The URL can be used to link to this page

Home My WebLink About1000-103.-7-27.1 f: aF TOWN OF SOUTHOLD f A 8 a, Rental Permit 0998 Owner Peter Manno & Jane Veeder Occupied as Single Family Dwelling Located at 595 Pequash Ave. Cutchogue 103.-7-27.1 Maximum Permitted Occupancy 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 Cot of r enaent Offi ial This Notice must be posted by the main entrance at all times W Town Hall Annex ,F Telephone(631)765-1802 Fax(631)765-9502 54375 Main Road P.O.Box 1179 "on Southold,NY 11971-0959 ` t V E SEP 8 2023 BUILDING DEPARTMENT TOWN OF SOUTHOLD Building Department RENTAL PERMIT APPLICATION Town of Southold Rental Permit Fee$200 (Application must be renewed every two years) Section A. Property Information: Rental Property Address: Ii_to 50,5 f L q h Prue, / ) Tax Map Number: 1000 SECTION D'j -BLOCK -7 -LOT SECTION B. OWNER INFORMATION: nn Property Owner Name: �� MG'nri t) Property Owner Legal Address: Property Owner Mailing Address: 3-6 Telephone Number (s): Daytimeg EveninEmergency Prop e °rer rn" "11Atdress: ' lr. yGtlMn µ , G . . " C •Cdyy1 Page 1 of 5 �' ► is my hetrtic d -4r, � j Dt� �DJok � (� ko t -Trh )rdlaht -� hu-t A t 6pha„ 4v J C4 horns t r wl [wvl,e. Th;s s Nod +. b-e 4 <11 me qq}�� ' � , W r,,,.l d ;u.►�- bac �so Ict v� -jti s., Town Hall Annex Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1179 < r t Southold,NY 11971-0959 .u,A BUILDING DEPARTMENT TOWN OF SOUTHOLD Section C. c i l'h e, V-* m al e s4 cov 6° Authorized Agent Information: Name of Authorized Agent of dwellinggun! , if any: Address of Authorized Agent (no P.O. Boxes):_ tEmergency Mailing Address of Authorized Agent:Telephone Number(s): Daytime_,,,,,_ : Evenin Email Address: YY►ore f-.11 Section D. 6>kuht u} s Managing Agent Information: cte^ V''' Cat,% inr�anw�c Name of Authorized Agent of dwelling it, if a y: G CLS Address of Authorized Agent(no P.O. Boxes Mailing Address of Authorized Agent: -- - � K- (#3- 8915 Telephone Number(s): Daytime Evenln Emergency Email Address: __.. .... _ _ _- �n�o „ VA 0A . o ► SECTION E. C�^`1 4-t`�u lav Inov�.e n�anac�,� SITE MANAGER INFORMATION: (require 6r ren properties containing 8 or more rental units) ju it ;✓ rin I U� is ✓ Cal 1 Name of Managing Agent of dwelling unit, if an �, in Agent no P.O. Boxes . �31 f� q 3'�� sg Address of Managing g Page 2 of 5 "w� ep'; Telephone(631)765-1802 Town Hall Annexe Fax(631)765-9502 54375 Main Road a P.O.Box 1 179 a +` r soulhold,NY 11971-0959 000 B011.1 1NG 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 to occupy Dwelling Unit: .. - .�-. lrse dti(oo nn s I j 1�1� U1�rl! d�h rr� Number of rooms in Rental Dwelling Unit: _- - h00vr, Use and Dimensions of each room in Rental Dwelling Unit: -- Page 3 of 5 Telephone(631)765-1802 Town Hall Annex r i Fax(63 I)765-9502 54375 Main Road tial, P.O.Box 1 179 Southold,NY 11971-0959 � � ` 3tia Www 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) per e V k e d$r „ certify under penalty of perjury, the following: 1. I 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 Telephone(631)765-1802 Town Hall Annex � � Fax(631)765-9502 54375 Main Road' P.O.Box 1179 Southold,NY 11971-0959 y"l COUNC I 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. �l- Property Owner's Name: �a n O-e d-e r Property Owner's Signature: z'jSworn to before me this day , 20 Official Notary Public Signature i otary Stamp SETH G BANK EMNY ry Public-State of New York N0.07 BA6427783 Qualified in Suffolk County mmission Expires Jan 3,2026 Page 5 of 5 TOWN OF SOUTHOLD BUILDING DI 631 -765-1802 3- INSPEC ION [ ] FOUNDATION 1ST [ ] ROUGH PL13G. [ ] FOUNDATION 2ND [ ] INSULATION/CAt [ ] FRAMING / STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY IN! [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PE [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FII [ ] CODE VIOLATION [ ] PRE C/O [ ei REMARKS: az, 49.tl e, /�a�a* ,�l � p I DATE INSPECTOR Aug 26, 2023 Town Hall Annex �� Telephone(631)765-1802 54375 Main Road "I Fax(631)765-9502 ;o N.- P.O.Box 1179 psi Southold,NY 11971-0959 BUILDING DEPARTMENT TOWN OF SOUTHOLD RENTAL PROPERTY CERTIFICATION Form is to be completed by a license architect, licensed engineer or licensed home inspector Separate form is required for each individual Rental Dwelling Unit Pro asst"anal asap re Fired dr ►rchitect crr n !neer licensed Flame lass actor rnrst ravide coAZ o valid current cerci lcotion Rental Property SCTM Number: Rental Property Address: 596 Peguash Ave. Cutchogue ,NY 11036 Owner/Name: Jane Veeder Rental Dwelling Unit Identifier: Number & Square footage of each bedroom as depicted in the attached floor plan: (i.e. Bedroom#1 -100 sq., Bedroom #2-90 sq., etc.) B nom 01 144 saft Bedroom #3 150 f Bedroom #2 100 s ft Property Description (Include all improvements indicated on survey) I certify that I have done a physical inspection of the subject rental dwelling unit and find that it fully complies with all the provisions of the Code of the Town of Southold, the Residential Code of New York State,the Building Code of New York State,the Plumbing Code of New York State, the Fuel Gas Code of New York State, and the Energy Conservation Construction Code of New York State. Victor Cornelius III CEO Inspector Print Name and Title ceo# 1216-0283 Origi al Signatur Please place professional seal: First Level Dining Room 11' 6" x9' 3" A, t P IV � uuu _ a 0 8 B 4 Sitting Area Deck 130" x 12' 0" a 15' 0" x9' 6" Closet Living Room e 25' 0" x12' 10" , 'r Closet . P ,. CO ON"o � ON 6 ,,.._ � t ��.... e UP Closet Closet REF Oft lo,-kd Level tiecoi i Master Bedroom a AL Bedroom 12' 4" x 12' 0" 13' 0" x14' 0" Bedroom DN 121611 x T6 Closet Closet Closet C,,,,,(,m -)b,,;.tj Ck 44.t CI-n,,- Second Level ............. Master Bedroom I it -0" Bedroom Eo n 12'4 x 12 ITO" x 14' 0"' C) Bedroom 4�r x00 1 2 m 0" Bedroom '11 V 71 P" Lowerwww... �.�. Level . r... -------- Basement 25' 6" x 25' 0" CCL 42W UP LL........................... ............. First V � ■ n s w Dining Room . 11' 6" x 9' 3" dj k 6 k ;IC V Sitting Area DNS Deck 130" x 12' 0" 15' 0" x9' 6" f Living Room Closet TOWN OF SOUTHOLD PROPERTY RECORD I - VI IST DIST STREET SUB. LOT ,g 3 i FORMER OWNER . ;, . „. E I44 I ACR S W TYPE OF BUILDING I e _ L T RES SEAS. 1 VL. FARM COMM. CB, MISC.�Mkt. Value LAND IMP. TOTAL DATE REMARKS _ ice. _ a' _a , t t p g t ACE LI� NDIT { f NEWNORMAL BELOW ABOVE _ I FARM Acre Value Per Value Acre4 _ Tillable 1 Tillable 2 Tillable 3 Woodland Swampland E FRONTAGE ON WATER Brushlond FRONTAGE ON ROAD House Plot I DEPTH BULKHEAD Total ;DOCK I I r i 3 � f s e r FRIM r r I r r . i \yV vo 3 I l I LLL s [ r I 103.-7-27.1 102016 — t M. Bld I _ Bath _ Dinette Foundation a I Exterior O 'Basement Floors w% r ' [K. - 4 n I Extension ;Ext. Walls , ,, t,Interior Finish i`.r, LR. Extension Fire Place `�,� i i DR. , Heat w { t Type Roof \ Rooms 1st Floor [BR 1a i 0 i Room :Rooms 2nd Floor! -FIN. B Porch -` r 'RecreationI Dorrrer t [ k � 1 Breezeway f Driveway i i I Garage IE O. B a , a E Total __ - I I Foam NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTNTM Town Clark's OfRee Southold, N. Y. Certificate Of Occupancy No. Z79.1-3 . . . . . Date . . . . . . . . . . . . . . . . THIS CERTIFIES that the building located at . g/g. . .pequ,&$h. Age . . . . . . . Stred Map No. xx . . . . . . . . . Block No.xx. . . . . . . .Lot No. . art. . . . .Gutoho a . . . . B'IY.• • • . conforms substantially to the Application for Building Permit heretofore filed in this office dated . . . . . . . . . . . .July. . 28, 19.7 5. pursuant to which Building Permit No. .81 o8y . dated . . . . . . . . . . .July. . .28. . ., 1975 ., was issued, and conforms to all of the require- ments of the applicable provisions of the law. The occupancy for which this cerdficate is issued is . .private •swi+mmin$ -pool -with. f'eneing.& Acee&sory* . . . . . . . . . . . . . The certificate is issued to .Dorothy. Kubacki. . . . . . . . o r. . . . . . . . . . . . . . . . . . . . . . . (owner, lessee or tenant) of the aforesaid building. Suffolk County Department of Health Approval .x.R.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . UNDERWRITERS CERTIFICATE No. . .N2,38989. . . . . . Aug. - 5 - AM. ... . . . . . . . . . . HOUSE NUMBER . . . . _ 59 . . . . . Street . . P.aquash .Ava . . . . C,utehaguo. . . . . . . .. . . C .�. . ^ Building Inspector � cyFfptkcsµ Town of Southold 12/8/2016 P.O.Box 1179 53095 Main Rd Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 38695 Date: 12/8/2016 THIS CERTIFIES that the building ALTERATION Location of Property: 595 Pequash Ave., Cutchogue SCTM#: 473889 Sec/Block/Lot: 103.-7-27.1 Subdivision:.µ. m. ®�.... Filed Map No. Lot No. conforms substantiallya_...._....�_......Apel._ to the Application for Building Permit heretofore filed in this office dated P g _... _._ tln 2/11/2016 pursuant to which Building Permit No. 40472 dated 2/19/2016 .�... was issued, __...... ' ued,and conforms to all of the requirements of the applicable provisions of the law. The occupancy for which this certificate is issued is: t filtl(' 1 �l "NM(t M 9 1) LABUI The certificate is issued to 595 Pequash Ave LLC of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 40472 10-26-2016 PLUMBERS CERTIFICATION DATED 11-22-2016 Brad Piecuch �i t( rized Signature STATE OF NEW YORK Department of State Division of Building Standards and Codes Uniform Fire Prevention and Building Code Educational Program VICTOR CORNELIUS is hereby awarded this Certificate signifying completion of BUILDING CODE OF NEW YORK STATE in the New York State Department of State Code Enforcement Educational Program, totaling 21 hours of instruction, on 2/4/16 W YORK STATE , John R. Addario, P.E., Director Division of Building Standards and Godes 171 DEMT /ENT This certificate is subject to verification with the OF STATEDe arty ent o State Training Record Database STAT DARDSAN CODES ISYS Education Department Sponsor