HomeMy WebLinkAbout1000-15.-3-31 TOWN OF SOUTHOLD
a- Rental ntal Permit
0027
Owner Mary Esther Morris
Occupied as Single Family Dwelling
Located at 350 Sound View Rd. Orient 15.-3-31
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.
7/5/2024
Code forc ent Officia
This Notice must be posted by the main entrance at all times
TOWN OF SOUTHOLD BUILDING D
631 785 1802 /S ,
NS EC ION
[ ] FOUNDATION 1ST / REBAR [ ] ROUGH PL13G.
[ ] FOUNDATION 2ND [ ] INSULATION/CAi
j ] FRAMING / STRAPPING [ ] FINAL
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY IN;
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PE
j ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (Eil
[ ] CODE VIOLATION [ ] PRE C/O [
REMARKS:
DATE INSPECTOR
%0 Town Hall Annex
Town of Southold 54375 Main Road
Cz Rental Inspection Report PO Box 1179
Southold, NY 11971-1179
Tel: 631-765-1802
SUM# "�+ r 3 Date
Owner 6f S Phone
Address soa _.: vw _ _ _ _ Visible
Hamlet _ Inspector
Floor Level Quantities Sub 1 2 3
Smoke Detectors (not located in bedrooms) f
Carbon Monoxide Detectors
Fire Extinguishers
Exits
Bedrooms 1 Y2 4 5 6_
Smoke Detectors
Egress
Occupant Count �, oZ
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 Prior Rental ►
Comments:
-
OF SOUTHOLD
Rental
_ i
Permit No. 0027
Owner Mary Esther Morris
Occupied as Single Family Dwelling
Located at 350 Sound View Ave Orient 15-3-31
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.
6/7/2021
Code Enorcem Official
This Notice must be posted by the main entrance at all times
Town Hall Annex
SOUTHOLD TOWN
54375 Main Road
PO Box 1179 Southold,
Rental Inspection NY 11971-1179
`'4 s
Tel: 631-765-1802
�� r� Fax 631-765-9502
SCTM Date'
,,;
Owner; " orri Phone
Adtlress 3�� Svv�c� 'Vi�C li✓ Zip l
Hamlet ` Oar Inspector ��
- OK
Address visible from street?,/
LEVELS SUB-,,,1 12; 3
Smoke Detectors (#- bedroom detectors excluded)
Carbon Monoxide Detectors (#)
Fire Extinguishers (#)
Exits(#)
BEDROOMS 3 5 ..
Smoke Detector Alarms (#)
Carbon Monoxide Alarms (#)
Egress (windows) (Y/N)
BUILDING SYSTEMS Y CONDITION OF PROPERTY N
Heating system maintained/operational Building Interior is clean /maintained
Hot water system maintained/operational Building Exterior is clean / maintained
Electrical system maintained/operational Property is clean /safe/maintained
Mechanical system maintained/operational Handrails & guards present
11 ii glio
WrME
POOLS (POOL BARRIERS YI'
Pool present Pool is completely enclosed
Pool surface alarm and/or door alarm
resent Barrier is a min. 48„ high
POOL GATES Y N All openings in barrier less than 4”
Self-closing, self-latching Max. 2" clearance @ bottom of barrier
Latch on pool side of gate, meets height Barrier capable of being locked & child-
requirements proof when unattended
COMMENTS:
'CJ IfSS s v
---------------
TOWN OF SOUTHOLD
M4
PermitRental
cz
Permit No. 0027
Owner Mary Esther Morris
Occupied as Single Family Dwelling
Located at 350 Sound View Rd Orient 15-3-31
Address Village S/13/1-
Maximum
/B/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.
4/3/2019 John Jarski
Date of Issue Code Enforcement Officer
This Notice must be posted by the main entrance at all times
I10, �
Town Hall Annex Telephone(631)765-1802
54375 Main Road � 's` (631)765-9502
P.O.Box 1179
Southold,NY 11971-0959 ,
WELDING DBPARTWNT
r
RENTAL PERMIT APPLICATION M A 2 2 201
Rentl l Fl ru° k Lee$200 licatron mustbe renewed Ievery by years) � �
Ti,
Ilw"
Section A.
PropeM Information:
Rental Property Address:
Map � '"� BLOCK ,.° LCAT, ,,_
Tax umber: 1 SE
SECTION .
INFORMATION:OWNER
r � o
r a�
a
Property Owner Name: d,���� � �° � , ` �" 5
Property Owner legal Address: Property Owner Mailing Address:
(Cannot be the same as Rental PropertyAddress)
v
Telephone Number(s):
Property Owner Email Address:
Page 1 of
SECTION F.
PROPERTY DESCRIPTION:
Number of Rental Dwelling Units on property:
:1'a
.For each Rental Dwelling Unit set forth the Rental Dwelling Unit identififor 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:
Requested Maximum number of persons allowed to occupy Dwelling Unit J�
uM"'4 v
Number of rooms in Rental Dwelling Unit:
Use and Dimensions of each room in Rental Dwelling Unitle
�w,
A
—9-5-
SECTION
SECTION G.
INSPECTION:
Pursuant to the Town Code of the Town of Southold Chapter 247 (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. ��� � 'wr .- M �' ✓
Page 3 of
d
0 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 NES YO )
)
COUNTY OF ) i=
-* 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:— °a
Property Owners Signature:,
w.
s .
Sworn to before me this day of �. " 20
Official Notary Public Signature and Original Notary Stamp
Page 4 of 4
CONSENT TO INSPECTION
the undersigned, do(es)hereby state:
Owner(s)Name(s)
That a undersigned M Tygned(is)(ar�)the owner(s) of the m es in tTown of
Southold,located at '
which is shown and designated on the Suffolk County Tax Map as District 1000,
Section /5— ,Block3 ,Lot 1
That the undersigned(has)(have)filed,or cause to be filed, an application in the
old Town ti Building.._ .Inspector's Office for the following,
.....
That the undersigned do(es)hereby give consent to the Building Inspectors of the
Town of Southold to enter upon the above described property,including any and all
buildings located thereon,to conduct such inspections as they may deem necessary with
respect to the aforesaid application, including inspections to determine that said premises
comply with all of the laws,ordinances,rules and regulations of the Town of Southold.
The undersigned,in consenting to such inspections,do(es)so with the knowledge
and understanding that any information obtained in the conduct of such inspections may
be used in subsequent prosecutions for violations of the laws,ordinances,rules or
regulations of the Town of Southold.
Dated:
{ Sre) p
(Print Name)
(Signature)
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(Pnn .....
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REMARKSIMI
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FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Town Clerk's Office
Southold, N. Y.
Certificate Of Occupancy
No. .7j . 9;.42 . . . . Date . . . . . . . . . . .Deoeial}ar 1$.,. . ., 19.7-3 .
THIS CERTIFIES that the building located at . .350. Sound .View. -Road . . . §tXWA
Map No. . 34.44 , . . » . . Block No. . .xx.x.x Lot No. . . .f 8. . . . . . . . . . . . . . . . .
conforms substantially to the Application for Building Permit heretofore filed in this office
dated . . . June. .21.. . . . . . . . .. 19-78. pursuant to which Building Permit No. .979-1.7' .
dated . . . J . 21.. . . . . . . . . .. 19. 7A, 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 . .71'KZVZV='R p11ZLL1NQ . . . . . . . . . . . . . . . . . . . . . . . . . . . . , . . . ,
The certificate is issued to .QUORQTr . &. . . . . . . . . . . . . . . . . . .
(owner,jQmm:@RjtqAqgtj
of the aforesaid building.
Suffolk County Department of Health Approval . . . 8:--SO-6k . . . . . . .Dec.eiuber. .12,,. .1978
UNDERWRITERS CERTIFICATE No. . . . . . 7.1389
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . » . » , . .
HOUSE NUMBER . . .-j 5 u. . . . . . . . Street . . . Sound Vied hold, car.i int,
. York. . . . . . . . . . . . . . . . . . . . „ , . , » , . . , . . . » . . , . . . , . . . . , . .
Country Tax Map No.
1000-15-3--31 ,C.� .N. .
Building Inspector
..........
-�
-71a-71 )0) 3
TOWN OF SOUTHOLD PROPERTY RECORD CARS
l OWNER =STREET %s VILLAGE _ - DIST SUB. LOT g
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FORMER OWNER'f - N E ACR.
Geode l� Moil,-�eG�X ���w S W TYPE OF BUILDING
RES. ' SEAS. �VL. FARM COMM. CB. MICS. Mkt. Value
LAND IMP. _ TOTAL DATE REMARKS r
_
jo
0 �
- - — e
e � 3
fJ I /
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1,4
s
AGE BUILDING CONDITION
NEW NORMAL BELOW ABOVE
FARM Acre Value Per Value
Acre
Tillable FRONTAGE ON WATER
Woodland FRONTAGE ON ROAD
Meadowland DEPTH
House Plot BULKHEAD
Total DOCK
aI ocx -
i
)R TRIM
f
� 3
15.-3-31 9/04 e E q
fl
t
E _
M. Bldg y
Extension
7-P 3 �
Extension
f _
a
3
� I Y
Extension
Foundation l Both lI Dinette
Porch °�Baseaerat 1 _ti FloorsK.
Porch Ext. WallsI I Interior Finish LR.
Breezeway Fire Place Heat DR.
Garage1 J_ =
Z ! Type Roof _ !Rooms 1st Floor
BR
Patio 1 Recreation Room Rooms 2nd Floor E FIN. B
O. B. - Dormer Driveway
I
Total �=
i
F