HomeMy WebLinkAbout1000-97.-6-16 TOWN OF S UTH L
Rental Permit
1256
Owner: Yogesh Mulwani , Ruchita Kewalramani
Occupied as: Single Family Dwelling
Located at: 600 Harbor Ln Cutchogue 97.-6-16
Maximum Permitted Occupancy: 8
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.
--�04Issued: 02/04/2025t3�1
Expiration: 02/04/2027 €ode orcement ciai
This Notice must be posted by the main entrance at all times
r) 1)
1 TOWN OF SOUTHOLD—BUILDING DEPARTMENT
a 6.
fl M " Town Hall Annex 54375 Main Road P. O. Box 1179 Southold,NY 11971-0959
Telephone(631) 765-1802 Fax(631)765-9502 lattsm// r�.sootttlltnr o
a.
RENTAL PERMIT APPLICATION
Rental Permit Fee$300(Application must be renewed every two years) 0 E c 2 202
Section A.
Property Information:
Rental Property Address:
Tax Map Number: 1000 SECTION BLOCK 6
SECTION B.
OWNER INFORMATION:
Property Owner Name: dutza)Aml XUCH1 <P to/ P 1 A N
Property Owner Legal Address: Property Owner Mailing Address:
(Cannot be the same as Rental Property Address)
2., 00 S a eo2 b-4 -S-.E C 0R �N
Y l 0 z /V I o 13 a3
p o
Telephone Number(s): Daytime a ss0 YlEvenine imergency l 0 Y " y I
Property Owner Email Address:
Page 1 of 4
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: � 1ro,1 ffi
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: g
Number of rooms in Rental Dwelling Unit: � Leclly6amf
Use and Dimensions of each room in Rental Dwelling Unit:
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.
'19 1 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)
IImtsi-I _�� ; .�' 1_ ,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.
Property Owner's Name: O c I Li
Property Owner's Signature: -' �-
Sworn to before me this 2 y day of Q ec e ev- 20.Z!{
Official Notary Public Signature and Original Notary Stamp CONNIE D.BUNCH
Notary Public,State of New York
No.0 1 BU6185050
Cualifled In Suffolk County
Commission Expires April 14,204
Page 4of4
TOWN OF SOUTHOLD BUILDING DEPT.
UM 631-765-1802
INSPECTION
[ ] FOUNDATION 1ST/ 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
REMARKS: e- veset 704-
/ s gee. X4i
/e o ce goeam s /lob ) he
DATE s- — INSPECTOR
TOWN OF SOUTHOLD BUILDING DEPT.
631-765-1802 Gl7 G /�
I N S � ECkTION
[ ] FOUNDATION 1 ST/ REBAR [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INSULATIOWCAULKING
[ ] FRAMING /STRAPPING [ ] FINAL
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
[. ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FI AL)
[ ] CODE VIOLATION [ ] PRE C/O [ RENTAL
REMARKS: - Ope,4 s/airz.- P-1Se2s lto4- r — C/os-
OdP.�2 so a/es ✓Ja�
S �,�( S v 2�� Gva��2 A/4-oP-/4 1./SAe-4 a S /'/7
fi
DATE ANSPECTOR
,y Town Hall Annex
, ,
Town Of$OUthO(d 54375 Main Road
PO Box 1179
k Rental Inspection Report
" Southold, NY 11971-1179
Tel: 631-765-1802
SCTM# — Date
Owner / Phone
Address d Visible
Hamlet JInspector
Floor level Quantities SE 1 2 3
Smoke Detectors(not located in bedrooms) r /
Carbon Monoxide Detectors
Fire Extinguishers
Exits
Bedrooms 1 3 4 5 6
Smoke Detectors
Egress
Occupant Count -
Building Systems Maintained&Operational Condition of Property
Heating Building interior
Hot water Building exterior
Electrical Propel clean, maintained &safe
Mechanical Handrails&guards installed &secure lei
Pool Safety Pool on Site
Surface water alarm Date of CO issuance do0
Door alarms lPool completoly enclosed
Self closing/latching gates Pool fence to code requirements
CO's for all items present Prior;Rental
Comments:
_ 10130
, r
TOWN UT_ PROPERTY D CARD
OWNER STREET l j VILLAGE I DIST. SUB. LOT
_ -
F0Rh
c
ER OWNER_ N E ACR.
jq
W TYPE OF BUILDING
_
RES. = SEAS. VL FARM COMM. SCR. MILS � Mkt. Value
LAND IMP, TOTAL. DATE REMARKS
. -
s -
s _
5
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Al
Al,
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s
1.`.
F
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Tillable FRONTAGE ON WATER
__ -
Woodland FRONTAGE ON ROAD
Meoclowland DEPTH
House Plat ., - -
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Total
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lit \\ a57
)LOR TRIM
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Sri _ fl _ a 1 € T
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M. Bldg. € 212� �{. I7 t -z
Zn I _
-
Extension f ,
Extension I l� v
Foundation Both Dinette
or = _ Ua — i— .. I Basement g T ,� Floors K.
_c, =o � � Interior Finish � LR
Ext. Walls �, _
B�7way s � ! t'f Fire Place _� r Heat
DMZ
w
Garage; - �'' i 'e� -?4-I Type Roof I G �,1� Rooms 1st Floor
�03 r Ia5 Recreation Room Rooms 2nd Floor ; FlN. B ;
s _ 2 - -
n `Dormer I Driveway
i
Total -7
FORM NO.4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building inspector
Town Hall
Southold,N.Y.
Certificate Of Occupancy
No. 31242�. . . . . .. . . Date . . . . . . . .APril 18. . . . . . . . . . . . . . .. 1984 .
THIS CERTIFIES that the building .--Aqw. a.14Q,I1;LAg . , . . µ . • . . • . . ` • . ` . . . . . . " . . . . . .
600 Harbor Road Cu .
c�hogil
Location of Property • . ° Str*e*t ' . µ . . * „ „ rt *
House No. Lot 016
County Tax Map No. 1000 Section . . . .9. . . . . . .Block . . . .0 b. . . . . . . . , . • . • . . . . . .
Subdivision . . . . .X. . . . . . . . . . . . . . . . . . . . . . . . .Filed Map No. . X . . . . .Lot No. X. . . . . . . . . . . .
conforms substantially to the Application for Building Permit heretofore filed in this office dated
t rtilr 15
19 ?A pursuant to which Building Permit No. . . . . 12.649Z. . . . . . . , . .
-dated . „ „ „ , October 1„ „ w , . . , , . 19 8 3, ,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 ,private one—family dwelling.' , , . . . ,
The certificate is issued to . . , . ,SUDH�R P . .SA" , , , W . . . . . „ . . . . . . . . . . .. . . . .
of.tenon
of the aforesaid building.
Suffolk County Department of Health Approval 3-50-5$ , 3,/8 84,, ,Robt. ,A.. Villa, .P.E.
UNDERWRITERS CERTIFICATE NO. . . . . . . . , . ,6 3. 2 Z 6. „ . . . . . .
Building Inspector
Rev.1/81
FORM NO.a
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Halt
Southold,N.Y.
Certificate Of Occupancy
No. . ?�t4963. . . . . . . . . Date . . . . . .QC tPP r .6... . . . . . . . . . . . . . .. 19 .46
THIS CERTIFIES that the building . . , . , . deck. . . .d i t. . . . . .. . . . . . . . . . µ ..
Location of Property 6Hou00 .Harbor Lane µ'a . Cutcho�gt T,. New. York
se 1110. . . . � » . . . tre��t • » . � � . . . .
County Tax Map No. 1000 Section . 9 7 . . . . .. . .Block '. » . . . « . . . » . . .Lot . . . .16
b. . . » . . . , . . .
Subdivision . . . . . . . . . . . . . . . . . . . . . .. . . . . . ..Filed Map No. . . .. .. . .Lot No. . . . . .. . . . . . . .
conforms substantially to the Application for Building Permit heretofore filed in this office dated
. . . t o b e r. 3.,. . . . , . . , , 19 8 b pursuant to which Building Permit No. . , ,15357. . . . .. . µ . .
dated . . .O. t abe r 6, . . . , . , , , . 19 86. ,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 . . . . . . . . .
deck addition to existing one family dwelling.
. . . . .+. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . .• . . . . . • ♦ .
The certificate is issued to . . . . . . . S u d h i r ,P.;, (owner
S a h u. . . . . . . . . . . . . .
,lasseei M . i�x
of the aforesaid building.
Suffolk County Department of Health Approval . .. . . „ , ; , .N/A a w
... .. . . . .
UNDERWRITERS CERTIFICATE NO. . . . . . . . . . . . . . . . . .N/A . . . . . . . . . .
. . . . . . . . . . . . . . . . . . .
. . . . . .. . . . . . . .. . . . . . . . :" N
µ * Building Inspector
Rev.1/a1
F
k
. pC
W
FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No Z-22702 Date NOV ER 4 1993
THIS CERTIFIES that the building ADDITION
Location of ;Property 600 HARBOR LANE CUTCHOGUE, N.Y.
House No. Street Hamlet
County Tax Map No. 1000 Section 97 Block 6 Lot 16
Subdivision Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated NOVEMBER 1 1991 ____pursuant to which
Building Permit No. 20263-Z dated NOV ER 7 1991
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 GARAGE ADDITION TO EXISTING ONE FAMILY DWELLING AS APPLIED FOR.
The certificate is issued to HENRY RIENECKER
(owner)
- of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A
UNDERWRITERS CERTIFICATE NO. H-028323 APRIL 21 1992
PLUMBERS CERTIFICATION DATED N/A
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-34480 Date: 07 28 10
THIS CERTIFIES that the building ADDITIONS/ALTERATIONS
Location of Property: 600 HARBOR LA CUTCHOGUE
(HOUSE NO.) (STREET) (HAMLET)
County Tax Map No. 473889 Section 97 Block 6 Lot 16
Subdivision Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated FEBRUARY 12, 2008 pursuant to which
Building Permit No. 36 3-Z dated FEBRUARY 12, 2008
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 AND ADDITIONS, INCLUDING DECK AND COVERED DECK, TO AN
EXISTING ONE FAMILY DWELLING AS APPLIED FOR.
The certificate is issued to HENRY & CAMILLE RIENECKER
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A
trraxt— CAL CERTIFICATE NO. 1050797 05 06/02
PLUNBERS CERTIFICATION DATED 20/17j09 HENRY RIENECKER
A"uthAized n �.ature
Rev. 1/81
BREAKFAST NOOK
10'4"x 77"
V BATH
12`44 x 9'2' _
DINING AREA -- '# + 7B�EDROOM - " I - BEDROOM FLEX ROOM
PRIMARY BEDROOM ' IS'1"x 12'1" KITCHEN ? ;'�• 3'3" 10'6"x li'O" 11'3"x II'0"
13'7 '2"x 12'5"
2"xSj m
I
GARAGE
12'1"x 20'8"
{� BEDROOM
I 11'3"x 13'5"
W.TT6'
C/
11'0" _ LIVING ROOM \ ROOM
32'3"x 17'1" 6'2"x 77' -- OPEN TO BELOW
FLOOR 2 FLOOR 3
BASEMENT
45'1"x 16'0" -
Lni
BASEMENT ""-�
44'0"x 14'4"
FLOOR I
5
\ ƒ
M
BREAKFAST NOOK
~ 1014" x 7 7'
Z ,!
. . . . - .
\x \
e BA Mgr z ! UNDR . . .
\ ' | 12 4" x 5 2 . .
m
\ DINING AREA 111" xl»1" KITCHEN !
PRIMARY BEDROOM BA H 112" x125"
137" x154" 2" x5.
# {
REF
=
{ % \ § GARAGE
\ ! 12 1" x 20'8"
� \
W.I.C.
110 x ƒg" ROOM \ LIVING ROOM
7'§' x 9991 -
'_ 3/3 x171 -
/ (�
. .;
.�
« ��
< 70
O
BEDROOM
BEDROOM FLEX ROOM
11'4" x 13'3" x 10'6" x 11'0" 11'3" x 11'0"
N
d�
BEDROOM
11'3" x 13'5"
ROOM
612" x 712"
OPEN TO BELOW
i
BASEMENT
45'1" x 16'0"
m
REF
BASEMENT
44'0" x 14'4"
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