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Home My WebLink About1000-75.-3-1 s TOWN OF SOUTHOLD :€ Rental Permit 0620 Owner David Hubelbank & Cara Cunneen Occupied as Single Family Dwelling Located at 46000 Route 25 Laurel 75.-3-1 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. 3/20/2024 Code Erg rc ent Offici This Notice must be posted by the main entrance at all times TOWN OF SOUTHOLD BUILDING D 631 ?85► 1802 INSPEC ION [ OUNDATION 1ST [ ] ROUGH PL13G. [ ] FOUNDATION 2ND [ ] INSUEATION/CAl I l FRAMING / STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY j ] FIRE SAFETY IN! [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PE j ] ELECTRICAL (ROUGH) I ] ELECTRICAL (FI [ ] CODE VIOLATION [ ] PRE C/O [ REMARKS: 69�� C� M DATE i1 Fa Town Hall Annex �W Town of Southold 54375 Main Road Rental Inspection Report PO Box 1179 a ' Southold, NY 11971-1179 d Tel: 631-765-1802 AL ;. S.CTM # � Date , ..... ....... 3S,. ... .... (Owner Phone Address Visible (Hamlet. / Insp ec,...o tr ........ .... . ...... .... ...�. _ �.. ....,.._ �...... ..� ..�.�.� ....�. ....... �..... .... � .. ............_ � ..� .......... ,Floor Level Quantities Sub........�_.. 1 ...�..�..,�., 2,,.�� . ....�.. Smoke Detectors not located in bedrooms) ... Carbon Monoxide Detectors Fire Extinguishers Exits .1... ,,. . ,,,,", .,,. .. ,,,, 1......... .. .. y .w.� ... ., ....,. ..,.., F , w m ,.. ..__..� 3 4 5 r 6 Bedrooms 2 �. _,.. Smoke Detectors / I i �..... m .e. .e. . .... m E, g ress � V k �..." .... ..,, ","a �........... ..... ... � ...... _.. . ..�. .. Occupant Count 1 1 ....w. �.._W.. .......�...... � �. w. .... ...... ... .�.�.... _. .. _..... . _ . .... .,_.... . .. _w _a...m.. .w�...., Property Building Systems Maintained &Operational Condition (ding interior �� ........... Heating .,, f Hot water Building exterior.., Electrical Pro clean, maintained &safe � ..... Property echanical aHandrails&guards installed &secure Zrface ol Safety [Pool on Site �. .. � ..� ......, .. � . o. o�,i �.�. m „n � ��.,, ro., .,.. �. ..., .... .,, Door water alarm Date of CO issuance 11,.,,,11 — ...,.,...w,. .�� ,,.�,............. �...... . ........... �w wR,. � " ...��. .,.,, ..... ., .oR.... ,.'.. ... . . ...�. alarms Pool completely enclosed S g g gates...... ,.. .. � � �'P'ico" -r- ments � raceto coderequire ... . .......elf closet / latchin l fe CO s for all items pres' ent Prior Rental I . I �. ..._ �..�..... ... .,....... . _. .. ............. _ ..._. _. ..... .. . . _,...w... ........ ._. ... ........ .. ..._..... ..... ..,e .......... a ...... _........ _.. _..�..�, . ............. ". ....,.....,._ ..... ... ........ . N. ..... ......... ..... ..._... ...,,.. .... . .... .......................... ............._....... ..._. _... ... ........ . .n................. .a _...... .. s OWN OF SOUTHOLD !4c* Rental Permit {_ 0620 Owner David Hubelbank & Cara Cunneen Occupied as Single Family Dwelling Located at 46000 Route 25 Southold 75-3-1 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. 4/13/2022 1 , �bcle Enforcement Official This Notice must be posted by the main entrance at all times Ar-i Town Hall Annex ' r' Telephone(631)765-1802 54375 Main Road ,`° Fax(631)765-9502 P.O.Box 1179 Southold,NY 11971-0959 �� BUILDING DEPARTMENT 2�� 7. TOWN OF SOUTHOL D MARJ) � U ��`� BUILNNG DIEPT RENTAL PERMIT APPLICATION °o vot V", MOL Rental Permit Fee $200 (Application must be renewed every two years) Section A. Property Information: Rental Property Address: G a0 Nko,,A .0r A Sa In)[J Tax Map Number: 1000 SECTION -913$ 7 1 --BLOCK--'l<- --LOT 3 SECTION B. OWNER INFORMATION: Property Owner Name: _t l _, '�' �� .. & Card Property Owner Legal Address: Property Owner Mailing Address: Lk (0000 Kok 4600() Telephone Number (s): i ayt"rme (6,► 8l -5 3 vening S6trnZ Emergency N1 Property Owner Email Address: �G _�• �.��Oz��ar (� �" -L '>_t — � . -� o Page 1 of rt, Io I i�� ry j4.i [ ryµ 2 d Town Hall Annex �d , 1�f' Telephone(631)765-1802 54375 Main Road ry r Fax(631)765-9502 P.O.Box 1179 " Southold,NY 11971-0959 t, BUILDING DEPARTMENT TOWN OF SO OLD Section C. Authorized Agent Information: Name of Authorized Agent of dwelling unit, if any: M /A 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. Mailing Address of Authorized Agent: Telephone Number (s): Daytime Evening Emergeny�_ , EmailAddress:. _._ µ.�w ...... ., ...._. ......._..... ....... .._µ._. ��_ ,,,,,, �,,_.. �._. . 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. Page 2 of 5 Town Hall Annex Y ��'. Telephone(631)765-1802 631 54375 Main Road `,(� wfi4� �� Fax( )765-9502 P.O.Box 1 179 Southold,NY 11971-0959 BUILDING DEPARTMENT TOWN OF SOUTHOLD Mailing Address of Managing Agent:µ„_ „_ ge_ww� Telephone Number(s): Daytime Evening Emergency EmailAddress: ._..... .......�._. ._ww_...__... o .. ._._... .� _ ... .w..........._. .._... .... SECTION F. PROPERTY DESCRIPTION: Number of Rental Dwelling Units on property: e 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: µ -_ ..� , M 1rA ; , LA (a I D S S Page 3 of 5 Attachment A First Floor: 1. Kitchen (15' 1" x 13' 2") 2. Breakfast area (15' 1" x 13' 6") 3. Living room (22'x 14' 7") 4. Dining room (14' 10" x 11' 10") 5. Exercise room (14' 10"x 11' 10") 6. Laundry room (irregular L-shape:one portion is 16' 7" x 5'; other portion is 8' 7"x 7' 5") 7. Den (23' x 16' 4") 8. Powder room (5' x 4' 6") Second Floor: A. Master bedroom (21" x 14" 8") 2. Master bathroom (14' 10" x 9' 5") / ,. Second bedroom (13' 5" x 11') A Third bedroom (13' 5" x 11") (5"""" h droom (14' 8"x 13') w. Second bathroom (T 6"x 5' 1") 7. Third bathroom (10' 9" x 10' 9") 1 � Town Hall Annex y; z" Telephone(631)765-1802 54375 Main Road s # Fax(631)765-9502 w as ,F P.O.Box 1 179 Southold,NY 11971-0959P 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. 21/1 am requesting a fire safety inspection to be performed by a Code Enforcement Official from the Town of Southold ❑ 1 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 u 00 an �, 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 4 Fax(631)765-9502 P.O.Box 1179 rr� 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: (XV � (I 1-A LA, Property Owner's Signature: —. -__. Sworn to before me this day of " , 20 Official Notary Public signature and Original Notary Stamp Page 5 of 5 Certificates and Permits 1. Alarm Owner's Permit 2. Certificate of Occupancy(new furnaces and hot water heater) 3. Certificate of Electrical Compliance (new furnaces and hot water heater) 4. Certificate of Occupancy(solar panels) 5. Certificate of Electrical Compliance (solar panels) TOWN OF SOUTHOLD BUILDING C ` 765-1882 IN PECTION [ ] FOUNDATION 1ST [ ] ROUGH PTEG. [ ] FOUNDATION 2ND [ ] INSULATION/CA [ ] TEAMING / STRAPPING VI-FINAL ge'v 6l- [ ] FIREPLACE & CHIMNEY [ ] FIRE ;SAFETY IN [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PI [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FI [ ] CGDE VIOLATION [ ] PRE C/O DATE ... l?-_Z �'PcCK PoRCt� BFE�KFP�sT L Au N IPR J A �t�t1 ti�aM KlEA P AtiY'C�� CLaS'c�t' � C�cfiT UVIN6 I ; a�� RQoM floc w► Roam �o�tEf: FtLaN�' Po�C� 46000 Main, Kaa& soinA-I,nld , tll 5e,�nc� ��Omr c�os�T KASTEV, CIaSET sta((GaM pS�vEtaoN1 i'EZOH� iu5�'C 76L �SirtHR�M TIOLP LP l{ALL 8 p�TktR.00 M M lkSIT ER 6£D(LeoN1 �0 w,rvF p�Ea�oaN� y S�rc,v Gee_ dekeU� C C) dR ^2C,i� r 4 6C)oo Kocin (-7,00-a Sa� .e fid., RI \\�I l �Gt,Semr�/t�- -- C,0 �Are� 5mo k-:e.- !z Foy n5 c-� t o►� o� E TOWN OF SOUTHOLD ' ,p SI3CARD OWNER STREET LA CST SUB£ LST UCC x - e - sw FORMER OWNER N _ �, � REAG 3� s s a S � : TYPE OF BUILDING REQ- SEAS. VL. FARM COMM. SND. CB. MISC. Est. Mkt. Value LAND IMP. TOTAL DATE REMARKS TP i a _ a - -, r f _ t� - ace f r t FRONTAGE ON WATER __--Arra VqjijPer Pr r � I.�e FRONTAGE ON ROAD LI Tillob BULKHEAD - �«�n Ti I Tillable 3 _ Woodland c Swampland e � Brushland Il Haase Plot f I Tota I r ,5 "y t }J z a _ n n 951- c 's a ? r� 75-3-1 4111 F f = ii R 4 7= . 75-3-1 2/01 ,-. - :. a / . g f M. Bldg. Foundation o Bath) _ Dinette e-- FULL Extension e Basement s��e Floors Kit x[enslon g z ` � rr _- Ext. Walls Interior Finish L.R Extension Fire Place Heat �� D,R, t Patio ! Woodstove BR, PorehDor meri.r - - a T�� Deck = Attie BreezewayRooms 1st Floor DrivewayRooms 2nd Floor Garage rr % � ) �r Pool t _ RK g 4 , t e s e a_ � t a e 4 N1. B[dg � cundc_'c~ cr , Extension e _ n '� } r: Extension - c , Wails ee ,,U � sh F 1t Extension - - e Pose r nevi Porch =eC,-t We s 3 N Porch F. am St 3=oar . f Breezeway ;ltc c ns , d aar Garage Driveway Do-..e. r 0 FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-30775 Date: 02/17/05 s THIS CERTIFIES that the building NEW DWELLING Location of Property: 46000 MAIN RD ,SOUTH PEC (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 75 Block 3 Lot 1 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated JANUARY 11, .2005 pursuant to which Building Permit No. 30892-C dated JANUARY 11 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 SINGLE FAMLY DWELLING_WITH COVERED FRONT & REAR PORCHES AS APPLIED FOR. The certificate is issued to JANET HEINS �wwww__mIT_ (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL R10-99-0204 02/16/05 ELECTRICAL CERTIFICATE NO. 2039484 Cil 11, 0 ri PLUMBERS CERTIFICATION DATED 02/09/05 ERICK HEINS I "7/. ho �dgtureN� 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-30776 Date: 02/17/05 THIS CERTIFIES that the building ACCESSORY ` Location of Property: 46000 MAIN RD _ SOUTH/PEC (HOUSE NO.) (STREET) (HAMLET) County Tax Map No_ 473889 Section 75 Block 3 Lot 1 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated JANUARY 11, 2005 pursuant to which Building Permit No. 30892-Z dated JANUARY 11, 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 ACCESSORY TWO CAR GARAGE WITH NON-HABITABLE STORAGE ABOVE AS APPLIED FOR. The certificate is issued to JANET HEINS (OWNER) of the aforesaid building.. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 2041572 01/31/05 PLUMBERS CERTIFICATION DATED N/A ut.ho iced ",ignature Rev. 1/81 Town of Southold 11/26/2018 P.O.Box 1179 53095 Main Rd Southold,New York 11971 N, On ............... ...... ....................... CERTIFICATE OF OCCUPANCY No: 40060 Date: 11/26/2018 THIS CERTIFIES that the building SOLAR PANEL ................ ........................................ Location of Property: 46000 Route 25, Southold ................... SCTM#: 473889 Sec/Block/Lot: 75,34 ............... Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 9/25/2018 pursuant to which Building Permit No. 43103 dated 10/5/2018 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: KQQFMQ1iNL1LE"Q_%0j.AR PANELS TO AN KA-ISTINCY-ONE FOR The certificate is issued to Hubelbank,David&Cunneen,Cara of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 43103 11/08/2018 .......... PLUMBERS CERTIFICATION DATED uthorized Signature Town of Southold 11/26/2018 P.O.Box 1179 53095 Main Rd Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 40061 Date: 11/26/2018 THIS CERTIFIES that the building SOLAR PANEL Location of Property: 46000 Route 25, Southold SCTM#: 473889 Sec/Block/Lot: 75.-3-1 Subdivision: Filed Map No. Lot No. ._...w...._,,.. conforms substantially to the Application for Building Permit heretofore filed in this office dated 9/25/2018 pursuant to which Building Permit No. 43103 dated 10/5/2018 ...w... .... ............... 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 JOI�w 1v11v1t 1 1'1 aQ_LA 1IANEIL E AN fIMS`l 1NC ACCT ,aOR Ci 1R-A_ Cy E A API it C The certificate is issued to Hubelbank,David&Cunneen,Cara of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ... .... ........_ .��... .._.._. � ..._..... ........� ELECTRICAL CERTIFICATE NO. 43103 /08/2018 PLUMBERS CERTIFICATION DATED Authorized Signature.. �tlt Town of Southold 5/15/2019 P.O.Box 1179 «� 53095 Main Rd Southold,New York 11971 CERTIFICATE OF OCCUPANCY _ ..., o: 40389 Date: 5/15/2019 ...... THIS CERTIFIES that the building ADDITION/ALTERATION Location of Property: 46000 Route 25, Southold _�.. .... ........._ ry .. __....... SCTM#: 473889 Sec/Block/Lot: 75.-3-1 _.... .......... . . .... ......_. ........ ...... Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 10/4/2018 pursuant to which Building Permit No. 43140 dated 10/16/2018 _. .__....... .. . .._._......_. 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: new f rj� q s q d hot NK qt rily d e li l as a�?1 C la . The certificate is issued to Hubelba*David&Cunneen,Cara of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 4314 3/19/2019 PLUMBERS CERTIFICATION DATED 4/23/2019 Robert ......Mar o a A th ed Signature,