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Home My WebLink About1000-97.-2-2 of so TOWN OF S UTHOL Rental Permit 1402 Owner: Jon Viviano Occupied as: Single Family Dwelling Located at: 35750 Route 25 Cutchogue 97.-2-2 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: 11/19/2025 Expiration: 11/19/2027 cod 04 ent official This Notice must be posted by the main entrance at all times vkSP " 1 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 litiL)�-,L/ w��w vso tttfio1cliov n lii�' N O I 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: n1 r/ 1!'s j Property Owner Legal Address: Property Owner Mailing Address: (Cannot be the same as Rental Property Address) 1-7 (01 Telephone Number (s): Daytime_ ' ( ( ,' .Evening Emergency Property Owner Email Address: O- l Page 1 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, 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: JZ&INA X " 13�" -A " �£D Q-tv v� 2 J 33" 4 11 '' aetL^w► )21''x 122.s n 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. ❑ I am requesting afire 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. 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 SUF,FOLK) I 0?J I VVIAW-10 -A 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: 0r4 1 Property Owner's Signature: Sworn to before me this day of OCLip,(7o_r- , 20 2_6� t L ao CofMtssw�)not cat N d Official Notary Public Signature and Original Notary Stamp city of ,,Y No. ;2' Page 4 of 4 Qf CCUy�, TOWN OF SOUTHOLD BUILDING DEPT. 631-765-1802 INSPECTION [ ] 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 ) [ ] CODE VIOLATION [ ] PRE C/O RENTAL 7R,EMAIRRKS: 14 DATE 114SPECTOR Town Hall Annex Town Of Southold 54375 Main Road Rental Inspection Report PO Box 1179 Southold, NY 11971-1179 Tel: 631-765-1802 u poi SUM# j - —o? Date •/ ;a�� Owner V/A xc) Phone Address Visible Hamlet tr Inspector Floor Level Quantities Sub 1 2 3 Smoke Detectors(not located in bedrooms) Carbon Monoxide Detectors Fire Extinguishers Exits Bedrooms 1 2 3 4 5 6 Smoke Detectors Egress Occupant Count Ta 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 Pool on Site Surface water alarm Date of CO issuance Door alarms Pool completely enclosed Self closing/latching gates Pool fence to coderequirements CO's forall items present (� or Rental [Pr Comments: TOWN OF SOUTHOLD PROPERTY RECORD CARD- OWNER STREET STREET VILLAGE DIST. SUB. LOT AL as FORMER OWNER N r 1 E ACR. Ad 3;4 " S W TYPE OF BUILDING 3 .� RES. � SEAS. VL. FARM COMM. CB. MICS. Mkt. Value LAND I IMF'. TOTAL DATE REMARKS o -�I f" — _ _ i #, j _ L11 �7s I a _ r 1 e i AGE _ BUILDING-CONDITION NEW ' NORMAL BELOW ABOVE FARMM Acre I Value Per Value Acre Tillable i FRONTAGE ON WATER € I Woodland FRONTAGE ON ROAD �< x Meadowland DEPTH �p House Plot ! BULKHEAD Total DOCK , 1. COLOR TR I M l l i f I € f �yt [ 3 E I I M. Bldg f Extension Extension 3 X = +rtd D I a 30 3 i3 Extension - £ !Foundation G L�1 Both .Dinette Porch - Basement T G �-- Floors o K. Porch Ext. Walls Interior Finish LR. S B. .. I Breezeway Fire Place IHeat DR. i v F s Garage I �, 9 i /, 0 9 G iType Roof `Rooms 1st Floor BR. Patio i -Recreation Room` Rooms 2nd Floor i FIN. B a B. Dormer Driveway 3 Total - ti I V t FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. PRE EXISTING CERTIFICATE OF OCCUPANCY No Z-20709 Date JUNE 12 1992 THIS CERTIFIES that the building ONE FAMILY DWELLING Location of Property 35750 MAIN ROAD CUTCHOGUE NEW YORE House No. Street Hamlet County Tax Map No. 1000 Section 97 Block 2 Lot 2 Subdivision Filed Map No._ Lot No. conforms substantially to the Requirements for a One Family Dwelling built Prior to: APRIL 9 1957 pursuant to which CERTIFICATE OF OCCUPANCY NUMBER Z-207 Oq dated JUNE 12 1992 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 ONE 'FAMILY DWELLING WITH ACCESSORY THREE CAR GARAGE* The certificate is issued to WALTER STF.PNOSEI (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N A UNDERWRITERS CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A *PLEASE SEE ATTACHED INSPECTION REPORT. Building Inspector Rev. 1/81 EU-L'7 . TO',71 OF 3CUT:1OLD, N. Y. &OU_ZI::G COST INSP—ECTION i2_E703T Location 35750 MAIN ROAD COTCHOWE, N_Y tr.�.aoer uc s�res�) l�•iu._cipatlr:y) Subdivision aNfap No. �Lot(3) acme of Oeiner(n) WALTER A. STEPNOSKI Occupancy A-I (type) owner-tenant) Admitted by: FRANK MURPHY Accompanied by: SAME Key available Suffolk Co. Tax No. 97-2-2 Source of request GASY FLANKER OLSEH, ATTY Date JQNE 12, 1992 DW L L!m Type of construction ;`stories 1 Foundation CEMENT BLOCK Cellar FULL Crawl space Total rooms, 1st. Fl 5 2nd. Fl 3rd. Fl Bathroom(s) 1 Toilet room(s) Porch, tape Deck, type Patio, type_ Breeze,aay Garage Utility room Type Heat HOT AIR harm Air Fotwater HOT WATER HEATER Fireplace(s) FURNACE No. E:cits Aircor_dition" irg Domestic hotaater -/De heater Other ACC1,73S"ORY STRUCTURES: ES: Garage, type const. 3 car Storage, type const. Swi^nino pool Guest, type const.- 0 ther V.o.OLATIONS: CIIAPTCR 45--N.Y. STATE UNIPORPI FIRE PREVENTION 6 BUILDING CODE L. � ation D sc:iotion Art, Sec. Iya(p Yt uxx*.w.rrrw.�.'nex...�rr mow•. �+-..•+. •.w.w' m nxr+w.wxvr.w. �rsx..n.m.i...n w.ww••.-^-•..^.m�.�.�wr. �. �wwv..uienwn+nn ..wy Remarks Inspected by: Daze of In p. jone 12„ 1992 Victor C. Lessard Time startja. ,.nd " ""�,,,1�, V 4. TV 4' s 4 _ 'Z I- SMOKe k X% ji001 �- CD . Z