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HomeMy WebLinkAbout1000-83.-1-29 =E4R Rothe CA TOWN OF SOUTHOLD 4._. =p Rental Permit 4 } 0329 Owner Andrew & Morgan Borsen Occupied as Single Family Dwelling Located at 305 Birch Lane Cutchogue 83.4-29 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. 9/16/2024 I" XAR Code r� orc j rat o�ici This Notice must be posted by the main entrance at all times TOWN OF SOUT"HOLD BUILDING DEPT. 631-765-1802 $3- /-a INSPECTION [ ] FOUNDATION 1ST/ REBAR [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION/CAULKING [ ] FRAMING /STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) [ ] CODE VIOLATION [ ] PRE C/O [ 4--�ENTAL REMARKS: ,, DATE INSPECTOR %1FFOJI( Town Hall Annex Town of Southold 54375 Main Road Rental Inspection Report PO Box 1179 Southold, NY 11971-1179 Tel: 631-765-1802 SCTM # i o�` Date 3 e .Owner Phone _._. _.... ... .. ...... ... Address I , Visible ���'�` ._ .. ..,.�� _...... �. ...p ..:......_. - _' J + Inspector pector _._mm._.M�..�.�.�_,.�, _.._ . _P a..�... ....w,.... . .�_w... ._.�...:.� .......J .. :Floor Level Quantities Sub 1 2 3 Smoke Detectors not located in bedrooms) f 1 Carbon Monoxide Detectors ��..�,m.. ...,. . , Fire Extinguishers Exits Bedrooms 1 2 3 4 ; 5 6 S M Smoke Detectors Egress Occupant Count .m Building Systems Maintained &operational Condition of Property Heating Building interior ter Hot wa ..., .. _..,. _ .µ BuiIdin exterior Electrical r Prop.., �...�.�... .. . . .. _..� �. rv. . arty clean, ma intained &safe Mechanical Handrails&guards installed &secure Pool safety P000�.: .. �.. _ �e.ee ,. �.... ... . ...... on Site !.Surface water alarm Date of CO issuance _ .... � .... ........._ ._....,,_. .....__�__. . . ._..._..�.. ..,...� M_...�...... ..... _..... . _..m_....� n �.�.... . Door alarms Pool completely enclosed g/ g g l re _......._.... .....�.�. ...�........_ fence to code requirements „Self closet latching gates W_........... ......._, . .. Pool.,...�.....�... __..a._...� ...�.....�,...ww.._ ., . ....�m . CO's for all items present Prior Rental [ o ...., _......-.�. .._..�.. ..� W....��,.�..�._.��_.a� Ova (Comments: { TOWN OF SOUTHOLD Rental Permit 0329 Owner Andrew & Morgan Borsen Occupied as Single Family Dwelling Located at 305 Birch Lane Cutchogue 83-1-Ag 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. 8/15/2022 ;��)m icia This Notice must be posted by the main entrance at all times �je TOWN OF SOUTHOLD BUILDING DEPT. AE 765-1802 �ZMSPECTION ,,,- [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION/CAULKING [ ] FRAMING /STRAPPING [ ] INAL rtes [ ] FIREPLACE & CHIMNEY [ FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) [ ] CODE VIOLATION [ ] PRE C/O 00*V to v KW,)� A �i0m- &-okovVI-P DATE 4 ao INSPECTORa,� ` k - TOWN OF SOUTHOLD BUI DING DEPT. Wk 1802 . INSPECTION FOUNDATION 1ST ROUGH PLBG. FOUNDATION 2ND INSULATION/CAULKING FRAMING FIREPLACE & CHIMNEY FIRE SAFETY INSPECTION FIRE RESISTANT CONSTRUCTION FIRE RESISTANT ELECTRICAL ) ELECTRICAL [ ] CODE VIOLATION [ ] PRE C/O � ] ENTAL 1S 01` DATE TOWN OF SOUTHOLD CA Rental Permit Perm it No. 0329 Owner Andrew & Morgan Borsen Occupied as Single Family Dwelling Located at 305 Birch Lane Cutchogue 83-1-29 Village S/B/L 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. 8/19/2020 John Jarski Date of Issue Code Enforcement Officer This Notice must be posted by the main entrance at all times -16 so 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 Rental Permit Fee$200(Application must be renewed every two years) Section A. Property Information: Rental Property Address: 3o5� 6taoi LA �4c, Tax Map Number: 1000 SECTION -BLOCK.- -- LOT. SECTION B. OWNER INFORMATION: Property Owner Name: A � XJOrsaq Property Owner Legal Address: Property Owner Mailing Address: A0 a VJ v Telephone Number(s): Daytime `7 o V6, E e7ing mN "q33 C o Property Owner Email Address: 01 0 Page 1ofS I as Town Hall Annex " Telephone(631)765-1802 54375 Main Road ,4* Fax(631)765-9502 P.O.Box 1179s Southold,NY 11971-0959 BUILDING DEPARTMENT TOWN OF SOUTHOLD Section C. Authorized Agent Information: o Name of Authorized Agent of dwelling unit, if any: N o,n.e . o Address of Authorized Agent(no P.O. Boxes): o Mailing Address of Authorized Agent: ® Telephone Number(s): Daytime Evening Emergency. Email Address: © - - Section D. Managing Agent Information: o Name of Authorized Agent of dwelling unit, if any: N,we o Address of Authorized Agent(no P.O. Boxes)- 0 Mailing Address of Authorized Agent: o Telephone Number(s): Daytime _Evening Emergeney"' _ Email Address: SECTION E. SITE MANAGER INFORMATION: (required for rental properties containing 8 or more rental units) o Name of Managing Agent of dwelling unit, if any: �La&P_ ® Address of Managing Agent (no P.O. Boxes)! Page 2 of 5 Town Hall Annex Telephone(631)765-1802 54375 Main Roads z" ` Fax(631)765-9502 P.O.Box 1 179 Southold,NY 11971-0959 00 fims BUILDING DEPARTMENT TOWN OF SOUTHOLD Mailing Address of Managing Agent: Alceuo 6y c to, 4 �v''I Ira /rja �U �nyF Telephone Number (s): Daytime v - 3� ' J� `�l venmg ° tee_ Emergency Email Address: jb,0,0Se✓1 a ®r 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, h 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: up 11- Requested 1Requested Maximum number of persons allowed to occupy Dwelling Un �. Number of rooms in Rental Dwelling Unit: --� Use and Dimensions of each room in Rental Dwelling Uniti3� 1(t fo y i o X f� 1-1!,- `1 X t IS EXt l.i � X J 126 x 6�Ts kta 104 r —)( Ig 01111lu 2� 0 x Ztj zZc7' X z01 �4) Page 3 of 5 Town Hall Annex l_ ' } Telephone(631)765-1802 4 54375 Main Road Fax(63I 765-9502 ) P.O.Box 1179 ` Southold,NY 11971-0959 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. ❑ 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 music be notarized and MUST be the owner of the dwelling unit. STATE OF NEW YORK) COUNTY OF SUFFOLK) eV r----7 o I ✓lc�� certify Ender 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 _Ott, Telephone(631)765-1802 ' ' a 54375 Main Road Fax(631)765-9502 CA P.O.Box 1179 >° 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, Managing Agent, or Site Manager. ° Property Owner's ° Property Owner's Signature: j _ Sworn to before me this day of 20A� 0 Official Notary Public Signature and Original Notary Stamp Q�WA ; • �pCoamq o,� Page 5 of 5 3. azo .f. Town Nall Annex :, a ;;:`a, Telephone(631)765-1802 ` 54375 Main Road Fax 63 1)765-9502 a (F P.O.Box 1179 Southold,NY 11971-0959 Q '}!��(__ c"V 4� t" BUILDING DEPARTMENT TOWN OF SOUTHOLD RENTAL PROPERTY CERTIFICATION Form is to be completed by a license architect, licensed engineer or licensed home inspector Separate form is required for each individual Rental Dwelling Unit Professional seal required for Architect.orEnaineer,licensed Home lnspectormust provide copy of valid current.certification Rental PropertySCTM Number: ®o® Rental Property Address: '3,-OS _�i Get ( tjc, V Tw o Cauc,,P`"f t Owner/Name: _ Rental Dwelling Unit Identifier:. l)N Number &Square footage of each bedroom as depicted in the attached floor plan: (i.e. Bedroom#1 -100 sq., Bedroom#2-90 sq., etc.) A 1 . 1,60 Pt t Z 1 SO f�PLt#'3 -Zr-& {3, 10 AW l U qo co S n`?-Is I ruz D Z S Property Description (include all improvements indicated on survey) I certify that I have done a physical inspection of the subject rental dwelling unit and find that it fully complies with all the provisions of the Code of the Town of Southold,the Residential Code of New York State,the Building Code of New York State,the Plumbing Code of New York State, the Fuel Gas Code of New York State, and the Energy Conservation Construction Code of New York State. Print Name and Title Or!ginal Signature Please place professional seal: • 9, sw TOWN OF SOUTHOLD PROPERTY OWNER STREET VILLAGE DIST SUB. LOT --FORMER OWNER � N E ACR:" i. "" '(r viri t f r �;;. _ r � rve S W TYPE OF BUILDING ,.. RES, SEAS, VL. FARM COMM. CB. MISC. Mkt. Value LAND IMP. TOTAL DATE REMARKS -711, t.;! ... � C,.+'..� f C��',-�'"..• ''' ,°�{ �1 1 � :. �'�;."�S if 7 j� �� �:-',F' �J'` _._.-- ..- Y �� _.__.. __ ...___._ D AGE BUILDING CONDITION NEW NORMAL BELOW ABOVE FARM Acre Value Per Value # --- Acre Tillable 1 � � Tillable 2 L/ia_ w l = aJ4rg ---- Tillable 3 Woodland ' " t'r - - ` s? Swampland FRC 1Tr /ATER , ar Brushland FRONTAGE ON ROAD — House Plot I DEPTH BULKHEAD Total ""' I DOCK .................. :a . i 3a r w - - - G J .�---�_. 87.-3-30 3/06 -- M. Bldg ' ray.. , roundation G r Bath ! z _ ry a �. _ _ Extension 1 - Basement ,' aFloors IL- r �lnJ r c c r _ --- Extension , s {• -__-_-- T I Ext. Walls Interior Finish t ` ' Extension ;Fire Place ` !H.eat s as t Porch I Roof Type t - - ......... ---- - - } Porch Rooms l st Floor Breezeway Patio Rooms 2nd Floor Garage° -_. i iveway Dormer - __ _ r6b Ac- - i. A,c 1 FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMEN9 Town Clerk's Office Southold,N Y. Certificate Of Occupancy No. .Z•3.�ID. . . . Date . . . . . ` . . . . . .. , 19,64). THIS CERTIFIES that the building located at . . . . . . . . . . . . . . Street Map No. $itch sill lock No. . . . _ . . .Lot No. f . . . . -GuNhagu e• •Rai. . . . . . conforms substantially to the Application for Building Peimit heretofore filed in this office dated . . . . . . . . . . ..M . . . 121 19.68 pursuant to which Building Permit No. •3952Z . . dated . . . . . . . Jai. . . . 12 -1 196$ ., was issued, and conforms to all of the require.. meets of the applicable provisions of the law. The occupancy for which this certificate is issued is . 11A.V to-,brio 'rawil:r 6'611 ,° . . . . . . . .. . . . . . . . . .. . . . . . . . . . The.certificate is issued tois�trner, lessee o�r. a antj. . . . . . . . . of the aforesaid building. i Suffolk County Department of Health Approval ,per. 4`°i'9W . by 46-1113.1- -ft.. . . . . . . . Building InspecAr i i FORM NO.4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building inspector Town Hall Southold, N.Y. Certificate Of Occupancy No. Z 7 4230. . . . . . . . . . Date .February. .1 . . . . . . . . . .. . . . . . . .. 1986 . THIS CERTIFIES that the building .. . . .Deck , , , • , , , . . . . , . , . . . .`. . . Location of Property . .3105. .] iinq�,Lpne , , , , , , , . . , _ , . ... Cutchogue. . , . . . House No. StreetHamlet County Tax Map No. 1DDD Section . . .483 . . . . .Block . . .. . .. . . ..Lot . . . . . 029 . . . . . . . . Subdivision Birch. Hills at. . . . . gue ,Filed Map No. . .QP. . . .Lot No. . . . . . . . . . . . conforms substantially to the Application for Budding Permit heretofore filed in this office dated . . . . . . . . . . 19$1.pursuant to which Building Permit No.1?49A4. . . . . . . ... . . . . . dated .Aug„ .23. . . . . . . . . . . . . . . .. .. 19 .$3,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 . .. . . . . . . . . . .Deck .add1t:Lon. .tsa.QXA3 t�Ag.dWAIIiPS. . . . . . ... . . . . . . . . . . . . . . . . . . . . . . . . . . The certificate is issued to . .AiTC.1A8L, E_ ,F'21dNICAi3 , . . . . �vLv»er,XBCbG'}4�i1�1 . • • . . • . . . . . . . . of the aforesaid building. Suffolk County Department of Health Approval . . . . . . . .N , , , , , , , , , , , ,, , , , , , , , , , , , , , , , , , UNDERWRITERS CERTIFICATE NO. . . . . . . . . . . . . .. .VA . . . . . . . . .. . . • . .. . . .. . . . . . . Building Inspector Rev.1/81 r y�apF soUl9p /1�V�\ V •v . V� ,TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 - -1 NSPECTION [ ] FOUNDATION 1ST - [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] " INSULATIOWCAULKING [ ] FRAMING /STRAPPING [ ] ' AL [ ] FIREPLACE & CHIMNEY [ FIRE SAFETY�INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] =FIRE-RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) [ ] CODE VIOLATION [ ] PRE C/O REMARKS: .v, DATE_ 1141100 INSPECTOR SODANO ARCHITECTURE,rus T+e en In.e' 11 REVISIONS tvmx e O P�•a 93 O R�crix k DRAWING DISTRIBUTION eaeYanwpv 5ECON7 FLOOR PIAN 3 ou UL 0 O �• c i 0 reo� y BORGEN RESIDENCE 305 BIRCH LANE CUTCHOGUE NV awms•z 1' .......e E= 0 ~ -- EXISTING FLOOR PLAN .M%MENf FLOOR PLAN FIRST FLOOR PLAN prom. scut I/9"-I'Q• vxt v9°.,.a' A-100 00 L AGI Jer 1939 FORM NO.4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold,N.Y. Certificate Of Occupancy No. . Z 1745.1. . . . . . . . . Date . .00TOBEk. 25 1988. . . . . . . . . . . . . . . THIS CERTIFIES that the building . . . . , ,AD D I T I PR. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Location of Property , ,305 ,BIRCH .LAN]3 _ CUTCHOCUE Nouse No. Street .. . . . , . . . . . . . . . . . .Hamlet 83 County Tax Map No. 1000 Section .. . . . . . . . . . .Block . . .01 . . . . . . . . . .Lot . . . .?9. . .... . . . . . . Subdivision . . BIRCH .HILLS . . . . . . . . . . . .. .Filed Map No. 4,9,4$. . .Lot No. 14, , , , , , , , , , . conforms substantially to the Application for Building Permit heretofore filed in this office dated MAR.2 3. 19 8 7 . . . . . , pursuant to which Building Permit No. .l $ ! ? . . . .. . . . . . dated . ,APRIL ,4 ,: .148 7 , , , . . . , . . 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 . .. . . . . . . Deck & suuroom addition to an existing one family dwelling . " . . . . . . . . . . . . .. . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . The certificate is issued to . . . ,CHRI STINR .& TODD V. SCHROEDER . . . owner,/R4C�I4�4tti�f . . . . . . . .. . . . . . . . . . . . . of the aforesaid building. Suffolk County Department of Health Approval . . . . . . . . . A4. . . . . , , ., . .. . . . . . . UNDERWRITERS CERTIFICATE NO. .N020737 .7/b/88. &. 7/29/88. . . . . . . . . . . PLUMBERS CERTIFICATION DATED: N/A • . . . . . • . ! Building Inspector a . Rev.1181 r � FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-20806 Date JUNE 18, 1992 THIS CERTIFIES that the building ADDITION Location of Property 305 BIRCH LANE CUTgOGUE, N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 83 Block 1 Lot 29 Subdivision Filed Map No.______Lot No._�- conforms substantially to the Application for Building Permit heretofore filed in this office dated APRIL 27, 1992 --__pursuant to which Building Permit No. 20595-Z dated APRIL 29_1992 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 INGROUND SWIMMG POOL WITH DECK AROUND & FENCE ENCLOSME The certificate is issued to TODD & CHRISTINE SCMGMER (owners,) of the aforesaid building. 'SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL INSPECTION CERT. #1358 - MAY 22, 1992 PLUMBERS CERTIFICATION DATED NIA 4�- s Build' Inspector Rev. 1/81 Town of Southold 2/22/2018 P.O.Box 1179 53095 Main Rd A'� Off. Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 39528 Date: 2/22/2018 THIS CERTIFIES that the building SOLAR PANEL Location of Property: 305 Birch Ln,Cutchogue SCTM#: 473889 Sec/Block/Lot: 83.4-29 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 1016/2017 pursuant to which Building Permit No. 42047 dated 10/12/2017 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 mounted soiaryanels on existing one family dwelling as applied-for. The certificate is issued to Borsen,Andrew&Morgan of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 42047 1/12/2018 PLUMBERS CERTIFICATION DATED uthorized Signature StFI y Town of Southold 8/19/2020 0 P.O.Box 1179 53095 Main Rd Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 41365 Date: 8/19/2020 THIS CERTIFIES that the building ADDITION/ALTERATION Location of Property: 305 Birch Ln,Cutchogue SCTM#: 473889 See/Block/Lot: 83.4-29 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 11/16/2015 pursuant to which Building Permit No. 43517 dated 3/4/2019 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: "as built"alterations and additions, including finished basement, second floor balcony and pergola to an existing one family dwelling as applied for. The certificate is issued to Borsen,Andrew&Morgan of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 43517 3/12/2019 PLUMBERS CERTIFICATION DATED 3/12/2019 NAndrew Borsen 07 A riz ignature