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
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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
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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
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1 �
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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
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