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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) ...._"........... ... (Pnn ..... ............�. — t Name) t l s -- pr TOWN OF SOUTH,01IIIIDIIIIII 7 .180265„m `11111111111 111110 10N IIIIIIIIIIII i UI IIII' IIILII I,IlllllplllllIlll 0 IIII sl r IIA!!! , II IIIIIIIIIII RIIIIiiiiiiiiBiG., III III III[M 11MIGN 2NIIII) IIINSUIIIIIIIII IIIIIIIIIIIIIII IIID °°'IIII°° , II III IIIIIIII ' I °"' � � � >�IIIII� IIIU�I ��� VIII IIIW IIII NALX&Tktoll (IIII°°°Illi IIID IIIUIIIIIIII(IIII IIIIIIIIIIIII IIIUIIIIII VIII°°I IIII III III IIII IIIU�° IIII IIIU°!IIII 'VIII'Y 111I IIII' 1" IIII' I"'> IIID "'lllr"'llllf� "' IIII IIID "' IIF'IIIIIIIII° II I IIII IIIUIIIII° UI I"' ' IIU I"'lllC"I IIU ,, IIII°°°11111 IIII°� IIII°� IIII.......I � IIIUIIIIIIIII IIIIIIIIIII� VIII (IIII°° IIIA VIII IIIIIIIIIIIIIIIIUIIII�III� "" � I IIIIIIIIIIIII IIIIII°° C,OI111CI�)IIIE, 'VVllIOLATVllI014 CAUllIIIIIIIIIII (IIII III IIII Hill REMARKSIMI w*i;f�^1h ti �r 6 w � + 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 � � � _ t , � � — _ < f s. 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 / g 1 - 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