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Home My WebLink About1000-83.-1-8 TOWN OF SOUTHOLD Rental Permit 1029 Owner Amy Bearss Occupied as Single Family Dwelling Located at 795 Glen Court Cutchogue 83.4-8 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. 11/27/2023 Code n or dent offic'il 0 This Notice must be posted by the main entrance at all times G TOWN OF SOUTHOLD—BUILDING DEPARTMENT Town Hall Annex 54375 Main Road P. O. Box 1179 Southold NY 11971-09'. u� Telephone (631) 765-1802 Fax (631) 765-9502 I �tpS:J/ wa sc ) caltlmv RENTAL PERMIT APPLICATION Rental Permit Fee $300 (Application must be renewed every two 's n4 NOV 1 6 202 Section A. . , i v Y Property Information: Rental PropertV Address: t Tax Map Number: 1000 SECTION u -BLOCK -LOT U - SECTION B. OWNER INFORMATION: Property Owner Name: K Property Owner Legal Address: Property Owner Mailing Address: (Cannot be the same as Rental Property Address) Qn)� i 2!�3 Telephone Number (s): Daytime /1T V/4Yd4a `Evening Emergency � `� _7 2- dC/� -- Property Owner Email Address: �6 Page 1 of 4 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." SWv Rental Dwelling Unit Identifier: Requested Maximum number of persons allowed to occupy Dwelling Unit: Number of rooms in Rental Dwelling Unit: o Use and Dimensions of each room in Rental Dwelling Unit; Alf ry w foo Lt 'M • Kerj 4,vrr 19 r I1 0X LA 0 OVA lax 13, '' (;OCrr 13eol d**,CW1S Dew. to'17' SECTION G. D6 NlVr4*tS INSPECTION: POWV , C. 4 , 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. o, 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. Page 3 of 4 SECTION H. DECLARATION: Signature must be notarized and MUST be the owner of the dwelling unit. STATE OF NEW YORK) ) COUNTY OF SUFFOLK) I wtc s 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 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 s to any change to the information regarding Authorized Agent, Managing Agent, or Site Manager. Property Owner's Name: OaVZ4 Property Owner's Signature: Sworn to before me thislll�.�ly of '��/L,rY}� 20cD CONNIE D. BUNCH Official Notary Public Signature and Original Notary Stamp Notary Public,State of New York No. 01BU6185050 Qualified in Suffolk County Commission ExplresApril 14,2oq Page 4 of 4 TOWN OF S 831 *785-1802 3 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLTG. [ ] FOUNDATION 2ND [ ] INSULATION/CAI [ ] FRAMING / STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INO, [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PE [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FII [ ] CODE VIOLATION [ ] PRE C/O [ REMARKS: Ok, 44 pel,?-,5017 OC16YI Gc.�r It DATE INSPECTOR Mar 26, 2023 Town Hall Annex Telephone(631)765-1802 54375 Main Road GFax(631)765-9502 P.O.Box 1 179 Southold,NY ]1971-0959 �41' BUILDING DEPARTMENT 2 No"", 1 3 120,3 TOWN OF SOUTHOLD RENTAL PROPERTY CERTIFICATION SURDINODEPT. OF 50UTHOm 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 t'ro ssicnal seal re aired arrclaitect crr n ir:eer licensed Fcanae to etrr must Arida coAy o valid current certl kation Rental Property SCTM Number: Rental Property Address: 796 Glen Ct. Cutc ho ue NY 11936 Owner/Name: Aaron Kaufman 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.) Bedroom #1 190 sqft Bedroom #2 110 sqft Bedroom #3 155 sqft 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"tial Signatur Please place professional seal: ra ......... ........... 9 s ch .. ............ ` ` v P 5-�--�` � r� �o �_ � � i ...... .��_. �. _. � � ., � „�.�.m._ ...._....... ��=1 �� n��17 �� ..... . -��.w.�._.._.�_..� � . _ � ._....._ �� S ,�� n . �. �.. �..�.,� �� . �__ _.. �,� .� V ii l G E V V) ,., ,LLT m., �-�--�• ice' " —�- I f 1 a S60u 'y p 1 f i ;1 t wo, .......... U p.,S _1r d 1 f tt . t ID J3 �E7 loee w rt �� 1 o- k,. �� 0 s�� '��, ��„� „, � �„, „,� .�.... _ ...e.. � ""�, _._ _. ... _��,�...a�.�. CJ n a„ �k r s ��b , . puffii � e TRIJIM Z� s_ S - { 4 a- . 3 g - _ E Z - 6 r` t s < M. Bldg - - - Extension ` - _ Extension a Foundation Bath - �, e C, ct i > 6 1Cz Basement t� Floors K. Por g Ext, Walls - Interior Finish VI-R. 3 Fire Place Heat 6 ` fie Roof looms 1 st Floor . e P -- Recreation Poon� Rooms 2nd Floor FIN . _ B O. B. e> iUormet Driveway Total WOM xa a TOWN OF SOUTHOLD BUILDING DEPARTNM Town Chries Office Southold, N. Y. Certificate Of Occupancy No. Date . . . . . . . . . . . . . . . . Ilea. . 23. . ., 19.77. THIS CERTIFIES that the building located at . .F WAM. C#. . . . . . . . . . . . . .. . Street Map No. Unto.. , luftlock No. . . . . . . . . . .Lot No. .2. . . . .Cu . . . . . . . . . . .. . . . conforms substantially to the Application for Building Permit heretofore filed in this office dated . . . . . . . . . . . . June. . .10, 19. !7.6 pursuant to which Building Permit No. .0635Z. dated . . . . . . . . . . . . Jam!. . .1 Q., 19.70 ., was issued, and conforms to all of the ments of the applicable provisions of the law.The occupancy for which this is issued is . . . .Private►. ane. fami.ly. .dwe _7..fng. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . The certificate is issued to . . Xas®ph .Mwmo. . . . . . . . uner . . . . . . . . . . . . . . . . . . . . . . . . . . towner, lessee or tenant) of the aforesaid building. Suffolk County Department of Health Approval 11aa . .22 . .1 M. .tV R^*. ;qt . . . UNDERWRITERS CERTIFICATE No. W341:010. . . . .June. 9. . .19?? . . . . . . • • . • . .. . . . HOUSE NUMBER . . . . . . .795. . . . Street . .Glenn .Ct. . . . . . . qutehave. . . . . . . . .. .. . Grx Building Inspector FORM NO.4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Wall Southold,N.Y. Certificate Of Occupancy No . 213329. . . . . . » . . Date . . . . . . . . . . . April .5 THIS CERTIFIES that the building . . . , Accessory storage buildini Location of Property Courtr Cutchogue Haase No. Yrreer Ham/et County Tax Map No. 1000 Section . . . .0 S 3 , , , .Block . . . .01 . . . . . . . . .Lot . . Q$. . . . . . . . . . . Subdivision . . V,i s t a, B 1 u f f . „ . . . . . . .Filed Map No. . 5,0 b 0, ,Lot No. . . . ?. , . . . . . . . conforms substantially to the Application for Building Permit heretofore filed in this office dated . . . J.0 y . 31. . . . . . . . . , 19 59.pursuant to which Building Permit No. . . . . 0.807 Z. . . . . . . . . . dated . . . . . si u.1,y. 3.1. . . . . . . . . . . . . . . 19$A. ,was issued, and conforms to all of the requirements of the applicable provisions of the law. The occupancy for which this certificate is issued is . . . . . . . . . . . . . A.ccess.cmy. s.torag.a .buj-.Iding. .Cga7,.ebor.t.Yp6.)... . . . . . . . . . . . . . . « , . . . . M . . . . . The certificate is issued to . . . . . . . . D r , . J o n A . L ore t o . . . . . . . , M Y M . . . . . . (owner,k'lT)K� e'R vxx of the aforesaid building. Suffolk County Department of Health Approval . . . . . .NIA . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . UNDERWRITERS CERTIFICATE NO. . . . . . . . . . . . . .N/A , . « . . . . . . . . . . . . . » . . . . . « . . . . . . . . . Z . B .A . 7/30/80 #2717 Building'Inspector FORM NO.4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Nall Southold, N.Y. Certificate Of Occupancy No. . .213326 . . . . . . . . Date . . . . . . . A.P.ri1. 5. . . . . . . . . . . . . . . . 108 . THIS CERTIFIES that the building . . . . . . . Access o r y. .ga z e b.o . . . . . . . . . . „ .. . . . . . . . „ Location of Property7 9 5 e ,Gln ,Court . . . . . . . . . . . .0 u t c h o$u e . . . . . House No. ,street Hamlet County Tax Map No. 1000 Section .Q$ . . . . . . . .Block . .0 I . . . . . . . . . . .Lot . . . Subdivision . . .Vista Bluff Filed Map No. 5 0 6 0_ „Lot No. ?. . . . . . . . . . . . conforms substantially to the Application for Building Permit heretofore filed in this office dated . . June, .25. . . . . . . . , 19 .$1 pursuant to which Building Permit No. . 1 123 9Z. . , . . . „ . dated . . . . .�u?Y. 2. . . . . . . . . . . . . . . . . 19 81. ,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 . . .. . . . . . , Gazebo accessory structure The certificate is issued to . , . , . , , , ,D r.. J o h n A... L o ret o (owner,lR jyjVAjtk X X of the aforesaid building. Suffolk County Department of Health Approval . . . . . . .J}/A. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . UNDERWRITERS CERTIFICATE NO. . . . . . . . . . . . .X/.kl. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 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-23557 Date MARCH 17, 1995 THIS CERTIFIES that the building ADDITION Location of Property 795 GLEN COURT CUTCHOG E, N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 83 Block 1 Lot 8 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated JULY 51f 1989 pursuant to which Building Permit No. 18284—Z dated---JULY 7, 1989 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 EXISTING ONE FAMILY DWELLING AS APPLIED FOR The certificate is issued to JOHN A. LOR'ETO (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N-243041 JULY 21, 1992 PLUMBERS CERTIFICATION DATED N/A i Bui dinglInspector Rev. 1/81 «..w.....,,..,.....»..:w:.w,ww.w.wµ.v.,.,.,w,,, v,...w,o.-»..+....,.......rt.......,........................,....,. ...:............,........w»...., x-.+w.u:u„w^s '^¢s x;::w:o-o-.«,.... .,, ®,,...,«....»,...,,,,,. .,...,.........._..-... _.. .. :.: ._.,....;;:p ........... ..........., .. .,a .,. FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CHRTIFICATE OF OCCUPANCY No Z-23555 Date MARCH 17 1995 THIS CERTIFIES that the building ADDITION Location of Property 795 GLEN COURT CCJTCHOGUE N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 83 Block 1 Lot 8 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated MAY 2, 1986 pursuant to which Building Permit No. 14859—Z dated MAY S 1986 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 PORCH ADDITION TO EXISTING ONE FAMILY DWELLING AS APPLIED FOR The certificate is issued to JOHN LORETTO (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL INSPECTION CERT. #7117 — FEB. 91 1995 PLUMBERS CERTIFICATION DATED N/A Buil In pector Rev. 1/81,