HomeMy WebLinkAbout1000-104.-4-23 o `OWN OF SOUTHOLC
Rental Permit
1501
Owner: Kristen Baumann
Occupied as: Single Family Dwelling
Located at: 7955 Skunk Ln Cutchogue 104.4-23
Maximum Permitted Occupancy: 9
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: 06/23/2026
Expiration: 06/22/2028 c iEn et official
This Notice must be posted by the main entrance at all times
Town Hall Annex Telephone(631)765-1802
54375 Main Road F
„ ax(631)765-9502
f
P.O.Box 1179
i
Southold NY 11971-0959
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MAY
BUILDING DEPARTMENT
TOWN OF SOUTHOLD .
RENTAL PERMIT APPLICATION
Rental Permit Fee $200(Application must be renewed every two years)
Section A.
Property Information:
Rental Property Address:
5 u v- l,hf, 40 buti•
Tax Map Number: 1000 SECTION 04 -BLOCK -LOT Z-3
SECTION B.
OWNER INFORMATION:
Property Owner Name:
Property Owner Legal Address: Property Owner Mailing Address:
Telephone Number(s): Daytime n vening 5A%"L Emergency 6VI) OAy 15_21(
Property Owner Email Address: ham ate ' • I9b W%0^1• `O` %
`C.InSte+• vmuu a o&e. hgr-66c-• oIpt
Page 1 of 5
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Town Hall Annex ;, Telephone(631)765-1802
54375 Main Road Fax(631)765-9502
P.O.Box 1179 n`
Southold,NY 11971-0959
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. Boxes):
Mailing Address of Authorized Agent:
Telephone Number (s): Daytime, Evening 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 Emergeny_ _
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
b
,)
Town Hall Annex Y Telephone(631)765-1802
54375 Main Road Fax(631)765-9502
P.O. Box 1 179
Southold,NY 1 1 97 1-0959
BUILDING DEPARTMENT
TOWN OF SOUTHO;IL D
Mailing Address of Managing Agent:,--PIA-
Telephone Number(s): Daytime, Evening Emergency
Email Address:
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."
51 N%0Vtj qPI'1MILI'—�tsAr/1-j-C&
Rental Dwelling Unit Identifier:
Requested Maximum number of persons allowed to occupy Dwelling Unit: 10
Number of rooms in Rental Dwelling Unit: 5 -&*;pe0owty
Use and Dimensions of each room in Rental Dwelling Unit: vt = «�)
w......... �°11y11hi11�d►►��►M �.�,,.GoV�'�1'mq''I�'�1� '( ► " �" �, A.r l " �
Page 3 of 5
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Town Hall Annex µ« Telephone(631)765-1802
54375 Main Road Fax(631)765-9502
P.O.Box 1179
26
Southold,NY 11971-0959 �
BUILDING DEPARTMENT
TOWN OF SO HOLD
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/ 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.
SECTION H.
DECLARATION: Signature must be notarized and MUST be the owner of the dwelling unit.
STATE OF NEW YORK)
)
COUNTY OF SUFFOLK)
1 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
Telephone(631)765-1802
Town Hall Annex �%:� � Fax(631)765-9502
54375 Main Road
P.O.Box 1179
Southold,NY 11971-0959 �k " "
BUILDING DEPARTMENT
TOMN OF SO HOLD
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:
Property Owner's Signature:
Sworn to before me this 2f3day of Or 1rl , 20 2)
Official Notary Public Signature and Original Notary Stamp
SHERI HOWARD
Notafy Public-slate o1 New ycaa
k 01)#t) 70274
Quaified in ous,ejr,County
1y Crory ss inn ExPlIes January
'29,20
Page 5 of 5
TOWN OF SOUTHOLD BUILDING DEPT.
°`,room, 631-765-1802
1 N S E T I o"
[ ] 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 (FINAL)
[ ] CODE VIOLATION [ ] PRE C/O [RENTAL
REMARKS:
he ve4lcec a2 oe P—em"o ve- .
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DATE -5- 1,;2& — INSPECTOR �~
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Town Hall Annex
Town Of Southold 54375 Main Road
Rental Inspection Report PO Box 1179
a�
� Southold, NY 11971-1179
Tel: 631-765-1802
e /
SCTM # Date
Owner Phone
Address � " " � Visible
Hamlet ""4 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
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
Comments:
a #26
Building Sketch
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79mb5 Skunk Ln ....,.w�m..._.......__M_ ._.,�_...�..,u....�......_MM__..._,...._.......
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AREA CALCULATIONS SUMMARY LIVING,AREA.BREAKDOWN
Code Da+a ipRouw Size:..-Net 7otaii .... 1ar4uk S H totels'
GLAL First Floor 1272.00 1272,00 First Floor V
GLAZ Second Floor 607.00 607.00 10-0 x 28.0 M 00
GAR Garage 324.00 324.00 10.0 x 14.0 140,00
28.0 x 34.0 952,00
second 71oor
3.0 x 6.0 18.00
11.0 x 17,0 7,00
2.0 x 9.0 118e_00
10.0 x 15.0 15D.00
14.0 x 16.0 224.00
2.0 x 5.0 10.00
TOTAL LIVABLE (rounded) 1879 9 Calculabons Total(rounded) 11179
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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-23200 Date SEPTEMBER 7 1994
THIS CERTIFIES that the building 0 FAMILY DWELLING
Location of Property 7955 SKUNK LANE CUTCHOGUE, N.Y.
House No. Street Hamlet
County Tax Map No. 1000 Section 104 Block 4 Lot 23
Subdivision Filed Map No. Lot No.
conforms substantially to the Requirements for a One Family Dwelling built
Prior to: APRIL 9f 1957 pursuant to which CERTIFICATE OF
OCCUPANCY NUMBER Z-23200 dated SEPTEMBER 7 1994
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 ATTACHED GARAGE*
The certificate is issued to HAROLD a NATBLEEN SPREEN
(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.
ZL Q- 14�
Building Inspector
Rev. 1/81
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
HOUSING CODE INSPECTION REPORT
LOCATION: 7955 SKUNK LANE CUTCHOGUE, N.Y.
uumber S street municipality
SUBDIVISION NAP NO. LOT(s)
NAME OF OWNER (s) HAROLD A KATHLEEN SPREEN
OCCUPANCY A-1 RES. OWNER
type ovne"r tenaut
ADMITTED BY: ACCOMPANIED BY:
KEY AVAILABI., NFECO. TAX MAP NO. 1066=TU -23
SOURCE OF REQUEST: KATHLEEN SPERM DATE: AUG. 19, 1994 07
DWELLING:
TYPE OF CONSTRUCTION WOOD FRAME # STORIES 1-1/2 # E%ITS 3
FOUNDATION CEMENT BLOCK qU,LAR PARTIAL CRAWL SPACE PARTIAL
TOTAL ROOMS: 1ST FLR. 5 , 2ND FL71. 3 3RD FLR.
BATHROOM (s) 2 FULL,BATHS "]I:ET ROOM (s) - UTILITY ROOM
PORCH TYP 2 ENCLOSED DECK, TYPE IPATIO
BREEZEWAY °" FIREPLACE ONE GARAGE ATTACHED TO HOUSE
DOMESTIC HOTWATER YES TYPE HEATER OIL AIRCONDITIONING
TYPE HEAT OIL WARM AIR IX HOTWATER
OTHER:
ACCESSORY STRUCTURES:
GARAGE, TYPE OF CONST. STORAGE, TYPE CONST.
SWIMMING POOL , GUEST, TYPE CONST..
OTHER:
VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION 6 BUILDING CODE
LOCATION DESCRIPTION ART. SEC.
REMARKS: BP #3228-Z - GO Z-2793 ADDITION.
INSPECTED BY DATE OF INSPECTION AUG. 31, 1994
GARY - ISO TIME START 9:30 END 9:50
FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT d wh'g 'qpvoll
TOWN CLERK'S OFFICE
SOUTHOLD, N. Y. + ttA .
c ,) (`A
CERTIFICATE OF OCCUPANCY
No ........Z .27-93..... Date ..,..,,. .. ,.„.......... ..... . ., 19. .
THIS CERTIFIES that the building located at .. ..Say.AMM... ............................... .„.. Street
Map No "go*I&" • . ock No. ......2=......... Lot No .... .4.. ..... ....CutchOgUSa, .-M&W..XMCX
conforms substantially to the Application for Building Permit heretofore filed in this office dated
—...„.. . ..........................so ;19 66.. pursuant to which Building Permit No. . .3422a i.
dated .... .8 *...jLjj. ............. ... 19 .66 , 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 ........
.... . ...1pne..t�family.-*4611.Ing................ ... .... ........„... .,................... ...................... ..... .... ..
Thecertificate is issued to ......... .................................................D.,.. OII#•• ner, lessee or ........ .....
W tenant)
of the aforesaid building
wilding lnsp
FORM NO.x
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN CLERK'S OFFICE
SOUTHOLD, N. Y.
BUILDING PERMIT
(THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL
COMPLETION OF THE WORK AUTHORIZED)
`° 3228 Z Date .................... � ....�:�... 19...
Permission is hereby granted to:
....CbAtiw..QX1QW '►:.....
....................wtomm.......................................
toak�..gltex'8 .orata..,ax>Ixd..1�u ,].d... ><a...�dd3t
at premises located at ......1ftt.A0.-X9L8SwL.1`SPID:I........................................................................
.................................wa......AY..Aq e.y,....... utLhogUO.y...R&Y-4 ....................................................
pursuant to application dated .......«.......,......."...:81�?. .......� .................. 19.. and approved by the
Building Inspector.
Fee $....1!!OQ...........
Building Inspector *
FORM NO. 1
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN CLERK'S OFFICE
JJ SOUTHOLD, N. Y.
Examined ......... ..�.. .., 19.!'. Application No
2
Approved ...............................�.*...... 19........ Permit No. . .......................
Disapproveda/c .,»»,..,,. .., ,,...,.......„..,,,.
............ ....,..,..
........................... ....iBuildrng Iraspectar„ „.,..,...,,,<,,.,,.„..»,,.,.,,
APPLICATION FOR BUILDING PERMIT
Date .,....., ...... ... .... .. . .. . 19.{
INSTRUCTIONS
a. This application must be completely filled in by typewriter or in ink and submitted in duplicate to the Buildin,
Inspector.
b. Plot plan showing location of lot and of buildings on premises,relationship to adloming premises or public streets o
areas,and giving a detailed description of layout of property must be drawn on the diagram which is part of this application
c. The work covered by this application may not be commenced before issuance of Building Permit
d Upon approval of this application, the Building Inspector will issue a Building Permit to the applicant. Such permi
shall be kept on the premises available for inspection throughout the progress of the work,
e. No building sholl be occupied or used in whole or in part for any purpose whatever until a Certificate of Occupancy
shall have been grained by the Building Inspector.
APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to the
Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances o,
Regulotmns, for the construction of buildings,additions or alterations, or for removal or demolition, as herein described
The applicant agrees to comply with all applicable lows, ordinances, bui Ing code andjregulations
(', igncii r" of applicant or name, if a corporation)
(Addre of applicant) G
State whether applicant is owner, lessee, agent,architect, engineer, general contractor, electrician, plumber or builder
Name of owner of premises ... $..... ...... ....t x--.. ... .., .. , ,
If applicant is a corporate, signature of duly authorized officer.
(Name and title of corporate officer)
I Location of land on which proposed work will be done Mop No. "~, .,, Lot No . .,..,..
,.„,.�. +j". ,. „ ,.>. ,. ,„ . ,.,». �... �.,,.. :, ,.......... .,.„
Street and Number
f niciptrlity
2. State existing use and occupancy of premises and intended use and occupancy of proposed construction
a Existing use and occupancy ..,„a ^*-t " . .. .,.,.,., .. ......... ...
b. Intended use and occupancy ,.. rr.,,.f t.C a ..... .... ....... ......„........
3. Nature of work (check which applicable) New 8u}|d/no .................. *dumvm —~ .... .......
Repair .—_—_—. | Domv|/hon------ Other Work UDesc,ibe
4. Estimated Cost .......(,3'eze�... -- — . . ..Poe
(tn be paid on N/no this application)
5. /f dwelling, number of dwelling units ...... Number of dwelling units on each floor ---__
garage, number of ozn .................... —. ................._~~_.......-....____ -~_—__.____,_`____
d If business, commercial o, mixed mzuponcy, specify nature and extent of each type of use ...........................
7. Dimensions of existing structures, if any: Front. — 4 Roo, ......./—�................. Depth '.--
Heighr .., ---' Number of 3mneo .............
Dimensions of some structure with ohantwnx or additions Front —' ---------- Rea —~------ '
Depth .....m~-°1^~'^—` --'�~ ^� '~—~^--~�--�-�^-- — ~--- - '--'---~^—'—^^
8. Dimensions of entire now construction- Front .--_ —__—_—_ Reu,---------. Depth --------
Height ... Number of Stories .............. .....................
Y. Size of |o,- Front ....../.A. --- Depth�� . . Rear .. /!c�-�� — .� ' Depth
lO Date of Purchase uf ��m* 0�n �
ll. Zone o,use district /nwucw premises are situated .' ........... ....... ................. '
12 Does proposed const vcaun olate any zoning low, ordinanceo, rt
qulation? �.��—'. —' . _
�~, \ �
13. ��qmecf Owne, ofpmxn=m/s ��Add�/mm� — --.�p»one No ------�
Nome of Architect .......................... . ....... .Address No --' ....... .
Name ufContractor . Address — h..Yho= m~//e-/�6.-zs-.
PLOT DIAGRAM
Locate clearly and distinctly all buildings, whether existing vrproposed, and indicate all set-back dimensions fnon
property lines, Give stnww^ and block number or description according to deed' and show street names and indico*
whether interior orcorner vcm
L V
STATE OF NEW YORK, IS.S.
COUNTY OF
being duly sworn, deposes and says that he is the applicar
jap (Contractor, agent, corporate officer, etc.)
of said owner o, owners, and is duly authorized to perform or have performed the said work and to �ake and f,|
this application, that o| statements contained in this application are true to the best of his knowledge and belief, on
that the work will be performed /n the manner sot forth h ith.
5°mm to before me this
........../I........ day of
19!� �
Notary Public, Our) (Signature of applicant)
No 52,W16J Sollolk Count
FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No Z-24041 Date NOVEMBER 21 1995
THIS CERTIFIES that the building ACCESSORY
Location of Property 7955 SKUNK LANE CUTCHOGUE N.Y.
House No. Street Hamlet
County Tax Map No. 1000 Section 104 Block 4 Lot 23
Subdivision Filed Map No. Lot No.�
conforms substantially to the Application for Building Permit heretofore
filed in this office dated NOVEMBER 1 19"95 pursuant to which
Building Permit No. 23118-Z dated—NOVENBER 19E 1995
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 ACCESSORY STORAGE SHED IN REAR YARD AS APPLIED FOR.
The certificate is issued to LAWRENCE & CHRISTINE VACCARI
(owners)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A
UNDERWRITERS CERTIFICATE NO. N/A
PLUMBERS CERTIFICATION DATED N/A
"�L4r
Building Inspector
Rev. 1/81
Ltd Town of Southold 3/9/2017
P.O.Bog 1179
" 53095 Main Rd
* , Southold,New York 11971
CERTIFICATE OF OCCUPANCY
No: 38849 Date: 3/9/2017
THIS CERTIFIES that the building IN GROUND POOL
Location of Property: 7955 Skunk Ln,Cutchogue
SCTM#: 473889 Sec/Block/Lot: 104.4-23
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
9/28/2016 pursuant to which Building Permit No. 41060 dated 10/5/2016
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:
ACCESSORY IN-GROUNDSWDAMING PC)OI.,FFNQED TO CC1DF AS APPLIED FOR
The certificate is issued to Baumann,Kristen
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 41060 02-01-2017
PLUMBERS CERTIFICATION DATED
P?,�nize'd
Signature ��
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