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Home My WebLink About1000-85.-2-18.1 � g TOWN OF SOUTHOLD Rental Permit 0547 Owner Greatpeconic LLC Occupied as Single Family Dwelling Located at 38705 Route 25 Peconic 85-2-18.1 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. 10/12/2021 Code En cement O cial This Notice must be posted by the main entrance at all times S � �r Town Hall Annex I' Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1179 I Southold,NY 11971-0959 � W w f,J: w, BUILDING DEPARTMENT OR 1 6 2021 TOWN OF SOUTHOLD RENTAL PERMIT APPLICATION Rental Permit Fee $200(Application must be renewed every two years) Section A. Property Information: Rental Property Address: Tax Map Number: 1000 SECTION -BLOCK 2— -LOT��_-___�__ SECTION B. OWNER INFORMATION: ?� Property Owner Name: Property Owner Legal Address: Property Owner Mailing Address: Atl N -✓ �o r,�` ��r� r Telephone Number (s): Daytime Evening Emergency Property Owner Email Address: e, ee� Page 2 of 5 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: O.k 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: N Ar 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 E. N&- 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 Telephone(631)765-1802 54375 Main Road Fax (631)765-9502 P.O.Box 1179 Southold,NY 11971-0959 � BUILDING DEPARTMENT TOWN OF SOUTHOLD Mailing Address of Managing Agent: % L l 66 Telephone Number (s): Daytime / Evening Emergency Email Address: re,i r 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 Units use "Rental Permit Application Addendum." Rental Dwelling Unit Identifier: Requested Maximum number of persons allowed to occupy Dwelling Unit: aa Number of rooms in Rental Dwelling Unit: ' t Use and Dimensions of each room in Rental Dwelling Unit: - ' `5-61 S w Page 3 of 5 BUILDING DEPARTMENT I OF S0 SOLD SECTION G. ;;//,//j' INSPECTION` Pursuant to the Town Code-of the Town of Southold Chapter 207 (Rental Properties), a safely inspection by Code ;Enforcement Official is required. If the owner chooses not to haue said;, inspection performed by theTown, a certification from a licensed architect alicensed fessional en sneer or a;homeins inspector who has a valid New/York 5tate.Unaform Pre�ention BuiIding,Code Certificafion is required stating that thei of the rental;permit,4ppli6ati'on'/is%in compliance with all of the provisions of thercode T,o,�nrn�of/Southold,,,the'laws and sanitary and housing regulations of the County of,/,S Uffb I kand rby�the,laws,adoptedbyfhe,Ne �York State Fire Prevention and,BuiI&ng Code Council ' w /;,,�;am-reques Ing=a�rffe�safety inspection to be performed by a Code Enforcement Official f�r/iii/f Am / the',,Town„of�Southold' ;I am submitting a completed Town of,Southold certification,, architect or4licen5ed fO e5510i1a1'en InLef, R Ea.I:�ARATIOal : Srature mist be notarized and MUST be the STATE OF NEW YORK),,, .COUNTY OF SUFFOLK) . ) rYl�er of�, malt Y P J 1 I am the'owner ofth property identified m Section A of In r, !r ! �. The property owner'sfeg�le�dress sit forth m Section�B�! ra adds ss anc�°I unders# /nd;the Town°will use the address"for se.fvice'P J / cr ,/; i„ Pape 4'of 5 � � �u uuuuupuuuuyuy,V�V� �1 1 r 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 SOUTHOL 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 sewj re aired or Yrchitect or n ineer licensed Home Inspector must ro ide co o valid current certi iccrtidn " Rental Property SCTM Number: 1000-85-2-18.1 Rental Property Address: 38705 Main Road, Peconic NY 11958 Owner/Name: Great econic LLC 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 4 - 258 s . Bedroom 2 102 s Property Description (Include all improvements indicated on survey) 2 story frame house with attachedara a and framed barns. 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 Pili ing Code of New York State, the Fuel Gas Code of New York State, and the Energy Conserv to Cons on a of New York State. Anthony Portillo, R.A Print Name and Title , "P I Si at 1. 'ra u 41 �IX�%3 Q9 fl Please place professional seal: SOF N�� ° � �7 ��IP-Pi�o✓1�Cr DEPT.TOWN OF SOUTHOLD BUILDING 765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION/CAULKING [ ] FRAMING /STRAPPING [ ] I AL [ ] FIREPLACE CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) [ ] CODE VIOLATION [ ] PRE C/ REMARKS: L�4 -6Qi Av O ' TOWN OF SOUTHOLD BUILDING DEPT. .� 765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PL . [ ] FOUNDATION 2ND [ ] INSULATION/CAULKING [ ] FRAMING /STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY [' "II SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) [ ] CODE VIOLATION [ ] PRE C/ w DATE INSPECTOR { qs TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] 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 DATED$ 2.. INSPECTOR d'w q �c a N .......... ----------- 'It _ J JR X cn `" u u if rn CZ)N Q O �„ i--- Fn C� rn ........ _.. - ---------- - _ E#.� rIM HC)USF. 3570 N R a un ......... ....uu,�.K z.a .... _.. _. .......,..,,..., �...m.............�.... ..... .__.._ �.. .......�.. ..........��...,.....,�., ............ 0�1 r.", t. ZI 0, co fl - I , 0 CD C) C: m T 0 x z m > Cl) > 0 m 0 z 0 > 0 ks • v 7,1% vs 114k, ° { CD 3 fz� 7� 0 0 M 0 c n F I p Cf) L) m 0 CO r G7, m m m :c r. x r o y Lb m oLO i F(S./" I E E ti LU m 1 r r } G� (3 r rr/ r t: r l Q (}� m -n _ o � o o O a� 77 3 t .,,....,.,� .,�...,......,.�. �•�}�._.�..... .��,�..,� _ �....... �.� .,.�..�� .,_. v.m.,.... `a.m.�''„�Er�...y'. .,tea ., ��.�� o O N Off ... ....... . O O � (DEn 3 s.... cc r o n !71 � f u � f f t I u 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- 26215 Date: 01/14/99 THIS CERTIFIES that the building DWELLING Location of Property 38705 MAIN RD PECONIC (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 085 Block 0002 Lot 018.001 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- 26215 dated JANUARY 14, 1999 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 ACCESSORY STRUCTURES The certificate is issued to DONALD & NATALIE WILCENSKI (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. 12/09/98 N-473824 PLUMBERS CERTIFICATION DATED N/A *PLEASE SEE ATTACHED INSPECTION REPORT. BU ding In. actor Rev. 1/81 C i BUILDING DEPARTMENT TOWN OF SOUT14OLD LOCATION: SUBDIVISION: MAP NO.: LOT (S) NAME OF OWNER (S) : OCCUPANCY: .47Wi•u F & NATAL,TP WlLaEwzl ADMITTED BY: T ACCOMPANIED BY: KEY AVAILABLE: SUFF. CO. TAX MAP NO.: SOURCE OF REQUEST: D�O1 TD_,7- WIi.C.ENSKi DATE: 01/14/99 DWELLING; TYPE OF CONSTRUCTION: # STORIES: 2.0. # EXITS: _ 3 FOUNDATION: BLOCK CELLAR: 7/8 CRAWL SPACE: 1/8 TOTAL ROOMS: 1ST FLR.: _I 2ND FLR.: -A 3RD FLR.: __Q_ BATHROOM(S) : 1.0 TOILET ROOM(S) : 1.0 UTILITY ROOM(S) : PORCH TYPE: DECK TYPE: PATIO TYPE: BREEZEWAY: FIREPLACE: GARAGE: DOMESTIC HOTWATER: YES TYPE HEATER: AIRCONDITIONING: TYPE HEAT: OTL • WARM AIR: _ HOTWATER: _ OTHER: " I&CLEEam s PCTLrgrt?5: GARAGE, TYPE OF CONST.: k=Q STORAGE, TYPE CONST.: W9QQ SWIMMING POOL: GUEST, TYPE CONST.: 31Fif,� OTHER: VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE 9 1 tl NOTE: 1 THE WINDOWS MEET WITH A MINIMUM DIMENSION OF 1 p d 18 INCHES & NO NIGHER THAN 36 INCHES ABOVE I 1 a 1 FINISHED FLOOR. THE NEW WINDOWS DO NOT MEET �qq e : 1 THE MINIMUM AREA OF FOUR SQUARE FEET, BUT DO I X' PROVIDE MORE AREA THAT THE OLD SINGLE PANE 1 u WINDOWS WITH COMBINATION STORM. THE NEW o � a REPLACEMENT DO NOT DEVIATE FURTHER FROM 1 1 u 1 1 PROVISIONS OF SUBCHAPTER ^n. (31231.1D) 1' 1 REMARKS: , (gC.BLD) sP X110?3 2 COZ-17� �• „ BP #12283—ZOOZ 12108 (".BLDG W 136522—=17672 (ALT) BP #24426Z—=-25705 (ACCY) INSPECTED BY: DATE ON INSPECTION: 05/11/98 MICHAEL J, VERITY TIME START: 10:05 END: 11:20 V � FORM Nd. 4 4m TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Clerk's Office Southold, N. Y. Certificate Of Occupancy No. Z. 51 . . . . . Date . . . . . . . . . . . . .t"l�LY. . . .7. . . . . . .. 19.73. THIS CERTIFIES that the building located at .MI5. Rain Road. . . . _ . . . . . . . Street Map No. . Xx. . . . . . . . Block No. . . ?q. . . . .Lot No.X= P84QAU. . R R a. . . . . . . . . . . . conforms substantially to the Application for Building Permit heretofore filed in this office dated . . . . . . . . . . . Nov.. . . .26, 19 7.1. . pursuant to which Building Permit No. .5647Z . dated . . . . . . . . . .Nov. . . 26 . . ., 19.71 ., was issued, and conforms to all of the require- ments of the applicable provisions of the law. The occupancy for which this certificate is issued is . .Agricultural. building.r. machinery. starage: .etc. . . . . . . . . . . . . . . . . The certificate is issued to . Frank. .Cichanovlaz. .jr . . . . . . .Pwnor. . . . . . . . . . . . . . . . . (owner, lessee or tenant) of the aforesaid building. Suffolk County Department of Health Approval N...R&. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . UNDERWRITERS CERTIFICATE No. . . .ri.-Aq . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . HOUSF NUMBER-387.05. . . . .Street. . . . . .2;a.in.Road . (1tT25). . . . . . . . . . . . . . . . . . . . . . . . Building Inspector FORM NO.4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Ball Southold,N.Y. Certificate Of Occupancy t4w.-. :x. .12108 Date „ . . , . .DECEMBER. . ,1 . . . . . . . . . . . . 19 .83 THIS CERTIFIES that the building ,A! r SSORY Location of Property 38705 MAIN ROAD PECONI»C l ruxe Etta, Street Hamlef County Tax Map No. 1000 Section . . .085. . . . . .Block 05 Lot 018 Subdivision . . . » » . . . . . . . . . . . . . .Filed Map No. . . . . . . . .Lot No. . , . . , . . . . . . . . conforms substantially to the Application for Building Permit heretofore filed in this office dated APRIL, 12 . . „ .. , , , „ , 19 $3 pursuant to which Building Permit No. . .122.83Z. . . . . dated . ,May, 2 . . . 19 83 ,was issued,and conforms to all of the requirements of the applicable provisions of the Iaw. The occupancy for which this certificate is issued is . . . . . » „ . .. . . . Eox. an. .4gr .on1tw.41. Auilazng. . . . . . . . . . . . . . . . . . . . . . The certificate is issued to . YRAN7, .C1QRANQW.JQ'Z' . . . of the aforesaid building. Suffolk County Department of Health Approval . . . . .N�A . . . , „ . .. . . . .. . . . . . . . . . . . . . . . . . . UNDERWRITERS CERTIFICATE NOkPending). .N639047 Building Inspector Rev.1/81 r FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.X. CERTIFICATE OF OCCUPANCY No Z-17572 Date JANUARY 12 1989 THIS CERTIFIES that the building ALTERATION Location of Property 38705 MAIN ROAD PECONIC NESP YORK House No. Street Hamlet County Tax Map No. 1000 Section 085 Block 02 Lot 018 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated DECEMBER 19 1984 ursuant to which Building Permit No. 13652-Z dat-ed DECEMBER 27 1984 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 ALTERATION TO EXISTING AGRICULTURAL BUIILDING TO OFFICE SPACE The certificate is issued to FRANK CICHANOWICZ III (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N A UNDERWRITERS CERTIFICATE NO. N-849106 - JANUARY 7 1988 PLUMBERS CERTIFICATION DATED N/A B ld:,ng Inspec 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-17673 Date JANUARY 12,_ 1989._..__.__ THIS CERTIFIES that the building SECOND FLOOR ADDITION Location of Property 38705 MAIN ROAD PECONIC N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 085 Bloc1� 02 Loi. 018 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated JAUARY 30 1981 ursuant to which Building Permit No. 11023-Z dated FEBRUARY 2 1'981 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 SECOND FLOOR ADDITION TO EXISTING OFFICE SECTION OF AGR.BLD. The certificate is issued to FRANK CICHANOWICZ, JR. (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL NLA UNDERWRITERS CERTIFICATE NO. N- 849106 - 1 7 1988 PLUMBERS CERTIFICATION DATED N/A a`15ing 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-25705 Date: 05/05/98 THIS CERTIFIES that the building ADDITION Location of Property: 38705 MAIN RD PECONIC (HOUSE NO. ) (STREET) (HAMLET) County Tax Map No. 473889 Section 85 Block 2 Lot 18.1 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated SEPTEMBER 12, 1997 pursuant to which Building Permit No. 24426-Z dated OCTOBER 23, 1997 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 TWO CAR GARAGE ADDITION TO EXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to DONALD J. & NATALIE T. WILCENSKI (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. N449764 04/03/98 PLUMBERS CERTIFICATION DATED N/A Building IxzBpeoto Rev. 1/81 rtFtitk Town of Southold 10/21/2015 P.O.Box 1179 53095 Main Rd ' Southold,New York 11971 CER"T"IFICATE OF OCCUPANCY No: 37845 Date: 10/21/2015 THIS CERTIFIES that the building ADDITION/ALTERATION w ... .... ._.� .. _ _........................ .�..................... ._ Location of Property: 38705 Route 25,Peconic SCTM#: 473889 Sec/Block/Lot: 85.-2-18.1 .................... ..-............... . Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 1/1/1900 pursuant to which Building Permit No. 40133 dated 9/29/2015 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: alteratiocis and dormer additions to an existing gqg family dwellin aplied.,L Qk,. The certificate is issued to Wilcenski,Donald of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL. ELECTRICAL CERTIFICATE NO. 38221 12/23/2013 PLUMBERS CERTIFICATION DATED 9/8/2015 1 wph Whitecavage tl "r atut � �iFfitf Town of Southold 11/2/2015 P.O.Boz 1179 53095 Main Rd 10, c� Southold,New York 11971 W, CERTIFICATE OF OCCUPANCY No: 37845 Date: 10/21/2015 THIS CERTIFIES that the building ADDITION/ALTERATION Location of Property: 38705 Route 25,Peconic SCTM#: 473889 Sec/Block/Lot: 85.-2-18.1 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 9/29/2015 pursuant to which Building Permit No. 40133 dated 9/29/2015 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: alterations and dormer additions to an existing one family dwdlWg as aimlied for. 11/2/2015 corrected for application date ch g,.from 1/1/1900 to 9/29.2015. The certificate is issued to Wilcenski, Donald of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 38221 12/23/2013 PLUMBERS CERTIFICATION DATED 9/8/2015 Joseph.Whitecavage Atho " Si ature