HomeMy WebLinkAbout1000-103.-14-2 TOWN OF SOUTHOLD
Rental Permit
E
0235
Owner VNP Properties
Occupied as Single Family Dwelling
Located at 3600 Pequash Avenue Cutchogue 103.-14-2
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.
12/14/2023 `
ode nfor a Official
This Notice must be posted by the main entrance at all times
PD AO& V400
ZDI'G D
* TOWN OD SOUTHOLD BUIL
631 -765-1802 101,-- tL4
INSPEC ION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INSULATION/CAI
[ ] FRAMING / STRAPPING [ ] FINAL
[ FIREPLACE & CHIMNEY [ ] EIRE SAFETY IN
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PE
[ ]
ELECTRICAL (ROUGH) [ ] ELECTRICAL
(F
C ]
CODE VIOLATION [ ] PRE C/O [
R MA kv
So
° p
Town Hall Annex Telephone(831)765-1$02
Tele
Fax(831)765-9502
54375 Main Road
P.O.Box 1179
Southold, NY 11971-0959
BUILDING DEPARTMENT
TOWN OF SOUTHOLD ''
RENTAL PROPERTY CERTIFICATION
Form is to be completed by a licensed architect, licensed engineer or licensed home inspector
Separate form is required for each individual Rental Dwelling Unit
Professional seal required for Architect or Engineer..Licensed Home lns ector must;
rovide co of valid current certification
Rental Property SCTM Number. ' w
Rental Property Address:
�1� � t �. rile L,4 0 ae '
Owner/Name: I D
Rental Dwelling Unit Identifier: -yvi i
Number&Square footage of each bedroom as depicted in the attached floor plan:
(i.e. Bedroom#1 —100 sgft., Bedroom#2—90 sqft., etc.)
Property Description (Include all improvements indicated on survey)
LL
� `t
ii fiduRd
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 Pluming Code of New York State,the Fuel Gas Code of
New York State, the Fire Code of New York State, the Pro y Maintenance Code of New York State
and the Energy Conservation Construction Code of N�W,YorkStte.
Print Name and Title Original Signat K $"
Please place Professional Seal: °
07pr
TAW N OF SOUTHOLD
hr-
Rental Permit
AJ
0235
Owner VNP Properties
Occupied as Single Family Dwelling
Located at 3600 Pequash Avenue Cutchogue 103-14-2
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.
12/13/2021
fol
ref e en o sial
This Notice must be posted by the main entrance at all times
kt - C�/"%t4
T WN E OUTHOLDTw
765-1802
EC ION
IN 1E
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INSULATION/CA
[ ] FRAMING / STRAPPING [ ] FINAL �&W/
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY IN
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PI
[ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (TI
[ ] CODE VIOLATION [ ] PRE C/O
REMARKS:
A-_
BGG
Town Hall Annex Telephone(631)765-1802
54375 Main Road Fax(631)765-9502
P.O.Box 1179
00 � ,
Southold,NY 11971-0959
F C F UEEO
BUILDING DEPARTMENT NOV 1 2021
TOU OF SO 'THOU
BUILDING DEPT.
RENTAL PROPERTY CERTIFICATION TOWN OF SOUTHOLD
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
Fero essional seal re uited iar Architect or Frl ineer licensed tome Ins actor must rovide
copy of valid current certification
Rental Property SCTM Number:
Rental Property Address: 34,00 toe,qAALSh VIC elo
Owner/Name: +i
Rental Dwelling Unit Identifier: b µ
Number &Square footage of each bedroom as depicted in the attached floor plan:
(i.e. Bedroom#1-100 sq., Bedroom#2-90 sq., etc.)
,
I nrol 0
Property Description (Include a improvements indicated on survey)
r
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 St e,the Plumbing Code of New York State,
the Fuel Gas Code of New York State, a I rvation Construction Code of New
York State.
r°
Print Name and Title Origirl i atu
Please place professional seal:
TOWN OF SOU`HOLD
Rental Permit
47, Permit No. 0235
Owner VNP Properties Inc
Occupied as Single Family Dwelling
Located at 3600 Pequash Avw Cutchogue 103-14-2
Address S/B/L
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.
11/21/2019 John Jarski
Date of Issue Code Enforcement Officer
This Notice must be posted by the main entrance at all times
to •-` ...
( f4f
SO
EDEN OF SOUTHOLD BUILDING E
765-1802
IN PEC ION
[ ] FOUNDATION 1ST [ ] ROUGH PTBG.
[ ] FOUNDATION 2ND [ ] INSULATION/CA
[ ] FRAMING / STRAPPINGXFIRE
NALFIREPLACE & CHIMNEY SAFETY IN
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PI
[ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FI
[ ] CODE VIOLATION [ ] PRE C/O
1100
DATE "'. E E
Town Hall Annex Telephone(631)765-1802
54375 Main Road Fax(63 1)765-9502
P.O.Box 1179 � �
Southold,NY 1 197 1-0959
BUILDING DEPAR,rMENT
TOWN OF SOUTHOLD
RENTAL PROPERTY CERTIFICATION
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
J? �a escxrral" +a1 reafred orA"r+cfitect o n tneer .P% irsed�fc are Prcr rrrdsrq�trfde
valf4jlrre atlp
Rental Property SCTM Number:
Rental Property address:
Owner/Name: t°"r I
Rental Dwelling Unit Identifier: 7C407,; Ap
_ Qn—c
Number& Square footage of each bedroom as depicted in the attached floor plan:
(i.e. Bedroom#1 -100 sq., Bedroom# -90 sq,.,,etc.);
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 S outholr,,"the Residential Code
of New York State,the Building Code of New York State,the Plulrnbing Code of'New York State,
the Fuel Gas Code of New York State, and the Energy Cort rvation Construction Code of New
York State.
Print Name and Title OF NBA,
Origin Sign lar
�
*4°7 ,1 Calr. f,
Please place professional seal:
t1 tcm tea,
so
Town Hall Annex P
Teie hone(631)765-1802
� �
54375 Main Road Fax(631)765-9502
P.O.Box 1 179
Southold,NY 11971-0959
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:
Tax Map Number: 1000 SECTION �� -BLOCK IiQ3 -LOT__-L�__�: -02—
SECTION B.
OWNER INFORMATION:
Property Owner Name: fin I
Property Owner Legal Address: Property Owner Mailing Address:.
/4&±bht&. A14, I 4i J/U�4146k, A/ Ll. it
Es
3i) 1) � )
Telephone Number (s): Daytimea " '' SGS' Evening g330 Emergency,"
Property Owner Email Address: f o CU
Page 1 of 5
qf so
Town Hall AnnexL Telephone(631)765-1802
54375 Main Road Fax(631)765-9502
P.O.Box 1 179 �* �
Southold,NY 11971-0959 �y
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 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: Vakf4in piA
Property Owner's Signature:
Sworn to before me this day of N , 2013
Official Notary P blic Signature and Original Notary
BARBARA H.TANDY"
Notary Public,State Of New York
No. OI TA6086001
Oualified In Suffolk County
Commission Expires 01/13/20 �
Page 5 of 5
so
Town Hall Annex Telephone(631)765-1802
54375 Main Road Fax(631)765-9502
Y.O.Box 1 179
Southold,NY 11971-0959 `
UM
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.
❑ 1 am requesting a fire safety inspection to be performed by a Code Enforcement Official
/ from the Town of Southold
G� 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 1 yi k I4k Cc.i(7 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
► Soo. 01,
Town Hall Annex Telephone(631)765-1802
54375 Main Road Fax (631)765-9502
P.O.Box 1179
Southold,NY 11971-0959
� �1NVe
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."
IN
Rental Dwelling Unit Identifier: kr /I )C4'm ✓ + I
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:
re �, yn —I S
�� ± a .. " --•
Page 3 of 5
Town Hall Annex Telephone(631)765-1802
� � P
54375 Main Road Fax(631)765-9502
P.O.Box 1179
Southold,NY 11971-0959
Comex
BUILDING DEPARTMENT NOV 2 1 2019
TOWN OF SOUTHOLD
Section C.
Authorized Agent Information:
Name of Authorized Agent of dwelling unit, if any: �! r
Address of Authorized Agent (no P.O.
Mailing Address of Authorized Agent: Setme
w �
Telephone Number(s): Daytime .o ,EveningA�411Q Emergency �.,,.
Email Address: Val e,"- n4� ViA�� o
Section D.
Managing Agent Information:
Name of Authorized Agent of dwelling unit, if any:
Address of Authorized Agent(no P.O. Boxes): Lb 4ye
Mailing Address of Authorized Agt:
eC3 0 tot.
Telephone Number (s): DaytimeG °-YA11,j Even i ng_qqj-L8St) Emergency 1 ,3(
Email Address: S" Yklk, AA-Ccinaar*01
SECTION E.
SITE MANAGER INFORMATION: (required for rental properties containing 8 or more rental units)
Name of Managing Agent of dwelling unit, if any:
Address of Managing Agent (no P.O. Boxes):
Page 2 of 5
D PROPERTY RECORD CARD
OWNER
DIST.
PEST VILLAGE•� SUB LOT
- ACR. '' �_ REMARKS
TYPE OF BLD.
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PROP. CLASS t
AJ
LAND IMP. TOTAL DATE _ , R
s
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yFRONTAGE ON WATER TILLABLE
FRONTAGE ON ROAD WOODLAND
DEPTH MEADOWLAND
BULKHEAD HOUSE/LOT
I TOTAL
I
TOI XD PROPERTY RECORD CARD
OWNER STREET VILLAGE DIST4, SUB. LOT
f f
FORMER OWNC-D E ACR.
N
S w TYPE OF BUILDING
RES, = SEAS, comm. CB VL, FARM MISC. Mkt. Value
LAND IMP, 1 TOTAL DATE REMARKS 1
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7
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A GE BUILDING CONDITION
NEW NORNAAL BELOW
FARM Acre Value Per Value
ACre 'T'0
Tillable
4-
Tillable 27 C
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Wood
-RO-INT- AiSR
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PRONTAGE ON ROAD
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-
ERTH
House Plot D
BULKHEAD
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Total D
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Foundation _
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8
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Ext. Walls Inte io F' ish _
Extension A
�° �= z Fire Place Heat -
Extension R
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Type Roof
1st Floor
F2nd Fior'
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1 OAV No. 4
'VON or, S0,11TROLD
✓ . BU"ING DEI)ARTl' ENT
TONVU,Cleik"s Offlaa
Southold, N. Y
Certificate OVOccupancy
No.7,5397. . . . . . Date . . . . . . . . . . . . .huguat: .2LI. . . ., 19.73.
THIS'CERTIFIES that the building located at . .Pegnash, Ave. . . • . , , • . , , . • Street
Map No. . XX. . . . . B1ock.No. AX. . . . . . .Lot No. . .XX7, . Xi tahogue .
conforms substantially to the Application for Building Permit heretofore filed in'this office
dated . . . .. .�. . June• 28�-- , 19.71 pursuant to which Building Permit No.
dated . . ... ;,,x e.,29.1« .. ., 19-71, was issued, and Conforms td all of the require-
ments ro�ions of :the laws Tlx+c occupancy for°wll�.ii
menus of the a p. • " p h this certificate I
issued is . 1?rd. te ono.family.. dwellizig . . . . , . , « . . . . .. . ... . . . . . . . « « , . , . .. . . .
The certificate is Ogled to . . Edward .E,. ilaziev.. . . . . . . . . . . . . . . . . . ..
(.owner; lessee or tenant)
of the aforesaid:byAding,
Suffolk County Depaa#hent°of ;health approval ,�� �"d + � l "t �9? * . Ulu
I .UNDERWRY C � X 555�t5 Deed Wavy 16 1�9ya . `°
X11#I A` E No: !
HOUSE11 Ir �wi�p. . .. . Street .. -pa - ^
gtta8b,•AveAZF ,t�.. �
.. . . . . . . . .. . . . .. . . . . « . .. . . . . . . .. . .. . . .. ...Gutahogue-. .. . . . . .. . .« « . . .. « .
� � u
. . « . » .
Building InspQctor
FORM NO.4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold,N.Y.
Certificate Of Occupancy
No. . . .z-15718. . . . . . . . Date . . .Mg?'. 1, 1987. . . . . . . . . . . . . . . ..
THIS CERTIFIES that the building . .A;b.c.veGround Swimming Poo]
Location of Property AQegp,ssh Avenue . . * „ Cutcho.que, New York
use No, Sheat . .F Homier
County Tax Map No. 1000 Section ._,103 . . .. . .Block . . .1A . . .. . . . . :.Lot . . . 002 .._. .. . .. .
Subdivision. . . .. . . . . . . . . . . . . . . . . . . . . . , , . .Filed Map No. . . . . . .Lot No. .. . . . . . . . . ..
conforms substantially to the Application for Building Permit heretofore Pied in this office dated
September 15, 1982 pursuant to which Building Permit No. 927 Z.
dated 4 , „„ September 22,z µ1a982 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 .. . ... ,,
ABOVE GROUND SWIMMING POOL AS APPLIED FOR
. . . . .. . . . .. . .. . . . . . . . . . .. . . . .. . . . . .. . . . . — . . . . . . , .. ., . . . . . . . . . . . . . ... . . . . . . . . ..
The,certificate is issued to . , .. . . DAVID R. ROMLEIN & PATRICIA ROMLEIN
of the aforesaid building.
Suffolk County Department of Health Approval . . . . , , „ , „ , . .. . . . . . . . . . . . . .. . . . . . . . . .. .
UNDERWRITERS CERTIFICATE NO. . . . . . . . . .. . . . . . . N80 x763
PLUMBERS CERTIFICATION DATED: N/A
Building Inspector
Aev.118t
FORM NO 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold,N.Y
Certificate Of Occupancy
No z- 16755
Date March_ 31 , _ 1988..
THIS CERTIFIES that the building DECK ADDITION ..
Location of Property 3600. ,Pequash, Avenue Cutchogue,. ,Nev York
HOW&NO Srra�rt �l�zrrrler
County Tax Map No 1000 Section 103 Block . .14. . .Lot .02 ,
Subdivision . . . . . . .Filed Map No . . ..Lot No. .. . .. . . . . . .
conforms substantially to the Application for Building Permit Heretofore filed in this office dated
March 29'- 1988 pursuant to which Bucldjng Pe 16858 Z
Permit . . W .. ., . . . ,
dated March 3 ) ,, 1988
was issued,and conforms to all of the requirements
of the applicable provisions of the law The occupancy for wluc:h this certificate is issued IS . ..
DECK•ADDITION •TO EXISTING ONE FAMILY• DWELLING
The certificate is issued to DAVID & PATRICIA ROMLEIN
(owner,U&YAl(elfAI .
of the aforesaid building
Suffolk County Department of Health Approvul . ,NIA
UNDERWRITERS CERTIFICATE NO.. ,•. N/A
PLUMBERS CERTIFICATION DATED: N/A
4�417 ��
Bt 1l"Ig Inspector
Rev Val
FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No: Z-29073 Date: 11/12/0
THIS CERTIFIES that the building ACCESSORY
Location of Property: 3600 PEOUASH AVE CUTCHOOUE
(HOUSE NO.) (STREET) (HAMLET)
County Tax Map No. 473889 Section 103 Block 14 Lot 2
Subdivision Filed Map No_ Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated JUNE 17 2002 pursuant to which
Building Permit No. 28469-Z dated JUNE 17 2002
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 ACCESSORY SHE'D AS APPLIED FOR.
The certificate is issued to PAUL 3 SANE M KBNDAICE)
(OWNER)
of the aforesaid building,
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N A
ELECTRICAL CERTIFICATE NO. N/A
PLUMBERS CE&TIFICATION DATED
-4Aut orizec Signature
Rev. 1/81
ORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No: Z-29146 Date: 12/24/02
THIS CERTIFIES that the building ADDITIOM
Location of Property: 3600 ESH AVE CUTCHOGUE
(HOUSE NO. ) (STREET) (HAMLET)
County Tax Map No. 473889 Section 103 Block 14 Lot 2
Subdivision _ Filed Map No_ Lot No.
conforms substantially to the Application far Building Permit heretofore
filed in this office dated NOVEMBER 13, 2002 pursuant to which
Building Permit No. 28910-Z dated NOVEMBER 13, 2002
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 —ADDITION TO AN EXISTING ONE FAMILY DWELLING AS APPLIED_FOR.
The certificate is issued to PAUL J & JANE M KC ARICH
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HRALTH APPROVAL
ELECTRICAL CERTIFICATE NO. N/A
PLUMBERS CERTIFICATION DATED 11126/02 H2M LABS INCA
/12
l
Aut orized signature
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: Zq-30741 Date: 02 03 0
THIS CERTIFIES that the building ALTERATIONS
Location of Property: 3600 PE UASH AVE CUTCHOGUE
(HOUSE NO.) (STREET) (HAMLET)
County Tax Map No_ 473889 Section 103 Block 14 Lot 2
Subdivision Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated OCTOBER 15 2003 pursuant to which
Building Permit No. 29821-Z dated OCTOBER 16, 2003
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 TO EXISTING SINGLE FAMILY DWELLING AS APPLIED FOR "AS BUILT"
The certificate is issued to MATTHEW & ALEXANDRA NINFO
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL NIA
ELECTRICAL CERTIFICATE NO. 1188002 01/22/04
PLUMBERS CERTIFICATION DATED 11/10/03 DINIZIO PLUMBING&HEATING
r
Au h+orized Signature
Rev. 1/81
v��"r 11I Town of Southold 7/26/2016
P.O.Box 1179
53095 Main Rd
Southold,New York 11971
CERTIFICATE OF OCCUPANCY
No: 38410 Date: 7/26/2016
THIS CERTIFIES that the building RESIDENTIAL ALTERATION
Location of Property: 3600 Pequash Ave, Cutchogue
SCTM#: 473889 Sec/Block/Lot: 103.-14-2
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
4/25/2016 pursuant to which Building Permit No. 40661 dated 5/2/2016
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:
INTERIOR ALLT KTION CONVFR 13, S N(LACCESSC. RY APARTMENT TQ..REDRO0_MINAN
�
EXISTING ONE FAMILY DWELLING AS APPLIED FOR
The certificate is issued to Ninfo.Matthew
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
Authori. Signature
-_9 LICC�IORES�JD
ENCE�
3600 PEQUASH AVENUE
REMOVE DW
CUTCHOGUE N.Y.
J
'!EXISTING:
SINGLE FAMILY RESIDENCE
[EA N E D SCTM# 1000-103-14-2
ZONE R-40.37 ACRES
PRO—posm:
DATE-'
To REMOVE KITCHEN APPLIANCES AND FACILLRES
Sts
E BY
INS' TO CONVERT THE LEGAL ACCESSORY
NOTIFi
BUILDING
INa 1 i APAftN-ENT TO A BEDROOM THAT IS PART OF
THE SINGLE FAMILY OWETLJND,
765-1802 BAM TO 4 PM FOR T HE
FOLLOW'ING INSPECTION&
WALL OUFf+
1,FOUNDATION-'ROD REQUIRED
FOR POURED CONCRETE
2.ROUGH-FRAMING& PLUMBING `OREN I i PROPOSED
3. INSULATION T.
NA
4. FINAL-CONSTRUCTION MUST
BE COMPLETE FM G.O.
ALL CONSTRUCTION SHALL MEET THE NA
REQUIREMENTS OFTHC CODESOFNEW YORK STATE. NOT RESPONSIBLE FOR i i JOAN CHAMBERS-631-294-4z4l
-ARTNEN,
DESIGN OR CONSTRUCTION ERRORS. TO sE CONVERT®T.MASTER SDM WTE
Lijw
COMPLY WITH ALL CODES OF Ii I. V z �I
NEW YORK STATE&1 OWN CODES
AS REQUIRED AND CONDITIONS OF UJ
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