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HomeMy WebLinkAbout1000-101.-2-24.4 a TOWN OF SOUTHOLD Rental Permit 0342 Owner Theodore Harris Occupied as Single Family Dwelling Located at 3805 Alvahs Lane Cutchogue 101.-2-24.4 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. k 10/17/2022 ve c c t Official This Notice must be posted by the main entrance at all times otso s, I _ CA1410,m TOWN OF SOUTH OLD BUILDING I7►kI T. 631-765-1802 liNSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION/CAULKING [ ] FRAMING /STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (F AL) [ ] CODE VIOLATION [ ] PRE C/O [ RENTAL REMARKS: T INSPECTOR b Town Hall Annex 'E Telephone(631)765-1802 54375 Main Road a Fax(631)765-9502 P.O.Box 1179 Southold,NY 11971-0959 �a'k`J" BUILDING DEPARTMENT TOWN OF SOOLD 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 Pro ssic�na/seal re wired or Architect or Enaineer licensed Home Ins actor must grovIde, My 2f valid current certi ication Rental Property SCTM Number: <' d , ! '' ° Rental Property Address: �A '- W �'" ` =� L ik Owner/Name: � � �R�s Rental Dwelling Unit Identifier: 61 �'Z) 4 -2 Number&Square footage of each bedroom as depicted in the attached floor plan: (i.e. Bedroom#1 -100 sq., Bedroom#2-90 sq., etc.) ._ 3 / �- 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 Conservatio Construction Code of New York State, Print Name and Title �� Ori h Signat Please place professional seal: 21 TOWN OF SOUTHOLD Rental Permit { Permit No. 0342 Owner Theodore Harris Occupied as Single Family Dwelling Located at 3805 Alvahs Lane Cutchogue 101.-2-24.4 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. 10/7/2020 John Jarski Date of Issue Code Enforcement Officer This Notice must be posted by the main entrance at all times �Qa` R Town Hall Annexe Telephone(631)765-1802 54375 Main Road t 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: _ Tax Map Number: 1000 SECTION -BLOCK LOT SECTION B. OWNER INFORMATION: Property Owner Name: Property Owner Legal Address: + Property Owner Mailing Address: J� FAV-y Ave --32-)y VL i, A6'(�:: C 'A&vVe=-_ (\X�Lu LKOVIV-� . L0 1-e C C c)&h � f (+.�`r Telephone Number(s): Daytime�C0C1--747/p Evening Emergency t5_� Property Owner Email Address: 'C.� L l�lrtrC'l� �� Lou& Page 1 of 5 so Town Hall Annex t; 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 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): Daytime Evening Emergency Email Address: Section D. Managing Agent Information: Name of Authorized Agent of dwelling unit, if any: `��E lt� �et � 0L)EK 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 S Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1179 Southold,NY 11971-0959 COUMA BUILDING DEPAR'T'MENT 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: 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: i Requested Maximum number of persons allowed to occupy Dwelling Unit: Number of rooms in Rental Dwelling Unit: 6 GL. 6<trLL-� Use and Dimensions of each room in Rental Dwelling Unit: S Z�C OR C--V. JJ ; �i�yl� � /3 `x!2-67` �3cZ 2 40 /� LiWV4? RR 0-,Oh< 1212' 6,2 3 /0100 k 13p!� Page 3 of 5 �pF 501�ry Town Hall Annex Telephone(631)765-1802 54375 Main Road Nr Fax(631)765-9502 P.O.Box 1179 'Southold,NY 11971-0959 Q BUILDING DEPARTMENT TOWN OF SOUTHOLD SECTION G. INSPECTION: Pursuantto,the,Town Code of the Town of Southold Chapter 201(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 laves adopted by the New York-.State Fire Prevention and Building Code Council. ❑ 1 am requesting afire safety inspection to be performed by a Code Enforcement Official from the Town of Southold 0?'**1 am submitting a completed Town of Southold certification form from a licensed architect or a licensed professional engineer: " SECTION 14. DECLARATION: Signature mast be notarized and MUST be the owner of the dwelling unit. , ' STATE OF NEW YORK) .. COUNTY OF SUFFOLK) V-1e.Ockatica-r��s certify under penalty of perjury,the following: 1: I am the owner of the property identified in "Section•A"of this application. rt 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 Scanned with CamScanner �O�tpF 50U��o , Town Hall Annex Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1179 G 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: —TvVeadu Property Owner's Signature: Sworn to before me this 8th day of April .2020 2 �2QlZtZQ�I. ,� �6ificlat&tary Public Signature and Original Notary Stamp ot (� f� o. ��y0. l 0> 1C Page 5 of 5 Scanned with CamScanner Town Hall Annex2, 1} Telephone(631)765-1802 54375 Main Road cn } Fax(631)765-9502 P.O.Box 1179 I Southold,NY 11971-0959 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 or Engineer, licensed Home inspector must provide copy of valid current certification Rental Property SCTM Number: (000 - (D( Rental Property Address: ?2430!�2- aL-y :f L� GV {ZJL�U� Owner/Name: TECH afa:C V-L'5 Rental Dwelling Unit Identifier: 6= a /LY Dw('-,2-LI Number&Square footage of each bedroom as depicted in the attached floor plan: (I.e. Bedroom#1 -100 sq., Bedroom#2-90 sq., etc.) I�OSe"- /siee d34- SGS. Property Description (Include all improvements indicated on survey) OLE-t!/ L LV 12 5 t Q 'NGE Wall 4 43ED ZZL7Ok S F(-za �3�hS1��l�U7I ©��Q -AC-22eGUL7^UP2 'L 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 Plu bing Code of New York State, the Fuel Gas Code of New York State, and the Energy Conservati n C ns ru 'on Code of New York State. FGAU I< LV Print Name and Title0 0 ginal Signatu 09 � Please place profesof I se ' _ '� r e� k R ;iz, l LSA- �3�0 021 QFN ,� L # # 70 TOWN OF SO UTHOLD BUILDIX DEPT. `ycourm, 765-1802 c7( . •ld INSPECTION [ ]- FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND ' [ ] INSULATION/CAULKING [ ] FRAMING /STRAPPING [ ] INAL [ ] FIREPLACE & CHIMNEY [ FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION , [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) [ ] CODE VIOLATION [ ] PRE C/O REMARKS: DATE 1.0 qo-o — INSPECTOR) IA'l000e— U) RENTAL �E PERMIT o J X� W ll� m � D ZU U N RESIDENCE CUTCHOGUE, NY 3805 ALVAH'S LANE W 00 00 ATH ARCHITECT FRANK LIELLENDAHL r'DW P.O.BOX 316 KITCHEN o GR1944 TEL•P631'-477NY 186 4 14.8'X9.7' cc 143 SF PANTRY OWNER 0 THEODORE3HARRIS 805AVAH'S LANE WOOD DECK _ _ _ _ CUTC11935 � TEL:L: 631 631-73734 7170 CLOSET CLOSET cell: 917-509 7476 ZiaY 11.5'X7.8' 90 SF BR 2 DINING ROOM 13.6'x12.5' BR 1 VD] s D 9.8'031 -71 4170 SF s D 12.8'x10.1' S D BILCO DOOR CO 148 SF W CO CLOSET DN DN TO � BASEME W 0 o N S D � S D CO ME c W SUN ROOM LIVING ROOM BR 3S2 C= W 15.5'x11.4' 17.8'x12.2' a 1 0.0 x13.4 176 SF 190 SF 135 SF N UP STORAGE Z o DATE: 04/10/2020 a SCALE: 3/16' = 1'-0' C3 1 ST FLOOR PLAN 2ND FLOOR PLAN 2ND FLOOR PLAN o DWG. NAME 1ST FLOOR PLAN A-200 SCALE: 3/16" = 1'-0" S2 C-D DWG. NO SCALE: 3/16n = V-0" U 5 Ul RENTAL 12'-0" 22'-4 3/4' rC PERMIT ri :Wl I RESIDENCE CUTCHOGUE, NY 30 MMS LANE B 7M I ARCH 19 Hn MINK PABOX 315 . . . . . . GKDRff,W 11944 TEL 631-477 8624 E=Z MOP-HM VAWS LM TEL,631-734 7170 CUTCHM W 11935 ed-917-5W 7476 BASEMENT �2 UP BASEMENT Fs7M �2 Fcol UP m 04/1 ME IN=I L -— — - — - — - — - — - — - — - BASEMENT PLAN .. . . . .. . . ..... . . . .. W.m 16'-0" 18'-4 3/4' 5'-0' BASEMENT PLAN m NO A-100 39'-5- SCALE- Ile = 11-0. ` - - - 4 TOWN OF SOUTHOLD PROPERTY RECORD CARD `"' OWNER STREET VILLAGE DIST. SUB. LOT 'Ac ,G o v e FORMER OWNER N E ACR. i e / S W r TYPE OF BUILDING r u J RES. ( SEAS. VL. FARM COMM. CB. MISC. Mkt. Value LAND IMP. TOTAL DATE REMARKS SvZ.o p <1 -Y - r i 6-0 - u� L`�r � c�r5 . `-- AGES BUILDING CONDITION, i NEVV�Zino NORMAL AB BELOW VE --- ---- FARM Acre Value er a ue Acre Tillable 1 c Tillable 2 7 Tillable 3 Woodland Swampland FRONTAGE ON WATER Brushlond FRONTAGE ON ROAD House Plot �a L-,f- f, DEPTH BULKHEAD Total ! - - DOCK r^ +p t . s. ' '' ■■■■■■■ MEMO INE ■■■ ` MEMO ■■No■■■■■■■ ■■■■ ■NEON ■M■■■M■■MM■MMENONE : --- ■ENE■ ■NOMMEEEMEMM■■E■ MEMEN. ■■■■■■ MRSOMMENSMONEFOEMEN ■■■E■J■SEE■■EEM■■ MEMO ■■ISA■hNONNf�NM�■■■I��! �■I© NEE■N �!M�!■■■■�iEEE■/.E�IOE1�iE ■■■E■■E■ENONMMMEE■EEO■MEmrN ME■■■■■■E■NEE■O■■ENN■NEI ME : .. Foundation Both Floors MOM ' Heat 0 SL'7 );ype •..V •.. .. . . Rooms 2nd _ Floor •. s. �Y,1,Ao0j I FASIN 0 A R A FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT office of the Building Inspector Town Hall Southold, N.Y. PRE EXISTING CERTIFICATE OF OCCUPANCY No: Z- 27253 Date: 08/18/00 THIS CERTIFIES that-the building DWELLING Location of Property 3805 ALVAHS LA CUTCHOGUE (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 101 Block 0002 Lot 024.004 Subdivision Filed Map No. Lot No. conforms substantially to the Requirements for a ONE FAMILY DWELLING built prior to APRIL 9, 1957 pursuant to which CERTIFICATE OF OCCUPANCY NUMBER Z- 27253 dated AUGUST 18, 2000 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 ONE FAMILY DWELLING WITH ACCESSORY PUMP HOUSE* The certificate is issued to ALBERT DROSCOSKI (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A *PLEASE SEE ATTACHED INSPECTION REPORT. --z rized Signature Rev. 1/81 ' BUILDING DEPARTMENT TOWN OF SOUTHOLD HOUSING CODE INSPECTION REPORT LOCATION: _ 3805 ALV S LA CUTCHOGUE SUBDIVISION: MAP NO.: LOT (S) NAME OF OWNER (S) : ALBERT nPOSCOSKT OCCUPANCY: A-3 RRRTDRNTTAT, ALBERT DROSCOS T ADMITTED BY: KATHY FRASER ACCOMPANIED BY: SAME KEY AVAILABLE: SUFF. CO. TAX MAP NO.: 10'1,-?-24.4 SOURCE OF REQUEST: AT.ARRET DROSCOSKI, 7/28/00 DATE: 08/18/00 TYPE OF CONSTRUCTION: WOOD FRAME # STORIES: 2.0 # EXITS: 3 FOUNDATION% r "T" nT•nCK CELLAR: PART, CRAWL SPACE: PART, TOTAL ROOMS: 1ST FLR.: 2ND FLR.: 3 3RD FLR.: .Q. BATHROOM(S) _ 1.0 TOILET ROOM(S) : 0.0 UTILITY ROOM(S) : PORCH TYPE: SIDE ENCLOSED DECK TYPE: PATIO TYPE: BREEZEWAY: FIREPLACE: NONE GARAGE: DOMESTIC HOTWATER: YES TYPE HEATER: AIRCONDITIONING: TYPE HEAT: OIL WARM AIR: HOTWATER: 5TRAM OTHER: PANTRY OFF THE KITQHEN ACCESSORY STRUCTURES:_ GARAGE, TYPE OF CONST.: STORAGE, TYPE CONST.: SWIMMING POOL: GUEST, TYPE CONST.: OTHER.- VIOLATIONS: THER:VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE LOCATIO ' DESCRIPTIQN ' ART ' SEC i i BASEMENT i EXTERIOR WALLS INCLUDING FOUNDATIONS SHALL BE i NYCRR i VOL 9B i MAINTAINED SO THAT GROUND & SURFACE WATER DOES ) 1242.5 i (A) i i NOT PRNETRATE INTO BASEMENTS & CELLARS. PORCH-ROOF i SHALL BE MAINTAINED IN A WEATHERTIGHT CONDITION i 1242.5 i (D) I TUB AREA i WALLS SHALL BE MAINTAINED IN SOUND CONDITION i 1242.7 i (D) 1 i i I EXTERIOR- ; EXTERIOR SURFACES SHALL BE MAINTAINED IN GOOD ; 1242.5 ; (E) I { CONDITION. SURFACES NOT INHERENTLY RESISTANT TO I I i DETERIORING SHALL BE TREATED WITH A PROTECTIVE COAT C4 OF PAINT OR R PRESERVATIVE, INSPECTED BY: DATE ON INSPECTION: 08/07/00 GARY JPES TIME START: 10:05 AM END: 10:25 AM FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-31557 Date: 05/03/06 THIS CERTIFIES that the building ADDITIONS/ALTERATIONS Location of Property: 3805 ALVAHS LA CUTCHOGUE (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 101 Block 2 Lot 24.4 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated DECEMBER 2, 2005 pursuant to which Building Permit No. 31653-Z dated DECEMBER 6, 2005 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 ADDITION & ALTERATION TO AN EXISTING SINGLE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to THEODORE P HARRIS (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. 2088004 04/10/06 PLUMBERS CERTIFICATION DATED N/A Authorized Signature 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-32937 Date: 03/20/08 THIS CERTIFIES that the building WOOD STOVE Location of Property: 3805 ALVAHS LA CUTCHOGUE (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 101 Block 2 Lot 24.4 Subdivision Filed Map No- Lot NO., conforms substantially to the Application for Building Permit heretofore filed in this office dated JANUARY 28, 2008 pursuant to Which Building Permit No. 33669-Z dated FEBRUARY 5, 2008 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 I_NSTALLATION OF A WOOD BURNING STOVE IN EXISTING SINGLE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to THEODORE P HARRIS (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPART OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A c Zru thorized Signature Rev. 1/81