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Home My WebLink About1000-63.1-1-1 TOWN OF SOUTHOLD Rental Permit Permit No. 0012 Owner Craig Schwab Occupied as Single Family Dwelling (Condo Unit IA) Located at 2555 Youngs Avenue Southold 63.1-1-1 Village Maximum Permitted Occupancy 2 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 Date of Issue Code Enforcement Officer This Notice must be posted by the main entrance at all times TOWN OF SOUTHOLD Rental r it Permit No. 0012 Owner Craig Schwab Occupied as Single Family Dwelling (Condo Unit IA) Located at 2555 Youngs Avenue Southold 63.1-1-1 Address Village S/13/1- Maximum /B/LMaximum Permitted Occupancy 2 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 fi Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1179 Southold,NY 11971-0959 z�: �� 1 .. "' D) L= BUILDING DEPARTMENT TOWN OF SOUTHOLD RENTAL PERMIT APPLICATION T. Rental Permit Fee$200 (Application must be renewed every two years) Section A. Property Information: Rental Property, Address: Tax Map Number: 1000 SECTION I3LOCI 9)a4LOT __ &3d SECTION B.- OWNER INFORMATION: Property Owner Name: CXM - .j �C W Property Owner Legal Address: Property Owner Mailing Address: (Cannot be the same as Rental Property Address) g (10 Jzl Y,te, I �� Telephone Number (s): 391 3�2- 13� 7 Property Owner Email Address: Y q1 `c� W A� 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: 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: 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." r,,J� )Y\ vndo �r IIS C Rental Dwelling Unit Identifier: I Requested Maximum number of persons allowed to ccupy Dwelling Unit: Number of rooms in Rental Dwelling Unit: Use and Dimensions of each room in Rental Dwelling Unit: 6 y-q y- 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 thelaws adopted by the New York State Fire Prevention and Building Code Council. 0' 'lam 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: 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: Property Owner's Signature: Sworn to before me this_�_day of 20]q " N ry Public, of York li° COMM No.01G �� Official Notary Public Signature and Original Notary Stamp 1 C Page 4 of 4 I -Adams P WALK IN—CL BATH ATH CL LIVING ROOM PATIO � 0 19'0"x12'10" I r� G DN I MASTER CL da BEDROOM BEDROOM ' KITCHEN 15'0"x12'0" 11'4"x104" 12'0"x11'4" DINING ROOM , . CL 13'4" x 10'0" 010 L-- — ve Ll",el, . .. f M A 1 201 T. III.6ntcn"uin,.Il AIM uv ung I,uuu1. uc rour,ed A The .d,ams OUT YBA 'r WALK IN-CL *" CL BATH AT LIVING ROOM PATIO 19'0"x12'10" N G DN CL MASTER BEDROOM L12'0"xl N 15'0"x12'0" 11'4"x10'4" DINING ROOM '4" CL 13'4" x10'0" — -ref-- .J1 dimensions appvoxirnate s(nne ha youts me reversed 7654802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PL13G. [ ] FOUNDATION 2ND [ ]° INSULATIOWCAULKING [ ] FRAMING /STRAPPING [ FINAL [' ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) [ ] CODE VIOLATION [ ] PRE C/ ,4v ov/ V7,- (2,-) k U&AAA W DATE � � �� INSPECTOR L TOWN OF SOUTHOLD BUILDING IIIC 1 11 ;I IIII° U III ""IIII'"'IIII 'I ""IIII` lROUG1°°1111 Illi::)IIII,,,,,,11BG. IIC IIS D ""ll 110N Mill) III.. ;III UINSUll„,,,,ATIGIN IIC III 1 IIII X1111°t Allo°) IIII IIY IIC /Ll-4 IIC ;III II 'Illlll lllfllll°II IIII,,,,,,ACE & GllI°°I1HIIIMNE IIC I ' IIC ' VIII Illf;;;;u "IIII IN��::'lllll ° Ilflllll III ”' IIIA"'1 IIS "'1�IR "'>Ct"'III l I�IIIIII°TIIE RIIE' III IIMT RII�',III IIE'"T "'NI'"III I Ilf;; „w III.. ,� IIC ;III 'III EC""IIII'°IIII°:'.IIII III,,,, 1: GI 1 IIC Ell lI ""IIII`1° II& IIL...... IIIP::::'IIIIIII ;IIICGIDE VIOLK!"110114IICCAUll,,,,,,]KING NG REMARKSI-H, RM6 Je.., INSPECTOR00 .............................. I Ave...- S*Ak� h 765-1802 III IlUiiin III IIII IN 'IS lli" FlOUG111°°III 1V, un IIC IlF:: Illb, IIP 110N Mill) III.. III IIS IIII...... !IIII II Y �j �,� "ISI�NAL 1: IIIIII". �� Illi: P::3 IIli lllwI�11 IIS Illb �� I IIII° IIIb,,,,,, III....'IIE INSIII:::NEC 111II II131, i 1A IIIA r CGINSTRucricim ��„ J�� Ill:IlllllTIE RESISTANTIl llb nu ll 1 III IAC Ell n E Ill Il 111 l (IPILOUGIII III) El ECTRICAL (IlFlINAl,,,,,, C0111)1:11:11:11 V110111...... IIII11l0N E III REMARKS: DATE INSPECTOR Y FORM NO.4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold,N.Y. Certificate Of Occupancy No. Z13-3.94. . . . . Date . . .April .. 29 . , . ., . . . . . . . . . . . . .. 19 85 THIS CERTIFIES that the building . . .MULTIPLE,DWELLING . . . . . . . . . . . . . . . . . . . . . . Location of Property . . . 2555 YOUNGS AVENUE SOUTHOLD . . County Tax Map No. 1000 Section . . 0 6 3. . . . . .Block . . 0.0 1 , . , . .. . .Lot . ?.S ,&, 2.9. . .. . . .. . Subdivision . . FO.1111 PFASi .V;) 14 495. . . . . .. . . .Filed Map No. . . . . . . . .Lot No. . . . . . . . . . .s. . conforms substantially to the Application for Building Permit heretofore filed in this office dated Aug. 1 19 83.pursuant to which Building Permit No. 1?7 5 0A dated . . , Nov. 17 . . . . . . . . 19 . . 3,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 . . . . . . . . . Building #1 Apt. 1-A Unit in Multiple dwelling. The certificate is issued to . , LI Z DA REALTY LTD. . . . . . . . . . . . . . , y . . .. . . . . towner,`" of the aforesaid building. Suffolk County Department of Health Approval , , „ S-54M . . . . . . . * . . „ . . . . + . UNDERWRITERS CERTIFICATE NO. . .. . . . , .. . N. . 7 313 . . . . . . . . . * . . . PLUMBERS CERTIFICATE APRIL 25, 1985 Building Inspector Rev.1/81 TOWN OF SOU T, HOLD PROPERTY REC41K CARD VILLAGE ( DIST. COUNTY TAX MAP N0. e I t I LAND IMP, TOTAL DATE REMARKS: 5 a 3 I 1 [ s Lpj a _ 9 ; t I SCTM # 9117 TOWN OF SOUTHOLD PROPERTY RE CARD OWNER STREET VILLAGE DIST-1 6, LOT �J ill j ACR. REMARKS TYPE OF BLD. PROP. CLASS LAND IMP. TOTAL DATE FRONTAGE ON WATER HOUSE/LOT BULKHEAD TOTAL E LAND s — — 19 ORION F x z d - - - - - - - - - e ANIL- 4 I r