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HomeMy WebLinkAbout1000-102.-5-18 TOWN OF SOUTHOLD ` dental Permit 3 0536 Owner DRD LLC Occupied as Single Family Dwelling Located at 270 North Street Cutchogue 102-5-18 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, 9/23/2021 Code E rc rpt oficia This Notice must be posted by the main entrance at all times Town Hall Annex Telephone(631)765-1802 h al0 "`E 54375 Main Road �' Fax(631)765-9502 P.O.Box 1179 Southold,NY 11971-0959 � w�. yg' BUILDING DEPARTMENT TOWN OF SOUTHOLD RENTAL PERMIT APPLICATION Rental Permit Fee $200 (Application must be renewed every two years) Section A. Property Information: Rental Property Address: 2-10 IJo el- sra-r- r C'J 'N O(we I N 35 Tax Map Number: 1000 SECTION 10 2- -BLOCK 06 -LOT_La__- SECTION B. OWNER INFORMATION: Property Owner'Name:_12RM L1.,,. Property Owner Legal Address: Property Owner Mailing Address: 295 k1 oa-S 11� A.q. 11931 Telephone Number(s): Daytime 631.324.F Evening631S.248a4Lmergency 516.445-6491 Property Owner Email Address: • qm V COM Page 1 of S U� C Town Hall Annex Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1179 �� r Southold,NY 11971-0959w ��r 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): DaytimeZeniEmergency 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: A Telephone Number (s): Daytime E Alin 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 Town Hall AnnexTelephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O. Box 1 179 Southold,NY 11971-0959 �b BUILDING DEPARTMENT TOWN OF SOUTHOLD Mailing Address of Managing Agent: Telephone Number(s): Daytime Evzdng Emergency Email Address: SECTION F. PROPERTY DESCRIPTION: Number of Rental Dwelling Units on property: ©NE For each Rental Dwelling Unit set forth the Rental Dwelling Unit identifier(for example, Unit 1, Unit 2, Unit 3 or Apt A, B, Q 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: ©0E— Requested Maximum number of persons allowed to occupy Dwelling Un f Number of rooms in Rental Dwelling Unit: Use and Dimensions of each room in Rental Dwelling Unit: OFt=1Ce 12i 10 8 yc II 9�i� -,0'—w" e( 10'-3 ,V, Page 3 of 5 Town Hall Annex ° r �F Telephone(631)765-1802 54375 Main Road �m Fax(631)765-9502 P.O.Box 1179 9)� 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. ❑ I 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) DR1) L,L:G 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 Annex P Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1179 Southold,NY 11971-0959 � BUILDING DEPARTMENT TOWN OF SO HOLD 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, Ma aging Agent, or Site M ager ""DPDL-A—C. � � .TM Property Owner's Name: Property Owner's Signattl _µ. Sworn fore me this Li day of c e ,,20_ , i4 k&jl� Official Nota y Public Signature and riginal Notary Stamp LISA A MATZ NOTARY PUBLIC - STA F C7 NEW YORK NO. QUALIFIED IN SUF-FcY.i'' MY COMMISSION LXF1tiE-S ARRIL 3, Page 5 of 5 Town Hall Annex r4 1 Telephone(631)765-1802 54375 Main Road , �� Fax(631)765-9502 P.O.Box 1 179 d Jar Southold,NY 11971-0959 � n 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 Pro sessional seal re uired Lor Architect or Bn sneer licensed's ome 1'ns ecyar rrlust rovld co of valid current ceryl icatiatr Rental PropertySCTM Number: O — 2 $ -IS Rental Property Address: 70 - ,136--— Owner/Name: 1 i Rental Dwelling Unit Identifier: QrJf- S AM1LE-I-W Number&Square footage of each bedroom as depicted in the attached floor plan: (i.e. Bedroom#1 00 sqBedroom#2-90 sq., etc.) m �pw Property Description (Include all improvements indicated on survey) 2AE 104 I certify that I have done a physical inspection of the subject rental dwe ing unit and find that it fully complies with all the provisions of the Code of the Town of Southol ,the Residential Code of New York State,the Building Code of New York State,the Plumbing Co a f New York State, the Fuel Gas Code of New York State, and the Energy Conservation Constr c n Code of New York State, 4' CL 920 0 1 Print Name and Title Original a T i W 4� 5 Z ' Please place professional seal: S CAtCA0jVZl TOWN OF OUTHOLD BUILDING DEPT. 765-1802 1 off, INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION/CAU ING [ ] FRAMING /STRAPPING [ FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) ) ELECTRICAL (FINAL) [ ] CODE VIOLATION ] PRE C/O REMARKS: w a DATE INSPECTOR _ . ..._.. C b' s f E9 Id � t ma�ac � ` SLI '" o`wj �t,rt •hs� $ d 0 � I t� 1 Nq Asa s u7 1H38M 1301N C r' f ( r,� a i L� w4� V . 00 1 oil I o � I \..\ U') 'lid IL Wt 'NN 'a'OHino3 'BSLI 4' c 91 -30 -Tol - Gaol w 3+n I M6. 00 Oft �M�o a NOt w _ � �1i380y l3JiN� �/y 0 �riW Gni Q 6 a t� a Bj u) XL( I'L r4 u1 V..._' I � CI � I I '148 ILb(f ASyMo(-U-na� `8SL1 "x 08 83-S`O -c®/- 0001 '14 L� y N�o J-H38M 13EJIN 64 4 r Q 5' s u`Y t. r Q s 1, ... z ..'y _. � Ln o o ,,. w , s 3 a D Z o rD P �! J� ." u1 O y t I� o � I 'lJ ti �r) (D O CI" n +� r ZCD All ` G � nWI I �a P" O O m tea. r o 0 0 Z Z NLQ Q 77 n r i m r� II 1 o CD � �� C4 � r - rlhO Com, y .tin ""qr fi W r + I .Na U .. (5Z o G) Ir, "..off m y„ m µ DZ KI u � e " 4� v m m m i r, ea 4 I/ W r !!pp µwk V - IG A m CD Ln CD 0- - o O O V, / I J to ro 21 r µ I m o o o o o r s ul o p br a t� i,- m 7 M M �] FORM NO. 4 TOWN OF SOUTHOLD B ,DING DEPARTMENT Town Clerk's Office Southold, N. Y. Certificate Of Occupancy No. - Z5g51. . . . . Date . . . . . . . . . . . .J 7e. . .1.0. . . . . .. 19. 74 THIS CERTIFTJFS that the bt}iiding located at . $/.S. North. Street Street Map No.X= . . . . . . . . $lock No. .3. . . . . .Lot No—=. . . .Y. . . . . . . . conforms substantially tq the Application for Building Permit heretofore filed in this office dated . . . . . . . . . .gyp . �. . . ., , .?3 pursuant to which Building Permit No. Comersice iiditinS Bldg dated . . . . . . .Ont` , . . . 9. . . . .. 19. 73, 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 (converted from existing barn) The certificate is ip . ,tBerke . . . . . .Owren . . . . . . . . . . . . . . . . . . . . . . . . . . he (owner, lessee or tenant) of the aforesaid 14jjd�g, Suffolk County Deartraent of I ealth Approval J. . . . . . . , 974. . by R Yid. . UNDERWRITERS CIPRTIFICATNo. ! . 2 Jan 0 . .3791. . . . . . . . . . . . . . . . 974. . . . . . . . . . . . . . HOUSE NUMBE# . 97Q. . . . . Street . . Porth.8treet. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . , . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . , . . . . < , . . . . Building Inspector FORM NO.4 TOWN OF SOUTHOLD ¢lJILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Cerf'f}cate Of Occupancy No. . . . . . . . , . . Date . . . . . . . . . . . . .. 198?. THIS CERTIFII,S that the building . . . . . . . . . „ . . , , Location of Property ? C !i.0rth» Street , , . , , . . . . . .Cu ,cho�ue youse IVv Street Hamlet County Tax Map No. 1QOQ §pction , . A2. . . . . . .Block . .Q5. . . .. . . . . . . .Lot . . . . O.1»8 . . , , , . . Subdivision . . . . . 9. . . . . . � . . . . . . . . . . . . . . . . .Filed Map No. A . . . . . .Lot No. conforms substantially to t4e, Application for Building Permit heretofore filed in this office dated F e b r u a r Y . , , » . . , 19 8 2 pyr cant to which Building Permit No. . i . . . . . . . . . . . . . dated . . . . . .K4rhA . , . . , . , , , i . . . . 19 .8.2 ,was issued,and conforms to all of the requirements of the applicable p, ' s ri pf the lavy, 'he occupancy for which this certificate is issued is , . . . . . . . . PLA ,400a;tion. .404. aIOP.0;4�O ,of, All •ex s��}�,� dwe111n , The certificate is issued to . , . . i'crwner,loom&wr_t&w at,J of the aforesaid build* . Suffolk County Depa . . . a. . . . . . .f UNDERWRITERS CF,RTtFjPATE Nq. . . , . . , . . N .$64814. . . . . . . . . . . . . . . . . . . . . . . , . . .. . Building Inspector Rev.1/61 FORM NO.4 TOWN OF SOUTHOLD BUILDING DEPARTMENT gffice of the Building Inspector Town Hall Southold,N.Y. Certificate Of Occupancy No. . . . . 213760, , , . . . Date . , . , ,August 14 1 85 THIS CERTIF14S t4at toe bu4ipg • . .Add i t i o n. % . . , . . . . . . Location of Propeoy . , ,7 Q , NR Cutchogu»e . . w . . . . Ipmgq ll p, Street Hamlet County Tax Map NQ, 1 POS Section r , 1 0 2 . . . . . .Block . . , 95. . . . . ,.Lot . . . 0µ1.8 . . , . . . . , , Subdivision . . . . . . . . . . . . . . . . . . . . . . .Filed Map No. . . . . . . . .Lot No. . . . . . . . . . . . . . conforms substantially tq the App;{cation for Building Permit heretofore filed in this office dated of#uant to which Building Permit No. 3.1.7 9 Z. , . , . , . . , , , . dated . . . . . . , . J,4R@ T ,17 ; , , , , , , ! , . 19 A q,was issued,and conforms to all of the requirements of the applicable pTpv0jQ0s of the 1,gw. The occupancy for which this certificate is issued is . . . in for garage & ;storage use . The certificate is iso}.94IP a q u i l i n e Penney „ . Y , * . jowner, µ ` lX . . . , , , .. of the aforesaid bullg4w Suffolk County Depart pof Health Approval . . . N/A » , . » . , . . . ., , , „ „ . . . . . .. . . .. . . . . . . UNDERWRITERS C1lt,TIICATE hlf . . . . . . . . . . Pending, 8/8/85 Building Inspector Rev. 1/81 FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Officg of the Building Inspector Town Hall Southold, N.Y. TZFICATE OF OCCUPANCY No Z-20741 Date MAY 19 1992 THIS CERTI SES that the building ADDITION Location of ProppVt 270 HORTH STREET CUTCHOGUE N.Y. Hpt 00. Street Hamlet County Tax Map-MA, T000 SggtjQn 102 Block 5 Lot 18 Subdivision 'Piled Map No. Lot No. conforms substax} ia11y to Application for Building Permit heretofore filed in this qffip@ dated APRIL 16 1992 pursuant to which Building Pern4t Np, 20560- dated_ APRIL 16, 1992 was issued, i44 copforms to qJ1 of the requirements of the applicable provisions of t:ba J$qw, The occupancy for which this certificate is issued is DEqK ADDITIONTING ONE FAMILY DWELLING AS APPLIED FOR The certificate is issued to dA UELINE PENNEY (owner) of the aforesa�q �u�lding, SUFFOLK COUNTY L?RPARTMENT OF HEALTH APPROVAL VA UNDERWRITERS aRTIFTCATE NA, N/A PLUMBERS CERTIPTq4TION DATES N A n Building Inspector Rev. 1/81 Town of Southold 2/16/2021 a P.O.Box 1179 53095 Main Rd Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 41818 Date: 2/16/2021 THIS CERTIFIES that the building AS BUILT ALTERATION Location of Property: 270 North St, Cutchogue SCTM#: 473889 Sec/Block/Lot: 102.-5-18 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 1/6/2021 pursuant to which Building Permit No. 45702 dated 1/21/2021 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""alteration to an exit g one familv dwellina as avulied liar. The certificate is issued to DRD LLC of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 45702 2021 ...._ .........__.. PLUMBERS CERTIFICATION DATED 2/10/2021noniriz DRD LLC �� .... ... ........ re