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HomeMy WebLinkAbout1000-70.-6-25 TOWN OF SOUTHOLD Pt } zar Rental Permit Permit No. 0048 Owner Gerard & Bethanne Reiger Occupied as Single Family Dwelling Located at 3693 Pine Neck Ave Southold 70-6-25 Village Maximum Permitted Occupancy 10 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. 5/1/2021 a Code Enfoi` ent Official This Notice must be posted by the main entrance at all times 5 �, o O O c\!i0 0 (D CD CL (D O �t O 0 Cf) CD r•'F IV N v o57, NUJ CD 0 < m W CL CD o o � v_' XCD v�Cj) sv � ' CLCD z Q � F 3 r,' rD 3 CDCS CD O Q CD (D CD CSD CD O sv CD o 3 O N � rD CD rF aO0 O� (fD -+cr N * Q s o -- CL =3CD D Lu Cn n CD Ln. m c f � O M sv O 5 m CD rt Cv CD ¢, CC) =3 m r) �+ CD CD 3 �, sv N -- v�i O_ Sy N~+. CD W On CD c cn CD Q =3 O =3CQ Q s= C) w 3 CD Q Q r+ rn CD n O J Z CD C O N0 5 n. CO p fD m N Cc Vl O � O o nl p s' o n v' U) 00 in0 TOWN OF SOUT OL Rental Permit Nk Permit No. 0048 Owner Gerard & Bethanne Rieger Occupied as Single Family Dwelling Located at 3693 Pine Neck Rd Southold 70-6-25 Address Village s/B/L Maximum Permitted Occupancy 10 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. 5/8/2019 John Jarski Date of Issue Code Enforcement Officer This Notice must be posted by the main entrance at all times Pr 5 Town Hall ATM= iN Tdephow(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Banc 1179 3oadvAd.NY 119714959 nDD BUIIAM DBPARTN90N - TOWN OF SOUTHOLD Il I 2C RENTAL PERMIT APPLICATION .. Rental Permit Fee$200(Application must be renewed every two years) Section A. Property Information: Rental Property Address: 6g3 -Pane- declL R S®w44,,s,14 IIq`7I Tax Map Number:1000 SECTION -70 RI.00I 6 LOT—R16— SECTION B .OTa-SSE 1 . OWNER INFORMATION: Property Owner Name: 13 e Lki e e f b ;e , Property Owner legal Address: Property Owner Mailing Address: (Cannot be the same as Rental Property dress) 94 6`en(Lwn Ave. Saint lea l� Telephone Number(s): s a.- y 6®4 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 P.O. Boxes)- Mailing Address of Authorized Agent: Telephone Number(s): Email Address: Section D. Managing Agent Information: Name of Authorized Agent of dwelling unit,if any: Address of Authorized Agent(no P.O. Boxes):—Lv?.00 MALft--A&---AA 4+A I—+L"-IL Mailing Address of Authorized Agent: ?-v -it 0 9 1 Y I IP AAa 44 1 Telephone Number(s):W b a I -;4 1-to 114 T c: J,31 -9'77-2-97/ Email Address, V-- SECrION E. SITE MANAGER INFORMATION:(required for rental properties containing a or more rental units) Name of Managing Agent of dwelling unit,if any:,------- Address of it 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: For each Rental Dwelling Unit set forth the Rental Dwelling Unit Identifier(for example, Unit 1, Unit 2,Unit 3 or Apt A, B,Q;the use of each room in the Rental Dwelling Unit (for example, Kitchen, Bedroom 1, Bedroom 2,Uving Room)and the dimensions of each room. For properties with multiple Rental Dwelling Units use ORental Permit Application Addendum." j9me tJeeY- Izak ) SOP Rental Dwelling Unit Identifier: 0 Requested maximum number of persons allowed to occupibwelling Unit: Number of rooms in Rental Dwelling Unit: 40 ............... Use and Dimensions of each room In Rental Dwelling Unit: See- A n.S 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,icertificati,on from a NYS licensed architect,a NYS licensed professional angineer 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. 5r/I am requesting a fire safety inspection to be performed by a Code Enforcement official from the Town of Southold. Page 3 of 4 El 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 dweHing unk. STATE OF NEW YORK) COUNTY OF SUFFOLK) 1q d r certify under penalty of perjuM the following: I am the owner of the property identified iis application. ® The property owner's legal address set forth in"Section r of this application Is my legal address and I understand the Town will use the address for service pursuant to all applI cable 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. ® 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. - ex, Property Owner's Name: Property Owner's Signature-3_ Sworn to b ,erre me this�da Df_keCL\__,2Q J,1 r ...... 1 3 Sft318887 Official Notary Public igi1 Signature and Ornal Notary Stamp 0JAUN F-D�N C)AAM �UNTY xP, Page 4 of 4 ustic ," R 0 IS\ CONSENT TO INSPECTION t s "- undersigned, s) state: O That the (' h p in the Tggwn of 3 The- N� v'Ldc Southold,located undersigned�(is)(are)theITovvn�.s of the re�rr�ses.� .......� c is shown and designatedon the Suffolk County Tax Map as District , Section ,Block 6 Lot. _ 0-5- That the undersigaed(has) _____ ....... e r cause to be sled,an application in the Southold Town Building is Office for the following: 'r4tn* r, r` undersignedThat the e Building Inspectors of the Town of Southold to ter upon the above described property,including any and all buildings located thereon,to conduct such pections as they may deem necessary with respect:to the aforesaid application,inclu iospectioms to determine that said premise comply with.all of the laws, ordinances,roles and regulations of the Town of Southold. The undersigned,in consenting to such inspections, knowledge and understanding that any information inspections may subsequentbe used in prosecutions for violations of the laws,ordinances,rules or regulations of the Town of Southold. Dated: lir' t ne) ign re) 1 (Print Name) TOWN OF SOUTH01 D BUILDING DEPT. "'z 765-1802 a rxr INSPECTION FOUNDATION I �„ „� 1:10UGH IIr� II III„ I I� 2ND �„ 11111 , VIII IIS 1 `1114: 11E IIL...... 111M 111 �'„ ,,,,,III II IIS4 IIrI 1114 1::1RE RESP I"ANT IIIA 1"Ruc nllI:1111:1311S r II °'r PENE°'rli "rI EL 1, I Jll (11 ,,, II IIC II 1! IlElllll; .I (IIr ' III 1111 1 All°101114 VIII,,,,,KING REMARKSI-1111 _� I ^m,w �q a� H I 4 ak^^•.�.�.�•..:, �Z m � . � pp 6 Q V nj r ,y � Y 'gill 8 q B g d � s A � e. I 1 ��,. ysit i "014 F " F Z AIR1 12 Igo 5 2 pop dam° (\OJO n2d. ami'arra so 1 f 6� .a film b 0 JN I " �V fw V � T t4 � "-- .— a �5r dn h �''� h �4 � 1 "� ��.1P -�" I III°� F�-�,. ��r5"%�? u� •J /fy M 'Li E ' TM a S .` ",�. �.. s.0 ">✓-. _"�.I l Iq I� cH f i LE IF yy � V", �7u� II r,, �t - z' 25 r a3zW z6n Jnr � 7Ce 5 Q ��, Lt-J4 y� x n M i ' U r s az k ..�.„ .... v u: ^ I tl 4 . M u 15 IL �.. a. ~ m, r r � N E-5 M1,11z"ll k ._ z . +N 4G .d;� '�-9iiW. •� .-'171 yIZp� S I ti. N p- O w- . r Hill ip YAM� :O 'Dip _ .�4�� .�,�.�, M�� M'+ I I� � ..F. �9M d 1111 �ftiHt r4961"o °a \ CD y In S \ w„ \ \ w x n x C) 2 p zo = D A ;2 m 1 m S m m O g z 0 z rA t7 to- u a' m o a $x D Z ;D 0 0 0 0 ms® oz— ;u cs=� Smn a ate c>o _ n a D r x ca x � r ro u z �o A D O C O m r C Z m O D Z X r n O O y O C $ rA o � r �� 4 z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. PRE EXISTING CERTIFICATE OF OCCUPANCY No Z-22243 Date APRIL 6, 1993 THIS CERTIFIES that the building ONE FAMILY DWELLING Location of Property 3693 PINE NECK ROAD SOUTHOLD N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 70 Bloc} b Lot 25 Subdivision Filed Map No._ Lot No. conforms substantially to the Requirements for a One Family Dwelling built Prior to: APRIL 9 1957 pursuant to which CERTIFICATE OF OCCUPANCY NUMBER Z-22243 dated APRIL 6 1993 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 ONE FAMILY DWELLING * The certificate is issued to RUDOLPH H. & VIRGINIA BRUER (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL NZA UNDERWRITERS CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED ff A *PLEASE SEE ATTACHED INSPECTION REPORT. Building Inspector Rev. 1/81 BUILDING DEPARTMENT TOWN OF SOUTHOLD HOUSING CODE INSPECTION REPORT LOCATION: 3693 PINE NECK ROAD SOUTHOLD, N.Y.. number .. .. �._... street ( strmunicipality SUBDIVISION MAP NO. LOT (s) NAME OF OWNER (s) RUDOLPH &V mm VIRGINIA BRUER OCCUPANCY �A-1 ...... ......�.�._..�.... ........................ RES. OWNER pe �.__.. - ,�.w........_ (owner t......- enant) ADMITTED BY: VIRGINIA BRUER ACCOMPANIED BY: SAME KEY AVAILABLE mm SUFF. CO. TAX MAP NO. 1000-70-6-25 SOURCE OF REQUEST RUDOLPH H. BRUER DATE: APRIL 1, 1993 DWELLING: TYPE OF CONSTRUCTION WOOD FRAME # STORIES ONE EXITS- ONE FOUNDATION CEMENT BLOCK CELLAR FULL CRAWL SPACE TOTAL ROOMS: IST FLB. 5 2ND FLR. 3RD FLR. BATHROOM (s) 2 FULL BATHS TOILET ROOM (s) UTILITY ROOM PORCH TYPE DECK, TYPE PATIO, TYPE REMOVED BREEZEWAY FIREPLACE ONE GARAGE RENOVATED DOMESTIC HOTWATER xx TYPE HEATER OIL AIRCONDITIONING TYPE HEAT OIL WARM AIR HOTWATER OTHER: _., _.. . .... ACCESSORY STRUCTURES: GARAGE, TYPE OF CONST. STORAGE, TYPE CONST. SWIMMING POOL GUEST, TYPE CONST. ............... OTHER: STEPS TO THE CREEK VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE LOCATION DESCRIPTION .,...... . ART. - SEC _. �....,........................... . REMARKS: BP 0115062-CO Z-11062 (ADD) BP #11604Z-CO Z-11662 (POOL) INSPECTED BY: .. DATE ON INSPECTION APRIL 5, 1993 GARY- I. FISH TIME START 9.25 END 9.40 FORM No.4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy No. .�- b. . ° , , Date May. . . . . .�. . , . . . . . ., 19 8, Accessary THIS CERTIFIES that the building . . . . . . . . . . ° . . . . • 3695 Pine Neck Road Southold Location of Property House IVo. . . . . . . . ° . . ° . . . . . . Street " . . . . . . . 0,70 0625. 1111 . — . County Tax Map No. 1000 Section . , . . Block . . , Lot . . . 0 Subdivision . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . .Filed Map No. . . . . . . .Lot No. . . , . . . . conforms substantially to the Application for Building Permit heretofore filed in this office dated March 29 , 1982, pursuant to which Building Permit No. . 1.1.6047 . • . • . . • • . • . . dated ,March 3'I „ . 1982. ,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 . . . . . . . .For an inground Pool. . . . . . . . . . . . . . . . The certificate is issued to .Rudolph & Ann Brei . . , , , . , , „ . . . „ . . . . . . . . . . . . . towner,lessee ortenant) ) ' of the aforesaid building. Suffolk County Department of Health Approval . . .NIA . . . . . « . • . • . . . . . , • . UNDERWRITERS CERTIFICATE NO. . . N56�q7 . . . . . . . . . . . . . . . . • ° • • • " ° ° ' ° (� Building Inspector Rev. 1/91 a r i FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-11062 Date: 07/02/82 ITH DECKS THIS CERTIFIES that the building ADDITION W_........m Location of Property: 3695 ROW PINE NECK RD SOUTHOLD (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 70 Block 6 Lot 25 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated NOVEMBER 23, 1981 pursuant to which Building Permit No_ 11506-Z dated DECEMBER 10m, 1981 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 AN ADDITION TO AN EXISTING ONE-FAMILY DWELLING, INCLUDING DECKS AND STAIRS. 4/14/11, UPDATED TO INCLUDE DECKS AND STAIRS. (AKA 3693 ROW PINE NECK ROAD) The certificate is issued to ANN B BRUER (OWNER) of the aforesaid building„ SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO_ N 561214 05/13/82 PLUMBRRS`"" CERTIFICATION DATED N/A t o r i z _ .S i a.t.. .. ure Rev. 1/81 TOWN OF SOUTHOLD PAOPERTY RECORE 10/3��� V OWNER ISTREET VILLAGE�LAAG E�� DISTRICT SUB, LOT E A FORMER OWNER N CREAGE 4-1 7- . W r TYPE OF BUILDING R-& SEAS. COM-M_FARM COM- 1 IND. CB. misc. Est. Mkt. Value LAND IMP, TOTAL DATE REMARKS Wo v i2 L C J BUILDING CONDITION NEW NORMAL BELOW ABOVE FRONTAGE ON WATER Form Acre Value Per Acre Value FRONTAGE ON ROAD Tillable 1 BULKHE)�� F— Tillable 2 DOCK Tillable 3 Woodland Swampland Brushland ti House Plot' Total _ -- _ e s F, AW rdd n_ t e � � _ 1 � y � M. Bldg f a Foundation A T" Bath Extension � 3 � � � Basement _v Floors Extension Ext. Walls Interior Finish t s Extension Fire Place Heat e _ Porch Roof Type WS Porch Rooms 1 st Floor Breezeway Patio Rooms 2nd Floor Garage Driveway Dormer 0. B. a i E