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HomeMy WebLinkAbout1000-102.-1-29 s TOWN OF SOUTHOLD � 14 Rental Permit = 0266 Owner Charles Zahra Occupied as Single Family Dwelling Located at 455 Schoolhouse Rd. Cutchogue 102-1-29 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. 3/14/2022 Code Enfor �int Official This Notice must be posted by the main entrance at all times Town Hall Annex SOUTHOLD TOWN 54375 Main Road ter t PO Box 1179 Southold, Rental II1Sp@CflOtl NY 11971-1179 Tel: 631-765-1802 "r Fax 631-765-9502 J my �y rc dbGh,�Y r I'f 7 1 .�..,, rrr �a yfl � F �a,x ;l� �v�G �,0 V ., ° qp; r ;,��,.,, �.., I�.,,,,� ,, ,/ 1 ,. y f�.. ,.,..r�((�r-�, �ij/ 1, h y 1 I i r,.%1/111 11� #11#1 , :...?, o�, / !I ;ilf//�1� "Smoke%DeSectors�{# °'bedroorn;deteGtors excluded},,r; BB ���,�'� / /'• ��%r / //l✓'/ /r '/r;G ., I'1 'G�'ll9' ''v'.IIP� ti'J,,� r,.. p//������, I,y;� ,, � ,Wy�oll Irl jf%. �"",,,„,R �,,;,,,, r/fa��f����ii.-;,���,,/,://%rte% „/,�r�'/,/L r,„ i »,� L�1�ll�f��� '"r�-,.��„0 v„ !� � � ,rI1��9�Yr7v�i/�1➢'��'(,ar!'u J, 1����/,�����'. CarbonyManoxlde ,vl/ffyir �r ;y I/�/ ,✓„r//! Od,a i�r,:ai4/i rr/ �j/I///'r'//�rl.l% //'. % %�nr ,' 3or e�,„„ rirn / �,/�r, /,r�lJr / CONDITION OFPROPERTY�1, ,�,�'//ml;u'�7(z as�ir r,/vw �oG/�.,�/1/:DLv✓/�i�i,rhm,er��/ �%at�,a,,,,�e!,,/nam-a o .,.,,. „ ” , n r,,,;, Heatlrif'sytemr' alrtaRrted/,cipratianaf°/' ' Butldtng Interior�s clean/maintained i leotu+%a#e� 'yserjl�liaaMrtamed/cierat�cnal, BUA g in F�ctenor is�c�ean„/ma>r�ta�ned , Electrloal, ysem ?arrtaird/ ppra��anaE,"i/r`Hr POO eity k)clean'I safe/maraairietl' ;% e a (Gal s t Gni d/Q att nal%% Handrails ,,,,,,,,,�,,,!� ,,;,Ir�S�,, ���, ���,, p�rr,,,ro,,,,,,,,� / /i/ti pu, �+lr c��mG,/flJ /Yi 9,'/�f 6 //Ir rrf/J .i/J �Jlr!. rf li'i/.' ,,, ,,,3. ,,<;F ,.,,, ,r//ri�,,,lr rrr/ ;,r ,r„i;a ,•i/ 9:./ri,r, fOrr ,,,,rZ ,/, " ► / J '/, ,/,r,/ ri , ,,,,,YIN, , POOL,BARRIERS Z11 r P66„ISICOmpI£t9Iy$riClOSed Ofll'SurfaGe alarm nd�f)r/d47tClrm°i G / r r/�//� / I r r %i , v 1, e��l/// /, /r,�,/ �i//,///''ri',//,.,/' ;; ,,,'' Battler"�s a;mm,4$ i, ,, YEN All open ngs iri barrier less than 4 ,,,%,, f .cie( COsJTknSelf G ing,/, //;/ /if,i/ ; IMI 2 clearance @ bottom oflb trier , ,,,,/,rr✓k,,,,:i, r�/,Nr„ ,,,,�rrrl,, r,:�r��/r/�;t,a»/�;�. / r r / I�at rrt1e / '° eta meets e( t% Barrer capable of being locked &child r/i��✓ifI//;/��1'� C,C)I1f11111EW'�"� ,;, © 0 A C, �� 0 �# TOWN OF SO TIROL t Rental Permit � 3 Permit No. 0266 ,77 Owner Charles Zahra Occupied as Single Family Dwelling Located at 455 Schoolhouse Rd Cutchogue 102-1-29 Address 5/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. 1/7/2020 John Jarski Date of Issue Code Enforcement Officer This Notice must be posted by the main entrance at all times xV Town Hall Annexe ���� kJ f b Telephone(63Il)76.5-1802 54375 Main Road Fax(6131)765 9501 P.O.Box 1 179 Southold,NY 11971-0959 re � 1, BUILDING DEPARTMENT JUL 3 1 2019 TOWN OF SOUTHOLD RENTAL PERMIT APPLICATION, r.,4 Rental Permit Fee$200(Application must be renewed every two years) Section A. Property Information: Rental Property Address: J j Tax Map Number: 1000 SECTION / ;BI OCI, -LOT SECTION B. OWNER INFORMATION: 1 Property Owner Name: Property Owner Legal Address: Property Owner Mailing Address: Telephone Number (s): Daytime. 9 / Evening, \,S °Y-),-Ltz -Emergency Property Owner Email Address: Page 1 of 5 ���?, � Town Hall Annex . Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1 179 Southold,NY 11971-0959 ��"� " 9� BUILDING DEPARTMENT TOWN OF SOUTHOLD RENTAL PERMIT APPLICATION ADDENDUM Rental Dwelling Unit Identifier:_ 5 �, ICS. -) Requested maximum number of persons allowed to occupy each dwelling un" . JJ Number of Rooms in Rental Dwelling Unit: 4 Use and Dimension of each room: 17% Y, 12 CK- A n eo(-)--rn / n Y-Cjb 9. 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: Town Hall Annex Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P_O.Box 1 179 i . Southold,NY 11971-0954ry4 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�I 1 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 _ 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 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. 1 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. Property Owner's.IVame: /-7 h . l ,,Z q l r . Property Owner's Signature: - " Sworn to before me thisJl .day of 20 J OfficiajNary Public Signatur nd Original Notary Stamp TRACEY L, D Y"ER NOTARY PUBLIC,STATE OF NEW YORK NO.01 DW6306900 QUALIFIEDIN SUFFOLK COUNTY COMMISSION EXPIRES,LUNE 30,2DA;L Page 5 of 5 s * TOWN OF SOUTHOLD BUILDING DEPT, a765-1802 INSPECTION [ ] FOUNDATION 1 ST [ ] ROUGH PL . [ ] `FOUNDATION 2ND [: ] INSULATION/CAULKING [ ] FRAMING/STPIINGWFIRE IL /'v& FIIREPL. CE C I Y S16FETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION _ [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) [ ] CODE VIOLATION [ ] PRE C/ REMARKS,,,,,,,,, ltti 0 f�� A- W6 SVA--- X40 U Y w t�[ n DATE INSPECTOR SKETCH ADDENDUM Harowe.r CGnrgm Itopctty coy C s7LHQUS RO Cowy SUFFOLK Smic NfZyl`bdc 11835 LQ11141Wt ERTI l 21.0' I Laundry Kitchen Per" d I i Dining ro Idr, 9 apo° 4.0• 1 5 Bern, h! Dinin Room S•O Bedroom I., ' 4 C' »µ 28.0' beth tln � �V LMn Rog,g S 18 0 Bedroom 21 p. 21 0' Front Parch I FIRST FLOOR SECOND FLOOR 9 i y1rE7CH CALCULATlDNSArea _ w.. .. Living Area 1074.1 Feel FkCw Told Living Area 1610.0 4 � J MARX ASSOMTO INC. . ........... ...............11-1-111-11............... .......... N . g -n 0 (D 0 o C > D Z CI- 0 r) 6a G) CL m ..._N.....- A -------------- Co c vs 0 (D 0 m LA o 0 0 Z z 0 M m CA 0 0 z z =if �A4 �A ":a X UN, CO rb 911,1, O O o 01 a p ( x 0 00 0• o m n n rn ,� ��, co �� ,� ,�° CD iCD �4, p' G i0 r i c; N a�V I" A .. _. __.._ ._....n..., .�.. N SII„ C Illloll "O,' U o o .o CD _. o a °, 0. m O S i 77 f � r i n _. m 0 o � � — -n o o m ? o a < p cp 9 , 9N ._ ,...�.._ o N � S Illy„I tM0 � 4 A 4 W z a L 4 FORM NO.4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold,N.Y. Certificate Of Occupancy No. AIQ94.8 . . . . . . . . , Date . , . . . , , Aril 21 . . . . . . . , . , . » 1982 THIS CERTIFIES that the,building9. .(.2 ) . . . . . . . , , » . „ » Location of Propertya a. . . . . . . . . Schoolhouse Road# Cutchogue k1 use No. neer . , . » . . . . , . . . . . . Hamlet County Tax Map No. 1000 Section .1 Q2. . . . . . . .Block . .01. . . . . . . . . .Lot . .a?g, „ . . . ,. . Subdivision . X. . . . . . . . . . . . . . . . . . . . . . . . . .Filed.M6p No. .X . .Lot No. X Requirements for a private one-family dwelling built prior 'to­ conforms substantially to the �rpp>7cation-for ,�itdinarn[irJllgl�erQfbflr-ltl�tf'[tf fpr';�Tffce d'a'fe� April 23Certificate of Occupancy . . . . . . . . . . . . . . . 195? .pursuant to which 13Tlifding PetnrtrNo. . . . . . . . Z 1 Q 9 4 8. . . . . . dated . . , . April 21 „ „ , 19 . ?,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 private one-f artily dwelling and accessory two garage. The certificate is issued to . . . . and wife (Ilercedes) (owner,aeewes-oreneirtl . . . . . . . . . . . . . . . . . . . . . of the aforesaid building. Suffolk County Department of Health Approval . . . . . . . n/r , . , . . . „ UNDERWRITERS CERTIFICATE NO. . . . . . . . . . . . . . . .nor . . » . „ » , . , , , , , . . . , , , , , . , , „ „ * „ Building Inspector Rev. 1181 BUILDING DEPARTMENT TOWN OF SOUTHOLD, N. Y. HOUSING CODE INSPECTION REPORT Location 455 Schoolhouse Road Cutchogue number str. eet Municipalit Subdivision x Map No. x Lots) x Name of Owner(s) Elwood M. Bunce & wife Occupancy R-1 owner type owner-tenant Admitted by: Mrs. Bunce Accompanied by: Mrs. Bunce Key available Suffolk Co. Tax No.102-01-029 Source of request Frederick J. Tedeschi Date April 13, 1982 DWELLING: Type of construction wood framed #stories 2 Foundation ceinent block Cellarpartial Crawl space rest Total rooms, 1st. F1 5 2nd. F.1. 3 3rd. Fl attic Bathroom(s) 1 ° Toilet room(s) Porch t 7 a type . 1�z ;� sed ZDeck, type Patio, type Breezewy - Garage Utility room Type Air te Typ (3, e oil fired Fire (s) 1 w , �o. Exits 2 Hotw r x ditio lia Domestic ^twat�' "yes Type heater oil fired f Other° � ACCESSORY STRU TURrES- Garage, type const.- 2 car wood Storage, type const. Swimming pool Guest, type const.. Other VIOLATIONS: Housing Code, Chapter 52 Location Description Art. Se . k'Etcberz as stove no shut off V 52-52-'B *'Liry <'e;1;1 ar° no rail cellar ste s II a�'_2' _g Remarks: Inspected by: 1,&dd "�,- Date of Insp. 4/1S/82 Curtis W. Horton Time start 11 :00 end 11 :30