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HomeMy WebLinkAbout1000-110.-5-38 TOWN OF SOUTHOLD Rental Permit MIS 'U Permit No. 0013 Owner Isabel Weiss Occupied as Single Family Dwelling Located at 320 West Road Cutchogue 110-5-38 Address Village S/B/L Maximum Permitted Occupancy 8 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. 3/22/2019 John Jarski ..... ..... Date of Issue Code Enforcement Officer This Notice must be posted by the main entrance at all times Town Hall Annex " Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1179 ri; Southold,NY 11971-0959 1� BUILDING DEPARTMENT TOWN OF SOUTHOLD "9 RENTAL PERMIT APPLICATION Rental Permit Fee $200 (Application must be renewed every two years) Pp, . ._ Section A. ' Property Information: MA ? 2019 Rental Property Address: T. Tax Map Number: 1000 SECTION 3 2?g2 BLOCKS'" , " 5 LOT - 3Y SECTION B. OWNER INFORMATION: Property Owner Name: 3 Property Owner Legal Address: Property Owner Mailing Address: (Cannot be the same as Rental Property Address) GooST2� on S ��r / , x oAl, _. Telephone Number(s): I µ L06,. " ' Property Owner Email Address: 63/- 1131/-�7FXY ��XI 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." Rental Dwelling Unit Identifier: Ira � Requested Maximum number of persons allowed to occupy D elling Unit: V LLL- Number of rooms in Rental Dwelling Unit: 'rr, *„ 110 Use and Dimensions of each room in Rental Dwelling Unit: 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 S W+-E" ° f ° .. IT�: , 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: 4 y .. Notary Public State of Ne p �� ., day of ���� �.�' � 20 NELLIE �w�W Yoe re met f Q1502963 ualified�in�Kings Goun V orn o �. i Commission e27 Official Nota �.��. ry Public Signature and Original Notary tarnp k Page 4 of Wa',I' UILDING DEPT B TOWN OF SOU'JrHOLD 765-1802 INSPECTION FOUNDA'ni �` mm Al- FRAMING -F KETftYl CTION mm Ilfw IIS ,,, N T FIRE RESIS"rANT PENETRATION ELS TRI Iw (FINAL) J,, I NG �mm DE ��� j,. -1-10N im i X41 DH X41 DH � DH 24 29 � WD / t � �t -, WD 9/1 ... 9/1 ,a FLOOR PLANS ° ENVIRONMENT EAST INC. 114'-T-D• &25.09 45 DH 4�1 • I ,M N „ Ell L „ Li vin6 k li -4 bpUF3(i �vu btJ�ry�(>G.Ct w 75X53 FIXED FIXED p i R ; { _ Y SCREQIED PORCJf i khi A f WACKE"ESWEHCE FLOOR PLAN$ ENVIRONMENT EAST INC. t/4"-l'-(r &25.09 d f LL 28X45 DH n z r r P " Z/Z am Z/Z am oNni37 ou.o-.8 10 o „ �rn NMV 0 OE 'Id.09 'Id.09 rn JADGH'1137 A-1 _ '1137.0-1- x a cn � o bed -12 ZZ --------------------- TO N 4 N 1 1H913H'1137.0-4 'NMY 9 WE r 2 I DH 24X41 DH 29X41 DH 9/1 WD 9/1 WD 6/1 a VACKERR E FLOOR PILMS T-1`CE3LL M ENVIRONMENT EAST INC. 114-=1'-0' 8.25.09 � Tto a a a —J i 28X45 DH ircaf- Z,� ra �Ab —T --a �Va a a w a a' /o ----- __-_- /� Ifr QSN L ✓►/I 6 �I Uu b�' c bo jg�& rt N 75X53 MED 75X53 � � R SCREENED PORCH A g n a' OFFICE OFBUILDINGINSPECTOR TOWN HALL SOUTHOLD, NEW YORK CERTIFICATE OF OCCUPANCY . NONCONFORMING PREMISES THIS IS TO CERTIFY that the jXx/ Land Pre C.C!. #- Z-15142 Building(s) Date- December 29, 1986 Use(s) located at 320 West Road Cutchogue, New York Street Hamlet shown on County tax map as District 1000, Section 1 10 , Block 05 , Lot 38 does(not)conform to the present Building Zone Code of the Town of Southold for the following reasons: Insufficient total area On the basis of information presented to the Building Inspectors Office, it has been determined that the above nonconforming /x—/Land /_/Building(s) / /Use(s) existed on the effective date the present Building Zone Code of the Town of Southold, and may be continued pursuant to and subject to the appli- cable provisions of said Code. IT IS FURTHER CERTIFIED that, based upon information presented to the Building Inspector's Office, the occupancy and use for which this Certifi- cate is issued is as follows: Property contains 2 story one family wood framed dwelling with attached porch; accessory garage; concrete patio; walls, all situated in the 'A' Residential Agricultural zone with access to West Road; a town maintained road The Certificate is issued to ESTATE OF FLORENCE DURLAND (owner, 174 XJtXXX of the aforesaid building. Suffolk County Department of Health Approval N/A UNDERWRITERS CERTIFICA'T'E NO. N/A NOTICE IS HEREBY GIVEN that the owner of the above premises HAS NOT CONSENTED TO AN INSPECTION of the premises by the Building Inspec- tor to determine if the premises comply with all applicable codes and ordin- ances, other than the Buildinrr Zone Code, and therefore, no such inspection has been conducted. This Certificate, therefore, does not, and is not intended to certify that the premises comply with all other applicable codes and regula- tions. Buildinc inspector Tom and Isabel Wacker I 600 6th Street .,, Brooklyn, New York 11215 760 Old Pasture Road Cutchogue, New York 11935 Z'9 February 4, 201 aw-a Building Department,Southold Town Southold Town Hall Annex " 54375 Main Road mo P.O. Box 1179 J Southold, New York 11971 Re: Rental Permit Application 320 West Road, Cutchogue, New York 11935 Gentlemen: I enclose a Rental Permit Application for my house at 320 West Road, Cutchogue, New York together with a check for$200 for the rental permit fee. I have elected to have a fire inspection performed by the Code Enforcement Official from the town so I have not included the Rental Property Certification form. This is a one-family house so I have presumed there is only one rental unit. I have rented the house over the past few summers to the same family(which has been coming to the North Fork for decades). They have asked if the house will be available this summer. As the .e c,tiv .date_forthf.s-.new N ,falls ire the middle f the jarnMr,l c, knot"c rmmit to r Miri the house until I know that I will be able to get a permit. So, I am hoping that the inspection and permitting process can be completed quickly and would appreciate your consideration. Please call me at 917-306-7046 if you have any questions or require any additional information. Best regar Isabel Wacker TOWN OF SOUTHOLD PROPERTY RECORD c47/51 10 OWNER STREET VILLAGE DI SUB. LOT FORMER OWNER NE ACR. klo/jr x1t i'10L S W 71' TFE OF BUILDING MISC. Mkt. Value i LRES� SEAS. 1VL. FARM COMM- CB. LAND IMP. TOTAL DATE REMARKS 900 AGE BUILDING CONDITION NEW NORMAL BELOW ABOVE FARM Acre Value Per Value Acre Tillable I Tillable 2 Tillable 3 Woodland Swampland FRONTAGE ON WATER Brushland FRONTAGE ON ROAD House Plot DEPTH ------------- Total i DOCK COLOR ! - a i � 1 } TRIM � � I 1 I I Al a= G E e m. E q E - s c <2%o N C Both z Dinette M. Bldg. oundation ; Extension _ Lj rL koOnr o✓Ft' r'�uRe .� i Extension Ext. Walls Interior Finish1 12- A9 5S F SLR. Extension Fire Place Heat A� DR. ' Type Roof Rooms 1st Floor IBR. Porch £' recreation Room kRooms 2nd Floor FIN. B ? Porch Dormer E Breezeway Driveway Garage _ - } Patio I Total