HomeMy WebLinkAbout1000-104.-2-19 TOWN OF SOUTHOLD
Rental Permit
1236
Owner Nicholas Santini
Occupied as Single Family Dwelling
Located at 1850 Sterling Rd Cutchogue 104-2-19
Maximum Permitted Occupancy 3
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.
12/4/2024 r
bode for er official
This Notice must be posted by the main entrance at all times
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TOWN OF SOUTHOLD—BUILDING DEPAI TMF'NT
.r� ^ Town Hall Annex 54375 Main Road P. 0. Box 1179 Southold, NY 11971-0959
Telephone (631) 765-1802 Fax(631) 765-9502 lei Ps: lw ,,sor tfioldtowntjy gLL `7
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RENTAL PERMIT APPLICATION
Rental Permit Fee $300 (Application must be renewed every two ye EC E Q U E
Section A.
Property Information: Building Department
Town of Southold
Rental Property Address:
1850 Sterling Rd. Cutchouge, NY 11935
Tax Map Number: 1000 SECTION � -BLOCK .mm !�-
SECTION B.
OWNER INFORMATION:
Property Owner Name: Nicholas Santini
Property Owner Legal Address: Property Owner Mailing Address:
(Cannot be the same as Rental Property Address)
517 Pine Acres Blvd 517 Pine Acres Blvd
Bri htwaters, NY 11718 Brightwaters, NY 11718
Telephone Number(s): Daytime 516-384-9599 Evening Emergency
Property Owner Email Address: NickJSantini@gmail.com
Page 1 of 4
Town Hall Annex Telephone(631)765-1802
54375 Main Road
P.O.Box 1179
n
- oralkiold,NY-'I1971-1959 ...._ .. . _ ... _ �� kk
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BUILDING DEPARTMENT
TOWN OF SOUTHOLD
"` "� ` �"'"� �°�� RENTAL PERMIT APPLICATION INSTRUCTIONS
Effective September 27th 2023
Rental Permit Fee: $300 (Application must be renewed every two years)
The items listed below are required to be submitted with the completed
application.
• Floor plans: Floor plans of each rental dwelling unit, please show location of all
smoke & carbon monoxide detectors.
• Certificates of Occupancy and Pre-Certificates of Occupancy: Certificates of
occupancy or Pre-Certificates of Occupancy for each rental dwelling unit.
• Certification of Code Compliance (form enclosed): Must be submitted by a
license architect, engineer or license home inspector if an inspection by Town of
Southold Inspector is declined.
• Rental Permit Fee: $300.00
Section C.
Authorized Agent Information:
Name of Authorized Agent of dwelling unit, if any:
Address of Authorized Agent (no P.O. Boxes):
Mailing Address of Authorized Agent:
Telephone Number(s): Daytime Evening Emergency
Email Address:
Section D.
Managing Agent Information:
Name of Authorized Agent of dwelling unit, if any:
Address of Authorized Agent (no P.O. Boxes):
Mailing Address of Authorized Agent:
Telephone Number(s): Daytime Evening Emergency,
Email Address:
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:
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: �� r
Requested Maximum number of persons allowed to occupy Dwelling Unit: fa
Number of rooms in Rental Dwelling Unit: 7
Use and Dimensions of each room in Rental Dwelling Unit:
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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
I am submitting a completed Town of Southold certification form from a licensed
architect or a licensed professional engineer.
Page 3 of 4
Town Hall Annex Telephone(631)765-1802
54375 Main Roadp
P. 0. Box 1179 z
Southold, NY 11971-0959
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
RENTAL PERMIT APPLICATION ADDENDUM
Rental Dwelling Unit Identifier:
Requested maximum number of persons allowed to occupy each dwelling unit:
Number of Rooms in Rental Dwelling Unit:
Use and Dimension of each room:
Rental Dwelling Unit Identifier:
Requested maximum number of persons allowed to occupy each dwelling unit:
Number of Rooms in Rental Dwelling Unit:
Use and Dimension of each room:
Rental Dwelling Unit Identifier:
Requested maximum number of persons allowed to occupy each dwelling unit:
Number of Rooms in Rental Dwelling Unit:
Use and Dimension of each room:
SECTION H.
DECLARATION: Signature must be notarized and MUST be the owner of the dwelling unit.
STATE OF NEW YORK)
)
COUNTY OF SUFFOLK)
I certify under penalty of perjury,the following:
1. I 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.
via-----, PropertyOwner s Name: ✓
Property Owner's Signature:
Sworn to before me this II day of 20 a y
Official N ary Public Signature and Original Notary Stamp
SUSANJLAUTSCH
Notary Public,State of New York
No.01LA6190756
Qualified in Suffolk County
Page 4 of 4 Commission Expires July 28,20 a yy
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TOWN OF SO OLD BUILDtIN DEPT.
631-765-1802 t 0q ,-- I- -- 19
INSPECTION
[ ] FOUNDATION 1ST/ REBAR [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INSULATION/CAULKING
[ ] FRAMING /STRAPPING [ ] NAL
[ ] FIREPLACE & CHIMNEY [ FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PEN TRATION
[. ] ELECTRICAL (ROUGH) [ ] ELECTRICAL ( AL)
[ ] CODE VIOLATION [ ] PRE C/O ] RENTAL
R RR
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DATE
INSPECTOR
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TOWN OI= SOUTHOLD BUILDIW DEFT.
631-765-18,
INSPEC
- �
[ ] FOUNDATION 1 ST/ REBAR [ ] I
[ ] FOUNDATION 2ND
[ ] FRAMING / STRAPPING
[ ] FIREPLACE & CHIMNEY
[ ] FIRE RESISTANT CONSTRUCTION [ ]
[ ] ELECTRICAL (ROUGH) [ ]
[ ] CODE VIOLATION [ ] rnic L J •`•- -
REMARKS:
VAPiv
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DATE INSPECTOR
Town Hall Annex �� Telephone(631)765-1802
54375 Main Road 'a Fax(631)765-9502
P. O. Box 1179
Southold, NY 11971-0959 w �
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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
r f i rile f r Archaecl 2r ra ire r L"ic r o e Inspector rinu
I II c r
Rental Property SCTM Number.
Rental Property Address: 1 �O ,
Owner/Name: C 41%.
Rental Dwelling Unit Identifier:
Number& Square footage of each bedroom as depicted in the attached floor plan:
(i.e. Bedroom#1 —100 sgft., Bedroom#2—90 sgft., 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 Southold, the Residential Code of New York
State, the Building Code of New York State, the Plumbing Code of New York State,the Fuel Gas Code of
New York State, the Fire Code of New York State, the Property Maintenance Code of New York State
and the Energy Conservation CoTtru,;ption Code of New Yor t
Print Name and Title �rg aa l Signature
re
Jor
:
Please place Prof io!Pl i f,
- TOWN OF SOUTHOLD PROPERTY RED
�,�,�,�, LOT OWNER ; STREET VILLAGE �vo.
FORMER OWNER N r E ACREAGE
t H
St _ r W TYPE OF BUILDING
RES. SEAS. I VL. FARM COMM. IND, CB. MISC. Est. Mkt. Value
�F LAND IMP. TOTAL DATE REMARKS -
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-- -
s
-7o
i
AGE BUILDING CONDITION
NEW NORMAL I BELOW �® ABOVE FRONTAGE ON WATER
Farm Acre Value Per Acre Value FRONTAGE ON ROAD
Tillable 1 BULKHEAD
Tillable 2 DOCK
f
Tillable 3 -
Woodland
Swampland
Brushlq .-� .� CC 1 CC)
House Plot
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a
=7771
M. Bldg. Foundation Bath
Extension Basement Floors
Extension _ Et, 'os " , Interior Finish _
Extension ( Fi, Place Heat
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Porch' Roof Type
?, p Porch Rooms 1st Floor
Breezeway Patio ¢ Rooms 2nd Floor
Garage `- D ivewoy a Dormer
O. B.
3 `
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FORM NO.4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold,N.Y. .
Certificate Of Occupancy
No.411004.. . . . . ` . . . Date . . . . . .vlay.. .21. . . . . . . . . . . . . . . . .. 19$?.
THIS CERTIFIES that the buildings. . . (2.). „ . . . . . . . . „ . . . . . . . . . . . . . . . . . . . . . . . . . . . .... .
Location of Property 1.95. . , . . , . „ „ , , , Sterling Road . . Cutchogue
House No. � Street .Hamlet
County Tax Map No. 1000 Section . I DA . . .-'-`: : .Block .02. . . . . . . . . .Lot . :9?.9. . . . . . . . . . . .
Subdivision . .Naasau. .F.arap. . . . . . . „ „ . . . . .Filed Map No. 13 7.9. . . .Lot No.4 k 431?�50P,
Re uiren spats for a private one—family dwelling g built prior to
conlxis substantially to the Appliata�r} ar—Bilderher -�,`1ecl- - l�o€f}oe�laled
Certificate of Occupancy
.Apri.l. .23. . . . . . . . . . , 19 57.pursuant to which Building.Rermit No. . . . . . . zi.1004. . . . . . . .
dated . k14Y. .2.1. . . . . . . . . „ . . . ,, . . . . . . 1982. ,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 . . . . . . . . .
.ppj,v� e. ,oa�� -t, rni�y ,d*gelling with. .accessory, two-car . . . .
The certificate is issued to . . . . .H e r A q r t. R. .S ch u s t r . .
(owner,tam"tena cat. . . . . . . . . . . . . . . .
of the aforesaid building.
Suffolk County Department of Health Approval . . . . .n/.r. . . . . . . ,. . . . , . , . . . , . „ . . . , . , , .
UNDERWRITERS CERTIFICATE NO. . . . . . . . . . . . .n/r. . . . . . . . . . . . . . . . . . . . . . . . . . . .. . .
Building Inspector
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.Z 1 1 004 . . . . , . Date . . . . . . lay. .21. . . . . . . . . . 19$?.
THIS CERTIFIES that the buildings. . . (2.). „ . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Location of Property .19.45. . . . . . . . . . . . . Sterling Road . w * „ . Cutchogue
House No. Street Hamlet
County Tax Map No. 1000 Section . 10.4 . . . . . : .Block .02. . . . . . . . . . .Lot . :91.9. . , . . . . . . .. .
Subdivision . .N as s a u. .F.e r .s. . . . . . . . . . . . . . .Filed Map No. 1 17.9 . . .Lot No.4 2 P,4 3 P 2 5 0 P,
R quireraents for a private one-fa it dwelling built prior to
conforms substantially to the A�pl taer�--€or B i�i erffi4t,.her ors-fled-4n-#4&-effice-dated
Certificate of Occupancy
. .Apri•.L •23. . . . . . . . . . , 1957.pursuant to which Buildiug.R:ermit No. . . . . . . Z.1.1004. . . . . . . .
dated . May. 2.1. . . . . . . . . . . . . . . . . . . . 1982. ,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 . . . . . . .
.a .pniv4'te. .Qr�e-fjgMijy .dwejing vii th, ,accps,sory, two-car garage .
The certificate is issued to . . . . .H e r�q r t, Ft S c h LI s t p r . . . . . . . . . . . . . . . . . . . . . .
(owner,lessee-or tenant,►
of the aforesaid building.
Suffolk County Department of Health Approval . . . . .nlr. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
UNDERWRITERS CERTIFICATE NO. . . . . . . . . . . . .nlr, . . . „ . . , . . . . , . . , , . . . . „ . . . . . . . . . . . ,
Building Inspector
Rev.1/81
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BUILDING DEPARTMENT
TOtiM OF SOUTHOLD, N. Y.
HOUSING CODE INSPECTION REPORT
Location 1925 Sterling Road Cutchogue
number c street FBunicpa lty
Subdivision Nassau Farms Yan No. 1179 Lot(s)42P,43F,5OF
Name of Owner(s) Herbert R. Schuster
Occupancy R-1 unoccupied
type owner-tenan
Admitted by: self Accompanied by: self
Key availableF rst Towne Realty Suffolk Co. Tax No. 104-02-019
Source of request Rudolph H. Bruer Date 5/4/82
DWELLING:
Type of construction wood framed #stories 1
Foundation cement block Cellar partial Crawl space and slab
Total rooms, lst. F1 6 2nd. F1 3rd. F1
Bathroom(s) 1 Toilet room(s)
Porch, type Deck, type Patio, type slate
Breezeway Garage Utility room
Type Heat oil fired Warm Air Hotwater x
Fireplace(s) No. Exits 2 Airconditioning
Domestic hotwater yes Type heater oil fired
Other
ACCESSORY STRUCTURES:
Garage, type const. 2-car wood Storage, type const.
Swimming pool Guest, type const.
Other bathroomara, e (electric hot watery
VIOLATIONS: Housing Code, Chapter 52
Location Description. Art. Sec.
no violations Housing Code Ch. 52, where
found.
Remarks:
Inspected by:� " skate of Insp. 5/19/82
Curtis W. Horto'n Time start 11 :30 end 12:00