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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 c 1 � F 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 t7 1 I . 5 e MOW qd t fip � s ro x v i E iqokie J 3" Z. ------------ 2. LJ ti 6 0611 it qslrr � y ! 7 - 5- Te 4� 5-Te4�,c IQ f�a� Ar- I AVa 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 g; @ z' ' ..,.i 116121 IT SEP 1 0 2021