HomeMy WebLinkAbout1000-104.-5-22 of so �' WN F SOUTHOLD
Rental Permit
1315
Owner: Carlos Saavedra , Nicole Eckstrom
Occupied as: Single Family Dwelling
Located at: 590 Haywaters Dr Cutchogue 104.-5-22
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: 05/16/2025
Expiration: 05/16/2027 26de tnfq/cem t official
This Notice must be posted by the main entranOatt tiLes ) U
lv � tl J
,. M AY 1 3 2025
TOWN OF SOUTHOLD—BUILDING DEPARTMEN' y 16 �
Town Hall Annex 54375 Main Road P. O. Box 1179 Southold,NY 119710959
Telephone (631) 765-1802 Fax (631) 765-9502 litt s:// � ^�v.sout.hgldtri _Wgy
RENTAL PERMIT APPLICATION
Rental Permit Fee $300 (Application must be renewed every two years)
Section A.
Property Information:
Rental Property Address:
590 Haywaters Drive, Cutchogue, NY 11935
Tax Map Number: 1000 SECTION 104 -BLOCK 05 -LOT 22
SECTION B.
OWNER INFORMATION:
Property Owner Name: Carlos Saavedra and Nicole Eckstrom
Property Owner Legal Address: Property Owner Mailing Address:
(Cannot be the same as Rental Property Address)
36 Remsen Street, Unit#1 Same
Brooklyn, NY 11201
Telephone Number(s): Daytime 917-686-7526 Evening Emergency
Property Owner Email Address: carlos@eckstromnyc.Gom nicole@eckstromnyc.com
Page 1 of 4
d
SECTION F.
PROPERTY DESCRIPTION:
Number of Rental Dwelling Units on property: 1
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: Unit 1
Requested Maximum number of persons allowed to occupy Dwelling Unit: 6
Number of rooms in Rental Dwelling Unit: 7
Use and Dimensions of each room in Rental Dwelling Unit: Bedroom 1( 14'-3"x13'-6")
Bedroom 2 (13'-5"x10'-8"), Bedroom 3 (16'-3"x10'-8"), Bathroom 1 (101-4'x5'-0")1
Bathroom 2 (10'-8"x7'-0"), Living Room (26'-4"x14'-5"), Kitchen/dining (25'-4"x10')
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
V 1 am submitting a completed Town of Southold certification form from a licensed
architect or a licensed professional engineer.
Page 3 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
Ih
Town Hall Annex o " » Telephone(631)765-1802
54375 Main Road
P.O. Box 1179
Southold, NY 11971-0959 �
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
RENTAL PERMIT APPLICATION ADDENDUM
Rental Dwelling Unit Identifier: unit 1
Requested maximum number of persons allowed to occupy each dwelling unit: 6
Number of Rooms in Rental Dwelling Unit: 7
Use and Dimension of each room:
Bedroom 1(14'-3"x13'-6"), Bedroom 2(13'-5"x10'-8"), Bedroom 3(16'-3"x10'-8"), Bathroom 1 (10'-4"x5'-0"),
Bathroom 2(10'-8"x7'-0"), Living Room(26'-4"x14'-5"), Kitchen/dining(25'-4"x10')
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)
NICaLt
16440 � rtify 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 1 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: cAV- ,
Property Owner's Signature:
i rATF Or MEWN vpft
COUNTY OF KMS
Sworn to before me this S day of 20 SIGW ► ESE O
Official Notary Public Sign tuire and Original Notary Stamp
KAMAL P.SONI
iat ryNo,01SO6Stcite of New 08 Yard
Qualtt'icci in Kings County
cornrnission EXDires Marcti 31.2027
Page 4 of 4
C44
Ir
TOWN OF OUTI TOLD BUILD1 I DE PT.
� 631-765-1802
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KF
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1 NPO �T10N
[ ] 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 (F AL)
[ ] CODE VIOLATION [ ] PRE C/O" RENTAL
I' EMARKS
61" '
DATE: 44>�t- INSPECTOR D
re
Town Hall Annex � Tele 'hone(631) 765-1802
54375 Main Road Fax(631) 765-9502
P.O. Box 1179 MAY
Southold, NY 11971-0959
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
Professional seal re uired for Architect or Engineer, Licensed Lorne lnspgctor must
provide copy of valid current certification
Rental Property SCTM Number: 1000-104-05-22
Rental Property Address: 590 Haywaters Drive,Cutchogue, NY 11935
Owner/Name: Carlos Saavedra and Nicole Eckstrom
Rental Dwelling Unit Identifier: Unit 1
Number&Square footage of each bedroom as depicted in the attached floor plan.-
(i.e. Bedroom#1 — 100 sqft., Bedroom#2—90 sgft., etc.)
Bedroom 1(192sf), Bedroom 2 (145sf), Bedroom 3 (175sf), Bathroom 1 (52sf),
Bathroom 2(75sf), Living Room(385sf), Kitchen/dining(255sf)
Property Description (Include all improvements indicated on survey)
Property contains a primary dwelling and a detached garage.
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 Co e of New York State
and the Energy Conservation Construction Code of New York S aED q r ,
Niall Carroll, RA ,01
'
Print Name and Title Original SignatureA�'.
Please place Professional Seal:
"9 5 0 t (
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SCTM #
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TOWN OF SOUTHOLD PROPE
RTY RECORD CARD,
OWNER STREET VILLAGE o
DIST sue T
ACF� REMARKS
TYPE OF BLD.
7 C-10 PROP. CLASS
LAND IMP TOTAL DATE 41-3-37
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All
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'3
73 Q
FRONTAGE ON WATER HOUSE/LOT
BULKHEAD
TOTAL
' ` PROPERTY RECORD CAR
OWNER STREET VILLAGE DIST, SUB. LOT
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I
FORMER OWNER ' (Y,�l I tits 4 N E ACR
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S W TYPE OF BUILDING
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/RES. a, j SEAS. VL. FARM COMM. CB. MICS. Mkt. Value
LAND I IMP. TOTAL DATE REMARKS
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AGE BUILDING CONDITION a
NEW NORMAL BELOW ABOVE
FARM Acre Value Per Vclue
Ac re
Tillable FRONTAGE ON WATER z
Woodland FRONTAGE ON ROAD
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Meadowl.and DEPTH '
House Plot BULKHEAD
Totc� �. �' DOCK
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104.-5-22 3/4/2021
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Extension
� Extension
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Extension
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i ��� = 1 t-� ,�o Foundation % Bath Qinette
s
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Porch ;�' ��� ~� �`! U '� er ent Floors A'4 K.
Porch Ext. Walls i Interior Finish Y _ LR.
I Breezeway Fire Place Meat
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4
Gor ..,... J l' ; <;'� _ . 1 oof Rooms 1st Flcor
Patio = Recreation Roam Rooms 2nd Floor -' FIM
O. B. Dormer Driveway ;
Total
Town of Southold 5/9/2017
53095 Main Rd
Southold,New York 11971
PRE EXISTING
CERTIFICATE OF OCCUPANCY
No: 38929 Date: 5/8/2017
THIS CERTIFIES that the structure(s)located at: 590 Haywatcrs Dr.,MCutchogue
SCTM#: 473889 Sec/Block/Lot: 104.-5-22
Subdivision: Filed Map No. Lot No.
conforms substantially to the requirements for a built prior to
APRIL 9, 1957 pursuant to which CERTIFICATE OF OCCUPANCY NUMBER Z- 38929
dated 5/8/2017 was issued and conforms to all the requriements of the applicable provisions of the law,
The occupancy for which this certificate is issued is:
m frame one family dwelling with second fiocjr bk1q9Ay and accessonLw od frame ar sge_
Notes: BP"4338 lass eoclosed addiYic gwto fa e C�OZ-371.5 I3P 11908 ac so hed CO2-11524µ BP*11 1 "' s
built"windows COZ-38928.
The certificate is issued to Schott,Barbara Schmitz,William
_.. (OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
*PLEASE SEE ATTACHED INSPECTION REPORT.
'u ried Signature ..W.�.w..
:
FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Town Clerk's Office
Southold, N. Y.
Certificate Of Occupancy
No. Or$. . . . . . Date , . . . . . . . .Dso�� ►e! 3� . . . 19. .
THIS CERTIFIES that the building located at . . . W► '"V610 il. Dr . . . . . . Street
Map No. . *OPAL 4. . Block No. . . . . . . . . . .Lot No. . .1 . . . . . . V00hOM . . . Way 0. .
conforms substantially to the Application for Building Permit heretofore filed in this office
dated . . . . . . ;=20. . .10. . . . . . 19" . pursuant to which Building Permit No.
dated . . . . : . 1 . . . . . . .. 19. .69, was issued, and conforms to all of the require-
ments of the applicable provisions of the law. The occupancy for which this certificate is
issued is . . TWOO. , WEA A4400427. 4 . . . . . . . . . . . . . . . . .
The certificate is issued to . . . . . . . . . . . . . w . . . . .
(owner, lessee or tenant)
of the aforesaid building.
Suffolk County Department of Health Approval . . . !$i►. . . . . . . . . . . . • , . .
Building Inspector
590
FORM NO.4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector-
Town Hall
Southold, N.Y.
Certificate Of Occupancy
No, .Z 1.1.5.2 41 , . . Date . . . » . . . . . .March. . 9 . . . . . . . . . . . 19 83
THIS CERTIFIES*that the building . . . . . . . . . . . . . . .
0 Haywaters Drive utchc ue
Location of Property . . . . . . . , . . . »
House Alo. Street Hamlet
County Tax Map No._1000 Section . . . *1.04'. . . _Block , . . . .05. . „ , , . . ,Lot . . , . 022 , . ,
Subdivision . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Filed Map No. . . . . . . . .Lot No. . . . . . . . . . , . . .
conforms substantially to the Application for Building Permit heretofore filed in this office dated
September. 9 , , , 10 pursuant to which Building Permit No. . . :�gOS , , . . . . . . . . ..
dated .September. 15 . 1 �. ,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 . . . . . . . . .
rage
. . . . . For. . . . . . . . .. . . shed. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
The certificate is issued to Ajpthur F. Schmitz ,
fawner,lessee or.tenant) .
of the aforesaid building.
Suffolk County Department of Health Approval . .N/A. . . . . . . . . . . . . . . . . . . . . . . . . » . . . . . . . . . . .
UNDERWRITERS CERTIFICATE NO. .. . . . . . . . VA. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
ae . . . . . . .
Building Inspector
Rev.1181
.... ...........�.. ................. ..........._...............�.........., ,.,..... ......... ._.�........ \
tom'
11tM Town of Southold 5/8/2017
P.O.Bog 1179
a 53095 Main Rd
1 Southold,New York 11971
CERTIFICATE OF OCCUPANCY
No: 38928 Date: 5/8/2017
THIS CERTIFIES that the building WINDOWS
Location of Property: 590 HaywatersWDr, Cutchogue
SCTM#: 473889 Sec/Block/Lot: 104.-5-22
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
5/8/2017 pursuant to which Building Permit No. 41612 dated 5/8/2017
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 buillIH-ind--ows in n �e -APP1i for.
The certificate is issued to Schott,Barbara&Schmitz,William
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
u Signature
Town of Southold
P.O. Box 1179
53095 Main Rd
�r Southold, New York 11971
CERTIFICATE OF OCCUPANCY
No: 46022 Date: 03/06/2025
THIS CERTIFIES that the building ACCESSORY ALTERATION
Location of Property: 590 Ha waters Dr Cutclao lue NY 11.935
Sec/Block/Lot: 104.-5-22
Conforms substantially to the Application for Building Permit heretofore, filed in this office dated: 04/20/2023
Pursuant to which Building Permit No.49326 and dated: 06/01/2023
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 to existing accessory garage with screened porch as applied for per ZBA#7722,
dated 1/19/2023.
The certificate is issued to: Carlos Saavedra,Nicole Eckstrom
Of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL:
ELECTRICAL CERTIFICATE:, 49326 01/15/2025
PLUMBERS CERTIFICATION:
(Au. sized Signature
Town of Southold
P.O. Box 1179
53095 Main Rd
Southold,New York 11971
CERTIFICATE OF OCCUPANCY
No: 46023 Date: 03/06/2025n
THIS CERTIFIES that the building ADDITION/ALTERATION
Location of Property: 590 Ha waters Dr Cutcho ee Y 11 35
Sec/Block/Lot: 104.-5-22
Conforms substantially to the Application for Building Permit heretofore, filed in this office dated: 05/12/2022
Pursuant to which Building Permit No. 49333 and dated: 06/02/2023
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:
Ramp addition with landing and stairs to existing single family dwelling as applied for.
The certificate is issued to: Carlos Saavedra. Nicole Eckstrom'
Of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL:
ELECTRICAL CERTIFICATE:
PLUMBERS CERTIFICATION:
1
A d ;',�ed Signature,
'Aezzr*, TOWN OF SOUTHOLD
fat
BUILDING DEPARTMENT
TOWN CLERK'S OFFICE
SOUTHOLD, NY
A,
BUILDING PERMIT
(THIS PERMIT MUST BE KEPT ON THE PREMISES
WITH ONE SET OF APPROVED PLANS AND SPECIFICATIONS
UNTIL FULL COMPLETION OF THE WORK AUTHORIZED)
Permit#: 50241 Date: 1122/2024.........
Permission is hereby granted to:
Saavedra Carlos ............... ..........
90 Furman St N200
Brooklyn. NY 11201
............ ...........................
To: Construct an inground swimming pool to an existing single-family dwelling as applied
for per NYS DEC approvals. Pool and pool equipment require minimum setbacks of 10
feet.
At premises located at:
590 !J"_W_.APn_P
SCTM #473889
Sec/Block/Lot# 104.-5-22
Pursuant to application dated 619/2023--.... and approved by the Building Inspector.
To expire on 7123/2025.
Fees:
SWIMMING POOLS-IN-GROUND WITH FENCE ENCLOSURE $300.00
CO- SWIMMING POOL $100.00
Total: $400.00
.............
Building Inspector
�4
Town of Southold
P.O. Box 1179
53095 Main Rd
Southold,New York 11971
CERTIFICATE OF OCCUPANCY
No: 46148 Date: 05/07/2025
THIS CERTIFIES that the building ALTERATION
Location of Property: 590 Ha waters Dr Cutchogue, NY 11935
Sec/Block/Lot: 104.-5-22
Conforms substantially to the Application for Building Permit heretofore, filed in this office dated. 06/21/2021
Pursuant to which Building Permit No. 46449 and dated: 06/21/2021
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:
Interior alterations, including conversion of attached garage to living space, to existing
single family dwelling as applied for.
The certificate is issued to: Carlos Saavedra,Nicole Eckstrom
Of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL:
ELECTRICAL CERTIFICATE: 46449 1/15/2025
PLUMBERS CERTIFICATION: Connor Rowan 6/26/2024
Au orizu Signature
i
Town Hall Annex Telephone(631)765-1802
54375 Main Road COR
P.O.Box 1179
Southold,NY 11971-0959
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATE OF ELECTRICAL COMPLIANCE
SITE LOCATION
Issued To: Carlos Saavedra
Address: 590 Haywaters Dr City:Cutchogue St: NY Zip: 11935
Building Permit#: 46449 Section: 104 Block: 5 Lot: 22
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
Contractor: Electrician: RJ Corazzini Electric License No: 33419ME
SITE DETAILS
Office Use Only
Indoor r Basement r Service Solar
Outdoor r 1st Floor r Pool r Spa r
Renovation r 2nd Floor r Hot Tub r Generator r
Survey r Attic r Garage El Battery Storage
INVENTORY
Service 1 ph r Heat Duplec Recpt 29 Ceiling Fixtures 7 Bath Exhaust Fan
Service 3 ph r Hot Water 30A GFCI Recpt 8 Wall Fixtures 1 Smoke Detector 2
Main Panel 150A A/C Condenser 3 Single Recpt Recessed Fixtures 44 CO Detectors
Sub Panel A/C Blower 3 Range Recpt 50A Ceiling Fan Combo Smoke/CO 2
Transfer Switch UC Lights 10, Dryer Recpt Emergency Strobe Heat Detectors
Disconnect Switches 34 V LED Exit Fixtures
Other Equipment: Fridge, Oven, Hood Cookto , DW, WID, 150A Panel 32 Circuit/ 32 Used
Notes: Whole House Reno & Garage Converted to Living Space
....� �.�Inspector Signature: X Date: January 15, 2025
r.
Sean Devlin Cy q
Electrical Inspector sean.devlln town.southold.n .us
590HaywaterHouse