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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 � � ����. � SII. ,• ;�===-�"---- �;-� �. �f E �.V- r i $ l!€ i7l' , r n t r QF U 1� _ rte.. -_ .__ Ro cty V-) 11.G'�N'Lb�F W0.X•`�_ rf� .��� y ` i � � i ' fC pp i I 3 ,� I�����t.l'•_- F'.��r!� to - I w [ C C0941F1G41Tlohl QF S4RU4.("RaL- {- 1 1 ?, SuPPoryr FOK STe.6L COL014W 1 t m I _ WILL 612,1&EQUft6d]. g 10 IV, { lit, LI"\\ VLI - W -; TOWN OF SOUTHOLD Pt,IOPERTY RECOR� - -- ---- ,w'JNER STREET VlLL,1GE DISTRICT SUB. I LCT h jC tER OWNER �; N E ACREAGE llII _ $ w = TYPE OF BUILDING RES. _ - VL. FARM comm. !ND_ CB. miscc LAND IMP- TOTAL DATE REMARKS , Awl a .f r l L p 197 � w Lz AGE` C�DIQN i ? Acre V ue � Ire / olue _ Tillable 1 s in, V Tillable 2 �� '` L Ej � iq - 1 Tillable 3 Wccdland Swampland Brushland House PlOt �z A> tx Yom' I€ _ h sa _ z — _ - -.s." n 3 = F 3 E @4 M. Bldg, s Foundation - Bath Y _ a� ExtensionI Basement Floors Extension j :< Ext. Walls Interior Finish Cacnsion _ Fire Place _ Heat Attic Rooms ] I` rn'- r F,'oor Rooms 2nc- d Flo [ Breezeway � , ,.Patio I i Garage _ i j _` b Driveway, f 0. B. i E f s y_ E a r ti � l q 77 7 i r e _ t ._ I 3 r €I i 111-9-9 3/03 i x= g P x t r < �� � Foundation 'PCB Bath Dinette M. Bldg- ,7 - Extension �p = `� �� Basement cAn Floors Kit SLAB _ � � ��') _ x _ L_ R _ "EtInterior Finish WaIID.R.HeatFire PlaceExtension - r -27 Patio Woodstove BR. Porch Dormer Fin_ B. _ Deck Attic .� ;_ ��.,= - , 777777- Br zew y r -, too Rooms 1st Floor - � r A _ ba age ` Driveway Rooms 2nd Floor Pool - - ' F . STATE ONEW Y Be it known that , _ Victor Cornelius a a 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 � aDEENOcEMN'rFtO�►� .: Mw or _ _ _ _ iohrt R Addarro R ,Arrect pEwis[tnat�w�kdtng,Stanctatds neje Certtifi[ation.No.1216 0283 In e k3,�Q�Ck ,. .. ., ' - A ttfT11 sllGh �rSQr!ritU5B satisfy annual in-service training requirements and advanc uiE'd Ifl s@[VICE' tiCrdIR1r►g rl'C�U'f eiTl f1L5_ � To�a�r�tatn th�5��rtif ca P a v- a: e e� 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$. GARAGE: m, DOMESTIC HOTWATER: YES TYPE HEATER: ,QJL •_ AIRCONDITIONING: TYPE HEAT: OIL-HOTAIR WARM AIR: �_--- HOTWATER: OTHER: OrtR GARAGE, TYPE OF CONST. : STORAGE, TYPE CONST.: , SWIMMING POOL: GUEST, TYPE CONST.: OTHER: WQ-Q --- VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE S BEACH STEPS UNSAFE - SUBCHAPTER F.- 1244.1 (' RAILING - SUBCHAPTER F. 1242.6 1 w REAR PORCH STEP - SUBCHAPTER F, 1242.5 C � a k i 1 r k tl e y R P y�y M � 4 M li 1 f I 1 REMARKS: DT'PTO.N__QN---GAF —r_ INSPECTED BY: DATE ON INSPECTION: 08/13/98 MICHAEL J. VERITY TIME START: 10:20 AM END: 11:10 AM FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Clerk's Office Southold, N Y, Certificate Of Occupancy No. X72. . . , , , Date . . . . . .. . . .October 18 ,. . . . ., THIS CERTIFIES that the building located at . NasB$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 r J ,X// MPr r lj %/�, ao// � i�r/i„ir ;;„ ,,,r „ii/iirrr, /ii ✓. /1/���///%ifi„l/�/ ///,� ,/rr,;o% rl�//�i,,,/ pru / r.�///,✓,//i, r /, ,o i„.. // ,. ✓,r /, .,r,/ `/�,a/�ri,// �r// / ///i,.G //,r/ //i, ra rr..,r%iii ,,, ,,, / ,,,,,;: III I,�I V U ��I it� Illil I �.i.i li;i i�Gifu /or Y. ) lima �i rr ............. inn ............ Ax Rol l � �r. t4 ' u f ,J N fJ� / 1 /j ��pl�uouuuu I �r I it, �f r,/>/ / �rl// r' J//1//. /rrr„/... , ,...,. ✓ �/ /i,ri, r r� ,./ ,rro r r / f ,, r/ ��� � // / ✓i rrr f r r / f r / r ROM Ur�y 'ri /i u ,.r r v/ / �i .. //�����'///i /f lZ�l�Jl�l1>y r %/ii / ri r / ��////ri r% /�lll Jr / / r / r/% / /i %// / e, r, it ,,,,,,,rmr�„ :,,, ;, ,e,,,,,- „,„rr, <,,, „":�✓ /G�r/./r aG,uiF,i „RRA! ,,,,. .. ..:,,,,,, ,,,, ,,,.. ,,,.,,,,. „ ,,,,., ,,o, ..,,, ,,,� '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