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HomeMy WebLinkAbout1000-87.-1-6.3 TOWN OF SOUTHOLD co Rental Permit 2 ' ®4INX� Permit No. 0058 6jp1 � �a Owner Emry Realty LLC Occupied as Single Family Dwelling Located at 4405 S Harbor Rd Southold 87.-1-6.3 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. 5/16/2019 John Jarski Date of Issue Code Enforcement Officer This Notice must be posted by the main entrance at all times Pat'd POC 9 KGs fzw -so Town Hall Annex Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1179 Southold,NY 11971-0959 �� ® �,r O � BUILDING DEPARTMENT APR 1 9 2019 TOWN OF SOUTHO11,D RENTAL PERMIT APPLICATION TOWN OF SOUTH3b Rental Permit Fee$200(Application must be renewed every two years) Section A. Property Information: Rental Property Address: YL[05- 5- -fkv*" 2 OA49 ) Sc�uj)+o(-N Tax Map Number: 1000 SECTION,-Ag 1--=-- -BLOCK, -LO SECTION B. OWNER INFORMATION: Property Owner Name:—F—M Put/ /Le�i' Property Owner Legal Address: Property Owner Mailing Address: Z,' f?5c> )c I C,- -7 .69S --nZ - L& -a V- 2.61 Telephone Number(s): Daytime Evening_ Emergency Property Owner Email Address: Pagel of Town Hall Annex Telephone(631)765-1802 ,54375 Main Road Fax(631)765-9502 P.O.Box 1179 + �' Southold,NY 11971-0959 191`k BUILDING DEPARTMENT TOWN OF SOUTHOLD Section C. Authorized Agent Information: 1 Name of Authorized Agent of dwelling unit, if any: rJ Address of Authorized Agent (no P.O. Boxes):'; S -,� "�l,Z Tap,i L Mailing Address of Authorized Agent: L Pcytx L � Uq 4 '�R Telephone Number(s): Daytime-7 lgvening Emergency_ Email Address: tvt IDLOAI-4 C" 0 041100 k nle� Section D. Managing Agent Information: Name of Authorized Agent of dwelling unit, if any: Address of Authorized Agent(no P.O. Boxes),.- Mailing oxes):Mailing Address of Authorized Agent:: Telephone Number(s): Daytime. _Evening Emergency. 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 P� Town Hall Annex Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1179 Southold,NY 11971-09591110 BUILDING DEPARTMENT TOWN OF SOUTHOLD Mailing Address of Managing Agent: Telephone Number(s): Daytime- - Evening Emergency Email Address: 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, 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 occupy Dwelling Un' Number of rooms in Rental Dwelling Unit: -0 --Use and Dimensions of each room in Rental Dwelling Unit:. -- � Page 3 of 5 Town Hall Annex Telephone(631)765-1802 54375 Main RoadFax(631)765-9502 C012 -,Nc P.O.Box 1179 •. : Southold,NY 11971-0959 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: Property Owner's Signature: rw Sworn to,before me this6ay of f1 ,,20 Official Notary Public Signature and Original Notary Stamp `E CONNIE D.,BUNCH Notary Public,State of New Bork No.01 BU6185050 Qualified in Suffolk County Commission Expires April 14,2 � Page 5 of 5 .4 4! Town Hall Annex Telephone(631)765-1802 54375 Main Road Fax(631)76.5-9502 P.O.Box 1179 Southold,NY 11971-0959 a UNly; 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. 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) ;1 c� Arma. I V1 0 VJ 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 }M, o�� S• �,ori �av�o l� �3�• — l - (o•3 so(/TyO # # TOWN OF SOUTHOLD BUILDING DEPT. courm,��'' 765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING /STRAPPING [ ] NAL [ ] FIREPLACE & CHIMNEY [ FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION. [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) [ ] CODE VIOLATION [ ] CAULKING REMARKS: Oft S) ftvtr-,d p/1Mn iT IJOKI Z,/ (l&,s:D?I DATE INSPECTOR I 1 Q (n� V1 II ( ) rlr >= `. l_L_ II cl II - I vv it EXISTING QUEEN MASTER BED N BEDROOM BEDROOM 60"X80" N '04 I IUN 3'-2,. I I — EXISTING CHIMNEY I DN Charles M. Thomas I °s I � I �°E UN a r c h i t e c t ( I EXISTING CLOS MASTER BEDROOM " LO BATH PO BOX 877 JAMESPORT, NY 11947 (631) 727-7993 n ,7 ., 6 y WALK IN I 11'-0" N 1 CLOSET 2 Z PROJECT Cn i 7,-7^ _ LL C� _ ______________________ x LINE I 7-6" CLG HT UNE-0 F 7-6" CLC HT DATE: 113118 PROJECT No. DRAWING BY. C.M.T. CHK BY. DWG No. ❑A - oo� - o0 P S E C O N D F L 0 0 R PLA N 1 OF 2 2 SCALE: 1/4" = 1'-0" THESE DRAWINGS AND ACCOMPANYING SPECIFICATIONS, AS INSTRUMENTS OF SERVICE, ARE THE EXCLUSIVE PROPERTY OF THE ARCHITECT AND THEIR USE AND PUBLICATION SHALL BE RESTRICTED TO THE ORIGINAL SITE FOR WHICH THEY WERE PREPARED. REUSE, REPRODUCTION OR PUBLICATION BY ANY METHOD, IN WHOLE OR IN PART, IS PROHIBITED EXCEPT BY WRITTEN PERMISSION FROM THE ARCHITECT. TITLE TO THESE PLANS SHALL REMAIN WITH THE ARCHITECT.VISUAL CONTACT WITH THEM SHALL CONSTITUTE PRIMA FACIE EVIDENCE OF ACCEPTANCE OF THESE RESTRICTIONS. APV"'- ARCH ITECT REVISIONS DESCRIP T ION 4'-31.. 4'-3 " 6" 2 6" 4"X4" A'Q POSTS ON 12"X12"X',2" DP POURED CONC FOOTING - - - - - - - - N (Mir'! 316" BG) T'tP (OF 3 - - - - - - N I - - - Te-�- - - - J L J LINE OF PROPOSED DECK ABOVE L)o (2) 2"X8" ACQ GIRDER O N® I 2"X8" ACO LEDGER BOARD LAG BOLT LEDGER BOARD TO BOX BEAM ® 12" OC TOP AND BOTTOM EXISTING FOUNDATION WALLS TO REMAIN P D E C K F O U N D A T I O N P L A N 2 TREADS ® 14" 2 SCALE: 1/4" = V-0" REMOVE EXISTING MASONRY / 3 RISERS ® 7.5" 23'-11" LANDING AND STEPS 9'-7- TO GRADE N AREA OF WORK w / REMOVE EXISTING DOOR � PROPOSED WOOD FRAME I W LANDING WITH STEPS TO /\ O\ \ GRADE " r/ DECK FINISH AS SELECTED do PER OWNER \ FWG 6068 I O r ,� 10 A CAI� EXISTING KITCHEN EXISTING w BEDROOM i EXISTING I \� } ' F N GREAT I ` ROOM i- - - - - O RJF O L � °- I Z 0 16'-6" Fo II X X 1 lkCL EXISTING PD D Z DINING as NW � EXISTING ZR LIVING X W 12'-8" Charles M . Thomas a r c h i t e c t ----- PO BOX 877 JAMESPORT, NY 11947 (631) 727-7993 PROJECT EXISTING P F I R S T F L 0 0 R P L A N SCALE: 1/4" = V-0" DATE: 11/3/18 PROJECT No. DRAWING BY. C.M.T. CHK BY. DWG No. [N-FO-6-11-0 1 OF 1 THESE DRAWINGS AND ACCOMPANYING SPECIFICATIONS, AS INSTRUMENTS OF SERVICE, ARE THE EXCLUSIVE PROPERTY OF THE ARCHITECT AND THEIR USE AND PUBLICATION SHALL BE RESTRICTED TO THE ORIGINAL SITE FOR WHICH THEY WERE PREPARED. REUSE, REPRODUCTION OR PUBLICATION BY ANY METHOD, IN WHOILE OR IN PART, IS PROHIBITED EXCEPT BY WRITTEN PERMISSION FROM THE ARCHITECT. TITLE TO THESE PLANS SHALL REMAIN WITH THE ARCHITECT.VISUAL CONTACT WITH THEM SHALL CONSTITUTE PRIMA FACIE EVIDENCE OF ACCEPTANCE OF THESE RESTRICTIONS. FORK N& Q TOWN OF SOit TROLD BURDnvG DEPART = Town Clerk's Office Southold, N Y. Certificate Of Occupancy No.?. no.. ... Date . .. . . ... . ., 19.69. THIS CERTIEF= that the building located at ....%4.South Harbov -Roa f treet Map No. .=... .. ... Block No. .= . .. .. .Lot M -X&....S 34-N bT*.. . .. ... conforms substantially to the Application for Building PezYnit heretofore failed in this office dated . . ... .. . .. .92... ., 196R. pursuant to which Bu ding Permit No. . AM-Z dated . .. ...... ..DoA . . .1l2.., 19. 0, was issued, and conforms to 4 of the require- ments of the applicable provisions of the law.The occupancy for which this certificate is issued is . . ...... .... ....... . .. ....... . .. . . . The certificate is issued to NOMPM.P8064... .OMV. .. ., .. (ower, lessee or tenant) of the aforesaid building Suffolk County Department of Health Approval � .:$�..:i �.. .�•�. �� . . Building or House 44115 Town of Southold 3/25/2019 P.O.Box 1179 b 53095 Main Rd Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 40279 Date: 3/25/2019 THIS CERTIFIES that the building ALTERATION Location of Property: 4405 S Harbor Rd., Southold SCTM#: 473889 Sec/Block/Lot: 87.4-6.3 Subdivision: Fled Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 2/21/2018 pursuant to which Building Permit No. 42410 dated 2/23/2018 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: WINDOWS, DOORS AND CENTRAL AIR CONDITIONING TO AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR The certificate is issued to Emry Realty LLC of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 42410 03-22-2019 PLUMBERS CERTIFICATION DATED r 0oi aturc TOWN OF SOUTHOLD PROPERTY RECORD CAS — OWNER n �}_u STREETL�i jJ VILLAGE DIST. SUB. LOT FORR OWNEB. N E ~' ACR. 1+v1s , L rpecz ry bdd , S��f� W TYPE OF BUILDING /l /41 ©17 y IQ'- d "" f� >>-_C� �.. ��ti"6/(R�`f t�`e_{••� 't_. �G`�d �V RES // SEAS. VL. a FARM COMM. CB. MICS. Mkt. Value LAND IMP. TOTAL DATE REMARKS `r .� r d•G 4 - , -�`� {- G v 3 / ' ;� 16, l� l /'"a" o-%j1A%, `Y.y_�_ off- >� n��� i�llt"rph > r��� �,A •'' ��c / 0 4 3 4 �� G/56 p_�a ,��.� bo�1 -T 13 L. D / C? /00 6 9 d ✓ �` ��b `�% yr/s�S'�riY- S' -r T: Zm,.clJr-`7 e+ . ,z.15�5z,-'!f; D O 65 57- c7 7 U a 3/7 f 1�- 7 9 q:@ apJ oo.��:- -d'Z 9.3' 9'Z. TJ. 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