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Home My WebLink About1000-102.-5-10 �{y V f so } �U W W Rental Permit 1347 Owner: Michael McGrath ' Alice McGrath Occupied as: Single Family g mily Dwelling Located at: 490 Schoolhouse Rd Cutcho ue g 102.-5-10 Maximum Permitted Occupancy: d Is in compliance with all of the provisions of the code of the Town of Southold the laws County of Suffolk and by the laws adopted by the New York State Fire Prevention a d Buiiljdin nlCode Cound housing regulations of the years from date of issue. The operator is responsible for arranging for the bi annual nsp cecti t Expiration is two (2) on. Issued: 07/01/2025 Expiration: 07/01/202 7 C de orcement al This Notice must be posted by the main entrance at all times Town Hall Annex Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1179 Southold,NY 11971-0959 � - a 1 BUILDING DEPARTMENT TOWN OF SOUTHOLD RENTAL PERMIT APPLICATION Rental Permit Fee$200 (Application must be renewed every two years) G ?022 Section A. BIt Property Information: Rental Property Address: Tax Map Number: 1000 SECTION da -BLOCK 0 -LOT - SECTION B. OWNER INFORMATION: ' Property Owner Name: A JAEL V ccC:W " r v Property Owner Legal Address: Property Owner Mailing Address: Telephone Number (s): Daytime Evening Emergency Property Owner Email Address: '° / 5 h � Co �u Page 1 of 5 4 S01 J � de'.M "pu�Wi AB N✓ Town Hall Annex � Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 CA P.O.Box 1179 Southold,NY 11971-0959 oulm v BUILDING DEPARTMENT TOWN OF SOUTHOLD Section C. Authorized Agent Info mation: Name of Authorized Agent of dwelling unit, if any: Address of Authorized Agent'(no P.O. Boxes): <F'f Mailing Address of Authorized'Agent: F Telephone Number(s): Daytime Evening ✓ Emergency Email Address: r, e Section D. / Managing Agent Information.- Name of Authorized Agent of dwelling un , if any: Address of Authorized Agent (no P.O. oxe Mailing Address of Authorized Agerd: Telephone Number(s): Daytime,/ vening Emergency Email Address: i SECTION E. SITE MANAGER INFORMATION: (required for rental properties containing 8 or more rental units) Name of Managing gent of dwelling unit, if any: C Address of Managing Agent (no P.O. Boxes): Page 2 of 5 " Town Hall Annex Telephone(631)765-1802 54375 Main Road Fax (631)765-9502 P.O.Box 1 179 Southold,NY 1 1 97 1-0959 ou 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: 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." ? e Rental Dwelling Unit Identifier: Requested Maximum number of persons allowed to occupy Dwelling Unit: Number of rooms in Rental Dwelling Unit: &YI c`pf Use and Dimensions of eac room in Rental Dwelling Unit: ml., ° ° w ,rt Y�: Page 3 of 5 s1 %. Town Hall Annex p . Telephone(631)765-1902 54375 Main Road Fax(631)765-9502 P.O.Box 1 179 Southold,NY 1 1 97 1-0959 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 l ws adopted by the New York State Fire Prevention and Building Code Council. l 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. SECTION H. DECLARATION: Signature must be notarized and MUST be the owner of the dwelling unit. STATE OF NEW YORK) ) COUNTY OF SUFFOLK) #U, l 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 '0 Town Hall Annex Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1 179 Southold,NY 11971-0959 BUILDING DEPARTMENT TOWN OF SO T OLD 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 Agent, anaging Agent, or Site Mana er. Property Owner's Name: Property Owner's Signature: 4 Al IWL p Y � ... Sworn to before me thi day of 2 Offici u lic Signature an Original Notary Stamp DEBORANA.CEREOLA Notary public,State of New York No.0101 1 Qualffled In SufUk rDu m1ss1cra Expl April 91,0 4 Page 5 of 5 Town Hall Annex Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1179 Southold,NY 1 &PS BUILDING DEPARTMENT TOWN OF SO HOLD RENTAL PROPERTY CERTIFICATION Form is to b \completed by a license architect, licensed enginlor ' home inspector Se orateform is requiredfor each individual Rennit tiro essional seal aired or Architect or Bn ineer licensedHr must rovide coov of valid curre certification Rental Property SCT Number: Rental Property Addre s: Owner/Name: Rental Dwelling Unit Iden ifier: Number & Square footage each bedroolasepicted in the attached floor plan: (i.e. Bedroom #1 -100 sq., B room#2-90 .) Property Description (Include all imAvements indicated on survey) I certify that I have done a physical inspection o he subject rental dwelling unit and find that it fully complies with all the provislorls of the Code the Town of Southold,the Residential Code of New York State,the Building Code of New York St te,the Plumbing Code of New York State, the Fuel Gas Code of New York State, and the Energy nservation Construction Code of New York State, Print Name and Title riginal Signature Please place professional seal: ok Town Hall Annex Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1179 Southold,NY 11971-0959 ✓ Cou , BUILDING DEPARTMENT TOWN OF SOUTHOLD REN L PERMIT APPLICATION ADDENDU Rental Dwelling Unit Identifier: Requested maximum number of p sons allowed to occupy ea dwelling unit: Number of Rooms in Rental Dwellin Unit: Use and Dimension of each room: Rental Dwelling Unit Identifier: Requested maximum number of person all Wed to occupy each dwelling unit: Number of Rooms in Rental Dwelling nit: Use and Dimension of each room: Rental Dwelling Unit Intifier: Requested maximu pnumber of persons allowed to occu y each dwelling unit: ,. Number of Rooms i Rental Dwelling Unit: Use and Dimensio of each room: oso TOWN OF SOUTHOLD BUILDING DEPT. 631-765-1802 lad, 5- INSPECTION [ ] 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 (FI L) [ ] CODE VIOLATION [ ] PRE C/O RENTAL REMARKS: ; z s Town Hall Annex Town Of Southold54375 Main Road Rental Inspection Report PO Box 1179 �a Southold, NY 11971-1179 Tel: 631-765-1802 SCTM# U Date •/- i Owner Phone Address , Visible Hamlet Inspector Floor Level Quantities Sub 1 2 3 Smoke Detectors(not located in bedrooms) Carbon Monoxide Detectors Fire Extinguishers Exits Bedrooms 1V 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: a * TOWN OF SOU"L`HOL D BUILDING DEPT. 631-765.1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PL13G. [ ] 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 [v]�RENTAL REMARKS: • sa�v rem- �.s� s�c.irL- ha,r�d�l� - 1 ] - 4te, 0CGv ist"K DATE INSPECTO1M Town Hall Annex SOUTHOLD TOWN 54375 Main Road PO Box 1179 Southold, Rental Inspection NY 11971-1179 ° a Tel: 631-765-1802 Fax 631-765-9502 SCTM# Date Owner Phone Address Zip City Inspector LEVELS SUB 1 2 3 Smoke Detectors(#- bedroom detectors excluded) Carbon Monoxide Detectors (#) Fire Extinguishers (#) Exits(#) BEDROOMS 1 2 3 4 5 Smoke Detector Alarms (#) Carbon Monoxide Alarms (#) Egress ('windows) (Y/N) BUILDING SYSTEMS Y/N CONDITION OF PROPERTY Y/N Heating system maintained/operational Building Interior is clean/maintained Hot waters stem maintained/operational Building Exterior is clean /maintained Electricals stem maintained/operational Property is clean /safe/maintained Mechanical system maintained/operational lHandrails&guards present COMMENTS: Rental Inspection Form 4/7/2021 FORK NO. s TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Clerks Office Southold, N. Y. Certificate Of Occupancy No.2;565!. . .. . . . Date . . . . . . . . . . , . Itov. . . . .15. . . . .11973 . THIS CERTIFIES that the building located at 3Qhoolhouse ,Rd. & .xo;11! RAreet b Map No. oc. . . . . . . Block No. . . . . . .Lot No. . . . . . . . . .G ,ttchoggs :RAX?. . . . . . conforms substantially to the Application for Building Permit heretofore filed in this office dated . . . . . . . . SAP.t. . A . . . . ., 19.71. pursuant to which Building Permit No.1t84. Z . . dated . , . . . . . . . . .i t . . .2. . ., 19.71., 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 , . . . . .ate wone„ af'aml.lq dv*11PX . . . . . . . , . „ . . . . . . . . . . . . . . . . . . . . . . . . . . . The certificate is issued to . .KV .KXo4 . . Wnor. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (owner, lessee or tenant) of the aforesaid building. Suffolk County Department of Health Approval KOv .8. 7 . b .A*. villa . . . . . . . UNDERWRITERS CERTIFICATE No. X. 9;C t? . . DeC .9. 197.1. . . . . . . . . . . . . . . . . HOUSE NUMBER . . . . . . . Street .School St . . . W Xo atreo Building Inspector Town of Southold 2/23/2016 P.O.Box 1179 53095 Main Rd Southold,New York 11971 CERTMCATE OF OCCUPANCY No; 38112 Date: 2/23/2016 THIS CERTIFIES that the building SOLAR PANEL Location of Property: 490 Schoolhouse Rd,Cutchogue SCTM#: 473889 Sec/Block/Lot: 102:5-10 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 7/27t2015 pursuant to which Building Permit No. 39985 dated 7/31/2015 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: R The certificate is issued to Gatz,Peter&Gatz,Valerie of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF EEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 39985 01-13-2016 PLUMBERS CERTIFICATION DATED Authorized Signature Town of Southold 9/19/2021 P.O.Box 1179 53095 Main Rd Southold,New York 11971 CERTIFICATK OF OCCUPANCY No: 42339 Date: 9/19/2021 TMS CERTIFIES that the building DECK Location of Property: 490 Schoolhouse Rd,Cutobogue SCTM#: 473889 Sec/Block/Lot: 102:5-10 Subdivision: I I Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 6/23/2021 pursuant to which Building Permit No. 46508 dated 1 6/29/2021 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: -built deck `' n to oxistingsingle family . 1" i ° .or: The certificate is issued to Gatz,Peter&Valerie of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED ti , °11t Town of Southold 5/12/2022 P.O.Box 1179 53095 Main Rd Southold,New York 11971 CE "T"IFICA"T`E OF OCCUPANCY No: 43063 Date: 5/12/2022 THIS CERTIFIES that the building ALTERATION Location of Property: 490 Schoolhouse Rd,Cutchogue SCTM#: 473889 Sec/Block/Lot: 102.-5-10 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 4/15/2022 pursuant to which Building Permit No. 47683 dated 4/15/2022 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 builtf'c tatr L ir.cooditioniilg.a. ._ lied for. The certificate is issued to Gatz,Peter of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 47683 4/29/2022 PLUMBERS CERTIFICATION DATED ....................w......._., - _,_w�._.................�. w_. —'—f- Authorized Si a�tta, e P 4 P J U N 2 0 2025 Btj;ldlng Department TOw" Of Southold ----------------------------- � 00 110 BATH 00 N BEDROOM 3 0 BATHROOM 183 sq.ft. 86 sq.ft DINING(KITCHEN 234 sq.ft. 0 W U) O CLOSET 0 O O U CLOSET { o CLOSET ` 1 ❑ CLOSET CLOSET LIVING 258sgA GARAGE m 289 sq.k BEDROOM BEDROOM 132 sq.ft. 131 sq.t Q a o v t O J LL r z O Y 0 a 0 w D O O O U U) 0 O o O O !l BASEMENT m 1143 sq.B. Z Er O O J LL z O Y