HomeMy WebLinkAbout1000-102.-4-8.1 TOWN OF SOUTHOLD
be Rental Permit
Coulm.
1538
Owner: Moltz-Ahuja Living Trt
Occupied as: Single Family Dwelling
Located at: 1600 Alvahs Ln Cutchogue 102.4-8.1
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 arran ' for the bi- nua i pection.
Issued: 08/28/2026
Expiration: 08/27/2028 m on.
This Notice must be posted by the main entrance t all ti e
W « 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
LG 2C 2a
RENTAL PERMIT APPLICATION
u11d1 �
Rental Permit Fee $300 (Application must be renewed every two years) .iow
Section A. �� -
Property Information:
Rental Property Address: 1600 Alvahs Ln Cutcho ue NY 11935
Tax Map Number: 1000 SECTION 102- BLOCK 4- LOT 8- 1
SECTION B.
OWNER INFORMATION:
Property Owner Name: Kavi, Moltz
Property Owner Legal Address: Property Owner M i nokAd
(Cannot be the same as Rental Property Address)
2.µ
Telephone Number(s): Daytime 917-612-5566 Evening Emergency
Property Owner Email Address: kavi.ahuja@gmail.com
Page 1 of 4
SECTION F.
PROPERTY DESCRIPTION:
Number of Rental Dwelling Units on property: 1 Unit
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: Moltz Residence
Requested Maximum number of persons allowed to occupy Dwelling Unit: 6 person
Number of rooms in Rental Dwelling Unit: 3 Bedrooms
Use and Dimensions of each room in Rental Dwelling Unit: Modified Kitchen-14'x10'11"
IUlodified l�'owder Room-5' " 6"6"" Exi tin Mudroom_5r '"xt3"1"' Existin Laund Roor�-
4'6"xT5", Existing Dining Room-10'2"x163", Existing Den-11'7"x12'1", Existing Closets
- 2'x5'6", 2'x4% 9'4"x2', 5'9"x2', 5'2"x6'8", 4'3"x6'8", 6'4"x2', Existing Living Room-
162"x28'9", Existing Bathrooms- 7'2"x8'8", 7'5"x87', Existing Bedrooms 19'6"x15', 9'6"x 187',
101"x217'
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
0 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�
Kavi Ahuja Moltz 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: Kavi Ah ja M
Property Owner's Signature:
r
Sworn to before me this/ day of ACP 20_
Official Notary Public Signature and Original Notary Stampew York
Y
iV
My Cu I ,21„ 2027
Page 4 of 4
so
CAJ4 Vt,
TOWN OF SOI THOLD D 'IL-DI O DEPT.
631-765-1802
I N P wm" T 10 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
REMA
DATE INSPECTOR
Town Hall Annex k��� "+„ Telephone(631)765-1802
54375 Main Road
Fax(631)765-9502
P.O. Box 1179
Southold, NY 11971-0959 "
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
RENTAL PROPERTY CERTIFICATION
Form is to be completed by a licensed architect, licensed engineer or licensed home inspector
Separate form is required for each individual Rental Dwelling Unit
Professional seal required for Architect or Engineer, Licensed Home Inspector must
rovide copy of valid current certification
Rental Property SCTM Number: 1000-102-04-8.1
Rental Property Address„ 1600s Alvahs Lane Cutchogue, NY 11935
Owner/Name: Kavi Ahuja Moltz
Rental Dwelling Unit Identifier: MOltz Residence
Number&Square footage of each bedroom as depicted in the attached floor plan:
(i.e. Bedroom#1 —100 sgft., Bedroom#2—90 sgft., etc.)
Existing Bedroom 1 -200 sgft., Existing Bedroom 2-159 sgft., Existing Bedroom 3-170 sqft.
Property Description (Include all improvements indicated on survey)
3 Bedroom Residence with 2 Full Bathrooms,1 half Bathroom, Newly Renovated Kitchen, Laundry, Living spaces, and
din 11 ing spaces. New Heated Gunite Pool(18'x36')with Automatic Cover,New Masonry Patio off of House and around Pool.
In ground Seperate Gunite Hot Tub(7'x7').
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, the Fire Code of New York State, the Property Maintenance Code of New York State
and the Energy Conservation Construction Code of New Yor
Print Name and Title Original Signature
Please place Professionai'Seal:
1
_ TOWN OF SOUTHOLD PROPERTY RE / 1
O� E iSTREET VILLAGE FIST, SUB: LOT -
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FORMER OWNER I E ACIt,
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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-24332 Date MAY 6, 1996
THIS CERTIFIES that the building ONE FAMILY DWELLING
Location of Property 2600 ALVAHS LANE CUTCHOGUR N.Y.
House No. Street Hamlet
County Tax Map No. 1000 Section 102 Block 4 Lot 8.1
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-24332 dated MAY 6 1996
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 & ACCESSORY GARAGE
The certificate is issued to ANN R. LIPNIClCI
(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.
Bu lding Inspector
Rev. 1/81
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
HOUSING CODE INSPECTION REPORT
LOCATION: 1600 ALVAHS LANE CUTCHOGUE, N.Y.
number S str.--.1 _ ......--._.........,_w ....... ., .n._...,.__ (municipal..l.ty ..._.., _.....
SUBDIVISION MAP NO. LOT(s)
NAME OF OWNER .,...wwwwww............ _.._ _. .... ...........(s) ANN R. LIPNICKI ......
— �. __.........._ ..,.,.W...._.... .
OCCUPANCY A—] RES.
YP _..�.w.............._............... . ._— _ v
te �ovner—tenant ww._.�._.,,...m...,.,.._.__,.,.._
ADMITTED BY:
LIPNICKI — SUFF.CO. TAX MAP NO. 2-4-8.1
ACCOMPANIED BY:—SANE
000-10 2
KEY AVAILABLE ....._,..,_.....,.._..._._....._._..w.,.._...., ..�,�._..._._.�,_. .......___.........__..........._w,_..,_,._
SOURCE OF REQUEST:w ANN R. LIPNICKI _ ,,....._._... ww._____......... ..._.w_,...,_DATE: APRIL 16, 1996W_.__
....... _—ww_._---
__...................._.w_.... ......_...................
—._. ...... w._.. ....... ..ww_..ww...m..................
_....._.__.
DWELLING:
T....www_.�_C_. ___.�.._ _, .. . ..M.._..,._..._ _.._ .._. _ -..... ._ 2.. .
YPE OF CONSTRUCTION WOOD FRAME f STORIES 1 ! EXITS „m
FOUNDATION CEMENT BLOCK EL1. R^,�„ PARTIAL CRAWL SPACE
TOTAL ROOMS: 1ST FLR. 2ND LR� 4� 3RD FLR.
..................
. __....w...u.. .....
BATHROOM (s) ONE _ TOILET s) UTILITY ROOM_
PORCH TYPEnww SIDE ENCLOSED N �
Dom, TYPE
PATIO
BREEZEWAY w _ _. _w _.....w. .. FIREPLACE _...,,,._NO ..._. GARAGE... _...._........,...._w _. .
DOMESTIC HOTWATER YES TYPE HEATER PROPANE AIRCONDITIONING
TYPE HEAT OIL WARM AIR HOTWATER
OTHER: PANTRY OFF KITCHEN
ACCESSORY STRUCTURES:
GARAGE,mm TYPE OF _ „STORAGE, TYPE CONST. SOR BUILDING
CONST.,.w_..__WOOD FRAME 1-1/2 µCAR ACCESSORY
�......w...._
SWIMMING POOL GUEST, TYPE CONST.
..._._._ ..............
OTHER: ....._
VIOLATIONS: CHAPTER 45 N.Y_ STATE UNIFORM FIRE PREVENTION 6 BUILDING CODE
DESCRIP-T-l-ON _. .._......
_., _ ART. _........SEC.....
ACCESSORY A.BUILDING OR STRUCTURE WHICH IS IN IMINET DANCER TO LIFE W L'F RK B
_... ..AND SAFETY AS A.. -.0 �__........._w_.,_...ww._.....................__
BUILDING RESULT OF STRUCTURAL INSTABILITY, FI _. ..... f
OTHER HAZARDOUS SITUATIOP SBALL WBEWWMADB m3AFEWWAIYD_8 0 ........._.........
DEMOLISHED AND REMOVED�BY THE OWNER THEREOF. _................�...................... _._.� _... .._................
...........................m. .,,. _..._ __....ww,.w -.,,.._ ...ww.......w� _ ,...._.._.w__...
.....
a_ www.. .w.�. �...... _,.,.... mm___w.w_,.�........ _
REMARKS:
INSPECTED BY DATE OF INSPECTION ..
APRIL 22 1996
TIME START 9.55 AM END 10:10
FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No: Z-30736 Date: 02 OA�fY ,
THIS CERTIFIES that the building REPAIR ACCESSORY"
Location of Property: 1600 ALVAHS LA CUTCHOGUE
(HOUSE NO.) (STREET) (HAMLET)
County Tax Map No. 473889 Section 102 Block 4 Lot 8.1
Subdivision Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated JANUARY 28 2005 pursuant to which
Building Permit No. 30925-Z dated JANUARY 31 2005
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 REPAIR EXISTING ACCESSORY SHED IN REAR 'YARD AS APPLIED FOR.
The certificate is issued to WILLIAM J KERRIG,
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A
ELECTRICAL CBItTIFICATS NO. NL.`°- �-
PLUMBERS CERTIFICATION DATED N A
1 �
uthorized Signature
Rev. 1/81
�Wit(d,�� Town of Southold 12/31/2015
P.O.Box 1179
*" 53095 Main Rd
Southold,New York 11971
CERTIFICATE OF OCCUPANCY
No: 38008 Date: 12/30/2015
THIS CERTIFIES that the building ADDITION/ALTERATION
Location of Property: 1600 Alvahs Ln, Cutchogue
SCTM#: 473889 Sec/Block/Lot: 102.4-8.1
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
12/1/2015 pursuant to which Building Permit No. 40313 dated 12/1/2015
was issued, and conforms to all of the requireinez:ts of the applicable provisions of the law. The occupancy for
which this certificate is issued is:
�1 I I 1 T a AND "1' . 11t l�TS INCI, :CHIN COVB R I G" P 11 t 11± .__. �X a 11 1C' ONE F I
DWELLING AS APPLIED FOR
The certificate is issued to Dickerson,Robert
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 40313 12-28-2015
PLUMBERS CERTIFICATION DATED 12-10-2015 Joe Whitecavage
ln-a'A
Au reedtur
r Town of Southold
P.O. Box 1179
53095 Main Rd
wa�ar�,
Southold, New York 11971
CERTIFICATE OF OCCUPANCY
No: 47263 Date: 08/03/2026
THIS CERTIFIES that the building ACCESSORY
Location of Property: 1600 Alvahs Ln Cutchogue. NY 11935
Sec/]Block/Lot: 102.4-8.1
Conforms substantially to the Application for Building Permit heretofore,filed in this office dated: 02/29/2024
Pursuant to which Building Permit No. 50767 and dated: 05/31/2024
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:
Accessory inground swimming pool with deck surround, fenced to code, as applied for.
The certificate is issued to: Jolt -Ahu°a Living Trt
Of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL:
ELECTRICAL CERTIFICATE: 50757 7/11/2025
PLUMBERS CERTIFICATION:
1
tho Si aturrc
Town of Southold
P.O. Box 1179
53095 Main Rd
Southold, New York 11971
CERTIFICATE OF OCCUPANCY
No: 47264 Date: 08/04/2026
TFIIS CERTIFIES that the building SINGLE FAMILY DWELLING-ADDITION AND
ALTERATION
Location of Property: 1600 Alvahs Ln Cutchogge, NY 11935
Sec/Block/Lot: 102.-4-8.1
Conforms substantially to the Application for Building Permit heretofore,filed in this office dated: 09/25/2024
Pursuant to which Building Permit No. 5 13 72 and dated: 11/12/2024
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:
Additions and alterations including an attached deck with a hot tub and an outdoor shower
to an existing single-family dwelling as applied for.
The certificate is issued to: Moltz Ahu'a Living Trt
Of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL: R-24-1083 12/16/2024
ELECTRICAL CERTIFICATE: 51372 6/30/2025 & 50767 7/11/2025
PLUMBERS CERTIFICATION: Ricbard J. Cannarella 6/l/2026
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Town Hall Annex �� '� Telephone(631)765-1802
54375 Main Road Fax(631)76 5-9502
P.O.Box 1179 +�
� p
Southold,NY 11971-0959
�.G 1 20
BUILDING DEPARTMENT
TOWN OF SO ".[1iOLD I TOWN �� &D
RENTAL PERMIT APPLICATION
Rental Permit Fee$200(Application must be renewed every two years)
Section A.
Property Information:
Rental Property Address:
1600 Alvahs Lane Cutcho ue NY 11935
Tax Map Number: 1000 SECTION 102 -OLOCK 4 -LOT 8-1 -
SECTION B.
OWNER INFORMATION:
Property Owner Name: David Moltz and Kavita Ahuja
Property Owner Legal Address: Property Owner Mailing Address:
. 259 Clifton Place Brooklyn NY 11216 259 Clifton Place Brooklyn NY 11216
Telephone Number(s): Daytime 9176125566Evening_ Emergency
Property Owner Email Address: kavi.ahuja@gmaii.com
l
m.. � Pagel of 5
�
Town Hall Annex �'. Telephone(631)765-1802
54375 Main Road fr Fax(631)765-9502
P.O.Box I t79 4 C4Y;
Southold,NY 11971-0959 �
BUILDING DEPARTMENT
TOWN OF S UTII OLD
Mailing Address of Managing Agent:
Telephone Number(s): Daytime Evening Emergency
Email Address:
SECTION F.
PROPERTY DESCRIPTION:
Number of Rental Dwelling Units on property: 1
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: Maim house
Requested Maximum number of persons allowed to occupy Dwelling Unit. 8
Number of rooms in Rental Dwelling Unit:
Use and Dimensions of each room in Rental Dwelling Unit: Living Room 25'x 15'
Kitchen 14'x 14' Den 12'x 13'
Bedroom 1 15'x 15' Bedroom 3 9.5'x 18.5'
Bedroom 2 9.5'x 18.5' Office 12'x 13'
Page 3 of 5
Town Hall Annex Telephone(631)765-1802
54375 Main Road �F ;4 Fax(631)765-9502
P.O.Box 1179 au °
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. q
Property Owner's Name:
1 I,
Property Owner's Signature:
CONNIE D.BUNCH
Notary Public,State of New York
No.01 BU6185050
Qualified in Suffolk County
4h Commission Expires April 14,2�
Sworn to before me this day ¢' ,20 �,
Official Notary Public Signature and Original Notary Stamp
Page 5 of 5
Town Hall Annex r Telephone(631)765-1802
54375 Main Road gel Fax(631)765-9502
P.O.Box 1179
Southold.NY 11971-0959 � 1��`
BUILDING DEPARTMENT
TOWN OF SOUT: 01M
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.
X 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)
I Kavita Ahuja 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
f4v so
TOWN OF SOUTHOL �k .l`D9G DEPT.
631-765-1802 Y, L g, I
INS" POECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INSULATION/CAULKING
[ ] FRAMING /STRAPPING [ ] NAL
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FI AL)
[ ] CODE VIOLATION [ ] PRE C/O [ RENTAL
RE ARK
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- - _ _ _ _i_ ^r_ n _. .... ... ... Kavi Ahuja Moltz and David Moltz
1600 Alvahs Lane,Cutchogue NY 11935
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