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Home My WebLink About1000-78.-3-9 F TOWN OF SOUTHOLD Rental Permit a � 0059 Owner Gary & Carol Brown Occupied as Single Family Dwelling (Unit A) Located at 3755 S. Harbor Rd. Southold 78.-3-9 Maximum Permitted Occupancy 5 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. 6/29/2023 Code inforcent Offici V This Notice must be posted by the main entrance at all times �- TOWN OF SOUTHOLD to Rental Permit � � 0060 Owner Gary & Carol Brown Occupied as Accessory Cottage (Unit B) Located at 3755 S. Harbor Rd. Southold 78.-3-9 Maximum Permitted Occupancy 2 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. 6/29/2023 ' Code Enforci9ent Official This Notice must be posted by the main entrance at all times so *' TOWN OF' SOUTHOLD BUILDING I 631 -765-1802 7 INSPEC ION [ ] FOUNDATION IST j ] ROUGH PL13G. [ ] FOUNDATION 2ND [ ] INSULATIOWCAt [ ] FRAMING / STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY IN%c [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PE j ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FII [ ] CODE VIOLATION [ ] PRE C/O [ 4,1 kdao-0414� 005 I0. (vra k-Ia[l Annex SOUT ijoi [) -rMAIN 54,375 Main Road P(D Box 1179 South(-)ICJ� Rental l!).§Rection NY 11971--1179 -765 T e 1 63 1 - -1802 '1-765-9502 ax 63 Date Phone Owner --------- 3 f Zip Address city Inspector 4g 2 3 SUB 1 . Tlloke Detectors (# bedroc.�wn d(,�te(,,A0rs ex(1ud(,.,.,d) LEVELS Carbon %N�rmde Detector's (#) .......... ggl RIM mwg 3 4 2 BEDROOMS C'arbun monoxir s;S (W Y/N -IEMS I I TION OF -)ROPERTY E3UI[...DING SYS r i j,10 ciea!i, 7,am�ax)ed hric "rf I d I n fo � Wat,,,( sys:em Property is safe, iC S�StefTl, m,,.",mu'ained lect ( I - Nor dr ails guards presE," ....... –—---------- 01 It 5, Mechanical SyStEfll , , All NA I'd NOW iJ COMWENTS: ........... -,porh0r- WJ, TOWN OF SOUTHOLDeRental Permitel X 0059 Owner Gary & Carol Brown Occupied as Single Family Dwelling Located at 3755 S. Harbor Rd Southold 78-3-9 Maximum Permitted Occupancy 5 -Unit A 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. 6/29/2021 -4 V" do t Official This Notice must be posted by the main entrance at all times (C a TOWN OF SOUT OL e Rental Permit Permit No. 0059 Owner Gary & Carol Brown Occupied as Single Family Dwelling Located at 3755 S Harbor Rd Southold 78-3-9 Address Village 5/B/L Maximum Permitted Occupancy 5 - Unit A 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 ,p; 01 l V- • IY•'V 1�f1 V/ ,�µW Yh1 O�yy�^'' „r *N E� TOWN OF SO ' 'HOLD BUILDING DEPT. 7651802 3 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION/CAULKING [ ] FRAMING /STRAPPING [ FINAL f1 ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT-CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) [ ] CODE VIOLATION [ ] PRE C/O REMARKS: 1 t, i DATE: lw)4 INISPE,CTORX 'S OZ'y Town Hall Annex Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1179 " Southold,NY 11971-0959 cou BUILDING DEPARTMENT TOWN OF SOUTHOLD RENTAL PERMIT'APPLICATION Rental Permit Fee$200 (Application must be renewed every two years) Section A. Property Information: WMk �� Ydu Rental Property Address: 3-T55 So d,, HarLof d . 'mit-4VA 1 Tax Map Number: 1000 SECTION . .-BLOCK t�. LOT SECTION B. OWNER INFORMATION: Property Owner Name: Property Owner Legal Address: Property Owner Mailing Address: (Cannot be the same as Rental Property Address) Telephone Number (s): Property Owner Email Address: ,�DI,� ` pkt )i yle, Aet Page 1 of 4 Town Hall Annex Telephone(631)765-1802 54375 Main Road (631)765-9502 Fax P.O.Box 1179 0 Southold,NY 11971-0959 a ySuN M � BUILDING DEPARTMENT TOWN OF SOUTHOLD RENTAL PERMIT APPLIC ADDENDUM 0 � Rental Dwelling Unit Identi4 'A71 641Cr: '� number bf° erso "flowed to occupy each � Ilin uni v Requested maximum numb p� py g a ^ Number of Rooms in Rental Dwelling Unit: 3 Usqaa d Dimension of each room: ) X 11I Rental Dwelling Unit Identifier: Requested maximum number of persons allowed to occupy each dwelling unit: Number of Rooms in Rental Dwelling Unit: Use and Dimension of each room: Rental Dwelling Unit Identifier: Requested maximum number of persons allowed to occupy each dwelling unit: Number of Rooms in Rental Dwelling Unit: Use and Dimension of each room: ❑ 1 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 dwelling unit. STATE OF NEW YORK) ) COUNTY OF SUFFOLK) I Oaa .._ n _, certify under penalty of perjury, the following: 1. 1 am the owner of the property identified in "Section A" of this application. 2. The propertyowner's legal address set forth in "Section B" of this application is my legal taddress 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: Sworn to before me this rday of Apcl 20L1 / —� 1�) )Jljt� , O'Tficial Ncrtaay Public Signature Yd Original Notary Stamp TRACEY L. DWYER Page 4 of 4 NOTARY PUBLIC,STATE OF NEW YORK NO.01 DW6306900 QUALIFIED IN SUFFOLK COUNTY COMMISSION EXPIRES JUNE 30,2-oZ,?__ TOIINI"N OF 'SOUPTHOLD BUILDING DEFT., 76,5-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION I 2ND ( ] INSULATION [ ] FRAMING JSTRAPPING [ ] NAL , �, 40044 [ ] FIREPLACE & CHIMNEY [ FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL(ROUGH) [ ] ELECTRICAL(FINAL) [ ] CODE VIOLATION [ ] CAULKING REMARKS 0 WW ... v DATE INSPECTOR p� VD 1 M ° ¢9 I .mai m Ken NOT ir NEA I �. loot OTTACKAOLLE PAVAOSCM �I n I r �n 20 . . —g �� Ve FORM NO. 4 a TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Clerk's Office Southold, N. Y. Certificate Of Occupancy 28969 Date March 29 19 78 No. . . . . . . . . . . . . , . . . THIS CERTIFIES that the building located at .3755. .S=th.Uax:bQr. Rcl, . . Street Map No. . . . . . . . . . . . Block No. . . . . . . . . . .Lot No. . . . . . . . . . . . . . . REQUIRII+�IVTS FOR ONE FAMILY DWELLING BUILT�BEFORE conforms substantially to the ^ CERTIFICATE OF OC�UPANCY dated . . .April . . . . 23. . . . . ., 19. 57 pursuant to which No. Z896�. . �p dated . . .March. . . . .29. . . . . . .. 19.7.8., was issued, and conforms to all of the require- ments of the applicable provisions of the law. The occupancy for which this certificate is issued is . . . .PRIVATE. .ONE. FAMILY .DWELLING.WITH. GUEST. .GOTTAG]�. . . . . . . . . . . . . The certificate is issued to . . . . .Dori s .Gabl e. . . . . . . . . . . . . . . . . . . . . . . . . . . . . « • • . • . « . (owner, of the aforesaid building. Suffolk County Department of Health Approval ire-. EXi5t ng. . . . . . . . . . . . . UNDERWRITERS CERTIFICATE No. . . . . . . . . . . . . . . . .Pre-Frist . . .. . . . . . . ^ . . . . HOUSE NUMBER . . 3755 . . . . . . . Street . . . . . „ South Harbor .Road. . . . . Southold Building Inspector Housing Code Inspection March 15, 1978 3755 South Harbor Road R-1 Southold, N.Y. Tax Roll: Doris Gable occupied: owner Upon receipt of an application for a Pre-Existing Certificate of Occupancy I made an inspection of the buildings on this premises. I was admitted to dwelling by Mrs. Gable and began this inspection at approximately 1 :05 P.M. The dwelling is a one and one half story wood frame structure constructed on a cement block foundation. First floor contains a living room., dining room, kitchen, full bathroom, two bedrooms, a sun porch that provides a rear entry and a front entry hallway. Second floor contains two bedrooms and an inside bathroom,. Heat is furnished to all rooms except first floor sun porch from an oil fired forced warm air furnace located in full cellar. An accessory guest cottage is located in side yard area. This building is a wood framed structure constructed on a concrete slab and contains a bedroom, living roam with kitchen facilities, an enclosed porch, and an inside 'toilet roomy A shed roof is attached to rear of building. An outside shower enclosure is located on south side of building. Additional accessory structure in rear yard is a wood frame storage building constructed on wood posts. Rear section has a wooden floor, front section has a dirt floor. The following violations of the Housing Code, Chapter 52, Code of the Town of Southold were found: Dweli ing: qtr -to rear porch, no means of controlling light in room at point of entry. Article V, Section 52-56 B.2 Guest Cotta : Toilet room-no mechanical vent to exterior. Article II, ectan 52- 4 B.4 b. Gas Cooking range-no shut off valve at unit. Article V} Sc7ion52-52 B.2.. Sewage System-no house trap. Article V, Section 52-51 C.1. -2- Accessory Stora e-siding of front section of building is loose and pulled array from framing on north side and section of siding on south wall has a large hole. Covering of doer for front section has been removed from door frame. Door for rear section of building is missing. Article III, Section 52-30 C- Section 52-31 B. Inspection completed at approximately 1 :30 P.M. Respectfully submitted, EDWARD HIND U4ANN Building Inspector � ttf Town of Southold 1/22/2018 r P.O.Box 1179 53095 Main Rd Southold41 , New York 11971 CERTIFICATE OF OCCUPANCY No: 39464 Date: 1/22/2018 THIS CERTIFIES that the building ALTERATION ^..... Location of Property: 3755 S Harbor Rd, Southold __.. m... �... SCTM#: 473889 Sec/Block/Lot: 78.-3-9 Subdivision: Filed Lot _.__.... Map No. No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 6/12/2017 pursuant to which Building Permit No. 41732 dated 6/13/2017 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: 1 11 L'l�'1OR A+'�.LTf'I� `d"l��NS "1"O 1 l 1S"'a"11 fC iLJl 'STCOTTAGEAS APPLIED 11 T1' OR The certificate is issued to Brown,Gary&Carol of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 41732 12-13-2017 .. 11 . PLUMBERS CERTIFICATION DATED 01-10-2018 rrtclro 1d .�10.:01�- , ........ ._...... _ .n._.. , . ...m_.. ........ .- -..... llorir t i ra;aturr MOM-- aub . LOT u Al M001 _ K �- -=.' _ .�.. Ips _R'-OWNER, N - �E.AG E alL ( / 5 C S TYPE OF BUILDING .{ _ _ 1 RES SEAS. VL. FARM' C_ mm CB, � MISC. � Est. Mkt. Value LAND IMP, TOTAL DATE REMAR00 KS O .. e 3 3 c e 15 GJEL_ . _- ��U � FRONTAGE ON WATER .�, Sc ; - Value FRONTAGE ON ROAD a Tillable 1 { -BULKHEAD Tillable 2 .. :OOOK Tillable 3 Woodland Swampland - ,Brushland House Plot Tota i'_ v - N a MM - � a n E T e 744 7' r �Mm I 711 < a _ _ � �um ( IV 3 1 _ v a E 1 w M. Bldg. Foundafiion Bath /] m , 1 Basement Floors,_ tJ i Extension 1-u,I I I ` F–<tersion y ° ` Ext, Wars y X411 Interior Finish 5 ec-h Extension Fire Place I Neat Y t Porch Roof Type i Ott Porch l Rooms lst Floor a , — Breezeway Patio Rooms 2nd Floor � � – �� Driveway 5 F oreC sI r > O x. t b 5K 0 f r F 7 z , z im °� � ' ` � jam° - - rItA TP t \ - _ e a f TOWN OF SOT OL Rental Permit Permit No. 0059 Owner Gary & Carol Brown Occupied as Single Family Dwelling Located at 3755 S Harbor Rd Southold 78-3-9 Address Village S/13/1- Maximum /B/LMaximum Permitted Occupancy 5 - Unit A 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 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 SO OLD RENTAL PERMIT APPLICATION Rental Permit Fee$200(Application must be renewed every two years) Section A. 11 � Property Inforrn do Rental Property Address: 3-1155 r � Tax Map Number: 1000 SECTION BLOCK 16, JOT _ 3 SECTION B. OWNER INFORMATION: Property Owner Name: C-&f '_Nwh 4 G,qol r0oh Property Owner Legal Address: Property Owner Mailing Address: (Cannot be the same as Rental Property Address) a Telephone Number(s): -� y'_ Property Owner Email Address: IVB Page 1 of 4 SECTION F. PROPERTY DESCRIPTION: Number of Rental Dwelling Units on property: O 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 Identificatpersons Requested Maximum numballowed_; o occupy Dwelling Uni Number of rooms in Rental Dwelling Unit: Rental Dwelling, Unit: : Use and Dimensions of each room in Re ° l ° a bAy 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 ws 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. Page 3 of 4 ❑ 1 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 dwelling unit. STATE OF NEW YORK) ) COUNTY OF SUFFOLK) I0-6,oI 1�-q , 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 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 1Agent, or Site Manager. Property Owner's Name: Property Owner's Signature: Sworn to before me this day of ApciI 20Lq 0 icial Not a"y° Public Signature a 'd Original Notary Stamp TRACEY L. DWYER Page 4 of 4 NOTARY PUBLIC,STATE OF NEW YORK NO.01 DW6306900 QUALIFIED IN SUFFOLK COUNTY COMMISSION EXPIRES JUNE 30,2-aZ,?,_ .'` y �TOW OF SOUTHOLD BUILDING DEPT. "rrom6" -1 802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND ( ] INSULATION [ ] FRAMING/STRAPPING [ ] N'AL Itm-1 ! Aw;W [ ] FIREPLACE&CHIMNEY [ FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL(ROUGH) [ ] ELECTRICAL(FINAL) [ ] CODE VIOLATION [ ] CAULKING REMARKS: DATE ,,,,, NSPECTOR V i _. or �.. .mm . __ _ o FOSM NO. S TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Clerk's Office Southold, N. Y. Certificate Of Occupancy m� Marc No. 28969 . . . . . Date . h . . . . . �9. .. . . . . . . . . ., 1978 . THIS CERTIFIES that the building located at 3755. South Harbor•Rd, • . Street Map No. . . Block No, , , . . . . . . .Lot No. . . . . . . . . . . . . . . . . . . . . . REQUIREMENT'S FOR ONE FAMILY DVELLnV ILT BEFORE conforms substantially to the CERTIFICATE OF OCCUPANCY dated . .April. . . . .23 . 19.57. pursuant to whic t No.Z8969. . . dated . . Mareh• • • • • 29 • • . • • . ., 1978 ., was issued, and conforms to all of the require- ments of the applicable provisions of the law. The occupancy for which this certificate is issued is . . PRIVATE-ONE FAMILY• DWELLING 41T -GUEST•COTTAGE The certificate is issued to . . . - Doris fable (owner, " ) of the aforesaid building. Suffolk County Department of Health Approval . . . . . . .pre. -Existing • • • • • . . . . . . . . UNDERWRITERS CERTIFICATE No. . . . . . . . . . . . . . . . e- st . . . . . . . . . . . . . HOUSE NUMBER . .3755. . . . . . . . Street . . . . . . . . . Bouth .Horbor. Road. . . . . . . . . . . . . . . . . . . . a . . . . . . . . . . w . . . . . . . . . . . . . . . . . . . . . . . . .Southo].d�. .New. Xor� . . . . . . . , . . Building Inspector Housing Code Inspection March 159 1978 3755 South Harbor Road R-1 Southold, N.Y. Tax Roll: Doris Gable occupied: owner Upon receipt of an application for a Pre-Fisting Certificate of Occupancy I made an inspection of the buildings on this premises. I was admitted to dwelling by Mrs. Gable and began this inspection at approximately 1 :05 P.M. The dwelling is a one and one half story wood frame structure constructed on a cement block foundation. First floor contains a living room, dining room, :kitchen, full bathroom, two bedrooms, a sun porch that provides a rear entry and a front entry hallway. Second floor contains two bedrooms and an inside bathroom. Heat is furnished to all rooms except first floor sun porch from an oil fired forced warm air furnace located in full cellar. r An accessory guest cottage is located in side yard area. This building is a wood framed structure constructed on a concrete slab and contains a bedroom, living room with kitchen facilities, an enclosed porch, and an inside toilet room.- A shed roof is attached to rear of building. An outside shower enclosure is located on south side of building. Additional accessory structure in rear yard is a wood frame storage building constructed on wood posts. Rear section has a wooden floor, front section has a dirt floor. The following, violations of the Housing Code, Chapter 52, Code of the Town of Southold were found: twallin Fntr -to rear porch, no means of controlling light in room at point of entry. Article V, Section 52-56 B.2 Guest Cottage: Toilet room-no mechanical vent to exterior. Article II, Section 52-24 B.4 b. Gas Cooking range-no shut off valve at unit. Article V.} Tectibn52-52 B.2. Sewage System-no house trap. Article V, Section 52-51 C. 1. .............................................. .. -2- p stora e-siding of front section of building is loose and pUl a away from framing on north side and section of siding on south wall has a large hole. Covering of door for front section has been removed from door frame. Door for rear section of building is missing. Article III, Section 52-30 C- Section 52-31 B. Inspection completed at approximately 1 :30 P.M. Respectfully submitted, EDWARD HIND IMANN Building Inspector .... ,a OWNER ' STREET VILLAGE DISTRICT SUB. LOT Ap DO- FORM-R OWNER _ ! N �I�F- G TYPE OF BUILDING RES _ SEAS. CVL. FARM COMM. IND. CB. MISC. € Est. Mkt. Value -7.�° _ LAND IMP. TOTAL DATE REMARKS �t I '- 16 f- 14 4.. _ e N s 1 z x € l t - FRONTAGE ON WATER oo o Value FRONTAGE ON ROAD h, Tillable ] BULKHEAD ` Tillable 2 I DOCK Tillable 3 ! , V _ �x ,` Woodland Swampland j Brushland House Plot i I I ! I Total - � 1 f e s Fes'' a _ _ r 78.-3-9 03/28/2018 ` 4 . Foundation Bath B da T ExEensk;`� e F.- ��ti�ent � � ars, v - — — - _ Fo = s Extension Fit Walls Interior Finish Extension Fire Place Heat oo, �Yp _ . ,�_• Porch R e Parch Rooms ]st Floor t Breezeway Potio Rooms 2nd Floor = z - r Driveway Do mer O. B. Vl - s F TOWN OF SOUTHOLDCA Rental Permit 0060 Owner Gary & Carol Brown Occupied as Single Family Dwelling Located at 3755 S. Harbor Rd Southold 78-3-9 Maximum Permitted Occupancy 2 - Unit B 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. 6/29/2021 e of r er t Official This Notice must be posted by the main entrance at all times TOWN OF SOUTHOLD Rental Permit Permit No. 0060 Owner Gary & Carol Brown Occupied as Single Family Dwelling Located at 3755 S Harbor Rd Southold 78-3-9 Address Village S/B/L Maximum Permitted Occupancy 2 - Unit B 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 so Ut Town Hall Annex Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1179 Southold,NY 11971-0959 coum BUILDING DEPARTMENT TOWN OF SO OLD RENTAL PERMIT APPLICATION Rental Permit Fee$200 (Application must be renewed every two years) Section A. � p Property Information: 1aJMk 'I� Rental Property Address: 3-T55 Map ` BLOCK w LOT Tax Ma Number: 1000 SECTION SECTION B. OWNER INFORMATION:' Property Owner Name: Co'r 'own G YVA t Property Owner Legal Address: Property Owner Mailing Address: (Cannot be the same as Rental Property Address) ffA 1 5V 15 Telephone Number(s): Property Owner Email Address: fro le' Page 1 of 4 Town Hall Annex Telephone(631)765-1802 54375 Main Road J f Fax(631)765-9502 P.O.Box 1179 Southold,NY 11971-0959 o 0�' r, BUILDING DEPARTMENT TOWN OF SOUTHOLD REIT T' L PERMITPPI�1 T1 V ADDENDUM o y Rental Dwelling Unit Identifr. I'lo-I 1 6)) - � Requested maximum number f perso allowed to occupy each' lling uni � � '�� Number of Rooms in Rental Dwelling Unit: 3 Use a d Dimension of each room: �. a � 1 � l� Rental Dwelling Unit Identifier: Requested maximum number of persons allowed to occupy each dwelling unit: Number of Rooms in Rental Dwelling Unit: Use and Dimension of each room: Rental Dwelling Unit Identifier: Requested maximum number of persons allowed to occupy each dwelling unit: Number of Rooms in Rental Dwelling Unit: Use and Dimension of each room: ❑ 1 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 dwelling unit. STATE OF NEW YORK) ) COUNTY OF SUFFOLK) I 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 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: V-0 1 -tel Property Owner's Signature: Sworn to before me this 1rday of 20(q O ficial Not ty Public Signature a d Original Notary Stamp TRACEY L. DWYER Page 4 of 4 NOTARY PUBLIC,STATE OF NEW YORK NO.01 D W63069oo QUALIFIED IN SUFFOLK COUNTY COMMISSION EXPIRES JUNE 30,2�aZ,2_ ---ADWS .,ryry TO,WN OF SOUTHOLD BUILDING DEPT. 765-1802 3� INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION/CAULKING 1 [ ] FRAMING /STRAPPING [ FIINAL ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) [ ] CODE VIOLATION [ ] PRE C/O REMARKS: Oomit I DATE 'A IW)4 4 INSPECTOR, z Pp"9 II gu' II�Po mIN MW m Rr ....o STACKAMME i tr I g � W J m m� Of "2j exro rxro Pw� M _. _��.. `_ . 101-3 2' _.. r SLAO �37+9,5 �7 ` 0 0 2 --1 0 m p I rb rD cD r Z tn C) o a Ln 0, ........... rn cr .. ......------ Ln M YI 1"", > . ........... Ln z N 16 1, Ani0 m -Tl s Oi k 0." Z-1 clm r 'fNl� .. .. ......... e. m 70 r ........... rn T. M m m tv m j Ln tm 4� V'Al rri Co OCA m (D u x x6 mm m w `D C- w ats r CD „ W u n (D CL a I VN 'C O O O �I M aH Yjv pp ..r w"No 00 w I Y » r � 00 J, tl i p � i u x a 0CD CD Ln ca a O f .p 4 t r � I C O O sn �, o` co rn d t � f I UP C J r . Cj pp �. �z * it r 'z, FORM NO. 4 � TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Clerk's Office Southold, N. Y. A n Certificate Of Occupancy No. .Z8969 . , . . . Date . ,March, . . x . .29. • . . . . . . . . . 19.78. THIS CERTIFIES that the building located at .3755. .South.H,9xx.bQr. did, . . Street Map No. x Block No. . . . . . . . . . .Lot No. . . . . . . . . . . . . REQUIREMETTS FOR ONE FAMILY DWELLING BUILT BEFORE conforms substantially to the CERTIFICATE OF OCCUl�A1eTC�' dated . . .April . . . . 23• . • • , 19. 57 pursuant to which VWfflWJXQ4& No. Z89AQ. . ®,R dated . . .March . . . . 29. . . . . . ., 19.7.8., was issued, and conforms to all of the require. ments of the applicable provisions of the law. The occupancy for which this certificate is issued is . . . .PRI.VATE. .ONE. FAMILY .DWELLING. WITH. GUEST. .QQTTAGE. . . . . . . . . . . . . The certificate is issued to . . . . .Doris .Gable. . . . . . . . . . . . . . . .. . , . . . . . . . . . . . .. . .. . . . . . (owner, of the aforesaid building. Suffolk County Department of Health Approval UNDERWRITERS CERTIFICATE No. . . . . . . . . . . . . . . . .Pre.Existing HOUSE NUMBER . . . . . . . . . Street . . . . . . . , . .South Harbor wRoad Southold New York Building Inspector Housing Code Inspection March 15, 1978 3755 South Harbor Road R-1 Southold, N.Y. Tax Roll: Doris Gable occupied: owner Upon receipt of an application for a Pre-Existing Certificate of Occupancy I made an inspection of the buildings on this premises. I was admitted to dwelling by Mrs. Gable and began this inspection at approximately 1:05 P.M. The dwelling is a one and one half story wood frame structure constructed on a cement block foundation. First floor contains a living., room, dining room, kitchen, full bathroom, two bedrooms, a sun porch that provides a rear entry and a front entry hallway. Second floor contains two bedrooms and an inside bathroom. Seat is furnished to all rooms except first; floor sun porch from an oil fired forced warm air furnace located in full cellar. r An accessory guest cottage is located in side yard area. This building is a wood framed structure constructed on a concrete slab and contains a bedroom, living room with kitchen facilities, an enclosed porch, and an inside toilet room: A shed roof is attached to rear of building. An outside shower enclosure is located on south side of building. Additional accessory structure in rear yard is a wood frame storage building constructed on wood posts. Rear section has a wooden floor, front section has a dart floor. The following violations of the Housing Code, Chapter 52, Code of the Town of Southold were found: Rt2LI i : t -to rear porch, no means of controlling light in room t point of entry. Article V, Section 52-56 B.2 Guest Cottage: Toilet room-no mechanical vent to exterior. Article II, Sectio;T 52-24 B.4 b. Gas Cooking range-no shut off valve at unit. Article Vf Sect7o52-52 B.2. Sewage Syrstem--no house trap. Article V, Section 52-51 C.1. -2- .Accesso storage-siding of front section of building is loose and pulledawaom framing on north side and section of siding on south wall has a large hole. Covering of door for front section has been removed from door frame. Door for rear section of building is missing. Article III, Section 52-30 C- Section 52-31 B. Inspection completed at approximately 1 ;30 P.M. Respectfully submitted, EDWARD HINDERMANN Building Inspector Town of Southold /2018 P.O.Box 1179 f a" 53095 Main Rd Southold, New York 11971 CE: TIFICATE OF OCCUPANCY No 39464 Date: 1/22/2018 THIS CERTIFIES that the building ALTERATION ......... ...... . Location of Property: 3755 S Harbor Rd, Southold _..._ SCTM#: 473889 Sec/Block/Lot: 78.-3-9 .. . . ... ------ Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 6/12/2017 pursuant to which Building Permit No. 41732 dated 6/13/2017 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: 11 I TOI A1;. 1`I,I ATfOlwf ..:1:Q AN 1M 1 "_f1N ;' Irl 1 51"C O f",'A al ... 1 1'L11 1 1 (W The certificate is issued to Brown,Gary&Carol of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 41732 12-13-20 1 7 1 1:gin.. LUMBERS CERTIFICATION DATED 01-10-2018 � �b g liorizet ignat re