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HomeMy WebLinkAbout1000-97.-8-4 TOWN OF SOUTHOLD Rental Permit 911, 0934 Owner Gianluca & Maria Gucciardino Occupied as Single Family Dwelling Located at 885 Little Neck Road Cutchogue 97.-84 Maximum Permitted Occupancy 4 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. 6/20/2023 odeo c nt Official This Notice must be posted by the main entrance at all times U/ { Town Hall AnnexTelephone(631)765-1802 54375 Main Road z Fax(631)765-9502 P.O.Box 1179 Southold,NY 11971-0959 BUILDING DEPARTMENT n03- TOWN OF SOUTHOLD ` RENTAL PERMIT APPLICATION Rental Permit Fee $200 (Application must be renewed every two years) Section A. Property Information: Rental Pro eq-, Address: y j 3S �1 �&C CUIC1,10 0C Tax Map Number: 1000 SECTION % N _ -BLOCK 12X, 00 -LOT - d SECTION B. OWNER INFORMATION: Property Owner Name: Property Owner Legal Address: Property Owner Mailing Address: � 37� 53LI Telephone Number (s): Daytime GqG �q einglo4(a Emergency C �� Q r C� 1 Property Owner Email Address: ..) �' Page 1 of 5 %Ikfj� SOO Town Hall Annex Telephone(631)765-1802 54375 Main Road iNF Fax (631)765-9502 P.O. Box 1 179 Southold,NY 11971-0959 BUILDING DEPARTMENT TOWN OF SOUTHOLD n / I / Mailing Address of Managing Agent: � if e-C, Telephone Number(s): Daytime '1 (QJ�Evening _ Emergency `Z Z /6 S Sr� Email Address: C14 Ct � 1 CSD C-0 SECTION F. PROPERTY DESCRIPTION: Number of Rental Dwelling Units on property: I, �. yj ,- 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 Urpt: L/ Number of rooms in Rental Dwelling Unit: +WC2 be ro 6 , Use and Dimensions of each room in Rental Dwelling Unit: __ � r Wil`) A_r� J 1 Page 3 of 5 ' Sol, �0 Town Hall Annex Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 Y.O.Box 1 179 ' 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. 131/l 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) 194,AI CA 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 Fax(631)765-9502 P.O.Box 1179 } Southold,NY 11971-0959 BUILDING DEPARTMENT Town 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: yG� td t @qA qt* Z-- Property Owner's Signature: 9- Sworn to before me this2A--)b"may of f(l 1=A�a 2002. ..� - Official Notary Public Signature and Original Notary Stamp It VICENTE M.CUNANAN NOTARY KJBL1C,STATE OF NEW YORK Regisuation W OICUS030964 Qwifmd in Quem county Commission Expi Jul ,2� Page 5 of 5 40 1o��OF S00Tj�� �V� � qAt �a4,-PO4 col/�o�j QTOWN OF SOUTHOLD BUILDING D "couwn,�� 631 .765-1802 �a'-� % 0-0 1 NSPEC I ON [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATIOWCAI [ ] FRAMING / STRAPPING --INAL [ ] FIREPLACE & CHIMNEY [ FIRE SAFETY IN: [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PE [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (F}I [ ] CODE VIOLATION [ ] PRE C/0 [� i REMA S: ti ri DATE L _ INSPECTOR g— 88, o TOWN OF SOUTHOLD BUILDING ID 765-1802 IN PECTION ] FOUNDATION 1ST [ ] ROUGH PL13G. [ ] FOUNDATION 2ND [ ] INSULATION/CA [ ] FRAMING NG / STRAPPING [ ] INAL [ ] FIREPLACE CHIMNEY [ FIRE SAFETY IN [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PI [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL {FI [ ] CODE VIOLATION [ ] PRE C/O REMARK t VAC DATE 3 7-iD 2-2- INSPECTOR .......... .......... ........... ........................................ .................... ...... ............. Ofe 1 wre-croe, b ill) 0 F TOWN OF SOUTHOLD PROPERTYRECORD )O'C)v� � m S.TR EETMM�M_�.. :m_:_., ..._..�..�_..�•.�.���,._._..;: �_ _ ....D_I.,.....T�` 5U...�..B... LOT w_._w,,..,,..._.......�_..��.....M_.._..,..,.__ _ MMMMMMMMM_M ...._,..,_..,_...�_:.:.,, 7" FORMR4OWNER; � ® .n � rr, �S f� " r , E ACR h �� �._. �� _ S w TYPE OF BUILDING " Ai ............ t. Value " RES J SEAS I VL FARM COMM CB. MICS Mk LAND IMP.>> TOTAL DATE REMARKS �.,„ �� r -271 n i �..,�,�, "' __.;.......,...:� ._::M._mm_M�� r �� ,�.,_.•_._.v.."r��' �,_��, /,.,,.,. ,,.�/� u G�7✓/�! , !,-. �Lfz G✓`i C�J>7 .e✓�.�,.�....,. ,��_...�'.�a1 Q' 'Y �,r�c o^�✓', _ .�_ e , ra Y96, , Le <7 �,i X�m a J M"q!1 N .,,�...� � m —�" .• __. AGE BUILDING CONDITION NEW NORMAL Q BELOW ABOVE t FARM Acre Value Per Value Acre mm . ......,.._ . � ___. _.... ,,,w_ ... FRONTAGE ON WATER � __.Tillable �.., I . , �,.........w .. .....ry _...... �......ry ..,. Woodland _mm. _. _,_.IT ._.._.. .._.....,, _._........... ,_ . G e `^ AGE ON ROAD _ Meadowland,,, �_I..__�_m�..__.v...._w......... .........__n_.__m..�.....�._ .,.,,..._._,_. ._. DEPTH �. .m...,.. .._,.�.. ...._,:,.�.IT�...���._.,.�._. ...... __....._.___W..rv_I_ ._w. .. _ ... .. ` ......tt.. _ ..._..... ._. ..,.. _ri_,_ _ _ ...._ ULNEA HouseB KD Total � DOCK d . m__. i 9e ti „i GR/Y,'7v,,Ir� . TRIM '' � �� r axT✓Hyiu/zf����lN1r��a�fujrm�u r�eri ,, ., �y / I� �� � 1'� � �,.' fJ ,.,..n.� ....,... ....,...� .�.,....... ...�...... ........G........,w ..4 ......x ..m_�.,:..,.,...�....,...i..,.w..........Y,«,..... ,. ....... ..� ..,�.� �. .,m i PUlI ✓1 1 1 ➢ �,,.� l 1 ,,, :�f fJJ /J�fl f l�r df r,�i i/ f�✓,'/i d f/G � 1,J�p%`f��1 '� � � � .,__�. ...� �,., ... Y ; f / /� fii ��'�rr��✓��r✓ / f off;✓�l� ��%�r� J�i��✓�,l�S i "f � � q a _.�_ ..._ ... ,., ..�,,, ..�m�. .., .._ __ iri ��r/�✓arw��f✓ //���aipy���f �� �r ci /J� r��l���i� ,. � ,i �,y91✓1��� � ft� „,/% ��i� 1 gills„%i�l ,� 6,n � � „„.�,....,... ..,' ./.r � � .. f f�-°" r ifn ffOi/f,/ ,����� � gfi. i, � /��t'1: �,J I � �, � ! •� .�„ _�m I � �..., f, �f Jg. � >^������ .cyf f� y(✓� ��. �� N H;��oe.,,-�;i�a% .,d .,�..� ..�, _ ....�.,.,,_,y. _ .�, �..,,� ,.W.�,._ � ., � .�,�.,.,...,.:.. ..�,.:... d�,,....., f � 97.-$4 9/2014 M, M. Bldg _i...._,. ..... ... . w M Extension _.._; _.,. _.,.. .,., �._ mm .. .w.... ...,,......, ..... .. .. .,,,, _ ..._. .... . _, . __ 1 Extension _. ... ... ... ....._.�......_..�._._.��.�., .�... .�__.�._ ...._. �.,.._.�... � � � � � _. 1 I I i Extension i. ...._...._. Foundation.m. Bath „ . ... ,..... Dinette ' Porch Basement Floors i K. ... _... ..._ .... .,_ �._.,._.__ Porch WO'l .. ..s�Is, ' Interior Finish Breezeway ._.._ _�.� ._ .N_ .:. ............ ....�,. Fire Place�. , .... Ext. x 2j� Jr 7 C� 72 t� L.Yp_..R .__... ..... . .... _..._m_.. __ ..._. _.. ._._...rv_ Ga ra e l �} r T e Roof Rooms 1st Floor BR _. _. ..., . . �. . . . .. d Floor rinl B ... .._ ..O Patio ", {/ + � � Dormer�Recreation Room�_.. . _.. ....., .�_,..._..... ,Dnvewa 2nd __...�__, w..�.._ �.._...__M._.... ....�_�,.�..M.; .._,MMM..........._._._,.,__...__ oT _ v...._.._ _...,..®_ .... ._._ _..._......._ .,,.._. , p.. : ,_ —,,..��. .. . �.., .� � _........ _.._._� . ...- Tota _ Y ....Total �._w _,_..�.. _ . ._._,.�..,_,,.,.. ..� ...�.. 73 -7 t� FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Clerk's Office Southold, N. Y. ND PLA a5 Certificate Of Occupancy No. 2.5466. . . . . . Date . . . . . .September. 19 j. 1973., 19. . . . THIS CERTIFIES that the building located at . . Llttle. NeCI,.. Road. . . . . . . Street Map No. _XX . . . . . . . Block No. . i' . . . . . .Lot No. .%rX. . .Cutchoguo . . . . . . . . . . . . . . . . conforms substantially to the Application for Building Permit heretofore filed in this office dated . . . . . . . . . . December.49 19. 70 pursuant to which Building Permit No. .599.54. dated . . . . . . . . . . 19.7Q., was issued, and conforms to all of the require- ments of the applicable provisions of the law. The occupancy for which this certificate is issued is XrIW t e. QAC.:r0A 11Y. dW Q Wn$ . . . . . . . . . . . . . . . . . . . . . . . . . . . . . The certificate is issued to . . .C11'o, ,J,. �k rileen R... Ori"t o. . . . . . . . . . . . . . (owner, lessee or tenant) of the aforesaid building. Suffolk County Department of Health Approval . Dated.i. .Feb.e. .22,o. .1972. . . . . . . . . . UNDERWRITERS CERTIFICATE No. .f.P .5606 HOUSE NUMBER. . . 88.5. . . . . .Street. . . .13tt s. 1NAQ1;.RD.&4 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .cutchogue . . . . . . . . . . . . . . . . . . . . , , . . , . . _ . . . 4-(104 75 $gilding Inspector Ftlt Town of Southold 7/26/2016 P.O.Box 1179 53095 Main Rd Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 38412 Date: 7/26/2016 THIS CERTIFIES that the building ACCESSORY Location of Property: 885 Little Neck Rd., Cutchogue SCTM#: 473889 See/Block/Lot: 97.-8-4 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 1/12/2016 pursuant to which Building Permit No. 40415 dated 1/20/2016 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 GARAGE AS APPLIED FOR The certificate is issued to Mantione,Peter of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 40415 06-06-2016 PLUMBERS CERTIFICATION DATED ` s Auth ed Sigat e Town of Southold Annex 1/2/2014 P.O. Box 1179 54375 Main Road Southold,New York 11971 �C �gAx CERTIFICATE OF OCCUPANCY No: 36679 Date: 1/2/2014 THIS CERTIFIES that the building RAMP Location of Property: 885 Little Neck Rd,Cutchogue, SCTM#: 473889 Sec/Block/Lot: 97.-8-4 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this officed dated 12/9/2013 pursuant to which Building Permit No. 38588 dated 12/23/2013 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 BST"HANDICAP RAMP AS APPLIED FOR The certificate is issued to Embrey,Catherine (OWNER) _ of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. i PLUMBERS CERTIFICATION DATED Attth Si attire