HomeMy WebLinkAbout1000-52.-2-33.1 42
TOWN OF SOUTHOLD
Rental Permit
14
0056
Owner Patricia Walker & John Herkert Liv. Trt.
Occupied as Single Family Dwelling
Located at 1020 Ruch Lane Greenport 52.-2-33.1
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.
5/22/2023
Code Erkorcer6bt Official
This Notice must be posted by the main entrance at all times
if Sol
TOWN OF SOUTHOLD BUILDING DEPT.
1631-765-1802
� 0
INSPECTION
] FOUNDATION 1STROUGH PL13G.
[ FOUNDATION 2ND INSULATION/CAULKING
FRAMING /STRAPPING FINAL
[ FIREPLACE & CHIMNEY ] FIRE SAFETY INSPECTION
[ FIRE RESISTANTI ] FIRE RESISTANTPENETRATION
ELECTRICAL (ROUGH) [ ] ELECTRICAL ( I
VIOLATIONCODE [ ] PRE C/OREMARKS: [
574,
�� .
� Town Hall Annex
OUTHOLD TOWN54375 Main Road
PO Box 1179 Southold,
RenLal In� NY 11971-1179
Tel 631-765-1802
r� Fax 631 765-9502
. ..._ .�w� �_. tte
Owner Phone
Address
Zip
City Inspector
LEVELS_ _ _. ._..w_._ ,.. SUB ?._. __.3—
...
Smoke Detectors (# bedroom detectors excluded) ... - �
M
Carbon onoxide rs
Detecto
_..
Exits #) _.. hers (#) ....w .__. __... ........Fe ._._... .w,....
Fire Extinguis .,�..�
B E D R O O M S _ w _ _ _.,._.... 2 ._ S ._w
.., 4
...........
.......
00m
Smoke Detector Alarms #) - "w
Carbon Monoxide Alarms (#)
Egress (windows) (Y/N)
BUILDING SYSTEMS Y/N CONDITION OF P PROPERTY
ned .Y/N
Building Interior is clean
maintained—
Heat s stem maintained/r.' rstional
Building Exterior is clean /maintained
ai
Hot water srastem mntained/r etabonal _. _w.__._,� _. .. -,•
Handrails & lean / safe / maintained
_Electrical sy;,t cr maintained/otrattonal._ Property is clean
guards present
Mechanical system maintained/operational
COMMr-
rNTS ......................._.,,...,,,.,.�_ ,.......,.... ..�.. .... ....,W..........._._,.,,.,.......-,._
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Rental Inspection Form 4/7/2021
TOWN OF SOUTHOLD
Rental Permit
� Permit No. 0051
Owner Peconic Sound Ave LLC
Occupied as Single Family Dwelling
Located at 280 Sound Avenue Peconic 67-1-7
Village
Maximum Permitted Occupancy 8
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.
6/3/2021A�L' -
-
Code Enfor int Official
This Notice must be posted by the main entrance at all times
y Town Hall Annex
SOUTHOL'D TOWN 54375 Main Road
Rental Inspection PO Box 1179 Southold,
NY 11971-1179
Tel: 631-765-1802
Fax 631-765-9502
SCTM # 10 — —� Date 2.7
Owner Phone l
cin• St�vn,� U Cl ( �� 3�D
Address ,; D S0vIL ✓G . Zip
t
Hamlet In
Address visible from street? Will
LEVELS SUB 21 3
Smoke Detectors (#- bedroom detectors excluded) LIX
Carbon Monoxide Detectors (#)
Fire Extinguishers (#)
Exits (#)
BEDROOMS 1 3 4 5
Smoke Detector Alarms (#)
Carbon Monoxide Alarms (#)
Egress (windows) (YIN)
BUILDING SYSTEMS )q
/N CONDITION OF PROPERTY N
Heating system maintained/operational Building Interior is clean / maintained
Hot water system maintained/operational Building Exterior is clean /maintained
Electrical system maintained/operational Property is clean/safe/maintained
Mechanical system maintained/operational Handrails & guards present
POOLS Y POOL BARRIERS Ykq
Pool present Pool is completely enclosed
Pool surface alarm and/or door alarm Barrier is a min. 48" high
resent
POOL GATES Y6All openings in barrier less than 4"
Self-closing, self-latching Max. 2" clearance @ bottom of barrier
Latch on pool side of gate, meets height Barrier capable of being locked & child-
requirements VIA proof when unattended
EM Will
COMMENTS.
a Ce t
Bunch, Connie
From: Michael Hirschhorn <mjh257@gmail.com>
Sent: Wednesday, April 14, 2021 1:05 PM
To: Verity, Mike
Cc: Bunch, Connie
Subject: Re: Rental Permit 0051 due for renewal
LLC
Dear Mr. Verity and Ms. Bunch:
I would like to renew this permit. I am requesting a Town inspection.
I certify that the property information in my current permit has not changed. Is there anything further I need to
do in this regard?
Please advise to whom I need to make out the check for $200 for renewal payment?
Please contact me to coordinate the timing of an inspection visit.
Thank you--
Michael Hirschhorn
917-744-2990
On Tue, Apr 13, 2021 at 1:00 AM = aike.iaerit )town.soLit iLQd . > wrote:
To whom it may concern:
The following Town of Southold Rental Permit is due to expire soon:
Last Name: Peconic Sound Ave LLC
Tax Map Number: 1000-67.-1-7
Permit Number: 0051
Expiration Date: 5/13/2021
email address on file: ,nii h257(d) gni iI corn
A copy of the current permit is attached to this email for your reference.
If you wish to renew this permit you must submit the following:
1. updated Certification of Code Compliance form (attached to this email) or request for a Town inspection
(respond to this message)
2. certification that the property information in the current permit has not changed or updated property
information if it has
3. renewal payment of$200.
If you do not wish to renew this permit please respond to this email stating this and we will consider the permit
1
_gPat
t TOWN OF SO THOL
� y
Rental Permit
Permit No. 0056
Owner Patricia Walker & or
Occupied as Single Family Dwelling
Located at 1020 Ruch Lane Greenport 52-2-33.1
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.
5/16/2019 John Jarski
Date of Issue Code Enforcement Officer
This Notice must be posted by the main entrance at all times
30
Town Hall Annex � Telephone(631)765-1802
54375 Main Road Fax(631)765-9502
P.O.Box 1179
Southold,NY 11971-0959
�" BUILDING DEPARTMENT
TOWN OF SOUTHOLD
RENTAL PERMIT APPLICATION
,Rentala Permit Fee$200(Application must be renewed every two years)
Section A.
Property Information:
Rental Property Address: ]
I o:' 0 l = � to
Tax Map Number: 1000 SECTION �;7a -BWK -LOT, � .
SECTION B.
OWNER INFORMATION:
Property Owner Name: "+ w
Property Owner Legal Address: Property Owner Mailing Address:
16 L4*-TF_
( � �40
Telephone Number(s): Daytime9141T0i $veninElr en y—�I 1 -C — f 17
Property Owner Email Address: — " O
Page 1 of 5
Town Hall Annex Telephone(631)765-1802
54375 Main Road Fax(631)765-9502
P.O.Box 1 179
Southold,NY 11971-0959
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
Section C.
Authorized Agent Information:
Name of Authorized Agent of dwelling unit, if any: 'l k. -
Address of Authorized Agent (no P.O. Boxes): 05-0Z> vtoa �q �lep1
Mailing Address of Authorized Agent:
1
Telephone Numbers : Daytimek5( �.� ening t �S
Emergence_
Email Address: � � � eaNv
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): Daytime. Evening Emergency
v
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):
Page 2 of 5
f so
Town Hall Annex Telephone(631)765-1802
54375 Main Road Fax(631)765-9502
P.O.Box 1 179
Southold,NY 11971-0959
Ow
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
Mailing Address of Managing Agent: �&3ob CogL-1
15�
Telephone Number(s): Daytime C-51 ( vening "" V 765 Emergency C� c
Email Address: - _ Can( `7
SECTION F.
PROPERTY DESCRIPTION:
Number of Rental Dwelling Units on propertyi;. CDJ
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."
Rental Dwelling Unit Identifier.
Requested Maximum number of persons allowed to &kupy Dwelling Unit:
Number of rooms in Rental Dwelling Unit: 7 ca)o P=t2
Use and DimensI ns of each room in Rental Dwelling Unit: yp - c-)o r
Page 3 of 5
f
n
so
Town Hall Annex Telephone(631)765-1802
54375 Main Road Fax(631)765-9502
Y.O.Box 1 179
Southold,NY 11971-0959
co
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
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 licensed architect, a 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 laws adopted by the New York State Fire Prevention and Building Code Council.
>0 I am requesting a fire safety inspection to be performed by a Code Enforcement Official
from the Town of Southold
❑ 1 am submitting a completed Town of Southold certification form from a licensed
architect or a licensed professional engineer. ,
SECTION H.
DECLARATION: Signature must be notarized and MUST be the owner of the dwelling unit.
STATE OF NEW YORK)
)
COUNTY OF SUFFOLK)
I r\eta 01— W"A V--� 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" of this application is my legal
address and I understand the Town will use the address for service pursuant to all
Page 4 of 5
;I
Town Hall Annex Telephone(631)765-1802
54375 Main Road Fax(631)765-9502
P.O.Box 1179
Southold,NY 11971-0959 ,r
t,
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
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 as to any change to the information
regarding Authorized Agent, Managing Agent, or Site Manager.
Property Owner's Name: CA
Property Owner's Signature:
q
Sworn to before me this�3 day of 20 1
�J
Official Notary Public Signature and Original Notary Stamp
DENISE A. NAVARRA
NOTARY PUBLIC-STATE OF NEW YORK
No. 01 NA6191295
Qualified in Suffolk County
My Commisslon Expires2
Page 5 of 5
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0 COPYRIGHT 2012 FRANK W.DEL1ENOl lt,RA
ALL FLOOR PIANS AFD ELEVATIONS ARE PROTECTED LATER FEDERAL COPtRIGHE LAW.ALL PUNS AND DESIGNS MJRVTf,10.FWMK W.U gNDNIL RA THE RICHI TO BUD)ONLY ONE STRUCTURE FROM THESE PUNS IS LICENCED EXCLI SIl TO THE BUYER.
WALKER
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rrl rsaBTr NWkaIT,'1"'PERMIrAFPLrcATION FTS I—'
TOWN OF SOUTHOLD
OFFICE OF BUILDING INSPECTOR
TOWN ITALL
SOUTHOLD, NEW YORK
CERTIFICATE OF OCCUPANCY
NONCONFORIIING PREMISES
THIS IS TO CERTIFY that the
Land Pre C.O. #- Z15471
ix/ Building(s) Date- December $ 1986
/ / Use(s)
located at 1020 Ruch Lane Southold
Street -
Hamlet
shown on County tax map as District 1000, Section 052 Block 02
Lot 33 , does!notNeonform to the present Building Zone Code of the
Town of Southold for the following reasons:
Insufficient total area; accessory garage in side-yard.
On the basis of information presented to the Building Inspector's Office,
it has been determined that the above nonconforming fX/Land IS�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.
IT IS FURTHER CERTIFIED that, based upon information presented to
the Building Inspector's Office, the occupancy and use for which this Certifi-
cate _ _ family,
cate is issued is as follows: Property contains a one story, one
wood framed dwelling. with nr ogpd an ancessory garage with attached
carport; and situated in A-Residential Agricultural zone, with access to
Ruch Lane; a private road.
The Certificate is issued to JUDITH PITMAN
(owner,
of the aforesaid building..
Suffolk County Department of Health Approval N/A
UNDERWRITERS CERTIFICATE NO.
NOTICE IS HEREBY GIVEN that the owner of the above premises I-LAS
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.
m�,ui"t9i.s;� ':�spector
FORM NO.4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
Certificate Of Occupancy
No. . . . Z- 15726 . , . . . Date . . .Ma.y. .5 ' . ,1987r . . . . . . . . . . . . . . .
THIS CERTIFIES that the building ,Convert to year round one family dwelling
Location of Property1020 Ruch Lane Southold , New York
House Nor. S[reer Hamlet
County Tax Map No. 1000 Section 5 2. . . . . .Block . . 0.2 . . . . . . . . . .Lot . . . . .33. . .
Subdivision . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .FiledMapNo. . . . . . . . .Lot No. . . . , , , . . . . , , .
conforms substantially to the Application for Building Permit heretofore filed in this office dated
February 23 , 1 9 8 7pursuant to which Building Permit No. 5 7n 1^8 Z
February 28 , 1987
dated . . . . . . . . . . . . . . . . . . . . . . . . . . . . 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 . . . . . . . . .
CONVERT TO YEAR ROUND ONE FAMILY DWELLING AS APPLIED FOR
The certificate is issued to . . . . . . . . , ED BOUTI S
(owner,
of the aforesaid building.
Suffolk County Department of Health Approval , . . . , , , N/^A , . , , . ,
UNDERWRITERS CERTIFICATE NO. . . . . . . . . . . . . . . N 8 0 6 9 1 7
N/A
PLUMBERS CERTIFICATION DATED:
Building Inspector
Rev. 1/81
„d fFat � � Town of Southold Annex 1/29/2014
P.O.Box 1179
54375 Main Road
Southold, New York 11971
CERT": FICA` E OF OCCUPANCY
No: 36745 Date: 1/29/2014
THIS CERTIFIES that the building RESIDENTIAL ADDITION
Location of Property: 1020 Ruch Ln, Greenport,
SCTM #: 473889 See/Block/Lot: 52.-2-33.1
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this officed dated
11/16/2012 pursuant to which Building Permit No. 37661 dated 11/30/2012
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:
alterations and additions including,.decks and xistin r�wge'j r i,,to living sty ce:��1 �Lgrp'e,.as apph ioEper 1'IA
fi6„597, d 4cd 10/18/12,.
The certificate is issued to Patricia Walker&John Herkert
__..._.._ __—_ .w
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 37661 7/9/13
PLUMBERS CERTIFICATION DATED 9/26/13 Octavian Bundra
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