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HomeMy WebLinkAbout1000-54.-2-4 TOWN OF SOUTHOLD Rental Permit g Y 0343 Owner Alexandra Hoyt-Burke Occupied as Single Family Dwelling Located at 13595 Soundview Ave Southold 54-2-4 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. 9/29/2022 - '� Code Enforc nt Official This Notice must be posted by the main entrance at all times re �� Town Hall Annex SOUTHOLD TOWN 54375 Main Road Rental Inspection PO Box 1179 Southold, NY 11971-1179 Tel: 631-765-1802 Fax 631-765-9502 SCTM Date # ,j C 2-- � �Z 2- Owner l 0 u( e Phone 7 LZ y�76 Addressor "Ould Zip Hamlet - �� � Inspector Address visible from street? LEVELS SUB 1 1 I�Z- .gZ ZA Smoke Detectors (#- bedroom detectors excluded) Carbon Monoxide Detectors (#) Fire Extinguishers (#) LZ Exits (#) BEDROOMS 1 2 3 4 5 Smoke Detector Alarms (#) Carbon Monoxide Alarms (#) Egress (windows) (Y/N) BUILDING SYSTEMS CONDITION OF PROPERTY "jy Heating system maintained/operational Building Interior is clean/maintained Hot water system maintained/operational Building Exterior is clean/maintained Electrical system maintained/operational Property is clean/safe/maintained Mechanical system maintained/operational Handrails&guards present POOLS Y/N POOL BARRIERS Y/N Pool present Pool is completely enclosed Pool surface alarm and/or door alarm Barrier is a min.48" high resent POOL GATES Y/N All openings in barrier less than 4" Self-closing, self-latching Max. 2"clearance @ bottom of barrier Latch on pool side of gate, meets height Barrier capable of being locked &child- requirements proof when unattended COMMENTS: v � TOWN OF SOUTHOLD a� Rental Permit Permit No. 0343 Owner Alexandra Hoyt-Burke Occupied as Single Family Dwelling Located at 13595 Soundview Ave. Southold 54.-2-4 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 f � s' 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 musfbe"renewed every two ears) X12020 JUN 1 5 2020 Section A. Property Information: = Rental Property Address. i�5�� Jo�vldyl ew A-\)e Tax Map Number: 1000 SECTION -BLOCK -LOT�- J SECTION R. OWNER INFORMATION: Property Owner Name: Property Owner Legal Address: A -( Property Owner Mailing Address: Tow.? �1j, zk C OL10 1Lw r 0031 r73-ox -a.7),- Telephone Number(s): Daytime "7A:� Evening Emergency Property Owner Email Address: �1��5C� `r�nl�()1i1�f���.�1��1�1f I •Co l Page 1 of 5 t � f Town Hall Annex z, Telephone(631)765-1802 54375 Main Road CA Fax(631)765-9502 P.O.Box 1179 Southold,NY 1 197 1-0959 BUILDING DEPARTMENT TOWN OF SOUTHOLD +J Section C. Authorized Agent Information: Name of Authorized Agent of dwelling unit, if any: To eA � � L IN �� Address of Authorized Agent(no P.O. Boxes): Do L-i�-S L� LL l ry1 Mailing Address of Authorized Agent: 10 -7-00 A i q 17v A--A I q-r-T—i i o (osl - zqq - 671 -3i Telephone Number(s): Daytime i 2e, Evening d 3 3-3 Emergency S!t Email Address: '1 1+0 �1 � . � � I-1 I--- 1 � � i w2(V iFLc.- a .K � iq c..0 IV'*,, Section D. Managing 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 E. SITE MANAGER INFORMATION: (required for rental properties containing 8 or more rental units) Name of Managing Agent of dwelling unit, if any: t Address of Managing Agent (no P.O. Boxes): c Page 2 of 5 IY �5r e ` Town Hall AnnexM Telephone(631)765-1802 54375 Main Road �; ` Fax(631)765-9502 P.O.Box 1 179 Southold,NY 11971-0959 0 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: 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. 4 Requested Maximum number of persons allowed to occupy Dwelling Uni Number of rooms in Rental Dwelling Unit: Use and Dimensions of each room in Rental Dwelling Unit: Page 3 of 5 Town Hall Annex �.'£r"1 1 +3 Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1 179 1' Southold,NY 11971-0959 BUILDING DEPARTMENT TOWN OF SOUTHOLID 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 must be notarized and MUST be the owner of the dwelling unit. STATE OF NEW YORK) COUNTY OF SUFFOLK) I AL-9'1,tNo1i.- 14°-tr Kv -tom- , 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 .. �p�yS/l�rtprt Town Hall Annex Telephone(631)765-1802 54375 Main Road } `-: � Fax(631)765-9502 P.O.Box 1179 `` Southold,NY If 971-0959 �, �i' ® � 4�, f), 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: AL L'XA N D A14 1404r- � U e�K C77— Property Owner's Signature: Sworn to before me this !fir day of J74-j- Y 20Wz� Official Notary Public Signature and Original Notary Stamp ,JONATHAN P SIRKIN Notary Public,State of New York No,01S16193382 Auallfled in New York County 09mmission Expires Sept, 15,20W` Page 5 of 5 a 00 Y kz C� o � I WP O ; C) GFI ADD'L O - Q j1 I F ? c d Fv-os nvKt �I a ouNT— �i Mounr S ��I i FL �� ELEC DROPS TO o R oRlz TORfz BSMT PANEL JBOX IN WALL®66" ASF F 7 I OMIT FIX.ONLY FOR ON-SITE WALL SCONCE CFM Fl I - BOX O o _ _ I ADD'L 0 O 0. -z+ BATH #1 �I KITCHEN 4XL i M I to LIVING ROOM o cFl 27" I - 9 z R CO ASF I - a i GFI3t JBO ^^ I IN ON- TR U FOR �______ 1 I _ ON-9TE TRACK LIGHT Q�BR S3 3 W I W L -------------------- � I Z ——————————————— — I 1 �� ---� Ir--------- —J o I ° DINING ROOM I I ILN r—N L----------------- XL W I I I I In e I ,SOX IN CLG.FOR ,SOX IN CLG FOR I GFII m W I I T I I^ " HE TRACK UCNT ON-SITE TRACK UCJIT m> 19 I PUL _____ ______ J U� z WIRE I io z lVevlll�� R I (D z.6i jcn a mv) _______________ L N � PBR-DENOTES PER BUILDER'S REQUEST - IN CLGI FOR I ,SOX IN CLG FOR �{Q�E JBOX IN CLG FOR ALL CAN LIGHTS ARE 1179 IC/AT UNLESS I GN-SITE TRACK UGHJ I ON-SITE TRACK LIGHT OFFICE ON-SITE TRACK LIGHT NOTED OTHERWISE I NO 50# LIGHT BOXES ALL BRANCH CIRCUITS SUPPLYING 15 AND I I < z 20 AMPERE OUTLETS, AND SMOKE %T CLO L___ _ L 8 a o a a DETECTORS IN KITCHENS, LAUNDRY RMS, CLO i r, —_1 MNT,TO TTOM ©JBOX IN FLR N g G a BEDROOMS, FAMILY ROOMS, DINING ROOMS, �� OF LANDING FOR BSMT SD < a LIVING ROOMS, PARLORS, LIBRARIES, DENS, SUNROOMS, RECREATION ROOMS, CLOSETS, HALLWAYS, OR SIMILAR ROOM OR AREAS {�R + CHIMES v I � m SHALL BE PROTECTED BY AN ARC-FAULT CIRCUIT INTERRUPTER IN ACCORDANCE WITH AOD'L 3: a a o s u SECTION 21012, 2014 NEC a 0 ALL 125-VOLT, 15-20 AMPERE RECEPS. INSTALLED IN AREAS SPECIFIED BY 210 52 SHALL BE LISTED TAMPER-RESISTANT TYPE UTILITY, DISHWASHER, AND LAUNDRY GFI N n H m RECEPTACLES TO BE ON AFCI BREAKERS a N< D\N�•- ALL EXHAUST FANS SHALL BE VENTED TO CHRISP 2/19/2019 8 59 11 AM o c N o N EXTERIOR ' a 4.1 } o G` ALL CAN LIGHTS ARE 1179 IC/AT UNLESS NOTED OTHERWISE Y o O J O WZ N o Q n V ®a co EILING 0 $ a- o I �� FV-O5- • aFOR RADON PUM = J U i Sin r— S/l N z 117 110C H 0 0_ J d n a o ::E a j cFI BATH 3 GFI STUDY o o BEDROOM #1 I # I O mxt o I BATH #2 I s/� F __ ®w 9 U m CFM I 3 N �o =7 F \4 mo o PULL SD WP iRIN ON-SIiE I I �- d WIRET I OF— �`F� lo- Q-------0 V w L HALL I m s r ' p 9 IN I rMj� am' eq BEDROOM #2 5D I I I SD BEDROOM #3 -o ami �"'1 ------- 12 1 1 I s — I I I z CLO CLO I a m z mma g a a U S U m D w 'oo ¢ in Din � CHRISP 2/19/2019 8 59 11 AM 1-- N a 4.2 a TOWN' OF. SMUT~HQLD -RROPEItT. ORd OWNER -- ��-� STREET VILLAGE DIST.< _ SUB. LOTw FORMER OW ER e N - Er t` ' a las i 44 � „�j , °frf S W' TYPE;,OF BUILDING ~ {x,�yb`k 'd :�y,i°fr / Mf$.., -s •ca� �� �' � _ RES. ,� I SEAS. (VL. FARM . j COMM. CB. MICS, Mkt,. Value — i LAND IMP. TOTAL DATE REMARKS, ' 471 t~ 27 aL I L4 tin ( ` # )"1� �� 1 �$ �` 1 b - i Tillable FRONTAGE',ON'WATER»Ρ',,, Woodland i ' _ FRONTAGE,,N,,RQAD""_ Meadowland �~ DEPTH`~ House Plot ;' BOLKHEAD. Total ( ! �' _• -. -. 2_ ~a �.,. - �.�,. y.,. xn ....-.-+a*r.,~,e,.0 .._._r -aF ..............��� S-F_ a., .i�.....w._~. -......n....��`G.c�..�„H. +,i..?<<xt0.'n ..�..a.- ..a �. -... ... .� ,. .., a - « _ir:��l COLOR", } P� _ � TRIM � 6 --------------------- --- l ' I 17 - I , ] i Vvy M. Bldg. i Extension I l e -- i , i Extension Ef —r --i---I - - , Extension _ 5T Foundation ��, i Bath ;�' i Dinette 1 Porch Basement '' 'Floors, i K. Porch E Walls � I Interior Finish LR. Breezeway ! _ Fire 'Place 'Heat, DR. Garage iType Roof- Rooms 1st Floor (BR. Patio �— Recreation.Room Rooms 2nd Floor ! FIN. B B;..- --- T- Dormer Driveway I - I Total � - � Itw, i ,� -- ��o�guF OF Town of Southold 6/18/2020 g P.O.Box 1179 o - W 53095 Main Rd oy�j0� ao��f� Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 41194 Date: 6/18/2020 THIS CERTIMS that the building SINGLE FAMILY DWELLING Location of Property: 13595 Soundview Ave, Southold SCTM#: 473889 SecBIock/Lot: 54.-2-4 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 3/1/2019 pursuant to which Building Permit No. 43536 dated 3/7/2019 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: one family dwelling with two landings as applied for. (Modular) The certificate is issued to Alexandra Hoyte-Burke of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL R10-19-0013 12/13/2019 ELECTRICAL CERTIFICATE NO. 43536 8/26/2019 PLUMBERS CERTIFICATION DATED 1/27/2020 and M rom A t ed Signature