The URL can be used to link to this page

Home My WebLink About1000-63.-2-18 ITOWN OF SO T- OL Rental Permit Permit No. 0236 Owner Robert & Susan Somerville Occupied as Two Family Dwelling (Apt 1 -Right Side) Located at 545 Hummel Ave Southold 63-2-18 Address 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. 11/25/2019 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 wq Fax(631)765-9502 P.O.Box 1 179 Southold,NY 11971-0959 10 BUILDING �: r1 BUILDING DEPARTMENT TOWN OF SOUTHOLD RENTAL PERMIT APPLICATION Rental Permit Fee$200(Application must be renewed every two years) Section A. Property Information: Rental r AdM: q J Tax Map Number: 1000 SECTIONz -BLO -LOTa SECTION B. OWNER INFORMATION: Property Owner Name:....__..._ Property Owner Legal Address: Property Owner Mailing Address: SOMERVILLE SO ILLE. Telephone Number (s): Daytime_ EveningW Emergency m� Property Owner Email Address: co Page 1 of 5 �r Town Hall Annex M, 1k Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1 179 �1 Southold,NY 11971-0959 �1 BUILDING DEPARTMENT TOWN OF SOUTHOLD Section C. Authorized Agent Information: Name of Authorized Agent of dwelling unit, if any: Address of Authorized Agent (no P.O. Boxes); SOMERVILL 5950 Mailing Address of Authorize, Agent: �SOUTHOLD,NY 11971 Telephone Number(s): Daytirrle„ 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 co '1�rcag8 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 JI O J Y myw iurt Town Hall Annex Telephone(631)765-1802 54375 Main Road Fax (631)765-9502 P.O.Box 1179 � Southold,NY 1 1971-0959 UM BUILDING DEPARTMENT TOWN OF SOUTHOLD Mailing Address of Managing Agent: Telephone Number (s): Daytime -Evening G-oNp, s� Email dress: Y'ir D SECTION F. PROPERTY DESCRIPTION.. Number of Rental Dwelling Units on property, ....__W For each Rental Dwelling Unit set forth the Rental Dwelli U 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: Requested Maximum number of persons allowed to occupyfling Unit: Number of rooms in Rental Dwelling Unit: Use and Dimensions of each room in Rental Dwelling Unit: ....._ � �� Page 3 of Town Hall Annex Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1179y Southold,NY 11971-0959 cou 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. l 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 " . i,_ �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 Town Hall Annex Telephone(631)765-1802 54375 Main Road a Fax(631)765-9502 P.O.Box 1 179 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, Managin Agent, or Site Manager. Property Owner's Name:. IN `MQ-C Property Owner's Signature: Sworn to before me thi A day of A uv 2C l Official N�� ry Public Signat� � and Original Notary Stamp TRACEY L. OWYER NOTARY I'UBLIQ STATE OF NEW YORK NO.OIDW6306900 QUALIFIED IN SUFFOLK COUN'I'l� COMMISSION EXPIRES' 1k_NE 3l1„5, Page 5 of 5 DEPT. N'zof ] FOUNDATION 765-1802 , INSPECTION I FOUNDATION 1ST ROUGH PLBG. INSULATION/CAULKING FRAMING /STRAPPING FINAL FIREPLACE & CHIMNEY (. I 'lRE SPECT,ION FIRE RESISTANT CONSTRUCTION 1 ELECTRICAL ( 1 REMARKS:CODE VIOLATION PRE C/O � . wc� DATE i ... f m p 01 of w �« W1 c5;iti 1 �n I0 mm 14A m 0 Vr-.,/ � � a CD r -r g ti - LIS ( - fP , T===j I _me 1 � —t 4 � d i 3z i , �— RASIDENCE , SONIMERVMLE __-- - 3 E _�z � � FLOOR PLu.S a !4 � I �y f ! j =.I C � i 1 � i R F ig, SONIMERViLLE RESMENCE LLja MSTWG t FLOORPL L SLON S ➢wg N EX-100 TOWN OF SOUTHOLD PROPERTY RECORI OWNER STREET VILLAGEDISTRICT ' SUB. LOT - 3 FARMER QWN " N �-�- { -� W TYPE OF BUILDING ' 3 RES. SEAS i VL. FARM COMM. IND. CB. MISC. Est. Mkt. Value LAND IMP. TOTAL DATE REMARKS a ` VY , AGE BUILDING CONDITION NEW NORMAL BELOW ABOVE FRONTAGE ONS WATER Farm Acre Value Per Acre Value FRONTAGE ON ROAD Tillable 1 I BULKHEAD ®: .agile 2 I , DOCK Tillable 3 Woodland Swampland r _ ya. Brushland 3 House Plot i Tota I f i a t e - g i e _ r z s < ULA 63.-2-18 2/10 - — M. Bldg. �_ Foundo;ion Bath r Extension Basement Floors Ext. Walls !,',Interior Finish x�ens on Fire Place Heat Porch! hoof Type Porch: Roorns 1st Floor Breezeway Patio Rooms 2nd Floor rce _ f Driveway Dormer O. B. sn 3 i 3 r � FORM NO.4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Clerk's Office Southold, N.Y. Certificate Of Occupancy No. . M41. . . . . . . . . . Date . . . . . . . . , . . . . , . .May 31.,. . . . . . . .. 19 .79 THIS CERTIFIES that the building . . . . . . . . . . . . . . . . . , , . , . , . . . . . a . „ . . , . „ , , . . _ . . . Location of Property ,545 . . . . .Hummel. Avenue, .S?uthold, .New•York • • • • . • House No. ireet Hamlet County Tax Map No. 1000 Section . . .063. . . . . .Block . . 2. . , . . . . . . . . .Lot . . lg . . . Subdivision . . . . . . . . . . . . . . XXX. . . . . . . Filed Map No. . AGK . . . .Lot No. . . .XX.X . . . . . . Ar conforms substant tit . . . . . . Agril. .23.. . . . . 1957. pursu� tto off'. 29511 . . dated . . . . . . . . . . . .MQy. .31.,. . 19 .79,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 . . . . . . . . . . . . . . .TVQ-iWZLY. Dliam!,11X. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . „ . The certificate is issued to . . . J.49Phi.13e.C... .Turner. . . . . . . . . . . . . . . . . , (owner,lessee or tenant) of the aforesaid building. Suffolk County Department of Health Approval . .Pre:Existing. . . . . . . . M . , . . . . . . . . . , UNDERWRITERS CERTIFICATE NO. . . . . , Pre.—Existing. . . . . . . . . . . . . . . . . . Building Inspector Rev 4/79 BUILDING DEPARTMENT TOWN OF SOUTHOLD, N. Y. HOUSING CODE INSPECTION REPORT Location 545 Hummel Ave Southold, N.Y. number & street Municipality Subdivision Mala No. Lot(s) Name of Owner(s) Josephine S. Turner Occupancy R-2 Tenant .type.. owner-�en_a�nt)- dmitted by: r. Vazquez Arrs�m} anied by: Mr.Vaa u ez Key available Suffolk Co. Tax No. 1000-063-2-18 Source of request David L. Whipple III Date May 29, 1979 DWELLING: RIGHT APARTMENT Type of construction wr f z #stories two Foundation brick CellarartialCrawl space Total rooms, lst. Fl 3 2nd. Fl 2 3rd. F1 Bathrooms) Toilet rooms) Porch, type Deck, ty-pe Patio, type Breezeway Garage Utility room Type Heat gas pipeless Warm Air X Hotwater s Fire laces p ( )_ No. Exits Airconditioning Domestic hotwater Yes Type heater was - Other ACCESSORY STRUCTURES: NONE Garage, type const. Storage, type const. Swimming pool Guest, type const. Other VIOLATIONS: Housing Code, Chapter 52 LocationDescription ..... - Art. Sec. Stai:C �i m_ _ Earway ,too narrow 5-2- -Z m,_ A ....._. . _...—... ,._L Itchen . no shut off --aas stove......._..— Back_door _ .needs repairin,g_badly.._..— ,III.-...�U=.M _. Fr•onL—Por h sills & floor bad ...._._. �... _..� T T T ��...._ Sidewa,lls of House. l. ts...._ca broken....shi.n _...._........._........... Remarks: Osa3.y one 60 AMP electric service for two familydwellin& _. Inspected by: Curtis Horton ... ....�,.....,...Date °tarts9: end310_3079... BUILDING DEPARTMENT TOVM OF SOUTHOLD, N. Y. HOUSING CODE INSPECTION REPORT Location 545 Hummel Ave Southold, New York m. ...•• . number & street Municipality Subdivision Map No. Lot(s) Name of Owner(s) Josephine S. Turner Occupancy- R-2 Tenant type -m owner-tenant Admitted by: Mr. 1azque Accompanied by: Mr. Vazquez Key available Suffolk Co. Tax No. 1000-063-2-18 Source of request David L. Whj2E e�III Date May 29, 1979 DWELLING: LEFT APARTMENT Type of construction Wood framed #stories two Foundation brick _Cellar partial Crawl space X Total rooms, lst. Fl 3 2nd. Fl 3 3rd. Fl 1 Bathroom(s) 1 _Toilet room(s) 1 Porch, type Deck, type Patio, type Breezeway Gca;°°ag, Utility room Type Heat ni eless was 'alarm Air m_XwwHotwater Fireplace(s).. No. Exits 2 Airconditioning Domestic hotwater yes - Type heater aas Other ACCESSORY STRUCTURES: NONE Garage, type const. Storage, type const. Swimming pool Guest, type const. Other VIOLATIONS: Housing Code, Chapter 52 location Description Art. Se(,-,.. Back door needs re airing badly m III _ -; C Kitchen floor is slooPing badly,. sills....n„eed Ba•tl°:room � b� no floor mete. Froit., ozcha sill & .deck,.bad-12 Remarks: Should have a new electric service only one for two family dwell- Inspected by:® �Curtis _ Date of Insp® �" ,S y 31,01979 ' ® .. TiK- ..me tar°t 9 30 erad -_ - _,_ O ........ . ....._............... ... .... ...... � 1FOt Town of Southold 11/22/2019 P.O.Box 1179 53095 Main Rd w Southold,New York 11971 CERTIFICATE IICATE O OCCUPANCY No: 40884 Date: 11/22/2019 THIS CERTIFIES that the building RESIDENTIAL ALTERATION Location of Property: 545 Hummel Ave, Southold SCTM#: 473889 Sec/Block/Lot: 63.-2-18 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 3/11/2019 pursuant to which Building Permit No. 43571 dated 3/20/2019 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: ALTE-'IUA',".C1ONS TO AN EXISTING TWO-FAMILY DWELLING AS APPLIED FOR The certificate is issued to Somerville,Robert&Susan of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 43571 08-13-2019 PLUMBERS CERTIFICATION DATED 08-12-2019 C. cho*ue P gn. FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-33979 Date: 09/30/09 THIS CERTIFIES that the building ACCESSORY GARAGE Location of Property: 545 HUMMEL AVE SOUTHOLD (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 63 Block 2 Lot 18 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated JANUARY 2, 2009 pursuant to which Building Permit No. 34374-Z dated JANUARY 21, 2009 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 ACCESSORY 25' X 32' UNHEATED NON-HABITABLE GARAGE AS APPLIED FOR PER ZBA 6204, DATED 10/16/08 „ The certificate is issued to ROBERT C & SUSAN C SOMERVILLE _ ....... .. ... ... __. (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO_ 09-6638 09/16/09 PLUMBERS CERTIFICATION DATED N/A hor ed s inature Rev. 1/81