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Home My WebLink About1000-85.-2-12.2 Rental a rm it 1420 Owner: Jonathan Melendez , Joanne Badenhop, Jessica Melendez Occupied as: Single Family Dwelling Located at: 36725 Route 25 Cutchogue 85.-2-12.2 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: 02/27/2026 � Expiration: 02/27/2028 : Code �e This Notice must be posted by the main entrance at all times DEPARTMENT w -d � 'PO�V�I OF Sfl �' ,' ► �tUil4�l�il`1 o' u FEB n a C�, 2026 u RENAL PERMIT APPLI AT' I I Rental Permit fee$300(Apprication must be renewed every two years) Seddon A. Rental Property Address: 6 �� , Tax Map Number.- SECTl ONl o g 5.a U -BLOCK--(21 -LOT lMum re Property Owner-Nlarrre: Y` Ct Y'1 p ' ,- Property Owner tegal Address: Property Owner Mailing Address: (Cannot-be the_same-as Pmatel Property.Aldr. T'elepl}one NlunAw Is): Daytlme -Even in l)?V 'Emer L62 71 , 1c) .o Property Owner Email Address: V t e le o. e Page 1 of 4 Section C. Atdwdzed i, i '. .k. i i an i11a!'nE of AU#h4flZeL�AREA#of dwelling l.tn t, f �j/; Address of Authoized Agent(no P.O. Boxes): eVb,4,fs ik _ M /j 7f J- Mailing Address of Authorized Agent: SG^"^ Telephone Number(sy l aytimeW ( - Evenin � L rnergen y�� 4 Email Address: cube yvt a c v Section D. Name of Authorized-Agent of dwelling unit,if any: � r` Address of Authorized Agent(no P.O. Boxes): Mailing Address of Authorized.Agent. Telephone Number(s):Daytime Evening Emergencyy -Email Address: SECTION E. Name of Managing Agent of dweMng wait,if any: Address of Managing Agent(no P.O. Boxes): Mailing Address of Managing Agent: Telephone Number(sY Daytime Ewing Emergen y Email Address: Page 2 of 4 SECTION F. PROPERTY DESCRWrKM.' plumber of Rental-Dwelling Units on-property: ' For each Rental Dwelling tJnit set forth the Rental owelling lint identifier f for example, Unit 1,Unit 2,U-nit 3 or-Apt A,B,Q the use of each room in the Rental Dwelling Unit p<forexample,Vatchen,Bedroom 1,Bedroom 2,l hrirMRoomlandthe dimensions of each room. far properties wfth mukiplo Raft RaftW OweWng Des use'RenW ftrmft Appfkation -Addendum," Rental Dwelling Unit identifier; Requested. imp number of persons allowed to o=upy DWOffing V it: Number of rooms in Rental Dwelling Unit: � t the and Dimensions of ewh in RentafDwelling,Uni t- 10 SECTION G. INSPECTION: Pursuant to the Town Code of the Town of Southold Chapter 207 JRental Properties),a safety k peet c t " irp r ved if ther owner cluxzesnottoltavesaid inspection performed by the Town, a certification from a licensed architect, a licensed professional engineer or a hon-w inspector who has a valid New York State Uniform,Fire Prevention l mng Code tertification isrequfred stating that the property which is the subject of the rental permit application is in compliance with ail of the provisions of the code of the To of Southoltithe famm and sankaryandhousirmtegolations of the me of SuffOlk and by the laws adopted by the New'York State fire Prevention and Building Code Council. 6/ i arm requesting ar fire.safety inspection to be performed bar a Code Enforcement Dffic-al eT �of Sou 0 l am submitting a completed Town of Southold certification form from a licensed architect pr a Licensed professional engineer_ Page 3 of 4 SEcnoN H. W. STATE OF NEW YORK) COUNTY OF SUFFOLK) cruet under pence of Ate,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 f understandthe Town wM use the address for service pursuarrt to A applicable laws and rules. J 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. i 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 the Town w+�fve f , e s s to MY change to the� m 0 regaardingAuthorized Agent,Managing Agent,or Site Manager. J Property Owner's Name- Richard Noncamw s Signature: Notary Pubfiq State of Nqw)ftak Sworn to before e, is y of ��' 2D Z� No.01WO6224106 ju=in Suft lk ,� MY s June DfFu1al Nptary ppbl. (ore and DriginA, .car.. Stamp Page 4 of 4 Dat-a 11 1'c3t, .r., r.',_,'S3?9h" ,. `. C,S'w^.ecc.ryi,:e+ d8tatracetiUP.Com Certificate of Occupancy Search TITLE*: SP47829-S DATE:71151ZO22 EIMMISE's", 36725 ROUTE 2I, CUT~ G UE State: NY County: SUFFOLK T-owwni SGUT+40LD nincei p:CUTCHOGUE A search of the gwilding 0epartment records in reference to the above meat oned premises has revealed the fallowing informatl ow Certificate of Occupancy #Z11676 issued on Sf 17/1983 fbr.a one famUy Ing Certificate of Occupancy #3-6187 issued on 4J1J2013 under.permit #P37886 for an addlbw and aim x tans-wtcWwtr basement ap t ZERTYTHS EARC S 0VP%EOAt FRMIP CE Aril BBLITY HU ER r YO ICIK M EIC. D DEPARTMENTS. c " R 'Jk A5 fl5 W 9T J "ARRA I� T KIb5C3 EI HER EXPRESS OR I P'LIM,q�dC141.iL IRG WITHOUT LIM(TAM V NAGPYWARRAR4 50 ERCHANTlw89LN;Y OR F, F �., r � t1� 1E CB ti FI "�T&� ED NCOU $I-OF DEALING OR USAGE IN TRADE OR JE OR SQ SdVaNG fROM WGUGEMM,US- ALLPRMAND 4o75U�f10�544 TOE. :g,:�x ` popM NO.A ' 01'wevogma Town NO sevot"". of 0=4p 83 � .•• f"•""M µXM . .t.ti+w�.m.. M'b x a...�.Nywyw.. .NT U94µ.r��;;W.y�.ry��M��'y�;pry ,�/............ ..M'..........M•9w'�....M.,:X X.X • �Ti.v M1p M WW. �t"� *� .a� @ �"✓y *� X�.�} WYM .N'T R'"M�.�m �M ." w.X w rt {RMF iI1{{ x X « M.XSWPV*b . qXY�, 9W xY'W%rw.---x.....X....... Auod BOO* 7 C t1ff!!'ms mootwtwly to the A s .....� ,....X.M .... 19 8 29....» ..X«. ... X .# I'rt.•...k X X X X / ... �IW W� .yryw y �_pp,[�'{ swy ......+Xy X.y.. ...... M..x"�Yp MM iw X„ Mp ....✓ .••...,. Y wJ aW 9W PYMM............... . w x W..M ...jwt xX MYVM ..rt py x a•W�M (mlo .�y iF'iu�*•�• w. a. q.m q A i M1 N N�s>W•�,'4A' d� 0 73R77wo"` > �i2�•w�Q.. ;j' ......... ......... ........ �adk��'Depasw�te�-Of Ho&M A,pptovazt W• ,-.>• _, ........- , •� ...... pp,7iB1 Torrs�+af�atia�fiill►uaez � 4J!lZO13 -- S437SMabRoad q CERTCU OF OCCUPANCy 1'es 36197 Date: 411/2013 i.oeatioa 4flIraperty. 31725 MAIN ROAD CMH()C ScTm . . k. 47 ec� h t 95442.2 Sbbdt^ lou: -- FYled Ad�p NaLot NO. eed"WOUbAtUWYYl t . iorn "Rhadofom l5ed id this othfced dated~ V20CM vm uw is ova building No. 37..U5 4aw 3f2mu �f�e law, �7�occapancy{or which this ca'tifica#e is issaedis:: The r cate is ismd to TACLVN 3&JjMngM Oftheaft=a d " 3U FQLK COUNW DEPARTMENT OF HEALS N AppR4DVAL ELECTMIWAJL CR , TI;No 37995 3/19/13 PLUMrSESs CERTW C TI N DATED " -WA, - TOWN OF SOUTHOLD BUILDING DEPT. � 631-765-1802 F5--d 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 (FINA ) [ ] CODE VIOLATION [ ] PRE C/O [ RENTAL REMARKS: JI—alv—se. — !h 5 e� a I K S DATE INSPECTOR Town Hall Annex TOwn of Southold 54375 Main Road Rental Inspection Report PO Box 1179 Southold, NY 11971-1179 Te1: 631-765-1802 SCTM # gS—a— /" .a- Date o?.19 Owner /tx'2 Phone Address aS Visible Hamlet ,2 Inspector Floor Level Quantities Sub 1 2 3 Smoke Detectors (not located in bedrooms) S Carbon Monoxide Detectors 1 Fire Extinguishers ( � Exits Bedrooms 1 2 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 I lHandrails&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 presents/f%% Comments: . - k s r Owl �A g , AM a . r e � / JJ