HomeMy WebLinkAbout1000-111.-9-9 {
FBI
TOWN OF SOUTHOLD
Rental Permit
0097
Owner 4705 NPR LLC
Occupied as Single Family Dwelling
Located at 4705 Nassau Point Rd Cutchogue 111.-9-9
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.
3/2/2023
EnfoAm nt ffic:ial
This Notice must be posted by the main entrance at all times
w, Feb 04, 2023
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 2
RENTAL PROPERTY CERTIFICATION r��o l;�i�,w�,��.��l
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
R'ro ession rl'.seal re aired or Architect or Eaglneer,licensed"Houle Ins ector rayst rovide
copy of valid current cerci cation
Rental Property SCTM Number:
Rental Property Address: 4705 Nassau Point Rd. Cutchogiue,,NY
Owner/Name: Steve Sachman
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 #3 110 s f
Bedroom #2 135 s ft Bedroom #4 130 sqf
Property Description (Include all improvements indicated on survey)
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 Original Sign u 'e
Please place professional seal:
q5agsy Coj)W
0 TOWN OF SOUTH�OLD BUILDING DE '.
com
631-765-1802
INSPECTIO N
I FOUNDATION 1ST ROUGH PLBG.
FOUNDATION 2ND INSULATIOWCAULKING
FRAMING ®STRAPPING ` FINAL
FIREPLACE & CHIMNEY ] .-FIRE SAFETY INSPECTION
FIRE RESISTANT CONSTRUCTION FIRE RESISTANT PENETRATION
ELECTRICAL (ROUGH) I LI
CODE VIOLATION PRE C/O
R Mr.
TK_
AnDATE
INSPECTORm�
TOWN OF SOUTHOLD
Rental Permit
0097
Owner 4705 NPR LLC
Occupied as Single Family Dwelling
Located at 4705 Nassau Point Rd. Cutchogue H I A-9
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.
7/9/2021
Code Enforcement Official
This Notice must be posted by the main entrance at all times
COU FOL,�
Town Hall Annex
S�UTH��-� TOWN 54375 Main Road
� PC Box 1179 Southold,
Rental Inspection NY 11971.1179
4 Tel: 631-765-1802
Fax 631-765-9502
m�
SCTM # 11 — ` Date 7 v
iOwner ,�b t�wt,,4
Phone
Laddress �� 5 NASS,4�-1 ZIP
Hamlet;,, " G�zG \j 9spector ,6
LEVELS 'SUB
Smoke Detectors (#- bedroom detectors excluded) I i
Carbon Monoxide Detectors (#) 1 1
Fire Extinguishers (#) o a
Exits (#) t 3 t
BEDROOMS 1 2 3; 4 ° 5
Smoke Detector Alarms (#)
Carbon Monoxide Alarms (#) 1
Egress (windows) (Y/N)
BUILDING SYSTEMS Y/N CONDITION OF PROPERTY Y/N
Heating system maintained/operational y IBuilding Interior is clean/maintained
Hot water system maintained/operational Building Exterior is clean/maintained
Electrical system maintained/operational Property is clean /safe/ maintained
Mechanical system maintained/operational Handrails &guards present
POOLS Y/N POOL BARRIERS Y/N
Pool present Pool is completely enclosed
Pool surface alarm and/or door alarm Barrier is a min. 48" high Y
resent
POOL GATES Y/N All openings in barrier less than 4"
Self-closing, self-latching U Max. 2" clearance @ bottom of barrier
Latch on pool side of gate, meets height Barrier capable of being locked &child-
requirements proof when unattended
COMMENTS:
TOWN OF SOUTHOLD
Rental Permit
Permit No. 0097
o
Owner 4705 NPR LLC
Occupied as Single Family Dwelling
Located at 4705 Nassau Point Road Cutchogue 111-9-9
Address Village S/13/1-
Maximum
/B/LMaximum 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.
7/1/2019 John Jarski
Date of Issue Code Enforcement Officer
This Notice must be posted by the main entrance at all times
5so
AV
TOWN OF SOUTHOLD BUILDING DEPT
o 765-1802
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
1 [ ] FOUNDATION 2ND [ ] INSULATION
[ ] FRAMING /STRAPPING [ ] INAL/wv
[ ] FIREPLACE & CHIMNEY [ FIRE SAFET .INSPECTION
[, ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
i
[ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL)
[ ] CODE VIOLATION [ ] CAULKING
REMARKS:
w
-
DATE � �� "a SPECTOR
µ
Town Hall Annex �U��, qui „� Telephone(631)765-1802
54375 Main Road Fax(631)765-9502
P.O.Box 1179 r
Southold,NY 11971-0959 d �
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
RENTAL PERMIT APPLICATION
Rental Permit Fee $200 (Application must be renewed every two years)
Section A.
Property Information:
Rental Pro erty Address:
Tax Map Number: 1000 SECTION 1A -BLOCK � � � -LOT
SECTION B.
OWNER INFORMATION:
Property Owner Name: _ LL.C, C/o S DY%-i N ��CY MA
Property Owner Legal Address: Property Owner Mailing Address:
�k
e9q&,l
Telephone Number (s): Daytime s151119'- Evening Vis Emergency
Property owner Ern
I.NUU s. rvwl�° " '�
P Y _ ..,u .
Page 1 of 5
.�a
Town Hall Annex F �k� Telephone(631)765-1802
54375 Main Road P" a� r Fax(631)765-9502
P.O.Box 1179 "
�
Southold,NY 11971-0959
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:
Address of Authorized Agent (no P.O. Boxes):
Mailing Address of Authorized Agent:
Telephone Number (s): Daytime Evening Emergency
Email Address. —_
SECTION E.
SITF MANAGFR INFORMATION- Iraniiirael fnr rantal nrnnPrties containing 8 or more rental units)
r
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)76.5-1802
54375 Main Road r µ M r; Fax (631)765-9502
P.O.Box 1 179 jQ, 6�,`
Southold,NY 1 1971-0959 �
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
Mailing Address of Managing Agent: - --
Telephone Number.(s): Daytime 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, 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:
Requested Maximum number of pe i
persons allowed to occupy Dwelling Unit: �
Number of rooms in Rental Dwelling Unit: 1Z-
Use and Dimensions of each room in Rental Dwelling Unit:,
Cdr "� i.e
(��a f 1
Page 3 of 5
r y
�d.a
Town Hall Annex
4 Telephone(631)765-1802
54375 Main Road Fax(631)765-9502
P.O.Box 1179 ' C ' J
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)
Ulc, certify under penalty of perjury,the following:
am the owner of the property identified in "SeLLIU 1 A"wf thi5 apNii%aty I I.,
2. The property owner's legal address set forth in "Section 8"of t-his=application is my legal
address and I understand the Town will use the address for service pursuant to all
Page 4 of 5
ilr
Town Hall Annex Telephone(631)765-1802
54375 Main Road �' Fax(631)765-9502
P.O.Box 1179 ewe
Southold,NY 11971-0959
In
BUILDING DEPARTMENT
TOWN OF SO OLD
9
applicable haws 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: ::A L '�
Property Owner's Signature:
Sworn to before me this 2 day of z �l�
20�
n.
Notary Public Signature and Original
Official N Notary Stamp
M
O PALE6l,MOMotstate of l 4"rorA6327719hih
owr yolk countyxpires Jul t 3, 202
Page 5 of 5
I'ry
Town Hall Annex
Telephone(631)765-1802
54375 Main Road Fax(631)765-9502
P.O.Box 1179
Ilk
Southold,NY 11971-0959
BUILDING DEPARTMENT
TO" OF SOUTHOLD N 1 0 2019 A
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 ' fM M_ ..-BLOCK
SECTION B.
OWNER INFORMATION: �, n
Property Owner Name: mm 4�0�._Pz_LLC_IT Cho S-Fofle-\ M S�C�1
Property Owner Legal Address: Property Owner Mailing Address:
Telephone Number (s): Daytime '"Evening I�L-JSJ_j4` Emergency
_._ �.m.._..
PrODertv Owner Email Address: SNSNCCaWL—COA
(el C,q q1�)
� aoa
Page 1 of 5
H
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:
Name of Authorized Agent of dwelling unit, if any: N
Address of Authorized Agent (no P.O. Boxes)--
Mailing
oxes) _Mailing Address of Authorized Agent: m __
Telephone Number(s): Daytime__,,_,_._........._ Evening_----- Emergency,_.._.,______
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:
Telephone Number(s): Daytime--.-...,—.--— Evening Emergency_.,____,_,,,__
Email Address: .r _..._.._ _ ._.� ...__,._....._
SECTION E.
SITE MANAGER INFORMATION: (required for rental properties containing 8 or more rental units)
Name of Managing Agent of dwelling unit, if any: _. e.�...Oe.w-------
Address
.-_Address of Managing Agent (no P.O. Boxes):._—..,—,--,
Page 2 of 5
i
W
Town Hall Annex Telephone(631)765-1802
54375 Main Road Fax(631)765-9502
P.O.Box 1179
Southold,NY 11971-0959 2
BUILDING DEPARTMENT
TOWN OF SOUT'HOLD
Mailing Address of Managing Agent: ®-
Telephone Number(s): Daytime-_-..,-- Evening Emergency
Email Address:
SECTION F.
PROPERTY DESCRIPTION:
Number of Rental Dwelling Units on property: ___. . ,__....A�...�..,.�._
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: .. . , ...d....
Number of rooms in Rental Dwelling Unit: �W;IT:IT ._._ _Use and Dimensions of each room in Rental Dwelling Unit: l.ltd"N_dim �C 7.00'!_
Im6i
Pon .��_ _._._.. .. , _. ..._..Ae _._. _ ._..
Page 3 of 5
Town Hall Annex Telephone(631)765-1802
54375 Main Road C Fax(631)765-9502
�
P.O.Box 1 179
Southold,NY 11971-0959 IYI 4
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
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)
i -1 � NK certify under penalty of perjury,the following:
+ ., --nur of tho nrnnnrtv itJPntiflPd in "Section A"of this application.
1. 1 all, hl .v -1 — ..VV01 �...,. -.�7
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
y ami
Town Hall AnnexTelephone(631)765-1802
54375 Main Road Fax(631)765-9502
P.O.Box 1179 "
Southold,NY 11971-0959
BUILDING DEPARTMENT
TO 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. 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: _ -PE W —ooA
Property Owners Signature: l
h`
Sworn to before me this day of_4 201
Official Notary Public Signature and Original Notary Stamp
Page 5 of 5
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STATE ONEW Y
Be it known that
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Victor Cornelius
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successfully cpmpleted. the- requirements of a Basic Code Enforcement Training Program
L= established �}�the .M n�rrtOm Standards for Cade;;Enforcement,Persorirve 19 NYCRR Part 1208 in t
the`State of ewt'Yark as a
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FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
PRE EXISTING
CERTIFICATE OF OCCUPANCY
No., 25920 Date: 08/26,198
THIS CERTIFIES that the building _', DWELLING
Location of Property 47015 NASSAU POINT RD CUTCHOGUE
(HOUSE NO. ) (STREET) (MCET)
County Tax Map No. .473889 Section 111 Block 0009 Lot 009
Subdivision Filed Map No. - Lot No.
conforms substantially to the Requirements for a ONE FA14ILY DWELLING
built prior to APRIL 9, 1957 pursuant to which CERTIFICATE OF
OCCUPANCY NUMBER Z- 25920 dated AUGUST 26, 1998
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 GARAGE
The certificate is issued to GORDON F & JESSIE HAYES
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A
ELECTRICAL CERTIFICATE NO. PENDING 8/21/98
PLUMBERS CERTIFICATION DATED N/A
*PLEASE SEE ATTACKED INSPECTION REPORT.
16udingIn ctor
Rev. 1/81
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
LOCATION: _4Q, YtstQQa _
SUBDIVISION: MAP NO.: LOT (S)
NAME OF OWNER (S) : fQR291LE.....A—;E' -
OCCUPANCY: X'"lg gArnrt
ADMITTED BY: ACCOMPANIED BY: gAMZ_
KEY AVAILABLE: SUFF. CO. TAX MAP NO.:
SOURCE OF REQUEST: EEATTYJ DATE: 08/26/98
DWELLING:
TYPE OF CONSTRUCTION: # STORIES: 1.0 # EXITS: 2
FOUNDATION: --JUaQZ CELLAR: 3/4 CRAWL SPACE: 1/4
TOTAL ROOMS: 1ST FLR. : 7 2ND FLR.: 0 3RD FLR.: _I
BATHROOM(S) : 3.0 TOILET ROOM(S) : 0.0 UTILITY ROOM(S) :
PORCH TYPE: E ) DECK TYPE: ........... -- _e. PATIO TYPE:
BREEZEWAY: ._,,,,.._...... ......_ FIREPLACE: ,„,,,.yE$. GARAGE: m,
DOMESTIC HOTWATER: YES TYPE HEATER: ,QJL •_ AIRCONDITIONING:
TYPE HEAT: OIL-HOTAIR WARM AIR: �_--- HOTWATER:
OTHER: OrtR
GARAGE, TYPE OF CONST. : STORAGE, TYPE CONST.: ,
SWIMMING POOL: GUEST, TYPE CONST.:
OTHER: WQ-Q ---
VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE
S
BEACH STEPS UNSAFE - SUBCHAPTER F.- 1244.1
(' RAILING - SUBCHAPTER F. 1242.6 1
w REAR PORCH STEP - SUBCHAPTER F, 1242.5 C
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tl e y
R P
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M li 1
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REMARKS: DT'PTO.N__QN---GAF —r_
INSPECTED BY: DATE ON INSPECTION: 08/13/98
MICHAEL J. VERITY TIME START: 10:20 AM END: 11:10 AM
FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Town Clerk's Office
Southold, N Y,
Certificate Of Occupancy
No. X72. . . , , , Date . . . . . .. . . .October 18
,. . . . .,
THIS CERTIFIES that the building located at . NasB$tq.F9131t,Rd. . . , . . Street
.�.
-map NO. .XX. . . . . . . . . Block No. . 4. . . . . .Lot No. . ;Z9 . . . Cut9hogu8
coliforms substantially to the Application for Building Permit heretofore filed in this office
dated . . . . . . .May. .309. . . . . . .. 19.72 pursuant to which Building Permit No. .59974 .
dated . , , , .MAY Na, . , , , . _ ., 19.72., 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 . . . Pr3yate garage(aecessory-b44410
The certificate is issued to . . ,Gordan, Hayes.
. . . . . . . . . . . . . . . . . . . . .
of the aforesaid building. (owner, lessee or tenant)
Suffolk County Department of Health Approval H t?
UNDERWRITERS CERTIFICATE No.
HOUSE NUMBER . . . . 7�5. . . . _ Street
. . . . . . . . . . . . . I . . . . . . . . . . Cu#chggUe. . . . . . . . . . . . . . . . . . . . . .
Building Inspector
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- Date: 0— 25920 2 6
THIS CERTIFIES that the building _,. DLLING
Location of Property 4705 NASSAU POINT RD CUTCHOGUE—.-,-
ji� HiME�
—"FST FT) 7 CT)
County Tax Map No. 473869 Section 111 Block 0009 Lot 009
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- 25920 dated AUGUST 26, 1998
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 GARAGE.
The certificate is issued to GORDON F &JESSIE HAYES
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A
ELECTRICAL CERTIFICATE NO. PENDING 8/21/98
PLUMBERS CERTIFICATION DATED N/A
*PLEASE SEE ATTACHED INSPECTION REPORT.
-Bu VdQijn�q In ctor
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-26988 Date: 01/19/00
THIS CERTIFIES that the building A%D ITIONS & ALTERATIONS
Location of Property: 4705_ NASSAU PDINT RD � �E"�CtdGU
(ST �
(HOUSE NO.) REET) (HAMLET)
County Tax Map No. 473889 Section 111 Block 9 Lot 9
Subdivision , Filed Map No. Lot No.
conforms substantially to the Application for Building permit heretofore
filed in this office dated NOVEMBER 30, 1998 pursuant to which
Building Permit No. 25483-I dated JANUARY 21, 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 _ADDITIONS AND ALTERATIONS TO AN EXISTING ONE FAMILY�mC�EEI.ING AS APPTIED
FOR. .
_ �._...._.SA_. .ABED kiANI
The certificate is issued to STTHEN SA
EPN CH� ^EAN AEYIA i� ..
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A
'15/9''9
ELECTRICAL CERTIFICATE NO. N 506874 11/
_ m�
PLUMBERS CERTIFICATION DATED 12/29/99 MA°�"TITU X PLUMBING a HEAT
Au't) rite Signature
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-30772 Date: 02'
THIS CERTIFIES that the building ADDITIONS AND ALTERATION
Location of Property: 4705
5) NASSAU POINT CUTCHOGUE
(HOUSEN05TREET) � . _.ww..(HAMLETj .mP
County Tax Map No. 473,889 Section 111 Block 9 Lot 9
Subdivision Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated OCTOBER 233 2002 pursuant to which
_. dated ' '.2
Building Permit Na_ 28858-Z OCTOSES, 24, 200
_._..._.. m. _.�......�......_ .....�. _.
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 & ALTERATIONS TO EXISTING SINGLE FAMILY DWELLINGAS APPLIED
FORR CONDITIONS OF #5171 DATED 10%03/02 t & AS PE,_�.. ..I._ ....._,,...._......m..._.�., M__. .,....-...... ..�
.WT H ALEXIA Q. SACHMAN_
The certificate is issued to STEPHEN N & A � m.
(OWNER)..
of the aforesaid building.
SUFFOLK COUNW DEPARTMENT OF IrEALTH ApPROVALN/A
RLECTRICAL CERTIFICATENO. 1145512 _ 07"0 3/02
PLUMBERS CERTIFICATION DATED 02/03/05 1,V%T"l ITU( . P`C,LIFMS. EFA",3 INN.
a acpr�ed S;,9nature
Rev. 1/81
, at Town of Southold Annex 2/10/2011
54375 Main Road
Southold,New York 11971
r
CERTIFICATE qF OCCUPANCY
No: 34828 Date: 2/8/20]I
THIS CERTIFIES that the building IN GROUND POOL
Location of Property: 4705 NASSAU POINT RD CUTCHOGUE,
SCTM#: 473889 Sec/Block/Lot. 111.-9-9
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this officed dated
12/4/2009 pursuant to which Building Permit No. 35209 dated 12/10/2009
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 11111E"I"'.11 Ci'11( llfi+l'1b 5WIXMjZ4G PtC71 4 I I1 dl2t AS ") 'l.I 1J FOR.
The certificate is issued to Sachruan" Stephetti&QoarClz'amta,
Alexia
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 12368 10/02/10
PLUMBERS CERTIFICATION DATEDA
Autbo, Signa ....
fFQ't Town of Southold Annex 2/14/2011
54375 Main Road
Southold,New York 11971
CERTIFICATE OF OCCUPANCY
No: 34829 Date: 2/8/2011
THIS CERTIFIES that the building ACCESSORY GARAGE
Location of Property: 4705 NASSAU POINT RD CUTCHOGUE,
SCTM#: 473889 Sec/Block/Lot: 111.-9-9
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this otficed dated
10/2/2008 pursuant to which Building Permit No. 34197 dated 10/2/2008
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:
A lt' t ltr+� '4V'j'[T,HALF 13N1,"M AS P1'LIFF)TC79 TSI 9A., K?�.bAC I qt !1
The certificate is issued to Sachman, Stephen&t uardrani,Alexia
_.,........ __-.._..__ (OWNER)_..,.. _
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL R10-08-0034 11/22/10
ELECTRICAL CERTIFICATE NO. 12368 10/4/10
PLUMBERS CERTIFICATION DATED 10/5/10 MATTITUCK PLUMBING
Autltttl Signature
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'Town Hall Annex 765-1802
�, Telephone(631)
54375 Main Road Fax(631)765-9502
P.O.Box 1179 �:
Southold,NY 11971-0959
� �
at;
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
4705 NPR LLC May 7, 2021
c/o Sachman
1111 Park Ave Apt 12D
New York, NY 10128
Mr. & Mrs. Sachman,
The building department is unable to renew your rental permit at this time because the certification was
for 5 bedrooms. The rental was previously approved for 4 bedrooms. Please contact our office to set up
a site inspection or to make a correction to your application.
Also, we do not have a working,contact number ori" file. Please update our department with
your contact information. L _SN.5AC_HhAnl&_-
Thank you, Building Department
631-734-1802 I
tJ T7
CG�T1
iIir PWn Al�-12J
jv�,�'tt p lM
JUN 9 2021