HomeMy WebLinkAbout1000-110.-8-21.1 $_ TOWN OF SOUTHOLD
4 =
Rental Perini
0010
Owner 3120 Grathwohl LLC
Occupied as Single Family Dwelling
Located at 180 Wicks Road New Suffolk 110.-8-21.1
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.
3/11/2024 7);V
Code n ent of ���
This Notice must be posted by the main entrance at all times ter e
so
TOWN OF SOUTHOLD BUILDING DI
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PL13G.
[ ] FOUNDATION 2ND [ ] INSULATION/CAI
[ ] FRAMING / STRAPPING [ ] FINAL
[ ] FIREPLACE &. CHIMNEY [ ] FIRE SAFETY IN!
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PE
[ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (TII
[ ] CODE VIOLATION [ ] PRE C/O [
REMARKS: 4"41a4 *, D0 /0
INSPECTOR
M` Town Hall Annex
Town of Southold
54375 Main Road
Rental Inspection Report PO Box 1179
Southold, NY 11971-1179
! ► Tel: 631-765-1802
� . .. �Date ..
Rwnero... . _.m..... ... _...... ......u....
jAddress � ��..��.�.. �"��, L Visible ...�...... �'J,,� � ........,.�.�
a inspector
Floor level Quantities
......a..�, �. w. �„�o�„a �� ww �� �.a... �� ,R��_..� ... ....5 ...._._.
ub ��w�_. 1 .�. �2 3
Smoke Detectors(not located inbedrooms)
Carbon Monoxide Detectors _.... ......
Fire Extinguishers
Exits
Bedrooms 1 /1 2 31 4 5 p[ . 6
teas E .
Smoke Detectors
_ ... �.., b _ ..... _ ..,
�..
Occupant Count
Building Systems Maintained &Operational (Condition of Property
Heating Building interior
rHot water Building exterior .
m._
'Electrical property clean, maintained&safe
.w � .. �� ...�.�r
Mechanical ;Handrails&guards installed&secure
Pool Safety Pool on Site
Surface water alarm..... .. ....., ., w.... �. .Date of CO issuance a�
_ .__
Door alarms Pool completely enclosed
Self dosing latching.��.hi .g.gates. , .. . !Pool.ol f�.
__. to code requirements
equiremts
�,..._.µ...... _..�.._.. __ . -w_.._�_... ..-._� . _ .fence._.. ..._�.._�. ..��..-..., ...�....,. .. .e_.. � _ ,.
00/ I S
CO s for all items present.... . .. .. _. Prior Rental. . .e �w... w. ......._.... �. _._._....� . _.
Comments
} TOWN OF SOUTHOLD
Renta) Permit
0010
Owner 3120 Grathwohl LLC
Occupied as Single Family Dwelling
Located at 180 Wicks Road New Suffolk 110-8-21.1
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.
8/18/2021
ore E o� � ��a
This Notice must be posted by the main entrance at all times
Town Hall Annex
Telephone(631)765-1802
54375 Main Road �1 u` Fax(631)765-9502
P.O.Box 1179 ,
o p;
Southold,NY 11971-0959PA
BUILDING DEPARTMENT
TOWN OF SOLTTHOLD 1' 1 1 >rJ '.
RENTAL PERMIT APPLICATION `
Rental Permit Fee $200 (Application must be renewed every two years)
Section A.
Property Information:
Rental Property Address: N
Y tl
Tax Map Number: 1000 SECTION -LOT —
SECTION B.
OWNER INFORMATION:
Property Owner Name: _ Vi, LLG
Property Owner Legal Address: Property Owner Mailing Address:
S i tAl W
6 1 ._..
01 -LL
Telephone Number (s): Daytim Evening Emergency
Property Owner Email Address: '
a o
fv' ~ 1141
Page 1 of S
Town Hall Annex Telephone(631)765-1802
Fax(631)765-9502
54375 Main Road
P.O.Box 1 179 , "
Southold,NY 11971-0959
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
Mailing Address of Managing Agent: �l' 115
�� �
Telephone Number(s): Daytime505--KS-9015 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: �w i
Requested Maximum number of persons allowed to occupy Dwelling JUnii:
Number of rooms in Rental Dwelling Unit: Le i'D I rOY�IS
Use and Dimensions of each room in Rental Dwelling Unit: M "M U . ! t2ev'''1 13.9 X/q.2^
D 12-N 10
Page 3 of 5
f
Telephone(631)765-1802
Town Hall Annex p,
54375 Main Road Fax (631)765-9502
P.O.Box It 79 a ?
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:
Page 3 of 5
Town Hall Annex °` ' Telephone(631)765-1802
54375 Main Road q 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
C 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)
1 �C// 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
wG;
Town Hall Annex rrp Telephone(631)765-1802
54375 Main Road ' Fax(631)765-9502
P.O.Box 1179 "
Southold,NY 11971-0959 ""rou �
All
111111 1
BUILDING DEPARTMENT
TOWN OF SOU T"'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:
Property Owner's Signature:
SW before me this day of 20'Z-1
Offici cat Pub c Signatu an ginal Notary Stamp
0FRC1AL S
IAM
'U" 'OUSE MCA1 ASTER
NOTA 4''PUSUC-ORI GON
COMMISSION
No.985408
My COMM1900t4 MRES Al*itl' 03,2023
Page 5 of 5
�O���f SWlyo�o I t b vJ I c(r,S �D pt� ow sti-A I k----
TOWN
OF SOUTHOLD BUILDING D
765.1802
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INSULATIC?WCA
[ ] FRAMING / STRAPPING [ ] FINAL
1l17r��� "
[ ] FIREPLACE & CHIMNEY [ FIRE SAFETY IN
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PI
[ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FI
[ ] CODE VIOLATION [ ] PRE GO
REMARKS:
-------------------
v
C
DATE INSPECTOR
n
Bedroom
Bedroom
= 13.4x13.3
13.7x10.8
Presented by
DanieMateSotS ilh
Sothebys
kr 180 Wicks Road
Daniel Gale Sothebys International Rea
28080 Main Road
Cutehogue NY 11935 2 of 3
Direct Phone:631-734-5439
Mobile Phone:631.807.7792
Ernail:gaylemarriner-snith@danilelgalecom Second Floor
Tour and Content Copyright 09 2004-2020 This floor plan illustration is an approximation of existing structures and features and is provided for convenience only with the permission of the seller.All measurements are approximate and not
guaranteed to be exactor to scale Buyer should confirm measurements using their own sources
i
Mud Rctorn
5.40.7.
Bath
5X9¢1 Dining Room Eat-in Kitchen
210.7MMW
!
Q d
Pantry Laupdry °
5.5x4 x8.1
r
up ` ? Dn
i»
Living Room
13.4x19.2 IAOX
5.3 Bedroom
11.3x10.7
4x ,1<P
Presented by
DanieMaleSothebys
o-Smit' 180 Wicks Road
Daniel Gale Sotheb s International Really
28080 Main Road
Cutchogue NY 11935 1 of
Direct Phone:631-734-5439
Mobile Phone 631.807.7792
Email: First Floor
Tour and Content Copyright®2004-2020 This floor plan illustration is a"wMaximation of existing structures and features and is provided for convenience only with the permission of the seller.All measurements are approximate and not
guavantced to be exact or to scale.Buyer should confirm measurements using their own sources.
Up
20.2xlO
�Vw
U P
Unfinished
26.8x18.8
HVAC
Presented by
Gayle Marriner-Srnith
Daniel Gate Sothebys International Realty 180 Wicks Road
28080 Main Road
Cutchogue MY 11935 3 of 3
Direct Phone:631-734-5439
Mobile Phone:631.807.7792
Email:gaylamrdner-sn*h@danielgale.com Basement
Tour and Content Copyright 0 2004-2020 This floor plan illustration in an approximation of existing structures and features and is provided for convenience onlywith the permission of the seller.All measurements are approximate and not
guaranteed to be exactor to scale Buyer should confirm measurements usinq Their own sources.
SCTM #
TOWN OF SOUTHOLD PROPERTY RECORD CAS
OWNER STREET VILLAGE DIST_ SUB. LOT
ACR_ REMARKS
t® 4
,? TYPE OF BLD,
PROP. CLASS
LAND IMP. TOTAL DATE
ry
I (
E
3
FRONTAGE ON WATER HOUSE/LOT
1 �
� s
BULKHEAD
TOTAL
' RECO17/a� 1� 41
TOWN OF SOUTHOLD PROPERTY
OWNER STREET VILLAGE DISTRICT SUB' LOT
ix
:. g
OBER OWNERN E ACREAGE
- 3
_
is TYPE OF BUILDING
e
W
e � e
_P,ES °- SEAS_ ; VL. I FARM COMW IND. CB. MISC. Est. Mkt. Value
LAND IMP, TOTAL DATE REMARKS
l
-fib I'd he
zz_ ...'` / ' .. .a✓ »J rj 1. ,--
L
—fes-
3 69
r A
ffi
�y s
>.
r G . � - � �
AGE BUILDING CONDITION �-
}
NEW NORMAL BELOW � ABOVE FRONTAGE ON WATER
t
Farm Acre I Value Per Acre Value FRONTAGE ON ROAD �/d4
Tillable" 1 BULKHEAD
Tillable 2 T DOCK
Tillable 3
Woodland
Swampland
Brushlan
i
House Plot
-715
TcSTa I
_ I
§
/j7 gj
110.-S-21.1 3113 0j.
A %Kfundation
z Both
v p
n
.:Xtensio f
P-.,s ment
oors
2-
E: e Is N
; ��Vj;
Walls IFlnterior Finish
741k
"x"ension -2 Fire Riace
RHeat
1 Y
Porch
oof Type
j
Porch
Rooms Ist Floor
QTuzevuy
Roorns 2nd Floor
Xparl'�_O __
�;crage
i0veway
Dormer
cn
V
44
.................... .........
Town of Southold Annex 7/5/2012
54375 Main Road
Southold, New York 11971
........... . ... .. ......
PRE EXISTING
CERTIFICATE OF OCCUPANCY
No: 35796 Date: 7/5/2012
THIS CERTIFIES that the structure(s)located at: 180 Wicks Rd,New Suffolk
..........
SCTM#: 473889 Sec/Block/Lot: 110.-8-21.1
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- ---35796
....... ...
dated 7/5/2012 was issued and conforms to all the requriernents of the applicable provisions of the law.
The occupancy for which this certificate is issued is:
4.3'
X
The certificate is issued to Tiebel,Martha
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
*PLEASE SEE ATTACHED INSPECTION REPORT.
Aut"�ori i�d Signature
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
HOUSING CODE INSPE(71ION-REPORT
LOCATION: 180 Wicks Rd,New Suffolk ...........................................
SUFF. CO.TAX MAP...PNO.:......1-1,0—.-8-21.1.......... SUBDIVISION:
.................
NAME OF OWNER(S): Tie 1,Martha .......... ..........................................
....... . .................
OCCUPANCY:
ADMITTED BY: Donna Wexler ...............
.... ... .. ...... .. . . ........
SOURCE OF REQUEST: Tiebel,Martha DATE: 7/5/2012
............... .......................................
................
DWELLING:
TYPE OF CONSTRUCTION: #STORIES:("" I #E
XITS: 2
. .....................
FOUNDATION: cement block CELLAR: SPACE:
TOTAL ROOMS: IST FLR.: 2ND FLR.: 3RD FLR.:
BATHROOM(S): 1 TOILET ROOM(S):.- UTILITY ROOM(S):..
PORCH TYPE: DECK TYPE: front PATIO TYPE: concrete
...............
BREEZEWAY: FIREPLACE: no GARAGE:
-—-------------
DOMESTIC HOTWXT-ER y-e's- TYPE HEATER: gas AIR CONDITIONING:
TYPE HEAT: ff- WARM AIR: HOT WATER: x
#KITCHENS I BASEMENT TYPE:
#BEDROOMS:
OTHER: IZZZ.. r�
.......................... ................................
................--------- ...............
ACCESSORY STRUCTURES:,
GARAGE,TYPE OF CONST: STORAGE,TYPE OF CONST: accy garage in disrepair
................
SWIMMING POOL: GUEST,TYPE OF CONST:
..........
OTHER:
.1-1-1-1 — ----...........—........................... ........... ..............................................
VIOLATIONS:
............. ...........
REMARKS:
....... ... ..........................
..................................................
.......... ...............
INSPECTED BY: GEORGEG DATE OF INSPECTION: 7/3/2012
TIME START: 9:00am END: 11:59arn
Oat Town of Southold 12/30/2015
P.O.Box 1179
53095 Main Rd
Southold,New York 11971
C w
CERTIFICATE OF OCCUPANCY
No: 38006 Date: 12/30/2015
THIS CERTIFIES that the building AS BUILT ALTERATION
Location of Property: 180 Wicks Rd,New Suffolk
SCTM#: 473889 Sec/Block/Lot: 110.-8-21.1
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
5/11/2015 pursuant to which Building Permit No. 39755 dated 5/11/2015
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:
al, tioM and o ts add qaa. as built to -_xistin ne f mil dwellin&Ls appli!forfor.
The certificate is issued to Pezzino,Peter-&Sabrina Family Trust
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 39755 1/31/2013
PLUMBERS CERTIFICATION DATED 12/17/2015 Hi-Tech Plumbing
t itat
Town of Southold Annex 2/26/2014
P.O.Box 1179
54375 Main Road
1M1 Southold,New York 11971
CER.TI.FICATE OF OCCUPANCY
No: 36786 Date: 2/26/2014
THIS CERTIFIES that the building IN GROUND POOL
Location of Property: 180 Wicks Rd,New Suffolk,
SCTM#: 473889 Sec/Block/Lot: 110.-8-21.1
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore fled in this ofliced dated
8/31/2012 pursuant to which Building Permit No. 37501 _ dated 9/7/2012N
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:
acc;es o in ound swirnmi 1 with fcncc to was a iec�for.
The certificate is issued to Peter Pezzino
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 37501 10/21/13
PLUMBERS CERTIFICATION DATED
�w.......... ............ ......._. .tb ed Signature
Town of Southold 5/7/2015
P.O.Box 1179
53095 Main Rd
Southold,New York 11971
.............._..._v__
ti
CERTIFICATE OF OCCUPANCY
No: 37542 Date: 5/7/2015
THIS CERTIFIES that the building ACCESSORY ALTERATION
Location of Property: 180 Wicks Road,New Suffolk
SCTM#: 473889 See/Block/Lot: 110.-8-21.1
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
8/17/2012 pursuant to which Building Permit No. 37454 dated 8/17/2012
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!' t C N SION F AN AQ -9 -QKY-Q- !QTQDj--J401JSE-WITI-I COW AS,
APPLIED FOR
The certificate is issued to Peter Pezzino
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 37454 10-21-2013
PLUMBERS CERTIFICATION DATED ft
ri�S'-.7ure
i tune