HomeMy WebLinkAbout1000-31.-18-3 a 105� 441 TOONN OF SOUTHOLD
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Rental Permit
Permit No. 0099
Owner One Potato LLC
Occupied as Single Family Dwelling
Located at 80 Rabbit Lane East Marion 31-18-3
Address Village S/B/L
Maximum Permitted Occupancy 4
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.
7/2/2019 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
r r
54375 Main Road Fax(631)765-9502
P.O.Box 1179 10�
t
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:
7_ 1
Tax Map Number: 1000 SECTION 3 t-o0 -BLOCK I S. on -LOT 3.00 -
SECTION B.
OWNER INFORMATION:
Property Owner Name:
Property Owner Legal Address: Property Owner Mailing Address:
3 7
Telephone Number (s): Daytime lo31-V'90Wro Evening 54ma' Emergency 19
Property Owner Email Address: E
CA)15-
\011
Page 1 of S
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Town Hall Annexe Telephone(631)765-1802
54375 Main Road �� Fax(631)765-9502
P.O.Box 1179
Southold,NY 11971-0959 „
BUILDING DEPARTMENT
TOWN OF SO FOLD
Section C.
Authorized Agent Information:
Name of Authorized Agent of dwelling unit, if any: +
Address of Authorized Agent (no P.O. Boxes):_ ����
Mailing Address of Authorized Agent: 08 + � Q Jr C,A)y /1935
Telephone Number (s): Daytime &! 3 vening Emergency Co31-t'V7-779a
Email Address:
Section D.
Managing Agent Information:
Name of Authorized Agent of dwelling unit, if any: ,SAAC od6
Address of Authorized Agent (no P.O. Boxes):
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
Town Hall Annex �� a �'`, Telephone(631)765-1802
54375 Main Road Fax (631)765-9502
P.O. Box 1 179 �� C"
Southold,NY 11971-0959ve m ill it
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, Q 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: 4 t .om
Requested Maximum number of persons allowed to occupy Dwelling Unit a � '
Number of rooms in Rental Dwelling Unit: "
Use and Dimensions of each room in Rental Dwelling Unit:
Page 3 of 5
Town Hall Annex F 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
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 equesting a fire safety inspection to be performed by a Code Enforcement Official
,m fro he Town of Southold
❑ 1 am submitting a completed Town of Southold certification form from a licensed
architect or a licensed professional engineer.
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SECTION H.
DECLARATION: Signature must be notarized and MUST be the owner of the dwelling unit.
STATE OF NEW YORK)
)
COUNTY OF SUFFOLK)
I 1 certify under penalty of perjury,the following:
1. I 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
ke
Town Hall Annex �p' Telephone(631)765-1802
54375 Main Road �a J Fax(631)765-9502
P.O.Box 1179
Southold,NY 11971-0959 b up^+
filo 11D
BUILDING DEPARTMENT
TONM 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.
p Y
Pro ert Owner's Name: toe 1red
Property Owner's Signature: o /hR�RS�.�6 MoBC'SL
Sworn to before me thi: day of 2
Official Notary Public Signature and Original Notary Stamp
GWENDOLYN DALENE
Notary public.Stam of New York
No.01DA6067714
Qunl wd in SuHo&Couary
My Commission Expires
Dec.17,2033
Page 5 of 5
TOWN OF SOUTHOLD BUILDING DEPT.
765-1802
INSPECTION
[ ] FOUNDATION 1 ST [ ] ROUGH PLBG.
FOUNDATION[ [ ] IN ULATIN/CAULKI
[ ]
FRAMING® T APPI [ ] INAL
_
[ - ] FI EP . CE C I EY [ FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ]
ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL)
[ ]
CODE VIOLATION [ ] PRE C/
REMARKS
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NY 005-Bargain and Sale Deed with Covenant against Grantor's Acts Individual or Corporation(Single Sheet)(NYBTU 8002)
CONSULT YOUR LAWYER BEFORE SIGNING THIS INSTRUMENT-THIS INSTRUMENT SHOULD BE USED BY LAWYERS ONLY
THIS INDENTURE,made the day of June in the year 2019
BETWEEN
KENNETH B.ZAHLER and JOANN ZAHLER
63735 North Road,Greenport,NY 11944
party of the first part,and
ONE POTATO LLC
10 Ridge Road,Wainscott,NY 11975-1071
party of the second part,:
WITNESSETH,that the party of the firstpart,in consideration of Ten Dollars and other valuable consideration paid by the
party of the second part,does hereby grant and release unto the party of the second part,the heirs,or successors and assigns of
the party of the second part forever,
ALL that certain plot,piece or parcel of land,with the buildings and improvements thereon erected,situate,lying and being in the
See Schedule"A"attached hereto and incorporated herein.
Being and intended to be the same premises conveyed to Grantor by deed dated 2/8/2018,and
recorded 3/6/2018 in Liber 12952 page 850 in the Office of the Suffolk County Clerk.
TOGETHER with all right,title and interest,if any,of the party of the first part of,in and to any streets and roads abutting the
above--described premises to the centerlines thereof;TOGETHER with the appurtenances and all the estate and rights of the
party of the firstpart in'and to said premises;TO HAVE AND TO HOLD the premises herein granted unto the party of the
second part,the heirs or successors and assigns of the party of the second part forever.
AND the party of the first part covenants that the party of the first part has not done or suffered anything whereby the said
premises have been incumbered in any way whatever,except as aforesaid.
AND the party of the first part,in compliance with Section 13 of the Lien Law,covenants that the party of the first part will
receive the consideration for this conveyance and will hold the right to receive such consideration as a trust fund to be applied
first for the purpose of paying the cost of the improvement and will apply the same first to the payment of the cost of the
improvement before using any part of the total of the same for any other purpose.
The word"party"shall be construed as if it read"parties"whenever the sense of this indenture so requires.
IN WITNESS WHEREOF,the party of the first part has duly executed this deed the day and year first above written.
IN PRESENCE OF:
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ANN MI It
......... .....--....... .................. ..... ....... ................... ..................... ..................... .... .................
11 A0
Town of Southold 6/19/2019
53095 Main Rd
Southold, New York 11971
................. ............... ............ ................. .......... ........................... ......
PRE EXISTING
CERTIFICATE OF: OCCUPANCY
No: 40457 Date: 6/19/2019
------....... ... ......................
THIS CERTIFIES that the structure(s) located at: 80 Rabbit Ln, East Marion
...................... .................-............................. -,.... ........................... ...
SCTM#: 473889 Sec/Block/Lot: 31.48-3
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- 40457
dated 6/19/2019 was issued and conforms to all the requriements of the applicable provisions of the law.
The occupancy for which this certificate is issued is:
seasonal.one family
j,Ny�:
Notes: BP 11,953 additioii CQ7
-16143,j6 � jjl' 4�1465ljerati0ns COZ-39845
The certificate is issued to Zahler, Kenneth& Joann ...........................
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO.
.....................
PLUMBERS CERTIFICATION DATED
*PLEASE SEE ATTACHED INSPECTION REPORT.
.............
Signatur
nth ized k e
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
HOUSING CODE INSPECTION REPORT
LOCATION: 80 Rabbit Ln,East Marion
SUFF.CO.TAX MAP NO.: 31.-18-3 SUBDIVISION-
........................
NAME OF OWNER(S): Zahler,Ken-neth&Jo
a-nn "
.................
OCCUPANCY:
ADMITTED BY:
SOURCE OF REQUEST: Zahler,KennethDATE: 6/19/201.9
................
...................
DWELLING:
#STORIES: I #EMS: 2
FOUNDATION: pilings CELLAR: CRAWL SPACE.
...........
BATHROOM(S): 1 TOILET ROOM(S): UTILITY ROOM(S):
PORCH TYPE: DECK TYPE: PATIO TYPE:
BREEZEWAY: , FIREPLACE: GARAGE:
DOMESTIC HOTWATER: yes TYPE HEATER: AIR CONDITIONING:
TYPE HEAT: HOT WATER:
#BEDROOMS: 3 #KITCHENS: I BASEMENT TYPE:
OTHER:
.... ..........
ACCESSORY STRUCTURES:
GARAGE,TYPE OF CONST: STORAGE,TYPE OF CONST:
SWIMMING POOL: GUEST,TYPE OF CONST:
OTHER:
..................... ..................
VIOLATIONS:
......................
...........
REMARKS:
............ ............... -----------............
........... ..........
................
INSPECTED BY: JOHN) DATE OF INSPECTION: 6/18/2019
TIME START: 12.40pm END: 12:55pm
.............. ......11
FORM NO.4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Nall
Southold,N.Y.
Certificate Of Occupancy
NO. . .„ ,Z-16«14,3 Date . , , ,.September. ,8,' '1987. . . . .. .
THIS CERTIFIES that the building , Replace post & addition to bedroom
LocationofProperty80 Rabbit tune . . East. Marion,, N %f.Ya k
1-louw Aib*, Street Hamlet
County Tax Map No. 1000 Section . , .3 I . . . .. . . .Block . . „1.8 . , „ . , .. . .Lot
Subdivision . . . . . . . . . . . . . . . . . . . . . . . . . . . ... .Filed Map No. . ... . . . .Lot No. . . . . . .
conforms substantially to the Application for Building Permit heretofore filed in this office dated
Sept... . . I . . . . . . . . .l9 8 . 9
putsuant to which Building Permit No. . , . .5 Z
3, 11
. . „ .,. „ . . . . „
dated 0 c t o b e r .6A . 1982 .. . . . . . 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 ..„ . . . . . .
REPLACE POST & ADDITION TO BEDROOM TO EXISTING ONE FAMILY DWELLING AS APPLIED FOR
The certificate is issued to .. „ , ,CNARLBS LUSCHER, JR.
of the aforesaid building.
Suffolk County Department of Health Approval . . . . . . . . . . . NIA
. . , . . . „ , ,
UNDERWRITERS CERTIFICATE NO. . „ . . . . .. . . , . , > . „ .N„5.94 8 14. .» . ..
PLUMBERS CERTIFICATION DATED: NIA
. . . .. . . . . . . . . . ., , , , , .
Building Inspector
Rev.ilei
Town of Southold 9/16/2018
P.O.Box 1179
53095 Main Rd
Southold,New York 11971
CERTIFICATE OF OCCUPANCY
No: 39845 Date: 8/16/2018
THIS CERTHM that the building RESIDENTIAL ALTERATION
Location of Property: 80 Rabbit Ln.,East Marion
SCTM 473889 See/Block/Lot: 31.-18-3
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
3/7/2018 pursuant to which Building(Permit No. 42465 dated 3/19/2018
was issued,and conforms to all of the requirements of the applicable provisions of the law. The occupancy for
which this certificate is issuod is:
ALTERATI.QNS INCL T AN MOMM M EAMMY I) ELLIN
APPLIED FOR
The certificate is issued to Zahlcr,Kennth&Joann
of the aforesaid building.
SUFFOLK COUNTY DBPAIVIXENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 42465 07-30-2018
PLUMBERS CERTIFICATION DATED 07-30-2018 Plum 8
'Signature
d