HomeMy WebLinkAbout1000-102.-1-3.4 T "'WN OF SOUTHOLD
Ow W W
t7
Rental Permit
a.
0939
Owner Justin Mirro
Occupied as Single Family Dwelling
Located at 4782 Alvahs Lane Cutchogue 102.-1-3.4
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.
6/28/2023
Cod of . rant off' I
This Notice must be posted by the main entrance at all times
Town Hait.Annex '° Telephone(631)765-VR02
54375
Maiu RoadPaas(631)765,9502
w �
P.O:Box 11.79 e
Souttfold,NY1-1971-0959 °
Mi
JIM 9'
X023
B.UJU DING DFPAI T`:ENT.
TOWN OF SOUTHOLD
��: �, t PERM IT APPLICAT16
Rental P=ermnftfee$ OO(Applicavon must be renewed every two years)
SectXo.n A.
Props ty Information:
ire:nta'1 Property Address.
*LOT
Ta
X Map Nurrr6er. 1000 SECTION . .,
SE`CTI'O'N g:
OWNER,:IN` RMATION.-
Property�.wner Dame: ,.,�;, .�ST�� '�`'�•�`' D
Rroperty OWner Legal Address: Prap:erty Owner M8,14ng Add:ress`
c i _ YAW-t) L.L LSAV%AZ-
2 6570
:.
S � ��.. ..
x,5.57.
Telhone Number�s . 4' ytinle ���� '
p � ,�_�..� , grnergen�y°. .
Property O-ironer. Email A id,r'&-s'- +�
�.1.►'L SKKI+ �"1 r'l"' �. G.�v��
0
�, t"', ,„
Page 1 of 5
J
�%
Town Hall Annex ?w Telephone(631)765-1802
54375 Main Road Fax(631)765-9502
P.O.Box 1179
Southold,NY 11971-0959 w
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
Section C.
Authorized Agent Information:
Name of Authorized Agent of dwelling unit, if any: 0C-
Address of Authorized Agent(no P.O. Boxes): Ccs 7-1 - A"t ^i (L64�1 y
Mailing Address of Authorized Agent: 'Z 4SO . r`"! rN (UrW 5 o,jr,,k-o�t> l l c(7 (
Telephone Number(s): Daytimea W-W()&ning Emergency, 6? 55-- 7Ggq
Email Address: I r 0 0,w oa'
Section D. r
Managing Agent Information:
Name of Authorized Agent of dwelling unit,if any. B�T� NT� v
Address of Authorized Agent(no P.O. Boxes).
Mailing Address of Authorized Agent: (o`�Sr I�, NY I a 5 Z
Telephone Number(s): Dayt4me
Email Address: Saa- \k o b e n. 66-) c o Vv,
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. Boxes):
Page 2 of 5
n1
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
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 persons allowed to occupy Dwelling Unit: g
Number of rooms in Rental Dwelling Unit: (8
Use and Dimensions of each room in Rental Dwelling Unit* 0'DI4•#1 iQ�-4"x i5'—I rr
C �ttftrv`#l - R=to"A 1l11-3` !D'-6,"
rOr-bh tI G t aarJ P F w41 . ` 1 _ ^
? N'T9-q-'V-2"r,c 161-'21 yzjPDIN. RM I`1�-g�k?a�lD"�/ rat=atZnL *1 11'-f'ic (51-61,
� Ir
iI a'..,x e r„,.. a _
B�rt�aft ct'-3"/ S'b2t�-6�e UrtLtry 1�r-[`x 17!yr
Page 3 of 5
Town Hall Annex ' Telephone(631)765-1802
54375 Main Road Fax(631)765-9502
P-0-Box 1179
Southold,NY 11971-0959 1'
1
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
�( 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 SvST//J (Aa" certify under penalty of perjury,the following:
1. I 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 1=1x11-Annex Telephone(631)765-18.02
5437d 5 Main Road Fax(631)765-9502
P.O.Box,1179
souLhold,NY 14971-0959
C;IL ING'DEPART3ONT .
TOWN OF SOLO'
applicable laws and rules,, i further acknpwfedge'tf at iwil`l notifythe Town of Southold
Building Department of any charrges of address within five } days of any changes
thereto,
3:. 1 have read and'.received a copy of Chapter 207 of-the Code ofthe Town of Southold and
agreed:to abide bythe.same,
4. 1 will notify.the Towrt.within five (5)business days as to any change t the informat1.6a
regarding Authorized Agent, Managing Agent., or Site Manager.
Property-.Owner's Name:,_
�✓STin/ �t r?t2,�
Property Owners signature:
Sworn to•beforee �. . clay of 0
O.fficiaf Notary w,l ubli Signature ani Original Notary Starnp
JORGE PAGAN
Notary Public, State of New York
Reg, No 01 PA6405160
Qualified in Kings County
Commission Expires March 02, 20-LA
Page 5 of 5
*' TOWN OF SOUTHOLD BUILDING DEPT.
' cou631-765-1802
INSPECTION
[ ] FOUNDATION "ISTROUGH PLEIG.
[ ] FOUNDATION 2ND INSULATION/CAULKING
[ FRAMING / STRAPPING FINAL
FIREPLACE & CHIMNEY FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) ELECTRICAL (FIN L)
[ ] VIOLATION [ ] / NTAL
REMARKS: _.
w
6,
c _, PDATE
INSPECTOR' °` �
8
Town Ha11 Annex Telephone(631)765-1802
54375 Main Road Fax(631)765-9502
P.O.Box 1179
Southold,NY 11971-0959 w
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
RENTAL PROPERTY CERTIFICATION
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
P'ro e ional sea]required Lor Architect or lin inee �icen aed lYorne lns eclat rnust ravide
copy of valid current certl rcation
Rental Property SCTM Number: 1000— (0 2, _D 1 — 3 '�—
Rental Property Address:�4-1B
Owner/Name:
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.)
RM 441 t- 15 eDa #
Property Description (Include all improvements indicated on survey)
F"E'slDElfCE 4vSVJC G+" L .A C
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 Con ictio a of New
York State.
a
Print Name and, itle ., i Original Sign r
11 VIP!,
s
V 1, bm
Please place professll sem °
s� .
FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
no: Z-27315 Date: 09/25/00
THIS CERTIFIES that the building ADDITION & ALTERATION
Location of Property: 4782 ALVAH'S LANE CUTCHOGUE
(HOUSE NO.) (S'T'REET) (HAMLET)
County Tax Map No. 473889 Section 102 Block 1 Lot 3.4
Subdivision Filed Map NO. Lot NO.
conforms substantially to the Application for Building Permit heretofore
filed in thio office dated JANUARY
._,1989 pursuant to which
Building Permit No. 17761-Z dated ,JANUARY 17 1989
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 ADDITION & ALTERATIONS TO EXISTING ONE FAMILY DWELLING AS APPLIED FOR.
The certificate is issued to CASTELLO DI BORGHESE _ LLC
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF BZhLTH APPROVALw N/A
ELECTRICAL CERTIFICATE NO. H-060729 07/23/98
pLUMMS CERTIFICATION DATED -------N/A
Auth ri ed signature
Rev. 1/81
FORM NO.4
i
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold,N.Y.
Certificate Of Occupancy
No. .. 2,1.5149. . . . . . . . Date . . .December. 301 . . . . . . . . . . . . . . .. 19 . 86
THIS CERTIFIES that the building . , , , Accessory b u i l d,i ng . . . . . . . . . . . . .. . . .. .
Location of Property „4,785 Alvahs Lane . . .. * * Cutchogue , New York
Nouse Otid"oN • � . Street . • . « , . • • • • �Nrill�t
County Tax Map No. 1000 Section . . .1..2 . . . . . .Block . . 0.I. . . . . . . » . »Lot . . . .. . . . . . . . . . . . .
Subdivision . ., . . . . . , .. . . . . . . . . . . . . . . . . . . . . .Filed Map No. . . . . . . . .Lot No. . . . . . , . , . . . . .
conforms substantially to the Application for Building Permit heretofore filed in this office dated
November 8 , 84 135502
. „ . . . . . . . . . . . . . . . . . . . . 19 . . .pursuant to which Building Permit No. . . . .. , . . . . . . » . » . . . . . .
dated November 20 , + . . µ — 19 .S4,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 . .. . . . . . ,.
Relocate accessory building as applied for
The certificate is issued to , , LONG. ISLAND .VINEYARDS , INC .
(owner,l k. .
of the,aforesaid building.
Suffolk County Department of Health Approval . . . . . . . , , , ,N A µ . . r » . . * . µ . . . , . . . . .. .
UNDERWRITERS CERTIFICATE NO. . . . . . . . . . . . . . „. . . » aN Fi 8 6 4«6 7 4 x * . » . . . . . . .
" . . . : . . . . . . . . . . . . . . . . . . . .
Building Inspector
Rev. i/a1
FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No 218201 Date JULY 21 1989
THIS CERTIFIES that the building POOL
Location of Property 4784 ALVAHS LANE CUTCHOGUE
House No. Street Hamlet
County Tax Map No. 1000 Section 102 -Block 01 Lot: 03
Subdivision Filed Map No. Lot No.�,
conforms substantially to the Application for Building Permit heretofore
filed in this office dated. JULY 17 1986 oUrsuant to which
Building Permit No. 15101.2 dated JUDY '18 1986
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 DECK ADDITION & POOL TO EXISTING ONE FAMILY DWELLING.
The certificate is issued to LONG ISLAND VINEYARDS INC.
(owner, XXXXXXXYJL XXX)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A
UNDERWRITERS CERTIFICATE NO. N656116 AUG_ 21 1984
PLUMBERS CERTIFICATION DATED N/A'
REPLACES B.P. #132012 JUNE 10, 1984
l ng In., ec or
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-27316 Date: 09/25/00
THIS CERTIFIES that the building ACCESSORY
Location of Property: 4782 ALVAH'S LANE CUTCHOGUEMM
(HOUSE NO. ) (STREET) (HAMLET)
County Tax Nap No. 473889 Section 102 Block 1 Lot 3.4
Subdivision Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated APRIL 18 1990 pursuant to which
Building Permit No. 18977-Z dated APRIL 24, 1990
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 TENNIS COURT IN REAR YARD WITH FENCE AS APPLIED FOR & AS
PER ZBA #4788.
The certificate is issued to CASTELLO DI BORGHESE LLC
(OWNER)
of the aforesaid building.
SUFF MX COUNTY DSP QST OF HEALTH APPROVAL w_ N/A
ELSCTRICAL CERTIFICATE NO. N/A
PL CERTIFICATION DATED N/A
Authori a Signae
tur
Rev. 1/81
i
I
„s
BEDROOM Y1
a BE ROOM G2 BEDROOM 43
247 SG.FT. - 788 SC.FT. 206 SOF:.
I
z !
STAIR
LANDING
L4=77�_
SBFT
EN av
S`Ai F. �\ FOYER PINING ROOKS
LANDING 178 SOFT. #�� 3±5 SOFT.
LIVING ROOT, /
1,4
653 SG.FT. -
tiBRARY -- 56KITSQN 9A1.1 -
170 SG.FT. _--- CAUYPRY 35'a SC.FT_ f73 SC.F'.'
_to
-\ � 17.,5 SG.FT.
C� RF,PORCH F:
t
tI
I
MAIN FLOOR PLAN
4782 ALVAH'S LANE
CUTCHOGUE NY
1000-102.-1-3.4
MAY 4, 2023
1/8" = 1'-0"
OFFICE SEDRM.#1 BELOW
187 SOFT (SPLIT LEVEL)
�A t
\ 48 S
'TAG
iANDING
BATHRM. LDW
(SPLIT LEVEL)
STORAGE6 UTILITY RM.
290 SQ.FT 241 SQ.FT. BEDRP.1.#4
290 SQ.FT,
WINE CELLAR _ P- -_
106 SQ.FT.
LOWER FLOOR PLAN UPPER FLOOR PLAN
4782 ALVAH'S LANE
CUTCHOGUE NY
1000-102.-1-3.4
MAY 4, 2023
1/8" = 1'-0"
{
3
TOWN OF SOUTHOLD PROPERT-,41,,,-�f 23 CARD
OWNER _ ,, =.F VILLAGE DIST. SUB. LOT
T — -- --
In
FORMER OWNER N E ACR
S �ryr TYPE OF BUILDING
RES, SEAS VL. FARM COMM. CB. MICS. Mkt. Value
LAND IMP. TOTAL DATE REMARKS
p
{
70
s
y 3_
co
co ate
-
, r5 ?31t�
m
R u �.
19 4f
Tillable FRONTAGE ON WATER - �
Woodland FRONTAGE ON ROAD v _�
Meadowland DEPTH
r a
4- BULKHEAD - moi'=
v,- •'
ct
Hausa Plot � ,� _ � -� v � � .� °` =� �� -� �: �.� � � -
Total
V)
k — . " I I I
—co,- c�
TOW,, ,,1,w%w24SOLD PROPERTY RECORD CARD
OWNER 'STREET VILLAGE DIST.z SUB. LOT
v
FORMER OWNER R.
S W
TYPE OF BUILDING
RES. SEAS. VL.
VARM COMM. CB. MICS. Mkt, Value
4�-
TOTAL DATE REMARKS -�v
LAND IMP. e--
3
J 3
AGE BUILDING CONDITION
NEW NORMAL BELOW ABOVE
FARM Acre Value Per Value
Acre
Tillable FRONTAGE ON WATER
Woodland FRONTAGE ON ROAD
Meadowland DEPTH
House Plot BULKHEAD
TotaL-- DOCK
COLOR TRIM
7 —---------
mwe* 6p
M. Bfdg'
Extension
Extensf' n.
on"
Exte
,-ns:qn
Both Dinette
Porch8 m Floors K.
Porch '� terior Finish LR.
v-
I Breezeway Firr�,,e Heat DR.
00�
Garage TyRooms I st Floor BR,
f
Pe,14cr- Recreation Room!
Rooms 2nd Floor FIN, B
0. B. Dormer _r*vC;'V0v
I Total
173
E
s
i C¢E O :RI,.
t z
E
E e
a
c f
i
S
I Extension
Extension -
Extension 4
- = ;Foundation Bath Dinette
j � a
I Parch — .'Basement Floors K.
Porch Ext. Walls Interior Finish LR.
Breezeway iFire Place ? Heat DR.
A ,Type Roof Rooms 1st Floor BR-
Garage r
I Recreation Room; Roams 2nd Floor FIN. B i
! Q. B. - Dormer Driveway
i
Total