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HomeMy WebLinkAbout1000-55.-7-7 SOWN OF SOUTHOLD s Rental Permit 4 0359 Owner John & Wendy Colbert Occupied as Single Family Dwelling Located at 2155 Long Creek Dr. Southold 55.-7-7 Maximum Permitted Occupancy 9 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. 4/20/2023 Code(Enr ment Off` al This Notice must be posted by the main entrance at all times i€soto TOWN OF SOUTHOLD BUILDING DEPT. 631-7654 802 INSPECTION , FOUNDATION 1ST ROUGH PL13G. FOUNDATION2ND INSULATION/CAULKING FRAMING / STRAPPING FINAL FIREPLACE & CHIMNEY FIRE SAFETY INSPECTION FIRE RESISTANTI IPENETRATION C I ELECTRICAL (ROUGH) ELECTRICAL(FI RENTALCODE VIOLATION PRE C/O �� " n �4 na y �,l SA n X©4 aww DATE INSPECTOR s� > �' ti `rYFat TOWN OF SOUTHOLD Rental Permit '749/ Permit No. 0359 Owner John & Wendy Colbert Occupied as Single Family Dwelling Located at 2155 Long Creek Dr. Southold 55.-7-7 Address Village S/13/1- Maximum /B/LMaximum Permitted Occupancy 9 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. 11/6/2020 John Jarski Date of Issue Code Enforcement Officer This Notice must be posted by the main entrance at all times son • � Town Hall Annex Telephone(631)765-1802 54375 Main Road nq' Fax(631)765-9502 P.O.Box 1179 4� X� rte:,-,.;,�5�-'a•;�,r �Southold,NY 11971-0959Frff + r",i � BUILDING DEPARTMENT JUL 3 2019 TOWN OF SOUTHOLD BT21,13ING DE,EVE, RENTAL PERMIT APPLICATION 'Y` 'Fr •+1� ��- i OLD Rental Permit Fee $200 (Application must be renewed every two years) Section A. Property Information: Rental Property Address, Tax Map Number: 1000 SECTION 6- -BLOCK 760 -LOT - SECTION B. OWNER INFORMATION: Property Owner Name: �f Property Owner Legal Address: Property Owner Mailing Address: L(jl (o t Telephone Number(s): Daytimq tom.' Evening 56.&L Emergency Property Owner Email Address: ( P►� a "a Page 1 of 5 *qf SO Town Hall Annex Ao. Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1179 Southold,NY 11971-0959 c®UI� BUILDING DEPARTMENT J U L 3 0 2019 TOWN OF SOUTHOLD FUTr_..DR G 1LdEr6E 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. 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. Rental Permit Fee: $200.00 , F A Town Hall Annex Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1179 O Southold,NY 11971-0959+' BUILDING DEPARTMENT TOWN OF SOUTHOLD Section C. Authorized Agent Information: Name of Authorized Agent of dwelling unit, if any: , PGvI ►�= '�l P: (7GU Address of Authorized Agent (no P.O. Boxes): 2266 d Mailing Address of Authorized Agent: 6 DS( g2,2; ��(N-f.� Telephone Number(s): Daytime -Wq vening Emergency Email Address: rP,lhGt'�'�f1P.("-��IM �C�,h12�QGJe ,Gt 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 x . 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: (��A(l Address of Managing Agent (no P.O. Boxes): Page 2 of 5 1 s' E. 1 qk so Town Hall Annex Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1 179 Southold,NY 11971-0959 Q �yc®UIdT`I,�a�� 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: Z J J Lo! Cc �r Requested Maximum number of persons allowed to occupy Dwelling Unit: Number of rooms in Rental Dwelling Unit: Q�u5 2,,S "i Use and Dimensions of each room in Rental Dwelling Unit:ki -t,YIZB (13'k 13�6�_ 0&41L Page 3 of 5 t1� ilo Town Hall Annex Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1179 Southold,NY 11971-0959 COUNN 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. VI 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 IOF SUFFOLK) L I YL T certify under penalty of perjury,the following: f 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 -- ,j{ } �V S10 Town Hall Annex Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1179 Southold,NY 11971-0959 ,li'p`,C�r/ 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: C�rf Property Owner's Signature: Sworn to before me this day of . 20---- ��N I i�Z6 �� )A6� Official Notary Public Signature and CWiginal Notary Stamp DILA WII NEY =ARY PUBLIC OF CONNECTICUT ABY CWd"m E#m 40M Page 5 of 5 TOWNOF`SOUTHOLD BUILDING DEPT. ac 765-1802 -- - INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION/CAULKING [ ] FRAMING /STRAPPING [/] F NALAem��FIREPLACE & CHIMNEY [ RE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) [ ] CODE VIOLATION [ ] PRE C/O REMARKS: OCOVO UA DATE14t #­ - (/-/ �j INSPECTOi*y l OF so O * TOWN OF SOUTHOLD BUILDING DEPT. LOU 765-1802 INSPECTION . [ ] FOUNDATION 1ST [ ] ROUGH PL13G. [ ] FOUNDATION 2ND -[ ] INSULATION/CAULKING [ ] FRAMING /STRAPPING [ FINAL AZkAj .Prt [ ] FIREPLACE &'-CHIMNEY- " ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION j ] FIRE RESISTANT PENETRATION [° ] ELECTRICAL (ROUG ) [ ] ELECTRICAL (FINAL) [ ] CODE VIOL AT [ ] PRE C/O i REMA I ��� nS✓ SW1 co SMo XPi App +� (kk IIil . "0 Dr\t co Ao rArine t o v`. • DATE INSPECTOR I r - i 1 i r1N mo poAlDe 3 B I ' 14%ti" ysbn 19 L4 S�- �c NOV I I 1'• �1 r � I I 7 1 I+ I I ,f I � � f I c c• � _� , I � f � '� N I r 1. 14P f .p• I g . I � , °? I + I ,jam 1----•-I _ _ _ r —1- I 1� ' f N I-� I 1 �- CMZ°•12°�_ � L'i YLp � (q)ptl.�T3_�-�4�L41c11 - I I• f;( LII,,,Ln I � / 1` 6 I k,,o'cet,Fre. rI J, N!{ V1 9 r �ill5r��al5f , �' J t Q u` I '� FI� t.:( 1 � L— i � �'r i J ' � �-- — --"1—.. ._-_- —.__ - _•__._'---_ ro L_i I —1 —1 - ——1 r4)Z'.IL -' As I _ I � tt1 � I! ! ::,-�;I._-.i`_ X13' —IL a�w°--�- 4'-Id—�'- ��� -�— _�•-__ 1 � � - f I I ® IMI i I �V Fe�J9 IhlSw•i-16tt OUaf✓: N � 511111 IJ I �r q1{ �S,A� I Imo, 1 1 L_ zo' 40l e.W Ald TNDhroN a niton ;' I i. Yti• IuZ 5 145 ru FL - -—-— -------- 'ej 13 & Cdlw.t . uIt1 6\lk C�m ILI IL CAW &vILO 23 te Z :( J-f. 63 i4 Nj 41 11ye zm 4110 -k;UOrX-'l')!2J77Kf A 1... 5.4, ZA, --li 3.4F -10 +11 i Ir 19W, fl ( i � ,/� Vie` i LL za la eA. L? mal; Xykr&FAtom— S g om t2 F!D-J. V1.1 1-11 4' 41 Ilia, 74.�wM U-tL o pa c g p LK TOWN OF SOUTHOLD 1,PROPERTY RECO Mar, G- 7-- &I�N LOT STREET VILLAGE DIST. SUB. '7'w' Cyl��e -, --)FORMER OW ER N E ACR. S W TYPE OF BUILDING V I e w RES. SEAS. FARM comm. CB. MICS. Mkt. Value LAND IMP. TOTAL DATE REMARKS <-Ir o3 L 10089 2 1 PkjLf v1-n-4 ��H,4C > l denj'f 7e 4F 3 I /57o I /'h h J, Con r 0A- r-e?- 7 A / r-y 1 (,2 ---7t i — L o /6 M61k r! -1 ff) v nv i\-) C- 00 -7 12-112 L 3n-4 ��3 CQ ncSV-wa r- 0-0 q 7- DO 76,k 6 t I Nq- q oto.- Tillable FRONTAGE ON WATER Woodland FRONTAGE ON ROAD Meadowland DEPTH House Plot BULKHEAD Total 9. -7 Foun Bath M. Bld dvioi Extension Basement Floo rs y, iO 2-0 Extension 3 IR, '2 Ext. Walls .-4p�d Interior Finish r 4-- Extension 2_AJE�� F Ire Place Heat 76.7 2 C)14 C) Porch Pool Att ic Deck Patio Rooms ls! Floor Breezeway Driveway Rooms 2nd Floor Garage K -1 1 - A FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF -OCCUPANCY No Z19520 Date NOVEMBER 20, 1990 THIS CERTIFIES that the building ONE FAMILY DWELLING Location of Property 2155 LONG CREEK DR. SOUTHOLD House No. Street Hamlet County Tax Map No. 1000 Section 55 Block 07 Lot 07 SEC. ONE Subdivision LONG POND ESTATES Filed Map No. 8037 Lot No.- 5 conforms substantially to the Application for Building Permit heretofore filed in this office dated NOV. 24, 1989 pursuant to which Building Permit No. 18667Z dated NOV. 24, 1989 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 ATTACHED GARAGE AND DECK. The certificate is issued to KOHRING ENTERPRISES INC. (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL 89-SO-105 JULY 26 1990 UNDERWRITERS CERTIFICATE N0. N158426 OCT. 31, 1990 PLUMBERS CERTIFICATION DATED CHARLES SANDERS--NOV. 16, 1990 ✓�L'u k'lding Inspector " Rev. 1/81 FFOL/(� Town of Southold 10/11/2020 0 P.O.Box 1179 y T 53095 Main Rd Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 41533 Date: 10/11/2020 THIS CERTIFIES that the building HVAC Location of Property: 2155 Long Creek Dr, Southold SCTM#: 473889 Sec/BlockiLot: 55.-7-7 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 6/30/2020 - pursuant to which Building Permit No. 44970 dated 7/10/2020 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 Colbert,John&Wendy of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 44970 10/2/2020 PLUMBERS CERTIFICATION DATED horized Signature �oStlFFOi��o Town of Southold 7/18/2021 G y� P.O.Box 1179 o _ 53095 Main Rd Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 42177 Date: 7/18/2021 THIS CERTIFIES that the building ELECTRICAL Location of Property: 2155 Long Creek Dr, Southold SCTM#: 473889 Sec/Block/Lot: 55.-7-7 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 4/16/2021 pursuant to which Building Permit No. 46096 dated 4/16/2021 was issued,and conforms to all of the requirements of the applicable provisions of the Iaw. The occupancy for which this certificate is issued is: electric wiring for kitchen renovation and subpanel. The certificate is issued to Colbert,John&Wendy of the aforesaid building. 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