HomeMy WebLinkAbout1000-31.-1-1 TOWN OF SO THOL
Rental Permit
Permit No. 0038
Owner James & Mary Huettenmoser
Occupied as Single Family Dwelling
Located at 65 Bayview Dr East Marion 31-1-1
Address Village S/B/L
Maximum Permitted Occupancy 7
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.
5/1/2019 John Jarski
Date of Issue Code Enforcement Officer
This Notice must be posted by the main entrance at all times
Town Mall Annex Telephone(631)765-1802 Fax 631
54375 Main Road i �� ( )765-9502
P.O.Box 1179 °
Southold,NY 1197.1-09.59 '7' Nm" 110
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BUILDING DEPARTMENT
TOWN OF SOUTHOLD
RENTAL PERMITAPPLICATION
Rental Permit free$200 (Application must be renewed every two years)
Section A.
Property Information`
Rental Property Address:
(a 5 Bayyt e�,D-D(-t v-2 . has on, N 11 q 39
Tax Map Number: 1000 SECTION 31 RLOCI I LOT
SECTION .
ERINFORMATION:
Property Owner Name: �u �=� e m0.` A ++e n
Property Owner Legal Address: Property Owner Mailing Address:
(Cannot be the same as Rental Property Address)
1 Y�a I _S
Telephone Number(s): q -7-1> ?y-27?_— Lo Ca 2_3 .
Property Owner Email Address: DmtLki E Stash I u-k c=yf'Yl
Page Y of 4
Information:Section C.
Authorized Agent
Name of Authorized Agent of dwelling unit, if any:
Address of Authorizedt ox w
Mailing Address est oriz t: Q A�ox ,��°� , ..mc s, L m I LYLLYLI 1-1.) "
Telephone r(s) ., :
Email Address: °r 1 , I ' r , °°� '° ° � 1--
Section 0.
Managing Agent Information.-
Authorized Agent of dwellingit, if
Address of Authorized Agent(no P.O. Boxes):
Mailing r s f Authorized Agent:
Email Address:
SECTION E.
SITE MANAGER INFORMATION®(required for rental properties containing 8 or more rentalunits)
Name f Managing Agent of dwelling unit, i _ .......
Address #Managing Agent(no P.O. Boxes):__«_
Failing Address of ManagingAgent:
Telephone Number(s):
Email Address:
Page 2 of
SECTION F.
PROPERTY DESCRIPTION:
Number of Rental Dwelling Units on property.
RentalFor each Dwelling Unitset forth the Rental Dwelling Unitidentifier r example,
Unit 1, Unity Unit 3 or Apt A, B, Q;the usef each room in the Rental Dwelling Unit
(for example, n, Bedroom 1, Bedroom 2, Uving Room)and the dimensions of each
room.
For properties with multiple l Dwelling Unitst Permit Application
Rental llin it Identifier:
Requested Maximum number of persons allowed to occupy Dwelling U n i �
Number of rooms in Rental Dwelling Unit: . .. �. .
Use n Dimensions f each room in Rental Dwelling Unit:
® 4" X 1 -3 Living 9w,in c `,
VW
It l
INSPECTION:SECTION G.
Pursuant to the Town Code of the Town of Southold Chapter 207 ( I Properties), a safety
inspection f r t Official is required. if the owner chooses not to havei
inspection perfor the Town, a certification from licensed rc itect, a NYS licensed
professional r or a home inspector who has a valid i t it
Prevention Building i 'cati is required i the property which is the subject
of the rental it application is in compliancei II of the provisionsot code of the
Town of Southold,the laws and sanitary i regulations County of Suffolk
by the laws adoptedy the New York ite Prevention and BuildingCouncil.
I am requesting a firf # inspection to be performed by a Code Enforcement Offici l
from the Town of Southold.
Page 3 of �"
0 I 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'° 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.
41 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: I'V\Ck w" 'II
Property Owner's Signature ...........
Sworn to before me this day of__._I�,'�,J)
RISHIVERMA
Official NotarAyP lic Signature and Original Notary Stamp (Votary Public-State of New Jersey
My Commission Expires Aug 21,2022
Page 4 of 4
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FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Town Clerk's Office
Southold, N. Y.
Certificate Of Occupancy
No. Z1+342 . . . . . Date . . . . . . . . . . . . . . A t. . :3 ., 19. 71
THIS CERTIFIES that the building located at . BayVi W.Dr. &.r"e.dar.04P Street
Map No.Gard #aY . Block No. . . . . . . . . . .Lot No. Pt .108.,.109 110 EMarlon R.Y
conforms substantially to the Application for Building Permit heretofore filed in this office
dated . . . . . . . . . Mar#h . .2,3. ., 19. .70 pursuant to which Building Permit No. . .1+653Z
dated . . . . . . . . . . Mgr. . . .23. . ., 19.7q, 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 •Private. -one family •dwelling. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . •
The certificate is issued to Rev... -Paul .Thiele. . . . . .Onwer . . . . . . . . . . . . . . . . . . . . . . . .
(owner, lessee or tenant)
of the aforesaid building.
Suffolk County Department of Health Approval Aug .19. . .1971. . .by. Ra .Villa.
House # 65 Bayview Ave
1675 Cedar La
Building Inspecto
...................................................
FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No: Z-27342 Date: 10/06/00
THIS CERTIFIES that the building ADDITION
Location of Property: 65 BAYVIEW DR EAST MARION
(HOUSE NO.) (STREET) (HAMLET)
County Tax Map No. 473889 Section 37 Block 1 Lot 1
Subdivision Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated AUGUST 8 2000 pursuant to which
Building Permit No. 26731-Z dated AUGUST 21 2000
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 ROOFED OVER PORCH-DECK ADDITION TO EXISTING ONE FAMILY DWELLING
AS APPLIED FOR.
The certificate is issued to PAUL J THIELO
(OWNER)
of the aforesaid building.
COUNTY DEPARTMENT OF HEALTH APPROVAL N/A
Z6ZCTRICAL CERTIFICATE NO. N/A
PLUIIDERS CERTIFICATION DATED N/A
Autho ized S i9fiature
Rev. 1/81
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Town of Southold
4/10/2018
" P.O.Box 1179
53095 Main Rd
Southold,New York 11971
CERTIFICATE CC CY
No: 39589 Date: 4/10/2018
THIS CERTIFIES that the budding ADDITION/ALTERATION
Location of Property: 65 Bayview Dr., East Marion
SCTM#: 473889 Sec/Block/Lot: 37.4-1
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
2/24/2017 pursuant to which Building Permit No. 41397 dated 3/6/2017
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:
BATHROOM ADDITION TO AN EXISTING ONE FAMDLY D.W.El-LING PER LBA DECISION 18DON 7024 DATED
02-26-2017 AS APPLTE"D FOR
The certificate is issued to Huettenmoser,James&Mary
of the aforesaid building;.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 41397 09-12-2017
PLUMBERS CERTIFICATION DATED
t or Signature
TOWN OF SOUTHOLD PROPERTY RECORD CARD
N.J
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40
OWNER STREET VILLAGE DIST., SUB. LOT
je
FOR MER. OV��N E-a N E
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TYPE OF BUILDING
VL. FARM
RES. SEAS. VL. CB. MICS. Mkt. Value
LAND IMP. TOTAL DATE REMARKS
I;e
4
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1 :2,
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!I ko
97-
AGE BUILDING CONDITION
NEW NORMAL BELOW ABOVE
--FARM Acre Value Per Value
Acre
Tillable FRONTAGE ON WATER
i v
Woodland FRONTAGE ON ROAD
Meadowland DEPTH
House Plot BULKHEAD
—---
Total
---TotaI DOCK
7% 3 t
AM
4 TRIM
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_F
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37.4-1 11109 —
.
M Bldg - — —
ry ,
F_
I ;
, I
Extension
I
s ¢ I
Extension
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[ i
Extension I
I
Foundation Bath ` Dinette
Porche Basement 1F ;Floorszo
I<.
Porch Ext. Walls Interior Finish 1_R. i I
I
Breezeway Fire Place ,_ Heat _ DR.
Garage .Roof Booms 1 st Floor BR.
0 - _ ? -_ Recreation Room E Rooms 2nd Floor FIN. B ,
O. B. I _ ormer Driveway
Total � � ,
COLOR TRIM
#----------
LED
—T SQ. FT. in"EY 1 st fl 2nd fl TOTAL
M. Bld – ` Foundation Pc T,F Bath Dinette
9- _ s
'FULL COMBO
Extension Basement � PrAL Floors 'p ,
s
SLA
n
Extension Finished B. Interior Finish L.R ,%
v"
Extension FP/WBS `� Heat i D.R.
Garage Ext. Walls BR_
Porch - �O Dormer Baths
Deck/Patio Roof Fam. Rm.
Pool
Solar Foyer
- Laundry
A.C./GEN
- Library/
O.B.
Study
Dock t