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Home My WebLink About1000-74.-2-11.2 TOWN OF S UTHOLD Rental Permit AT0574 s_m 3. Owner Prestige WW 1005 LLC Occupied as Single Family Dwelling Located at 1005 Mill Road Peconic 74.-2-11.2 Maximum Permitted Occupancy 10 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. 1/18/2024 Code 6trce& Official This Notice must be posted by the main entrance at all times so TOWN OF SOUTHOLD BUILDING DI 631 -765-1802 [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSUEATION/CAl [ ] FRAMING / STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY IN! [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PE [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FII [ ] CODE VIOLATION [ ] PRE C/O [ I REMARKS: . r DATE INSPECTOR Town Hall Annex Ss Town of Southold 54375 Main Road Rental Inspection Report PO Box 1179 Southold, NY 11971-1179 Tel: 631-765-1802 . _ SCTM # tl Date Owner Phone I �� . ems. _ _a..._.. ..... _. .. __ Address 9 6 � Visible Hamlet w _ . Inspector_ eta Floor Level Quantities Smoke etec or b 1 s (not located in bedrooms) Carbon M_. _..... j onoxide Detectors - Fire Extinguishers Exits Bedr ooms ."I'll :1 2 3 4 „ 5 6 Smoke Detectors ,r Egress _ Occupant Count c>' Building Systems Maintained & Operational Condition of Property Heating Building interior Hot water Building exterior Electrica11 lp ert y d_,e. gmaintaine 1n1,- . .,_ __ d & safe Pro LL Mechanical Handrails & uards installed & secure Pool Safe Pool on Site do Surface water alarm Date of CO issuance CPO Door alarms Pool completely enclosed Poo._. _ _.. Self closing/ latching gates I fence to code requirements CO's for all items present Prior Rental , /0 Comments: fit so TOWN OF SOUTHOLD BUILDING D1 831 765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION/CAl [ ] FRAMING / STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY IN; [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PE [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FII [ ] CODE VIOLATION [ ] PRE C/O [ I REMARKS: DATE �� INSPECTOR Town Hall Annex ea, �4375MainRoad Town of Southold POBox 1179 Renta| |nspectionReport Southold, NY1I971'l179 - ` Tel: 631-765-1802 41 ` Date Owner Visible Address inspector Hamlet Smoke Detectors (not located in bedrooms) ' Fire Extinguishers Ex ts � 4 - Bedrooms ----- - - &r v' w~ SmokeDetectuo _ -_ Egress - _ Occupant Count - ' -' 8ui|6ing ! nos Maintained & Operational [ond�in of Property - - HeatingBuilding interior --- ' Building exterior Hot water -- - -- dean maintained & safe ^/ Electrical / --��p� � `'------------ - u� - - --- --- - - - � Handrails & guards installed & secure - K4echanha| � �� ._. -- :Pool on Site---- Su te Pool Safety - -- - - ---- - -- --- - Date of CO :auance �u��ce water alarm _ ____ _ ------------- - - p | |ete�enc|osed Doora|arms _ c _-_-_- - ---'- - --- ---- ' --------- ---- Poo| fence to code requirements Self c|ns�D/ lt hi gates _ _ _ ��` [O�for aU �en�s resent _ PrhorRenta|_ _ _ __��- , - -- - - - _-__----- -__-___- - Comments: - TOWN OF SOUTHOLD lk A. Rental Permit Wi =g 0574 Owner Prestige WW 1005 LLC Occupied as Single Family Dwelling Located at 1005 Mill Road Peconic 74-2-11.2 Maximum Permitted Occupancy 10 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. 1/18/2022 e t ficial This Notice must be posted by the main entrance at all times Code fo Town Hall Annex Telephone(631)765-1802 54375 Main Road ( Fax(631)765-9502 P.O.Box 1179 Pr Southold,NY 11971-0959 ivy r 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: 1 L o c o^i G Tax Map Number: 1000 SECTION &l. 0 J _BLOCK -LOT SECTION B. OWNER INFORMATION: Property Owner Name: PresrriCe W 0D S' L Property Owner Legal Address: Property Owner Mailing Address: C} rte ^ —7—e 4-r— (7 C re.-S1-011 —�r �2� Evening�/�� t Emer �i 6 � q. Telephone Number(s): Daytime ng genc y Property Owner Email Address: Ov%j0 j auu{° M Page 1 of 5 Town Hall Annex Telephone(631)765-1802 wbx Fax(631)765-9502 54375 Main Road P.O.Box 1179 Southold,NY 11971-0959 00 BUILDING DEPARTMENT TOWN OF SOUTHOLD Section C. Authorized Agent Information: /� I Name of Authorized Agent of dwelling unit, if any: /—► �U re, -j Address of Authorized Agent (no P.O. Boxes): 17 Cc-,-S-ran Mailing Address of Authorized Agent: anry -5-/6 S-7 ?ate J—/6 7 Telephone Number(s): Daytime . 3 Evening �a-� I Emergency f Email Address: Q`n�r��.e vfo � V�l�s► � R Com Section D. Ma ing Agent Information: Name of Authoriz ent of dwelling unit, if any: Address of Authorized Agent(n 0, Boxes):. Mailing Address of Authorized A Telephone Number : aytime Eveni ., Emergency Email a ess: � .. SECTION:---. SITE MANAGER INS : regior rental properties containing 8 or more rental units) Name of Managing Agent of ing unit, if any: Address of M ing Agent (no P.O. Boxes): Page 2 of 5 , r Tele (631 765-1802 Town Hall Annex "' � ° Telephone ) 54375 Main Road ` Fax(631)765-9502 P.O.Box 1 179 44r f Southold,NY 11971-0959 Nil, BUILDING DEPAR`I"M.FN'. " TOWN OF BOUT D Mailing Address of Mail Agent: Telephone Number(s): Dayti _ Evening Emergency_ 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: 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: -!Zjnruor- )3 X 2 Ten 11,,Al e� d 4• L d.. id: U -n. Coo.b. /�SrX /�l L;✓in� COJ� 1g. 7'�� ^yam 1 H /0- /X � .,1�`� erlfbc•. .�"1 t^�" foJ.^ x a2•s x /¢ Page 3 of 5 Town Hall Annex Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1 179 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) i COUNTY OF SUFFOLK) 6 V 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 Fax(631)765-9502 P.O.Box 1179 Southold,NY 11971-0959 BUILDING DEPARTMENT TOWN OF SO OLD 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, Managing Agent, or Site Manager. Property Owner's Name .... --.. Property Owner's Signature: . .. __.�......., KRISTIAN A REINBACHS Notary Publlt-State of New York N0.01 RE641 5461 CIual fled In Suffalk County MY COMMI411on Expo#§Mar 20,102b 101 Ell W W, W''llip"'11"INIPMOW Sworn to before me this3 day �±"�.��_ , 202E Official Notary Public Signature and Original Notary Stamp Page 5 of 5 %f sorry 0 TOWN x S '. w r.� 7651802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION/CAULKING [ ] FRAMING /STRAPPING [ ] AL�Zt,� ,, w [ ] FIREPLACE & CHIMNEY [ FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) [ ] CODE VIOLATION [ ] PRE C/O REMARKS: INSPECTORDATE ore n SM oke e c o�s on e l\ ROOM MASTER BEDROOM G"c STORAGE 'fig' CL a. EXISTING SMOKE DETECTOR(TYP) - `, CLOSET n ATTIC S -_. uvwu € STORAGE _ 3AB 0 m H-j# MASTER CLOSET BATH - - . ROOM OEU40W $ATEi CLOSET K CLOSET ---- BATH CAP t-ARA4s SECOND FLOOR BEDROOM SCAlE:1}'•1' W-1, FIRST FLOOR scalE:�}•.r f a BASt�I p� 1 f 9 SCDHS REF.N0.R-21-0381 FLOOR PLAN 1005 MILL LANE S=SEM+zff 1F➢W PECONIC TOWN OF SOUTHOLD,SUFFOLK COUNTY,NEW YORK eCTM:016TWC—0 n0N]4,8LOGc 0T,13 I`tE�iFE£-fin&`�1rlc>•? ED 33 O.�s ENGINEERING BASEMENT nY3 BOON PUN 3 SASp)p1 APPrsouYAn: 0 __ __. uU3UREUDi3 ni0u oMFAS. _- of 1 - SCTMa# TOWN OF SOUTHOLD PROPERTY RECORD CARD q �� OWNER STREET VILLAGE DIST. SUB LOT ACR. REMARKS 14,s - TYPE OF BLD: PROP. CLASS LAND IMP. TOTAL DATE 3 FRONTAGE ON WATER HOUSE/LOT BULKHEAD TOTAL TOWN OF SOUTHOLD, E -OWNER . I STREET VILLAGE DIST f 5U6. SOT �-_-='moi �. � ,� . _`t .r ,€ � � � -�• .._ _ [ .. ,_ - FORMER OWNER N -1- i � A 47, TYPE OF BUILDING - F RES. SEAS. VL. FARM comm. CB. MISC. Mkt. Value LAND IMP, TOTAL DATE REMARKS 172I It 7 l' � z i 79 e - = , e = . - - UlLDiG_CONDITION / _' - _ NEWT RBELOW` ` j2(00 FARM "Acre' (0 € `�1 Tilla516� � Tillable 2 LitTillable 3 Woodland i/ Swampland FRONTAGE ON WATER Brushland FRONTAGE ON ROAD House Plot -4 - - BULKHEF L �� q . � I ;DOCK Total �� - 1 � _. - L . I a 4 r u 1 �7 I i . __ _ s � ^rj Q `a � [ g s d t � E ' I [ E I I _ � 74.-2-11.2 3/06 - - E M, Bath Dinette _I3_`d . i�_�� : ExtensionFloors ._ ` ,. Bcsement _ K E.�t _gin Ext. Walls Interior Finish LR, 3 � _ _ z Extension = Fire Place Heat QED � r _ r _ .Type Rood Rooms 1st Floor B R. Porch _ e ``= x: Recreation Room, Rooms 2nc Fioo�' jg- arc t- ,, � Dormer [ Driveway ri _ ' Po o m 0. B_ £ , Total 0h, . M, e TOWN OF SOUTHOLD OFFICE OF BUILDING INSPECTOR TOWN HALL SOUTHOLD, NEW YORIi CERTIFICATE OF OCCUPANCY NONCONFORMING PREMISES THIS IS TO CERTIFY that the 3/6/84 Z12311 /X/ Land Building(s) Use(s) located at 1(305, Mi11 Lane Cutchogue w street Harnlet shown on County tax map as District 1000, Section 74 Block 2 Lot 11 does not conform to the present Building Zone Code of the Town of Southold for the following reasons: insufficient total lot area On the basis of information presented to the Building Inspector's Office, it has been determined that the above nonconforming /_X/Land J®/Buildirig(s)- /t/Use(s) existed on the effective date the present Building Zone Code of the Town of Southold, and may be continued pursuant to and subject to the appli- cable provisions of said Code. IT IS FURTHER CERTIFIED that, based upon information presented to the Building Inspector's Office, the occupancy and use for which this Certifi- cate is issued is as follows: A RESIDENTIAL AGRICULTURAL ZONE WITH ACCESS TO MILL LANE The Certificate is issued to EMILY V. RADZIEWICZ (owner, lessee or tenant) of the aforesaid building. Suffolk County Department of Health Approval N/A UNDERWRITERS CERTIFICATE NO. N/A Building Inspector r BUILDI`1G DEPARTI'-ENT TOL-M OF SOUTHOLD, N. Y. HOUSING CODE INSPECTION REPORT Location street) i"iunio .p C,t•:umuer 6¢ lty) Subdivision Map No. Lot(s) Name of Owner(s) Occupancy 't pe) owner-tenant , Admitted by: r Accompanied by:_ Key available ' Suffolk Co. Tax No.-� _- Source of request { r Date D'rFELLIP?G; Type of construction �,, ��f sto ries_ Foundation__C ,r' ., � ellar 'rawl space Total rooms, lst. Fl 2nd. [,I '�a 3rd. Fl Bathroom(s) Toilet room(s) Porch,c Potype Deck, type _Patio, type�� t y Garage : ._utd i ity room ir otwater Type Heatr .�....._._ mc �H Fireplace(s_ , No. Eits Airconditioning . Domestic ho tw ater Type heats Other ACCESSORY STRUCTURES: rte Garage, type const. Storage, type const. r Swimming pool Guest, type const. Other VIOLATIONS: Housing Code, Chapter 52 Location Description � Art. l Sec. I Remarks: n _. r�x, en Inspected by: Date of Insp. r a ., r me start r d Ti `-,.S`en / r G FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office 'of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-32508 Date: 08106107 THIS CERTIFIES that the building ADDITIONS/ALTERATIONS Location of Property: 1005 MILL RD PECONIC (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 47.3889 Section 74 Block 2 Lot 11.2 Subdivision Filed Map No. I Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated . JUNE 7, 2005 pursuant to which Building Permit No. 31205-Z dated JUNE 16, 2005 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 ADDITIONS INCLUDING COVERED FRONT PORCH SCREENED PORCH AND ATTACHED TWO CAR GARAGE AS APPLIED FOR. The certificate is issued to RICHARD B & ELLEN BOHNER (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. 1641 OIZ18ZO6 PLI ER,S CERTIFICATION DATED 12/21/06 JOSEPH: TUOMEY uthorized Signature Rev. 1/61 Town of Southold 11/30/2020 P.O.Box 1179 53095 Main Rd Southold,New York 11971 CERTIFICATE OF OCCUPANCY Now 41642 Date: 11/30/2020 THIS CERTIFIES that the building AS BUILT ADDITION Location of Property: 1005 Mill Rd,Peconic SCTM#: 473889 Sec/Block/Lot: 74.-2-11.2 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 3/9/2020 pursuant to which Building Permit No. 44814 dated 5/28/2020 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: '",ls built'"tbt(ld�cict!` whctt c°r a!� dtG��ry�� °c.� IESI. The certificate is issued to Drakopoulos,Konstantine&Ano. of the aforesaid buildins. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED 11/9/2020 lMWN Town of Southold 8/29/2020 P.O.Box 1179 s, 53095 Main Rd Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 41397 Date: 8/29/2020 THIS CERTIFIES that the building AS BUILT ALTERATION Location of Property: 1005 Mill Rd,Peconic SCTM#: 473889 Sec/Block/Lot: 74.-2-11.2 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 3/9/2020 pursuant to which Building Permit No. 44815 dated 5/28/2020 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: "'t's kmik as G S flll)r !y ll)�J�1C'(� The certificate is issued to Drakopoulos,Konstantine&Ano. of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 44815 8/25/2020 PLUMBERS CERTIFICATION DATED A, \LH,f WG-1/(A 1 Signature Town of Southold 11/24/2020 P.O.Box 1179 53095 Main Rd Southold, New York 11971 CERTIFICATE OF OCCUPANCY No: 41639 Date: 11/24/2020 THIS CERTIMS that the building IN GROUND POOL Location of Property: 1005 Mill Rd,Peconic SCT M#: 473889 Sec/Block/Lot: 74.-2-11.2 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore Eded in this office dated 5/5/2017 pursuant to which Building Permit No. 44061 dated 8/13/2019 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: 'I(XCSS0I'\ III LT'olol(f "I" ILlilt" "ICCCSS0I'V LIFJ&IMUO 'AlITOLUILI, I'ClICC(I tO COLIC, �-IS �Jpphc(j 601 Per &oeL I W'I,20I The certificate is issued to Drakopoulos,Konstantine&Ano. of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 44061 10/4/2019 PLUMBERS CERTIFICATION DATED N11 < '\1 ignature � ty Town of Southold 1/15/2022 P.O.Box 1179 53095 Main Rd ` i Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 42688 Date: 1/15/2022 THIS CERTIFIES that the building AS BUILT ALTERATION Location of Property: 1005 Mill Rd.,Peconic SCTM#: 473889 Sec/Block/Lot: 74.-2-11.2 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 4/29/2021 pursuant to which Building Permit No. 46958 dated 10/12/2021 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"alterations to existing,single-f Mijy d ^elligg with 5 bedrooms as applied for. The certificate is issued to Prestige WW 1005 LLC of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL R-21-0381 12/9/2021 ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED ruth d Signature