HomeMy WebLinkAbout1000-103.-10-1 TOWN OF SOUTHOLD
Rental Permit
{ 0841
Owner Jennifer Maye & John Bernhard Jr.
Occupied as Single Family Dwelling (Water Side)
Located at 2285B Little Neck Rd Cutchogue 103.-10-1
Maximum Permitted Occupancy 5
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.
s
3/23/2023
de E or e en Official
This Notice must be posted by the main entrance at all times
TOWN OF SOUTHOLD
.V
.e Rental Permit
a
0842
Owner Jennifer Maye & John Bernhard Jr.
Occupied as Single Family Dwelling (Road Side)
Located at 2285A Little Neck Rd Cutchogue 103.40-1
Maximum Permitted Occupancy 5
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.
3/23/2023
tie I r e of fficial
This Notice must be posted by the main entrance at all times
� o- �0
Town Hall Annex ; Telephone(631)765-1802
54375 Main Road p Fax(631)765-9502
P.O.Box 1179 " r
Southold,NY 11971-0959 � ;
" P, r, f I
BUILDING DEPARTMENT
TOWN OF SOUTHOLD F 2'1 lw
RENTAL PERMIT APPLICATION
Rental Permit Fee$200(Application must be renewed every two years)
Section A.
Property Information:
Rental Property Address:
—LLHL � � -
Tax Map Number: 1000 SECTION 103 -BLOCK, /Q -LOT
SECTION B.
OWNER INFORMATION:
Property Owner Name: - �!
Property Owner Legal Address: Property Owner Mailing Address:
(o0G Ayer51'ote- �QadJ
Telephone Number(s): Daytime 254-65.3 - Evening L54- 653 Emergency 7-56- G {3
Z83el 7-B3 99
Property Owner Email Address:
Page 1 of 5
Town Hall Annex �� Telephone(631)765-1802
54375 Main Road 1 �E 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: o2-
For
ZFor 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: .5-A
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: r" /" 1-
Wy (04
Page 3 of 5
Town Hall Annex Telephone(631)765-1802
54375 Main Roads Fax(631)765-9502
P.O.Box 1179 � � q
Southold,NY 11971-0959
cUUMY �`
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
Mailing Address of Managing Agent:—
Telephone Number(s): Daytime Evening__ _w ._Emergency
Email Address:.
SECTION F.
PROPERTY DESCRIPTION:
Number of Rental Dwelling Units on property: 2—
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 U , :
Number of rooms in Rental Dwelling Unit: ,5--
Use and Dimensions of each room in Rental Dwelling Unit: r t fCo G
Pea CF/ OlIx ClvCA✓t- 16,x17 EDra g.,A dy 1!1. ,fLAl
Page 3 of 5
Town Hall Annex �� �� i Telephone(631)765-1802
54375 Main Road Fax(631)765-9502
P.O.Box It 79
Southold,NY 11971-0959
k �y
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.
19,11-1 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)
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 r� �4, Telephone(631)765-1802
54375 Main Road Fax(631)765-9502
P.O.Box 1179 �� M, ,f
Southold,NY 11971-0959
4 8.
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 247 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: �ee.nj, .!� 1
Property Owner's Signature: ...._.
Sworn to before me this Zday of + 20--
� . ... ..............
._._.._.
Official Notary Public Signature and Original Notary Stamp
E
NE K 8f1USH State of Now York11 863'18051n Suffolk County Expires Jan 20,2023
Page 5 of 5
*t -tv q<I;i& N&L AW6 1 C.-44 ol
TOWN OF SOUTHOLD BUILDING DEPT.
765.1802 j p�,- 10 -
INbPECTIO N
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INSULATION/CAULKING
[ ] FRAMING /STRAPPING [ FINA
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL)
[ ] CODE VIOLATION [ ] PRE C/O
REMARKS:
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DATE INSPECTOR
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RES• •! = SEAS. VL. FARM COMM. CB. MICS, Mkt. Value
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LAND IMP. TOTAL DATE REMARKSE
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3 FRONTAGE ON ROAD
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Porch r , r Ext. Walls } nterior Finish yAkL�t- cc
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a Fire Place g� Heat ' DR.
Breezeway o61 A4
Garage E Type Roof J ;, Rooms 1st Floor , BR.
Patio Recreation Room) Rooms 2nd Floor FIN. B
0. B. 'Do er Qriveway
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oundation
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Garage ;Type Roof . s` Rooms 1st Floor i BR.
Patio I Recreation Room Rooms 2nd Floor FIN. B
O. B. !Dor' er Driveway !
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Total I �= I
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Town of Southold 3/23/2023
� k 53095 Main Rd
Southold,New York 11971
PRE EXISTING
CERTIFICATE OF OCCUPANCY
No: 43932 Date: 3/23/2023
THIS CERTIFIES that the structure(s)located at: 2285 Little Neck Rd,Cutchogue
SCTM#: 473889 Sec/Block/Lot: 103.-10-1
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- 43932
dated 3/23/2023 was issued and conforms to all the requriements of the applicable provisions of the law.
The occupancy for which this certificate is issued is:
wacadfraie-t" ild Welling with artial b e nt ur�t��� shd and acce� c cl
ter side rlq;lin . 11 am survey)
The certificate is issued to Maye,Jennifer&Bernhard Jr.,John
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
...... w
*PLEASE SEE ATTACHED INSPECTION REPORT.
Author` e Si at e
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
HOUSING CODE INSPECTION REPOR�"
LOCATION: 2285 Little Neck Rd,Cutchogue
SUFF.CO.TAX MAP NO.: 103.-10-1 . SU....DIVIS..
B ION:
NAME OF OWNER( ): MS a __.��..,_.....M,._ ,_....�...._....,., ..._._._ .._.._..�„�,....._..� ._._....._.._.w�w.�..............
ye,Jennifer&Bernhard Jr.,John
OCCUPANCY:
_.........
_w. ...........
ADMITTED BY: ......_._.._..._. � w _ . _w
_.. _.. 7e,�Je. _. __...__w. w.w.w.wwe.w..DATE:.m.w.....3/23/2023...„.µµ. w..
.....www_ mm..
SOURCE OF REQUEST: Maye,Jennifer
DWELLING:
#STORIES: 1 #EXITS: 2
FOUNDATION: _ cement block CELLAR: partial CRAWL SPACE:
._
BATHROOM(S): _ 1 _....... .....TOILET ROOM(S)...._.-. _ _....................... __,w _...w
UTILITY ROOM(S):
PORCH TYPE: DECK TYPE: PATIO TYPE:
BREEZEWAY: ___............_..._�,._._.w__... FIREPLACE:.. ...�_...._w, ... ...._. �. .._.__ .. ..... .......w_�
X GARAGE:
DOMESTIC HOT_ATER: y : _ ..... .._„wwwww_ ING:
._..... Y ...www .
WATER: es TYPE HEATER: gas WIT AIR CONDITION
TYPE HEAT: . oil WARM AIR: forced hot air HOT WATER:
. . ... .... ......... ........
#BEDROOMS: 1 #KITCHENS: I BASEMENT TYPE: unfinished
OTHER:
CCRSS RY STRUCTURES:
GARAGE,TYPE OF CONST: STORAGE,TYPE OF CONST: shed
SWIMMING POOL: GUEST,TYPE OF CONST:
.........w.. __....... �
OTHER:
VIOLATIONS:
REMARKS:
INSPECTED BY: JOHNJ DATE OF INSPECTION: 3/23/2023
TIME START: 10:06am END: 11:30am
........................ ....... .......
itl Town of Southold 3/23/2023
o.
53095 Main Rd
Southold,New York 11971
............... .........
PRE EXISTING
CERTIFICATE OF OCCUPANCY
No: 43933 Date: 3/23/2023
THIS CERTIFIES that the structure(s)located at: 2285 Little Neck Rd,Cutchogue
...............
SCTM#: 473889 Sec/Block/Lot: 101-10-1
..........1111111.1-1-.-.............
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- 43933
dated 3/23/2023 was issued and conforms to all the requriements of the applicable provisions of the law.
The occupancy for which this certificate is issued is:
dhf!41WWd.At(1q)-yr ithPnflaished bastntjt, gApatio and acressory
w frame P-arag_e.*
LRoad side dwellin&_#2 on..�ur�Ley
The certificate is issued to Maye, Jennifer&Bernhard Jr.,John
................. . .............
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
*PLEASE SEE ATTACHED INSPECTION REPORT.
ize eg�nat�uWe
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
HOUSING CODE INSPECTION REPORT
LOCATION: 2285 Little Neck Rd,Cutchogue
SUFF.CO.TAXMAP 103.40-1 SUBDIVISION:
...
.._.......d.......
NAME OF OWNER(S): MaYe,Jennifer&Bemharr.,John... ......................_.,....�,..._.._mm_w_.___.��w..�.__......_..._.....M..w.w._w.ww_..w
.ww__.._.._...�._...._..............._._,....�
OCCUPANCY: _w.__....._..__.......
.,,.w...ww.__...
_...
�_..__. .____.......
.__� . -....._.._...w�.�.�.�.�.�_._........ ..._.._.._. w.ww... ._._._._.......................................... ____......__..w.w....w.w..__.....w ._.._w_.w.................
ADMITTED BY:
SOURCE OF REQUEST: Maye,Jennifer DATE: 3/23/2023 _.__.....
DWELLING:
#STORIES: I #EXITS: 3
FOUNDATION: brick CELLAR: full CRAWL SPACE:
BATHROOM(S): __..._.....mm.._........... ....._._.......w_�......................._....0�(S). U_._....... �._....
1 TOILET RO ..TILITY ROOM(S):
PORCH TYPE: ..___............................ DECK TYPE: ._...__,.�.................ww.._�PATIO TYPE: sate ................
.. l
_..... .._... _� _..._...w..w.._.._....._.._...._1-1..�..._ 1 slate...,-,,,,
BREEZEWAY: FIREPLACE: GARAGE:
DOMESTIC HOTWA TERN es TYPE HEATER: off boiler AIR CONDITIONING:
T y _
TYPE HEAT: oil WARM AIR: _ 911 T WATER: baseboard
.......
..................._,. _._ _�..._....._.._.._
_..w.w.w....w.._. www_................_ w..M._ ,,_.
#BEDROOMS: 3 #KITCHENS: I BASEMENT TYPE: unfinished
............... ........ .
OTHER:
ACCESSORY STRUCTURES:
GARAGE,TYPE OF CONST: STORAGE,TYPE OF CONST:
SWIMMING POOL: GUEST,TYPE OF CONST: wood frame _.......
OTHER:
VIOLATIONS:
REMARKS:
INSPECTED BY: JOHNJ DATE OF INSPECTION: 3/23/2023
TIME START: 9:50am END: 10:05am
aFftlt � Town of Southold 5/28/2023
P.O.Box 1179
53095 Main Rd
4, �b Southold,New York 11971
CERTIFICATE OF OCCUPANCY
No: 43931 Date: 3/23/2023
THIS CERTIFIES that the building ADDITION/ALTERATION
Location of Property: 2285 Little Neck Rd, Cutchogue
SCTM#: 473889 See/Block/Lot: 103.-10-1
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
11/2/2022 pursuant to which Building Permit No. 48661 dated 12/28/2022
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"additions and alterations includina deck and outdoor shower.toettw0 ..sn le family dwellin as appliqd
frp r 113A#7"80 dated 10/20/2022.
Amended 5/28/2023 to add ZBAnumber Iy
The certificate is issued to Maye,Jennifer&Bernhard Jr.,John
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 48661 2/1/2023
PLUMBERS CERTIFICATION DATED
, ..._ ....d gna�ture