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Home My WebLink About1000-67.-7-11 Rental Permit 1340 Owner: Hope Schneider Occupied as: Single Family Dwelling Located at: 1960 Mill Rd Peconic 67.-7-11 Maximum Permitted Occupancy: 4 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: 06/27/2025 �pve�� Expiration: 06/27/2027 C04 Ef event°ffi a This Notice must be posted by the main entrance at all times , r Telephone(631)765-1802 Town Hall Annex �i, ,%�� G�/G��i �� ) 54375 Main Road i° j % `��0i� Fax(631 765-9502 P.O.Box 1179 Southold,NY 11971-0959 y' "j IN b jUN 1 3 202 BUILDING DEPARTMENT TOWN OF SOUTHOLD Building Department RENTAL PERMIT AP 'I I ATI ti Town of Southold Rental Permit Fee $200(Application must be renewed every two years) ( - �3- aC:D P� V-1-ACY0 hC*i Section A. Property Information: Rental Property Address: p - 7.... Tax Ma Number: 1000 SECTION ._ ._ . . __....... ...... BLOCK..._.... ......w. ..,. .. ., LOT._..__w_.... .w_ .. w.......... SECTION B. OWNER INFORMATION: Property Owner Name: .... Property Owner Legal Address: Property Owner Mailing Address: /mod Telephone Number(s): Daytime�a31 7(07-' !Evening............... _—_Emergency,.-,...._, Property Owner Email Address:__.a � x _,� Page 1 of 5 4 f � /�J// r ✓f� / ,41 / Telephone(631)765-1802 Town Hall Annex - Tele 54375 Main Road ,% � yfl, Fax (631)765-9502 P.O.Box 1179 Southold,NY 11971-0959 BUILDING DEPARTMENT TOWN OF SOUTHOLD Mailing Address of Managing Agent: .-., ..... ._�....._ n....w�...._..�.�....� ..��,.. ..�.�....a..�a.�..__ .. .......... �.....__.._._� �..__ .�_. Telephone Number (s): Daytime_-,.---,._,.,_Evening_,.,,,,,,__., ............ . Emergency�.._�.�..,..�._._._. .�._� .. EmailAddress: _�.� �.�_._�w.w _.. �. � a�.._� . ....... . �.�....�......... ......�...�. �....__._._- 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: ......�.�_ _m .�._....�_...m.. ..... _..... ._.a __.... ........_�_�.. _�................. w_�._ _. Requested Maximum number of persons allowed to occupy Dwelling Unit: Number of rooms in Rental Dwelling Unit: n Use and Dimensions of each room in Rental Dwelling Unit: Fr— u.�i X aZ S- (WQS5 t�° �3urne✓, Page 3 of 5 SECTION F. DECLARATION: Signature must be notarized and MUST be the owner of the dwelling unit. STATE OF NEW YORK) COUNTY OF SUFFOLK) 1 H :> .. ....., 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 Town Attorney's Office 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 have been issued a rental permit for the subject property by the Town of Southold. 5. 1 will notify the Town within five (5) business days to any change to the information regarding Authorized Agent, Managing Agent, or Site Manager. Property Owner's Name: �� SC-h V) Q Property Owner's Signature: 1 Sworn to before me thilAay of 1 u.-rl-q— 20a5 Official Notary Public Signature and Original Notary Stamp CONNIE D.BUNCH Notary Public,State of New York —�Z'b 6 Iladd saaldx3 uolsslwwoD No.01 BU6185050 nS�t;unoD�Ilc;; ul pal;Mena Qualified In Suffolk County 09058 ns 'oN Commission Expires April 14,2�,� V0A m9N 10 a1e1S'cll9nd AMON HCNne.Q 31NNOO Page 3 of 3 ° TOWN OF SOUTHOLD BUILDING DE PT. 631-765-1802 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 AL) [ ] CODE VIOLATION [ ] PRE C/O [ RENTAL REIMR1 S: 0 . ion / DATE INSPECTOR Town Hall Annex Town of Southold 54375 Main Road Rental Inspection Report PO Box 1179 00 Southold, NY 11971-1179 Tel: 631-765-1802 SUM # /p 7- 7- Date a�- Owner Phone Address a Visible Hamlet j Inspector Floor Level Quantities Sub 1 2 3 Smoke Detectors(not located in bedrooms) Carbon Monoxide Detectors Fire Extinguishers Exits Bedrooms 1 2 z 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 PROPERTY TY - 9/tzlI� ,ffi O!�NER STREET ; VILLAGE DISTRICT SUB. LOT : ` c ,_ , FORMER OWNER N E ACREAGE S W TYPE OF BUILDING RES, - ISEAS. VL. FARM COMM. IND. CB MISC.� LAND 4p IMP. TOTAL DATE REMARKS s ^7 3 � ' xg�� 1- Z 37 f z F AGE BUILDING CONDITION i 1 f _ _ e NEW NORMAL BELOW ABOVE Farm Acre Value Per Acre Value I Tillable 1 -- Tillable 2 e Tillable 3 Woodland Swampland Brushl'd tf— House Plot Total a _ - Pe lElle z : i {Y i I 4 67.-7-11 4111 ;� �� _ - i } _�. i /z Bldg-' 7� �_ Foundation Bath Extension Basement �� Floors itca oI i Extension Ext. Walls - I Interior Finish Extension F Fire Place Heat � � Porch � Attic : } I l Porch 3 Rooms 1st Flood ti.acGQw.. - � - -- - - Patio Rooms 2nd Floor �Ze — - - - : I Driveway s Q-9_ i I 1 t FORM NO.4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold,N.Y. Certificate Of Occupancy No. LJ.'1.400. . . . . . . . . . Date . . .DEcetnber .?7. . . . . . . . . . . . . . . 19 2 'THIS CERTIFIES that the building . . . . . . . . . . . . . . . . . . . . . . . „ . . . . . . . . . . . . . . . . . . . . . . . . Location of Property 19b0 . . . . . . . . . . . . . . . . i1i11_ La.n r . . . . . . . . . . . . . Feconic House No. Street Hamlet County Tax Map No. 1000 Section . . .Q6.7. . . . . .Block . 0.7 . . . . . . . . . . .Lot . . . .01 1. . . . . , . . Subdivision . . . .Q C-:i.1 e Y. Y ai:k. . . . . . . . . . . . . .Filed Map No. .1.0`2 7. . .Lot No. .3`3. . . . . . . . . . Requirements for a private one-family dwelling built prior to conforms substantially to the t�plieatarrfbr-Btrildingrmit lreretofar�fti-ice-Ifs-� �€�at�a Certifjicate of Occupancy; !tpr i1. 2.3 . . . . . . . . , 19 .�7 pursuant to which 1im41trrti No. .Z,411.4.00 . . . . . . . . . . . . . dated . . . . Dec?iaber .. 2.7. . . . . . . . . . . 19 P. ,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 . . . . . . . . . . . a. .private. one-:frini I Y. Aw)Jng. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . The certificate is issued to . . . . . . ? ll°i „ . . . . . . . . . . . . (owner°,l ee' w.or- neft 0 of the aforesaid building. Suffolk County Department of Health Approval . ?1 a t a p a 1- c a b 1 e „ . . . „ . . UNDERWRITERS CERTIFICATE NO. . . . . . . . . .i?o ►_'F�?i.c a b l e . . . . . . . . . . . . Building Inspector Rev.1/81 Location 1 " bU MITI Lane number & street I ac pa sty Subdivision Bailey Park Flap No. 1097 Lot(s) 35� Name of Own er(s) Harold W . Scudder & wife Occupancy R-1 unoccupied type owner-tenant Admitted by: Mr . Scudder Accompanied by: same Key availableSuffolk Co. Tax No. 067-07-011 Source of request Gary Flanner Olsen Date 11 /29/82 DItaLLING: Type of construction wood framed #stories one Foundation cement block Cellar Crawl space X Total rooms, lst. F1 5 2nd. F1 3rd. F1- Bathroom(s) 1 Toilet room(s) Porch, type Deck, type Patio, type cement Breezeway Garage Utility room Type Heat oil fired Warm Air Hotwater X Fireplace(s) No. Exits 2 Airconditioning Domestic hotwater yes Type heater Other ACCESSORY STRUCTURES: NONE Garage, type const. Storage, type const. Shimming pool Guest, type const. Other VIOLATIONS: Housing Code, Chapter 52 L-acati on Description Art. Sec. stove— o shut off V 52-52-E 6 front step only has rail on one side II 52-27-B Remarks: �/� / .. ".'..,.. ..,..,�,,. x w 1 //'f///��/ /- Town of Southold Annex 5/12/2011 54375 Main Road Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 34938 Date: 5/12/2011 THIS CERTIFIES that the building ADDITION/ALTERATION Location of Property: 1960 Mill Road,Peconic,NY 11958, SCTM#: 473889 Sec/Block/Lot: 67.-7-11 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this oBiced dated 1/21/2010 pursuant to which Building Permit No. 35322 dated 2/2/2010 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 and coy,cred.polg1j,and deck additions to an cxi tin farm dwellin as a ligd furs BA i#6 ..5,,_dgted 3/5/ 9, The certificate is issued to Schneider,Edward&Schneider,Pauline _ ... ..... ..................._..�._ ._. .,_w.... ._. ...w........ OWNER)... .. ......_._ .. ._.....__........,._ ._.,.m_ ..... of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 35322 7/30/10 PLUMBERS CERTIFICATION DATED 8/12/10 George Fredricks Auto ed Signature FORM NO.4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy No ZFI68 18 Date . , April 26 , « 1988. . . . . . . THIS CERTIFIES that the building A 1 t e r a t i q . . . . « . µ . , « , , . . . . . Location of Property 1960 Mill Laa n e , P e c o n i c House Na meet Hamlet 07 County Tax Map No 1000 Section 067 . . . .Block . . . . .. . .Lot . 1.1 . . . . . . . . . .. Subdivision . . . . . . . .Filed Map No . . . . . . .Lot No. . . . « . . .. . . .. conforms substantially to the Application for Building. Permit heretofore filed in this office dated March 2 5 , ,1988 pursuant to which Building Permit No. 1 6 8 6 4 Z. dated March .29 , 198 8 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 . . . . Install a sliding. door in an existing one family dwelling. The certificate is issued to VERA, &, MATTHEV CUSUMANO * . (oW a;, of the aforesaid building Suffolk County Department of Health Approval . . . /. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . UNDERWRITERS CERTIFICATE NO. . . . . . . . . . ./A . . . . . . . . . . . . « « . . . . . . . . . . . . « . . PLUMBERS CERTIFICATION DATED: N/A w. . . . . . . . . . . . . . . . . « . Building Inspector Rev 1/81 FORM NO.4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. i Certificate Of Occupancy No. Z.15063. . . . . . . Date �ctober .30.. .1986. . . . . . . . . . .. 19 . . . THIS CERTIFIES that the building . . . &4clition. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Location of Property . .i960 Mill Lane Peconic . • . . . . . . . . . . . , » . . . » . « . . . , . . • . . . . « . House No. tree .Ham%t County Tax Map No. 1000 Section . . . 6 . . .. . .Block . . . . . . . . . . . . .Lot . . . . . . . . . . . . . . . . Subdivision . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Filed Map No. . . . . .. . .Lot No. . . . . . . . . . . . . . conforms substantially to the Application for Building Permit heretofore filed in this office dated . .LIUne .�9. . . . . 1 — — , 19$5.pursuant to which Building Permit No. 3-AI 3 77. . . . . . . . . . . . . . dated . . ,July 17 . , . , . . , . , . 19 . 8 5,was issued, and conforms to aff of the requirements of the applicable provisions of the law. The occupancy for which this certificate is issued is . . . . . . . . . Deck Addition to existing one family dwelling. The certificate is issued to . . . . . .MATTHEW AND VERA CUSUMANO . % ! M downer, of the aforesaid building. Suffolk County Department of Health Approval . . . . . . . . !V? . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . UNDERWRITERS CERTIFICATE NO. . . . . . . . . . . . . . . . N/A, , . . . . . . , , . . . . . . . . . . . . . . . . .. . iu*ilding Inspector. . . . . . µ . * . Rev.11$1 fl - f � 4 4 ) r ttu V U 0 w <.�..� ..w �v,Dw�, ,,..w,,.,.,P.., ,�.. ,.._e r e �, ..,,;,..,., ,. �, ,.�..w.�.�.....�,a ar,x�d „ v„�tiww aw,x«wm��i�mu,wwa�� rwwrawa.rw�;�.. w.ww,�,.,w,�,..,,�.....,.,w._.,.,..�,»»..�...~nd.,::�°.�m✓m ...—., } I s Y II 4 ... WF� Lmy .. _.. __ ... .. p VMS t x.. n V4 s f f t 1 0 f g a t a r f I II ti M„ ny, s (g�4 { r d ,, Aat5N rr- rLeka oqt` Cetfu 3e r _ v. ' 05S OF RETAIN STORM WATER RUNOFF Q rrgi,gp,i.� eg .at P- ar+l9n.{ ? -z 'o n ip �46-z N, ' Tom COO>~8 PURS!3ANTTo CHAPTER 23$ A� ,;O'_ CN OF OF THE TOWN CODE. ✓ DATE:1- 7-10 UP. �2 _ FEE: 's �...,�. E - - GXIST� / 1 S UP C ..FOUNDATION' 31`a'O F1t=0u'r�C:D C0� PCUPFD Cv,"CRETE 6ivCtnl. NR�1 L%26"l0 'Fi2-Y,� c 2, ROUGH -FFit,ls�;:�i,u PLIiF,:r•';:u \' Izie'° penal4 t 3. INSULATION �l 4.FINAL-CONSTRUCTION :'JUST BE CONIPLET=!01:- i..O. 3 a ALL CONSTRUCTION SF!=':L LIEET 7! REt1UIRENIaST5 OF THE CODES OF N:.� Liu ' YORK STATE NOT RESPONSIBLE FOR vt " DESIGN OR CONSTRUCTION ERRORS. M'YrWL z'4'k e�'ssatoi- " V- REQUIRED R�%P�' s>fitYmi. = 1= r:�M lA FLOOD ZONE...r cK mrc ? I Pon, COMPLY WITH CHANTER"46" ac Awj I &i Ir�t I ; FLOOD DAMAGE PREVENTION IT; -_)LD TOWN CODE. 5 f+tiRS I 2'6.-t++fc1 Cla ,rAAp4 kRi ALL CONSiRU 10ASHALL l yti�lo 9 MEET THE REOUR ME•!TS OF THE CODES OF P{ ',`Y&--STATE. Trr V 2,11 r (732M-- R'aP'�'tS ?J�IS'SIuG )lam dYLu.� Cp�p� lo'1�2.2r ' t9�lf,-z 9e s12 6fp �,"�htbF Wntnn�1,T1 PUM ° J CERTIFICATION OF 1 l ` •' 4'NAILING&CONNECT16N " Rexo REQUIRED. _ �, axlsn•,[ � - _._. "�� € M�wh►ec1� - zyliTt.:( � �.; - ' SAr�t. V€S ita a{., €14 t1afE a tvaw Roo"n wJ6�R\ � , E -- 1 s r �Ex=yam Ecyeliv 3'r,1)wi ct.tk e.n.hA.� s tir4 cc� t c ' Ir5 eSZ c xx 4 �` Ib �15na4 JOB i� F > S ll� opcV_� t 5G6$ 3s.1' Sis> easF Mi.v� Il L g �® BAY CREEK BUILDERS GRK7 16'K6t � � P'tiC s D. W. Mcgehan sHEErmO OF Rep�Rcu-D P.O. Box 602 CALDUTATED&r DATE CUTCHOGUE. NEW YORK 11935 (516)734.6270 CHECKED DATE so.� J N j � l r