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Home My WebLink About1000-109.-7-4.3 g TOWN OF SOUTHOLD Rental Permit 0781 Owner Peter & Gretchen Lang Occupied as Single Family Dwelling Located at 825 New Suffolk Rd Cutchogue 109.-7-4.3 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. 12/1/2022 'r*Ce rOn of �al This Notice must be posted by the main entrance at all times 04 Town Hall Annex �Jx Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1179 Southold,NY 11971-0959 � r m�.p BUILDING DEPARTMENT TOWN OF SOUTHOLD 'I RENTAL PERMIT APPLICATION Rental Permit Fee $200 (Application must be renewed every two years) Section A. Property Information: Rental Property Address: Tax Map Number: 1000 SECTION 00 -BLOCK () . 0 -LOT iOL� _ SECTION B. OWNER INFORMATION: Property Owner Name: Property Owner Legal Address: Property Owner Mailing Address: NkQsV II - I'D y 0( Telephone Number(s): Daytime 6 5°5� 1 Evening Emergency t , 5 "° '3 rS3 Property Owner Email Address: C2 vv) P 14 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 11971-0959 � ` 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, 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: s 114 n Page 3 of 5 Town Hall Annex p �', Telephone(631)765-1802 54375 Main Road �;^ Fax(631)765-9502 c P.O.Box 1 179 ul Southold,NY 11971-0959 r_ . BUILDING DEPARTMENT TOWN OF SOLTHOLD 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 (9 N 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) �a-e<- , 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 0 N Town Hall Annex Telephone(631)765-1802 54375 Main RoadFax(631)765-9502 P.O.Box 1179 i1 Southold,NY 11971-0959 „� .�,f BUILDING DEPARTMENT TOWN OF SO HOLD 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: 1' Property Owner's Signature:— ` Sworn to before me ds day of �� I- Official Notary Publi' SidAatu4 and Original Notary Stamp mSANK .to y f'ulOf New York"07 3QuMfffeCo,nty"4y CommfssJan 3.2026 Page 5 of 5 � OTOIN OF SOUTHOLD BUILDING I 6131 -785-1802 1 �. . 1 INSPEC ION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSUEATIOWCAL [ ] FRAMING 1 STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INc [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PE [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FI [ ] CODE VIOLATION [ ] PR REMARKS: 00, 0 ............. DATE DA A110 1-loo" INSPECTOR Town Hall Annex N Telephone(631)765-1802 54375 Main RoadFax(631)765-9502 t P.O.Box 1179 w E � Southold,NY 11971-0959 " w 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 ero essional,seat required for Architect or Engineer, licerlsed home lras actor rrlclst rovide copy of valid current cerci cation Rental Property SCTM Number: �a a O D O Rental Property Address: (2 Owner Name: Ve-Ae-r arJ. 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.) _ 12 Property Description (Include all improvements indicated on survey) I 1 L & , 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. J a +�+1J Pel r.�'k r 0 AH Print Name and Title � Original Sig ature Please place professional seal: lo � OF 1 � TOWN OF SOUTHOLD PROPERTY R ' 9 `�� t a. OWNER STREET VILLAGE DIST. SUB. LOT �..:: FORMER OWNERN- E AtR_ F s S W TYPE OF BUILDING F w a s � _ C V RES .€ r� SEAS, VL. FARM COMM. B. MItS. Mkt. Value IMP. TOTAL g DATE REMARKS z Jt— Jv �IT v - s s a 0 -%0 _ AGE BUILDING CONDITION . _ a a� 3 NEW NORMAL BELOW ABOVE FARM Acre Value vs Per Value Ac re I Tillable ! FRONTAGE ON WATER Woodland FRONTAGE ON ROAD MeadowlandI DEPTH House Plot BULKHEAD Total DOCK i. t i a=e a t = t 1 E IT � t , ? - - COLOR 6 TRIM 21, IT i t t t [ € 6 € 's } A Bldg. - - Extension ,s _ Extension a _ E Extension i i ;Foundation I Bath v ,Dinette I I Perch;t��. 1 _ _ - a Basement -!Floors '. K. Porch Ext. Walls I Interior Finish LR. Breezeway Fire Place = Heat `DR. Garage 4 _ A 'Type Roof Rooms Tst Floor BR. Patio ; :Recreation Room 'Rooms 2nd Floor 'FIN. B - a F B _'Dormer 'Driveway -- t I Total i FORM NO.4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold,N.Y. Certificate Of Occupancy No. . . . Z1«483 . . . . . . . Date . . . . . . . . . . . . . . . . . . . .. THIS CERTIFIES that the building . , „ ,d e c k a dWd i t i o nµ w k M * „ , , w , w , , . . . . . . Location of Property 82. New. Suffolk Lane , y . . .Cutchogue . . . ..Y : . . Horise%1l0, . , . . . . . trarat . . . . . . 'Hamlet County Tax Map No. 1000 Section . . 0 9. . . . . . .Block . . . .07. . . « . . . . .Lot . . . .4:3. . . . . . . . . . Subdivision . . . . . . . . . . . . . . . . . . . . . . . . . . . « . . .Filed Map No. . . . . . . . .Lot No. .. . . . , . .. . . . . . conforms substantially to the Application for Building Permit heretofore riled in this office dated M a Y. ,?$. . . . . . . . . . . . . . . . 19 A§pursuant to which Building Permit No. . . . . . . . . . . . . dated . „ . ,�u n e« 7 ,, w 19 , 8 6 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 . . . . . » . . . deck addition to. ex,isting .one family. dwellin ., . , , , , , . . . . . . . . The certificate is issued to . . . . . , . , , , James, P .. & Duarte krton .(owner,lazeezatemmsix of the aforesaid building. Suffolk County Department of Health Approval , . , , . , , , , . N/A . , . , UNDERWRITERS CERTIFICATE NO. . . . . . . . . . . . . . . . . . . . NIA .. . . . .. . . . . .. . . . . . . . . . . .. . Building Inspector Rev.1/81 CurcH St��o►"� . .... .. . 5'q" ��............�.'�.�.� �� 1'2!A l � ....--.... .w ........a.. . .._... _._ m ..... ��2-5 � ., M CAD INS { s 1 i 30794 4f �y1tC�t Town of Southold 12/6/2022 53095 Main Rd Ag� r Southold,New York 11971 PRE EXISTING CERTIFICATE OF OCCUPANCY No: 13268 Date: 3/18/1985 THIS CERTIFIES that the structure(s)located at: 825 New Suffolk Rd,Cutchogue SCTM#: 473889 Sec/Block/Lot: 109.-7-4.3 Subdivision: Filed Map No. Lot No. conforms substantially to the requirements for a built prior to APRIL 9, 1957 pursuant to which CERTIFICATE OF OCCUPANCY NUMBER Z- 13268 dated 3/18/1985 was issued and conforms to all the requriements of the applicable provisions of the law. The occupancy for which this certificate is issued is: two,,sor w� od f"r Li iqn�°� ,ltaif�weilin an �t�l cl��i �ara� w �tEc��rllacnt al � rt� xeyp! 12/6/2022crwmt tcdl meanly oy.. ..�vc�l�n clescw°ik�ion. The certificate is issued to Lang, Peter& Gretchen (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED ..........e f, m- , ' A °W ' 14' .' . W*4Kµ 1k)t 1 ... ..__. _Ate tc .t^ . ..,....._ ._... ..... ........_.._._-__._ ze Signature i; FOR31 NO, 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Towu Clerk's Office Southold, N. Y. i Certificate C)f Occupancy No.Z562171 . Date . . . , , . . , . OV . . . 5, , , . . . , , , . THIS CERTIFIES that the building located at .E/5. . .New. .:Zu:r,71f. LRrlls, , Street Map No. , ?� . . . , . . . . Block No. . .xX , . . . .Lot No, T. . . .CutchoI�ue N conforms substantially to the Application for Building Permit heretofore filed in this office dated . . . , . , , . , . , t qg . . ., 197?. . pursuant to which Building Permit No, 60 5'L g dated . . . . . . . . .AV9. . .2$. . , , . ., 19. ,7.2, was issued, and conforms to all of the require- ments of the applicable provisions of the law, The occupancy for which this certificate is issued is . Private accessory building & fence z The certificate is issued to . . James Horton Cvner 1 (owner, lessee or tenant) S of the aforesaid building. Q a Suffolk County Department of Health Approval N' ,' . . . . . . . . . . . . . . . . . . . . . . . , . . UNDERWRITERS CERTIFICATE No. HOUSE NUMBER . .82.51 . . . . . . , Street , . . .Ne.w Suffolk Lane. Building Inspector a, a FORM No,4 ' TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy No. . . . z14837. . . . . . . Date . . , Auust. .26�. . 99`3.6 . THIS CERTIFIES that the building . , , , e c lc addition Location of Property ✓325 New, Suffolk [,pine . . . Cutcho House No, Street Hamlet. County Tax Map No. 1000 Section . . g. , . . • , .Block . , » ,Y 7 . . . . , . .Lot . , , ,rf ;3 Subdivision , M . . . - a . . . . . . . . . . . . . . » . . , , . , .Filed Map No, , . . . . . . .Lot No. . . . . . . . . . . . . . conforms substantially to the Application for Building Permit heretofore tiled In this office, dated may. ,28 , . , , , , . , . . . I . , . p 19 A$ pursuant to which Building Permit No. . .1 ! 95A 4, . , » . . I . 11 ° . dated June 7 , . , . . . . 19 , 86 was issued, and conforms to all of the requirements of the applicable provisions of the law. The occupancy for which this certificate is issued ig .deck„addition„to ex;lstin, one family dwellinj „ , , , „ , » The certificate is issued to . . . . . . . . . . James P„ & Dapl;� t Horton , , , , , , , , , , , , , , , , , , „ (owner,/as=# xta=t4X of the aforesaid building. Suffolk County Department of Health Approval . . . , . . . . . . . . N/ . . . . UNDERWRITERS CERTIFICATE NO. . . > . . . . , . « , . . , . . . . » N•�.A . . . . . . . . . . . . . . . • w . , . ° » Building Inspector Rev, 1/81 FORM NO, 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY NO: Z-32279 Date: TRIS CERTIFIES that the building ACCESSORY Location of Property: 825 NEW SUFFOLK RD wM_ CUTCHOGUE (HOUSE NO, ) (STREET) (HAMLET) County Tax Map No. 4738,,89 Section 109 Block 7 Lot 4.3 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated MARCH 12 2007 pursuant to which Building Permit No. 32816-Z dated MARCH 20 2'007 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" ACCESSORY SHED AS APPLIED FOR. The certificate is issued to DAPHNE M-HORTON (OWNER} of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH A-PPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED xuth.-,orized Sicinature-- Rev.