HomeMy WebLinkAbout1000-95.-4-18.17 fatR TOWN OF SOUTHOLD
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Rental Permit
0633
Owner Nicholas Guastaferro & John Guastaferro
Occupied as Single Family Dwelling
Located at 1030 Horseshoe Drive Cutchogue 95.4-18.17
Maximum Permitted Occupancy 6
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.
6/3/2024
Code tforqqwent Officidt
)Volt-
This Notice must be posted by the main entrance at all times
TOWN OF S
631 ?6►E 1802
INSPECTION
[ ] FOUNDATION iST [ ] ROUGH PL13G.
[ ] FOUNDATION 2ND [ ] INSULATION/CAI
[ ] FRAMING / STRAPPING [ ] FINAL
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY IN;
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PE
[ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (TIN
[ ] CODE VIOLATION [ ] PRE C/O [Aoe
REMARKS:
014 -foe- so/7 Gr GL
A
DATE �,� r ' INSPECTOR __ �
Town Hall Annex
Town Of Southold 54375 Main Road
Ga Rental Inspection Report PO Box 1179
'.
Southold, NY 11971-1179
Tel: 631-765-1802
SCTM# Date
..
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Owner
Address p Visible
Actor ....
Hamlet .......................,.,. ...,�.... ,._:.... . ....... ?�....... .........w..._........"."."."_."....�._... ..w... ... ._ ................... Ins a ............ ..._.. ....................,"..�..._...._ ..............
Floor Level Quantities Sub 1 2 3
Smoke Detectors (not located m bedrooms) / o .. w _ M
Smo -.
Carbon Monoxide Detectors
Fire Extinguishers
Exits .... . .
mm
�.. 7.....ow. .. .....
Bedrooms 1 , 2 3 4 5 6
Smoke Detectors
Egress,.. .�.� � � / � ��........� _......
.. .... ..... _ W....._..
L......Occupant Count.... .... .�. ... _ . ! .._. _......�.......� �.....
Building Systems Maintained &Opera�
._" tional Condition of Property
�m �� .
Heating Building interior
..... _...w .....m.. . .. .� ...-...... � � .......... � ...�. ..............
.._.� ...��.... � ..... � �.,w. �..
Hot water Building exterior
Electrical Propertymaintainedy &safe
.M..... w. .M.m........... .. M..a.m .�. _ �.�..�... ...'�...-,. -.........,Pro ert clean, �_. ,..m ... .�.�.. .. �.�. .w......�....w..
Mechanical Handrails&guards installed &secure
Pool Safety Pool on Site
Surface water alarm Date of CO issuance
Door alarms Pool completely enclosed
Self closing/ latching gates...._.. ...,.�.... �.
Pool fence to code requirements
CO s for all items present N .,. o.... µ Prior Rental �w� i .�..
_............ ...._.....................,.........�_.�.�.� .. ......._... �.�_w.... .................,.
...........�.....�................_...�.� ..�........ ...._.. .._ . �.�...w....�........_....... ... ....�.�..�..... . .... . .�...._....�
TOWN OF SOUTHOLD
Rental Permit
� = 0633
Owner Nicholas Guastaferro & John Guastaferro
Occupied as Single Family Dwelling
Located at 1030 Horseshoe Drive Cutchogue 95-4-18.17
Maximum Permitted Occupancy 6
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.
5/9/2022
*de o 'coal
This Notice must be posted by the main entrance at all times
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Town Hall Annex w Telephone(631)765-1802
Main Road
'' Fax(631)765-9502
5437 P.O.Box1179
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APR 1 1 7022 BUILDING DEPARTMENT
TOWN OF SOUTHOLD
T _ µ 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 qIj -BLOCK -LOT
SECTION B.
OWNER INFORMATION:
Property Owner Name:
Property Owner Legal Address: Property Owner Mailing Address:
1
X12.
Cl 0--1 C� �"^',"-•
Telephone Number (s): Daytimes is C Evening Emergency
S
a^�^�—
Property Owner Email Address: �) ' :,
Page 1 of S
Telephone(631)765-1802
Town Hall Annex
Fax(631)765-9502
54375 Main Road �
P.O.Box 1179
Southold,NY 11971-0959 'i
BUILDING SODF-PUTHOLD
ENT
'TOWNN"
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: N A
Address of Authorized Agent(no P.O. Boxes):—
Mailing Address of Authorized Agent:
Telephone Number (s): Daytime Evening Emergency
Email Address:
SECTION E.
SITE MANAGER INFORMATION: (required for rental properties containing 8 or more rental units)
Name of Managing Agent of dwelling unit, if any: yi / A
Address of Managing Agent (no P.O. Boxes):_
Page 2 of 5
S0114
Town Hall Annex ° ° Telephone(631)765-1802
54375 Main Road Fax (631)765-9502
P.O.Box 1 179 cq y A-.
Southold,NY 11971-0959 ` m
COU
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
Mailing Address of Managing Agent: y'J A
Telephone Number (s): Daytime Evening Emergency
Email Address:
SECTION F.
PROPERTY DESCRIPTION:
Number of Rental Dwelling Units on property: i
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: N /A
Requested Maximum number of persons allowed to occupy Dwelling Unit:
Number of rooms in Rental Dwelling Unit: 11 -► ���-��-• c -s-<J L �:k�►.�
Use and Dimensions of each room in Rental Dwelling Unit: 1-ivi•^t
Imov 1
IN
X10.\rS Fj'ticS� r�►, —t �S� / t !r"yG,;,' 1ca "1'l �I���'� 'lL�/� ��� 1
Page 3 of 5 NV '\cryc;1-e-,�' �v �r�•v�-ti-► . 1
4j` t1" ^ I�
Town Hall Annex Telephone(631)765-1802
'°' P
54375 Main Road Fax(631)765-9502
P.O.Box 1179 ^�
Southold,NY 11971-0959
eau�mx
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.
am requesting a fire safety inspection to be performed by a Code Enforcement Official
from the Town of Southold 14,
❑ 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 1.l i �QyLs. /-\. Ct-%-ke.10r, , ify 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
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Town Hall Annex Telephone(631)765-1802
54375 Main Road Fax(631)765-9502
P.O.Box 1179aw "
Southold,NY 11971-0959 4
C nil
OUR
BUILDING DEPARTMENT
TOWN OF SOUOL
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: t4 t C, tta S� S �v`Lvy-v-
Property Owner's Signature:
Sworn to before me this day of Aord-----, 20.22—
Official
NofyPublic Signatur nd Original Notary Stamp
TRACEY L. DWYER
NOTARY PUBLIC,STATE OF NEW YORK
NO.01 DW6306900
QUALIFIED IN SUFFOLK COUNTY
COMMISSION EXPIRES JUNE 30,202
Page 5 of 5
40-o
OWN OF SOUTHOLD BUILD1111, DEPT.
. LlJ .
INSPECTION
C l FOUNDATION 1STROUGH PLBG.
[ FOUNDATION 2ND INSULATIOWCAULKING
[ ]
FIREPLACE CHI E [ fFIRE SAFETYINSPECTION
] FIE RESISTANT CONSTRUCTION [ FIRE RESISTANT PE ETRATION
[ ] ELECTRICAL (ROUGH) ELECTRICAL (F AL)
[ ] CODE VIOLATION /
DATE INSPECTOR
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PROPOSE[? FIRST FLOOR PLAN
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Total _ -- 4
FORM NO.4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Town Clerk's Office
Southold, N.Y.
Certificate Of Occupancy
No. Z-9596. . . . . . . . . . . Date . .July. .18. . . . . . . . . . . . . . . . . . . . . .. 19 .79
THIS CERTIFIES that the building . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Location of Property 10-ka . . . . . . . . . . . . . . .IIS .Horseishcae .Dr . , . . . . .0
House a. Street """ .U1+011ogU1' . .
Hamlet
County Tax Map No. 1000 Section . .095. . . . . . .Block 04 . . . . . . . . . . . .Lot . . » . . . . . .
Subdivision Oregon. .View. .Esta:tes . . . , . . . .Filed Map No.6241 . . . .Lot No. .17, . . . . . , . , ,
conforms substantially to the Application for Building Permit heretofore filed in this office dated
. . . . . . . . . .March. 5 . . , 19 7..9 pursuant to which Building Permit No.1.0118Z. . . . . . . . . . . . .
dated . . . . . . . .March .5. . . . . . . . . . . . 19719. ,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 . . . , . . . . „
. .1:'RIV.A.TE. -WrFAMILY. .AANT..' ZING. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
The certificate is issued to . . . . . . . . . jame,-I .k and. B: 1rbam , Andem=
towner, � . , . . . . . . .
of the aforesaid building.
Suffolk County Department of Health Approval . . . . . .95030. . . . . . . . . . . . . „ . . . . , , . , .
UNDERWRITERS CERTIFICATE NO. . . . . . . . . . . . . . .43594.
Building lnspector
Rev 4/78
u
FORM NO.4
TOWN OF SOUTHOLp
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hail
Southold,N.Y.
Certificate Of Occupancy
No. • ,Z-15876 June 24 1987
Date , . . . . . . . . . ' . . . . . . . . . . . . . . . . a . . . ,,
THIS CERTIFIES that the building , , ACCESSORY STORAGE BUILDING
Location of Property 1030 Horseshoe Drive Cutchogue, New York
. . .Namfer
County Tax Map No. 1000 Section . . . ?5. . . . . . .Block . , . .4. . . , , .Lot . . , 18- 17•
Subivision . . . . Oregon View Ests
. . . .. . Filed Map No. . 624. . . . . . .Lot No. . . . . 17» . , , ,
conforms substantially to the Application for Building Permit heretofore filed in this office dated
May 17 , 1982 118422
, pursuant to which Building Permit No. . . . . . . • , , , , , , , , , , , , , ,
dated . . . .August S, 19 8 2 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 STORAGE BUILDING AS APPLIED FORM
The certificate is issued to , , „ JAMES P . & BARBARA W. ANDERSON
. . . . . . . . . /� �t��i�XX• . . , . . . . . „ . . . . . . . . .
of the aforesaid building. (owner,
Suffolk County Department of Health Approval . , . , , , , N/A
,
UNDERWRITERS CERTIFICATE NO. . . . . . . . . • . , . , , , , . NIA W M
PLUMBERS CERTIFICATION DATED: NSA
Building Inspector
Rev. 1/81
Lig
Town of Southold 12/10/2021
P.O.Box 1179
X
53095 Main Rd
Southold,New York 11971
CERTIFICATE OF OCCUPANCY
No: 42593
Date: 12/9/2021
THIS CERTIFIES that the building ADDITION/ALTERATION
Location of Property: 1030 Horseshoe Dr., Cutch ogue
SCTM#: 473889 See/Block/Lot: 95.4-18.17
.-
— File
Subdivisiond Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
2/16/2021 pursuant to which Building Permit No.
---- — 45865 dated 3/2/2021
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:
olterations and front Iclition to ex dwelli
The certificate is issued to AMP Development LLC
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 45865 11/22/2021
PLUMBERS CERTIFICATION DATED12/8/2021 Ethan omanelli
A ize S nature