. Garage --'',Type Roof jRooms lst Floor Patio Recreation Room Rooms 2nd Floor FIN. B ----- O B. Dormer I I Driveway --Total , FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-20749 Date MAY 21, 1992 THIS CERTIFIES that the building NEW DWELLING Location of Property, 30170 CABOTS WOODS RD. (PVT RD. #28) PECONIC, NY House No. Street Hamlet County Tax Map No. 1000 Section 73 Block 4 Lot 2.2 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated MARCH 13, 1989 pursuant to which Building Permit No. 17918-Z dated MARCH 14, 1989 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 AS APPLIED FOR. The certificate is issued to RICHARD & SOPHIA GREENFIELD (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL 88-SO-53-MARCH 2, 1992 UNDERWRITERS CERTIFICATE NO. PENDING - MAY 5, 1992 PLUMBERS CERTIFICATION DATED MAY 20, 1992-WALTER MARCZEWSKI, JR BulTaing Inspector Rev. 1/81 r ' FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-22109 Date JANUARY 14, 1993 THIS CERTIFIES that the building ADDITION Location of Property 30170 CABOTS WOODS ROAD PECONIC, N.Y. House No. Street Hamlet 4 County Tax Map No. 1000 Section 73 Block 4 Lot 2.2 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated SEPTEMBER 24, 1992 pursuant to which Building Permit No. 20979-Z dated SEPTEMBER 24, 1992 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 DECK ADDITION TO EXISTING ONE FAMILY DWELLING AS APPLIED FOR The certificate is issued to JOSEPH V. GRECO (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A uilding 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-23330 Date NOVEMBER 7, 1994 THIS CERTIFIES that the building ADDITION Location of Property 30170 CABOTS WOOD ROAD SOUTHOLD, N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 73 Block 4 Lot 2.2 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated JULY 8, 1993 pursuant to which Building Permit No. 21588-Z dated AUGUST 13, 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 ADDITION WITH DECK TO EXISTING ONE FAMILY DWELLING AS APPLIED FOR The certificate is issued to JOSEPH V. GRECO (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N-326951 - SEPT_ 143 1994 PLUMBERS CERTIFICATION DATED SEPT. 9,--i\994 - H.SMITH PLUMB. & HEATING Building 'Inspecto 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-23984 Date OCTOBER 24, 1995 THIS CERTIFIES that the building ADDITION Location of Property 30170 CABOTS WOOD ROAD PECONIC, NEW YORK House No. Street Hamlet County Tax Map No. 1000 Section 73 Block 4 Lot 2.2 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated JULY 31, 1995 pursuant to which Building Permit No. 22952-Z dated AUGUST 18, 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 INGROUND SWIMMING POOL WITH FENCE ENCLOSURE & DECK AROUND AS APPLIED FOR. The certificate is issued to JOSEPH V. GRECO (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N-364111 - SEPTEMBER 20, 1995 PLUMBERS CERTIFICATION DATED N/A ilding Inspector Rev. 1/81 Suffolk Security Systems Suffolk Security Systems Incorporated 50300 Main Road - PO Box 1355 •Southold NY 11971-0937 Telephone(631) 765-5262 • info@suffolksecurity.com March 5, 2021 RE: Greco Residence,30170 Cabots Wood Road, Peconic. To Whom It May Concern: Please be advised that we have updated the photoelectric smoke detectors on the premise and have installed carbon monoxide detectors to NYS requirements. There are new System Sensor smoke/CO detectors in all levels, outside of bedrooms and existing older smoke detectors have been replaced with new System Sensor smoke detectors. Please feel free to contact us if you have any questions. Respectfully, Paul J. Romanelli President 001)rol- RT"