HomeMy WebLinkAbout1000-88.-4-51 TOWN OF SOUTHOLD
Rental Permit
Permit No. 0327
Owner Eastern Suffolk Property Two LLC
Occupied as Single Family Dwelling
Located at 640 Longview Lane Southold 88.-4-51
Address Village S/B/L
Maximum Permitted Occupancy 6
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.
8/11/2020 John Jarski
Date of Issue Code Enforcement Officer
This Notice must be posted by the main entrance at all times
qA
O��pF SOUryOlo _
~
Town Hall Annex Telephone(631)765-1802
l�[
54375 Main Road Fax(631)765-9502
P.O.Box 1179 .Gc� apQ
Southold,NY 11971-0959 CpUNT'1
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
RENTAL PERMIT APPLICATION '
►JUS 0 9 �.'
Rental Permit Fee $200 (Application must be renewed every two years) 2079
1--TZ,D,W DET17'
,
Section A.
Property Information:
Rental Property Address:
640 Longview Lane, Southold, New York 11971
Tax Map Number: 1000 SECTION 088.00 BLOCK 04.00 LOT 051.000
SECTION B.
OWNER INFORMATION:
Property Owner Name: Eastern Suffolk Properties Two LLC
Property Owner Legal Address: Property Owner Mailing Address:
(Cannot be the same as Rental Property Address)
Miles B. An_derso,n, Esq. Miles B. Anderson, Esq.
16 Round Pond)Lane 16 Round Pond Lane
Sag HarDor, New Yo_rR 11963 Sag Harbor, New York 11963
Telephone Number (s): 631-725-4400
Property Owner Email Address: tubal aw@optonl ine.net
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Page 1 of 4
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):
Email Address:
Section D.
Managing Agent Information:
Name of Authorized Agent of dwelling unit, if any: Jeffrey D. Anderson
Address of Authorized Agent (no P.O. Boxes): 840 Rosewood Drive, Mattituck, NY 11952
Mailing Address of Authorized Agent: 840 Rosewood Drive, Mattituck, New York 11952
Telephone Number (s): 631-235-6532
Email Address: Jwhaler@hotmail .com
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):
Mailing Address of Managing Agent:
Telephone Number (s):
Email Address:
Page 2 of 4
SECTION F.
PROPERTY DESCRIPTION:
Number of Rental Dwelling Units on property: one
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."
Unit 1
Rental Dwelling Unit Identifier:
Requested Maximum number of persons allowed to occupy Dwelling Uni 5
Number of rooms in Rental Dwelling Unit: 7
Use and Dimensions of each room in Rental Dwelling Unit: BR 1 - 12 'xl4' , BR2 - 10'4"x13' ,
BR 3 - 10'4"x9'8" , BR 4 - (DDen") 11'4"x11' , LR - 18"6"x]?' , Dining - 12'x11'4" , K
Kitchen - 12"x111-61- , 2 bathrooms
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 a fire safety inspection to be performed by a Code Enforcement Official
from the Town of Southold.
Page 3 of 4
❑ I 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)
I
Miles B. Anderson , certify under penalty of perjury,the following:
Manager of the LLC th t i
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 Name: Eastern Suffol k properties LLC
Property Owner's Signature: By: ea a 13
Miles B. Anderson, Manager
Sworn to before meth' th day of July 2019
EVELYNNE RAIv1UNN0
-STATE Of NEW YORK
Official Notary Public Signature and Original Notary Stamp No. 01 RA6299138
Qualified in Suffolk county
my Commission Expires Morch 17. 20a--,:D—
Page 4 of 4
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cou765-1802
INSPECTION
[ ] FOUNDATION 1ST, [ ] ROUGH PL13G.
[ ] FOUNDATION 2ND [ ] INSULATION/CAULKING
[ ] FRAMING /STRAPPING [ZIINAL ?wwAo& -FIREPLACE &-CHIMNEY J [ IRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION. [ ], FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) [ ]. ELECTRICAL (FINAL)
[ ] CODE VIOLATION [ ] PRE C/O
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INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INSULATION
[ ] FRAMING /STRAPPING [/] INAL/
FIREPLACE & CHIMNEY [ IRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL)
[ ] CODE VIOLATION [ ] CAULKING
REMARKS:
DATES INSPECTOR
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TOWN OF SOUTHOLD PRO_ ID CARD
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ACR. REMARKS
TYPE OF BLD.
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S
4i FORS? NO. 4
TORN OF SOUTIiOLDi,
} BUILDING D EPARTME*
,,- Town Clerk's Office
Southold, N. Y. C � lj e
Certificate Of Occupahcy
No. ,Z •433.6 . . . . Date . Rugbst. . . .18, . . 9 71
E THIS CERTIFIES that the building located at Ills . rpt•gvi. eW .Lane . . Street
Map Nob2901 . . . . . . . Block No. Lot No. 7.0 South,61d, N.-Y. . . . . . . .
Terxy Waters
conforms substantially to the Application for Building Permit heretofore filed in this office
dated . - . . .Nlay. . . .6.. . . . . . . , 19 71. pursuant to which Building Permit No.6.282 Z .
dated . . . . -May . . .6,. . . . . . . 19. 71, was issued, and conforms to all of the require-
ments of the applicable provisions of the law. The occupancy for which this certificate is
issued is . . . . .privato. one. family. .dwelling . . . . . . . . . . . . . . . . I . . . . . . . . . I . . . . . . . .
The certificate is issued to •Charles. Rowan. . . . . . . . . . : . . . . . . . . . . . . . . . . . . . . . . . . . . .
(owner, lessee or tenant)
of the aforesaid building.
Suffolk County Department of Health Approval August. 146,. .1871, • A•obert Villa
Building Inspector
House # 640 Longview Lane
Fixe Underwriters Cert. # 9 896560
FORM NO 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
Certificate Of Occupancy
No. Z16269 Date October 7 , 1987 . .
THIS CERTIFIES that the building Add i t i o n ,
Location of Property 640 Longview Lane Southold
House No Street Hamlet
County Tax Map No 1000 Section . 988 Block . 04 Lot . . . .5 1 . . . . . . . . . .
Subdivision . . Filed Map No . . . . . . .Lot No. . . . . . . . . . . .
conforms substantially to the Application for Building Permit heretofore filed in this office dated
Sept . 9 , 19 87 pursuant to which Buildmg Permit No. . .1.6455Z
. . . . . . . . . . . . .
dated . . .S ePA- 1 1 , . 198.7. was issued, and conforms to all of the requirements
of the applicable provisions of the law The occupancy for wluch tlus certificate is issued is . . . . .
Aeck. .addi..ti.ou. .t.q . aP existing one , family. dwell.in$ .. . . . . .
The certificate is issued to CHARLES & CATHERINE ROWAN
(owner,X-RffebX YeX ib=X X X
of the aforesaid building
Suffolk County Department of Health Approvalf A . . . . . . . . . . . .
UNDER`VRITERS CERTIFICATE NO. . . . . . . . . . . . . N/A
PLUMBERS CERTIFICATION DATED: NSA
Building Inspector
Rev 1181
l
r FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No Z-17183 Date AUGUST 10, 1988
THIS CERTIFIES that the building ADDITION & ALTERATION__
Location of Property 640 LONGVIEW ROAD SOUTHOLD, NEW YORK
House No. Street Hamlet
County 'Sax Map No. 1000 Section 88 Block 4 Lot 51
Subdivision Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated JULY 12, 1988 pursuant to which
Building Permit No. 17237-Z dated JULY 19, 1988
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 ROOF ADDITION & SCREEN ENCLOSURE TO EXISTING DECK ADDITION AS
APPLIED FOR
The certificate is issued to JANET P. REDHEAD
(owner, XXXXXXXXXXXXX )
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A
UNDERWRITERS CERTIFICATE NO. N/A
PLUISERS CERTIFICATION DATED NIA
CAW &
Building Inspector
Rev. 1/81
FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No: Z-32533 Date: 08/14/07
THIS CERTIFIES that the building ADDITION
Location of Property: 640 LONGVIEW LA SOUTHOLD
(HOUSE NO.) (STREET) (HAMLET)
County Tax Map No. 473889 Section 88 Block 4 Lot 51
Subdivision Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated JULY 23, 2007 pursuant to which
Building Permit No. 33268-Z dated JULY 23, 2007
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 "AS BUILT" HOT TUB & DECK ADDITION TO AN EXISTING SINGLE FAMILY
DWELLING AS APPLIED FOR.
The certificate is issued to THOMAS & JANE LEONARD
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A
ELECTRICAL CERTIFICATE NO. 3041854 08/03/07
PLUMBERS CERTIFICATION DATED
9
Au ori d Signature
Rev. 1/81
�o�StlFfot,f�oGy 1 Town of Southold 8/11/2020
j P.O.Box 1179
0
o _ 53095 Main Rd
Southold,New York 11971
CERTIFICATE OF OCCUPANCY
No: 41339 Date: 8/11/2020
THIS CERTIFIES that the building AS BUILT ALTERATION
Location of Property: 640 Longview Ln. Southold
SCTM#: 473889 Sec/Block/Lot: 88.4-51
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
7/16/2020 pursuant to which Building Permit No. 45039 dated 7/27/2020
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:
As-built AC unit installed according to manufacturer specifications as applied for
The certificate is issued to Eastern Suffolk Property Two LLC
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 45039 08/05/2020
PLUMBERS CERTIFICATION DATED
Authorized Signature
as
�a
Basement Stairs
640 Longview Lane, Southold
.tib
MILES B.ANDERSON
ATTORNEY
16 ROUND POND LANE
SAG HARBOR,NEwYORK 1 1963
Admitted to practice: Telephone(631) 725.4400
State of New York Facsimile(631) 725.2223
District of Columbia FiMail mbalaw@optimum.net
July 5, 2019
Town of Southold
Building Department
P.O. Box 1179
Southold, New York 11971-0959
Re: Rental Permit
Dear Sir/Madam:
I am enclosing a Rental Permit Application covering a single-family home at 640 Long View
Lane, Southold. Also enclosed is a check for $200, a photocopy of the Certificate of Occupancy and
floorplan showing the locations of the smoke and CO detectors.
I have requested an inspection by the Town. Please contact my agent, Jeffrey D. Anderson at
631-235-6532 prior to inspection so lie can make arrangements to let you in.
Sincerely,
MBA:er
Enclosures
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