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Home My WebLink About1000-98.-4-17 'OWN OF SOUTHOLD Rental Permit 0100 Owner Martin & Mari Shea Occupied as Single Family Dwelling Located at 1635 Smith Road Peconic 98.4-17 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. 10/17/2023 / J" )/z" Code�fo& en Q�c This Notice must be posted by the main entrance at all times TOWN OF SOUTHOLD BUILDING DEPT. 631-765-1802 1-17 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION/CAULKING [ ] FRAMING / STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) [ ] CODE VIOLATION [ ] PRE C/O [ RENTAL REMARKS: O/�U DATE INSPECTOR fat Town Hall Annex . °•, Town Of Southold 54375 Main Road :. Rental Inspection Report PO Box 1179 Q- Southold, NY 11971-1179 .0 Tel: 631-765-1802 SCTM# ,.Date. ... ..r. .. .. .rv.. . ..� /o a3 Owner one Address Visible e� ; S _ �.. •d p ector.1 � Hamlet p .. .. Ins . . .... .. . � . _m .... v Floor Level Quantities Sub 1 ; 2 3 I Smoke Detectors (not located in bedrooms) Carbon Monoxide Detectors Fire Extinguishers Exits Bedrooms 1 2 33 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 _.am.., _.. ,.rv. . . ._. Mechanical Handrails&guards installed & secure Pool S.. _ afety Pool on Site Surface water alarm Date of CO issuance Door alarms Pool completely enclosed Self closing/latching gates Pool fence to code requirements CO's for all items present Prior Rental Comments: TOWN OF SOUTHOLDs .F Rental Permot 0100 Owner Martin Shea Occupied as Single Family Dwelling Located at 1635 Smith Road Peconic 98-4-17 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. EL 11/4/2021 L- Code Enfo� `_ nt Official This Notice must be posted by the main entrance at all times SOUTHOLD TOWN Town Hall Annex 54375 Main Road � R@IltB� �11Sp@CtlOn PO Box 1179 Southold, � � ��r NY 11971-1179 Tel: 631-765-1802 Fax 631-765-9502 SCTM # Cfl Date l � Owner - 7i (Phone .�/ ,o Address ,. IT u, , Hamlet Ins actor„ ddr,e/ S� LEVELS SUB 1 � 3 �.1 Smoke Detectors (#-bedroom detectors excluded) Carbon Monoxide Detectors (#) Fire Extinguishers (#) Exits(#) BEDROOMS7v '7'1,- U1-1' 5 Smoke Detector Alarms (#)Carbon Monoxide Alarms(#) Egress(windows) (YIN) BUILDING SYSTEMS MN CONDITION OF PROPERTY ffiN 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 m7c Y/N POOL BARRIERSYIN Pool present Pool is completely enclosed Pool surface alarm and/or door alarm Barrier is a min.48" high resent POOL GATES Y/N All 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 proof when unattended JUN 8 2021 June 8, 2021 Town of Southold Building Department We have a rental permit for our property at 1635 Smith Road, Peconic, NY which is expiring soon. We would like to renew the permit. There has been no changes to the property. Enclosed please find a check in the amount of$200 to cover the cost of renewing the permit. We would like to schedule an inspection appointment at your convenience. Please call Mari Shea at 516-330-6552. Thank you. Marty and Mari Shea f TOWN OF SOUTHOLD E Rental Permit Permit No. 0100 Owner Martin Shea Occupied as Single Family Dwelling Located at 1635 Smith Road Peconic 98-4-17 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. 7/3/2019 John Jarski Date of Issue Code Enforcement Officer This Notice must be posted by the main entrance at all times 30 Town Hall Annex Tele nnq(¢ 1)765-1802 54375 Main Road Fax(63 7590 P.O.Box 1179 Son o,1 ,NY 11971-0959 Courl gig BUILDING DIIPAktMENT TOWN OF SOUMOLD { " " I. E98MIJ APPL19AT Rental Permit Fee$200(Applicatlon must be renewed everyyears, ,, . A 1 7 ' O Of 0 Section A. Property Information: Renta �y i fr r r gL1~ LOT �' Tax Map..Numb®r: 1000 SECTIQN G 6 SECTION B OWNER INFORMATION: Property Owner Name: Property Owner Legal Address: Property Owner Mailing Address: (Cannot be the same as Rental Property, .. . r . _ Telephone Number (s): - 1 3-005 'Ci Property Owner Email Address: _c° Section C. - Authorized Agent Information: Name of Authorized Agent of dwelling unit, If any: ;1,"' es f Authorized ,. xes)' Mailing Address l' fW thorized Agent; Telephone NurriVer s,): ir�o ali Add gess: ' - Section D. Managing Agent Information: Name of Authorized Agent of dwelling unit, If am w Address of Authorized Agent (no P.O. Eo Mailing Address of Authorized AS, Telephone Number (s): Email Address: SECTION E. SITE MANAGER INFORMATION: (required for rental properties containing s or more v' u ta' unb) Name of Managing Agent of dwelling unit, if any-. Address of Managing Agent (no,P.0;A9xes)*1 Mailing Address of Managing Agent: Telephone Number tuber (s): Email Address: Page'2 of 4 PROPERTYSECTION . Number of Rental Dwelling Units on property.: F r e ,l Dwelling Unit ,f., h the.Ren. tall Dwelling.UnIt,jdqntIfIerf( r I ,. Unit 1, Unit 2, Unit 3 or Apt A, B, Q the useroom In the Rental Dwelling Unit (for example, Kitchen, Bedroom1, Bedroom 2, Living ) and the.0imeris'lons room. For propeNes with,multiple RgntpI:D r l ling Units u,se "Rental r I it i n ` Addendum." l,Dwelllhg Unit,Identifier: _Requested MI nu r,,,.f.perpn;.allowed,to occupy,,Dwelling ni Numberof rooms In Rental Dwelling Unit; 'Use and IDimenslonsof each room In Rental Dwelling Unit: , ey- '�' ,o SECTION G. INSPECTIOW Pursuant to the Town Code ofthe Town of SoutholdthaOW 207Y(R kal PropertW*),-'a safety Inspection force t Official Is required. If the owner chooses not to have said lnspection:performed by the Town, a certification from"VN' 1I d n `ar it t, a NYS licensed professional i r or a home Ins r has a li r Uniform Fir Prevention BuildingCertification Is required stating thatt he'property whlch'is the'subject of the rental permit application Is In compliance with all of the provisions of the code of the Southold,Town of the laws and sanitary and houi r l tl t_ nt Suffolk by t laws t York t IrPrevention ,and Building Council. I;( I am requesting a fire safety Inspection to be performed by a Code Enfoice n ` Y ficial from the Town of Southold. Page 3 of 4 1 am submitting a completed Town of Southold certification form from a license 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 bo natarked and,musrhe'the'oWne'rof the dvoelling unit. STATE OF NEW YORK) COU 1TY OF S i Unify under penalty of perJu'ry; tho'following: 1.Akthe ownerrof the property Identified in "Section A" of this application., . The propertyr®s legal addressset.forth on- . of,thls app.11c;tlon1s,,mylegal r.`i Via - tF ld. add a ie„ f i � .'to .Sa all , I . - . applicable laws and rules. I further acknowledge that I will notify the Town of Southold Building Department.of any chang+es,of.address within five (5),days of any changes theretm 3. Aave read and received a copy of Chapter 207 of the Code of the Town of Southold and agreed 4.Aill notify the Town within five (5) business days s to any change to the Informiticift-,',, regarding Aut .; , -gent, Managing Agent orSlte,Majjpgsr,,,, Property Owner's Name;. . .r Property Owner's Signature: C Sworn ore me this2day of 26 Official Notary Pq6llc Signature and Original Notary Stamp ROOM J MUSSO a Page 4 of 4 ft. in o Inh^qry ry Town Hall Annex , �� outs Telephone(631)766=1302 54375 Main Road Pax(631)765-9602 P.O.Box 1179 Southold,NY 11971-0969 BUILDING DEPARTMENT TOWN OF SOUTHOLD RENTAL PERMIT APPLICATION. � EN M. Rental Dwelling Unit Identifier: A w Requested maximum number of persons allowed to occupy each dwelling u u� Number of Rooms In Rental Dwelling Unit _ ..... Use and Dimension of each room: Rental Dwelling Unit Identifier: m. 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: `` TOWN OF SOUTHOLD BUILDING 765-1802 INSPECTION, [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING /STRAPPING FINAL [ ] FIREPLACE & CHIMNEY [ FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) [ ] CODE VIOLATION [ ] CAULKING - UP IwP I I%V; %oCl I I L I I IW 'V IUI o Jim I sty A: B ` l r� e 1 xrw q 170 9A"ron x�� , Y M Mtl m��woem xin xn w�e�rnn mn mr Y� G' cgs M } s!1 y w i i r oMy �wwrwww,uaex 4 S . % i ro�G a I , y �w ;n nm En N 'I, air in o o m �" fpm a ca, r d Ln j21 9 , > , �a r P w y o J ' D r" r ," �.n v , �r " M , " „M N o , I " " y J r 1 „ w , t , l � � m ti .w :$, 3 3 3 CC r n r o Y 1 •i v � til f r �. x u y ,7 : 6` i e. a tn "C? cL N w� r I v - u I (. 0 W� 03 i d w I � ' ` m s w � T a. r a 0 t Town of Southold 5/30/2017 53095 Main Rd Southold,New York 11971 10 PRE EXISTING CERTIFICATE OF OCCUPANCY No: 38976 Date: 5/30/2017 THIS CERTIFIES that the structure(s)located at: 1635 Smith Rd,Pee onic SCTM#: 473889 Sec/Block/Lot: 98.-4-17 Subdivision: Filed Map No. Lot No. conforms substantially to the requirements for a built prior to APRIL 9, 1957 pursuant to which CERTIFICATE OF OCCUPANCY NUMBER Z- 38976 dated 5/30/2017 was issued and conforms to all the requriements of the applicable provisions of the law. The occupancy for which this certificate is issued is: woad frame one family dw lljggM�oor shower and accessq '. led,* Note:EP 5339 adr t a CO 4386 �11P 977 c 11 r eaatranc , 'C U S P 1.8231 addition,%(.OZ 20 55; EP 3. ...:..:. handi P Laa nx addition C,07," ) 11P 38079 pec -:stgr/l00a electric service COZ-38965. The certificate is issued to Dittman,Richard __.. (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED *PLEASE SEE ATTACHED INSPECTION REPORT. o ized Signature mm. BUILDING DEPARTMENT TOWN OF SOUTHOLD HOUSING CODE JNSI'E TION REPORT' LOCATION: 1635 Smith Rd,Pec onic SUFF.CO.TAX MAP NO.: 98.4-17 S .... ._..... ...a. . UBDIVISION: NAME OF OWNER(S): Dittman,Richard OCCUPANCY: ADMITTED BY: SOURCE OF REQUEST Di ttman,Richard 017 DATE: 5/30/2...m. DWELLING: #STORIES: 1 #EXITS: 3 FOUNDATION: cement block CELLAR: partial CRAWL SPACE: ......... BATHROOM(S): �..1, TOILETROOM(S): — UTILITY ROOM(S): a�...�.. ....�. ._ PORCH TYPE: DECK TYPE: PATIO TYPE: BREEZEWAY: ... FIREPLACE: 2 GARAGE: DOMESTIC HOTWATER: x TYPE HEATER: gas AIR CONDITION TYPE HEAT: gas mm WARM AIR: forced hot air HOT � WATER: #BEDROOMS: mm 2 #KITCHENS: 1 BASEMENT TYPE: un .— . ...- finished OTHER: ACCESSORY STRUCTURES: GARAGE,TYPE OF CONST: STORAGE,TYPE OF CONST: SWIMMING POOL: GUEST,TYPE OF CONST OTHER: VIOLATIONS: REMARKS: INSPECTED BY: JOHNJ DATE OF INSPECTION: 5/17/2017 TIME START: 11:11am END: 12:55pm FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-20455 Date JANUARY 8, 1992 THIS CERTIFIES that the buildi:nq ADDITIONS Location of Property 1635 SMITH ROAD PECONIC, N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 98 Block 4 Lot 17 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated. JUNE 19 19B9 ursuant to which Building Permit No. 18231-Z dated JUNE 19, 1989 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 TO EXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to BARBARA J. DITTMAN (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL NIA UNDERWRITERS CERTIFICATE NO. H-007657 - FEBRUARY 15, 1989 PLUMBERS CERTIFICATION DATED N A Building JnsFIe�c.or Rev. 1/81 FORM NO. 4 s TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-34601 Date: 10 0710 THIS CERTIFIES that the building HANDICAP RAMP 635 SMITH RD PECONIC Location of Property: 1_.........m.. _......_.� ..... ....._ (HOUSE NO. ) (STREET) (HAMLET) County Tax Map No. 473889 Section 98 Block 4 Lot 17 Subdivision Filed Map No. Lot No- conforms substantially to the Application for Building Permit heretofore _ filed in this office dated AUGUST 2010 pursuant to which 19 mmm Building Permit No. 35799-Z dated AUGUST 25,_ 2010 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 HANDICAP RAMP ADDITION TO AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR The certificate is issued to BARBARA J DITTMAN (OWNER).....m of the aforesaid building. SUFFOLK COUNTY DEPART14ENP OF HEALTH APPROVAL _ NIA.. ... ELECTRICAL CERTIFICATE NO. N/A C'jjTjMRKRS CERTIFICATION DATED N/A A mth ri' ed Sig .aturemm Rev. 1/81 Qlt Town of Southold 10/16/2018 P.O.Box 1179 W 53095 Main Rd Southold New York 11971 CERT: F'ICATE OF OCCUPANCY No: 39976 Date: 10/16/2018 THIS CERTIFIES that the building ADDITION/ALTERATION Location of Property: 1635 Smith Rd,Peconic SCTM#: 473889 Sec/Block/Lot: 98.4-17 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 9/22/2017 pursuant to which Building Permit No. 42018 dated 10/2/2017 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: covered en ry and alterations to an existing on family dwelling,as app, cl ron The certificate is issued to Shea,Martin&Mari of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 42018 6/19/2018 PLUMBERS CERTIFICATION DATED 6/25/2018 Mattie A nibing&Neatisig r — ------ _... th riz; i nature