HomeMy WebLinkAbout1000-37.-1-6 3= TOWN OF SOUTHOLD
- Rental Permit
g= Permit No. 0042
Owner Nancy Oetinger
Occupied as Single Family Dwelling
Located at 230 Dogwood Lane East Marion 37-1-6
Address Village S/B/L
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.
5/2/2019 John Jarski
Date of Issue Code Enforcement Officer
This Notice must be posted by the main entrance at all times
I /
, ;
Town Hall Annex �! �a ',i � Z o Telephone(631)765-1802
Fax(631)765-9502
54375 Main Roadw,
P.O.Box 1179 9 ��
Southold,NX 11971-0959
BUILDING DEPARTMENT
TOWN OF SOUTHOI[D
RENTAL PERMIT APPLICATION
Rental Permit Fee$200(Application must be renewed every two years)
Section A.
Property Information:
Rental Property Address
Tax Map Number: 1000 SECTION
SECTION B.
OWNER INFORMATION:
Property Owner Name: Al A?���
Property Owner Legal Address: Property Owner Mailing Address:
(Cannot be the same as Rental Property Address)
Telephone Number(s): �
Property Owner Email Address: ��T....,y — _.._.... --
Page 1 of 4
Section C.
Authorized Agent Information:
Name of Authorized Agent of dwelling unit, if any: 11i d.,i6" �` r �i {, m? ✓ "
Address of Authorized Agent (no P.O. Boxes): .... . a
Mailing Address of Authorized Agent:_ .....
Telephone Number (s): . 0 'Y'— s�7c/` 61`!I _ 5'/6 -Sa �/— �! 6 6
Email Address: o L'''I NSC c
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:�...mm�.�..,r .,.........
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: 'P A`Z --" A,`L,e Z 1;- A/y U.e�
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."
�d '_ _ ,..
Rental Dwelling Unit Identifier: :° "��!r LL
Requested Maximum number of persons allowed to occupy Dwelling WW:
Number of rooms in Rental Dwelling Unit:
Use and Dimensions of each room in Rental Dwelling Unit: �'��� /01-
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 flaws adopted by the New York State Fire Prevention and Building Code Council.
M I am requesting a fire safety inspection to be performed by a Code Enforcement Official
from the Town of Southold.
Page 3 of 4
D 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 he notarized and MUST he the owner of the dwelling unit.
STATE OF NEW YORK)
COUNTY OF SUFFOLK)
x
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 _ f_ m °�
i .I.k" ,fg
� trhiS day
of / 2OµSworn to before re Commonwealth lth of Pennsylvania Notary Sea
aP
Welsh Jr.,Notary Public
� Delaware County
iMy commission expires December22,2021
OflCld1 Notary PUbIIC51 nature a7Original Notary Stamp
Commission number 1176727
Member.�'r!.nnsyfvaniaAssociation of Notaries
Page 4 of 4
765-1802
INSPECTION
.. I Fo II„ -1 IPS 'IS I,,,, � � II„ U IA L...IS G
F N' 1 Al 1014 " I I INSULATION
FRAM114G
„,r„ I' IPII „ E�INA
ISI Im1 6F LACES & CHIM1141EY V1 FIRE SAFETY I S P ECTI
I IID;;;, II E I „I,,, ,.�' IIS,wV�;;Nl', -rR ,. I Iq
��. 'I�Ihl:n°, �II�mI .,I,�, ��” I '°�° ,.,�"I I ��,; � ,,,. ,�,
1�1--��,,I;,�M �„'I"I I L. I° LI „ Iu„I
;�;I�E rRI L (I,,,TI „ I�,,,,
CGIDE V101,,,,,. 'I I' ,�,
CAULKING
REMARKS: �.................................._..._........................................._..._............................_................._.........
... .........................m._............................ ..
I
i
n
1p �
C
C�"l M117
� ,
d
r
_ I
I y
I
.P
P
r^
N
4
a
II I i
All
— M
9 111r 111
f
Y4 mot,4 +7
pd3 I� I
' r
...n.
TOWN OF SOUTHOLD
OFFICE OF BUIl-DING INSPECTOR
TOWN HALL,
SOU HOLD, NEW YORK
C-ERTIFICA'I'E OF' OCCUPANCY
NONCONFORl,IING PREIVIISES
THIS IS TO CERTIFY that the
/X/ Land Pre C.O. #- Z13276
/ / Building(s) Datetin rch?_0
F/ Use(,)
located at 230 Pvt. Rd. #4 East Marion
Street Hamlet
shown on County tax map as District 1000, Section 037. -, Block 01
Lot 006 doesanot%conform to the present Building Zone Code of the
Sub. Map # 275 Lot #'s 102&103
Town of Southold for the following reasons:
Insufficient total area. Insufficient front yard set-back.
...........
On the basis of information presented to the Building Inspector's Office,
it has been determined that the above nonconforming F*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_
ITIS 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 a one story, one
family, wood framed dwelling with attached garage and an add-
ition Permit # 2960Z with C.O. # Z2397. Property situated in
an A-Residential-Agricultural Zone with access to Pvt. Rd.14 (Dogwood
The Certificate is issued to ELLA JANE ENRIGHT Lane)
(owner,
of the aforesaid building.
Suffolk County Department of Health Approval NIA
UNDERWRITERS CERTIFICATE NO, ..NLM z
.....
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 Building 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.
FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN CLERK'S OFFICE
SOUTHOLD, N. Y.
CERTIFICATE OF OCCUPANCY
No. ......Z...2197....... Date ...................... i9....66
THIS CERTIFIES that the building located at ...Qi3Yi1 ,Y11E!>KC3..�H '..��i l ��,.......... . Street
Mop N . ......... .. ......... Block No. .. ..,..... ........ Lot No. ..........XXX.4AO3; .MA,x1t�r;L�...l . 1. .....
conforms substantially to the Application for Building Permit heretofore filed in this office dated
•................. .•....I.............., 19-.6,6. pursuant to which Building Permit No. 2.9.6Q..Z..
dated .........Deegko :r..15-..................... 19...66, 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 ..........
....................:s ,.. ,..�o,�e..>�amilY.. >$113�g......................_
The certificate is issued to ._...Aob�► iE..L....iya��t .. l ' ,,,, �, >1 ..•...
..........
(owner„ lessee or tennnt)�
of the aforesaid building,
..........
Building In�or
FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N-Y.
CERTIFICATR OF OCCUPANCY
.No_ Z-30393 Date: 08/31/04
n
THIS CERTIFIES that the building ADDITION
Location of Property: 230 DOGWOOD LA EXT EAST MAP-ION'
(HOUSE NO_) (STREET) (HAMLET)
County Tax Map No. 473889 Section 37 Block 1 Lot 6
t•
Subdivision _ Filed Map No_ Lot No
conforms substantially to the Application for Building Permit heretofore
filed in this office dated _ MX1 24, 2004 pursuant to which
Building Permit No_ 30356-Z dated W1 ;-6 00,1
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 DECK ADDITION TO EXISTING SINGLE„mF1,MILY DWELLING AS APPLIED FOR.
The certificate is issued to NANCY H Oc`T"INGER & JEAN 0. HOGAN
(OVINER)
of the aforesaid building..
SUFFOLK COUNTY DEPAR 'T OF HEALTH APPROVAL � J_ N/A�
ELECTRICAL CERTIFICATE NO. N/p,
PLUM13ER.S CERTIFICATION DATED
A
Authorized Signature
Rev. 1/81
Vi W64
Town of Southold Annex
° � ��� 6/21/2013
P.O.Box 1179 .. .-..._
54375 Main Road
" Southold,New York 11971
CERTIFICATE OF OCCUPANCY
o: 36306
Date: 6/21/2013
....mm,.,...r_._.
THIS CERTI MS that the binding ALTERATION
Location of Property: 230 Dogwood Lane Ext, East Mario
SCTM#: 473889 Sec/Block/Lot. 37.1
Filed Map No.
—...m..�—Lot No.
Subdivision:
conforms substantially to the Application for Building Permit heretofore filed in this officed dated
2/28/2013 — Pursuant to which Building Permit No. 37846 dated 3/6/2013
was issued, the law. The occupancy and conforms to all of the requirements of the applicable provisions of p for
^^^ —_ _...._M ..._.
which this certificate is issued is:
rte,"1 1 A
110NB f,).. U '1 TING 8rNt,aL I' I IIL'r' W--JF,.I B a AS t"w.l PIJED 1121
The certificate is issued to Hogan R F&J O Revoc Trust
(OWNER) m.
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
—_ _.....
o Tedd ..v g-llatura
It Town of Southold 9/25/2017
P.O.Box 1179
�, 4p 53095 Main Rd
Southold,New York 11971
CERTIFICATE OF OCCUPANCY
No: 39240 Date: 9/25/2017
THIS CERTIFIES that the building RESIDENTIAL ADDITION
Location of Property.: 230 Dogwood Lane Ext,East Marion
SCTM#: 473889 See/Block/Lot: 37.4-6
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
9/16/2016 pursuant to which Building Permit No. 41030 dated 9/27/2016
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 'w:. IIOI"S INCLL1011w Am, OVEIED ENTRY'TOANEXISTING ONE FAMILY DWELLING AS
APPLUED FOR
The certificate is issued to Oetinger,Nancy
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 41030 07-27-2017
PLUMBERS CERTIFICATION DATED 06-28-2017 C'ec rge Berry Jr
f/ori•.h lSignature
v
TOWN OF SOU".11HOLD PROPERTY REeORD CARD
OWNER SIRE E7
VILLAGE DIST
SUB, LOT
0 R M E R 0 v; ER
EI ACR.
Xj- Sw TYPE OF BUILDING
5
SEAS VL. FARM comm. CB. MICS. Mkt. Value
LAND IMP TOTAL DATE RE 0<q
7- I—
i
A i
Z'
7v)
AGE BUILDING CONDITION
!-Lry A
4'
Z
NEW NGRkvAAL BELOW ABOVE
Acre Volue Per Vclue
Ac re
Tillable
FRONTAGE ON WATER
Woodland
FRONTAGE ON ROAD
X,
Meadowland
DEPTH
S-
House Plot
BULKHEAD
Toto I
DOCK
z
g
r<
COLOR
V,
TRIM
=m
�k
4 I
I
F.7
i
I �
i
.. E -
F
Nib
BOOM
�" z
— f
i
< I
L i
37. 1-6 3/2014 j
�I 3
M, Bldg
s_ -
i
I ' I
-
Extension — — --
Extension
I -
Extension
F
oundation Bath
A
�S '" = ,
_
P c , BasementFIoors K.
or,
- ,'Interior Finish
;Ext. Walls V
o '
Breezeway Fire Place l ; Heat DR
; yotf Roof Rooms lst Floor �� ER
u F _
Potio Recreation Room: Rooms 2nd Floor ,
Q. B. Dormer. Driveway
Total
COLOR �2P_��
1
,z f
i
-T OrI
� t'
L TI
37.-1-6 09/05/.2017
i � F
I I
S.Q. FT. Fin"B" l st fl `r 2nd fl TOTAL
M Bldg `
Foundation PC Bath Dinette 3
OAM JdtC rr�n 1
3 ru�L COMP-3
Extension = BasementFloors Kit- �Vt
•� r
Extension , Finished B. Interior Finish �'R.
FP/WBS Heat D.R
Extension �
Garage Ext. Walls BR
Porch Dormer Baths
i
4 Roof
P
Fam. Rm
Pool Solar Foyer
A.C./GEN 2 ���= �-�-_ ` — _ Laundry
/ Library/
OB- d E�T Study
Dock
D o E