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HomeMy WebLinkAbout1000-110.-5-44 �£ TOWN OF SOUTHOLD Vti g Rental Permit AV Permit No. 0187 Owner Conrad & Deborah Hopkins Occupied as Single Family Dwelling Located at 800 west Rd Cutchogue 110-5-44 Address Village S/B/L Maximum Permitted Occupancy 9 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. 9/20/2019 John Jarski Date of Issue Code Enforcement Officer This Notice must be posted by the main entrance at all times 04 Town Hall Annex & Telephone(631)765-1802 Fax(631)765-9502 54375 Main Road C$z P.O.Box 1179w , Southold,NY 11971-0959 BUILDING DEPARTMENT TOWN OF SO HOLD RENTAL PERMIT APPLICATION Rental Permit Fee $200(Application must be renewed every two years) Section A. JUL Property Information: .,, W V � R �roper �ddrss:A� cz, / Tax Map Number: 1000 SECTION -I LO K 0 . -LOT _ 4 SECTION B. OWNER INFORMATIO : Property Owner Name: Property Owner Legal Address: Property Owner Mailing Address: d93j- Telephone Number (s): aytime-14LM Evening el Emerge y u � j Property Owner Email Address: 41 Page 1 of 5 % P Town Hall Annex cl Telephone(631)765-1902 �i .54375 Main Road Fax(631)765-9502 P.O.Box 1 179 Southold,NY 1 1 971-0959 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: t 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 Uni Number of rooms in Rental Dwelling Unit: 8 Use and Dimensions of each room in Rental Dwelling Unit: 11 Page 3 of 5 " Telephone 631 765-1802 Town Hall Annex �� `�`� P ( ) 54375 Main Road Fax(631)765-9502 P.O.Box 1179 Southold,NY 11971-0959 , ° ,lm. 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 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) OUNTY OF SUFF LK) w 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 Page 4 of 5 Town Hall Annex ° �'kw Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1179 Southold,NY 11971-0959 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 Age Managing Agent, or Sit Manager. Property Owner's Nam '.> Property Owner's Signatur � Sworn to before me this y of e' , 20 )q Official Notary Public Signature and Origi al otary Stamp ��$ CAT,gp� NOTARY - 020 Page 5 of 5 Town Nall Annex �, Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1179 �a Southold,NY 11971-0959 � u h BUILDING DEPARTMENT TOWN OF SO'rI THOLD 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 F"ro essionat seat required for architect or Fn ineer Licensed Home Ins ector must ovide coov o 'volid current certi tcation Rental Property SCTM Nu9(b er: Rental Property dress: Owner/Name: g Rental Dwelling Unit Identifier: Number &Square footage of each bedroom as depicted in the attached floor plan: (i.e. Bedroom#1 -100 sq., Bedroom#2-90 sq., etc.) Property Description (Include all improvements indicated on survey) 1 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, and the Energy Conservation ruttle Code of New York State. �0Rk-PJ 10 LAC C i-I-s-A,,iA Print Name and Title Ig tur Please place professional seal: Sot) L& �I© — � / °C1 TOWN OF' SOUTHOLD BUILDING 765.1802 IrNSPECTIONN' [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING / STRAPPING [ ] NAL 4r,, ,A , Tom! [ ] FIREPLACE & CHIMNEY [ FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) [ ] CODE VIOLATION [ ] CAULKING �.w VAW inv i o ATE - INSPECTOR w u 'Mh�"�aro�+�a�.,a '�"��6 u X OD 10 ft hq g{ � ­q ll4 i 4 C`G; z 70 0 Con E < met ga> � 8 "w ;M CO Z fri > L, 0 m IN _2 (D w ;'F! X .� 00 0 J 0 " � K) a T3 t% gy m cs TTI C, (jo co c c� C3 M M m P -\ EXISTING DOOR ACCESS THIRD FLOOR \ \\ \\ J CLOSET 1 ?� A'}€ 7 x5 rx I= BEDROOM \\�\\� .�� ... ••v :moo;. � �. �\\' - 14'x 179' UNRNISHED CLOW _ BONUS ROOM 24 x 22 T.BEDROOM s MASTER 24'x 21' BEDROOM 14'2'x 127 — � \ �• \ -\\� \ BENCH - _ SECOND FLOOR D ISLAND KITCHEN _MUDROOM SCREENED 17 a'29 P 11'9'x5' PORCH ;X [ € ,; 14'x275' '34' + �'.`�--_- =ark CL OW •Fp -._ 2 CAR GARAGEnee UVNG ROOM BEDROOM,. 23'x 167' 4 s 141` I - '� 1 ✓ (•mil .o . Ira E�;. '� � "'FAQ 4e'z ze'7• INT.4020 ft2 BASEMENT FIRST FLOOR:1376 ftz FIRST FLOOR GARAGE:552 ft2 SCREENED PORCH:308 ft2 SECOND FLOOR:1300 ft2 UNFINISHED SECOND FLOOR BONUS ROOM:528 ft2 UNFINISHED THIRD FLOOR:1248 ft2 BASEMENT 1344ft2 EXT(INCLUDES WOOD PORCHES,DECKS,AND STONE PATIOS..):3459 ft2 Scale in feet.Indicative only.Dimensions are approximate.All information contained herein is gathered from sources we believe to be reliable.However,we cannot guarantee its accuracy and interested persons should rely on their own enquiries. 800 West Road, Cutchogue Corcoran TOWN OF S UTH LD PROPERTY RECORD , '10- �-IQ\c� OWNERSTREET VILLAGE DIST.; SUB, LOT FORMER OWNER N - E . _ ACR. ' €_ v= S W TYPE OF BUILDING a I i RES. ` "SEAS. VL. I FARM COMM. CB. M1CS. Mkt, Value LAND IMP. TOTAL DATE REMARKS I i { �€ �_ ✓ I 1 , J 1 mm J 1 hdF ' a I AGE BUILDING CONDITION NEW NORMAL BELOW ABOVE FARivI Acre Value Per Vclue Acre Tillable FRONTAGE ON WATER Woodland FRONTAGE ON ROAD Meodowlond DEPTH House Plat BUL*H.E-AD -T t Total DOCK It _ -44 COLOR M - £#� �, 71, M b fL+- VIA I TRIM r1 MIN Iz , r 13 Z- 110,544 11/07 F 1< t, 1st 2nd PC CB 1 Bldg, J�� ,-, ' 7 Lf 0 Foundation OTHER Bath 3 Dinette FULL`> COMBO. Extenston / Basement PARTIAL Floors Kit. 4 7�' _25 3 2-`�Q SLAB Extension Finished B. — Interior Finish LLR= J -Extension Fire Place - '� i \ Heat D.R. 1 Garage BR. S - Ext. Walls l J" 7� I, F li Porch ',�. ` - Dormer r - Baths DEGI(/{ LIO Fam. Rm. Ph y - � 71 .� Foyer Pool `l' I 6- r,-)D + �� Laundry Library/ O.B. Study Dock l ~ Y 441 • r i COLOR w TR1 M � • , 1 sow% %r M. Bldg. - J f�E Extension r e Extension I Extension �. _ / �- • o Foundation Bath Dinette Porch Basement _ 'Floors ,• I:. Porch . - t =. Ext. Walls Interior Finish G LR. Breezeway Fire Place Heat f CR. Garage 'Type Roof Rooms 1st Floor ER. Patio Recreation Room;; _Rooms 2nd Floor FIkN. B i O. B. Dormer Drivewoy Total l t FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-33888 Date: 08/05/09 THIS CERTIFIES that the building NEW DWELLING Location of Property: _ 800 WEST RD_ www_.M CUTCHOGUE (HOUSE NO. ) (STREET) (HAMLET) County Tax Map No. 473889 Section 110 Block 5 Lot 44 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated JUNE 1, 2009 pursuant to which Building Permit No. 34731-Z dated M�JUNE 1, 2009 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 COVERED FRONT PORCH, SCREENED PORCH, REAR DECK, SECOND FLOOR BALCONY, ATTACHED TWO CAR GARAGE AND OUTDOOR SHOWER STALL AS APPLIED FOR. The certificate is issued to S & J DEVELOPMENT LLC ......_._...�......... (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL R10-07-0003 12/24/08 ELECTRICAL CERTIFICATE NO. 3029096µ _ 10/15/07 PLUMBERS CERTIFICATION DATED 06/18 C8 PHOENIX PLUMBING & HEAT ��� wn.w....... ........... uthorized Signature RPlT l /Rl - --------------- ea�"'4 Town of Southold Annex 12/5/2013 P.O.Box 1179 54375 Main Road Southold,New York 11971 ........... ............ ...... CERTIFICATE OF OCCUPANCY No: 36641 Date: 12/5/2013 THIS CERTIFIES that the building IN GROUND POOL .......... ........... Location of Property: 800 West Rd,Cutchogue, .............. .......... ................................. SCTM#: 473889 Sec/Block/Lot: 110.-5-44 ................... ....................................... Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this officed dated 2/14/2013 pursuant to which Building Permit No. 37815 dated 2/15/2013 .......... 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: 4ccc ssorlr�Jngrgund%wimmin mLW1!!11 fence 1Q-qQ-dc�as 4 aPfigd for. The certificate is issued to Hopkins,Conrad&Hopkins,Deborah (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL .......... ELECTRICAL CERTIFICATE NO. 37815 5/28/13 PLUMBERS CERTIFICATION DATED A ign ture A ............ ............ ��o jpff44 Town of Southold Annex 12/5/2013 P.O.Box 1179 54375 Main Road Southold,New York 11971 ............ ................... ........... .......... CERTIFICATE OF OCCUPANCY No: 36642 Date: 12/5/2013 THIS CERTIFIES that the building HOT TUB Location of Property: 800 West Rd, Cutchogue, SCTM#: 473889 See/Block/Lot: 110.-5-44 -.... ............ ............ Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this officed dated 2/14/2013 pursuant to which Building Permit No. 37815 dated 2/15/2013 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: gcc -ALor �oLiq y b asa lied f r.—p- The certificate is issued to Hopkins,Conrad&Hopkins,Deborah (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 37815 5/28/13 ........... PLUMBERS CERTIFICATION DATED i Az�e, Auth Si6a ure