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Home My WebLink About1000-111.-6-8 Rental Permit 1253 Owner: Thomas Elvidge , Jennifer Elvidge Occupied as: Single Family Dwelling Located at: 2745 Vanston Rd Cutchogue 111.-6-8 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. Issued: 01/29/2025 Expiration: 01/29/2027 Co nt ors This Notice must be posted by the main entrance at all times 11013t[Z-4 0,0 1b e7 re /0 5-7 A S- TOWN OF SOUTHOLD-BUILDING DEPARTMENT /�S� �' /'�� Town Hall Annex 54375 Main Road P. O. Box 1179 Southold, NY 11,971-0959 Telephone (631) 765-1802 Fax (631) 765-9502 htt '://www.southoldtownn ., oar 3 1 2024 RENTAL PERMIT APPLICATION Rental Permit Fee $300 (Application must be renewed every two years)715W., Section A. Property Information: Rental Property Address: VAN51D[A &PAOf CUTCOUP Tax Map Number: 1000 SECTION --BLOCK --LOT SECTION B. OWNER INFORMATION: Property Owner Name: J-EN IN I-EE 12 RI E E"LV J Q 0 Property Owner Legal Address: Property Owner Mailing Address: (Cannot be the same as Rental Property Address) 11 HEN AWE I-D N 0 CIN Ni � 61NP UL 4-4�- -7q--71 5-1011T7S Telephone Number (s): Daytime Evening Emergency_ Property Owner Email Address: IPIIA;fpr . elyi' dQe to cilra; 1. (&/Y) Page 1 of 4 Section C. Authorized Agent Information: S to A p to I C Name of Authorized Agent of dwelling unit, if any: Address of Authorized Agent (no P.O. Boxes): Mailing Address of Authorized Agent: f 1i* a 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 u 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: Number of rooms in Rental Dwelling Unit: Use and Dimensions of each room in Rental Dwelling Unit: atilit 1W a0m 3 ' m EnSuP'tQ SECTION G. afti roam b anm ali INSPECTION: fi v i/t 3l rp am Lfth t n 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. d 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 Horton, LisaMarie From: Jennifer Elvidge <jennifer.elvidge@gmail.com> Sent: Wednesday, November 20, 2024 5:00 PM To: Horton, LisaMarie Subject: Re: Rental - 2745 Vanston Rd Attachments: Main Building - COO (1959).pdf Hi LisaMarie, I've attached photos of the original floor plans with the detectors marked on them as red circles and the certificate of occupancy from 1959. Please let me know if you need anything else. The room dimensions are as follows: Bedrooml 12xl2.8 Bedroom2 11.8x10.16 Bedroom 3. 11.8 x12.6 En-suite. 8x4.7 Bathroom. 8.4x4.8 Living room. 17.7x20.08 Kitchen. 17.7x 12.2 Family room. 15.2 x 21.7 Utility 11.6x9.10 Basement 17.406 i SECTION H. DECLARATION: Signature must be notarized and MUST be the owner of the dwelling unit. STATE OF NEW YORK) ) COUNTY OF SUFFOLK) I 4AnnAr it _ , 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: Property Owner's Signature: 5� �. Sworn to before me thi��day of 20r� Official Notary Public Signature and Original Notary Stamp CONNIE D.BUNCH Notary Public,State of New York No.01 BU6185050 Qualified in Suffolk County�aC/ Commission Expires April 14,2 b Page 4 of 4 of so TOWN OF SOUTHOLD BUILDING DEPT. 631-765-1802 ///- 6-e 1 1 NSPECT ON [ ] 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 REMARKS: 17 -Sd' DATE INSPECTOR SUfFOCI( Town Hall Annex Town of Southold 54375 Main Road Rental Inspection Report PO Box 1179 Southold, NY 11971-1179 Te1: 631-765-1802 SUM # C ' ., mm ....._ .. _r.._ ... .,.. .,. _Date... . _ � ... ,. . ._.. .... .. .. ...�,.,. _.....�..n..... ...... ;Owner,,.. Phone Address Visible _ _ g _..... ... .w..._.m_. . .._.. _._... ._ __. ...._._ _.__...._ _ .w_.. __..___.. .. Hamlet tee. Inspector N FloorSmokeeDe4tectors1enot located in bedrooms Sub.,..., �... . 1. ,.. ..",.. . ?„., P.�. . 3 ... .� mok .w .. ._�_._. _ . �. e. �. �_ m ._ _ _. "� .. _✓.w_ .. Carbon Monoxide onoxide Detectors I ni I .....Fire Extinguishers ...�..�...._.. ,...,,,._..._-mw._..,_ .__....._ _.... .....Y.._....M,_.. , .. Exits..,. .. � � .µ.. ._ . . ,. Bedrooms 1 2 3 4 5 6 Smoke Detectors "" Egress .. Occupant Count Building Systems Maintained & Operational Condition of Property Heating Building interior Hot water Building exterior Electrical... __.. . . .._... . _...__ �._ w....._.._�� ° Property clean, maintained &.safe.... f.�a.��.�.... .�._.. Mechanical Handrails &guards installed & secure Pool Safety Pool on Site Surface__. .. .... .... ....��. _. .� _ _.. _ .�e....�µ W __.a.._.._.. �_a_..� _........_ e _ .._. M....... . � _.�. . ,.�� .. .,..�.__..,., water alarm Date of CO issuance Door alarms ... � _.. ...._.. . ....�.�.._.. . .�..... ..�w..._ .._u_._._��-. ....�.._....m....._.._..._.._�... ._.. .,.,..w.._.. _._.-� ...__ ..,n. _._.� Pool completely enclosed Self closing latching ate ,,.,. ...,. �........ ....W......._ .. s Pool fence to code requirements g/ g g CO's for all items resent . ...�...._„�.., .��.....w..... .....W...m� a.p 'Prior Rental Comments: € o a F f " COLOR [ :t t— b, I � a � € v (f F . 3 3 TRIM T - i ` ( � z l � x ` s t € p € yy I € i p 111:6.8 12/2013 I [ 1 t R- F x , 3 7 } r Bath �/� Dinette M. Bldg. � � 'r�C.� �� o dat�ors t p � ( Z � E er sio r ment _ / Floors 1;, "" r Extension 0xt. Walls � ,. �, Interior Finish , 1�. LR. Extension .Heat ;' t �f DR. I ire Place = 00 ' Type Roof Rooms 1st Floor BR,75 i o o •� � � �C recreation Room Rooms 2nd Floor FIN. B. l I f X a 5 Powch >;r i dormer t Breezeway }riveway Garage y' X a = r �D / X a- i s Potion - $6 zx�0 I,� '(J �a S �� , Total ( ! :_ �3- yea Town of Southold Annex 10/1/2013 P.O. Box 1179 54375 Main Road Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 36541 Date: 10/1/2013 THIS CERTIFIES that the building ADDITION/ALTERATION Location of Property: 2745 Vanston Rd, Cutchogue, SCTM #: 473889 See/Block/Lot: Ill.-6-8 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this officed dated 7/15/2013 pursuant to which Building Permit No. 38173 dated 7/15/2013 was issued, and conforms to all of the requirements of the applicable provisions of the law. The occupancy for which this certificate is issued is: "as iwlt"@ scr �1 pore h on el vat�cl...Lr1 as lied for., The certificate is issued to Chester,Robert (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL. ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED A /g��a�ure FORM NO.4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold,N.Y. Certificate Of Occupancy No. .Z 9 4+3.7.4 . . . » . . . . . Date . . . . . . . . . .4 p r i l. 2 9. . . . . . . . . . . . .. 19 8 6. THIS CERTIFIES that the building . . . . . . . , , , , , , , , , , , , , » Location of Property . . . ? 5 .VAI3STOI� ROAD CUTCHOGUE House No. tia Hamlet County Tax Map No. 1000 Section . . .1.1.1 . . . . . .Block . . 6. . . . . . . . . . .Lot . . PA.$ . . . . . . . . . . . Subdivision .N a s ci u. P t: ,C 1 u b . Prop e r t y .Filed Map No. . . . . . . . .Lot No. 35 9-3 6 0 conforms substantially to the Application for Building Permit heretofore filed in this office dated . . .Nov... .13. . rt . » . , 19?9.pursuant to which Building Permit No. 10 4 4 2 Z . . . . . . . . . . . . . dated . . .K4Y,. .R3 . » . . . . . . . . . .. . . . . . 197 . ,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 . . . . . . . . . Build storage building for materials & equipment customary to Nursery ma�.ntenance for a commercial �agricu�'t'ura5.� �ope'ration: " " ' 4 The certificate is issued to . . . . . . .E D CIA R P. A .J 0AN .d I.N. 14ANN. . , . . . . . . . . » . . . » . . . . (owner,lf' x of the aforesaid building. Suffolk County Department of Health Approval . » a . , . . » . ,NIA. . . . . . . . . . . . . . . . . » . . . . . . . . ». , UNDERWRITERS CERTIFICATE NO. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Y" . . . * Bu . . . . . . . Building Inspector . » Rev.1/81 FORK NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. CERTIFICATE OF OCCUPANCY No. ...4.271....... Date ...................A=U..16.................... THIS CERTIFIES that the budding located at.VA 1 ...8dr.j...14s78.&R.i,1..P. Map NAVINAU-P-tv... Block No .. .'!`+ *.............Lot No ... ...................................... conforms substantially to the Application for Building Permit heretofore filed in this office dated ..................... $h..29....... ........ 1950.., pursuant to which Budding Permit No. .., ..,21i�............. dated ..................X =11.19 ......... . .... 19 ..56,was issued,and conforms to all of the requirements of the applicable provisions of the low The occupancy for which this certificate is issued is.............. ...................................... .PR3v, 0K9 ZX•DWML .... .................................................. This certificate is issued to ............................................ (owner, lessee or tenant) of the aforesaid building. Building Inspector Howard K* Terry TOWN OF SOUTHOLD WILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. CERTIFICATE OF OCCUPANCY Z 2?1 Dote . nGrf L 16 19..59. No. ..... .. ...., .....................:.................................... THIS CERTIFIES that the building located of Vansbn,.Rd. t Nas'sau ,Ft. Cutchc§Mt Map 11"Sau Ft. * ,*........». � 6D ... Block No. ,Lot No. .. ............................ .,.,.............,...,....,,... . conforms substantially to the Appllcotion for Building Permit heretofore filed in this office doted .,. .. SaTC.'. . . ........ ...... 19. p.., pursuant to which Building Permit No. _Z..i �t . ........... doted .................»R19« ............ 19....E ,was issued,and conforms to all of the requirements of the applicable previsions of the law. The occupancy for which this certificate Is issued is .............. ....... ................................k.R Mi.ATE...0tMmiW.141L .V'A" L LZ*.............................................I........ . This certificate is Issued to . .dYE��f .. '.....c� XZt �xA4f1> .t. .f?°°;in" ". ........., ...I............................. lessee or tenant) of the aforesaid building. Building Inspector f Howard M. 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