The URL can be used to link to this page

Home My WebLink About1000-74.-1-13 3 Rol � TOWN OF SOUTHOLD Rental Permit 0085 Owner Gekee Wickham Occupied as Single Family Dwelling Located at 1145 Henrys Lane Peconic 74.-1-13 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 regulation3 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. 8/14/2023 Code EPorce&tOfficia This Notice must be posted by the main entrance at all times qf so 631 -765-1802 INSPECTION FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION/CAI [ ] FRAMING / STRAPPING [ ] FINAL [ ] FIREPLACE &. CHIMNEY [ ] TIRE SAFETY IN; [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PE [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (TIN [ ] CODE VIOLATION [ ] PRT C/O [ � DATE -/0 � - INSPECTOR ffd " w Town Hall Annex ea Town of Southold54375 Main Road c Rental Inspection Report PO Box 1179 c' Southold, NY 11971-1179 `,. Tel: 631-765-1802 SCTM # Date . ry .. . .. _ .... . .. .a.. _ _. . Owner _ Phone ..... ... _......m..... ,..,. 'Address 'Visible _.... _. Ins. .. ., _ ector .. Hamlet G „MeY.. . _., arc ...me__ .p.... . w �Floor Level Quantities Sub 1 2 3___ Smoke Detectors (not located m bedrooms) Carbon Monoxide Detectors s Exits Bedrooms 1 2 3 4 5 6 Smoke Detectors _ Egress Occupant Count. - Building Systems Maintained & Operational Condition of Property Heating Building interior Hot water Building exterior Electrical Property clean, maintained &safe Mechanical Handrails&guards installed &secure Pool Safety Pool on Site Surface water alarm Date of CO issuance Door alarms Pool completely enclosed Self closing/ latching gates Pool fence to code requirement's CO's for all items present Prior Rental Comments: TOWN OF SOUTHOLD g Rental Permit 0085 Owner Gekee Wickham Occupied as Single Family Dwelling Located at 1145 Henrys Lane Peconic 74.4-13 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. Af 7/29/2021 Code Enforcement Official This Notice must be posted by the main entrance at all times � J�22 ate, Town Hall Annex SOUTHOLD TOWN„ 54375 Main Road PO Box 1179 Southold, Rental Inspection NY 11971-1179 sO Tel: 631-765-1802 Fax 631-765-9502 SCTM # ' /00( 13, Date Z9 Owner, ee 1AOi'C X 4,01 Phone �c '" n25-5 "4(7 Address coe Zip 90 Hamlet ®IYl . Inspector j tl�n�frs Address visible'from street? LEVELS SUB 1 2 3 Smoke Detectors (#- bedroom detectors excluded) vt &A o. Carbon Monoxide Detectors (#) Fire Extinguishers (#) Exits (#) BEDROOMS 1 2 3 4 5 Smoke Detector Alarms (#) Carbon Monoxide Alarms ACAIL Egress (windows) (Y/N) BUILDING SYSTEMS Y/N CONDITION OF PROPERTY YIN Heating system maintained/operational Building Interior is clean /maintained Hot water system maintained/operational y Building Exterior is clean/ maintained Electrical system maintained/operational V Property is clean /safe/ maintained Mechanical system maintained/operational Handrails &guards present POOLS Y/N POOL BARRIERS Y/ Pool present Pool is completely enclosed Pool surface alarm and/or door alarm resent 9M_ Barrier is a min. 48 high POOL GATES Y/N All openings in barrier less than 4" Self-closing, self-latching AVIMax. 2" clearance @ bottom of barrier Latch on pool side of gate, meets height1p, Barrier capable of being locked &child- requirements proof when unattended COMMENTS: Gekee Wickham PO Box 1122 Cutchogue, NY 11935 June 15th, 2021 Certification I hereby certify that the information in the current permit for the property located at : 1145 Henry's Lane Peconic, NY 11958 (Tax Map Number 1000-74.-1-13)) has not changed. Signed: Gekee Wickham JUN 3 2021 Owner TOWN OF SOUTHOLD 3. 00 RentalPermit Permit No. 0086 Owner Gekee Wikham Occupied as Single Family Dwelling Located at 1145 Henry's Lane Cutchogue 74-1-13 Address Village S/13/1- Maximum /13/LMaximum 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. 6/19/2019 John Jarski Date of Issue Code Enforcement Officer This Notice must be posted by the main entrance at all times Yt Town Hall Annex Telephone(631)765-1802 54375 Main Road g Fax(631)765-9502 Southold,NY 11971-0959 X17 1109 0 . '.OMS M BUILDING DEPARTMENT TOWN OF SOUTHOLD u$ ] RENTAL PERMIT APPLICATION La Rental Permit Fee $200(Application must be renewed every two years) Section A. Property Information: Rental Property Address: 1145 HENRY'S LANE, PECONIC, NY 11958 Tax Map Number: 1000 SECTION 74.-1-13 BLOCK LOT SECTION B. OWNER INFORMATION: Property Owner Name: Gekee Wickham Property Owner Legal Address: Property Owner Mailing Address; (Cannot be the same as Rental Property Address) 28700 Main Rd, Cutchogue, NY 11935 PO Box 928, Cutchogue NY 11935 Telephone Number (s): 631-255-6667 Property Owner Email Address: gek2@yahoo.com a0o - ;Qec. CiH103 Page 1 of 4 Section C. Authorized Agent Information: Name of Authorized Agent of dwelling unit, if any: N/A 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: N/A Address of Authorized Agent(no P.O. Boxes): Mailing Address of Authorized Agent: .. Telephone Number(s): 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: N/A Address of Managing Agent (no P.O. Boxes): 01Wµµµµ .. 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: IT ONE 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 Unit: , M Number of rooms in Rental Dwelling Unit: Use and D pensions of each ro 'u in Rental Dwelling Unit: 2 k. I 0), � 6 . I q �"/ a q Oct, 12x16 , L-K IZ >C kc, .. 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 laws adopted by the New York State Fire Prevention and Building Code Council. ❑ 1 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) *� "c,\L�OI" _ , 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: Property Owner's Signature: -c1Cc� `c - Sworn to before me this_day of 20.__, Official Notary Public Signature and Original Notary Stamp Page 4 of 4 « P TOWN OF LI BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. { ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING /STRAPPING [/1INAL FIREPLACE & CHIMNEY [ IRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) [ ] CODE VIOLATION [ ] CAULKING 1145 HENRY' s LANE w« x I ?rlld Flom j Bai Wx 2 wE ........... H 11� 4G; / 9:w FLOORPLAN SKETCH �^„nmm,........... F ......_,. ..... ..w.. F .............m No*(�3 Aja f °�a.�wi��a wasp. rv�r � ! �r 4 qzz mromr., �.�.._.��. ...m.m. .. x@910" NY TZ9p"�.119"58 �_ .... Leader:r.NmrEnk�oms,Iw I al I l I I I I I x-.r a+,g FMWt tl^tlrx r 'i°-�tt"FWI"r&%F1 d p" %xio m f4 d,vcM.ciixV—fV�iPr Ll x: ..�........�: ... ,. x'9.DFP 1624 9f° 3w 36n 199,,u 432 TV r�. ➢T o on 0' m (o 3 a c � � N u" r � D.. W � �• {�• h � 7p� � � r ,e � " LA p C 1 5 D u M O T uj — zD" err ; m 7y n r v O O r„ Gl m m (l W P OO ywm,��.., ry, Z YO w ,.... �� m r r. � O m n rt a � �v e � �y k M,. I p m CA) o r „ v ➢ 7 r 4 o O 0 m o x x O W l0 (D S 3 co �M w (D (D N O O O IO ,...... ... i rX j 31 » UA g»� o r i N � s i O M CD-r.. < N ^ (D (D 3n r� CD O= X O O 3 -4, o . ��.... ... . tn CD 2 3 N � fi O O N �m , � ws co i _.�...... .... ....... ._ �.. ..... .__ ........ � _ ..... Y ( _� U U 4 FOBM NO. ! TOWN OF SOUTH= Buff mm; DEPARTMENT Town Clerk's Office Southold, N. Y. Certificate Of Occupancy No. Z6700 . . . . . Date . . . . . THIS CERTIFIES that the building located at . . , u . . . . . . . . . . Street Map No. Paeoni4. ft$3locl£No. . . .. .Lot No. . . . . . . . . . . conforms substantially to the Application for Building Permit heretofore filed in this office r dated . . . . . . . . . . ..W9. . .29. . ., 19.75 pursuant to which Building Permit No, -617074 , dated . . . . . . . . . . .Aut . . .29. . ., 19.7.E, 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 .OUR .fa=UY.ciwrei11US. . . . . .. . . . . . w . . . . . . .. . . . . . . . . . . . . . . .. . The certificate is issued to .X*8.4 . CAftotirwtRibn .Ce ;q. . . . , OvAers. . . . . . . . . . ... . . . (owner, lessee or tenant) of the aforesaid building. tl Suffolk County Deparbnent of Health Approval . -SOLT 'UNDERWRITERS CERTIFICATE No. . . .�?�� . . . t��. . At. . 1.97,5. . . . . . . . . .. . HOUSE NUMBER . . .114.1 . . . . . . Street . . . 440V A e! . . . . . . . . . . . . . . . . . . . . . . . . . itgg Inspector y ..a+ .,rx. wa•s' a.v..+.. a<a<a v u a.u v u z u u u Lr A..n.t.'�k:e L£/J U U D .... C FORM NO.4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy No. . ,Z 15435 Date . . . . .December 2 t . . . . . .. , . . . . . ., 1986. THIS CERTIFIES that the building . . .. . . . .. . % s wonry.. .Chimney. . . . . . . . . . . m, ' Location of Property 1145 .Henry; s_ Lane .. . Cutchoue,,, House No. Street Hemet County Tax Map No. 1000 Section .q?4. . . . . _..Block n 1 . . , . . . . . . .Lot . .. 0 03. . . . . . . Subdivision M 9. P e c 9n kc c H ome s , . . . ,,.Filed Map No. 4?B . . . .Lot No. . «1.0 . . . . conforms substantially to the Application for Building Permit heretofore filed in this office dated 0 c t o b e r 2 6, . . . . . . . ]~9 .81 pursuant to which Building Permit No. , 11 w4 5 5 Z dated ,0 c t ober 2 6,. . . . . . . . . . . . . . 19 81 ,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 . . . . . . . . . . . . . . . . . . . . .Masonry Chimney. . . . . . . . . . . . . . . . . . . . . . . » . . « . . , . « « . „ . « . . . . . . » . . » . « . The certificate is issued to . . . . . JOSE�,H .&, ,C,AROi HEX . » . of the aforesaid building. Suffolk County Department of Health Approval . . . . . . . . . , UNDERWRITERS CERTIFICATE NO. . . . . , . . . . . » . ... . . . . . .K/.$. . . .. . , , , „ . . . . .. . . . . . . . . . . . Building Inspector r Rev.1/81 Zoos FORM NO.4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Octupancy No. . .7t 0.653. . Date . . . . . .September ..3. . . . . . . . . . . . 101 . . THI5 CERTIFIES that the building . . . . . . . . . . . . . . . . . . .. . . . . . „ , . . . . . . . . . . . . . . . Location of Property 1145y Henry's Lane� Peconic, New -Yvrk-M 1 195$ House lUa. . . . . . . . . . . . . . heet . . ' w Hamlet County Tax Map No. 1000 Section .97 . . . . ,. . .Block . . . , p.1, , . . , . . . .Lot . .01}3, y Subdivision .l econj4c Homes . . . . . . „ . ,Filed Map No. 18 . . . .Lot No. 10. . . . . . . . . . . conforms substantially to the Application for Building Permit heretofore filed in this office dated March 18 . . , 101 .pursuant to which Building Permit No. 110 4 Z. , dated „, April 13 . . . . M . . ISP-1. . ,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 . . . . Accessory Building The certificate is issued to war Lynn Be tt , of the aforesaid building. Suffolk County Department of Health Approval .PJ( , , , . , . . , . . . . UNDERWRITERS CERTIFICATE NO. . . . . . ,. , . t . . . .�. . . . . . . .wng Inspector Rev.1/B1 d 007 FORM NO.4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy Z1638No. ., , . .. . . . . µ y « « « « Date . . . . . .November. 10,. .1.987 . THIS CERTIFIES that the building . . n d d i t i o n« . . . . . .. . . . .. . . . . . . . . . . M . . . . . . . . . . . Location-of'Property 1 145, HENRY 1 S LANE . PEC ONIC . . . . m . .Homier County Tax Map No. 1000 Section .� 4. . . . . . . .Block . . . . « , . . . . . .Lot . .M. . . . . . . . . . . . Subdivision. , .P e c o u i c Homes * . .« « «* .Filed Map No. .4 18,1, . .Lot No. . „1.0 . . . . . conforms substantially to the Application for Building Permit heretofore filed in this office dated . . . . . . July. 7 'r .1986N pursuant to which Building Permit No. . 15 0 7 0 Z. . . . . . . . . dated . I u 1 y .9:. ,1.9 8. . , . . . . 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 . ... . . „ . , . Deck .addition, t.o .existing .dwelling amended for roof over deck. « . . The certificate is issued to , JOSEPH &• CAROL LYNN BETTY • '(0i0a . . . . . . . . . .. . . . . . . . . . . of the aforesaid building. Suffolk County Department of Health Approval UNDERWRITERS CERTIFICATE NO.. . . . . . . . . . . . A44. . . . . . . . . PLUMBERS CERTIFICATION DATED : N/A Building"Inspector Rev,1/81 FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall f Southold, N.Y. 4 CERTIFICATE OF OCCUPANCY No: Z-30112 Date: 03/30/04 THIS Cl "PIFZES that the building ADDITION/Avri.,n,ATION ._. ,........ Location of. Property: 115 ONIC . p ty= 3� � HENRY� RY S LA PEC (HOUSE No .) (STREET) (E .'.LET)i County Tax Map No. 47:3.889 Section 74 Block 1 Lot 13 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated DECEMBER 3, 2003 pursuant to which Building Permit go. 29875-Z dated DECEDOEF ._ . 2003 was issued, and conforms to all of the requirements of the applicable provisions of the law. The occupancy for which this certificate is issued r` is DORMER ADDITION AND "AS BUILT" ALTERATIONS TO AN EXISTING ONE FAMILY DWELLING AS APPLIED „mmm R. CONSTRUCTION CERTIFIED BY REGI WIELE,_ARCHITECT N 12/12/03 . The certificate is issued to JOSEPH L & CAROL LYNN BETTY _..... (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL, N/A ELECTRICAL CERTIFICATE NO. 1193508 03/08, 04 PLUMBERS CERTIFICATION DATED N/A LI /��t:;v 1z, n ALI -q��r 7 1�j7 Rev. 1/81