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Home My WebLink About1000-65.-1-6 TOWN OF SOUTHOLD Rental Permit Permit No. 0031 �a. Owner William and Patricia Moore Occupied as Single Family Dwelling Located at 370 Terry Lane Southold 65-1-6 Address Village S/13/1- Maximum /B/LMaximum Permitted Occupancy 5 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. 4/10/2019 John Jarski Date of Issue Code Enforcement Officer This Notice must be posted by the main entrance at all times ` M,�)�_ ' .g Town Hall Annex Telephone(631)'/65-1802 54375 Main Road Fax(631)765-9502 0.fox 1179 S6o'th6ld,NY 11971 X59TX mv RV1LD1NG.1)1VPARTWNT T0VtrN ..OF,$OUTHOM ,ENTAL PERMIT a PPLigATI N Rgntal,P;errnit Feq,.,OQ M(,Applipption mgstbe,rerlewed ev c sal r AR� 20 2019 Section A. Property Infr i . T. Rental Property Address: a Tax Map Number: 1000 SECTION BLOCK r p , I:. ;,IN B OWNER INFORMATION: Property Owner Name; &L,62 eya, Property _, nor Legal Adress: Pr pqrty qyvner , ailjn dress:, (Canmet,be the sam,eas Rental Property,Address) lzead Telephone Number(s):,,_. � mm� D Property Owner Email Address: Page 1 of 4 Section C. Authorized Agent Information: Name of Authorized Agent of dwelling unit, if any: . . Address of Authorized Agent no R.O. Boxes): Mailing Address of Authorized Agent: Telephone Number(s): -7 Email Address: Go/j, Section D. Managing Agent Information: Name of Authorized Agent of dwelling unit, if any: o Address of Authorized Agent no P.O. Boxes g ( )- 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): .T , Mailing Address of Managing Agent: Telephone Number (s): r 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 Dw,elling.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 y Addendum." ti Rental Dwelling Unit Identifier: _. T : . t � Requested Maximum number of persons allowed to occupy Dwelling Unit: Number of rooms in Rental Dwelling nit Use and Dimensions of each room in Rental Dwelling Unit: b 6 , a Y SECTION G. INSPECTION: ti 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 frorh`i 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 ofthe-rentalpermit application is in compliance with all of the provisiohsofthe-c0de'ofthe Town of Southold,the laws and sanitary and housing regulations of the County of Suffolk and by thelawsadopted by the New York State Fire Prevention and Building Code Council. @l I am requesting a fire safety inspection to be performed by a Code Enforcement Official from the Town of Southold. Page 3 of 4 ❑ I am submitting a completed Town of Southold certification form from a licensed architect, a licensed professional en'girieer; 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 MUSTbe the owner of the dwelling unit. STATE OF NEW YORK) ) COUNTY OF SUFFOLK) . e � • cerkufy.underPenaltY ofper1 rY,the , 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 l understand-the Town will use.the.address for service pursuant to all r applicable laws and rules. I further acknowledge that I will notify the Town of Southold 1 Building Department of any changes of address within five,(5).,days of,any chaoges,�, .; b. thereto. 3. 1 have read and received a copy of Chapter 207 of the'Code of the Town of Southold and agreed to- bideby 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 Owners Name: Property Owner's Signature: th Sworn to before me this day of Af& 2J Official Not ry Public Signat and Original Notary Stamp TRACEY L. DWYER Page 4 of 4 NOTARY PUBLIC,STATE OF NEW YORK NO.01 DW6306900 QUALIFIED IN SUFFOLK COUNTY COMMISSION EXPIRES JUNE 30,2� TOWN OF SOUTHOLD 11113URLDING DEPT. 7654802 „ INSPECTION „II1 F::: U llM llr llI III "IS Ir IISOUG N,,,,N IIP NIII,,,II ° w III„ 11FOUIRIDA°°IIrN NIS 211MD INSULATION FRAMING,,, /S IIFNN NNPIIIII ,,, ONAL km�AIC � IIF1111RIIE11PIll AGE & CHIIIIIIWI114EY [ FIRE, SAFETY INSPECTMN III.. lU N°°'NN°VIIIIII°1111 III rAN r CONS 1`111luc N N N „IIS IIp IIIN° Nmm III°VIII VIII S II N IIS"TN` III,,,..:.TFt N 11I ON III L E 1 I L N ,,, 1111) ��„ IlE 111 N IIN N N,,,,,, � N III N,,,,, III„ IIN N N NCIII IIS IIN,,,,,,IIIIIIIII ,,, __. ...... FTC �4 I r DATE, INSPECTOR III TOWN OF' SOUTHOL,D BUILDING DEPT. INSPEC TI� ON IIS IIPILII[;I III„ �IFOUNDA'riiiON 211MIlD „� 1111114SUI„,,mATION Ill7m11REIM ACE & CHlMlIMlll:::."Y [ „ Fl lIE ” m Sm lIE m III.. VIII FIRE RESISTANT N ,,,riii�� °gym ii [ ] IIP::'IIIm U mw ul,, ,,,, iii °� I �° Ill,�ll m;;° °gym IIS ELEc rm m m (IIS 11) ] IIEI Ec IrII m L (FIIIIIMAI,,,,,"� CODE m IIL......ATION � ] CAM KIIIIIMG ._ _.............. _ _.._r DATE INSPECTOR � .. A00 r-re 370 -T&ftl 40 D EC7 HAt WAY AIG R ,m' 'Y ill OII�VV uuuuuuuuuuuuuuuuum Villl i'i ,J V i I' I I Operated -ftrks chi,Cnpowel- wiiwa �,P ��r�; ��r VsV��urt "rvm u o wjd,� Mr 1 io r r fir yi�lyi �� N I �. MPI+wNamtl,�waxm�ub� � � r / r� ,��Q 16 Wear C.®� iii�/ ds0e Battery Q, vi U B 1 ��i�n�l�JDl7iwuor"l/��n/�rii�i��oii �oar R�f0D10fJYD� „a................... ........... .................. � of �j 1j ,,,n� r a a 11 or IJIJJr✓�J/li�ivr.D2ru,��n ri��n i r �; t 1/� k �1 1, o oe -70 r (r I t ....................... � Vyp yp VVVVVVVV V��umouuuuuuuiV i � I f` V I �r fi 14�� II' i i ri r i i r r rlrarrrr ri ,..,; �I / rll ,IDE ALARM arra MrO➢Grrr'Pla�/'/r �r y. w w 4 , zt O Y� x e f. p, jo G1 a ' o ' n Q � A � n ` \i LIN iJl da $$ sn� a� D= ��IV _aG.Nw � � � � � 9r �1 I , � M . ... _ n 4 I V 12 a ✓ ° i m RF V t t qp r � _ C ry m b rs M° A5 771 s� . Al N R I I T 11CC,VV$fl , x. ne d x y 44 I i � E I E M •x ' I r I85 ° 0 ` . ri AU FQBM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. CERTIFICATE OF OCCUPANCY No. .z..2!+14........... Date .........................*. ..........10...... THIS CERTIFIES that the building located at . .Te7 ................................•.. Street Jonathan Overton Mop No. ....,,».. ........... Block No. .. .......... Lot No.y1.., ..12...... * i,tho3A,#.-X*X^............ conforms substantially to the Application for Building Permit heretofore filed in this office dated .................................ATOM..........I.............. 19f16.... pursuant to which Building Permit No. .2973.1 dated .............................Jan.....I............, 19.(x..,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 ........ I"e .6••011 •• " .. ............................................. ............................. The certificate is issued to ...R ... gud 8L.... r... ......... ............................. (owner, lessee ortenant) of the aforesaid building. H.D..ApproVal. April 229 1966 by RM1.14 Building Inspector .w c. " A FORD NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-22212 Date MARCH 24 199 THIS CERTIFIES that the building ADDITIONS Location of Property 370 TERRY LANE S OLD N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 65 Block 1 Lot 6 Subdivision Filed Map No. Lot NO. conforms substantially to the Application for Building Permit heretofore filed in this office dated FEBRUARY 1 1993 pursuant to which Building Permit No. 21210-Z dated U" Y 41 19'93 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 M DECK ADDITIONSEXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to WILLIAM & PATRICIA MOORE (owners) of the aforesaid building. SUFFOLK COUNTY DIPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N A PLUMBERS CERTIFICATION DATED ULA B i Ins o or Rev. 1/S1 FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-27458 Datez 12/12/00 TRIS CERTIFIES that the building ALT13RATIONS Location of Property: 370 TERRY LA SOUTHOLD (HOUSE NO.) (STREET) (HAMLET) County Tax leap No. 473889 Section 65 Block 1 Lot 6 Subdivision Filed leap No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated MARCH 4, 1999 pursuant to which Building Permit No. 25654--Z dated MUCH, 26 1999 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 I'NTSRIOR ALTERATIONS TO KXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to WILLIAM & PATRICIA MOORS (OWNER) of the aforesaid building. SUFFOLK COUNTY OF HEALTH APPROVAL NIA ELECTRICAL CERTIFICATE NO. N/A rLtrMBERS1 CERTIFICATION DATED NIA s r' ri d signature Rev. 1/81 FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY NO: Z-29825 Date: 11/07/03 THIS CERTIFIES that the building ALTERATION Location of Property: 370 TERRY LA SOUTHOLD (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473869 Section 65 Block 1 Lot 6 Subdivision Filed Map No. Lot NO. conforms substantially to the Application for Building Permit heretofore filed in this office dated APRIL 14, 2003 pursuant to which Building Permit No. 29301-Z dated APRIL 16, 2003 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 WINDOW ALTERATION IN AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to WILLIAM D 4 PATRICIA C MOORE (OWNER) of the aforesaid building. SUFFOLK COUWrY DEPARTMENT OF B03ALTH APPROVAL NZA� ELECTRICAL CERTIFICATE NO. NIA PLUMEIRS CERTIFICATION DATED NIA Authorized Siiatur Rev. 1/81 FORM NO. 4 TOWN OF SO'UTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall u. Southold, N.Y. CERTIFICATE OF OCCUPANCY t a: Z=,30 20 Date: 04/06/04 Tis cXRTIFIM thht the bu;Llding TI TIO w 'Location, ofProperty: 370. TERRY LA . (HOUSE NO.) CSTREE'x) ( ` T'). CbubtTax Kap No- 473'889 S,6ation 65 Block Lot 1 risibn Filed leap No. Lot No. Confrirms substantially to the Application for Building Permit heretofore filed in thia office dated MAY 21 , 2003 pursuant to which Building Permit No. 20413-_f dated MAY 22, 2003 was issued, and conforms to all of the requirements of the applicable provisions of the law. The occupancy for which this certificate is issued -Jr. ADDITIONS is ALTERATIONS TO EXISTING SINGLE FAMILY DWELLINGAS APPLIED FOR. The certificate is issued to WILLIAM D & PATRICIA MOORS ` (OWNER) 4 of the aforesaid building. SLIFFOLK COUNTY =VWTMENT OF EMALT9 APPROVAL N, A ELECTRICAL CERTIFICATE NO. 1181959 92 17 LO 4 CEkTIpICATIO1f DATED 03/26 04 RADIANT SOLD IO S INC'. 4; .Author e Si re I� Rev. 1/B1 iROPERTY RECORE 0 TOWN OF SOUTHOLD P OWNER STRVILLAGE EET DISTRICT SUB. 3 -70 LOT 7 FORMER,OWNER ikA4 f--i N E i ACRE�6E c, I win J fs W TYPE OF BUILDING RES.- SEAS. VL. Comm, IND.RM CB. misc. Est. Mkt. Value LAND IMP. TOTAL DATE REMARKS .......... f -01 e 0 AGE B fl-DING CONDIT10 -V FRONTAGE ON WATER FRONTAGE ON ROAD v OY/01 -K 71 BULKHEAD -00— f -T- Tillable 2 DOCK Tillable 3 A M? Woodland Swampland 1-41) Brushland L! 0,01 d House Plot Total I i Y I 4 T n rs _ y� { 6516 10/03 I g. Foundation _= Bath Extension a = 40Basement - Floors 3 t x-,e r s3u ri — _ East. Walls Interior Finish - R _ e _ _ Extension Fire Place V'E - (-feat ` F Porch foo{ Type Porch,'' Rooms 1st Floor = Patio Rooms 2nd Floor 'Dorage Driveway Dormer _ B. _ 4 t