HomeMy WebLinkAbout1000-88.-4-50 = TOWN OF SOUTHOLD
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Rental Permit
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0346
Owner Joseph & Carolyn Anderson
Occupied as Single Family Dwelling
Located at 740 Longview Lane Southold 88-4-50
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.
6/16/2022
Code End ment Official
This Notice must be posted by the main entrance at all times
Of F
Town Hall Annex
SOUTHOLD TOWN 54375 Main Road
PO Box 1179 Southold,
Rental Inspection NY 11971-1179
Tel: 631-765-1802
* s� Fax 631-765-9502
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LEVELS IJB,,71 1!16 11003/0 '
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Smoke Detectors (#- bedroom detectors excluded)
Carbon Monoxide Detectors (#) VIZ
FireExtinguishers;(#)
Exits (#) --
BEDROOMS /f %' Gl/�' %% ,G %� !d%
ai/
Smoke Detector Alarms (#)
Carbon Monoxide`Alarms`(#) + F
Egress (windows) „(Y/N)
BUILDING SYSTEMS COIV ION OF PROPERTY
Heating system-:maintained/operational ding 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 74 Handrails &guards present
POOLS ' POOL BARRIERS Y/N
Pool present Pool is completely enclosed
Pool surface alarm and/or door alarm
resent Barrier is a min. 48" high
POOL GATES Y/ 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:
-
TOWN OF SOUTHOLD
Rental Permit
Permit No. 0346
Owner Joseph & Carolyn Anderson
Occupied as Single Family Dwelling
Located at 740 Longview Lane Southold 88-4-50
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.
10/9/2020 John Jarski
Date of Issue Code Enforcement Officer
This Notice must be posted by the main entrance at all times
Town Hall Annex Telephone(631)765-1802
54375 Main Road Fax(631)765-9502
P.O.Box 1179 '
Southold,NY 11971-0959 ` l
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
RENTAL PERMIT APPLICATION
Rental Permit Fee$200(Application must be renewed every two years)
Section A.
Property Information:
Rental Property Address:
Lo✓141V1'�1�1I - � c Sow ow _
Tax Map Number: 1000 SECTIONy� BL'OCK1 -LOT �Q
SECTION B.
OWNER INFORMATION:
f
Property Owner Name:.. &Seek � �b'),�
Property Owner Legal Address: Property Owner Mailing Address:
s
t-�Lvie�t uT cy 03' - i Tcl Vtovz r &+1 03�5�
- b03 2-7-2 CILI3$
Telephone Number (s): Daytime 063 0 10R%vening Emergency VS k 335 Gq(o
Property Owner Email Address: ey-0 l aY0 F rs&�'-t P!F�Yn6L;<< o0-
f
Page 1 of S
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Town Hall Annex P_ Telephone(631)765-1802
54375 Main Road Fax(631)765-9502
P.O.Box 1179
Southold,NY 11971-0959
U
BUILDING DEPARTMENT 2019
TOWN OF SOUTHOLD-
�A
RENTAL PERMIT APPLICATION INSTRUCTIONS
Rental Permit Fee $200 (Application must be renewed every two years)
The items listed below are required to be submitted with the completed
application.
El Floor Plans: Floor plans of each Rental Dwelling Unit, please show location of
all smoke &carbon monoxide detectors.
• Certificates of occupancy and Pre-certificates of Occupancy: Certificates of
occupancy or Pre-Certificates of occupancy for each rental dwelling unit.
• Certification of Code Compliance(form enclosed): Must be submitted by a
license architect or engineer or license home inspector if an inspection by Town of
Southold Inspector is declined.
El Rental Permit Fee: $200.00
Town Hall Annex y Telephone(631)765-1802
54375 Main Road Fax(631)765-9502
P.O.Box 1179
Southold,NY 11971-0959 0 I
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
Se\edAgen
Aunt Information:
b
Nad Agent of dwelling unit, if any: Hyl
Adzed Agent (no P.O. Boxes)*-
MaA thorized Agent:
Telephone Number(s): Daytime 'Evening Emergency
Email Address:
Section D.
Managing Agent Information:
Name of Authorized Agent of dw ling unit, if any: f`
Address of Authorized Agent(no P.O. oxes) _
Mailing Address of Authorized Agent:
Telephone Number (s): Daytime ; vening Emergency
6 '
Email Address:
SECTION E.
SITE MANAGER INFOR TION: (required for rental properties containing 8 or more rental units)
Name of Managing Agent of dwe ' g unit, if any:_ yk 161
Address of Managing Agent (no P.O. Box
Page 2 of 5
Rd,
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Ig so
Town Hall Annex Telephone(631)765-1802
54375 Main Road CA Fax(631)765-9502
P.O.Box 1 179
Southold,NY 11971-0959
Um
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BUILDING DEPARTMENT
'L"" OF SOUTI30LD
Mailing Address of Managing A nt: V,4 Li
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, Q 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:
t
Requested Maximum number of persons allowe occupy Dwelling Un
Number of rooms in Rental Dwelling Unit:
Use and Dimensions of each room in Rental DwQing Unit: S-ec hOOK 4
Page 3 of 5
Town Hall Annex Telephone(631)765-1802
54375 Main Road Fax(631)765-9502
P.O.Box 1179 ;
Southold,NY 11971-0959
COU
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.
I am requesting a fire safety inspection to be performed by a Code Enforcement Official =
from the Town of Southold `}
❑ lam submitting a completed Town of Southold certification form from a licensed
architect or a licensed professional engineer.
SECTION H.
DECLARATJON: Signature must be notarized and MUST be the owner of the dwelling unit.
STATE OF NEW YORK)
)
COUNTY OF SUFFOLK)
9(4"Dl,+ , certify under penalty of perjury,the following: v
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" ofth 'apphcation,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 Telephone(631)765-1802
54375 Main Road Fax(631)765-9502
P.O.Box 1179
Southold,NY 11971-0959 D `
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
E
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. -
E
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:_ oaoa4p A-A,1er3u?n
Property Owner's Signature:
Sworn to before me this11 day of 3 W, 20_
i r7
Aaw
Official N y Public Signat and Original Notary Stamp
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1{
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TRACEY L. DWYER
NOTARY PUBLIC,STATE OF NEW YORK
NO.01 OW6306900
QUALIFIED IN SUFFOLK COUNTY
COMMISSION EXPIRES JUNE 30,2#AIa.
Page 5 of 5
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# TOWN OF SOUTHOLD BUILDING DEPT.
cou765-1802
INSPECTION,
[ ] FOUNDATION 1ST [ ] ROUGH PL13G.
[ ] FOUNDATION 2ND [ ] IN ULATION
[ ] FRAMING /STRAPPING [ ] INAL9&JWI PA441�'�
[ ] FIREPLACE & CHIMNEY [ FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL)
[ ] CODE VIOLATION [ ] CAULKING
REMARKS: t V E'
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DATE INSPECTOR
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/ v OF SoUly0lo LO V t�J I PrAt I S f��'� ��•�' �'��O
# # T AN OF SOUTHOLD BUILDING DEPT.
`ycoorm,��' 765-1802
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PL13G. -
[ " ] 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-
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TOWN OF SOUTHOLD PROPE SD CARD
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OWNERy STREET VILLAGE DIST-1 SUB. LOT
FORMER OWNER � ' 1 QTn N v � E ACR.� ' _
S W TYPE OF BUILDING
RES SEAS. 1 VL. FARM COMM. CB. MICS. Mkt. Value
LAND IMP. TOTAL DATE REMARKS
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AGE i BUILDING CONDITION ____ A--
_NEW NORMAL BELOW ABOVE
FARM i Acre —i Value Per Value
--" ---- -- - Acre — -- -_.
Tillable — —)--"— FRONTAGE ON WATER
Woodland I FRONTAGE ON ROAD —`
Meadowland DEPTH
House Plot BULKHEAD'
Total I I "DOCK
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COLOR TRIM,
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Extension
Extension
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Porch Basements Floors
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PnrMA3 ----- Ext. Walls F���2 f Interior Finish
Breezeway -- Fire Place �— Heatz ( DR,
Garage ` ' Type YP Roof Rooms Ist Floor BR.
Patio — i Recreation Room Rooms 2nd Floor FIN. B
O. B. Dormer A Driveway
Total------ - �-----�
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FORM NO.4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold,N.Y.
Certificate Of Occupancy
No. . 2,16637. . . . . . . . . Date . . . Feb ; , 5 , . 1988 .
THIS CERTIFIES that the building . . One• f ami l.y„dwe l ling , , , •
Location of Property 740 Longview Lane , • . Southold ,
House No. Street Hamlet
County Tax Map No. 1000 Section 0.8.8 . . . . . . . .Block . 0 4 . . . . . . . . . . .Lot . A0 . . . . . . . . . . . . .
Subdivision . of .Terry Waters. . _ . , , ,Filed Map No. ?.90 j. . .Lot No. . . 69 . .
conforms substantially to the Application for Building Permit heretofore filed in this office dated
• • Mar 9h. ,%4 , .1.9$7 pursuant to which Building Permit No. 1.5 8 2 4.Z , . , , , • • , , , _ _ .
dated . .March 3 0, 1 9 8 7 was issued,and conforms to all of the requirements
of the applicable provisions of the law. The occupancy for which this certificate is issued is . . . . . . . . .
. . _ One family dwelling .and, attached deck • • . . . . . . .
The certificate is issued to , CHARLES & CATHERINE ROWAN
. . . .%caner,/X"Wj94,"WXX$. . . . . . . . . . . . . . . . . .
of the aforesaid building.
Suffolk County Department of Health Approval . 1 .8 7-S.O.—2 2 F e b : 5 , 19.8 8
UNDERWRITERS CERTIFICATE NO. . . , N 8/+3 7 9 1 Nov : 18 , 19.817
PLUMBERS CERTIFICATION DATED:T & F PLUMBING & HEATING
9/ 12/87
. . . . . . . . . . . . . . . . . . . . .
Building Inspector
Rev, 1/81
FORM NO,4
TOWN OF SOUTHOL.D
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold,N Y,
Certificate Of Occupancy
No 216352 Date October 29 , 1987
7 HIS CFRTIFII,S that the building Accessory bui.lding
Location of Property 740 Longview Lane Southold
House No street _ Hamler
County Tax Map No 1000 Section 088 Block 04 Lot 50
Subdivision Te r rywa t e r s Filed Map No. 2 9 O . . Lot No 69
conforins Substantially to the Application for Building Permit heretofore filed in this office dated
. Sept . 9 , 19 8 7 pursuant to which Building Permit No 164511.Z. .
dated .SeP,t . 9 , 1987 was issued,and conforms to all of the rec;utrements
of the applicable provisions of the law '1 lie occupancy for which this certificate is issued is
,Accessary garage �S Applied for .
The certificate is issued to . CHARLES E . & CATHERINE V . ROWAN
(ownor,l r$e$ d t3ir#'�}it Y$
of the aforesaid building
Suffolk County Department of health Approval N(A.
UNDERWRITERS CERTIFICA'rI. NO . N/A
PLUMBERS CERTIFICATION DATED: N/A
Building Inspector
R.v 1/81
FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No Z17269 Date SEPT. 7, 1988
THIS CERTIFIES that the building ADDITION
Location of Property, 740 LONGVIEW LANE SOUTHOLD
House No. Street Hamlet
County Tax Map No. 1000 Section 88 Block 04 Lot 50
Subdivision Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated JUNE 9, 1988 pursuant to which
Building Permit No. 1720OZ dated JULY 11, 1988
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 ADDITION TO EXISTING ONE FAMILY DWLLING.
The certificate is issued to CHARLES E. & CATHERINE V. ROWAN
(owner, )
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A
UNDERWRITERS CERTIFICATE NO. NLA
PLUMBERS CERTIFICATION DATED N/A
Building Inspector
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-34108 Date: 12/03/09
THIS CERTIFIES that the building DECK ADDITION
Location of Property: 740 LONGVIEW LA SOUTHOLD
(HOUSE NO.) (STREET) (HAMLET)
County Tax Map No. 473889 Section 88 Block 4 Lot 50
Subdivision Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated AUGUST 31, 2009 pursuant to which
Building Permit No. 34981-Z dated SEPTEMBER 3, 2009
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 ADDITION TO EXISTING DECK ON AN EXISTING ONE FAMILY DWELLING AS
APPLIED FOR.
The certificate is issued to CAROL O'HAGAN & CHARLES R ROWAN
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A
ELECTRICAL CERTIFICATE NO. N/A
PLUMBERS CERTIFICATION DATED N/A
/AAori,Ad Signature
Rev. 1/81
�o\p�u4FOt,f�OGy Town of Southold 10/9/2020
o -
• P.O.Box 1179
W T 53095 Main Rd
oy�Od �ao�r Southold,New York 11971
CERTIFICATE OF OCCUPANCY
No: 41509 Date: 10/9/2020
THIS CERTIMS that the building AS BUILT ALTERATION
Location of Property: 740 Longview Ln, Southold
SCTM#: 473889 Sec/Block/Lot: 88.4-50
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
9/16/2020 pursuant to which Building Permit No. 45242 dated 9/24/2020
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"central air conditioning as applied for.
The certificate is issued to Anderson,Joseph&Carolyn
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 45242 10/1/2020
PLUMBERS CERTIFICATION DATED
e
uthorized Signature