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Home My WebLink About1000-38.-2-12 Rental Permit 1269 Owner: Christopher Coschignano , Elisabetta Coschignano Occupied as: Single Family Dwelling Located at: 1110 Gillette Dr East Marion 38.-2-12 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: 03/11/2025 Code�fom�ke-ntofff&l Expiration: 03/11/2027 This Notice must be posted by the main entrance at all times , � t1F saropy� , TOWN OF SOUTHOLD BUILDING DEPT. y 631-765-1802INSPECTION [ ] 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 (FIN L) [ ] CODE VIOLATION [ ] PRE C/O [ RENTAL REMARKS: d ' !ATE INSPECTOR 0 / Town Hall Annex Town Of Southold 54375 Main Road �4 Rental Inspection Report PO Box 1179 Southold, NY 11971-1179 Tel: 631-76S-1802 fi SCTM # —off-/ Date Owner Phone Address /G Visible Hamlet Inspector Floor Level Quantities Sub 1 2 3 Smoke Detectors (not located in bedrooms) / Carbon Monoxide Detectors f Fire Extinguishers Exits 6 A Bedrooms 1 2,e 3 4 5 6 Smoke Detectors Egress Occupant Count Building Systems Maintained&Operational Condition of Property Heating Building interior Hot water Building exterior Electrical Property clean, maintained &safe Mechanical Handrails&guards installed &secure Pool Safety Pool on Site Surface water alarm Date of CO issuance Door alarms Pool completely enclosed Self closing/latching gates Pool fence to code requirements CO's for all items present Prior Rental Comments: � TOWN OF SOUTHOLD-BUILDING DEPARTMENT Town Hall Annex 54375 Main Road P. O. Box 1179 Southold,NY 11971-0959 Telephone (631) 765-1802 Fax (631) 765-9502 ht°to§s.//www.southoldtowndi .lov RENTAL PERMIT APPLICATION Rental Permit Fee $300(Application must be renewed every two years) a -ay *5 Pd- T1 3Cyj fu# oc�4oLt Section A. Property Information: Rental Property Address: /O */ 71�- e )�Z, e . cc S`}- )1VI ec'A It O 1�j Tax Map Number: 1000 SECTION --BLOCK -LOT ! Z SECTION B. OWNER INFORMATION: (^ t;S Z k S/ f�A 1. n(,OSC� vt a Property Owner Name: � r� `� Property Owner Legal Address: Property Owner Mailing Address: (Cannot be the same'' as Rental Property Address) SooTk NJ //-73 . �51t�gr - i(o ( S/6 (�yl - s/6 6 t I Telephone Number (s): Dayti Evening /Go 1 -Emergency Property Property Owner Email Address: y C- �- &LA ® 0 +off L,'4e , 1)-e� Page 1 of 4 Section C. Authorized Agent Information: Name of Authorized Agent of dwelling unit, if any: �14 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: — 7Z/ 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: A X4 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: ",Ale — 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: ;+C,6e) / %/ X Z _be,J i a'J X l 2' a, r / r . ��v�r► ° lea 7 f Z � n1 l,Zi3`X /z` 7�� ('L�� /z r �' X l , ��S�j'�5 ��v�'ti , /2f( 4. _ �,0��oc�✓� il` A`X �t �` 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. Lei I am requesting a fire safety inspection to be performed by a Code Enforcement Official from the Town of Southold ❑ 1 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) / <-- ►oe r s. COS�htr° n an 0 , � v 7— Go y c 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. G ti r,°stogy e s- S o Property Owner's Name: Property Owner's Signature: Sworn to b fore a thisl^ day of ��aA 20 Z Official Notary Public Signature and Original Notary Stamp ELLEN M.RYAN Rotary Public,State of NewYarii~ Qualified In Ness au Cu No.01 RY 64!u,,, u1a Term Expires July 31, Page 4 of 4 -1 2q )ROPERTY RECORD CARD- TOWN OF SOUTHOLD F _ MN E; $_._ _ �— -----=- -�—T-=-=STI?EET � VILLAGE �� DISTRICT : SUB. LOT � _ N E ACREAGE t S W TYPE OF BU I LD) G - A _ t RES. SEAS. VL. FARM comm. IND. MtISC_ LAND IMP- TOTAL DATE REMARKS a a— DNG GE 44 £ c6N. D I 7_0t 7 1 t NEW NORMAL BELOW ABOVE t a Farm . Value Per Acre Value - Tillable 1 Tillable 2 Tillable. 3 E Wcodland = Swampland Brushla»d House Plat r R _ 70 C7 a t ivy- tj3 S`i � v 3 e a f; 38.-2-12 3/11/2020 it M. Bldg s n - - - Fou dation ,' Bath LC - Basement // Floors �t Extension / - - Extension l Ext. Walls o In er r Finish 2 r Fire Place l Extension ' F _ ; Heat Attic Porch( (v i Rooms 1st Floor ' _ - Porch u i � Y 1 Patio Rooms 2nd Floor I Driveway Garage f f , O. B. S/_4 To F � ,fir ; �� 7 Z�� in c Town of Southold Annex ............�� .� . 9/13/2' ... 012 54375 Main Road Southold,New York 11971 PRE EXISTING CERTIFICATE OF OCCUPANCY No: 35949 Date: 9/13/2012 THIS CERTIFIES that the structure(s)located at: 1110 Gillette Dr,East Marion SCTM#: 473889 See/Block/Lot: 38.-2-12 Subdivision: Filed Map No. Lot No. conforms substantially to the requireamts for a built prior to APRIL 9, 1957 pursuant to which CERTIFICATE OF OCCUPANCY NUMBER Z- 35949 dated 9/13/2012 was issued and conforms to all the requriements of the applicable provisions of the law. The occupancy for which this certificate is issued is: w d with a _.d tw c a c e at D v 1 ?.* NOTE.BP 769 gjgjQjeA orch COZ-4,LL BP 37382 foundatio Mair 0 -35948 The certificate is issued to Cook,Walter&Cook,Barbara _.......... ...._. ....................................... (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED *PLEASE SEE ATTACHED INSPECTION REPORT. LOCATION: trl0 w (number&street.) (municipality) SUBDIVISION: MAP NO.: LOT(S): NAME OF OWNEIt(S): OCCUPANCY: (type) (owner-tenant) ADMITTED BY: ACCOMPANIED BY: KEY AVAILABLE: SUFF.CO.TAX MAP NO.1000- SOURCE OF REQUEST: DATE: DWELLING TYPE OF CONSTRUCTION: G J #STORIES: #EXITS: 3 FOUNDATION: ° ..- BASEMENT: CRAWL SPACE: #OF BEDROOMS: 1ST FLR: 2ND FLR: 3RD FLR: " BA OOM(S): �� IL T ROOM(S): UTILITY ROOM': PORCH TYPE: KECK,TYPE: PAI O,TYPE: BREEZEWAY: FIREPLACE: "" — GARAGE: DOMESTIC HOTWATER: =- TYPE HEATER:� AIRCONDITIONING: �- TYPE HEAT:-4— WARM AIR: HOTWATER: #OF KITCHENS: FINISHED BASEMENT: YES NO OTHER. aCC SOItY�CT GARAGE;TYPE OF CONST.: STORAGE,TYPE CONST.:.E�� SWIMMING POOL: GUEST,TYPE CONST: OTHER: VIOLATIONS: CHAPTER 144&N.Y. STATE UNIFORM FIRE PREVENTION&BUILDING CODE LOCATION DESCRIPTION ART. SEC. REMARKS: INSPECTED BY: DATE OF INSPECTION: TIME START: ! "� END. FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. CERTIFICATE OF OCCUPANCY No, ..Z.411........... Date ....................b0onbeir....R5............. 109.... THIS CERTIFIES that the building located at-.W/' -..jQ$.13AtJe..Dr.................................. Stree;t Map Ngarion..Menor... Block No. .........310=......Lot No.22,........ e. fs.. axf.Qtlf....Nwxw.................. conforms substantially to the Application for Building Permit heretofore filed in this office dated ..........................Aar.... .20............. 19.59.. .,pursuant to which Building Permit No. ..Z..769................ dated .....................JUIY..•.Z.Q.................. 19.59...,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.............. .........I..... #VA' .c n . ' si 1 .dv1e ] n ...................... ................................................................... This certificate is issued to ......(onerp)...................................................... (owner, lessee or tenant) of the aforesaid building. ..& Building Inspector � �PrFklt,+t Town of Southold 6/30/2017 P.O.Bog 1179 " 53095 Main Rd Southold,New York 11971 CERTIFICATE CATE F OCCUPANCY No: 39039 Date: 6/30/2017 THIS CERTIFIES that the building ALTERATION Location of Property: 1110 Gillette Dr.,East Marion SCTM#: 473889 Sec/Block/Lot: 38.-2-12 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated p g 40323 dated 12/4/2015 11/30/2015 pursuant to which Building Permit No. 4mmmm„ ... y uµWµ qq^ 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: ADDITION D ALIERAI"IONS I1 CL11D1NG DE mm AND OVEI?3OR S1.1O." 1'EE.TO l EX ST11 ONE l-M L "_DWELLJNG ZPLIED FQ9 The certificate is issued to Coschignano,Christopher of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 40323 12-01-2016 PLUMBERS CERTIFICATION DATED 06-26-2017 OS Mechanical u wed Signature_...__._. . .................. Town of Southold Annex 2/25/2013 P.O.Box 1179 54375 Main Road Southold, New York 11971 . ... ...... .. . ..........................-------- ................ CERTIFICATE OF OCCUPANCY No: 36123 Date: 1/25/2013 THIS CERTIFIES that the building ELECTRICAL ....................* --------------------------Location of Property: 1110 Gillette Dr, East Marion, SCTM#: 473889 See/Block/Lot: 38.-2-12 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this officed dated 1/15/2013 pursuant to which Building Permit No. 37754 dated 1/15/2013 . .. .................................. 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: ELpqtrical Upgrade to 200_AMp!jrvie The certificate is Issued to Christopher&Elisabetta Coschignano (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 37754 01-17-2013 PLUMBERS CERTIFICATION DATED ............... Autho iized-S-ip---atur-e--- ........... Fat Town of Southold Annex 9/13/2012 P.O. Box 1179 54375 Main Road 4 Jt-,"-� Southold,New York 11971 ................. CERTIFICATE OF OCCUPANCY No: 35948 Date: 9/13/2012 THIS CERTIFIES that the building FOUNDATION Location of Property: 1110 Gillette Dr, East Marion, SCTM#: 473889 See/Block/Lot: 38.-2-12 ................................ Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this officed dated 7/13/2012 pursuant to which Building Permit No. 37389 dated 7/24/2012 ---------- 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: fourLdatioq-)K411 (epar and reVLaquncut as api q. _L _ The certificate is issued to Cook,Walter&Cook,Barbara (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. .............. PLUMBERS CERTIFICATION DATED I ure Town of Southold P.O. Box 1179 53095 Main Rd � crr+ Southold, New York 11971 CERTIFICATE OF OCCUPANCY No: 45906 Date: 01/29/2025 THIS CERTIFIES that the building ADDITION/ALTERATION Location of Property: l 110 Gillette Dr East Marion NY 11939 Sec/Block/Lot: 3 8.-2-12 Conforms substantially to the Application for Building Permit heretofore,filed in this office dated: 10/16/2019 Pursuant to which Building Permit No. 50790 and dated: 06/05/2024 Was issued, and confonns to all of the requirements of the applicable provisions of the law. The occupancy for which this certificate is issued is: Front entry deck addition to an existing single-family dwelling as applied for. The certificate is issued to: -Christopher Coschi ano Elisabetta Coschi nano Of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL: ELECTRICAL CERTIFICATE: PLUMBERS CERTIFICATION: Aut of Signature HEADER: (2)1.75"x7.25" LVL 04 TRVD (2) 2X8 BEAMf a TRkPPED TIE HO DOWNS TO 10" DIA SONOTDBL o CONCRETE PIER, TYP. MIN. 3'-0' BELOW GRADE o A R ING y STAIRopfmGDEN o TRVD (2) 2X8 BEAD `= hatch 'Qc TRT'D 2X8 HOUSE BEAM -' SHOWER BOLTED INTO BOX W p Fih 1 EXT'G AC )-2- �'` x I� ' $ MUDROOM BEDROOM 2 BATH 001KITCHEN /'� '`� f z W ' BEDROOM 1 LR/DR m f C -2 3 l 2 1 6 monoX,, S�e E A R - «7 2025 To"Of Sotltha�j Ji �i a Chris J. Coschignano cjclaw@optonline.net (516)641-1601 Sent from my iPhone ATTENTION: This email came from an external source. Do not open attachments or click on links from unknown senders or unexpected emails. ECEOWE M A R - 7 2025 Building Department Town of Southold 3