HomeMy WebLinkAbout1000-103.-4-6 of so TOWN OF SOUTHOLD
Rental Permit
1472
Owner: Roxanne DeFrancesco , Bennett Silber
Occupied as: Single Family Dwelling
Located at: 875 Deerfoot Path Cutchogue 103.4-6
Maximum Permitted Occupancy: 10
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: 05/14/2026 v
Expiration: 05/13/2028 Code Enforcement Official
This Notice must be posted by the main entrance at all times
� 7L,6 � � (
TOWN OF SOUTHOLD—BUILDING DEPARTMENT
Town Hall Annex 54375 Main Road P. O, Box 1179 Southold,NY 1 1 " 1 � �
Telephone(63-1) 765-1802 Fax(631) 765-9502 11ttD sPl/ w.sou'tboldtowttit o'V
MAY ,,. 2
RENTAL PERMIT APPLICATION "
Rental Permit Fee$300(Application must be renewed every two years)
Section A.
Property Information:
Rental Property Address:
875 Deerfoot Path Cutcho ue NY 11935
Tax Map Number: 1000 SECTION 103 -BLOCK 04 -LOT 006 -
SECTION B.
OWNER INFORMATION:
Property Owner Name: Roxanne DeFrancesco And Bennett Adam Silber
Property Owner Legal Address: Property Owner Mailing Address:
(Cannot be the same as Rental Property Address)
Kq
D an e I '1 i >t- P��
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Telephone Number (s): Daytime 9175664614 Evening " Emergency�1�Digg
Property Owner Email Address: Roxdefranes�ct@qmaii.com
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, 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: (6n�"
Requested Maximum number of persons allowed to occupy Dwelling Unit:_1o_____
Number-of rooms in Rental Dwelling unit:
Use and Dimensions of each room in Rental Dwelling Unit:
-e Y_i S-h' re ci-e a-f-�crA room I n b a Se rn e n f
See , ians Q ef'acl-lcd anct mrl
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 a fire safety inspection to be performed by a Code Enforcement Official
from the Town of Southold
❑ 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 MUSTbe the owner of the dwelling unit.
STATE OF NEW YORK)
COUNTY OF SUFFOLK) bey--)
I OX coo e''SO 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. l 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. i 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:
Property Owner's Signature:
Sworn to before me this'±day of , 20- 6
Official Notary Public Signature and Original Notary Stamp
CONNIE D.BUNCH
Notary Public,State of New York
No.01 BU6185050
tualifled in Suffolk County
Commission Expires April 14,2 ba
Page 4 of 4
so 4
TOWN OF SOUTHOLD BUILDING DEPT.
631-765-1802
I I'mS rm"kE IA N
[ ] 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
RENIARKS. C
DATE 113 IZOZ,4 INSPECTOR Z ;F-cz- 1
Town
Town of Southold 54375
Rental Inspection Report P(
am
Southold, NY 1
O* r�
�� Te1: 63]
SCTM# 103.-4-6 Date 5/13/2026
Owner Roxanne DeFrancesco & Bennett Adam Silber Phone
Address 875 Deerfoot Path Visible ye S
Hamlet Cutchogue Onspector R. E. Corwir
Floor Level Quantities Sub 1 2
Smoke Detectors (not located in bedrooms) i
Carbon Monoxide Detectors
Fire Extinguishers
Exits
Bedrooms 1 2 3 4 5
Smoke Detectors j ?�
Egress fv I �►
Occupant Count
Building Systems Maintained &Operational Condition of Property
Heating ✓ Building interior
Hot water ,/ ✓ Building exterior (fxeowl
Electrical r Property clean, maintained &safe YE S
Mechanical lHandrails&guards installed &secure ir�f
Pool Safety Pool on Site
Surface water alarm Date of CO issuance
Door alarms Pool completely enodsed
Self closing/lak0fing gates Pool fence to c e requirements
CO s for all items present
Comments:
611e) 62 A ry�.�� C� _ rt5*5 we
FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No: Z-26964 Date: 03/07/00
THIS CERTIFIES that the building NEW DWELLING
Location of Property: 875 DERRFOOT PATH CU'TCHOGU'E
(HOUSE NO. ) (STREET) (HAMLET)
County Tax Map No. 473889 Section 103 Block 4 Lot 6
Subdivision Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated JUNE 10 1999 pursuant to which
Building Permit No. 25888-5 dated JULY 22, 1999
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 ATTACKED TWO CAR GARAGE & COVERED PORCH
AS APPLIED FOR.
The certificate is issued to INLAND HOMES INC.
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL R10-98-0056 03/022/00
ELECTRICAL CERTIFICATE NO. PENDING 03/01/00
PLUMBERS CERTIFICATION DATED 12/11/99 GALE KASKE
thoried signature
Rev. 1/81
or,y� Town of Southold
P.O. Box 1179
53095 Main Rd
*'ce Southold, New York 11971
CERTIFICATE OF OCCUPANCY
No: 45922 Date: 01/31/2025
THIS CERTIFIES that the building AS BUILT ALTERATION
Location of Property: 7 I eerfoot Path Cutchpgge._ Y 11.935
Sec/Block/Lot: 103. 4-6
Conforms substantially to the Application for Building Permit heretofore, filed in this office dated: 08/31/2022
Pursuant to which Building Permit No. 48422 and dated: 10/19/2022
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 built" alterations, including unconditioned recreation room in basement,and two
unconditioned finished storage rooms in basement,to existing single family dwelling as
applied for.
The certificate is issued to: Roxanne DeFrancesco Bennett Silber
Of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL:
ELECTRICAL CERTIFICATE: 48422 12/13/2024
PLUMBERS CERTIFICATION: Jaroslaw Misiukiewicz 02/07/2024
Autl sari,.ed griature
FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No: Z-31450 Date: 02 27 06
THIS CERTIFIES that the building ADDITION
Location of Property: 875 DEERFOOT PATH CUTCHOGUE
(HOUSE NO.) (STREET) (HAMLET)
County Tax Map No. 473889 Section 103 Block 4 Lot 6
Subdivision Filed Map No. Lot NO.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated JANUARY 13, 2006 pursuant to which
Building Permit No. 31736-Z dated JANUARY 17, 2006
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 ADDITIONS TO AN EXISTING SINGLE FAMILY DWELLING AS
APPLIED FOR, & AS PER CONDITIONS OF ZBA #5790 DATED 12/01 05.
The certificate is issued to RALPH & JILL PASSARO
(OWNER)
of the aforesaid building.
SUFFOLK COU= DEPARTMENT OF HEALTH APPROVAL, N/A
ELECTRICAL CERTIFICATE NO. N/A
PLUMBERS CERTIFICATION DATED N/A
M
Autho zed Signature
Rev. 1/81
FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No: Z-30241 Date: 06 15 04
THIS CERTIFIES that the building ADDITION TERATION
Location of Property: 875 DEERFOOT PATH CUTCHOGUE
(HOUSE NO.) (STREET) (HAMLET)
County Tax Map No. 473889 Section 103 Block 4 Lot 6
Subdivision Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated SEPTEMBER 11 2003 pursuant to which
Building Permit No. 29735-Z dated SEPTEMBER 15 2003
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 ADDITION AND ALTERATION TO AN EXISTING ONE FAMILY DWELLING AS APPLIED
FOR.
The certificate is issued to RALPH & JILL D PASSARO
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A
ELECTRICAL CERTIFICATE NO. 1183228 02 11 04
PLUMBERS CERTIFICATION DATED 01 16 04 CUTCHOGUE EAST
12
//uthXized ignature
Rev. 1/81
® NEW WALL T �'► t
_ ended i
EXISTING WALL
NOTES
3 I. Exlsting basemen)stair to remain.
2. Point existing room and install new Base and casings to match ekisling,as ngeded.
3. Create new 6'wide opening in exisling wall.
4. Enlarge existing basement window opening to accommodate new egress window:create opening for Tilt&Inswing 34X34 egress window s
with egress hardware,with(2)2X8 header,sill must not be more than 44"above the floor
5. Window well:Barran Kemp Classic White Well or equal UXU i
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FLOOR 00-CON6TRUG710N PLAN 100
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111110 EXISTING WALL
NOTES
1. Install new 6tair with landing and railing as shown.
s 2. Enlarge foyer,add showor to powder room and drove coat closet.
3. Instep new Aiding Stass dow in opening.
A. Adjust existing kitchen closet to be shallower and smaller,and install new smaller =
door due to larger foyer width.
5. Existing basement stair to remain. _
6. Existing gnro sink to remain,install adjacent wdsher and dryer.
7. an in waftmarroun f 2 I JS 1I I I L`vl HEADER �
ff
__and finmgs.
V. I v off while comfort height elongated Kohler Corbol WC:K-41"and K-4143 with 1 Z
11 lever to match owner selected faucet finish. I u.€`
10. 1 t 4 owner supplied floor We(and wall life if needed)with matching grout(cater to I O
approved by owner). laden of wall life as directed by owner. R - set ae
i
11. _ as i bathroom fan(or install new)with new Panasonic or similar product. is { �itj Q
1 12, owner supplied both accessories such as lollef paper holder,hooks,=4 towel ) DUSTING EXISITNG DINING ROOM U[ �
Install proper blocking in wall to support new accessories. . . ] ---
+ BREAKFAST AREA
ce
13. shelving:1"solid wood edge on a finished plywood,6 shelves total. KITCHEN 3 a oa S1
14. 1 W 1"solid wood edge on J'finished plywood sholf and rod in closet. DUSTING 3 5l )
15. 1 tog new base and casings to match existing,as needed. FAMILY i is
ROOM
CATHEDRAL
W O
CEILING
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2 1,y5 .a f� # � �� W � m
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EXISTING i 4. , - 3/za Q w 4
BATH
CLOSET GARAGE 3Y2 - l Y. V U o
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FOYER
= 9 � LIVING ROOM O
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I tiSiUE Toll PERMR
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SECTION DETAIL A
.. A
1 SFIOOR Ol -CONSTRUCTION PLAN 101
Sr>7o1�e. � ����� ►'✓�or�oxl'�� de-frc-ito� �1
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NEW WALL ii,
EXISTING WALL
NMES �
[ 1. Install new boss and casings to match existing,as needed.
l 2. Install new doors with hardware to match existing(rbuse aW salvaged hardware and
doors,if possible). . iva.� .' ---.- 11 r
c 3. Install new vanity caBlnets,counter lops,medicine"nab,plumbing fixtures and
Rft,gs. - ae nla• €9
4. Install white comFort height elongated Kohler Corbal WC:K-4144 and K-4143 with _ r
trip laver to match owner selected faucet finish. I; € Z
S. Install owner supplied wol and floor hie with matching grout(color to be approved # 0 w
by owner). Extent of wall file as directed by owner. - Q 2
6. Install new shower curb with new starphyre clear 246.glass shower door and panel, 1 t1 3 >Q"
tf
including CRL Geneycl hinges on door and CRL Geneva dips on fixed panel,finish - t I l s`f '` O Z `
per owner. 1z t •``; ' I - F awe O W
7, Install single slope shower flow with luxe Linear Drain sized to fit m I PR)MAR 1 O
lwww.Fineardroins.com 877.398.8110)SP.XX squaie pagem in polished standees or EXISTING BATH 4 EXISTING
R w O
LU
alternate metal Finish to owner selected shower fitting finish. BEDROOM 4 t PRIMARY O W =
8. Replace existing batlsroom Fort with new Panasonic or similar product. d 1 °`tom BEDROOM O h U
9. Install owner supplied bads accessories such as"al paper holder,hooks,and towel _ 4 U
bars. Ensue in wall to support new ocoatiories I=-
10. Install shards near _ door and shower head r of-sower,for �"` € BATH ) - I
ease of use-
1 11. Install 1"solid wood edge on 1'finished plywood shelf and rod in closet.
(133 1
12. Instal new stair with lending and railing as shown.
13. Provide sound aMenugNan in Walls surrounding bMhrownt. w O
9fill Q
f N
LU
rt)
�j `£}2f t kg O Q vt
e
EXISTING ) U w
UNCONDITIONED -
STORAGE a
Rxt MFh117
EXISTING EXISTING
BEDROOM '= BEDROOM
..� 3�l: 2 FLOOR 02
� �_. CONST
�r e= -
PLAN 1
It A
I L 02-CONSTRUCTION PIAN 102