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Home My WebLink About1000-38.-5-5 $� TOWN OF SOUTHOLD co Rental Permit - 0011 � n Owner 170 Dogwood LLC Occupied as Single Family Dwelling Located at 170 Dogwood Lane East Marion 38.-5-5 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. 3/13/2023 Code info ce en ffica This Notice must be posted by the main entrance at all times zf soup* TOWN OF SOUTHOLD 13UILDING DEPT. -1802 631-765 Q3 INSPECTION FOUNDATION 2ND [ INSULATION/CAULKING FRAMING / STRAPPING FINAL FIREPLACE & CHIMNEY [ FIRE SAFETY INSPECTION { RESISTANT { { { [ 17REN)TALROUGH) ELECTRICAL AL PRE 6 yL 25 ft B inch t' x:;112 0� U7- 24 ft 0 inch d rn `h ycq a - NO +` M -_A c -45 tt 1 i r Co C N 15 ft 2 inch 6 .S CO � �` N r ui A ft 0 inch I�!�e- 2111, - 25ft r 25 ft 8 inch 1 E c c a E c c 1� t ` 3 i k Ad- TOWN OF SOUTHOLD sRental Permit Permit No. 0011 Owner 170 Dogwood LLC Occupied as Single Family Dwelling Located at 170 Dogwood Lane East Marion 38-5-5 Village 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. 3/17/2021 John Jarski Code Enforcement Official This Notice must be posted by the main entrance at all times } TOWN OF SOUTHOLDRental Permit Permit No. 0011 <1-z Owner 170 Dogwood LLC Occupied as Single Family Dwelling Located at 170 Dogwood Lane East Marion 38-5-5 Address Village S/13/1- Maximum /13/LMaximum 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. 3/21/2019 John Jarski Date of Issue Code Enforcement Officer This Notice must be posted by the main entrance at all times Town Hall Annex �' y%�� `6' l m 'p, �� y'� Telephone(631)765-1802 54375 Main Road " Fax(631)765-9502 P.O.Box 1179 ��` r, Southold,NY 11971-0959 BUILDING DEPARTMENT TOWN OF SO OLD RENTAL PERMIT APPLICATION Rental Permit Fee$200(Application must be renewed every t rsy Section A. Property Information. T. Rental Property Address: D b 0& ' ob 2-n/ Z—Ws- 1hlq-2,OA) Tax Map Number: 1000 SECTION BLOCK SECTION B. OWNER INFORMATION: Property Owner Name: 1�cnl t=L /� o Property Owner Legal Address: Property Owner Mailing Address: (Cannot be the same as Rental Property Address) Telephone Number(s): Property Owner Email Address: Lr Nt �l T Page.1 of 4 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: a 7 Tie V, �7 Telephone Number (s): 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): 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): Mailing Address of Managing Agent: Telephone Number(s): Email Address: Page 2 of 4 SECTION F. PROPERTY DESCRIPTION: Number of Rental Dwelling Units on property: ` w,i' L/__7 Al-AlIsc- 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: 41/fat— Requested Maximum number of persons allowed to occupy Dwelling Un�� SP D _-LCltiLb k&rJ k Number * of rooms in Rental Dwelling Unit: 1� Use and Dimensions of each room in Rental Dwelling Unit: SES r-1-1904 10L Iq A-) 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 NYS licensed architect, a NYS 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. Page 3 of 4 ❑ 1 am submitting a completed Town of Southold certification form from a licensed architect, a licensed professional engineer, or a licensed home inspector who has a valid New York State Uniform Fire Prevention Building code Certification. SECTION H. DECLARATION: Signature must be notarized and MUST be the owner of the dwelling unit. STATE OF NEW YORK) COUNTY OF SUFFOLK) certify under penalty of perjury,the following: I. I 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: e"a c—g 6 es4-&:zd- Property Owner's Signature: Sworn to before me this C day ofl mg 20 1y N f ficial N utl�St eof NotaryLANE SbNi�, tsa#�cry NAY Notary Public Signature and Original Notary Stamp o.01NA610130 r Qualified in Nassau Cour Commission mission Expires Page 4 of 4 sd L-10 a 1`i�, ,D BUILDING I 14 w;xr, IIIIIIII ............ 1 4� S P E ic iiiiiiiiiiiiir 1 10 N �, ry III VIII°°° � i IIID IIIIIIIIIII111111 1111 71111111 °° IIII IIID (IIII IIIIIIIIIIIIIIIIIII C VIII°° l' VIII N 2II IIIr), 111114SUIIIIIIIIIIA IIIIII1I1 1117-1118 IIII' IIII IIID IIII IIIIIIIII VIII!!!')111?l IIID III epllbAL IIIIIIIII(IIII IIS III IIID IIIIIIIIIIIACE 1& 1011 HIM11II1:1Y FIRE SA117 IIIA Illflllllll IIII° II IIS IIIII1"AINT COINS"'I"'11111°lLJ IIS""IIII N FIIIIIIIII!! IIIIIIIIIII rAIN'T 11111 '""1111 Illl!! 1111 IIIIIIIIIIIII VIIVIII°I°t III IIIIIIIIIIIIIIIIII Iln 7III11111111°°MINI,IIII IIIIIIIIIIIII (IIII°°° IIIIIIG IIIIIIII IIIIIIIII IIIIIIIII 11110n I °° IIII IIIIII)111 1 ' 1111 11111111111nA1111111111111 1114 CAU111111111111111 IIII IIID IIII w � mmuwruuwwww w INSPECTOR TOWN OF SCUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION/CAULKING [ ] FRAMING /STRAPPING [ ] FINA FIREPLACE & CHIMNEY FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) [ ] CODE VIOLATION [ ] PRE C/O REMARKS,: VV1 t 24 ft 0 inch A r_ 11 8„ 11'4. 7 .7 6� 196.1 0 O 0 O T- 18.1 7 1 18.1 ft m 1 aim cl 11,0" ` 6.. '04- 11 6 l.Y SQ� „ � � � �� q,� ,�"f7 ft 2R71 4AAga ro r ro ty 2ao ro ch c cn m cn OD C0 jr pp n e A b 15,.E re 16 ary (kblil O x 11"6" 25 1 38 ft 7 inch r _ _64 2-v l�" marlp with pnnmin nnm FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Clerk's Office Southold, N. Y. Certificate Of Occupancy No. . . .1 . . . . . Date . . . . . . . . . . . .. jbt 7. . . . . ., 19 THIS CERTIFIES that the building located at . . .H0 . . . . . . . . . . . . . Street Map NoGards -Bay. Aftock No. . . . . . .Lot No. . .1 conforms substantially to the Application for Building Permit heretofore filed in this office dated ; j. ., 19.70. pursuant to which Building Permit'No. dated . . . . . . . . . . i� .J. . ., 19. ", was issued, and conforms to all of the require- ments of the applicable provisions of the law. The occupancy for which this certificate is issued is 1,v . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . The certificate is issued to .Joseph. . . . . . . . . . . . . . . . . . . . . . . . . . . . . (owner, lessee or tenant) of the aforesaid building. Suffolk County Department of Health Approval Sept Building Inspect r FORM N0. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No 2-19810 Date MARCH 22, '1991 THIS CERTIFIES that the building ADDITION Location of Property 170 DOGWOOD LANE EMT MMION N'.Y.. House No. Street Hamlet County Tax Map No. 1000 Section 38 Block 5 Lot 5 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated SEPTEMBER 7 1990 uxsuant to which Building Permit No. 19389-Z dated SEPTEMBER 13 1990 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 TO EXISTING ONE FAMILY DWELLING AS APPLIED FOR:.. The certificate is issued to JOSEPH CARPENITO (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE No. N-169377 - JANUARY 15 1991 PLUMBERS CERTIFICATION DATED FEBRUARY 13 1991 - EDWARD H. KING R I B ilding Inspector Rev. 1/81 EOIM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-2049" Date JANUARY 23 1992 THIS CERTIFIES that the building_ ADDITION Location of Property 170 DOGWOOD LANE EAST MARION N.Y. House No. " Street Hamlet County Tax Map No. 1000 Section 38 Block 5 Lot 5 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated JULY 2 1991 -----Pursuant to which Building Permit No._202Z6-7. dated OCTOiER 23 1991 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 GARAGE ADDITION TO EXISTING ONE FAMILY DWELLING AS APPROVED BY RA #4049. The certificate is issued to JOSEPH & JOAN CARPENITO (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE N0. lei-220107 - d ARY 13 1992 PLUMBERS CERTIFICATION DATED 1,11A, a Building Inspector Rev_ 1/81 g � 31ao �� TOWN OF SOUTHOLD PROPERTY RECORD CARD YJ OWNER °sTREET m VILLAGE DIST. SUB. LOT 17 7 .. ..... T� FORMER OWkER L-f N E ACR. SW TYPE OF BUILDING VL. FARM M. CB. MICS. Mkt. Value SEAS,& F Com LAND IMP. TOTAL DATE REMARKS 0 ft 7 a ait 73 ?a, zz o Ca A im .2'ar J- X 1 Z 2- 19 -h 2�A X LIZE, AGE BUILDING CONDITION NEW NORMAL BELOW ABOVE FARM Acre Value Per Value Acre Ti I!able FRONTAGE ON WATER Woodland FRONTAGE ON ROAD 22- Meadowland DEPTH House Plot BULKHEAD DOCK Total a i ,i I COLOR v i r r — — — `yam \p - fi _ r i e � 1 c 3 M. Bldg 2�4 5 Extension Extension a Foundation th Dinette P0 rch 4 r-Bcsement Floors K. Porch Ext.Ext. Finish - LR. Breezeway Fire Place EHeat yes i DR. Garage _ �:�� Type Rood Rooms est Floor R, Patio Recreation Room. Rooms 2nd Floor N, B 0. B. Dormer .Driveway Total