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Home My WebLink About1000-64.-1-24 E TOWN OF SOUTHOLD 4 Rental Permit 0190 Owner Brion Lewis & Leslie Simitch Occupied as Single Family Dwelling Located at 315 Maple Lane Southold 64.-1-24 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. 12/21/2023 Code 4 / ent official This Notice must be posted by the main entrance at all times *f4v SO TOWN OF SOUTHOLD BUILDING D 831 -765-1802 6�1 loft � INSPEC ION [ ] FOUNDATION 1 ST [ ] ROUGH PLEG. [ ] FOUNDATION 2ND [ ] INSULATION/CAI [ ] FRAMING / STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] EIRE SAFETY IN! [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PE [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FII L l CODE VIOLATION [ ] PRE C/O [ REMARKS: Ok-, dV 5 d o"G( DATE / iINSPECTOR � , � Town Hall Annex Of Town of Southold 54375 Main Road PO Box 1179 Rental Inspection Report Southold, NY 11971-1179 a + Tel: 631-765-1802 SCTM # _ " -� Date Phone OwneAddress ss visible . .. . or Hamlet _ . �.. p ns ec Floor Level Quantities SmSub 1 2 a . . _� in bedrooms) oke Detectors not located - , Carbon Monoxide Detectors Fire Extinguishers Exits Bedrooms 3 Smoke Detectors Egress Occupant Count Building Systems Maintained & Operational Condition of Property Heating Building interior Hot water Building exterior Electrical 11 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 requirements CO's for all items present Prior Rental Comments: _ __ Al- TOWN OF SOUTHOLD §1 14=0 44i Rental Permit AL 0190 Owner Brion Lewis & Leslie Simitch Occupied as Single Family Dwelling Located at 315 Maple Lane Southold 64-1-24 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. �a 10/5/2021 Code Enforce Official This Notice must be posted by the main entrance at all times Town Hall Annex SOUTHOLD TOWN 54375 Main Road «Y Rental Inspection PO Box 1179 Southold, NY 11971-1179 >� e M N> Tel: 631-765-1802 Fax 631-765-9502 SCTM # 2_ Date OwnerSri!a iPhone Address 315 fo Zip, r Hamlet a; �ca ~ " lopeoou Addressslalefree LEVELS U �. � 3 Smoke Detectors(#-bedroom detectors excluded) Carbon Monoxide Detectors (#) Fire Extinguishers (#) Exits(#) BEDROOMS 1 .. 2 ..� �� 5 Smoke Detector Alarms (#) Carbon Monoxide Alarms (#) 7 ,, Egress (windows) (Y/N)i t-,, BUILDING SYSTEMS I CONDITION OF PROPERTYl!N 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 Y/@ POOL BARRIERS Y/N Pool present q 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 :i-.-Q RC1A C W TOWN OF SOUT 0L_ xie R Rental Permit �a Permit No. 0190 Owner Brion Lewis & Leslie Simitch Occupied as Single Family Dwelling Located at 315 Maple Lane Southold 64-1-24 Address Village S/13/1- Maximum /B/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. 9/30/2019 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 " M BUILDING DEPARTMENT TOWN OF SOUTHOLD RENTALPERMIT APPLICATION, Rental Permit Fee $200 (Application must be renewed every two years) Section A. Property Information: Rental Property Address: �a Tax Map Number: 1000 SECTION BLOC SECTION B. OWNER INFORMATION: Property Owner Name:: Moi ( ' (JSim( Property Owner Legal Address: Property Owner Mailing Address: (Cannot be the same as Rental Property Address) "." ' A- 4>hjY I Telephone Number(s): I .- Property Owner Email Address: I ` WaW*6 i Page 1 of 4 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: . IT Requested Maximum number of persons allowed to occupy Dwelling Unit: Number of rooms in Rental Dwelling Unit: Use and Dimensions of each room in Rental Dwelling Unit: c - 0 1) 7,54 i 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. I am requesting afire 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) _ It0 LeW)�,, _ _ ; 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 me: N a �.... ..........�, Property Owner's Signatures �. Sworn to before me thisay of 20 1k IR X official No k ry Public Signature 6 d Original Notary Stamp TRACE)'L. DWYER Page 4 of 4 NOTARY PUBLIC,STATE OF NEW YORK NO.01 DW6306900 QUALIFIED IN SUFFOLK COUNTY COMMISSION EXPIRES MUNE 30,2 �a � 4 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 ADDENDUM Rental Dwelling Unit Identifier: r Requested maximum number of persons allowed to occupy each dwelling uni Number of Rooms in Rental Dwellin Unit: ?� r g Use and Dimension of each room: rR"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: Af ' S 765®1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ `.] FOUNDATION 2ND [ ] INSULATION/CAULKING [ ] FRAMING /STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY [_V] FIRE SAFETY INSPECTION [ ] FIRE RESISTANTWNSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) [ ] CODE VIOLATION [ ] PRE C/O REMARKS: SV I' t, •" rjl,.,t/,17i—. r w 1,-j Y y:w_ 147;141,IV � w C u, ru @ 4$5 sF y 1$P J r �t Ir EK IT ._�.. ... . d .. iF 4 W � .. RECEIVED MAY 18 2017 -FLof-- 11A7.1 I QST FUS " 70NING BOARD OFAPPEA[S �I� bkpi S6FUT} 0,v, my �7-► e afi r '78 SiC r ¢f 7' u A RECEWED MAY 10 2017 -FLO-OF--FLA J F1?-jYF FUZ ZONING BOARD OFAPPEALe� '�I'�, HAPv6 LA- r _ Ho (� '14 fez "SEP `H 7 RECEIVED MAY 18 2017 ZONING BOARD OF APPEALS LE�L/N yot 1 ID v B o 0 0 Z � " r " , Q Q , ro S ,.. O" 0" s { D ;O { r �m� w r s — w ` 3ro 10 _.. rVIa _... _. ,_. ... Q �. � 4 tA -F Q I - -. ...... .I ............ „ Cl Q �II1 0 0 > l J J v w.,n.wv Z Z , i m G) c) c " �rw-d C7 Z Z P rad m s 14 f S Q q! 7N �." i ,w r Ln co L i w 5 P ell G) 6"A'tl Pro ,._ ,. .�. �.. 4G:.k T7 ftt �Q' ! Cl u�a ftR fD PIS f x 4 ! s W1 Po I , ¢rro en if 0 / r � Aryy J'rz /rz�f ff I� qn „ I° � II 'Jr. 0• N a O.vB �I g1.. fill `a W. I O ...D CD en CID CD o O , r: 0 l I ...,�.... ..��........ ,.... ......,, ,.. _ ......_ .., .. ..�. ,.. ..,...... ._ ....,.............. G c d` ,...,.� ...�. P a, �r , cn En . .,.m. Pt 7 '..._ f 21 Irr m w m t � . e,J V � 71 ....... ,W. ... ��.. N _ 1 j1 TO\N _ F SOUTHOLD OFFICE OF BUILDING INS11ECTOR TOWN IIALL SOUTIIOLD, NEW Y ORK CERTIFICATE OF OCCUPANCY NONCONFORMING PREAiISES TIIIS IS TO CERTIFY that the / X& Land Pre C.O. #- Z 160 17 / Xk Building(s) Date- August 4 , 1987 /—/ Use(s) located at 315 Maple Lane Southold Street Hamlet. shown on County tax map as District•1000, Section 064 Block 0 1 Lot 24 does�'riot)conform to the present Building Zone Code of the Town of Southold for the following reasons: Insufficient total area; excessive lot coverage; side and rear set backs . On the basis of information presented to the Building Inspector's Office, it has been determined that the above nonconforming /X/Land /x /Building(s) /_/Use(s) existed on the effective date the present Building Zone Code of the Town of Southold, and may be continued pursuant to and subject to the appli- cable provisions of said Code. IT IS FURTHER CER'T'IFIED that, based upon information presented to the Building Inspector's Office,roper ycontains occupancy and story, the dueforrwhich his Cer 5r7 ly, cite is issued is as follows: framed dwelling with attached porn deck; W '" pool; garage & fencing; accessory shed; black toped„' ve '`a11 sit- uated in A-Residential Agricultural zone w,jwh c.cess� o Mae ane. - _- Property has foil"owing permits 4611Z w/c. Z3869, 4 OZ w/c.o.. Z3870, 4932Z -w/c.o. 4 18• 4971Z w cWo_ 41 14812","w c. Z1,6016 C -tificate 4JApcd 1:a LEWIS L. ,,& D . ORAH EDSON o: t o aforesaid building. Suffolk County Department of Ilealth Approval N/A 1j NDf;R1Vl1ITERS CERTIFIC:A i E NO. N/A �. NOTICE IS I1EREBY GIVEN that the owner of the above premises T-ViS NOT CONSENTEID TO AN INSPECTION of the premises by the Building Inspec- tor to determine if the premises comply with all applicable codes and ordin- ances, other than the Buildinn "Lone Code, and therefore, no such inspection has been conducted. This Certificate, therefore, does not, and is not intended to certify that the premises comply with all other applicable codes and regula- tions. ;.�ISpector... __. FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. CERTIFICATE OF OCCUPANCY No.Z...3$b9.............. Date .........................July.......21...... .w1„9.79.. THIS CERTIFIES that the building located at ... /13..MR1pe...I�811A.................•.•......"'° ,.� .Sl t,a�eu " Map No. .xx. .............. Block No. .. . ............ Lot No.=..............GOttthd3&.. . -iY v. ...:........... conforms substantially to the Application for Building Permit heretofore filed in this office dated ..................................:, vy....2c)...., 19-70. pursuant to which Building Permit No. .l �.1Z•• dated .......................Jim..........2C}........... 1970:., was issued, and conforms to all of the requirements of the applicable provisions of the low. The occupancy for which this certificate is issued is ........ �� .. ...fam •ly. 3�lkn�..{ve r••M;D.i...ar•!•S.'cs�:.......:..................................... The certificate is issued to DTr..�iE, hy He}]; ........ .. •..... » .». ............................ .. . (owner, ese ort t) of the aforesaid building. House 315 --- fr&. . .. .. . ..... ................. Building Mrtspect FORM NO.4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building inspector Town Hall Southold, N.Y. Certificate Of Occupancy No. . L 160.1.6. . . . . . . . . Date . .Aggust 4 . ] 987 . . . . . . . . y a THIS CERTIFIES that the building . . , . .A c.;c e s s O r.y . . . . . . _ . , . . . . Location of Property3 15 Maple Lane # Southold . Ho,use W. Street Hamlet County Tax Map No. 1000 Section . . . . . . . .Block . . . . } . . . . . . . . . .Lot . . .24. . . . . . . . . . . . Subdivision . . . . . . . . . . . . . . . . . . . . . . . . . . .Filed Map No. . . . . . . . .Lot No. . . . . . . . . . . . . . conforms substantially to the Application_for Building Permit heretofore filed in this office dated Apr i 1 2 3 , 19.8.6 ; pursuant to which Building Permit No. . . ,14 8 1 2 2 dated A p r i l .26r. .1.986 was iss d, and conforms to all of the requirements pw�oa ;.._,_ building a s applied fo'r',", y fob filch this certificate is issued is . . . . . . . . . of the applicable far �f'the law. The occupancy Access . ,... . . . . . . . . . . . . . . . . . . . . . . . . .�. , , . . . . . . . . . . . . . , . . . . , . . , . . . . . . . . , . . The cert]fate is issued to E D S ON, 1, � a L L . &. DEBORAH . (owner,� rterarX 1�$' of the aforesaid building. Suffolk County Department of Health Approval , „ . , , . . . N/A. . . . . . „ . . . . , . UNDERWRITERS CERTIFICATE NO. . . . . . . . . . . . . . . . 'N8 1 7 0 6 0 PLUMBERS CERTIFICATION DATED: N/A . . . ,mow . . . . . . . . , .. � . . . . . . . . . . . . . . . Building Inspector Rev. 1/81