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HomeMy WebLinkAbout1000-67.-2-5 floutTOWN OF SOUTHOLD Rental Permit Permit No. 0338 Owner Barbara Engwiller & Ors. _ Occupied as Single Family Dwelling Located at 365 Sound Avenue Peconic 67-2-5 Village S/B/L Maximum Permitted Occupancy 3 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. 9/23/2020 John Jarski Date of Issue Code Enforcement Officer This Notice must be posted by the main entrance at all times ®��OF So- Town Hall Annex Jiro Telephone(631)765-1802 54375 Main Road " Fax(631)765-9502 P.O.Box 1179 Southold,NY 11971-0959 !1 *��• 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: :_�Ie Tax Map Number: 1000 SECTION I -BLOCK -LOT - SECTION B. OWNER INFORMATION: Property Owner Name: CbA;;;� E�� 0_\)�-e Property Owner Legal Address: Property Owner Mailing Address: 10J Telephone Number(s): Da4emme^4 - vening Q-��amergency 6'- )r:Yl Property Owner Email Address: �����1-er2?C�C�� • �Drn ` MAR 1 3 2020 ���a'�� Page 1 of 5 Town Hall Annex Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1179 O Southold,NY 11971-0959 e®U BUILDING DEPARTMENT TOWN OF SOUTHOLD Section C. Authorized Agent Information: Name of Authorized Agent of dwelling unit, if any: to to 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: 1-A� (DC 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 Telephone(631)765-1802 54375 Main Road Fax(631)76.5-9502 11.0.Box 1 179 Southold,NY 11971-0959 � . BUILDING DEPARTMENT TOWN OF SOUTHOLD Mailing Address of Managing Agent: Telephone Number(s): Daytime Evening Emergency Email Address: SECTION F. PROPERTY DESCRIPTION: Number of Rental Dwelling Units on property: 1 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." Rental Dwelling Unit Identifier: Requested Maximum number of persons allowed to occupy Dwelling Unit Number of rooms in Rental Dwelling Unit: y —1-5 Use and Dimensions of each room in Rental Dwelling Unit: 'll'_I�-(' e.�1 �Le �i Page 3 of 5 .taqSO�iT���® 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 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 V 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 SUfFOL-KY 1 \D\\\'-C7 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 of soUl.���, Town Hall Annex Telephone(631)765-1802 5437.5 Main Road Fax(631)76.5-9502 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 Name: Property Owner's Signature: \ CN, oak/� Sworn to before me this J day of M 1l , 209 /V vie Official Notary Public Signature and Ori 'nal p BERNARD A FEENEY #4986329 Notary Public,State of New York Qualnied in Ulster County nn My Commission Expires 09/09/ Qox Page 5 of 5 OE SOU � �0�� •1">� �/`�/ �I� ---_- h� �O * # TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 : INSPECTION [ ] FOUNDATION 1ST _ [ ] ROUGH PL13G. [: ] FOUNDATION 2ND [ZFRESA LATION/CAUL ING FRAMING /STRAPPING [ LFIREPLACE & CHIMNEY [ ETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) [ ] CODE VIOLATION [ ] PRE C/O REMARKS: 072 cAbVg 14 S� ✓� DATE 9/19/70'70 INSPECTOR i 4 i i Nor-- `4 TOWN OF SOUTHOLD PROPERTY RECORD OWNER STREET VILLAGE DISTRICT SUB. LOT F 0-,'W E R OWNER Pch+y-I'C C,tCA)nz) N E ACREAGE 17 � "Va S W TYPE OF BUILDING RES. ' 10 11 SEAS. VL. FARM COMM. IND. CB. misc. 2" LAND IMP. TOTAL DATE REMARKS �(2 0 i . -3V fi'sh'y AGE BUILDING CONDITION -k) o- 06 ca g s NEW NORMAL BELOW ABOVE e- arm Acre Value Per Acre Value Tillrbl') I Tillcble- 2 0 a-S, Tillable 3 Wccdland Swampland BrushIGnd House Plot T--tcl '�`��_ �.;�.n�- ��f��'� ;�.�� 1 ■ • � .�� � ltd__. 67.-2-5 09/2016 f 10 I , M. Bldg. �e f - ,� Foundation �� Bath - Extension r Basement Floors Extension Ext. Walls f Interior-Finish Extension Fire Place Heat I iazv Porch Attic Porch Rooms 1st Floor ,u - ° r Rooms 2nd Floor Bfeezeway( 2. ( —= t Patio /,/,'K J( . 1��� v�( _ —� Garage Driveway 2-J ��' FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Clerk's Office Southold, N. Y. Certificate Of Occupancy No. . 29397. . . . . Date . . 011-arY. . 19. . . . . . . . . ., 1979 . THIS CERTIFIES that the building located at 3.65. .Sound. Ave. , . • , . , . . . . . U xx Map No. . . . .1.17. . . . . Block No. . . . . . . . . . .Lot No. . . . . . 16 . . . . . . . . . . . . . . . . . . . . . ... . . conforms substantially to the 0 F Y D . 33 xLT RIOR TO OCCUPANCY dated . . . April. . . .23 • . . • • ., 19.57. pursuant to whichfSQ5Q&0&0- •Z9397 dated .jM? IarY. .19. . . . . . . . . .. 19. 7.9., 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 . . . . . . . . Fx'IVVLte .011e. X=;Uy.Dwel]Ang. . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . The certificate is issued to . . . . Irving .&.Mildred .Sporn. . . . . . . . . . . . . . . . . . . . . . . . . . (owner,)v,8 , �, ) of the aforesaid building. Suffolk County Department of Health Approval . . . . . . . . . . . Pre-Exieting. . . . . . . . . . UNDERWRITERS CERTIFICATE No. . . . . . . . . . . . . . . . . . . . . nor , , , , , , , , HOUSE NUMBER . . .365. . . . . . . . Street . . . . . . . . . . .$o?-u?d.Ave .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Peconi�, New, York . . . . . . . . . . Building Inspector County Tax Map Number 1000-067-02-005 S � BUILDING DEPARTMENT' TOWN OF SOUTHOLD, N. Y. HOUSING CODE INSPECTION REPORT Location 365 Sound Ave (Private) Peconic number & street Municipality Subdivision Map No. 117 Lot(s) 16 Name of Owner(s) Irving & Mildred Sporn Occupancy R-1 Tenant type owner-tenant Admitted by: Tenant Accompanied by: Mr. Sharp Key available Suffolk Co. Tax No. 1000-067-02-05 Source of request James A. Schondebure Date January 19, 1979 Attorney At Law DWELLING• Type of construction wood ##stories one Foundation cement blocks & PiersCellar X Crawl space Total rooms, 1st. F1 4 2nd. F1 3rd. F1 Bathroom(s) Toilet room(s) Porch, typ closed in Deck, type Patio, type Breezeway arage attached Utility room Type Heat lectric alarm Air Hotwater Fireplace(s) No. Exits 2 Airconditioning Domestic hotwater yes Type heater electric Other ACCESSORY STRUCTURES: NONE Garage, type const. Storage, type const. Swimming pool Guest, type const. Other VIOLATIONS: Housing Code, Chapter 52 Location Description Art. Sec. Ceilings beams not big enough 52 30 Cellar Insulated in cellar should be covered with -i", fire-rated gypsum wallboard on an equivalent thermal barrier providing a finish fire ratin _ of 15 minutes or more. Remarks: Inspected by:/?,,, � Date of Insp. January 19, 1979 e-- CURTIS HORTON Time start 10:30 end 11:15 AM AM Ire" Town of Southold 8/30/2016 y� P.O.Box 1179 0 o _ 53095 Main Rd �l -S t Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 38484 Date: 8/30/2016 THIS CERTIFIES that the building ELECTRICAL Location of Property: 365 Sound Ave,Peconic SCTM#: 473889 Sec/Block/Lot: 67.-2-5 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 7/26/2016 pursuant to which Building Permit No. 40862 dated 7/26/2016 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: 200 AMP OVERHEAD ELECTRIC SERVICE The certificate is issued to Engwiller,Barbara&Ors. of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 40862 08-10-2016 PLUMBERS CERTIFICATION DATED B Authorized Signature