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HomeMy WebLinkAbout1000-110.-5-30 TOWN OF SOUTHOLD Rental Permit 0566 Owner John & Thomasine Garofalo Occupied as Single Family Dwelling Located at 415 Southern Cross Rd Cutchogue 110.-5-30 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. 11/29/2023 � e Eo)� Official This Notice must be posted by the main entrance at all times leg s 467 aV"� C"'ovo Si�w CAAl TOWN OF SOUTHOLD BUILDING D 631 -765-1802 INSPEC ION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION/CAI [ ] FRAMING / STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY IN! [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PE [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FII [ ] CODE VIOLATION [ ] PRE C/O [ I Town Hall Annex %,,,moi 1� �,, Telephone(631)765-1802 P O.Box' 11a79d � Xd%� ��,b,�� rl �x(631)765-9502 uu���� e f 'red F G. - Southold,NY 11971-0959 BUILDING DEPARTMENT TOWN OF SO HOLD 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 Prqfessionnl seal.t.'*alcr rlW or r�hrtect or Fnr in licensed ci Home Insla c[car tpy( pr auicle ._., copy _9f,! aglid current certification Rental PropertySCTM Number: ,r_ 1 30 Renta! Property Address: ".._...n._ .._ ? ._...... .. ......._ _.. .._...�_ _ .... y l G 3 3 . . :/� �r�� ea"✓i C�^a sS ��, C_�.....:<� � ��...z lu-..._ owner/Name: .ohr7 � Rental Dwelling Unit Identifier: Number &Square footage of each bedroom as depicted in the attached floor plan: (i.e. q� 90 sq., etc.) � { #2 l r r e Bedroom �om#1 m-10 s Bedroom _ ..r..�'"'"....�_... ... .._ . ......_.... _ _.............w_..._. G improvements Indicated on survey) ��.✓ Description (Include a,l,i�prove Property, e . ......, 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. Print Name and Title ... _......_... ._.........,�.._ .___....... ., Or.�.. ....n.......� ._. ... iginal Signatu N1EIV J" Please place professional seal: 1 Al 0 841N C1 AJN TOWN OF SOUTHOLD z Rental Permit 0566 Owner John & Thomasine Garofalo Occupied as Single Family Dwelling Located at 415 Southern Cross Rd Cutchogue 110-5-30 r 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. 12/9/2021 Code n or a ent Official This Notice must be posted by the main entrance at all times Ig s®�r� � Town Hall Annex Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1179 G S Southold,NY 11971-0959 .L�•rP�� � + I 1 i BUILDING DEPARTMENT APP 2 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: �rS� ,S0 Cross , t"L) 'coo ��+ e , /V Y, 33 Tax Map Number: 1000 SECTION /0 -BLOCK 1 -LOT 30 - SECTION B. OWNER INFORMATION: Property Owner Name: J-0 G a.r0 01. /0 Property Owner Legal Address: Property Owner Mailing Address: 6 C1 T-e�''Q e-r I o lot-, ( j JeA e-es on /°L r ctdscdoe- /Tc ss!�e!:qvc, n1 7-FS Cs J6 - 9/7- Telephone Number(s): Daytime 6 -L6-"7T'9` I Evening.5 y -yd 6�Emergency 6 _7S 9 Property Owner Email Address: Page 1 of S Town Hall Annex Telephone(631)765-1802 54375 Main Road _ Fax(631)765-9502 P.O.Box 1179 Southold,NY 11971-0959 C®U BUILDING DEPARTMENT TOWN OF SOUTHOLD Section C. Authorized Agent Information: Name of Authorized Agent of dwelling unit, if any: o�►'� C-L Address of Authorized Agent (no P.O. Boxes): S3 C/3-S- PIc-,%, /3�° Sov�A ° N.Y. I 19 71 Mailing Address of Authorized Agent: s/ L9/A 63f- _ 631_ Telephone Number(s): Daytime ��-� ' ®��Evening Emergency 76 6- 0'V y2 Email Address: �-' kc-se-k^ O N/:: AA jfl)` co/n /n Section D. Managing Agent Information: Name of Authorized Agent of dwelling unit, if any: 'fn C'e I 'n Address of Authorized Agent(no P.O. Boxes): .S 3 9 3-5- So A n/J jv j 19 -71 Mailing Address of Authorized Agent: 631" 631- Telephone Number(s): Daytime Evening Emergency 76 6_oL %Z Email Address: Cko e-11111 0 NAE Inc ` Co/V) 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): S3 9 3 s /Icon Pd. Soy fAo l� My, J1971 Page 2 of 5 jl� �►. � 4. Town Hall Annex Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1179 Southold,NY 11971-0959 ccCa ' BUILDING DEPARTMENT TOWN OF SOUTHOLD Mailing Address of Managing Agent: _Q S C.on S oA A NY. //97/ 631 - 631~ Telephone Number(s): Daytime2�--600® Evening Emergency 766 — oLiq Z Email Address: 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: W/S— So v44el A C,''O, S t�a. C C o Iv y. 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: t<,+e 4 e-n ax 1®t Page 3 of 5 Town Hall Annex _ 1 Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1179 Southold,NY 11971-0959 ` r� 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. 0:' 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 p 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 \TO�n GcVTo V G- 10 . 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 Telephone(631)765-1802 54375 Main Road V? Fax(631)765-9502 P.O.Box 1179 Southold,NY 11971-0959 QAC® , BUILDING DEPARTMENT TOWN OF SOUTHOLD applicable laws and rules. 1 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, Managing Agent, or Site Manager. Property Owner's Name: J-0 A" G a,r©4� l° Property Owner's Signature:��� / Sworn to before me this day of << 20-21 Official Orotary Public Signature and Original Notary Stamp Jeffrey Shattuck Notary Public,State of New York No.01 SH6124319 Qualified in Suffolk County Commission Expires March 28,2 Page 5 of 5 OF SOUTyolo ` �ovjom_ C ��, Waite, TOWN WN OF SOUTHOLD BUILDING DEPT. ��y�ourm 765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION 2ND [ ] INSULATION/CAULKING [ ] FRAMING /STRAPPING [ ] FIREPLACE & CHIMNEY [" ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ]' FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) [ ] CODE VIOLATION [ ] PRE C/O REMARKS: _ _ Q�v �, o �9'✓ A-- �Ov✓ � �Cv v l� �` DATE INSPECTOR Ig so Town Hall Annex Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1179 Southold,NY 11971-0959 BUILDING DEPARTMENT APR 2 1 2021 TOWN OF SOUTHOLD D 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 seat required for Architect or Engineer, licensed Home Inspector must provide copy of valid current certification Rental Property SCTIVI Number: � 7,3 IF f /0 - S- - .3 D Rental Property Address: '-//J- Sov7%e-ri crou Ad , 093S, Owner/Name: 0-04rl (Sc"roecc;' to Rental Dwelling Unit Identifier: WS- XovfAe-ri Number&Square footage of each bedroom as depicted in the attached floor plan: (i.e. Bedroom#1 -100 sq., Bedroom #2-90 sq., etc.) 4P Property Description (Include all improvements indicated on survey) Pf1'vcJe- of)e- .9cmd1v dWe'/hfkeJ L�--Jc + Ac0.'T 4o 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. _3TCVC-+j ( qoMla-) Print Name and Title or-NEW Original Sig e Please place professional seal: 0 0784-IN 0 U& `71---1777;77777777�777—, -Zt,17 77 ifik compas 1i ing 'T" �-YIWEI 935/942748242315173569/ Apps on Home 0 M PAS S City,Neighborhood.Address,School ZIP.Agent.ID • Buy Rent Sell Compass Exclusives New Developmel. <—Search Overview Location Property Info Schools Save 51, Room Information Room 6 Information Total Rooms:5 Room Description 5:. Room Level 5:First Room I Information Room Type 5:Kitchen Room Description 1:full bed Room Level is First Room 6 Information Room Type 1:Bedroom Room Description 6:. Room Level 6:First Room 2 Information Room Type 6:Living Room Room Description 2:full Room Level 2-First Room 7 Information . Room Type 2:Bathroom Room Description 7:. Room Level 7:First Room 3 Information Room Type 7,Dining Room Room Description 3.twin bunkbeds, MBM Room Level 3:First Roo 8 Informatio Room Type 3:Bedroom 9300MM�Qescfipt�ldng-rr=--�FEBMMFW,90,11 rMUMES Room 4 Information IXT�Tndl Room Description 4:full Room Level 4:First Room 9 Information Room Type A,Bathroom Room Description 9:enclosed porch that goes out to deck Room Level 9:First RoomType 9:Additional / ii ® SMOke 4 Carb0- MonpX iL-C- de-4-,-c �rS I IMa Al tom^ ° „I� � '. ',` � • J!I n l' ,• I I� � M. _'� - - - I • 11111 , { _ ! , J[ I , •' I �I' ,� III y, "f �11� i' 'I I't 1 jl ' ,� �sl i I� � I e v •'. ,1 ' I f1 �l�7� � � ' II F.` ` ,11 ab I ` Il � - „ .. -� _ � rte `` I u o'-_'•�5 I' , � . -1f,i 'i u � S �.►o�i� Ca(bC9el /`')oel0Ke �-ec. or Doof 0 v � 1 •� �� Q 2 TOWN OF ,SOUTH OLD PROPERTY RECORD C 715 1"1 , .OWNERSTREET ;" ' ' x ,tet VILLAGE. DIST. SU.B LOT •;K„,e�.:3 �r''8 L����„%t�f`s. ('" ''"tet f '": r'�"+ ' a J FORMER OWNER N E ACR. - • `v'. r'[ `' �xC)t.ts�' «�§{ _• S W y� TYPE,OF BUILDING _ — RES. . ' SEAS. VL FARM... CommCB. MISC. Mkt:`,VQlue LAND imp TOTAL "DATE REMARKS X511,1 ' MY "'p),. g - ter.: .d K - - °`'4 ,F$ y�.'," y}'}^/�` - -y • /J /m-:�pr : u..""`FF:If4t.,f' `My))vJ pp fAy`'.SS�4q'1 �,p• ar^w'}.fj,ti/�43!;+y'}' - Ma*' RG W`'+kj!'y .' Sd .• 3f .y f�y_'g 10 i: 4k.<, 6. �d BI G""C Dl l N. - . NEW NORMAL BELOW °ABOVE FARM: Acre Value.Per' Va ue Acre 77 Tillable 1 Tillable _ 2 Tillable 3 Woodland Swompl,and FRONTAGE ON'-WATER, brushland FRONTAGE ON ROAD ' ouse Plot DEPTH , e arae Gt /".; a' Total ., ...� DOCK .- ° I a •• ONMEN 0 M ME®® EM ONE SOMMESmemo MOM OEOMM® EOMMMSEM® SOMEONE ONE ffMIN E® MM ®® .uiiirr• NONE rN , " . 4s ■ ME E0S1 ®®®MMMT MSE®® ON Emmis ME® ® MM EMESES® MEMO Ml 10.1 0 mom ® No m .�M® 111111111 Ion ONES M M®MM • e Place, 'o Type-Ro •• s 'Recreation Room 'o i• FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. CERTIFICATE OF OCCUPANCY No ...Z..2.06.7.......... Date ............aYan .....28......................... THIS CERTIFIES that the building located at ....S/.Fa ............ Street Map No .. ............ Block No. ... ........... Lot No ..GAt.QhQ9.1A?.t.AtXt..................... conforms substantially to the Application for Building Permit heretofore filed in this office dated .... ................................... 9, 19.(h.. pursuant to which Building Permit No. .P4511 3...4. dated ...............................Svipt..gt ........... 19-64.,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 ........ .yri tr to ons family dwelling.......... .... ...................................................................... The certificate is issued to ...}?latt.... .......................ownem.......................................... (owner, lessee or tenant) of the aforesaid building Hr.D«approval Jan 1� 1965 by R. Villa 9,.�.t...-.................. ........................ Building Inspecto FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-31946 Date: 10/23/06 TEIS CERTIFIES that the building ADDITION Location of Property: 415 SOUTHERN CROSS RD CUTCHOGUE (HOUSE NO.) ' (STREET) (HAMLET) County Tax flap No. 473889 Section 110 Block 5 Lot 30 Subdivision Filed flap So. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated JULY 17, 2000 pursuant to which Building Permit No. 26738-Z dated AUGUST 24, 2000 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 & RAMP ADDITION TO AN EXISTING SINGLE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to ROBIN SADOWSKI-SYNNOTT (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A /-/-44 /)4or zed Agnature . 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-31946 Date: 10/23/0 THIS CERTIFIES that the building ADDITION Location of Property: 415 SOUTHERN CROSS RD CUTCHOGUE (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 110 Block 5 Lot 30 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated JULY 17, 2000 pursuant to which Building Permit No. 26738-Z dated AUGUST 24, 2000 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 & RAMP ADDITION TO AN EXISTING SINGLE FAMILY DWELLING I AS APPLIED FOR. The certificate is issued to ROBIN SADOWSKI-SYNNOTT (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A /Y'0r4ed ignature Rev. 1/81 oesuEFUi N- Town of Southold 7/21/2022 a OGy` 0 P.O.Boz 1179 53095 Main Rd oy�o ao� Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 43277 Date: 7/21/2022 THIS CERTIFIES that the building ADDITION/ALTERATION Location of Property: 415 Southern Cross Rd.,Cutchogue SCTM#: 473889 Sec/Block/Lot: 110.-5-30 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 10/12/2021 pursuant to which Building Permit No. 47037 dated 10/26/2021 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"addition and alterations, including bathroom and outdoor shower,to existing single family dwellling as applied for. The certificate is issued to Garofalo,John&Thomasine of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 47037 11/8/2021 PLUMBERS CERTIFICATION DATED 9/15/2021 H Bing& eating ut ri ed Signature ��o�S11FfUL,f oy Town of Southold 7/25/2022 P.O.Box 1179 o • ± 53095 Main Rd \'ydj� fo y$' Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 43281 Date: 7/25/2022 THIS CERTIFIES that the building AS BUILT ALTERATION Location of Property: 415 Southern Cross Rd.,Cutchogue SCTM#: 473889 Sec/Block/Lot: 110.-5-30 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 3/27/2022 pursuant to which Building Permit No. 47759 dated 4/29/2022 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"finished basement to existing single-family dwelling as applied for. The certificate is issued to Garofalo,John&Thomasine of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 47759 7/7/2022 PLUMBERS CERTIFICATION DATED 1 Auth ed Signa e a e A►- 1. '� i � I i f r