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� ---_-
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* # 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
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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