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Home My WebLink About1000-104.-10-6 TOWN OF SOUTHOLD Rental Permit ! k"` 0852 Y Owner Jeffrey & Anca Lemler Occupied as Single Family Dwelling Located at 300 Broadwaters Rd. Cutchogue 104.40-6 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. 4/10/2023 Code Erforcoent Official This Notice must be posted by the main entrance at all times 6�tf solly. Town Hall Annex t --phone(631)765-1802 54375 Main Road _ jFax(631)765-9502 MAR P.O.Box 1179 Southold,NY 11971-0959 - VVY rt4 BUILDING DEPARTMENT TOWN OF SOUTHOLD RENTAL PERMIT APPLICATION Rental Permit Fee $200 (Application must be renewed every two years) Section A. Property Information: Rental Property Address: 2-0 Tax Map Number: 1000 SECTION �Olw -BLOCK cq -LOT--Lo -1, 0 338q SECTION B. OWNER INFORMATION: Property Owner Name:An Ca_ Q1 Property Owner Legal Address: Property Owner Mailing Address: q Telephone Number(s): Daytime''`1 » EveningQZI7Emergency Property Owner Email Address: 0lX1 CO.—k�aal kj el �t Page 1 of 5 Town Hall Annex U Telephone(631)765-1802 54375 Main Road Fax (631)765-9502 P.O.Box 1 179 Az Southold,NY 11971-0959 "� AN � F 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: �L , 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 Urit , Number of rooms in Rental Dwelling Unit: Use and Dimensions of each room in Rental Dwelling Unit: 6t uo op COC (( F Page 3 of 5 `'V 7 � f SOU Town Hall Annex Telephone(631)765-1902 54375 Main Road Fax(631)765-9502 P.O.Box 1179 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 ,— LES , 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 o3f so Town Hall Annex Telephone(631)765-1802 a 54375 Main Road Fax(631)765-9502 P.O.Box 1179 Southold,NY 11971-0959 �� BUILDING DEPARTMENT TOMW OF SOUTHOL 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 Signatures -� Sworn to before me this Mday of 20 23 official Not r. Public Signature and Original Notary Stamp N � . 5D1 w 7� Page 5 of 5 1.0af so TOWN OF SOUTHOLD I i 831 -765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PL13G. [ ] FOUNDATION 2ND [ ] INSULATIOWCAL [ ] FRAMING 1 STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INc [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PEI [ ] ELECTRICAL {ROUGH} [ ] ELECTRICAL {Flt [ ] CODE VIOLATION [ ] PRE CIO [ 44 REMARKS: Ir DATE INSPECTOR e— { o s r g a. t 3 fL_ iba a Q �r � — ag` { 3 y ro t vIle-k a 2 CC- 1 I SCTM # TOWN OF SOUTHOLD PROPERTY RECD VILLAGE DIST. SUB. LOT OWNER STREET ACR. REMARKS � b TYPE OF BLD. PROP. CLASS LAND IMP, TOTAL DATE A "7z"t-1 ? 700 s ZiaFRONTAGE ON WATER HOUSE/LOT 1 P BULKHEAD TOTAL I� w COLOR 9 1 f_. r< F 7 TRIM 7 � ^ l 104.-10-6 9/12/2018 IT3 -3 OqLf 9V 1st 2nd ,�. Foundation_.. ca Bath Dinette _ . " � OTHER x COMBO , Basement rTia� Floors Kit.n xt 11, sOn► Finished B. Interior Finish L.R. VG" - t �° iteni f�Z �d� C � .. Fire Place Heat ' D.R...._. 1,zr F, ,�� S'safng� 17 Ext. Walls BR _ _ ....w. .....___..... _M... ... _. ' T .. GSI __ _ww... _,�...�._. ._.. _.. .._.� _w�..�_._.�.._........_.........n.. Baths Dormer d 3x 5- �D�ef4patio Pf Fam. Rm. � .__. _ p Pool �° �.�r, d�� . .�� ..._.____�_. _.._.... ..,..�.._. .._.......�._..._ Foyer A.C. Laundry 160 ' ,� � Library/ O.B( , �� Study Dock µ 1 « TOWN OF SOUTHOLD PROPERTY RECOM OWER STREET VILLAGE DIST. S Jl _. . .. ., _...._. _ ._.a..�µ............ ._.._ .. m.....� . .UB LOT 'r 1-j FORMER WNER N E ACR. S wPE OF BUILDING RES. SEAS VL. FARM COMM CB. .....MISC. Mkt. Value.__ .. LAND IMP, TOTAL _........www_.. _.... DATE REMARKS s 14,� ! re"'i 5 ' l�Us[3Ll....._��.../ . r°1..� f..... 0 .,, ... ...„.,,.. r t N� m y� A(,�,E BUILDING CO, IDITION41 a l S K8l0 Tial a Waacllan ��..�.��.. ....� ��w(v..�w k CJY arnplend FRONTAGE ON .,... .. . ._.. ._..�_..�.�,,.��..�_ ..FRONTAGE 0 Bru lan N ROAD House blot DEPTH —� LL ..�. _ _�_ .. „ G "r NAS ��. a �� 7-7 BULKHEAD Total ]_DOCK �J�t�� & � 0,R 7 "'/I Tq n�tl._ ,.n ?��.> "� �°_.n�. N�” w �/,.7 A i@ '✓� ^' �.' � m S f- a"r , ' w». �� ILII r�. i �.....�..w�«M,.,,,,..�...�.�....».......��.�..,.�,,..`...,«...�...�.�......�.....�.».,......�„�, ,.,....�.,�....»..,.., ..�,.�,,....... �_,...,...,....,�.. ».........�,.«w„a.,,,�....b.�.............� ....,.....�....�,.m,...,,..,,....,,........�..,�..,,..�..,.,...,..........,...e, e COLOR G a r G r TRIM ..... _w ... a✓ z gym. 104,10-6 10/06 __..� . � . � � �. . �.. .. _. .tion �pBoth Dinette tv1 Bldg d r � _._.._ ...... _ .._._,.._ _ .�.. L , e`�, � �Foundation a.. w Bten �` ,r r� d� w � �, �o r Basement Floors. K. xtensiExt Walls Interior Finish LR. amu. Extension` m,, i r. ;�- r ".�r t f l ,�� ,� `Fire Place "eatDR. f �.. �• ' p ._ ..... . m _. . r” _.. Roof Rooms 1st Floor ” Tyke � � .�._. .... •_ Rerch � a Recreation Roorr Rooms 2nd Floor FIN B Rah ) i > Dormer J °wr Driveway 0. B. .. .. _ �. Total J � � m Town of Southold 9/17/2020 P.O.Box 1179 53095 Main Rd Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 41452 Date: 9/17/2020 THIS CERTIFIES that the building SINGLE FAMILY DWELLING Location of Property: 320 Broadwaters Rd, Cutchogue SCTM#: 473889 Sec/Block/Lot: 104.40-6 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 4/4/2017 pursuant to which Building Permit No. 41583 dated 5/1/2017 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 front qqtM rear deck and upper coved Rarch as applied for. The certificate is issued to Lemler,Jeffrey&Anca of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL R10-17-0008 8/21/2020 ELECTRICAL CERTIFICATE NO. 18-46432 6/11/2018 PLUMBERS CERTIFICATION DATED 6/5/2018 Janota thio ' ature l Town of Southold 9/24/2022 P.O.Box 1179 53095 Main Rd VAA Southold,New York 11971 CER'T'IFICATE OF OCCUPANCY No: 43438 Date: 9/24/2022 THIS CERTIFIES that the building RESIDENTIAL ADDITION Location of Property: 320 Broadwaters Rd,Cutchogue SCTM#: 473889 Sec/Block/Lot: 104.40-6 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 6/30/2021 pursuant to which Building Permit No. 46892 dated 9/28/2021 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, including=deck,to existing single family dwelling as applied for with ZRA#7382.dated 6/25/2020 and ZBA De Minimus Determination dated 6/30/2021. The certificate is issued to Lemler,Jeffrey&Anca of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 46892 8/31/2022 PLUMBERS CERTIFICATION DATED 9/20/2022 Brad ' cuch A zed i attire ft FORM NO.4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold,N.Y. Certificate Of Occupancy No. —Z.1.495.81 . . . . . . . Date . .October. 6. . . . . . . . . . . . . . . . . . .. 19 .$6 THIS CERTIFIES that the building . . . , Inground Swimming pool Location of Property 320 Broadwaters Road tOutchogue :N , Y. . .- House No. Streer ' .Hamler County Tax Map No. 1000 Section . . . . . . .Block . . . . . . . . . . . . .Lot . , ,006 Subdivision , . > . . . . . . . . . . . . . . . . . . — . , . —Filed Map No. . . . . . . . .Lot No. , F - F . . . . . . . . . conforms substantially to the Application for Building Permit heretofore filed in this office dated 0c t o b e r. 1 2 ,, , , , , , , . , . 19 83 pursuant to which Building Permit No. Al 7 5 3 Z . . . . . dated . , ;November 2 0 , . , . , , . . 19 $ . ,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 . . , . , . , , . Inground Swimming Pool The certificate is issued to . . . . . . . .Barbara Kunen (o wrier,7asxeA V'a'&nava W x of the aforesaid building. Suffolk County Department of Health Approval . . . _ . . . . . . . . . . . . . . . . . . . . . . . . UNDERWRITERS CERTIFICATE NO. . . . . . . . . . . . . . N.6.4 3 7 8.0 , , , . . . , . # . , # Building Inspector . Rev.1/81 I. ,,