HomeMy WebLinkAbout1000-55.-5-6 � �� SOWN OF SOUTHOLD
ta Z
Rental Permit
0191
Owner Thomas & Susan McCarthy
Occupied as Single Family Dwelling
Located at 45700 CR 48 Southold 55.-5-6
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.
9/15/2023
Code [AfomcUnt Officia
This Notice must be posted by the main entrance at all times
FF
OF
Rentall _Permit
4 = 0191
s�
Owner Thomas & Susan McCarthy
Occupied as Single Family Dwelling
Located at 45700 CP\,J,8 Southold 55/5/6
Maximum Permitted Occupancy 4
!s in compliOnce vdth all of the provisions of the code of the Town of Southold, the laws and sanitary and housing regulations of
Count of Suffol`t ��i�d b the la���ts �,do�fcd b�- the New York State Fire Prevention and Building Code Council. Expiration is
Y Y I, g
two (2) yeas frorn date of issue, The operator is responsible for arranging for the bi-annual inspection.
9/15/2021 .
Code Enfo� nt Official
This Notice must be posted by the main entrance at all times
R � _ TOWN OF SOUTHOLD
Rental Permit
0191
Owner Thomas & Susan McCarthy
Occupied as Single Family Dwelling
Located at 45700 CR 48 Southold 55.-5-6
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.
10/1/2019 John Jarski
Code Enforcement Official
This Notice must be posted by the main entrance at all times
TOWN OF SO1 THOLD BUILDING DEPT.
631-755-1802 Ss
I N E T 140
[ ] FOUNDATION 1 ST [ ] ROUGH PL13G.
[ ] FOUNDATION 2ND [ ] INSULATIOWCAULKING
[ ] FRAMING / STRAPPING [ ] FINAL
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL)
[ ] CODE VIOLATION [ ] PRE C/O [,+-14'E NTAL
REMARKS: o/-7/
DATE
INSPECTOR
Town Hall Annex
Town of Southold 54375 Main Road
Rental Inspection Report PO Box 1179
' Southold, NY 11971-1179
Tel: 631-765-1802
SCTM # - (4r Dat —
,
P o
Owner Visine
Address
Visible
_
inspector
Hamlet
,, . ,.. _ e .
Floor Level Quantities Sub 1
Smoke Detectors not located in bedrooms) _
Carbon Monoxide Detectors _
Fire Extinguishers
Exits
Bedrooms 2 4 5� - - ---- -'
1
Smoke Detectors
Egress
Occupant Count
Building Systems Maintained &Operational Condition of Property
Heating Building interior
Hot water Building exterior
Electrical Property clean, maintained &safe
u
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:
Town Hall Annex
o SOVT OLD TOWN 54375 Main Road
0 "';
Rental Inspection
PO Box 1179 Southold,
V NY 11971-1179
1,rs
Tel: 631-765-1802
Fax 631-765-9502
SCTM # Date I ` Z
Owner Phone 7 - l
_...
Addressv W Zip ?
Hamlet 5o V l o Inspector
Address visible from street?
LEVELS SUB 1 2 3
Smoke Detectors (#- bedroom detectors excluded)
Carbon Monoxide Detectors(#)
Fire Extinguishers (#)
Exits (#)
BEDROOMS 1 4 5
Smoke Detector Alarms (#)
Carbon Monoxide Alarms (#)
Egress(windows) (Y/N)
BUILDING SYSTEMS CONDITION OF PROPERTY 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 Lpp N POOL BARRIERS Y/N
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
!COMMENTS:
THOMAS & SUSAN McCARTHY
46520 COUNTY ROAD 48
SOUTHOLD, NY 11971
631-765-5815
September 1, 2021
Town of Southold
Building Department
P.O. Box 1179
Southold,NY 11971 RE: Rental Permit Renewal
45700 Route 25
Southold,NY 11971
SCTM#: 1000-55-5-6
To Whom It May Concern:
Please let this letter serve as written certification that the above-mentioned rental property has
not changed since the previous rental inspection. Enclosed, please find the renewal fee of
$200.00. At this time, we would like to schedule a town inspection.
i. y„
C
Thomas J. McCarthy
Owner
Town Hall Annex ' �� Telephone(631)765-1802
54375 Main Road Fax(631)765-9502
P.O.Box It 79
,1
Southold,NY 11971-0959
BUILDING DEPARTMENT
TOMN OF SO'U M011.D
RENTAL PERMIT APPLICATION SEP 2 7 2019
Rental Permit Fee$200(Applicatian must be renewed every two years) ,
Section A.
Property Information:
s
Rental Propert Address
w
Tax Map Number: SECTION -BLOCK „M,; -LOT
SECTION B.
OWNER INFORMATION:
Property Owner Name: 171. � w„�,. �� 3%. .. �
p Y
Property Owner Legal Address: Property Owner Mailing Address:
” g : F
Telephone Number(s): Daytime� � Evening Emergency
Pror yr Owner EmoilAddress: �.. , "b-"i-kv ED
9 (D
Page 1 of 5 f
lr'
I �
Town Hall Annex Telephone(631)765-1802
54375 Main Road y Fax(631)765-9502
P.O.Box 1179
Southold,NY 11971-0959
BUILDING DEPARTMENT
TOWN OF SOUMOLD
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:
Telephone Number(s):Daytime Evening Emergency
Email Address:
Section D.
Managing Agent Information:
Name of Authorized Agent of dwelling unit,if any:
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 to �i Telephone(631)765-1802
54.375 Main Road ',' Fax(63l)765-9502
P.O.Box 1 179
Southold,NY 11971-0959
BUILDING DEPARTMENT
TOWN OF SOU=OLD
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:
Requested Maximum number of persons allowed to occupy Dwelling Unit
Number of rooms in Rental Dwelling Unit: p
Use and Dimensions of each room in Rental Dwelling Unit:, 6 '7
/ IVII?)
a
17
Page 3 of 5
py�,I?IIp �pV'^ryI SMV I
r
Town Hall Annex 1 � Telephone(631)765-1802
54375 Main Road �, � Fax(631)765-9502
P.O.Box 1179 M `�
� IVw � it rJ
Southold,NY 11971-0959
UNTI
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
❑ 1 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 ,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
14kN� W)grad
Tele (631
Town Hall Annex �-� � Telephone )765-1802
54375 Main Road �� o " Fax(631)765-9502
P.O.Box 1179 "r
Southold,NY 11971-0959
a
BUILDING DEPARTMENT
TOWN OF SO O
RENTAL PERMIT APPLICATION ADDENDUM
Rental Dwelling Unit Identifier: 19
Requested maximum number of persons allow to cc1 y each dwelling unit:-4-
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:
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:
i N4 N
i
Town Hall Annexe Telephone(631)765-1802
54375 Main Road Fax(631)765-9502
1
P.O.Box 1179 CAIN; r r
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, Mean, giing Agent, or Site Manager.
Property Owner's Name:
Property Owner's Signature:
Sworn to before me this q day of _ _ 20L9
Official Notary Public Signature and Original Notary Stamp
ANDREA FIVE
Notary Public,State of New York
No.01 R14768970
Qualified in Suffolk County
Cornmission Expires Nov.30, 0
Page 5 of 5
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BUILDINGTO N OF SOUTHOLD .
INSPECTIONi
FOUNDATION
18TROUGH PLBG.
FOUNDATION 2ND , INSULATIOWCAULKING
] FRAMING/STI APPING [ ] INAL
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FIREPLACE CHIMNEY [ I : SAFETY INSPECTION
° FIRE'RESISTANT CONSTRUCTION I IT TTI
I ELECTRICAL fROUGH) ELECTRICAL (FINAL)
CODE VIOLATION [ PRE C/O
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Town of Southold 10/1/2019
53095 Main Rd
Southold,New York 11971
con :z I
1$ 4�o
PRE EXISTING
CERTIFICATE OF OCCUPANCY
No: 40736 Date: 10/1/2019
THIS CERTIFIES that the structure(s) located at: 45700 CR 48, Southold
SCTM#: 473889 See/Block/Lot: 55.-5-6
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- 40736
dated 10/1/2019 was issued and conforms to all the requriements of the applicable provisions of the law.
The occupancy for which this certificate is issued is:
wood frame one family dwelling.*
The certificate is issued to Mccarthy,Thomas& Susan
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
...........
ELECTRICAL CERTIFICATE NO.
.. .....................
PLUMBERS CERTIFICATION DATED
*PLEASE SEE ATTACHED INSPECTION REPORT.
. ................
hor, ed igrt ature
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
HOUSING CODE INSPECTION REPORT
LOCATION: 45700 CR 48,Southold
__...._..r ..........
SUFF.CO.TAX MAP NO.: 55.-5-6 SUBDIVISION:
NAME OF OWNER(S): Mccarthy,Thomas&Susan T
.. .....
OCCUPANCY:
m ...... ...
ADMITTED BY:
....._. _ _.. ..
SOURCE OF REQUEST: Mccarthy,Thomas DATE 10/1/2019
DWELLING:
#STORIES: 1 #EXITS: 2
FOUNDATION: cement block CELLAR: full CRAWL SPACE:
BATHROOM(S): 1 , _ ....m.._.._,.TOILET ROOM(S): UTILITY ROOM(S):
PORCH TYPE: . DECK TYPE: PATIO TYPE: J
BREEZEWAY: ... �_r �.
FIREPLACE: GARAGE:
DOMESTIC HOTW A m
ATER: yes TYPE HEATER: LPG AIR CONDITIONING:
TYPE HEAT: oil WARM AIR: x HOT WATER:
#BEDROOMS: 3 #KITCHENS: 1 BASEMENT TYPE: unfinished
....-
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: 9/27/2019
TIME START: .
II II ��I ���I U� �I I�III�IIIUII��
MANAGEMENT,McCAKnfV . �� i(II�IIIIIIIIIII ISI IIIIIIIIIIIIIIIUIU IIIIIIIIIIIII�I�I Ilnl I I��II�IIIII �I��I��Il�llp�IIIIIIIIIIIIII I IIII IIII� IIIII� II�I�
46520 COUNTY ROAD 48
SOUTHOLD, NY 11971
(631) 765-5�815 FAX (631) 765-5816
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0 :I Copy of pettpii, i] Change order ,......................_._.. ...................�.�.�.m.. .._._. _._. �.�.
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SEP '1" 2019
FHESE AIR11="T IRAN MUF"II'ID as checked bebw:� .
I :I 1For appprovM I I Approved as submitted L? Re uLnrnft _...n............ c rUples for appasrawra
I For your use ] Approved as noted I Saull.)urill . _._—=- a roll,rlid s [or ddOihuutudruu
As regUe.s4.ed Returned for corrections I 1 IItchiruu .... coiiii _cted Iloi-4 s
I ] For review arid comment i J .... ................... ..... --- ........-
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