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Home My WebLink About1000-103.-10-12 TOWN OF SOUTHOLD CP Rental Permit tr Q1` ate 0754 Owner Robert & Linda Kenney Occupied as Single Family Dwelling Located at 635 Strohson Road Cutchogue 103.-10-12 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. A 10/17/2022 ode nfo me t Official This Notice must be posted by the main entrance at all times pf S011T1�o -� Town Hall Annex .lam �, Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1179 Southold,NY 11971-0959 �y��UN1y tai BUILDING DEPARTMENT TOWN OF SOUTHOLD RENTAL PERMIT APPLICATION Rental Permit Fee$200 (Application must be renewed every two years) Section A. Property Information: Rental Proper y Address: A 3. OO Tax Map Number: 1000 SECTION _ -BLOCK IV-9 e SECTION B. OWNER INFORMATION: Property Owner Name: Property Owner Legal Address: Property Owner Mailing Address: oe,tj 'J� Telephone Number(s): Daytime Evening Emergency / Property Owner Email Address: OCT 0 5 2022 1 ; Page 1 of 5 TO.,. Town Hall Annex Telephone(631)765-1802 54375 Main Road CO- Fax (631)765-9502 P.O.Box 1 179 G.s�' Southold,NY 11971-0959 Qom. 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, 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 occupy Dwelling bni : Number of rooms in Rental Dwelling Unit: Use and Dimensions of each room in Rental Dwelling Unit: jr;;'2 Page 3 of 5 F SO , Town Hall Annex Telephone(631)765-1802 54375 Main Road JW to 5e Fax(631)765-9502 P.O.Box 1179 ® O Southold,NY 11971-0959 0 �` r�C4UM`I 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. q/ I 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) "" pp I nTiV 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 ®zov SO&��o Town Hall Annex Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1179 Southold,NY 11971-0959 p a 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: a`l 2/VJAf9- Property Owner's Signature: Sworn to before me this day of b` 20 � ficial Notary Public Signature and Original Notary Stamp MNEVALi:M MACCHIA NOTARY PUBLIC STATE OF NEWYORK SUFFOLK COWRY LIC.i0tVA50TW CO K EXE W 1X;Q 0� Page 5 of 5 aOF SOTtio / &*4 G U � (��S �„�• /� # TOWN OF SOUTHOL6 BUILDING DEPT. �ycourm,�� 631-765-1802 l 01/.— to _ (v INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [/FIRE LATION/CAULKING FRAMING /STRAPPING [ L FIREPLACE & CHIMNEY [ SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FI L) [ ] CODE VIOLATION [ ] PRE C/O [ RENTAL REMARKS: r DATEd 1� INSPECTORA Llk-� O�aOF SOUTy° ro (�iJ # f TOWN OF SOUTHOLD BUILVING DEPT. cou631-765-1802 l o-�, .. `p _ 11/ INSPECTION [ ] FOUNDATION 1 ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION/CAULKING [ ] FRAMING /STRAPPING [ ] AL [ ] FIREPLACE & CHIMNEY [ FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FI L) [ ] CODE VIOLATIO Ko [ ] PRE C/O [ RENTAL REMA KS: L-als. obV-0ttirn, DATE ANSPECTOR v 4 L.a- ky� 1 I- 1, r q - IQ .�Hj ,. BEDROOM t13-4 A- OCLOSET 77 c%> BATH 2 — •""`��' TRAY CEILING KITCHEN -: .. O.C.(TV-) FR ❑2 ��iC ...._ . .. CLOSET OF, WALLS _ RELOCATE EXSTING WINDOW _ LNMG' BEDROOM 2 EXISTING DOOR 1 t' TO REI" NEW WPIDOWSTO MATCH SWING - o 0 e+c-G�Ca�� i T aq J )�—JTHOLD PROPERTY RECORD CARD OWNER STREET VILLAGE DIST. SUB. LOT C 61 FORMER`OWPE N - E {� ACR. L1171 0 S W TYPE OF BUILDING RES. SEAS. VL. FARM COMM. CB. MISC. Mkt. Value 4 LAND IMP. TOTAL DATE REMARKS (APF Z _ 3.6 0 d12,6 ? � P,« A�'s=�P. 7.s- r�df "r>vdis Ff � OPS'. L/ -Tqq e. de n�zl r � : ^� �� 7 4 D6 �� sd S ime, -Rimilo.a�t r � M9 1900 Z//00 � f J I r` ir ® C--0Z6019-7 --A6 BV�qD1F)C0jjqq'Timzjj 1-,0 r7fiq - �C 3IN-14-700 . 12,11-7 Ll -7 q I Y#S; Li'VP'; NEW NORMAL BELOW ABOVE l f f C 1 -7 14 p e FARM Acre Value Per Value Acre Tillable 1 Tillable 2 Tillable 3 Woodland • I• / a ,z " e , e '. Swampland FRONTAGE ON WATER Brushland FRONTAGE ON ROAD ® House Plot D e 11600 Q DEPTH BULKHEAD Total DOCK ■E■■■■ ■M■■■■■■■mommum■l1■■ • • ■■■■■■■ ■■■■■E■■■■■■■■■■�I ■■ ■OMEN E■■■■■■®■■amo■■■tl■■� ■■■■■■ ■■■■■■■■■■■■■■■■Ni■■ ■■■■■■■ ■■■■■■■■EM ®m■ul■ ■■ ■■■■■■■■■■■■■■■■■■■■m�■■■■■■■ ■■■■■N■ ■■■■■ 1■■■■■■■■■■■■■■ ■■■■■EM E ■ ■IRIA■■■■MEMO■ ■■■ ■■■■O ■ ■■■■ DMM��u■■■■■■■■■■ ■:: ■ ■■■■■EN ■■■liffi�■■■■■■■■■■■■■■ ■■■ SIME■■■E■■■■■■■■■■■ ■■■■■■■■H ■■■■Mi" NOMM■■■■■■■■ . ■■■■■■■■■■■■■■■■iii■■■■■■■■■■■ Interior Finish •.. ` .u. .. ;. -76w-mo A,-!-I 4F� Town of Southold Annex 6/14/2013 P.O.Box 1179 54375 Main Road ��w` Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 36299 Date: 6/14/2013 THIS CERTIFIES that the building SINGLE FAMILY DWELLING Location of Property: 635 STROHSON RD CUTCHOGUE, SCTM #: 473889 Sec/Block/Lot: 103.-10-12 Subdivision: Filed flap No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this officed dated pursuant to which Building Permit No. 32396 dated 9/28/2006 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: one family dwelling as per ZBA 5624,dated 12/29/04, and"as built"accessory pergola as applied for. The certificate is issued to GRACE M KEHLE (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL R10-05-0061 4/24/13 ELECTRICAL CERTIFICATE NO. 3019354 4/29/08 PLUMBERS CERTIFICATION DATED 4/29/08 George Fredricks A riz �gn= uth o 11j, ��tF�,tcr Town of Southold Annex 7/1/2014 P.O.Box 1179 54375 Main Road P4 • q Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 36997 Date: 7/1/2014 THIS CERTIFIES that the building WINDOWS Location of Property: 635 Strohson Rd, Cutchogue, SCTM#: 473889 See/Block/Lot: 103.-10-12 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this officed dated 8/19/2013 pursuant to which Building Permit No. 38288 dated 8/28/2013 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: WINDOW REPLACEMENT TO AN EXISTING SINGLE FAMILY DWELLING AS APPLIED FOR The certificate is issued to Kenney,Robert&Linda (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED A�bffrized Si ture