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HomeMy WebLinkAbout1000-95.-1-11.3 r TOWN OF SOUTHOLD Rental Permit 0733 Owner Peter Sperenza Occupied as Single Family Dwelling Located at 8805 Oregon Road Cutchogue 95- 1 s , '�> 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. 8/30/2022 C de Enf me fficia This Notice must be posted by the main entrance at all times SOUTH® -� Town Hall Annex Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1179 Southold,NY 11971-0959 �f r�QUIV t►,�� BUILDING DEPARTMENT D [ECz0V[E DD TOWN OF SOUTHMD J U L - 8 2022 RENTAL PERMIT APPLICATION EUMAING DE,PT. Rental Permit Fee$200(Application must be renewed every two yjarlsp OF SOUTHOLD Section A. Property Information: Rental Property Address: 1 4� Tax Map Number: 1000 SECTION -BLOCK �" -LOT SECTION B. OWNER INFORMATION: Property Owner Name: l( Property Owner Legal Address: Property Owner Mailing Address: o 0 ng'ZYNQ � I - 1 Telephone Number(s); Daytime(646) � Evening . i I Emergency i I Property Owner Email Address: \L ozkrckA z sn P YOR Cc) n/\ Page 1 of 5 i2e C,I d 2 3 L) 4�� SOUpy® . Town Nall Annex Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1179 - Southold,NY 11971-0959 p �` BUILDING DEPARTMENT TOWN OF SOUTHOLD 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: 'IV 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: Address of Managing Agent (no P.O. Boxes):. Page 2 of 5 {� S0 Town Hall Annex Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1 179 i Y� Southold,NY 1 1 971-0959 ®d�CoU19����� 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, 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: j Number of rooms in Rental Dwelling Unit: Use and Dimensions of each room in Rental Dwelling Unit: iuIV3 �dodv, YL C) i- Page 3 of 5 S 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 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 ❑ I 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) Y—`* Zf � „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 c � soU� Town Hall Annex Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1179 ® 0 Southold,NY 11971-0959 Q �` 000UN'1i,��� 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:. \4 jZk f Property Owner's Signature: Sworn to before me t I ay of d �� -20j)— Official NoIlIblic Sig t e an Original Notary Stamp AD F0 DFp''' � Z. C .4. Q.• 1D Nw NO 01 Mrl zoo x Page 5 of 5 ho��OF SOUIyO� — # # TOWN OF SO#JTHOLD BUILDIIAG DEPT. com, 631-765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION/CAULKING [ ] FRAMING /STRAPPING [ ] F AL [ ] FIREPLACE & CHIMNEY [ FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FI AL) [ ] CODE VIOLATION [ ] PRE C/O [ RENTAL REMARKS: LV"ier, ti C DATE INSPECTO OENERAL rYMBO L <>=T: NEVI WINDOW 9 DOOR CALLED OUT ARE ANDERSEN 400 SERIES;NEW WINDOW I DOOR SHALL MATCH EXISTING, INSTALL AS PER MAMI. SPEC.b. SEE PASE'A-200•FOR NAILING 6 5TRAPPIN6 DETAILS. Q S - Q O WINDOW 6 DOOR CHART .. p N _ LLI E%'STIN6 TO BE DEMOLISHED Q. HARD WIRE SMOKE DETECTOR I _ — ] —————— 19-T——— ——— W SM E"'' W f EXISTING TO P.EMAIN W BATTERY BACK-UP WINDOYV �,ALIil ROUGH OPENING WINDOW DIMENSION CLEAR Q. CARBON MONOXIDE C - TYPE MODEL e QD,W. I __———__— N Mry NEN WOOD FRAME(LB. CO DETECTOR _ _.___ HE 6fIT RE09,]4• •r,y r, ,••; --�. I a. ^ STL W'-EN APPLICABLE) WIDTH HEIGHT WIDTH HEIGHT OpB�tP Di 5.l 5F. I :. G (. I W TTI Q. HARD WiRm SMOKE AND CARBON A DOVBLEiUN6 TW210410 91-0 A" 5'-0�' 2'-II g' S'-O d• Sbl S.F. I I I I I 4 Z r N9'I PARTIAL ltElGfiT S�O NDNOXIDE DETECTOR COMBO _ _ - _ - -- _ IS)2'.l0• • i WOOD FRAME(Lb.STL. W BATTERY BACK-UP P:..IffADER e! ' I o T CRAYw-SPACE I I m l WHEN APPLICABLE) 50 CF . DAMPER T I —p-0—— j-1-�2• I I a I H-J If) r � NEW FOUNDATION WALL ® FAN W MDAMPER _ fL Y{b ® SSD C MIN.(2)2'x4'STRUCTURAL ® F.M.EXHAIFT 2 I i`I I Z O a. PL SAN a LI6Hi CONBP R O.5 POST FOR 4•WALLS /DAMPER T 10 N m O (MIN-(2)2Wi' iRL"WRAL 11 MECHANIC I- DN. MODIFIED _ EAI. Z POST FOR 6'WALLS),VDN. _ ��L�Ei a - Ti)?S.LVL 12A7R Q a. PLAN NOTE5 L----_— r 4b'—ij IIS• J OTYPICAL P CONS CONT FT6 l WALL D 00 L0N5TRUCTION, sMP•..ON N CTI D • (])]}b'P.T.SIL'PLATE W COPPER TERMITE SHIB.D AT LOID�nON E%IST. !rl\ :/_1l > l SILL SEAL POINF I l`LJIf !`L✓// / Z}(D ANCHOR BOLTS A$PEt PAG!6-°09 B 111///1\\//1��� _ J T•I O • P.COlL'.FOIRO.WALL A9 mER DETAIL UPON ,r \/ • P.LONG.EOCENE A9 PQ2 DETAIL WON ASPHALTIC MASnc DAMP—OF—TO CXFEWOR nip ° �Z N • BA.GRADE BEAM lb'BELCH CMY.DE MRL �.oewl EXISTING I •1LND A VENT N C(D SPACE FJ.o Ip•OL, o r�N • V2'EXPAV510N JDWT o PER:HLIETL OP S-A9 MLN AREA I N APPLICABLE) • STOOPS(W15NP MPLILAELF.IRRACS/PAn09/ kl� P.T.IDR I s-�=— P.T.MJR 4-1�3 MA50N r0 AYLOIMi F9R 050 FINISH STONE ON THIN SET u FLR LEI61R OP WALL!SLAB MLN—GAELE) NDLDOHN I ILu EXISTING I � °a = O HOLDOI'A'I AS PER DETAIL PAGE F1 o Ib'OL. ~ W ! EGRE15 WINDOW Q PROVIDE NEW E WNDOW W°r,BY FOLKHELL; I ITS ELME 5E¢IES'66'HXt]TI.OR EOIIY EM.I—AS TTI I � U J EXi.— A Q PER MAV.SPEL5. PJ o p'OL. ® I.ALL ICVIWI}IDOY6 t 00 S SMALL HATCH I I ._y.:. E%ISnVG,116iALL AS PFR MAW.SPEL.S.e� S.BSnTVNONS,5�TOT[D9 IN YiLAY H:NWHs �v AND DOORS'ON PAGE 6MJ0] I I f` 21F DOIB�H.N6-ALL DBL HNG vmIDw$TO BE mr WASH !.ALL 6LAZIV6 WITMM ID'OF FP TO BE}EMP.BL IN L01P—Kv LL•Yi—s-TE BN-D `* \ WDC.SCCTION R5 OX;M FOLLCKN M AN5 OF EGRESS SHALL BE FOLLOW®. a `lJ NET LLEAQ OPEC--S.T SF. NET LLFA¢IEI6M_2a•K.— V NET LLEP.Q WIDTH_-_20•Ml— p B M1 DOOR NOTE, L O I.INSTALL NEH RRERIOQ DOORS WLEN L.AL.Lm �R Q,T ON PLANS BY'.ELD-WEN'(OR EOIAU. ].R6TALL AJC'i EMERIOR OOOR�YBBN GALLED OJT ON q.AVS BY TI®WATWI'(OR EaaIAU. o IL S.WOR TYPE TO SELECT a,IN5TALL AS PER MAW SYL.1 - SE! /DOOR FRAMING :1 SEP PAGE 6-00!FOR FRAMING o ELR4H1F3TYP 1 DOOR AK 8 Q WINWWS(TT'P FOR AW UDA (y21,6•HDRVAN PROP05ED FOUNDATION PLAN STAIR t RAILING NOTE, _ (DI. ALL rSW STAIRS SHALL HAVE MAX.,-9/4•RI '755 SQUARE FEET SCALE:1/4'=1'-0' l MIN 10•Tr-RISERS SHALL BE LLO°.fD ,� _ 2. aY H'ON FiUA¢DRAIL l 59NDLP SPAGNG �� MODIFIED NOF TO PLLOW PASSAGE OFA 4•m SPHERE; L !6'MI6H HANDRAIL t SPIND_E SPA:INB NOi - 1�m u E%IST. TO ALLOW PASSAGE OP A 4'm 5^HERC HWOROON !. 6RDP/.15LE RAIL AS PER LOGE •%%- 5 6 LEJ`I LPUN7RY rsaal. W � l\-/i s�vbm O EXIST. O I.ICH ` /DRY I V .F-]•-4• v -0� _. 2. 51 COORDWLAAO.RWM L DOOR -I DIM.Y W 512E OF EL1A1 F 9.RtOViDE BOOK IAS AS RFA9 PER ND1 EX'ST. EK MAW. E%15T-Ewsr ex. I DN eX / DRYER EXHAUST NOT, Q I.DOLT SHALL TERMINATE TO E%FERIOR // ( I f O^EII;N65 MOD'FIED m IYi'�` EXIST. ].DUCT SHALL THtF9NATE MRL!b'FROM ANY �� ]-G' 6 LVLT SIZE A9 P8t MAW. 4.DIKT 5HALL BC C d—M W A BALKORAFT D=1 MPER I BEDROQ U S.TRANSITION OWTS S4ALL IIOT BE CONCEALED W'THIN PROVIDE NSW ' L01L TP:1Ln°N F ENIBLP TRAt61TON CULTS VSS TO SIZE L BILLO D.'.NOR e%ISr � Q OL.TELT M DRYS¢TO TIC IJm4uFii DOLT STSTEH INSTPLL AS PER ANI. Y I I SHALL BE LIMITED TO SINGL_ENGTHS NOT TO SPECS. EXISnNG E%1ST. MODIFIED O EXG550 6 FEET-D SHALL EE USTED ACID LAEELm M ACCORDANCE INITI UL 2155A r p EXHAUST OCL SMAC.BE NIN 0016'T1%..ID I 9'-0'—f .f—!'"0• 3'-0• I I p p ¢ METAL W SMOOM INTERIOR 5LP�ALES WRH JOINTS R:MNM9 IN THE IRE -Of Al.FLOW EXHAUST w OJLT55HALL NOi BE CD`°ELnO WTH SIEEi-METAL Iu EXISTING L—— �- !•_ !'-T' 5CREW5 6 F1DI6'OL. 1.MAX LENGTH 5HN1 N'OT EXCEED]3 FT FROM DRYER I (y 1.15x95 20E G4 LAM FDR. LOGATM TO )V.LL OR ROOF TERMMATOIL i1E - NEW EURIED g' aJ E21I2L /-24'-.r MAX LENGTH OF M DOLT SHALL BE R� ED 25 I H L PROPAL@ TAtA F�. F y 4•�!- FELT FOR EACH 45'BEND AVD 5 FEET FOR CALH 9O• G q Aj• �� SEND.TIE MAX LENGTH OF TiE ExIWFT OXT DOES WT W � O • (n NOT INCUIDE OXT.M TRAft InON EXIST.LIVING z I D OROOM. jl'-g' �. � Q fe'i •O LEW EMIAUST PAN SHALL BE INSTALLED YN¢RE O9VEMILA D 0 IS NOi INET BY LEANS W NATRAL NPLR NYS WME�SPDL4O9S2�31 ACES ASr �. 3;44� O INSTALL AS PER MAW.SPECS I OF NE.NN EXIST-DINING EXIST. ONEW MLLH ROOM, (. HALL HUNG LONEINATON LIWID I ROOM EXIS BEDROOM PROJECT- 2. BEDROOM • !PATI MROLlSH WALL SPFs 4.F1UE TIROLL� WD.FR LHAi�TIROV6H ROOF E%ISnNB S.DISCONVEGT,REROUTEIFQYQIIECT I PJ RI6'OL SP ERANZA EGVIPliTli TO ElU5n1{a PIPING AS REAS RENOVATION TYPICAL MECHMTE ANICAL ROONOM,, I. FOR h9.FR FLOOR-RtWIDE U]'LONG.BD.BT p1 SVROGK•(OR EOJAU 2 FOR WD.FR CCG.AIID/OR WALLS-PROVIDE N LAYER W 5/D'1TPE'K•GYP.BD.VL U905[OMR ON 8805 OREGON ROAD M ' TAJ.nA NAcenEOl ER A5 PER MAW. CUTCHOGUE,N.Y.11935 SFEL.b AND A5 PER NY5 MECIL AND FU[-16A9 LODE PROPOSED 5EGOND FLOOR PLAN 4.W!&N EXIST.I€Gl EDIIP.SHALL BE VERIFIED TXAT IT LOIFORM9 TO NYS MEW.AVD RFl BAS LDDC s.00.0 AIR VOJI.-@ A9 PER MAw.5FFL.�-IitP/IDE / REPAIR(LEVEL EXISTING -'755 SQUARE FEETSCALE,I/4° '-O' DRAWING TITLE: FRESH AR RRAIT FROM E%THUCR G HWD FR'''tm PORLM' EXI5ny5 LOVE¢ED = 6.NARRAIN OR PROVIDE NFiNALE,HOILER£LELTFVLAL 5:5'TER NTsI FJ nWOLkriHOJr PARCH y g,�oFF BITCH PRw1DE Nw 4•.6• PROPOSED FOUNDATION PLAN T.FOR BA9 Y-RViLe.PROVIDE GAs 5FIR OFF SMTLH NEVI P.T.°1L'POST vELKiN6 e.LocAn•.NELR EyR'.TO ALLOW FOR PROPER hRAPPED WIM PROPOSED FIRST FLOOR PLAN Ix PPP.; cLenRANCEs As PER co�E PRa`^DE ABN°62 BASE PROPOSED SECOND FLOOR PLAN 9.PROVIDE 5•FLOOR DRAIN r fgMELT TO CW5nN COWELT TO FOAOATION SAVITARY SY5TEM A5 PFR I—RUN® CADC HAL.ITlP). @)2'%12'OROPPm TOR. -—_ PD)2•X2•DROPPED HOR TYPICAL LEP601 BOA M II X — II I. 6)2'x P.T.W.TO MATCH I—I OF J IST9 PAGE: 2. SEGR©W(y 5/D'm X 5'LL'N6 H7.GAL LAG BOLTS o ID•OL. !. INSTALL HD.6ALV.J0151 HANGERS BY SIHP$ON'(OR - 4. PRP/1pE FLASHING nK.N-ED UIDEANEATN SIDMO l BENT OVER TOP EDGE AF LEDGER BD. I'd—DETAIL PROPOSED F I R5T FLOOR PLAN 9. SEE 8010 SQUARE FEET 51,ALE:1/4 .I'O DATE:03/09/20 1 E5 OF 7 C- .� TOWN OF SOUTHOLU PR )RD CARD /i OWNER " : STREET VILLAGE DIST. SUB. LOT o' .' ' ' .'i M"" "+: s it ' �1 F 1 $Ln, ACR. ' f REMARKS (( TYPE OF BLD. �"�ri"�;t' . 4 t"~a, ' �.+: � v'�' i '�.� 4 " '�.� ^�Jl�cav=n�, �'�t'�i �a�w^:� gig'. �. �• �• � �� ,j PROP. CLASS 3 LAND IMP. TOTAL DATE �� / 9 4y S a ('� r r w ice. la(-L ri , c;) -' :Y FRONTAGE ON WATER _ TILLABLE $' 4 --,Z?0 FRONTAGE'ON ROAD WOODLAND DEPTH MEADOWLAND BULKHEAD HOUSE/LOT '' -- - TOTAL tc,<.^ -!I -� TO OF SOUTHOLD PkOP OWNER STREET VILLAGE DISTRICT SUB. LOT SZ FORMER OWNER N V '. E r S A'j7;�A W r'� TYPE OF BUILDING (' / =� i��i,.s"�'�S h/ C GG . 4 �;-. t%L a- , S.,v1. If G:.�.:�r, t �Z.'% r;r J (/ RES. SEAS. VL. FARM COMM. I IND. CB. MISC. I j LAND I 110P. TOTAL DATE REMARKS r c v 'J Y " U l CJQ l� 3 O C� � /� � .I- /��/7•f- �,', l vafhL� Sft / /o hT 2:)L3 I '.) �-' I �..} LJ i� --,'-�-%. —�„_V t. —�i/ .� , --�-��/J' %! i [* ')' ti _`f 'z'? - .�-�� rri'i1 i�l�1.�f'✓'r —/is /rel ,j.Ffr r'`_f^—`'- ;z•`l t s BUL,LDI G CONDITION -- f NEW t NORMAL BELOW ABOVE I Farm Acre 4 Value Per Acre Value Tillable I. r Tillable 2 `' F Tillable 3 -------------- Woodland - --- -- - -------- ------------ Swampland j Brushland .- _. __-rte_'-�•_- --- -- .... ----- -- - - - - ---- ' --- ---------- ----— -------- House Plot _ �.- r�- 4. L, I ' T ctn 1 j I 1,/0 i I' I :41 $"1; A - ....... ..... % f A Y 95.4-11.3 1/12/2022: Z_ 711 tz Foundatf Both ion 6 M. Basement F ob r!� 51Q Interior'Finish' ''' Ext Wai 7. Ils, 00 e ,54Q� ­ I I " &0 1., . . Hboit I - 5. j ' 13C �W_ j. '6, V0 rch :.Aftic' bc A Rotch. ? if. Rooms Ist Floor I -,;t, (t-)• Rooms 2nd Floor 7- Oat D. A.0 JI 4 L b" 4 Town of Southold 2/14/2019 53095 Main Rd Southold,New York 11971 Yb �� f PRE EXISTING CERTIFICATE OF OCCUPANCY No: 40207 Date: 2/14/2019 THIS CERTIFIES that the structure(s)located at: 8805 Oregon Rd, Cutchogue SCTM#: 473889 Sec/Block/Lot: 95.4-11.3 Subdivision: Filed Map No. Lot No. conforms substantially to the requirements for a built prior to APRIL 9, 1957 pursuant to which CERTIFICATE OF OCCUPANCY NUMBER Z- 40207 dated 2/14/2019 was issued and conforms to all the requriements of the applicable provisions of the law. The occupancy for which this certificate is issued is: wood frame one family dwelling with covered porch and concrete and stone patio and an accessory wood frame barn/garage,accessory chicken coop and accessM pump house.* Note: BP 9229 addition to garden shed COZ-15693;BP 39156 electrical survey COZ40206 The certificate is issued to Domaleski,Theodore&Geraldine (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED *PLEASE SEE ATTACHED INSPECTION REPORT. u 0 ' ed Signature 4 i BUILDING DEPARTMENT TOWN OF SOUTHOLD HOUSING CODE INSPECTION REPORT LOCATION: 8805 Oregon Rd,Cutchogue SUFF.CO.TAX MAP NO.: 95.4-11.3 SUBDIVISION: NAME OF OWNER(S): Domaleski,Theodore&Geraldine OCCUPANCY: ADMITTED BY: Virginia Surozenski SOURCE OF REQUEST: Domaleski,Raymond DATE: 2/14/2019 DWELLING: #STORIES: 2 #EXITS: 3 FOUNDATION: stone and brick CELLAR: full CRAWL SPACE: BATHROOM(S): 1 TOILET ROOM(S): 1 UTILITY ROOM(S): PORCH TYPE: covered porch DECK TYPE: PATIO TYPE: concrete&stone BREEZEWAY: FIREPLACE: GARAGE: DOMESTIC HOTWATER: x TYPE HEATER: oil AIR CONDITIONING: TYPE HEAT: oil WARM AIR: HOT WATER: radiators #BEDROOMS: 3 #KITCHENS: 1 BASEMENT TYPE: unfinished OTHER: ACCESSORY STRUCTURES: GARAGE,TYPE OF CONST: STORAGE,TYPE OF CONST: pump house shed SWIMMING POOL: GUEST,TYPE OF CONST: OTHER: chicken coop&barn/garage VIOLATIONS: REMARKS: INSPECTED BY: JOHNJ DATE OF INSPECTION: 10/19/2018 TIME START: 10:38 am END: 11:10 am FORM NO.4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold,N.Y. Certificate Of Occupancy No. . . .?-.15693. , . • . . Date April , 27 , 1987, . . . . . . . . . . THIS CERTIFIES that the building . Addition t o garden shed. . . . , . Location of Property 8245 Oregon Road Cutchogue N.Y. House No. . . . . . . . • Street . . . . . . . . . . . . '. . . . . .. . . 95 •Hamlet 11 County Tax Map No. 1000 Section . . . . . . . . . . . .Block . . .1. . . . . . . . . . . .Lot . . . . . . . . . . . . . . . Subdivision . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Filed Map No. . . . . . . . .Lot No. . . . . . . . . . . . . . conforms substantially to the Application for Building Permit heretofore filed in this office dated May 5 , 1977 9229 2 • • • ' • • . • • • • • • • • • • . • • . pursuant to which Building Permit No. . . . . . .. . . . . . . . . . . . . . . dated May 5 , 1977 ' ' ' ' • • • • • • • • • • • • • • • • • • . . . . . 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 TO GARDEN SHED. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . The certificate is issued to . . . . .HENRY DOMALE SKI . . . .. . . . . . . . . . .downer, sv3h��Y. . . . . . . . . . . . . . . . . . . . of the aforesaid building. Suffolk County Department of Health Approval . . . . . . . . . . . .N/A A . . , , , , , , , . . , , . UNDERWRITERS CERTIFICATE NO. . . . . . . . . . . . . N/A . . . . . . . . . . . . . . . . . PLUMBERS CERTIFICATION DATED: N/A xed-4. . . . . Building Inspector Aev.1/81 rz Town of Southold 2/14/2019 P.O.Box 1179 53095 Main Rd Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 40206 Date: 2/14/2019 THIS CERTIFIES that the building ELECTRICAL Location of Property: 8805 Oregon Rd,Cutchogue SCTM#: 473889 Sec/Block/Lot: 95.4-11.3 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 9/8/2014 pursuant to which Building Permit No. 39156 dated 9/8/2014 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: electrical survey. The certificate is issued to Domaleski,Theodore&Geraldine of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 39156 1/11/2019 PLUMBERS CERTIFICATION DATED ho ' Signature o�sUFFQt,�cp� Town of Southold P.O.Box 1179 3/19/2021 o 53095 Main Rd y7j �ao�' Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 41895 Date: 3/18/2021 THIS CERTIFIES that the building ADDITION/ALTERA.TION Location of Property: 8805 Oregon Rd, Cutchogue SCTM#: 473889 Sec/Block/Lot: 95.4-11.3 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 3/11/2020 pursuant to which Building Permit No. 44825 dated 6/2/2020 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: alterations and additions including deck and outdoor shower stall to an existing single family dwelling as applied for The certificate is issued to Docs Farm LLC of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 44825 1/29/2021- PLUMBERS CERTIFICATION DATED 1/30/2021 Piecuch A o ' ignature