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1000-117.-8-16
��suFF01/( TOWN OF SOUTHOLD Rental Permit Permit No. 0067 Owner BV Properties Trust Occupied as Single Family Dwelling Located at 925 1st St New Suffolk 117-8-16 Address Village S/13/1- Maximum /B/LMaximum 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. 5/29/2019 John Jarski Date of Issue Code Enforcement Officer This Notice must be posted by the main entrance at all times a &t q3q6� *®f soaTy 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 Rental Permit Fee$200(Application must be renewed every two years) Section A. Property Information: Rental Property Address: qZ6 I-tRs-r TTl2WF, tJ,SiIFFOA-K Tax Map Number: 1000 SECTION (I DD --BLOCK—TOO -LOT_I(o()O SECTION B. OWNER INFORMATION: Property Owner Name: 13V pc2e rw fce a 7a"t' ZC2 L16/-,j77A/E- ? 7JAfEZ Property Owner Legal Address: Property Owner Mailing Address: pre-k( gj)F>cotJ:CAlgid E �1�FDL,II NY Telephone Number(s): Daytime J%4Mg126 Evening Emergency Property Owner Email Address: K�►vti1E�Nr~l l�R l�s� f#l� com Page 1 of 5 ®� S 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 Mailing Address of Managing Agent: 10X00 rn4lpj eV41 b Pp I✓larnrc Telephone Number(s): Daytime � S ,osz vening S Emergency r-11j5_6 0$2-7 Email Address: ✓ruaR1A �E1QM�tSE t. �iCuivl�4n/ coM 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: S\aAjUnit: k> J: Requested Maximum number of persons allowed to ccupy Dwelling Number of rooms in Rental Dwelling Unit: 1 Use and Di ensions of each room inental Dwelling Unit: 3.5 - - f � � �( Page 3 of 5 f pF S��rg� Town Hall Annex ° L ,, Telephone(631)765-1802 54375 Main Road ¢� Fax(631)765-9502 P.O.Box 1179 Southold,NY 11971-0959 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 ❑ I 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 �,[��/f�/U�1&A6/1 kA% ,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 So Town Hall Annex Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1179 W. 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: /gW1Sr-1A41Z- Property Owner's Signature: Sworn to before me this a day of aCt Official Notary Public Signature and Original Notary Stamp REBECCA A LUCAK Notary Public-State of New York No.01 LU6386882 Qualified in Suffolk County My Commission Expires Feb.04,2023 Page 5 of 5 OE SOUI'yo� # # TOWN OF SOUTHOLD BUILDING DEPT. u765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION"2ND [ ] INSULATION [ ] FRAMING /STRAPPING [ ] INAL [ ] FIREPLACE & CHIMNEY [ FIRE SAFETY INSPECTION [ ] FIRE-RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) [ ] CODE VIOLATION [ ] CAULKING REMARKS: �&Vkf4 VwN DATE ?.1 INSPECTOR joy • (ale. t,y�J ,' .i -, - i f. • t., __ ., � `- ,., y -, , zo ' y� n ?/ Vies es v 4 i 1"r✓ It i ��----� I1 _._ - -•-__'.�'_._---_".......__._..- ....---- u t 1 it �,, • -- .�•• rpt���1 ' i '�-,'-D'� _. �� " j' ------------- :K X1"5 .�,>l-{�1 _-- -- . _ -, •, .. 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W1 Q W N 4 TES BUILDING USE r: :, _ � ; BUILDING AREA _ j JT t!tet �✓� t �� " Plans indicate EGRESS as re ulred for BUILDING HEIGHT C w,ndrnvs as Holed on Floor PI q - -_._ _S � 1^ ---•, - .,t �-..r--,�i { sleaprnp areas o's per Soclion R350 of tie Residential Code of New York State. i''fPE OF CONSTRUCTION Type V �7 M,� �C•�I`<,r 5 .f�) � F Light and Ventilation: au habitable rooms as Shown on Floor Plans conform to DESIGN CRITERIA P(escopli B DP51CgR �?' •.11 of ( requirements of Section R303, with an aggregate glazing area of muse than 8"/ LIVE LOAD �,tt n < ;" ' of floor area,and a minimum ventilating area&4%o1 the noor area. DEAD LOAD iV 1'S� 'v rr _ t.✓f 1 Glazed openingprotection shell be rovided es per the Building Code of Now Yorh; �i J 1 ' P P P 9 SNOW LOAD IO p5f J _ 1 State, Semon 1609,1.4 All glazed openings to be provided with precut plyw od SEISMIC ZONE 45 sf Ground r panels to cover glazed openings J 7116'nin,thick(4'overlap around openings}, p �r. ,iw' y e ^ ^ - Atrachmenl to be ac par Table 1609.t.a 7•ti2'#©aooe sva,as-12'eh: WINDSPEED p { I`,'•._C/ I ',., ✓ �� 1 EXPOSURE CATEGORY 120 mph Giyl L--•t r4 C, 1�- a�t�.�_ �.Itr{D 7Y-t`7T0t[�.GY� �I' 1 J htES WEATHERING B p �4 O ~ '� I FROST LINE DF.PTN severe (� ' 40M IMS•i.. OI i° EP-)ln�1 7 V�t 'wl+.I , TERMl7C as• ,F� ��"C�'�4.-� j'".•r��l••a lvintlerate to heavy DECAY Slight to moderate WINTER DESIGN DRY BULB TEMP, 1Degrees F t�- = 6IJT L-11:[-' � O t t-e-T- 1=E All cnleria.is'.designed in accordance with the Building Code v of New York State&the American Forest E Paper A.ssociauon v t �� ��T�� r (AF&PA) Wood Eiame',Consiruction Manual for One 8 Two �; rd , Family Dwcflrngs(WCFM-05)High Winr!Addition. ' :AOt=4t':'�E. f3[��-'jam _... L' :•t SURVEY OF: PROPERTY LOCATED AT NEW SUFFOLK TOWN OF SOUTHOLD SUFFOLK COUNTY. NEW YORK S.C.T.M. # 100-117-6-16 KING STREET SCALE: F=30' NOTE: THE EXISTENCE OF RIGHT OF WA'r•S. WETLANDS AND/OR EASEMENTS OF RECORD IF ANY. NOT SHOWN ARE NOT GUARANTEED. — POLE OHO. UTIL S 85°21'10'E POLE 10 1.2 4' CONC. MON. _ OFFSET LINE 3 d. Im I Lu w U Q= STAKE SET O r' O Z O - 44 LAND N/F o L In MARY SHOWER O y 16.3 C ROBERT WALSH U-) o � W rn I o 0 O CSI Z z, m -� 370 8.9' N z = m 2 STORY U cn CE FR. RES LL 36.9 o W 1.9 mm V CVD POCRH io 29.7' l6.3 STOOP 2 SURVEYED BY: _ I0 PAUL BARYLSKI LAND SURVEYING PATCH 0 0 0 E NY 11772 CHAIN-LINK s OFFSET LINE \ OF N PHONE 631-294-6985 FENCE O.s•/S �� HEDGES POLE FAX 631-62�-3186 N 85"23'00 ��' P�`'e Rr s PAULBARYLSKIaYAH00.00M "W MON JUNE 10, 2016 101.40' I rr UNAUTHORIZED ALTERATION OR ADDITION TO THIS SURVEY IS A VIOLATION LAND N/F �O OF SECTION 7209 OF THE NEW YORK STATE EDUCATION LAW. COPIES OF THIS SURVEY MAP NOT BEARING THE LAND SURVEYORS INKED DENNIS H A R K O F F 8 S O507g2 J OR EMBOSSED SEAL SHALL NOT BE CONSIDERED TO BE A VALID TRUE COPY. DIANE H A R K O F F REVOCABLE TRUST GUARANTEES OR CERTIFICATIONS INDICATED HEREON SHALL RUN ONLY TO LAND THE PERSON FOR WHOM THE SURVEY IS PREPARED.AND ON_HIS BEHALF TO THE TITLE COMPANY.GOVERNMENTAL AGENCY AND LENDING INSTITUTION LISTED HEREON.AND TO THE ASSIGNEES OF THE LENDING INSTITUTION. GUARANTEES OR CERTIFICATIONS ARE NOT TRANSFERABLE TO ADDITIONAL INSTITUTIONS OR SUBSEQUENT OWNERS. 2198 TOWN OF SOUTHOLD PKOPERTY RECORD ' � �1 —� I UD //j- - / � -- — _ ofs _ OWNER STREET VILLAGE DISTRICT SUB. LOT n�y {, f f f� g f !�� r I(S r / �- �'T c�7��- %' ,� ✓�l�` �i\' '~v- ,O e S c FORMER OWNER .I-oy�vs L&LvlC- N r E �-- ACREAGE �'CLYI 16�wlf)-i CIA) 1/617/ s' W. S - W TYPE OF BUILDING RES. Z j o SEAS. VL. FARM COMM. I IND. I CB. I MISC. I/Est. Mkt. Value N LAND IMP. TOTAL DATE REMARKS _ - ..=d� LSA d 611 dr �y 7987 CF�,ntL � C, �aVtrJT /ra 4 ?1/6y P 3Q; ��� l gg,° ���5 d �7 ✓J f 7f�Ll �". oe ': f r I -417-d 1,Oh °r= 'P' - e-"), bt')E-j 1;n ,-�,� �13a� "�t� aLl ' c? 1�t6 f �/7— 6 V���` 6>►� 7e t— ec /y GEQo© BU DI G COitlDlj�l r / 201-76ki1 t e r � r NEW NORMAL BELOW ABOVE FRONTAGE ON WATER Farm Acre Value Per Acre Value FRONTAGE ON ROAD Tillable 1 BULKHEAD Tillable 2 1 DOCK r Tillable 3 IO 3tJ� l _ �__r°�✓ /li i� t1ft{`����� i ` � :'�0. 1�0 _ Wocdlandf 31�I�1 'JL d�� ' -J!` >� Swampland !✓(_-";L- Zlo b7,0 Brushland , House Plot Total '�-� �= ,� � ` _ _:� .� ■■■■■■ElI�I■■■■■lid■■■■■■■■■■■■■ - ,:... �■G_!■i�!■■iii■■■■■■■■It■■■■■■■■■ - "` ,�. .._-,.. ��1 .�!■■■■■I■mow■�■■■■■■■■l�■■■■i■■■■�■ y. Basement , Foundation PC CB OTHER Finished B. RON� . Fire Place �_. ME FS MINE MINE ®� �� ME 1 F o TRIM Bldg Foundation ce Bath � Dinette i.D 4 FULL /extension _ /3'ti® �.�' � Basement s Floors �� Kit_ S E�Xt�,nsio' r �9 `� ° �"'� ��rZ Ext. Walls Ce�arrs�.�.�\� Interior Finish g, (Z L.R. T E�ttension� l�X 3� ��$ l��(� ? '—� Fire Place Na Heat } j����C D.R. mew �!? 12 X 1 Q 2 i to� ' Patio'o , �'�' �� (:�, to Woodstove BR. ci_ 7 X 3 t 3 = 1 �0 d r� $ Dormer Fin. B. ,P&--r t -, , = 2-2 Deck ---"' Attic Breezeway 11 =� `� Rooms 1st Floor r Garage ` ('�T p ��� Driveway " 1 i Rooms 2nd Floor �' _ O.B.- F C� 20 20 GCS 1 l �! - ' Pool � a� � 55� 4 .lry 1 yn 44 j M. Bldg. YFo6ndation .tis '_ 3� 1 Bath Extension W Basement PA ^/ Floors - -- ^Extension s Ext. Walls Interior Finish i Extension ' } — Fire Place Heat --- s' Porch >C j ofType, Porch ` Rooms Ist Floor I Breezeway �, ! Patio Rooms 2nd Floor Garage I s j `. Driveway Dormer ---- v - - - - - - _ - - -- --- - - - -------�- - 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- 31070 Date: 08/01/05 THIS CERTIFIES that the building DWELLING Location of Property 925 FIRST ST NEW SUFFOLK (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 117 Block 0008 Lot 016 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- 31070 dated AUGUST 1, 2005 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 LAURA M AVENT (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A *PLEASE SEE ATTACHED INSPECTION REPORT. �thorized Signature Rev. 1/81 BUILDING DEPARTMENT TOWN OF SOUTHOLD HOUSING CODE INSPECTION REPORT LOCATION: 925 FIRST ST NEW SUFFOLK SUBDIVISION: MAP NO.: LOT (S) NAME OF OWNER (S) : LAURA M AVENT OCCUPANCY: SINGLE FAMILY LAURA M AVENT ADMITTED BY: LAURA M AVENT ACCOMPANIED BY: SAME KEY AVAILABLE: SUFF. CO. TAX MAP NO.: 117 -8-16 SOURCE OF REOUEST: GARY OLSEPI, ATTY DATE: 08/01/05 DWELLING: TYPE OF CONSTRUCTION: WOOD FRAM£ STORIES: 2-0 # EXITS: 2 FOUNDATION: GRANITE ROCK CELLAR: PART CRAWL SPACE: PART TOTAL ROOMS: 1ST FM.- 2 2ND FIR.: 3 3RD FLR.: 0 BATHROOM(S): 1.0 TOILET ROOM(S): 0.0 UTILITY ROOM(S): PORCH TYPE: DECK TYPE: PATIO TYPE: BREEZEWAY: FIREPLACE: YES GARAGE: DOMESTIC HOTWATER: NO TYPE HEATER: AIRCONDITIONING: TYPE HEAT: OIL WARM AIR: NO HOTWATER: 170 OTHER: RADIATORS (HOT WATER) ACCESSORY STRUCTURES: GARAGE, TYPE OP CONST.: STORAGE, TYPE CONST.: SWIMMING POOL: GUEST, TYPE CONST.: OTHER: - - VIOLATIONS- CHAPTER 45 N.Y. STATE UNIFOPM FIRE PREVENTION & BUILDING CODE LOCATION I DESCRIPTION I ART. I SEC. REMARKS: SP20851 PORCH COZ22036F BP21145 ADD COZ22592 EP25746 SHED COZ26590 INSPECTED BY: DATE ON INSPECTION: 07/29/05 dl GEORGE GILL@ TIME START: 10.10AM END: 10:35AM Town of Southold 4/3/2017 P.O.Box 1179 IV 53095 Main Rd Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 38882 Date: 4/3/2017 THIS CERTIFIES that the building ADDITION/ALTERATION Location of Property: 925 First St.,New Suffolk SCTM#: 473889 Sec/Block/Lot: 117.-8-16 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 3/28/2016 pursuant to which Building Permit No. 40670 dated 5/5/2016 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: ADDITIONS AND ALTERATIONS INCLUDING FRONT COVERED PORCH AND OUTDOOR SHOWER TO AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR The certificate is issued to BV Properties Trust of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 40670 03-29-2017 PLUMBERS CERTIFICATION DATED 03-01-2017 Brad Piecuch -A rizd Signature �o\psUFFatkcoG' Town of Southold 4/3/2017 P.O.Box 1179 cm 53095 Main Rd Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 38883 Date: 4/3/2017 THIS CERTIFIES that the building ACCESSORY GARAGE Location of Property: 925 First St.,New Suffolk SCTM#: 473889 See/Block/Lot: 117.-8-16 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 3/28/2016 pursuant to which Building Permit No. 40670 dated 5/5/2016 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: NON-HABITABLE ACCESSORY GARAGE WITH SECOND FLOOR STORAGE AND EXTERIOR SECOND FLOOR STAIRCASE, AS APPLIED FOR The certificate is issued to BV Properties Trust of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 40670 03-29-2017 PLUMBERS CERTIFICATION DATED o Signature