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HomeMy WebLinkAbout1000-104.-1-30 w TOWN OF SOUTHOLD
Rental Permit
g
1047
Owner Colin Touhey
Occupied as Single Family Dwelling
Located at 900 Lilac Lane Cutchogue 104.4-30
Maximum Permitted Occupancy 4
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.
1/3/2024 '
Code n r � rpt Officia
This Notice must be posted by the main entrance at all times
Town Hall Annex ��� Telephone(631)765-1802
54375 Main Road Fax(631)765-9502
P.O.Box 1179 Q
Southold,NY 11971-0959 o„`fig"%P ��
BUILDING DEPARTMENT L 1 0 2023
TOWN OF SOUTHOLD
REM"TAI.PERMIT APPLICATION BU11DING DEPT.
Rental Permit Fee$200(Application must be renewed every two years)
Section A.
Property Information:
Ren I Pro e y Address: /v 1 cl
Tax Map Number: 1000 SECTION ` Li - ,__, ._-BLOCK Off' -LOT 030 _
SECTION B.
OWNER INFORMATION:
Property Owner Name:
Property Owner Legal Address: Property Owner Mailing Address:
Telephone Number (s): Daytime Evening_ ,,, Emergency__.
Property Owner Email Address:
Pd -z ao -d-3
# �-o 0
r6t,C, I oLl 01-)L
Page 1 of 5
Town Hall Annex r �l Telephone(631)765-1802
54375 Main Road Fax(631)765-9502
P.O.Box 1 179 4 ,
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, Q 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: ._w
Number of rooms in Rental Dwelling Unit: „ _Lt/ -—--
Use
— .Use and Dimensions of each room in Rental Dwelling Unit: V'�
Page 3 of 5
Town Hall Annexpmt Telephone(631)765-1802
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)
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
,' Telephone(631)765-1802
Town Hall Annex
54375 Main Road V�G� Fax(631)765-9502
o ;o
P.O.Box It 79
F
Southold,NY 11971-0959Q �
)i ,1 W1
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. I 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, Mana in Agent r Site Manager.
Property Owner's Name:
Property Owner's Signature: _. . �...
CONNIE D.BUNCH
Notary Public,State of New York
No.01 BU6185050
Qualified in Suffolk County V
gyp, Commission Expires April 14,2
Sworn to before me thiv( �'day of, �� �� 20'
Official Notary Public Signature and Original Notary Stamp
Page 5 of 5
TOWN OF SOUTHOLD BUILDING I
631 -765-1802
INSPEC ION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INSULATION/CAI
[ ] FRAMING / STRAPPING [ ] FINAL
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INc%
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PT
[ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FII
CODE VIOLATION [ ] PRE C/O [ el
REMARKS: Igm
I � u
Li
DATE
Town Hall Annex
Town Of Southold 54375 Main Road
Rental Inspection Report PO Box 1179
r;
Southold, NY 11971-1179
P aka Tel: 631-765-1802
10�
Date
.CTM#.
OwnerPhone
Address �t L Visible
Hamlet .._.._.... ' VL. P
ector .
F � Sub _ ..�� ....
loor Level Quantities _..�1 ... e 3
Smoke Detectors(not located in bedrooms)
�
Carbon Monoxide Detectors
Fire Extinguishers
Exits _1..._... _ .._.....�
_.... .mm . �� .......�.. .W.. . .. ..,..,� ...._._..m.. ....
.a..
Bedrooms 23r4 5 . ...6
� 1 _ ..._ . . ._a .�..�
Smoke Detectors
Egress
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Occupant
,., .w.Count
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Building Systems Maintained &Operational JCondition of Property
HeatingBuilding interior
,. �� ....ea ._.
Hot water Building exterior
Electrical
.� .�....._. � �....... �. ........... ....._..�_Paa-ro. perty. c.le_.an.., maintained &safe
—11111-111111-1---
Handrails&guards installed & sec
ureMechanical ...
�.,... .... . .. _ ,.ry ......,
Pool Safety Pool o ....
n Site
Surface water alarm Date of CO issuance o?0
.....�. , ..... ... _ ..�a
Door alarms Pool completely enclosed .. „
Pool fence to code requirement
Self closing/latching gatess.... w_ .....w_. ._. ...�.. .e. e,. ........-._�........� ...._........_ �....w..�
.......oitems present Prior Rental
... .. �... .��.. Prior �. ��
CO's for all
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THOLD PROPERTY RECORD CAR
OWNERISTREET VILLAGE DIST.! SUB. LOT��r
FORMER OWNER ! N E ACR. ,
Zi =
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TYPE OF BUILDING' -
on
RES. SEAS. i VL. FARM COMM. CB. MICS. Mkt. Value
LAND IMP. TOTAL DATE REMARKS
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AGE BUILDING CONDITION
NEW NORMAL BELOW ABOVE
FARM Acre Value Per Value
Acre _.
Tillable FRONTAGE ON WATER {
Woodland FRONTAGE ON ROAD
Meadowland DEPTH
House Plot BULKHEAD
Total DOCK
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104.4-30 7/12 z,
_
777
M. Bldg.
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Extension
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Extension F
Extension
_ r6undotion ;Bath f, 5 Dinette
a _
?oxo ; # - �, Basement - Floors K.
Ext. Walls lInterior Finish =LR.
Pgx"
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Breezeway Fire Place ., 'Heat DR.
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!Type Roof
Rooms 1
st Floor BR.
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Patio e _ Recreation Room I Rooms 2nd Floor :=- FIN. B
O. B. Dormer. Driveway
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Total = -
Volm NO. 4
TOWN OF SO OLD
BUILDING DEPARTMENT
Town ClerVa Office
Southold, N. Y.
Certificate Of Occupancy
No.Z 904 . . . . . . Date . . . . . . . . . . . . .May. . .11 . . . . . . .. 19.7+.
'THIS CERTIFIES that the building located at 113 C .dc. Horton.Vit. . . . . . . Street
Map Nol4assan. lin. . No. . . . . . . . . . .Lot No. . .P ."t 1?1 . . . .�t+ 3��M . . ..��►Z�
conforms substantially to the Application for Building Permit heretofore filed in this office
dated . . . . . . . . . .Nab! . .20. . . ., 192 . pursuant to which Building Permit No. 64.7.82. .
dated . . . . . . . Apr. A2. . . . . . ., 1973., was issued, and conforms to all of the require-
ments of the applicable provisions of the law. The occupancy for which this certificate is
issued is . P.rivate.one .family. . ,.02nd. door .being..a lat*4).
The certificate is issued to . . . . 'r 1r. YAUP. Ar. . . . . . . • . . . . . . . . . . . . . • . . • . . . . . .
(owner, lessee or tenant)
of the aforesaid building.
Suffolk County Department of Health Approval . . . . .(. 0. tow. G/0 . . . . .
UNDERWRITERS CERTIFICATE No. . . . . . . . . . . . . . . .
HOUSE NUMBER . .900 -UU4. Street . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . .
600 Hortes Rd
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Buduag Inspector
Town of Southold Annex 316/2012
(I j4 P1 Nk P.O.Box 1179
54375 Main Road
Southold,New York 11971
CERTIFICATE OF OCCUPANCY
No: 35469Date: 3/6/2012
THIS CERTIFIES that the building RESIDENTIAL ALTERATION
Location of Property; 900 Lilac Ln,Cutchogue,
SCTM#: 473889 Sec/Block/Lot: 104.-1-30
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Budding Permit heretofore filed in this officed dated
10/24/2011 pursuant to which Building Permit No. 36804 dated 11/9/201
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:
alterations tq 44K x g�,f
4mily dwejjig a it DLJ
-
The certificate is issued to 900 Lilac Ln. LLC
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 36804 2/10/12
PLUMBERS CERTIFICATION DATED 2/8/12 Burts Reliable
�12 -
4-- �tho-�edSi;Signature
Town of Southold 7/18/2016
�. P.O.Box 1179
53095 Main Rd
Southold,New York 11971
CERTIFICATE F OCCUPANCY
No: 38391 Date: 7/18/2016
THIS CERTIFIES that the building IN GROUND POOL
Location of Property: 900 Lilac Ln,Cutchogue
SCTM#: 473889 Sec/Block/Lot: 104.4-30
Subdivisio
• • • n; Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
9/17/2015 pursuant to which Building Permit No. 40124 dated 9/28/2015
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:
ACF aC!1 ""ir"1:N R,ClUNl3�a" I' kll " "POO;I� p"f?NCI3 T �' DIS .AS, ,PLII�D 1*OR
The certificate Robin e is issued to Sweeny, ......._....,_.._....�w...........�_,_.._.,. .�.... ww _.....m,._....�.._ .._ ........mm..`_�
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 40124 12-15-2015
PLUMBERS CERTIFICATION DATED
Aut Si at
KK
.'' tllt�� Town of Southold 1/3/2024
C► 4,
P.O.Box 1179
j 53095 Main Rd
Southold,New York 11971
.:a
,w
CERTIFICATE OF OCCUPANCY
No: 44865 Date 1/3/2024
THIS CERTIFIES that the building AS BUILT ALTERATION
Location of Property: 900 Lilac Ln, Cutc ogue
SCTM#: 473889 Sec/Block/Lot: 104.-1-30 ... ........ . ........
Subdivision Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
11/8/2023 pursuant to which Building Permit No. 50066 dated 11/28/2023
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:
"� Ili t' mIt ratio r►s rnclud,l�l�c�cjqtrgj,qtr con iti nr iig rjci g s r, gggj. qr t�n�w��nlrlcaµkmm a���,l �c��r�l� n a� ap,aic .
for.
The certificate is issued to Touhey, Colin
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 50066 12/13/2023
PLUMBERS CERTIFICATION DATED �....
rt e i 11 'fir
A1�At�1 °,