HomeMy WebLinkAbout1000-138.-2-7 „W rt w TOWN OF SOUTHOLD
Rental Permit
1158
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Owner 5415 Skunk Ln LLC
Occupied as Single Family Dwelling
Located at 5415 Skunk Lane Cutchogue 138.-2-7
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.
6/24/2024
;czd .wn rcr r►t Official
This Notice must be posted by the main entrance at all times
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TOWN OF SOUTHOLD—BUILDING DEPARTMENT
Town Hall Annex 54375 Main Road P. O. Box 1179 Southold,NY 119� 0I
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Telephone (631) 765-1802 Fax (631) 765-9502 https:Hw,vvv.southoldtownnv. o
RENTAL PERMIT APPLICATION
Rental Permit Fee $300 (Application must be renewed every two years)
Section A.
Property Information:
Rental Property Address:
5415 SKUNK LANE CUTCHOGUE NY 11935
Tax Map Number: 1000 SECTION 138 -BLOCK 02 -LOT 07 _
SECTION B.
OWNER INFORMATION:
Property Owner Name: JOSEPH DAIDONE/ 5415 SKUNK L.N. LLC SOLE OWNER
Property Owner Legal Address: Property Owner Mailing Address:
(Cannot be the same as Rental Property Address)
1 SECOND STREET 5415 SKUNK LANE
LYNBOOK NY 11563 CUTCHOGUE NY 11935
Telephone Number (s): Daytime 516-318-2095 Even i ng 516-318-2095 Emergency 516-318-2095
Property Owner Email Address: jdaidone3@msn.com
Page 1 of 4
Section C.
Authorized Agent Information:
Name of Authorized Agent of dwelling unit, if any: Timothy Cloughen
Address of Authorized Agent (no P.O. Boxes): 3 Manorview Way- Mannoryill NY 11949
3
Mailing Address of Authorized Agent: Manorview Way- Mannorvill NY 11949
Telephone Number (s): Daytime631-255-7845 Even i ng631-255-7845 Emergency 631-255-7845
Email Address: tm.doughen@gmaii.com
Dgmail.com
Section D.
Managing Agent Information:
Name of Authorized Agent of dwelling unit, if any: JESSE STEIN
Address of Authorized Agent (no P.O. Boxes): SIGNATURE PREMIER PROPERTIES
Mailing Address of Authorized Agent: 26 E.MONTAUCKHWY, HAMPTON BAYS 11946
631-834-9879 631-834-9879 631-834-9879
Telephone Number (s): Daytime Evening Emergency
Email Address: jstien@signaturepremier.com
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):
Mailing Address of Managing Agent:
Telephone Number (s): Daytime Evening Emergency
Email Address:
Page 2 of 4
SECTION F.
PROPERTY DESCRIPTION:
Number of Rental Dwelling Units on property: 1
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:
iv-
Requested Maximum number of persons allowed to occupy Dwelling Unit:
Number of rooms in Rental Dwelling Unit: 9 rooms
f
Use and Dimensions of each room in Rental Dwelling Unit:
Bedroom1 -9'-B"A 3'-9" 140sf -
Kitchen-12-0"x 1 B'-2"=217sf, Livingroom 2B'-4"X 16-11"=500 sf,Bathroom-5'-0"X T-5"=37sf
Bedroom 2-11'-T'X 12'-11"- 150 sf,Bathroom-5'-0"X T-5"=37sf,Master bedroom 271 sf,
W.C.-T-3"x T-3"= 52 sf, Master Bathroom 5'-0"X 11'-7"=90 sf.
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.
A I 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.
Page 3 of 4
SECTION H.
DECLARATION: Signature must be notarized and MUST be the owner of the dwelling unit.
STATE OF NEW YORK)
COUNTY OF SUFFOLK)
JOSEPH DAIDONE , 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
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 s to any change to the information
regarding Authorized Agent, Managing Agent, or Site Manager.
JOSEPH DAIDONE
Property Owner's Name: G.G
Property Owner's Signature:
S to before me this day of 1 , 20 2�,
icial Notary Public Signature and Original Notary Stamp
LUIS FABlt1GIO PU810
,40ta-y Public-State of New York
NO,OIRU628AS20
Quallfieij inNanau ccnty
,v commission Expires Aug,25,2025
Page 4 of 4
TOW ` P SOUTHOLD BUILDING DEPT.
� 631-765-1802 _ r '7
am iojmk mmk Amm"" T I Im 5 lib G
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[ ] FOUNDATION 1 ST/ REBAR [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INSULATION/CAULKING
[ ] FRAMING /STRAPPING [ ] FINAL
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL)
[ ] CODE VIOLATION [ ] PRE C/O [ RENTAL
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Pool Solar
1 st Fir :y Foyer
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FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
PRE EXISTING
CERTIFICATE OF OCCUPANCY
No Z-19324 Date AUGUST 29, 1990
THIS CERTIFIES that the building FAMILY DWELLING
Location of Property 5415 SKUNK LANE CUTCHOGUE, NEW YORK
House No. Street Hamlet
County Tax Map No. 1000 Section 138 Block 2 Lot 7
Subdivision Filed Map No. Lot No.
conforms substantially to the Requirements for a Private One Family
Dwelling buildt prior to: APRIL 9, 195 pursuant to which
CERTIFICATE OF OCC. #E-1924 dated AUGUST 29, 1990
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 ACCESSORY 1 CAR WOOD FRAME GARAGE
& (1) ACCESSORY WOOD FRAME STRUCTURE.
The certificate is issued to ORA SCHEERS
(owner)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL NO RECORD PRE EXISTING
UNDERWRITERS CERTIFICATE NO. NO RECORD PRE EXISTING
PLUMBERS CERTIFICATION DATED NO RECORD PRE EXISTING
*PLEASE SEE ATTACHED INSPECTION REPORT.
71 Building Inspector
Rev. 1/81
BUILDI:•;G DEPART:-LENT
TOWN OF SOUTHOLD, N. Y.
HOUSI7M CODE INSPECTION REPORT
Location
5415 SKUNK LANE CUTCHOGUE, N.Y.
knumoer do szreet kf4unicipalizy)
Subdivision Man No. Lot(")
Name of Otijner(s) ORA SCHEERS
Occupancy _ A-1 OWNER
type �o4lner-tenant)
Admitted by: JOAN WAGGNER Accompanied by: JOAN WAdONER
Key available Suffolk Co. Tax No. 138-2-7
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Source of request ORA M. SCHEERS Date 8/10/90
D,•TELLING:
Type of construction, WOOD FRAME "stories ONE
Foundation CEMENT BLOCK Cellar Crawl space
Total rooms, 1st. F1 5 2nd. F1 _ rd. Fl
Bathrooms). ONE Toilet room(s) ONE
Porch, type Deck, type Patio, type
-
Breeeway Garage Utility room
Type Heat OIL Warm Air Ho twater STEAM
Fireplace(s) ONE No. Exits 2 Airconditioning --
Domestic hotwater ELECTRIC Type heater NATIONALINE
Other REAR ENTRY
ACCESSORY STRUCTURES:
Garage, type const. I CAR WOOD Storage, type const. 1WOOD FRAME
Swimming pool FRAME Guest, type const.
Other
VIOLATIONS: CHAPTER 45—N.Y. STATE UNIFORM FIRE PREVENTION 6 BUILDING CODE
Location Descr 4tlon Art_. Sec._
-
Remarks: BP # 1250-Z CO Z-1268 ADDITION 6 ALTERATION
Inspected by-
Ga Dish Date of Insp. 8/22/90
Time start 9:30 end 9:50
FORM NO.4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN CLERIVS OFFICE
SOUTHOLD', N. Y.
CERTIFICATE OF OCCUPANCY
Z 1261B Date ............—......january-2.3........
No. ..,....
THIS CERTIFIES that the building located at ...CUt0hQVU4b...... Street
Map No-KaOSAW- ?al". lock No. ......... Lot No. ..... --.109...... ......
conforms substantially to the Application for Building Permit heretofore filed in this office dated
..4............................. i9..6,0. pursuant to which Building Permit No.W-1210..
dated ..KdVember 4 19....00 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 ..........
PRXVA= ONE MILY MMLLWO ........
....................—.........—...... ....................I...........................
This certificate is issued to .............0-VA.A0Xt1A,- QWAQt..................... .........—........t......
(owner, lessee or tenant)
of the aforesaid building.
-Iiu`l:idi-n'g Inspector,..,,
FORM NO. 2
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN CLERK'S OFFICE
SOUTHOLD, N. Y.
BUILDING PERMIT
(THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL
COMPLETION OF THE WORK AUTHORIZED)
N° 1250 Z
Date ........ ........... 1960...
Permission is hereby granted to:
L. Burger.....A/G•-•-Qra•-M&rt1n................................
Day.-Ave. ..............................................................
.................Gu"h IF.....#.•Y...........................
to ....Build••addttion••and•••make••aiterattons on' 'arr eatating .dwe31-YrYg..........
at premises located at ....Lot..#...Q9. 1'a*saw—Farm........................... ..................................
E ... ag•4verf.... ..Cutah+ogue-i ,,W; ` .......................................
pursuant to application dated ............................Wovmbeyk....4..........19...6Q, and approved by the
Building Inspector
Fee $..1 ,.00............
�,�s.... .�.._ ...............
Building Inspector
.............
+ _M.
UNENC�v 0
�...... .........� (FI OIL TANK
_..
I ::__---
cNO.c 000-138.00-02.00-00-I.00
... x. MNr d_
CELLAR TO REMAIN
(E)GRAK- I CELLAR/ FOUNDATION PLAN
�rD F� 911�1.Alllcx 4 - 8 �__r_...12
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o ���._.---_,.�__.___� I16 .'-�6-C,")
J05EPH DIADONE
I -New siS°B FIRE RATED I I 54156 SKUNK LM. LLG
OVER'ypOAIN
RMEGHANICAL D ONG 50LE OHENR
eF I EGtlUIP,MIN.100 sF ( 5415 SKUNK LANE
IIw._. .__ ..w......_..._,_, _.... rt,..........-. GUTGHOOUE NY IIg35
C�
..... ......._ LEGEND:-.
(E)GRAHL J � 1�7C P 16"O. . wood FRAMED ARD OR
s a
_.._ _.._.. ...... .... .._ ____,_ ..._ ._ ._... _....®. EA.SIDE ON INTERIOR
o5p KPLAS PETE6101,
GO CARBON MONOXIDE
......,,,,,_._..............................Y _�. ,...�.�.. ........ WW....., DETECTOR
1120 6F�FM EXHAUST FAN
..., .,.Y ..,�
BASEMENT 521.0 5F
FIRST FLOOR FLOOR I?
... ...._..._..._........_ ._._.................._...._.—..._____ _......_.._ __.�_____..._.....__e ..............�............ TOTAL 2,14i CJ S.F.
tl6-I I-24
.__—__---------.__........................____._._.__ .....___....._ ...... .........4 ......................_...._,,,,....—._ ...____-__.._.._-.._.....�.___. .... .......
..._
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46"SELF
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.- BODY
............... ..... ''..........F p;.._. .______ .......... _......_ ,.._........_ .._._-__... ....__............ ,.._._.....,... .....
�eSa y47' I •___. � .� � '�'�AYP
ON
F41t
KITCHEN F
12'-0'X 18'2• Rv
4,w
PAVERED
y
0 ../ PATIO ... 9.C2M"..
5FAR5 PER
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Cal
PANTRY `a`I �
GO m
1000-138.00-02.00-001.00
m F Ww rt
FIRST FLOOR PLAN
e
An 0 4' 8' 12'
24-fGaET ------- - J 6 T o I
�.D �. J05EPH DIADONE
co � Iy_ INC ROOM 54156 SKUNK LM. LLG
(VAULTED) SOLE OV ENR
2 14"X I6`-II° 5TAIRv PER NY5EX--.
� 5415 SKUNK LANE
AUL GUTGHO&UE NY IIg35
fVAULTED)
1116,X. :
°p O5D __..._......CIL EXI5TIN3 NV�00 FRAMED WAILS
°ttI LANDING 16"O.C.W EsYP.WAll.BOARD OR
PLA.`rrER EA.51DE ON INTERIOR.
WALL5.
_....___._......._.. OSD SMOYE FIETFOrOR
� ThBC?A6 D1P41046 TM"
2*''x6? CO CARBON MONLIXIDE
DE'ItC TOR
TW305 � "'�15 120 CFM EXHAJ5T FAN
Tw3aw TY80A6 OOVEPFO P'Jc_RGH
YdOOC7 DF K �Ca�Uf�C�,E._i✓OCJ'n'/%hG L J:..
BASEMENT 521D SF
nR57 FLOOR FLOOR 1203.0 S.P.
...... ....... ---------Fail fiGTAI.. 2,114'I4.Y
_...._....__ .._._.._
44_G O6-II-24
...._..................._.................__._._...__...._.............._. ........._.......__......-.......... .........._.._._....................._.._..____..___..._ ..__._..._�._..____.___...____...._ .... ..._...._...... .......... ,.-
Z OF 3
24-038
....................... ....... --'..a. .................-.- I
Aff
TUBS,
............
11*x T-31
Ian �Y
Yxe
\/^ULTEP Aso
25'-b'X 1111' M-1
all
1000-1 5a.00-0:2.00-001 00
5Er-ONV FLOOR FLAN
5TAIRS,PER NY5196
0 df--- 8' Z
F
ROOF
BELON J05EPH PIADONE
54156 SKUNK LM. LLG
50LE 01,ENR
5415 5KUNK LANE
rUTCHOC7UE NY llcI55
LE6EN17:
9 EXISTING WCop FRAMED AALL5 0
W O.C.kV GYP.1^4lLL BOARD OR
PLASTER EA.SIPE ON INTERIOPt
WALLS.
05o SMOKE DETECTOR
rr 01 CARBON MONOXIDE
DETECTOR.
........... 120 OFM FAiALKT PAN
92ZALM 5OUAR f�OOTA6CS-
6A5ENIENT 521.0 SF
FIRST MOOR FLOOR POS.O 5F,
TOTAL
Fjloglil 1-24
5 or 5
............ ........ .........