HomeMy WebLinkAbout1000-84.-2-2.3 TOWN OF S UTHOLD
Rental Perrot
_ 0180
Owner 5200 Bridge Lane Farm LLC
Occupied as Single Family Dwelling - #1
Located at 5200 Bridge Lane Cutchogue 84.-2-2.3
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.
10/2/2023
Code E fore ent Officia
This Notice must be posted by the main entrance at all times
TOWN OF SOUTHOLD
Rental Permit
0181
Owner 5200 Bridge Lane Farm LLC
Occupied as Single Family Dwelling - #2
Located at 5200 Bridge Lane Cutchogue 84.-2-2.3
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.
10/2/2023 —>iI7.
Code E ori nt o�cia
This Notice must be posted by the main entrance at all times
VS
TOWN N F SOI I""I`I'IOLD BUILDING DEPT.
631-765-1802 o?-�
iMbPECTION
[ ] FOUNDATION 1ST [ ] 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 [Vl-"'R ENTAL
lev�v,
DATE9 � a _ _ INSPECTOR
.w
41
TOWN►WN F SOUTHOLD BUILDING DEPT.
631-765-1802
N*pE%ffqo,aT ION
[ ] FOUNDATION 1ST [ ] 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 [ 4ENTAL
Town Hall Annex
Town of Southold 54375 Main Road
Rental Inspection Report PO Box 1179
`'- PrI Southold, NY 11971-1179
Tel: 631-765-1802
Ph
Dat
SCTM# o .._ _.,.
Owner _ .._ .. �.., �. ... . . .. � ....... ...Phone
Owner ... ..... __. ..
...._....� . . �.._.. Visible
Address 40(...
Hamlet ! "�» _. 'Inspector e.
Floor Level Quantities Sub 1 2 3
Smoke ... . ......_-�not lo
.. �a _............ .. w.. ... _..
Detectors in bedrooms)
kDettors
... . ......... to r �. . ...u.. .... ....w.._.._ ....... . ._ . ... _.. ® . m_ . . _ wa.,..,... . .
Carbon Monoxide Detectors
Fire Extinguishers
Exits _
Bedrooms 1 5 6
Smoke Detectors dr
_ _
Egress
Occupant Count {
Building Systems Maintained & Operational Condition of Property
Heating Building interior
Hot waterBuilding exterior
_
_m
Electrical Property clean, radntairied & safe
,11
Mechanical Handrails & guards installed & secure
7'17-
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 Prior Rental
Comments:
SO , Town Hall Annex
Town of Southold 54375 Main Road
Rental Inspection Report PO Box 1179
` Southold, NY 11971-1179
� Tel: 631-765-1802
t _..
SCTM # Da e
I o�� a3
.Ph
Da
Owner _� ... ..... .. .LGone
.. ... . �..... .� .. _ ..
Address .Visible ._._
_ ,?t9O_ 44'4..
e
'Hamlet Inspector
Floor Level Quantities Sub 1 2 3
Smoke Detectors (not located in bedrooms)
Carbon Monoxide CarDetectors
,. ... _. ..,,.._, e....._ ....._
Fire Extinguishers
Exits
Bedrooms 1 2 ,. 4 5 6 ,.
Smoke Detectors
Egress
Occupant Count
Building Systems Maintained & Operational Condition of Property
Heating Building interior
Hot water Building exterior
ElectricalProperty clean, maintained &safe
& wards installedMechanical Handrails g led & 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 Prior Rental
.Comments
...
a TOWN OF SOUTHOLD
Rental Permit
0180
Owner 5200 Bridge Lane Farm LLC
Occupied as Single Family Dwelling - #1
Located at 5200 Bridge Lane Cutchogue 84-2-2.3
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.
9/27/2021 ' s
Code Enfor n Official
This Notice must be posted by the main entrance at all times
UWWN OF SOUTHOLD
T"W"'
A;
Rental Permit
0181
Owner 5200 Bridge Lane Farm LLC
Occupied as Single Family Dwelling - #2
Located at 5200 Bridge Lane Cutchogue 84-2-2.3
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.
9/27/2021 `s
Code Enforce n Official
This Notice must be posted by the main entrance at all times
Town Hall Annex
SOUTHOLD TOWN 54375 Main Road
a �• PO Box 1179 Southold,
Rental Inspection tion NY 11971-1179
6, Tel: 631-765-1802
Fax 631-765-9502
idn
i
tOPA 0100 111"Y,
�i!�Fr`� �I
��f/��<%��n�/l���b, ���rJf%azlVX�r�l�r2i'��,,,� 1�1r�1�°tr�G ad7f,Jr ifw�
L.El EU
n
Smoke Detectors( - bedroom°detect6r e cl cl d)
Carbon Ivtia6o ide 6etectc r ( );
Fire.ExtirigOiabidr ( )
Exits(
U01V[,�
m�r, d L7! t�tc!r' ;i,�r�"rka( As
arbdn Mo"h x1d' AY TE
BUILDING M
tarriia ),,.
1
heating sysitdih m6j,tdir
Hot water ay tdm,riga nt irid %per t10,00"""'A,
F r
Electricdl trn, antairiddceiitterlN Prcairty"fCgrl l' t f tr�rirttir► d
ldivan(ei a terra rnNntdi fo a",'.t
y
+ �
. � �
a
o
u � ,
Poeat iszrroaidt :nlgt»' ,
Paol Oresqht
Pocl surface,alarm ai d16 door al
present
t CIL. GATES I S Y hl ill a tre ufr un r lei- 1401
Self-closing, a lt-latching 6ax "cl � ranc bottm, arrir
Latch on pool aide of gate, meet i� i lit BgrrM r cq�a ble est t� fng(i cke t; child-
" �
roggiremept `
CClMlll ENTS:
1
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Town Hall Annex
SOUTHOLD TOWN
54375 Main Road
Ze PO Box 1179 Southold,
Rental Inspection_ NY 11971-1179
- Tel: 631-765-1802
Fax 631-765-9502
SCTM # r Date r
Owner 5--�,oa f�ft d Phone
Address(' Q c� pardcc 16 RPI ,
Hamlet o - Inspector
Address !alb from street?
LEVELS S UP 1, . 3
Smoke Detectors (#-bedroom detectors excluded)
Carbon Monoxide Detectors(#)
Fire Extinguishers (#)
Exits (#)
BEDROOMS
Smoke Detector Alarms (#)
Carbon Monoxide Alarms (#)
Egress (windows) (Y/N)
BUILDING SYSTEMS CONDITION OF PROPERTY
Heating system maintained/operational Building Interior is clean/maintained
Hot water system maintained/operational Building Exterior is clean/maintained
Electrical system maintained/operational Property is clean/safe/maintained
Mechanical system maintained/operational Handrails&guards present
POOLS / POOL BARRIERS Y/N
Pool present Pool is completely enclosed
Pool surface alarm and/or door alarm Barrier is a min. 48" high
resent
POOL GATES Y/N All openings in barrier less than 4"
Self-closing, self-latching Max. 2"clearance @ bottom of barrier
Latch on pool side of gate, meets height Barrier capable of being locked&child-
requirements proof when unattended
COMMENTS:
QA
t
TOWN OF SOUTHOL
3
Rental Permit
Permit No. 0180
Owner 5200 Bridge Lane Farm LLC
Occupied as Single Family Dwelling - #1
Located at 5200 Bridge Lane Cutchogue 84-2-2.3
Address Village S/B/L
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.
9/10/2019 John Jarski
Date of Issue Code Enforcement Officer
This Notice must be posted by the main entrance at all times
` £ TOWN OF SOUTHOLD
g Rental Permit
Or Permit No. 0181
Owner 5200 Bridge Lane Fann LLC
Occupied as Single Family Dwelling - #2
Located at 5200 Bridge Lane Cutchogue 84-2-2.3
Address Village 5/B/L
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.
9/10/2019 John Jarski
Date of Issue Code Enforcement Officer
This Notice must be posted by the main entrance at all times
Town Hall Annex �� Telephone(631)765-1802
54375 Main Road Fax(631)765-9502
P.O.Box 1 179
Southold,NY 11971-0959 + '
✓ :0
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
RENTAL PERMIT APPLICATION,
Rental Permit Fee$200(Application must be renewed every two years)
Section A.
Property Information:
Rental Property Address:
5200 Brill a Lane Cutcho ue NY 11935
Tax Map Number: 1000 SECTION -BLOCK ___2____--..,___ LOT_2.3 -
SECTION B.
OWNER INFORMATION:
Property Owner Name: Stephen Hannan
Property Owner Legal Address: Property Owner Mailing Address:
_B5_0 I Road Same
M-aphass§1 New Ygrk 11039
Telephone Number (s): Daytime 516 446 8923 Evening Same Emergency__SIme__......
�
Property Owner Email Address:
�"2g-,-c g 4 qW , etc-q-8
Page 1 of 5
X
Town Hall Annex Telephone(631)765-1802
54375 Main Road � Fax(631)765-9502
P.O.Box 1 179 Po4ry"
Southold,NY 11971-0959
�pUNTV
u: Cre
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: 2
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:
Number of rooms in Rental Dwelling Unit:_ _
Use and Dimensions of each room in Rental Dwelling Unit: I) Livi gr 5'
2 Storagejlaundr 8'xl9.5 31 Mud room 6.5'x7.5%4 11.5"x]2'.5) BgbXDj "' 5",�
Bedroom#5 8.5'x9.5% # ,` 0,1V
Page 3 of 5
Town Hall Annex Telephone(631)765-1802
54375 Main Road Fax(631)765-9502
P.O.Box 1 179 V1,
Southold,NY 11971-0959
BUILDING DEPARTMENT
TOWN OF SOLTTHOLD
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
❑ lam 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 , 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
q � era
Town Hall Annex Telephone(631)765-1802
54375 Main Road �� Fax(631)765-9502
P.O.Box 1179 h
Southold,NY 11971-0959a
BUILDING DEPARTMENT
TOWN OF SO :1'THOLD
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: Stephen flanti-a-11-
Property Owner's Signature:
Sworn to be ore me this day of ✓lSL 20
_42."...", �2
Official Notary Public Signature and Original Notary Stamp
LESLEY T. CASSIS
NOTARY PUBLIC-STATE OF NEW YORK
No.01 CA6024242
Oualified in New York County
My CornmisSion Expires 05-03-2023
Page 5 of 5
Town Hall Annex a ri Telephone(631)765-1802
54375 Main Road Fax(631)765-9502
P.O.Box 1179
Southold,NY 11971-0959
BUILDING DEPARTMENT
TOWN OF SOUTHOM
RENTAL PERMIT APPLICATION ADDENDUM
Rental Dwelling Unit Identifier: Unit 2 C ..
Requested maximum number of persons allowed to ccupy each dwelling uni W ,3
Number of Rooms in Rental Dwelling Unit: 7
Use and Dimension of each room:
I Liviit roOIT) I I'xI6' 2 inin area 1)'x'12" 3 Bat�"� � ,' 11,KXL4.51
5 Bedroom#1 8.5'x11.5' 6 Bedroom#2 8.5'x9' 7 Bedroom#3,8,5 '
Rental Dwelling Unit Identifier:
Requested maximum number of persons allowed to occupy each dwelling unit:
Number of Rooms in Rental Dwelling Unit:
Use and Dimension of each room:
Rental Dwelling Unit Identifier:
Requested maximum number of persons allowed to occupy each dwelling unit:
Number of Rooms in Rental Dwelling Unit:
Use and Dimension of each room:
12-1 171
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TOWN OF SOUTHO►LD BUILDING DEIN.
� arrrt, � 765.1802
INSPEEOCTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INSULATION
[ ] FRAMING /STRAPPING trINAL� `t
[ ] FIREPLACE & CHIMNEY [ FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL)
[ ] CODE VIOLATION [ ] CAULKING
REMARKS:
rl
A ft 1^ r,
US
T4- vv Lmoq_ c6fotoo WYA
DATE _ INSPECTOR Ilk
TOWN OF SOUTHOLD Y RECORD CARD
OWN ER - STREET z I VILLAGE DISTRICT SUB,
e_a OWNER N A FACE
IER'.
5r.1R L . x
i 3
'3
e S
> TYPE OF BUILDING
m -
� t
Ai
LAND IMP, TOTAL DATE R E.ACRS
ry
/17
. ,
3 ..
3 _
—3
CEMAN RM L
a - `• > s A _
x - a
E sr� _ Per Ac Value _ - - `
e
N Vq w
- _ 'l btu I - — - -
Tillable 2 �; �- - �` _
Tillable 3
Woodland
Swampland
>zis land --- — - a--
a
House Plot ---
a � _
o
a
TOWN OF SO,
VITHCXD PR" OPERTY RECORD CARD
OVER STREET VILLAGE FDISTRICT SUB. LOT
a
FORMER OWNER E s � ACREAGE
�
� _ v
TYPE OF BUILDING
S
¢. .
cRES ....: ,.r SEAS. VL. FARM CCs. INC? CB° MISC. —
LANDIr 1P. TOTAL DATE REMARKS _ � �� �_��
.,
a
Ar
s
CON
NEW „NORMAL BELOW ABOVE
Farm Acre s Value Per Acre Value
Tillable 1
Tillable
Tillable 3
Woodland
E
Swampland
House PlOt
_ - r
e
a
F
_ ._
v � \ .
01
84. 2-2:3 1/10
84.-2-2.3 1/10 _ x
1
ML
r=`d Foundation Bath ,
z
I,
Extension Basement Floors
07
Extensio Ext. Walls Interior Finish
Extension � g < Fire Place � Hent
Porch Attic
Porch Rooms 1st Floor
Breezewov' Patio Rooms 2nd Floor
Garage Driveway
�
s 761
_ a
E
13
L_
M. B[dg. aundation Bath
' 2� _ t arc. _ 7T
-
- — - - -
Extension Basement Floors
t
Extension - -- - �-t� golf Interior Finish
Extension t=ire Place Heat
Porch Attic
i Porch Rooms 1 st Floor
B-eew Patio Rooms 2nd Floor
3
Garage Driveway
O B.
FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
PRE EXISTING
CERTIFICATE OF OCCUPANCY
No.-- Z-22276 Date APRIL 23.L...1993
THIS CERTIFIES that the building 2NE_..FAMILY DWELLING
Location of Property_25455 COUNTY RD #48 & 5200 BRIDGE LA. CUTCHOGUE NY
House No. Street Hamlet
County Tax Map No. 1000 Section 84 Block_ 2 Lot 2
Subdivision Filed Map No. _qm— Lot No.---
conforms substantially to the Requirements for a One Family Dwelling built
r
Prior to: APRIL 9, 1957 pursuant to which CERTIFICATE OF
OCCUPANCY NUMBER Z-22276 datedM APRIL 23 1993
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 THREE ONE FAMILY DWELLINGS WITH ACCESSORY TWO CAR " AGE.
.AND TARGE BARN. DWELLING #3, DESIGNATED ON ATTACHED SURVEY
IS NON-iiBITA ix.
The certificate is issued to THOMAS L- SHALVEY & ORS.
(owner)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A
UNDERWRITERS CERTIFICATE NO. __ �, N/A
PLUMBERS CERTIFICATION DATED N A
*PLEASE SEE ATTACHED INSPECTION REPORT.
Bu �. T:nspecto�,., .
Rev. 1/81
h
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
HOUSING CODE INSPECTION REPORT
. . .0ROGUE,�.�.NY __...
LOCATION: ._......... iib COUNTY^ROAD [ b 5200 BRIDGE LANE ... .,.-_"micipa t
SUBDIVISION..-..-
NAME
UBDIVISION_.. .M..._w. _... .. MAP N0. IAT s} __..... ......... _...._.THOMASw.
_.._ . S... .. ..._.... �� ..
OCCUPANCY THREE R-1 0 - - OCCUPIED
NAME OF OWNER �s) ._ f....w+E
L HALVEY S ORS. __ .,,...
EMPTY TWO OC ...�...�,._,.,,...�«,.....
ACCOMPANIED ,..-..��..��.w.
OC .. .. ......._...............wv._.,.._......_�.. awe SAM11 E
ADMITTED BY: R IE �..BY
OURCEKEY AO REQUEST...�µw THOMAS SHALVEY, SUFE CO.. TAX MAP NO.DATE 00APRIL222, X1993
DWELLING:....w.µ MAIN HOUSE - DWELLING 11
..�._...
.......,. ..RAMED _.,._... ---
0 STORIES� 2 .. 11 EXITS_,,,,4...... ....... _w__,
TYPE OF CONSTRUCTION STOOD OD-- .......�. w ...mm... . W .
CELLAR PARTIAL CRAWL SPACE
TO�AROOMS:_._.wIST PLR ..�..7,............ 2ND FLA. 4 3RD FL..._...„_...,..,..
_ON R _w.. ......_,. .M..,,,
BATHROOM (s).... _ w w®___ TOILET ROOM (s) .,. w._.w ...m......... UTILITY ROOM ..........
WPANTRY DECK, TYPE PATIO, TYPE
,". �.
BREEZEWAY FIREPLACE GARAGE
DOMESTIC HOTWATER YES TYPE HEATER GAS AIRCONDITIONING
TYPE HEAT OIL FIRE.._._D WARM AIR Ti% HOTWATER
OTHER:_
ACCESSORY
..,STRUCTTIMv S,.�y TWO
WOOD.,,. TWO CAR STORAGE, TYPE CONST..,......, ., _....
GARAGE, TYPE OF CO ,
E, 11 IAROF BARN, WOOD d T BLOC
µ �F � DWELLINGS TOTAL
�- -.......w OF THREE ON THIS PARCEL _..
OTHER: 2 OTHER ONE -FAMILY �
VIOLATIONS: CHAPTER 45 N.Y- STATE UNIFORM FIRE PREVENTION S BUILDING CODE
_..w_ RAIN Bq S1?i_I7,
__w ..._,..._...._ ........
DESCRIPTION
ART 124 2 5
LOCATION
_w CH.4 r
OIITSIDE NEEDS PAINTING BADLY
. NE'EDS NHW F
NEEDS MINOR REPAIRS ..._vw�._. ..W. .. _...._,_.w
BARN
...., .__m .._....w.
NEEDS MINOR REPAIRS ......",
TWO CAR GARAGE.. _..... ........................w.... _Hw...
NEEDSNEW ROOF BADLY .__�...w..�..__........ �.. .. ....._...........,_. .....ww�_.... ..
. ..... .........._.....,.
DWELLING 2
NO _.., w_ ..�.�..m.�._._.._..'.....,.... .w__...._,..............__. �. ...
_o�TOL..._aLG)1�`� WERE FOUNDM..w.._.... _ . .w..__.v..,.. ._ .ww._ _...._. ..... _..... .w...... _._.
DWELLING43..,,,,, _......r ....m,....,.....�..........�.�w.� ...._., ,._. ._....._................._._.,,,,.�_..w......_
......._,. THIS DWELLING IS n_,.�.M............... ...�.w.._..�..
NOH-HABITABLE IINTIL MAJOR REPAIRSA
-- NO WATER.
REMARKS: CHECK„µSURVEY FOR LOCATIONS OF BUILDINGS wON THIS PROPERTY. �r........_
DATE ON INSPECTION w_.....
_. �... � 30 - E� ...2:30.
3
INSPECTED BY. _. _..,.. _.....
: APRIL 22, 1
CURTIS W_ HORTON TIME START ,
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
HOUSING CODE INSPECTION REPORT
LOCATION: -- ..1...(;---......i ty�,"""', -- "' " "-
—. uni-cipa i
MAP NO. LOT (s)
SUBDIVISION ......
NAME OF OWNER (s) .............
OCCUPANCY
ACCOMPANIED BY:
ADMITTED BY:._. ..........
SUFF. Co. TAX MAP NO_
KEYDATE.,,,-
SOURCE OF REQUEST
DWELLING: DWELLING NO. 2 EXITS
WOOD FRA)�Kp t STORIES.—
TYPE OF CONSTRUCTION- - ----- CELLAR �W CRAW1. SPACE�_
CEMENT BLOCK
3PD
TOTAL ROOKS: IST FLR. 2ND FLR.--'..
UTILITY ROOM
BATHROOM TOILET ROOM (s)
DECK, TYPE _ti PATIO, TYPE.
PORCH TYPE
FIREPLACE GARAGE..._. ------- .......
BREZ7XWAYAIRCONDITIONING
DOMESTIC HO WATER
YgTYPE HEATER_ GAS y ......... ElOTWATER
Fr
TYPE BEAT OIL WARM .......................
OTHER:
ACCESSORY '�_
STORAGE, TYPE CONST.__,..,,,,__,,_,...........
GARAGE, TYPE OF CONST. ,.,,......... ..._........w......._,__..--....'
GUEST, TYPE CONST._.,,_,,,,_
SWIMMING POOL- ......
OTHER
VIOLATIONS: CHAPTER X 45 N.Y� STATE UNIFORM FIRE PREVENTION & BUILDING CODE
SEC..
C.
LOCATION
NO VIOLATIONS WERE FOUND.
............
REMARKS
INSPECTION APRIL 22 199
BY: T
INSPECTEDCURTIS W. BORTON IME START _ END
N m
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
HOUSING CODE INSPECTION REPORT
LOCATION: (municipality ....M.wwr...............__„._....... ... __....,
Sstreet �.�...m._w. .. .m_............�..�..,._. w.w._._....._.
MAP NO. LOT (s) .....,,.. _...._�.� ..., __.w.
SIIBDIVISION .... � _.....w...w....�.._..W......
NAME 0£ OWNER.
OCCUPANCY tenant
...., .._..............�.�.�...._.._...
owner-
ACCOMPANIED BY:
ADMITTEDBY:... .......... _ w-_....._ .-wµ. ... ..... ....._.,...-._ SUFE C” ...__ .
o.
REQUEST*L �.�.�..._..... _.. ..__�__...w. ..� _ T HAP DATE: ... _ ._.....,. .w....._....._.........
KEY AY?i.LA$L... ...,_... ..... �. NO• .�..._w_
SOUR£E OF
DWELLING: DWELLING SPACE_.....
N0. 3
_ 2
y�y OF CONSTRUCTION WOOD FRAMED 6 STORIES 1-I/2 d E%ITSW"
w..._... ......__�. ..,,..... �., . _.... .., ...r_W �w_ L. .....
... . ..._..__
�.��....�R��� �d�C ...." �_.,,....._�.,_R __.....1
CELLAR PARTIAL CRAW
Tarr r 2 FI
BATHROOM (s) TOILET ROOM (s) IITILITY ROOM
DECK, TYPE .....w._ ,...w. ...._ _..,
PORCH TYPH � PATIO, TYPE—-1—
BREEZEWAY
YPE......__....._..............„—.m......._......—..
__. R— --.ONE . FIREPLACE GARAGE_....ITIONING�..................�-
P TYPE HEATER._.. m... ...—........ ........ AIRCOND.....
DOMESTIC ......—..�..M........ NO�E � HOTWATER
NONE .........._......�.��.�_.....M..__.._._.�........
TEROTWA _ .._.._,.
DOMESTIC
E F1£AC... NONE "." L.Is—DwEL[IN�ISIN'C x=uA1i1°L°7+:V:__ .... .., ,... _ __.... _,_ ._4.._..._.. _...__.
ACCESSORY STRUCTURES:
GARAGE, TYPE OF CONST.,
STORAGE,
........ _...w..... ......._,.w...............__....�w
STORAGE, TYPE CONST-_.........M._.."...................,.........�.._w_...._....... ....ww.
SVD!IMING POOL GUEST, TYPE CONST....._.....
._. ...._................................................_........ ................._...._....
OTHER:
M._,........,..,._
_ ._I.O..N .b... BUILDINGILDING wCODE
VIOLATIONS: ER 45 N.Y. STATE FIRE PREVENT
ART_ .. ....S_E.,_C.w_..
.....
_
N.._ M._�_. ...._.........�.._ _.._ �_.w.,_...._.
INSIDEIO_. . w NO.. AT " .. DESCRIPTION .w..... ..... ........ ._........ .,. ...M....._...—.. ....., CH..45....— 124.3_�....w_...._.
_....�.�.�.....__.._..�_ .�.........M.w .... CH.45 a1243.7
� —..124.3.8 _
CH.45
PLUMBING
_.......
ELECTRIC MRR _ .., E CLEANS _.... CH.45 1243.1
O w. .....,_...RTY _�....._... �S ...........B.._ _AD....,w _. .. ....... —_......._..w242.5
ROOF 6 SIDEWALLS NEED MAJOR OUTSIDE PROPS A NEEDS TO � --
-.._._ CH.4 5 1
R WORK ....... . _.... ....
THIS BIIILDING�IS NON—HABITABLE IINTIL�I.. . A".....BEEN...L4R2UC���'�"_...—,.....,____......_ ..............M...W. ......
.w... .......�...............w.w_
REMARKS: ....................
.�............».....�......_....,._,.....�.�_...__�.,,.��......,......�......._........,,..�_....�........_.........._..,...�.�.........,..._......,._.............,,. ......,._.........,,.�..,.....�..
ATE ON INSPECTION'... IL 22�,
APRIL
1993
INSPECTED BY:
_. .... _ _._._...r ...
......._.u.� TIS W_ HOR
CUR TIME START EN
FORM NO. 4
-TOW" OF SOUTHOLD
BUILDI.NG DEPARTMENT
TOWN CLERWS OFFICE
SOUTHOLD, N. Y.
CERTIFICATE 01111::::�'� OCCUPANCY
No. Z...3084,.,a...,..,.. Date ...»,.,.,.......r.. �IY..........21�........... .. 1968....
THIS CERTIFIES that the building located at .....r .. i3 .................I................... Street
. . . r
Map No. ...................... Block'No ..................rt..
. Lot No .Ctthogt ;r...L. ..r.:. .. a ........
confornv substantially to the Application for �ildkng Permit heretofore filed in this office doted
?°� ,.. �C ....,., 1 �ti,"r,w�,, Pursuant t�.whicl-a building Permit N o a
doted ...rt.......r. «..,,,. .t...., ... .. and cgroforms to all of the requirements
via ` d,, q
of the applicable provisions,of the low. The, occupancy far. w ,tch„this certificate is issued is ......a.
The certificate is issued to A xr. ... ' .Y.rr ....r.r....................
. . .. ,.. .. . ... �. .. .. .. ..., ... . �C .. ...rtessee ar to". . rt
of the afaresi iti'buildinig. �; "fir jG' 6 J A L
'.e aer.r..lrr ra rt.w. rtr rrtr'r.daa J .:k.wrr Ora wa.R.wr..arr e.aa a. xrrr rta.m.rt
Bks ikfing Il111sj ct4:Nu.
Town of Southold Annex 4/22/2013
P.O. Box 1179
54375 Main Road
Southold, New York 11971
CERTIFICATE OF OCCUPANCY
Date: 4/22/2013
No: 36203
THIS CERTIFIES that the building DFCK
Location of Property: 5200 Bridge Ln, Cutchogue,
SCTM#- 473889 Sec/Block[Lot: 84.-2-2.3
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this officed dated
3/13/2013 pursuant to which Building Permit No. 37884 dated 3/25J20-1 3
---- - -ovisions of the law. The occupancy for
was issued, and conforms to all of the requirements of the applicable pi
which this cerfilficate is issued is:
, j�
QN
FOR
The certificate is issued to Shalvey Jr,Thomas &Spanos, James
(OWN.....,.
OWN E R
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
`-/'7Ath rized ignatt-e
Town of Southold 9/10/2019
P.O.Box 1179
53095 Main Rd
Southold,New York 11971
CERTIFICATE OF OCCUPANCY
ANCY
No: 40685 Date: 9/10/2019
THIS CERTIFIES that the building AS BUILT ALTERATION
Location of Property: 5200 Bridge Ln, Cutchogue
SCTM#: 473889 Sec/Block/Lot: 84.-2-2.3
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
8/29/2019 pursuant to which Building Permit No. µm44144 dated 9/9/2019
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 ll'l.i'I .,1''`°WIN 0 S TQ-& l '1'STING O E FAlv1'lL Y l ELL&Q Aga A1?l�;I I E►,�� .
The certificate is issued to 5200 Bridge Lane Farm LLC
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
.................. ... . u �... . _.Signature
FORM NO-2
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN CLERK'S OFFICE
SOUTHOLD, N.. Y.
BUILDING PERMIT
(THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL
COMPLETION OF THE WORK AUTHORIZED)
a
k
kNCO 7432 Date ....................J�'• '....... ............ ., I 9.7�..
i
Permission is hereby granted to:
... halxo .......................:..................
..................roU.0h.0 gu. ......................................
...............................................................................
to ..� �:C ..axu ,ua n�a n. nGa ce.s��a r.):..Barm...sLand...................................................
at premises located at A/.5... k ,' .. �3Z � €•-T� �. .......................................«.»..........................
............................I......................autcha e....:J;..1................«...........................................,..,....... .
pursuant to application dated .....«..................T-u )r....••••.23.....•••. 19-74, and approved by the
Building Inspector.
x
Fee $ ().wplJ............
AAir ..
Buli4"Inspector
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116121
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SEP 1 0 2021