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HomeMy WebLinkAbout1000-110.-5-29 g TOO`WWVWN OF SOUTHOLD Rental Permit 0705 Owner GNP Solutions LLC Occupied as Single Family Dwelling Located at 505 Southern Cross Rd Cutchogue 110.-5-29 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. 7/18/2024 ode � � t Official This Notice must be posted by the main entrance at all times / - � C1F S�1fP/y S O` S �f CAJ TOWN OF SOUTHOLD BUILDING DEPT. 631-765-1802 �l INSPECTION [ ] FOUNDATION 1 ST/ REBAR [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION/CAULKING [ ] FRAMING / STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) [ ] CODE VIOLATION [ ] PRE C/O [ ] RENTAL D :rKS: io w� DATE �WA INSPECT Town Hall Annex tiYxa �` w,, Telephone(ba t)'765- 802 Main Road P. O. � 5 P. O.Box 1179 k� � �<° Southold,NY 11971-0959 * I �.. 20 2-4 BUILDING DEPARTMENT 'UM IN0 `PT- TOWN OF SOUTHOLD TPWN )"SO"'MOl RENTAL PROPERTY CERTIFICATION Form is to be completed by a licensed architect, licensed engineer or licensed home inspector Separate form is required for each individual Rental Dwelling Unit Professional seal re wired for Architect or Engineer, Licensed Dome Inspector must rovide co of valid current certification q Rental Property SCTM Number: �-S Rental Property Address: ` ', Owner/Name: „m Rental Dwelling Unit Identifier: Number&Square footage of each bedroom as depicted in the attached floor plan: (i.e. Bedroom#1 -100 sgft., Bedroom#2-90 sgft., etc.) 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 prosisions 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,the Fire Code of New York State,the Property aintenance Co tate and the Energy Conservation Construction Code of New York Nov Print Name and Title Original Signatur t Please place Professional Seal: 31w� �M l TOWN OF SOUTHOLD camRental Permit 0705 Owner GMP Solutions LLC Occupied as Single Family Dwelling Located at 505 Southern Cross Rd Cutchogue 110-5-29 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. 7/20/2022 C de E orc rcial This Notice must be posted by the main entrance at all times Town Hall Annex 0 ?, Telephone(631)765-1802 54375 Main Road }g� Fax(631)765-9502 P.O.Box 1179 .f Southold,NY 11971-0959 BUILDING DEPARTMENT TOWN OF SOUTHOLD RENTAL PERMIT APPLICATION Rental Permit Fee$200(Application must be renewed every two years) D L5 Do Section A. J1''' 9 ? 2022 Property Information: L'UgLDr,G DEPT. Rental Property Address: SOUTF--TtoLn 505 -S0 -& CkOSS kOerUE tiv 119-7315- Tax 19-735Tax Map Number: 1000 SECTION, 1 I n -BLOCK -LOT_19 SECTION B. OWNER INFORMATION: Property Owner Name: C-51MI9. SC)LyIDT�S' LLQ Property Owner Legal Address: Property Owner Mailing Address: CUA L dV 11-93!S-; C.UTz- t oG0i" N S/ I I c Vis. rad l Telephone Number (s): Daytime 77q 41t Evening Emergency Property Owner Email Address: A P 1 Pd le as o Page 1&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 Mailing Address of Managing Agent: Telephone Number(s): Daytime EveningW_ 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, 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: Number of rooms in Rental Dwelling Unit: 1J Use and Dimensions of each room in Rental Dwelling �`1 Unit», . �� 2' �Ef� t 3, I OF i5' )6 5 61 )r- 8' IN 1 031 -Sa op'- 2- 101 sq , :3 1 ?-I T44 140 -5-4 - Page 40 -5-4 -Page 3 of 5 Town Hall Annex Telephone(631)765-1802 Fax(631)765-9502 54375 Main Road P.O.Box 1179 ' Southold,IVY 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 W,oI 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 NEIN YORK) ) COUNTY OF SUFFOLK) I �I 1,JA"" M. PICGHt©("J6 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 Hall Annex _ Telephone(631)765-1802 54375 Main RoadFax(631)765-9502 CIA P.O.Box 1179 Southold,NY 11971-0959 s 4 #f %All �. 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:. �1 N � �I CC�-1'i O�� 66� ` R S�.LL6 Property Owner's Signature. ` YL� Sworn to before me tlT15-day of 2o.13 Official Notary Public Signature and Original Notary Stamp BQNNIE a.NUN6b Notary Public,State of New York No.01BU6185050 Qualified in Suffolk County Commission Expires April 14, 2ba Page 5 of 5 O��OFSOUTyO atu, t.Jw�/ CAJ�V� - * # TOWN OF SOUTHOLD BUILDING DEPT. 'cou631-765-1802 110.— 5', 1,1 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION/CAULKING [ ] FRAMING /STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTAX(FIL) ION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICACODE VIOLATION [ ] PRE C/OL REMARK • CC4 �� . Q �tii4ovo Al';Smolt DATE INSPECTOR Z_v'w ;.. .• Town Hall Annex 411L�i4 'Telephone{631)165-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1179 'A't �: •'{ Southold,NY 11971-0959 13UILDING DEPARTMENT TOWN.OF SOtTMOLD 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 ft fessional seal reeired Lor Architect ur Bntltneere.licensed Home Inspector mostprovide cagy of Ealed CUr�rent ortl Watt!017 Rental Property SCTM.Number: ! ! a -- C9 -- 2 Rental.Property Address: 5 Som �,�. C(L-�_ (�' c Owner/Name: Gh - 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=go sq.,,etc.) Q (�f�f y/a �jQy 11 2�G�4 \ r - - lM np_ �� �_ 4�` p1 FN / b /.-e' Ct bv:]hw 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.eomplies with aii_the provisions of the Code of the Town of Southold,the Residential Code of New York State,the Building Cade of New York State,the Plumbing Code of New York State, the Fuel"Gas Code of New York State, and the Energy Conservatio Construction Code of New York State. D A PA fe-vesl Prina leyrO 16A rDriginal Signature Pleas Ae proo3esSio I: 14 F OF NES w..�o U6 crc _ _ � ' y� _ S�•I�t.. corb.�. 34K4 �aS yJia --.---.._..;..�__._-_�. _•; • 11IiiiV;9r' 11r �� � +1a ES 7'. I a k0.YaAy,�rxs..'. � �= C✓ � a d PaucR tea. a r/��ly 2 W� f .o•.cca anw f `- .�_..,.. 2Lo a3�1N• ry 1HV 3'arr<ar sa.Y�•=c. 37Pcu a -..-. )) i 24K5`` i z5x 7' 1 T2 S f' t L oO 1-'--LAhJ �{ Rff.;NO,45�`� H+Dare� ri 2� o+rcclo a. :tan tl-, 1 ♦t I ✓� + + t' =.,rte wX fv LA 1'$i Ile t O OAM*eratr, E.NO, 4-5 es 4- ; ID PJ UP PE-:..F�P_ jAj'5,4 -CO U,�Ks"Pc NO- 4 Z 'TOWN : OF SOUTHOLD PROPERTY 'RECORD to OWNER, STREET Q VILLAGE DIST.1 'LOT L S4 ri FORMER. OWNER N E CR. tQ-61,4S 4 1 �ld TYPE OF BUILDING ' Or b * 5-44 RES. 3 J Z, SEAS. I VL. FARM COMM. CB'. MICS. Mkt. Value LAND Imp,. I TOTAL DATE REMARKS J -7 t*70 4 vv Y)a bn 0'.hzke -Ab A 1ja r4- Du bon d 3 12-111 (–":T C-0 0-7 AGE BUILDING .CONDITION NEW I NORMAL BELOW ABOVE Per e —��o u FARM. Acre Value er Acre'cr TillableFRONTAGE ON WATER gal Woodlond FRONTAGE ON ROAD 9 Meadowland DEPTH House Plot &I Total j DOCK ............... nn' - 1,:. : # 'P Shy-(.,' .. � � �•V,6 •ti/ LOR ..� a .. TRIM .«.:.�,"M.n'n`:. TCR� .��:`:`>'' -:fit::;=, �A•..,t '�:..`.'�4�� I I � i >.rf.• ism,<.,Y. �.i 1 - '• ..�:.;+,,.. ,_^'., r" ,. xy�^`..s 4:;..w. tri. >'"'`' .:; 6'°,..,`-� I '.7 110.-5-29 3/6/2020 I 0 e „ P' I M Bid' �.s -1j, Extension} 41?Xf` I i i i I Extension. Exterisior b z • .C'rM / <. tJ yr Foundation (Bath !tet ` F�. ; r Dinette � Porc[i' Basement � �11 Floorsl� K. P 1S 41��'�b Ext. Walls �'' /r' 4 Interior Finish ;, LR.12 Breezeway l Fire Place f Heat DR. Gorage X 4, d jType Roof f"W Rooms 1st Floor BR. Patio` I Oecreation Room T ''Rooms 2nd Floor. FIN. B O: B. Dormer / r:' Driveway Total, j d.a'' k, �C( y= - L4 7 , FORM NO.4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Clerk's Office Southold, N.Y. Certificate Of Occupancy No. . .Z9$98 . . . . . . . . . Date . . . Maroh .18. . . . . . . . . . . . . . . . .. 19 .09 THIS CERTIFIES that the building . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Location of Property S.R . AQUVI. crols. R914 . . . . . . . . . . . Cutchv.�tae,,, N�'St• . . . House No. Street Hamlet County Tax Map No. 1000 Section . . . . .Block . . . . . . . . . . . . . .Lot . . . . . ?9 . . . . . . . . . Subdivision . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Filed Map No. . . . . . . . .Lot No. . . . . . . . . . . . . . conforms substantially to the Application for Building Permit. heretofore filed in this office dated OAPUTANV. 9.1 , , , , , 1979 .pursuant to which Building Permit No. . .:lq�r . . . . . . . . . . . . dated . . . . )RQv1P44Q37. 1.3 . . . . . . . . . . 19 .7.9 ,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 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . The certificate is issued to . . . . . . . . . ..5.tuart, NbPA . . . . . . . . . . . . . . . . . . . . . (owners 3&=t of the aforesaid building. Suffolk County Department of Health Approval . . .9~SO-105 ?/ �j,/80 R. �,, 1�.... . . UNDERWRITERS CERTIFICATE NO. . . . . . . . . . . .M4#9 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . i Building ns ctor Rev 4179 i FORM NO. 2 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERKS OFFICE SOUTHOLD, N. V. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N° 10473 Z Date ......�1ri�������.....�.�...., Permission is hereby granted to 7a C .../V /7C....... to ?........ at premises located at ..knl..Q.. .........,.TC 0.7-/( ...1.1�Q -L- ...Z0,fQ,0................................. ".......................................................................................................��,x fir, u�.....'a-?",.. pursuant to application dated 197�, and approved by the Building In+s'pector, Fee $.. P....�Zj'" �..... . . .... .y/ �nq wildiInspector •rr-x;;s� O'SM (K y Town of Southold 7/18/2022 P.O.Box 1179 o - , y Ph 53095 Main Rd �oy�0 ao� `Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 43267 Date: 7/17/2022 THIS CERTIFIES that the building RESIDENTIAL ALTERATION Location of Property: 505 Southern Cross Rd.,Cutchogue ' SCTM#: 473889 Sec/Block/Lot: 110.-5-29 Subdivision: Filed Map No. Lot No. conforms substantially tothe Application for Building Permit heretofore filed in this office dated 8/21/2019 pursu nt to which Building Permit No. 44136 dated 9/9/2019 was issued,and conforms to all of the requirements of the applicable provisions of the law. The occupancy for I which this certificate is issued is: alterations to existing single family dwellling as applied for. I The certificate is issued to Dubon Eleanor C Fmly Trt I of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 44136 7/1/2022 PLUMBERS CERTIFICATION DATED 6/22/2022 Na Picciorp I Arkullhori a Signature