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Home My WebLink About1000-137.-4-22 TOWN OF S UTH LD Rental Permit 1387 Owner: Jennifer Maye Occupied as: Cottage #1 (875 Fleetwood Road - East Side of Lot) Located at: 910 Fleetwood Rd Cutchogue 137.4-22 Maximum Permitted Occupancy: 1 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: 10/26/2025 It Expiration: 10/26/2027 Co End a en o�iciai This Notice must be posted by the main entrlatles of so ""'MIN OF SOUTHOLD Rental Permit 1388 Owner: Jennifer Maye Occupied as: Cottage 42 (835 Fleetwood Road - West Side of Lot) Located at: 910 Fleetwood Rd Cutchogue 137.4-22 Maximum Permitted Occupancy: 2 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: 10/26/2025 Expiration: 10/26/2027 Cod nfo rn n Official This Notice must be posted by the main entrance a all ti es 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 ItCs: il¢' Itlt� wn RENTAL PERMIT APPLICATION Rental Permit Fee$300(Application must be renewed every two years) Section A. Property Information: Rental Property Address: Tax Map Number: 1000 SECTION � ' -BLOCK -LOT SECTION B. OWNER INFORMATION: Property Owner Name: Property Owner Legal Address: Property Owner Mailing Address: (Cannot be the same as Rental Property Address) o� �... I . . 1/o Telephone Number(s): DaytimeJ56-653-&3 Evening .BAN.% Emergency SRM e Property Owner Email Address: i MA �w C CC aVE C CT 6 2025 r Page 1 of 4 Section C. Authorized Agent Information: Name of Authorized Agent of dwelling unit, if any: A.m 6 t Address of Authorized Agent(no P.O. Boxes): ! b,,� p v� � , 3 3°1v$ Mailing Address of Authorized Agent: .amc: Telephone Number(s): Daytime .5� '+'_(," '' vening SA,M F Emergency_, h,,,&C_ Email Address: A 6 q to 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 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, 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: 9 °(, A L4 � # I Requested Maximum number of persons allowed to occupy Dwelling Unit: Number of rooms in Rental Dwelling Unit: i Use and Dimensions of each room in Rental Dwelling Unit: 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. ❑ lam requesting afire safety inspection to be performed by a Code Enforcement Official from the Town of Southold 52"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) I 2i Y ,. . , 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. Property Owner's Name: -3� tay Property Owner's Signature: Sworn to before me this 'j day of ®ems e/' ,20_�-5 Ilia ', LUIEMINER F.IY Offi i I Not �u lic Si nat re and Original Notary Stamp EXPIRES:Septe COMMISSION#HN314155 "Sores t V Pj I i mber 21,2026 Page 4 of 4 Town Hall Annex �� kYN Telephone(631)765-1802 54375 Main Road "d P. O. Box 1179 Southold, NY 11971-0959 i BUILDING DEPARTMENT TOWN OF SOUTHOLD RENTAL PERMIT APPLICATION ADDENDUM Rental Dwelling Unit Identifier: '�3>S Rtekwa C v- 41 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: 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: Town Hail Annex Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 �E P.O.Box 1179 k Southold,NY 11971-0959 tell "tl yx BUILDING DEPARTMENT 2021 TOWN OF SOUTHOLD RENTAL PERMIT APPLICATION Rental Permit Fee$200(Application must be renewed every two years) Section A. Property Information: Rental Property Address: Tax Map Number: 1000 SECTION I -BLOCK� -LOT 22 - SECTION B. OWNER INFORMATION: Property Owner Name: Property Owner Legal Address: Property Owner Mailing Address: ?- Telephone Number(s): Daytime s ;453-4BI Even ing;6 - , -",-�+4#Emergency2,%-6$;-7-�S'� Property Owner Email Address:" v Pagel of S �) Town Hall Annex �� Telephone(631)765-1802 df ho 54375 Main Road t Fax(631)765-9502 P.O.Box 1179 � Southold,NY 11971-0959 � f+�d BUILDING DEPARTMENT TOWN OF SOUTHOLD Section C. Authorized Agent Information: Name of Authorized Agent of dwelling unit, if any: Address of Authorized Agent (no P.O. Mailing Address of Authorized Agent: __..._. ,. _.._..... ._ Telephone Number (s): Daytimer, ...._-.._...__......w. .....Evening_aw _... 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):,_,,._,,_..... Page 2 of 5 r Town Hall Annex C "v Telephone(631)765-1802 54375 Main Road f �° Fax(631)765-9502 Y.O.Box 1 179 ' Southold,NY 1 1971-0959 �11 " BUILDING DEPARTMENT TOWN OF SOUTHOLD Mailing Address of Managing Agent: Telephone Number (s): Daytime_ __,,Evening _ _........ Emergency_, Email Address: ._KK.__ _... _wwww___......._.__............... _�� _ �_._ ._ 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: ._„.._ .. __ Requested Maximum number of persons allowed to occupy Dwelling Unit: Number of rooms in Rental Dwelling Unit: w _w Use and Dimensions of each room in Rental Dwelling Unit: ............. .�.. ..w:'..� ...�z..��.....�. __.._ _.._ Page 3 of 5 e r r� it (�PO�/j %�✓ r 0 . Telephone(631)765-1802 Town Hall Annex All � Fax(631)765-9502 54375 Main Road r % iJ j✓i ',r P.O.Box 1 179 r r�ra Southold,NY 1 1971-0959 -' ✓"'==° '� 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 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 W 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) I 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 J Town Hall Anncx ��1 ,� � Telephone(631)765-1802 �''� r r ' " Fax(631)765-9502 54375 Main Road /� ( Q l� P.O.Box 1179 024 1, y1(lln"'in 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 Agent, Managing Agent, or Site Manager. Property Owner's Name: ,.,_._,. 7 _ Property Owner's Signature:_ < w to before me this day of " ` .� , 20 Z I - ' c��.�gnat. fficla Notary Publi ure and Original Notary Stamp �+ mG, ��'�" iux . 0il' �i�Yi' Page 5 of 5 so s+> TOWN OF S( UTHOL.D BUILDING DEIST. 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 (FINAL) [ ] CODE VIOLATION [ ] PRE C/O [ ] RENTAL REMARKS: M U '� i�I�PTLiI li' -A-- DATE oIkAw _ INSP'E CT 0 TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 I N-S' E%Ap;*k T 1 N [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND.. [ ] INSULATION/CAU DING [ ] FRAMING/STRAPPING [ FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) [ ] CODE VIOLATION [ ] PRE C/O KS: e n ` cV — C� ut DATE yo yl INSPECTOR aq, v Telephone(631)765-1802 Town Hall Annex �� Fax(63 I)765-9502 54375 Main Road P.O.Box 1179 �U Southold,NY 11971-0959 r BUILDING DEPARTMENT TOWN of so MOLD 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 Lro essidnal seal re yired dr�irchitect or n ineerw,licensed llort�e tr s actor ml st ravide copy o valid current certl cation Rental Property SCTNI Number- 1000-137.-4-22�� . Rental Property Address: 701 Owner/Name: Jennifer Rental Dwelling Unit Identifier:_ 875 Number&Square footage of each bedroom as depicted in the attached floor plan. 0.e. 8'e oom#1-100 sq., Bedroom#2-90 sq., etc.) Property Description (Include all improvements indicated on survey) 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, and the Energy Conservation Construction Code of New York State. Print Name and Title '� ' ,t Original Signature 4 f J 1 fiy ay o 6 1„'fj 6 Please place professional seal: "i, � b W S h all ilk O� �� z�a ✓••it I �� 3 �y mm� '^gg� "'ww"� (/57yU as o� A smnu� aaly a q no N jig 16�d, .1 11 .r g '� 1p^� an z II� WHIIANN a 3 �y, � q gP111 ' ll'��9« '� �° � Who 8�� .aam'Hill' �rao. r s�w�' ho u d .". ,n � G v � S i ... 8 l 8 0 w m m 0 ...,.� .�.....,.. .�.,. yy .. `h........ O I II z: Q� d r L,4- ;✓ yy i Town Hall Annex Telephone(631)765-1802 54375 Maio Road Pax(631)765-9502 P.O.Box 1179 rf Southold,NY l 1971-0959 r BUILDING DEPARTMENT TOWN OF SOIrMOLD RENTAL PROPERTY CERTIFICATION Form is to be completed by alicense architect, licensed engineer or licensed home inspector Separate form Is required for each individual Rental Dwelling Unit CtOKIM &SOMA tMSIRAMW1tf Rental Property SCTM Number- 1600 1 - Rental Property Address: Owner/Name: Rental Dwelling Unit Identifier: 83 Number&Square footage of each bedroom as depicted In the attached floor plan- (i.e. Bedroom#1—100 sq.,Bedroom#2-90 sq., etc Se �.-. .-...... --.�, Property Description (Include all improvements indicated on survey) 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 Construction C 'de of Now York �te� mm 2 "" SCH Print gnatlrePrint Name and Title Please place,professional seal: �� 77006 F T .ACCCRr.N v A C:N E SA-11O 1 TH THE C RRE O ERG AUNT T�i S AREA WASp A SCRCC,_C ^Rigs`vNEt SHE PURCHASE TH_PROPERTY IN `3 S BUT IT WAS •_;.$3— CONVERTED TO HAB T„BLE SPACE W—N HEAT 'AS ADDED TOT OTTAG-c PRIOR TO € THE PRE CO NSPECT;ON DONE BY EDWARC HiNDERMAN ON AUG a. . fi, I - t �c € g� �w• � c ir 8g8g Cam—'- F cSE. 3 i 9 cc..Z °5 .. LOSE C. CSI� d FLOOR PLAN 1/4 „f MAVE RESIDENCE F t — - 910 FLEETWOOD RD. — C €T;HCCUi N.Y. Ni—$ G T.Mi C 0 '3-4 ? III `EST COTTAGE Q I ---MAYE RES'-, 835 FLEETWOOD RD. CLITCHOGUE N.Y. SCTM# 1000-137-4-22 ZONE R-40.41 ACRES EXISTING SINGLE FAMILY RESIDENCE 680 SO FT,ONE STORY ONE BEDROOM WOOD FRAMED HOUSE, T RAL N�OIES ----------- ROOM u -Z BEDMOW NI 1111 1 1 1 r GEOGRAPHIC&CLIMATE DESIGN CRITERIA yx KT-CHEN BATH Z=J- FLOOR PLAN CA.AS NOTED FEBRUARY IITH 202131 A 101 ' TART�RT 1 OF 1 PLAN L:J.:A:N:CHAMBERS�A. E R 1/4" V-0" TOWS OF SOUTH OLD PROPERTY REC OWNER STREET VILLAGE DI' >i SUB. LOT - f r FORMER OWNER IN i . W TYPE OF BUILDING RES. 1 SEAS. '> 'VL. FARM I COMM. CB. MISC. Mkt. Value LAND IMP, TOTAL DATE REMARKS . w cik- f®^- ' AGE BUILDING CONDITION NEW NORMAL BELOW ABOVE FARM ? Acre Value Per Value I Acre Tillable 1 Tillable 2 Tillable 3 Woodland Swampland s FRONTAGE ON WATER s R — i Z, ' Brushlo d FRONTAGE ON ROAD House Plat DEPTH .L I BULKHEAD Tot41 DOCK z COLORIV _ o - _ - TRIM a a € a c — _ ( �# x _ E M. Bld _ Foundation Bath + Dinette' I � Extension I'�-� Basement '�t Floors K. , , Extension Walls ,$ ° interior Fi i � l LR ` Ext Extension Fire Place �� Heat DR Type Roof Rooms 1st Floor- i BR. Porch Recreation Room Rooms 2nd Flog FIN B Porch Dormer i I Breezeway i Driveway Garage � ---_ Patio _ Q. B. - - Total i 116 a t ,dlf�ltll//�Id%11rr�%///%///ill,"////i;/✓'�i,r.;�Gi;./i�//%i/%i��'oi�///,��.�,% //i rl I A n,, i�r,✓ ,/,r uie;r,l,!J,"/,d. ,tJ/r, er„rra,,,,oCi r rvc,/i 9/v!///,��%w0i,�;G�//l�/�/,%/r/l,/i/j/,!/�/ii�l,!'ilk/%urilillrl,,,di///riu ',' N + SURVEY OF PROPERTY AT CUTCHOGUE ZOpE TOWN OF SOUTHOLD 14 . —2 cil 131 ato SUFFOLK COUNTY, MY CL -v- -v- 1000-137-04-22 SCALE.- 1=30' OCTOBER 29, 2005 - v- IL rq 4� SL ha 4% 0 0 (A IL ua m /t478-31'4q'E x 3 IL 1L v- WTLAWS MP BANK 7- rn Cc DECK SA 24 OeN cQpy t aA I S7-Y GAR Co FR. HSE CL q 7D? 0 16? IV82*46`OO-W J558, ANGL- Powr PZAZTrooD ROAD NO, 49618 ANY ALTERA77ON OR AD.9I770N TO THIS SURVEY IS A WOLATION -comwvc wycws� P.C. OF SECTION 72090F THE NEW YORK STATE EDUCA 77ON LAW AREA-11,954 80. FT. EXCEPT AS PER SECTION 7209-SUBDIWSIOIV 2. ALL CER77FICA T701VS (631Y-74�� FAX (6Jl) 765-1797 TOME LINES HEREON ARE VALID FOR THIS MAP AND COPIES THEREOF ONLY IF P,0. BOX 909 SAID MAP OR COPIES LeA-? ?W IMPRESSED SEAL OF THE SURVEYOR 12JO TRAVELER STREETJ •-PIPE IWOSF RONAT RE—BARS HAMSOUTHOLD, N.Y. 11971 105-252 EL TO SCTM: 1000-137-04-22 -- -- LOT AREA:12,013.20 Sq ft A E-a § NA}# s a.a s a 965 D_.. 4 { 5 tamer Sr Dale 3rcxn Fne•e Ned�um Su+E SG s a F § O �'� - - a ms.�vs l i l ol SSE £ f ti -Us t e i� 7 l 5£�ffOh a.♦tSEW _ � €:m=.Eic^ { [ O wei-dsLu 5 @T 133g E � 2 C4� - - ® ; atluk�.to a wZ i : eta Ei 4rvi.,t h, IIh 6.tha s[}stem saM ih Mtt m; R s i _ •�••+' 4f} [a] 1 � eMa� nn Ei # -,a�a cad,:we ere can®na�reiy�. { ;• ;"'�^ F}a / � a r•aa�afm+e a�,eoe�hae�oF �at�n�rwr f� =- � � ..t�� R A w rove LaY o m t # — e EL 55 z. =ir,imem' a a - U d.:..v-�+•ad;nr s/ �. _ j � .s.c`v c-se u�. �=. � z I - � t t}+ uae a 2 3es1 9 - / £- EL iC.i G9_L 6.5 {t{t L t 3T F e ; i s i t 17 G B d R si ewe ods Des -. Fleetwood Road - Aar= i ---- z a _ o 0 3 a ce,.ira,carer ;,� C i c F ^S Tap a^—j SCALE Grade et 6. 1 1'=20 a _ �E v^^^gS€" g Tra4e 3ea�..^3 TaFELck'ey } F .Lna'S Davice c,P.!.er.x - . a.x..� € - _ vas a.l?3� [ SITE PLAN s,5 F-eR Concrete Sompling/Distribution Manhole S— 1 o{e�c FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Clerk's Office Southold, N. Y. Certificate Of Occupancy No. 271.82 . . . . . Date . . . . . . . . . . . . . . . . . . 19. 76 THIS CERTIFIES that the building located at A/4. nggitvood Road. . . . . . Street Map No. XXXXX. . . . . . Block No. .XXX . . . . .Lot No. XXXX. . . .CutQhQ . . . N•.Y t. . . . . mWaIr set f4zliy, dv 1 in g► # ouein coda conforms substantially to the �vti]dt before Apr 23 to o c f occupancy . . . ., 19. 57 pursuant to whicherti certificate " No.Z7182 . . dated . . . . . . . . . .Aug . . . . 1.8. . ,, 19 7.b. ., 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 . . .tvq. . .N eG•. .ame. ;f"11.Y. .dwm.11.14ga. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . The certificate is issued to .I,omUei .Dw. %WOPr . . . . . . Psmpr . . . . . . . . . . . . . . . . (owner, lessee or tenant) of the aforesaid building. Suffolk County Department of Health Approval P.xe eaiatin . . . . . . . . . . . . . . . . . . fl UNDERWRITERS CERTIFICATE No. . pre-.existing . . . a . . , . . . . . HOUSE NUMBER .835 A. 47.5. Street . . .ng)Atv9pd ,Road Cutchpgue. . . . . . . . Building nspector b rc t` w HOUSING CODE INSPECTION August 13, 1976 835-875 Fleetwood Road R-1 Cutchogue, N.Y. Tax Roll: Lorraine Dunhuber Occupied: Seasonal tenants Upon receipt of an application for a Pre-existing Certificate of Occupancy for two single dwelling units, I made an inspection of the buildings at this location. I met Miss Dunhuber on the premises and began this inspection at approximately 9:45 A.M. A previous inspection was made for a Pre-existing Certificate of Occupancy on February 11, 1974 , for owner of record Ottomar J. Gerhardt. A copy of report of previous inspection is here- with enclosed. The violations of Chapter 52, Housing Code, Town of Southold listed in report were found to have been cor- rected. Also, in addition, each unit now contains a hotwater heating system suppling heat to each room. Bathrooms have been renovated and contain required fixtures to meet minimum re- quirements for a living unit. Dwellings were found to comply with Housing Code for one-family occupancy. Inspection completed at approximately 10:15 A.M. Res ' ctfully ubmitted, 4, �ar4k_ ndermann Building Inspector EH:med o yip F AM ] T k. r -7Q, FI s E +:1 G i { v .. L ............. .......,-. "�..-T c I. � _ C11 Ir ISO +�+ r 4w�Aw."wG'winkYMlirrnrwwr0. w � o-t � fur",M�� 7* r{ 1 ' { , Y, rL� t p�y �lry I �' , n m I UNAU111OR12ID AL112AIIII OR pp _ TO THIS SURVEY IS A VIOLATIO' SECTION 7209 OF THE NEW YCII C:E. EDUCATION LAW. R ` I �I �r r•/F:!' J COPIES OF THIS SU.IVEY 7AAP n'; f THE LAN SU:VEYOL'S IY,:D IM'OSSCD SLAT:HALL NET Si,_ TO RE A YALID I:UE COPY. GUARANTUS INDICATED HLREO` ONLY 10 THE✓CZSO17 F:1R V/H 1 IS FRUARED,At-*D 0. IS !'— { TITLE CON.FANY•G N...o— q LENDING INS111UIION LISTED n- " & TO THE A'S GNSES OF THE LCNO h TUTiON.GUA.AhTS•.S A.E 1.01 „ TO AODITIONAI IM571iu11UhS C OWNERS. L.71.IGXYdr1`�"t'E.G{ To �i;C'- f-• r. 1 1-�1 e 1►';:i f✓l`I'C:1'r' .�•� L.G r. ! 'v FORM NO. 4 W l �(e_;al I�^ TOWN OF SOUTHOLD o� BUILDING DEPARTMENT Town Clerk's Office Southold, N. Y. Certificate Of Occupancy No. L5793. . . . . . Date . . . . . . . . . . . . Feb. . . . .13. . . . ., 19.7.4 . THIS CERTIFIES that the building located at . F.leetwood. .Road. .a.Betts SgPeet Map No. .X= . . . . . . Block No. . .xx. . . . . .Lot No. , . Cutchogue• • . .N-Y. . . . . . . . conforms substantially to the dated .b e f or•e• E►pr•11• •23. . ., 19.57. pursuant to which �� occupancy 'L 5793 . . dated . . . . . . . .Fen. . . 1.3 . . . . .. 19.74., 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 .two. -NX•.. •summer• cottages• • . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . The certificate is issued to -Ottoman- Ee ,Dorotyh• Gerhardt • • . . •Ovners • • • • • . . • • • . (owner, lessee or tenant) of the aforesaid building. Suffolk County Department of Health Approval pre- .exis.itng. . . . . . . . . . . . . . . . . . . . . UNDERWRITERS CERTIFICATE No. . .pre•—exisitng • . • . . .. . HOUSE NUMBER . .835. a •87 r • Street . . Fleetwood- -Road . . . . . . . . . . . . . . Building Inspector HOUSING CODE INSPECTION February 11, 1974 875 Fleetwood Road Cutchogue, N. Y. Tax Roll: Ottomar J. Gerhardt Seasonal, Unoccupied. Upon request of the Southold Town Building Department, I made inspection of the buildings on premises and found violations of Chapter 52 Housing Code, Town of Southold. I was admitted to building on east side of property by Mrs. Gerhardt and began inspection at approximately 10:25 A.M. ,lEast Buildin : Unheated, consists of two bed- rooms, living room, kitchen, half bath, partial cellar, and screened porch on no 'ri:le of building. ��.-.��. � ... ..... Violations: Front entrance : no electric switch to con- control light in room on entry. Art. V, Sec. 52-56 B.2 . Kttchen: gas range, no shutoff valve at unit. Art. V, Sec. 52-52 B.2 . Bathroom : No tub or shower. Art. V, Sec. 52-57 D. 2. Cellar: window east side , broken pane of ggass. Art. III , Sec. 52-31 A. Building - Gas piping system. No shutoff valve. Art V - Sec. 52-52 B. "West Building : unheated, open foundation. Consists of combination kitchen and living room, half bath- room and two bedrooms . Violations: Half Bathroom : No moisture resistant flooring. Art. III, Sec. 52-32 . No shower or tub. Art. V, Sec . 52-51 D. 2 . Foundation - open, requires enclosing. Art. VI, Sec. 52-63 B. Building.: Gas piping system. No shutoff valve. Art. V, Sec. 52-52 B.1. 0 Housing Code Inspection 875 Fleetwood Rd. , Cutchogue Pg. 2 Feb. 11, 1974 Both buildings : unheated, occupancy between May lst and October 31st only. Article V, Sec. 52-53 A.1. Inspection completed at approximately 10:50 A.M. 4v Re �rectfully submitted, ,� M Edward Hindermann Building Inspector EH:mm Town of Southold P.O. Box 1179 53095 Main Rd �00 Rrt Southold, New York 11971 r CERTIFICATE OF OCCUPANCY No: 46547 Date: 10/02/2025 THIS CERTIFIES that the building AS BUILT ALTERATION Location of Property: 910 Fleetwood Rd Cutcho ue NY 11935 Sec/Block/Lot: 137.4-22 Conforms substantially to the Application for Building Permit heretofore,filed in this office dated: 06/27/2022 Pursuant to which Building Permit No. 51050 and dated: 08/08/2024 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 built" alterations including a screened porch converted to habitable space to existing cottage (cottage #2) as applied for per ZBA #7626 dated 6/16/2022. The certificate is issued to: Jennifer Ma ye Of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL. R-23-1482 9/30/2025 ELECTRICAL CERTIFICATE: 51050 8/20/2024 PLUMBERS CERTIFICATION: Alorize ignature Town of Southold P.O. Box 1179 53095 Main Rd Southold, New York 11971 CERTIFICATE OF OCCUPANCY No: 46548 Date: 10/02/2025 THIS CERTIFIES that the building As built additions/alterations Location of Property: 9 10 Fleetwood Rd Cutcho gate NY 11 35 Sec/Block/Lot: 137.4-22 Conforms substantially to the Application for Building Permit heretofore,filed in this office dated: 06/27/2022 Pursuant to which Building Permit No. 51051 and dated: 08/08/2024 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 built" deck addition to existing cottage (cottage #1) as applied for per ZBA #7626 dated 6/16/2022. The certificate is issued to: Jennifer Ma ye Of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL: ELECTRICAL CERTIFICATE: PLUMBERS CERTIFICATION: �uthon�94Signature