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Home My WebLink About1000-97.-6-12.3 TOWN OF SOUTHOLD Rental Permit 1013 Owner Paul Maus Occupied as Single Family Dwelling (Accessory Apartment) Located at 1155A Harbor Lane Cutchogue 97.-6-12.3 Maximum Permitted Occupancy 2 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. 10/27/2023 EnfQP641erfficial This Notice must be posted by the main entrance at all times r) ( ) . I da'ql'no P"-�-U'l, 4d6' • re- c.4 (oS3 16- Town STown Hail Annex Telepho►c: 631 Ii 5.1802 54375 Main Road ¢� {� Fj f o. 02 "� ter P.O.Box 1179 Southold,NY 11971-0959U Gid2023 '' q AUG BUILDING DEPARTMENT pepartment TOWN OF SOUTHOLD Building Towl,of Southold RENTAL PERMIT APPLICATION Rental Permit Fee$200(Application must be renewed every two years) Section A. Property Information: Rental Property Address: � C � � r -111 e "�" , Tax Map Number: 1000 SECTION 9 -BLOCK-_ � LOT P Z,3 ... PAlt-e.5 '15 15 PSS 0VbD,(- LA SECTION B. OWNER INFORMATION: Property Owner Name: / �f Property Owner Legal Address: Property Owner Mailing Address: Telephone Number (s) Daytime �� ' Z-�° ening Emergency Lllcef-,7 Property Owner Email Address: � E �� .... . ,. Pagel of 5 Town Hall Annex 0, Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1 179 Southold,NY 11971-0959 W ,r BUILDING DEPARTMENT TOWN OF SOUTHOLD Section C. Authorized Agent Information: Name of Authorized Agent of dwelling unit, if any:___� _..�..�.. ...w.µ Address of Authorized Agent (no P.O. Boxes): _�....................... Mailing Address of Authorized Agent: _ .. Telephone Number (s): Daytime___„Evening Emergency. Email Address: Section D. Managing Agent Information: Name of Authorized Agent of dwelling unit, if any: Address of Authorized Agent (no P.O. Boxes)-_._ Mailing Address of Authorized Agent: Telephone Number(s): Daytime Evening Emergency Email Address: SECTION E. SITE MANAGER INFORMATION: (requlred for rental properties containing 8 or more rental units) Name of Managing Agent of dwelling unit, if any: Address of Managing Agent (no P.O. Boxes): Page 2 of 5 N u Town Hall Annex Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1 179 �"a Southold,NY 1 1971-0959 r o . M SWM 'roux BUILDING DEPARTMENT TOWN OF SOUTHOLD Mailing Address of Managing Agent: Telephone Number(s): Daytimem_. ,_ 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: 4 . Number of rooms in Rental Dwelling Unit:...... 2 Use and Dimensions of each room in Rental Dwelling Unit: d ~- ...� �x�.�.�o�2`� r / Page 3 of 5 Town Hall Annex "e 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 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 ❑ 1 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) 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 Town Hall Annex °� A Telephone(631)765-1802 54375 Main Road z Fax(631)765-9502 P.O.Box 1 179 ;, a Southold,NY 11971-0959 *% u � 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: Property Owner's Signature: - .„,.��." 20R- Sworn to efore med this�day of Nk + �Y ADREAN NORTHRIDGE EIr York Official Not is Signature nd Original Not)t194 olk Cou Commission Expires Dec. Iti, l) Page 5 of 5 D 631 -765-1802 INSPEC ION [ ] FOUNDATION 1ST [ ] ROUGH PTBG. [ ] FOUNDATION 2ND [XFIRELSAFETY T"IOWCAI [ ] FRAMING / STRAPPING [ [ ] FIREPLACE & CHIMNEY [ IN! [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PE [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FI [ ] C I L TION [ ] PRT C [ .� 6 cl TOWN OF SOUTHOLD PROPERTY R.ECORD CARD OWNER VILGE I DIST. SUB. LOT17 T e v i FORMER QWNER_ N Es - �ACR. � — W TYPE OF BUILDING s� I .. ' SEAS. VL FARM COMM. G ICS. Mkt, Value _ LAND IMP. TOTAL DATE REMARKS I ,_ ._ 3 a --------------- a . v. a . a - t`.' 13 iz tv = Tillable FRONTAGE ON WATER Woodland FRONTAGE ON ROAD Meadowlond DEPTH - - ------------- House Plat BULKHEAD Total _ COLOR TRIM E 3 -4- ...�..�..,..., � _ � Ott---�- —� - - E i 97.-6-12.3 2/2014 a M. BB _ _ s — - -- - . Ext Q ensfon Extension - i Extension _ Foundation � - �l3at4^t - � -- _ i �� Basement r K Parch � x 'Floors �s _ :Ext. Walls I Interior Finish LR Pom, � D R Breezeway Fire Place HeatBk - 1 _ - - i hype Roof :_Rooms lst Floor n I Garage l - Po1-7-7=Recreation Room Rooms 2nd Floor ; - 0. B Doter l Driveway w a l FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-25591 Date: 03/16/98 THIS CERTIFIES that the building NEW DWELLING Location of Property: 1155 HARBOR LA CUTCHOGUE (HOUSE NO. ) (STREET) (HAMLET) County Tax Map No. 473889 Section 97 Block 6 Lot 12.3 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed• in this office dated MAY 28 1996 pursuant to which Building Permit No. 23593-Z dated JULY 17 1996 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 WITH ATTACHED 2 CAR GARAGE REAR DECK & FRONT COVERED PORCH AS APPLIED FOR & AS PERZBA #4394. The certificate is issued to WILLIAM & A. ELEANOR J. FORTE (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL RIG-96-0027 02/25/98 ELECTRICAL CERTIFICATE NO. N-419743 05/13/97 PLUMBERS CERTIFICATION DATED 07/07/97 HARDY PLUMBING & HEATING ld g 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-30391 Date: 08/31/04 THIS CERTIFIES that the building ACCESSORY Location of Property: 1155 HARBOR LA CUTCHOGUE (HOUSE NO.) (STREET) (HAMLET) County Tax Map No_ 473889 Section 97 Block 6 Lot 12.3 Subdivision Filed Map No_ Lot No_ conforms substantially to the Application for Building Permit heretofore filed in this office dated TUNE 21 2004 pursuant to which Building Permit No. 30430-Z dated JUNE 23, 2004 -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 ACCESSORY ABOVE GROUND SWIMMING POOL IN THE RE UIRED REAR YARD "AS BUILT" AS APPLIED FOR. The certificate is issued to WILLIAM & ELEANOR J FORTE (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL � N/A� ELECTRICAL CERTIFICATE NO. 2016801 08/06/04 PLUMBERS CERTIFICATION DATED ...._ N/A thorized Signature Rev_ 1/81 Town of Southold Annex 2/11/2014 P.O.Box 1179 ' 54375 Main Road Southold New York 11971 CERTIFICATE OF OCCUPANCY No: 36765 Date: 2/11/2014 THIS CERTIFIES that the building SOLAR PANEL Location of Property: 1155 Harbor Ln, Cutchogue, SCTM#: 473889 Sec/Block/Lot: 97.-6-12.3 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this ofliced dated 11/14/2013 pursuant to which Building Permit No. 38527 dated 11/25/2013 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: Lot'rd electriq.5pk "anel sy°t nt a� .w 0lied fir. The certificate is issued to Maus,Paul&Maus, Patricia �P.. (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 38527 1/8/14 PLUMBERS CERTIFICATION DATED ..._........... m. _ ...._....._. Authorized Signature 'd~� FIdC Town of Southold 10/27/2023 P.O.Box 1179 53095 Main Rd Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 44702 Date: 10/27/2023 THIS CERTIFIES that the building ADDITION/ALTERATION Location of Property: 1155 Harbor Ln, Cutchogue SCTM#: 473889 Sec/Block/Lot: 97.-6-12.3 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 5/4/2023 pursuant to which Building Permit No. 49342 dated 6/6/2023 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: additions and alterations for an accessor apartment to e sting singlere famai _dwelling as a a�aliecl fcarw The certificate is issued to Maus, Paul of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 49342 9/26/2023 ...... PLUMBERS CERTIFICATION DATED 8/22/2023 Paul is ed Signature c UOff sj FkV . ._._.__......v.._....__....lol:ci"...__......._._.......... ............. r OA 1 .....--- .......__. Y� Irv.P.FAk IG S r Au, � P3C�' _ ------- ........ .(¢1 TjsE'i^tl'1a7..w),W 6 or gr_—40)P� TO E rsr cJ' m- �* 5F'`;nFy 2j" RCNV to . . �— [.x v?Nr"rr,�.lu 3 Q 10 r� n w f � E Uti � r r� r I b r 6V �h .77 ET L .{. 7, Ti b I K . T VF —i C 6FVT .mom. • e a " " �n VVV g .. foil" �;a{{gwum" .......... ----------------- -------------- IIT j rn C t7 ............ . ............ PO