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HomeMy WebLinkAbout1000-101.-1-17 41 TOWN OF SOUTHOLD Rental Fermi by �M 0741 Owner Michael McGrath Occupied as Single Family Dwelling Located at 16495 CR 48 Cutchogue 101-1-17 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. 9/15/2022 de afficial 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 1179 49� JZ115- Southold,NY 11971-0959 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. r-jtl 4,1_tA f( <0,1 vA- T3 Tax Map Number: 1000 SECTION )'DOE) D I -BLOCK l -LOT SECTION B. OWNER INFORMATION: Property Owner Name: 114-�L ON, Property Owner Legal Address: Property Owner Mailing Address: Al Ic GtAv 4o'vX, �IqKz A U �j !L Telephone Number(s): Daytime v1 Evening Emergency co Property Owner Email Address: k 0 Page 1 of 5 Town Hall Annex Telephone(631)765-1802 54375 Main Road Fax (631)765-9502 P.O.Box 1 179 Southold,NY 1 1971-0959 CouPm, 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: 1 3 6 u 4&-o� 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." Z Rental Dwelling Unit Identifier: - z Requested Maximum number of persons allowed t9-occupy Dwelling Uni Number of rooms in Rental Dwelling Unit: Use and imensions of each room in Rental Dwelling Unit: ,w• a. c� S 1 Page 3 of 5 f �ig so , Town Hall Annex Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1 179 Southold,NY 11971-0959 Uri 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. d1 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) 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 41 54375 Main Road Fax(631)765-9502 CA P.O.Box 1179 Southold,NY 11971-0959 �MUM } 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. A Ai C ` Property Owner's Name: � (L I Am i�- Property Owners Signature: NNIE D.BUNCH Notary Public„alae of New Fork No.01 BU 55050 Qualified in Suffolk County�( commission Expires A01 14, Sworn to before me this 4ay of ffL q , 20� t? n- � { Official Notary Public Signature and Original Notary Stamp Page 5 of 5 TO OF SOUTHOLD BUILDING Di 631 -765-1802 o—woolm t INSPEC ION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION/CAL [ ] FRAMING / STRAPPING [ ] AL [ ] FIREPLACECHIMNEY [ FIRE SAFETY INc [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT REI [ ] ELECTRICAL (ROUGH) [ ] EL T ICAL (FI [ 3C VIOLATION [ ] P _ / [ _ I µmm p SCTM # _........._ _.MMM._ .� .. ._ ., a TOWN OF SOUTHOLD PROPERTY REQ , r Ob: �<:» VILLAGE ._ WNER.., .._ STREET I L ��.d E DIST. SUB LOT... .... "T ACR. REMARKS '' o b ...,,." k"i one k TYPE OF BLD. 44e� o56+ D v-� -1k 4/v PROP. CLAS S LAND IMP. TOTAL DATE .. ..4°° /� dN .._.i ° . ,' .'a (") 0 orf Li FRONTAGE ON WATER HOUSE/LOT BULKHEAD TOTAL L' b, �} A 1 TOWN OF SOU"' HOLD PROPERT RD CARS .m i i mi;«raa ...,.:.., „�arv,.,,.�„�rvisrrorr:^-mn,. :».,„ ,,.„�»m^rnmwnruwxa,rwmw,•^:.,,,^,�r ,m',,,,,,,,,,,, ,,,,,,,m�rr,,,.. mrr„wimm,.v,,.,, r.,,r uu✓�tw i,, ,,,�,.�u',,.W.,,,,.. ,.,. ,.c, ,z„w„u,mrw✓r,�, ,,,,.;:.,,,,,.i„�.,aan�rr�;,,,w,,,r,r�.�..+✓l�"trvG,.,,,°S'3�„. z,i ✓,r,, ,.... ar,.vr., r a::�...,,,i i..�,,.,,w ....,armnm�.rowarcvx✓„7waa.zurgr�,,,wYum..�,lzq, VILLAGE � �' STREET DIST. m SUB LOT � „ " ' "�� �I ,yFORMER OWNER E � � AC ya;i S W TYPE OF BUILDING ,�”r % ✓,,,,fid � nl J/1/ "j,0-4, h RES SEAS. VL FARM 1 COMM CB MICS Mkt Value f LAND IMP. J TOTAL DATE REMARKS r✓ . r a° .ter 4-4 �� ..x�....... a p ,, r ✓ w �f el ..c—ft L�,u. ...,. _„z;.� i � a � f ., .,,.--------- ----.,,. FRONTAGE ON WATER Tillable r W odl ndONTAGE ONR .G.._.._: OAD �� � ✓r� �° � ' � � � � . � .,�..�� �.,.��.._.. .w�,_ m.� ..�.m�_.��.,._�.._�,..�_.�,M ...... ...�. ..��,.....µa_, _.. �....,.,.. _,.... ... �......,,n , _,�.,, ,...._ 4 Meadowland DEPTH House PlotBULKHEAD ,,.�,�. ,�_. .,..,,. � ,..,..M.._�_ �................_._. .. ......... .._.� .,,,�,_...,_�. .. . .,,... ,_ ,...,.. ,.,.u, .... .,.,.,., .�.....,_,,,,..._.. mm_,,,,,,,,,..µ„ ..,,__�....,, .,�. ...�..�_... _�..., .....r�. ,....... ....�._,..__�...��,.,,�_�M..._._. .. . ._., Tota d ,OL. R TRIM f 9 I � r 6 f&. 1 f j s 101.4-17 3/2014 M Bldg ,. _I Extension ........._ r Extension 1, 1 Extension _..._ ..... _.._.. m... . .w... ..... .. . ..._.. ...._... _ _.., _ .,... . ,,..,�....�. ...,...�.�..M.M.. _.. .... _...... ._.. . mm....... . ......M.,_. . .1. _. . .Fo_ unlollor B th _. .. Dinette . _.,..m. _ _. ............ � ��� {Floors Porch 9C�osernent E,xt. Walls p„ � a ;y �, Interior Finish 'W r LR. ' ,e _.._... _., ... . . _... ..M _. ... _.._�. .._.�. .. .� .. . Heat ,�-, �m �% ' Breezeway fire PlaceDR. ... . .. . ... r..�� .. ��... ,...._ .., .�..._.. ......... Y Rooms 1st Floor amm � �� r a Roof o SBR Gara9e a �Jype �`...!,.. Recreation Rooms... ....�,. . .e..�.. ..� .. ......�_, ..__. .. ....._.__..�.w.d... .W. ,. .�., w_w __... Patio Rooms 2nd Floor FIN B _. Y j orrra r Drivewa O B. i , . ... _. m _._. ._ v_. ... ... .. m.... _ ...._..._. . _._ _ .. .,._ _ .. .. Total FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Clerk's Office Southold, N. Y. Certificate Of Occupancy No. i4w . . . . Date THIS CERTIFIES that the building located at *,S. Middle ,RONd. (027)Street Map No. .-I* . . . . . . Block No. XW. . . . Lot No. . . . Gnteh0 . .Isla . . . . . . conforms substantially to the Application for Building Permit heretofore filed in this office dated . . . . . . . . . . . .©0t . "tai:, 19 .71 pursuant to which Building Permit No. .55912 dated . . . . . . . . . . . .Qet . .28. • , 19 71 , 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 ftivate.one ftem ay 49e11 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . - 4 . The certificate is issued to . . .Leslie. Sate& 53p. • owter (owner, lessee or tenant) of the aforesaid. building. 110291 Svbjoct to completion of dock by owner Suffolk County Department of Health Approval jAb. TO 2.qt • 1.9'2• • L10 . . . . . Unde iters C*A # 117321 —77 ( { A 0 Mouse # 1 5 4-Wf. .. . . . . . . . Building Inspector FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Clerk's Office Southold, N. Y. Certificate Of Occupancy No.7fo2�. . . . Date J Ilk . . , 19. .75 THIS CERTIFIES that the building located 'at .NIS Middle Road . . . . . . . . Street Map No. . . .?a. . . . Block No. .XX . . . . .Lot No. .X= . . .91409 . . N.Y.. . . . . . . conforms substantially to the Application for Building Permit heretofore filed in this office dated Sept . 12 , 19. .3 pursuant to which Building Permit No. 0MOZ, dated Sept . . 14 19.7.3 , 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 Private accessary (storage}, hu.ilding The certificate is issued to . Le*3.�at Hates.& WifQ , awner$ (owner, lessee or tenant) of the aforesaid building. Suffolk County Department of Health Approval N•R•. UNDERWRITERS CERTIFICATE No. . At lit. . . . . . . . . . . . . . . . HOUSE NUMBER 16 j 49 5 . . Street . . .Middle. Road. . .(02.7.) . . . . . . . . . . .. . . . . . Building Inspector Town of Southold 8/16/2022 P.O.Box 1179 53095 Main Rd 4 OR Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 43337 Date: 8/16/2022 THIS CERTIFIES that the building HVAC Location of Property: 16495 CR 48, Cutchogue SCTM#: 473889 Sec/Block/Lot: 101.-1-17 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 6/23/2022 pursuant to which Building Permit No. 47996 dated 6/24/2022 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 built" HVAC system and water heater replacement to existingsin lefan ily dwelling as a� lied for- The certificate is issued to Fliss,Amy&Corey of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 47996 7/29/2022 PLUMBERS CERTIFICATION DATED 7/29/2022 rad Piec -h o e Signature vy �� I , cI 0 ' If ,n O ' .i ZII 13SO10 I ._,i i S. r � Vbs6l 6.bsZ£6 = _ 4 W0011039 Z W002l03S W00N ONIAII Irbs 04Z 13SO10 13SO10 (S 138010 o� Ln �! o 135010 z 6'bs4ZZ „. .... I .. � � 136010� 30tl2ltl0 I I f E. 4'bs C9 f 00 V is 516WOOiIHltl9 Hive N'bs 54t NNOIN iONINIG E WOOa03S S INTI Ili Ili �, � � � � ... ..._ .... H3MOH6 � �I I I .. l; I o 1 r p I z II I it rI I O j c i CA OD ml �r 1 II I ' i I I