HomeMy WebLinkAbout1000-78.-3-10 TURN OF S UTHOLD
Rental Permit
zc
0374
Owner: Christopher Schwarting
Occupied as: Single Family Dwelling
Located at: 3825 S Harbor Rd Southold 78.-3-10
Maximum Permitted Occupancy: 4
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 inspectio .
Issued: 01/08/2025 ':�V" I
Expiration: 01/08/2027 de nj6rce ent Official
This Notice must be posted by the main entrancOatI time
TOWN OF SOUTHOLD BUILDING DEFT.
631-765-1802 �✓ Q
INSPECTION
[ ] FOUNDATION 1ST/ REBAR [ ] 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:
-ci�
n
DATE t �► I SPE1 TOR
Dec 21 , 2024
1 �
Town Hall Annex Telephone(631)765-1802
54375 Main Road r4 Fax(631)765-9502
P.O.Box 1179
u
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
profionai seal re aired rr 4rcflitect or Fr1 ireerlensed borne lns etor mra,�t�rvicle
o o vali(l current erti i ation
Rental Property SCTM Number: ..__.. .� ., .- - _ _._......_.._.. .._ ...........
Rental Property Address: _..... .. 302 S Harbor ( � C1 I l NY
Owner/Name: Chris Schwarti!Lg _.... �� .._
Rental Dwelling Unit Identifier: , ..
Number& Square footage of each bedroom as depicted in the attached floor plan:
(i.e. Bedroom#1 -100 sq., Bedroom #2-90 sq., etc.)
�M Bedroom #1 180..$ft. ._
Bedroom #2 140 sqft
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 Conservation C nstruction Code of New
York State.
Victor Cornelius III CEO Inspector
Print Name and Title ceo## 1216-0283 Original Signature
Please place professional seal:
TOWN OF SOUTHOLD
ka
Rental Permit
0374
Owner Christopher Schwarting
Occupied as Single Family Dwelling
Located at 3825 S. Harbor Road Southold 78.-3-10
Maximum Permitted Occupancy 4
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.
1/13/2023
This Notice must be posted by the main entrance at all times */Cole Enr(fcem),nt ic f14
story "TOWN OF ShOl' �"�/
THOIL,D BUILDING '.
qtr631-765-1802
[ ]
FOUNDATION 1ST [ ] ROUGH PLRG.
FOUNDATION 2ND INSULATIOWCAULKING
FRAMING /STRAPPING FINAL
FIREPLACE & CHIMNEY FIRE SAFETY INSPECTION
FIRE RESISTANT CONSTRUCTION FIRE RESISTANT PENETRATION
ELECTRICAL (ROUGH) ELECTRICAL L
olofCODE VIOLATION PRE C/O vl,�ENTAL
C
1 .4
DATE
ry ..� l
ww Nov 28, 2022
� w
a �
Telephone 631 765-1802
Town Hail Annex P ( )
54375 Main Road Fax(631)765-9502
P.O.Box 1179
Southold,NY 11971-0959 �r I'- ��� °�
C6 .� �I I�
&,
DEC 0 7 2022
BUILDING DEPARTMENT SUIWI DEPT .
TOWN OF SOUTHOLD TOWN O SO e!
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 re fired for Architect or,En ineer licensed Home Ins ector rn�ist rovide
copy of valid current cerci cation
Rental Property SCTM Number:
Rental Property Address: 3825, S Harbor lid. Southold NY
Owner/Name: Chris Schwarting
Rental Dwelling Unit Identifier:
Number &Square footage of each bedroom as depicted in the attached floor plan:
(i.e. Bedroom#1 -100 sq., Bedroom #2-90 sq., etc.)
Bedroom #1 180 s ft
Bedroom #2 140 sqft
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 Conservation Construction Code of New
York State.
Victor Cornelius III CEO Inspector
Print Name and Title ceo# 1216-0283 Original Signature
Please place professional seal:
TOWN OF SOUTHOLD
Rental Permit
Permit No. 0374
Owner Christopher Schwarting
Occupied as Single Family Dwelling
Located at 3825 S. Harbor Road Southold 78-3-10
Village S/13/1-
Maximum
/B/LMaximum Permitted Occupancy 4
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.
12/16/2020 John Jarski
Date of Issue Code Enforcement Officer
This Notice must be posted by the main entrance at all times
®f soU,*�� ,
Town Hall Annex Telephone(631)765-1802
54375 Main Road Fax(631)765-9502
P.O.Box 1179 Gq
Southold,NY 11971-0959
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
RENTAL PERMIT APPLICATION_ D
Rental Permit Fee$200(Application must be renewed every t ars) �/ 15 D
AUG 2 4 2020
EEELDING DEQ
Section A. TOR;,!z L;a �"77HOLD
Property Information:
Rental Property Address:
Tax Map Number: 1000 SECTION -BLOCK—(-)g -LOT--[-C-)---
SECTION
LOT -C-)---SECTION B.
OWNER INFORMATION:
Property Owner Name: C►'�2�rS SC 1--� U-J
Property Owner Legal Address: Property Owner Mailiin,g Address:
Sv.,�is•��� +�--( �` 1 ..�-
Telephone Number(s): Daytime Evening` Emergency
Property Owner Email Address:
arC)
12,G
Pagel of S
Town Hall Annex e r2 Telephone(631)765-1802
54375 Main Road ' _ ° Fax(631)765-9502
P.O.Box 1179 =
Southold,NY 11971-0959 !7
l`Cni-i
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
I
' 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.
D 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
Town Hall Annex y, 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
�am
the Town of Southold
I the
a completed Town of Southold certification form from a licensed
architect or a licensed professional engineer.
SECTION H. X
DECLARATION: Signature must be notarized and MUST be the owner of the dwelling unit.
STATE OF NEW YORK)
COUNTY OF SUFFOLK)
I, y under penalty of perjury,the following:
1. 1 am the owner of the property identified in "Section A"of this application.
NV v:^
11
2. The property owner's legal address set forth in "Se,ctign.B"�of'this•application'i'-"my legal
address and I understand the Town will use the address for service pursuant 4o all
Page 4 of 5
r,
= t
pE SOP .
Town Hall Annex Telephone(631)765-1802
54375 Main Road Fax(631)765-9502
P.O.Box 1179
Southold,NY 11971-0959 c®U �
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: ���24 S �C �►—�2i
11
Property Owner's Signature:
Sworn to before me this day of , 202d
Official Notary Pub ' Signa ure and Original Notary Stamp
ROBERT A MAZZAFERRO
[NOTARY PUBLIC-STATE OF NEW YORK
NO.01 MA6207376
QUALIFIED IN SUFFOLK COUNTY
COMMISSION EXPIRES JUNE 15,20
Page 5 of 5
r'
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so
Town Hall Annex Telephone(631)765-1802
54375 Main Road
� �'; �:°'�`'r, � Fax(631)765-9502
P.O.Box 1179 '' Q
Southold,NY 11971-09.59 /q�]
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
RENTAL PERMIT APPLICATION ADDENDUM
Rental Dwelling Unit Identifier:
Requested maximum number of persons allowed to occupy each dwelling uni _
Number of Rooms in Rental Dwelling Unit: Z—
Use and Dimension of each room:
Rental Dwelling Unit Identifier:
Requested maximum number of persons allowed to occupy each dwelling unit:
Number of Rooms in Rental Dwelling Unit:
Use and Dimension of each room:
Rental Dwelling Unit Identifier:
Requested maximum number of persons allowed to occupy each dwelling unit:
Number of Rooms in Rental Dwelling Unit:
Use and Dimension of each room:
i
}
Sol
Town Hall Annex ` Telephone(631)765-1802
54375 Main Road `�, Fax(631)765-9502
P.O.Box 1179
Southold,NY 11971-0959
4
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
t
RENTAL PROPERTY CERTIFICATION
Form,is to be completed by a license architect,'licensed engineer or licensed home inspector
Separate form is required for ebchh`individual Rental Dwelling Unit
Professional seal rewired forArchitect,or Ena' er, licensed Home Inspector must provide
required forArchitect,or Ena' er, licensed Home Inspector-must provide
copyofvalid current certification valid current certification
Rental Property SCTM Number:
Rental Property Address:
Owner/Name:
Rental Dwelling Unit Identifier:
Number&Square footage of each bedroom as depicted in the attached floor plan:
(i.e. Bedroom#1 -100 sq., Bedroom#2-90 sq., etc.)
Property Description (Include all improvements indicated on survey)
e
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 Conservation Construction Code of New
York State.
Print Name and Title Original Signature
Please place professional seal:
soUrJuly 22, 2020
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 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 SCTN1 Number:
Rental Property Address: 3825 South Harbor Rd., Southold NY 11971
Owner/Name: Chris Schwarting
Rental Dwelling Unit Identifier:
Number&Square footage of each bedroom as depicted in the attached floor plan:
(i.e. Bedroom#1 —:100 sq., Bedroom #2-90 sq., etc.)
Bedroom #1 J92sgft" ,.
Bedroom #2 144sgft
Property Description (Include all improvements indicated on survey)
single family home
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 Conservation Construction Code of New
York State.
Victor Cornelius III CEO Inspector
Print Name and Title ceo# 1216-0283 0.' i I Signa ure
i
Please place prafessional-seai:
��OF 50UTyo •�� �1 O �j� 50
# # TOWN OF SOUTHOLD BUILDING DEPT.
765-1802
_INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INSULATION/CAULKING
[ ] FRAMING /STRAPPING [ ] INAL t&44-�
] FIREPLACE& CHIMNEY [ FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL)
[ ] CODE VIOLATION [ ] PRE C/O
REMARKS:
rl+/✓ '�JGw
DATE I10 INSPECTOR
AJ% T,�-yt-
C,/C>
17-
CIO
12
-------------
7Y is
TOWN C`. SOUTHOLD PROPERTY REGI°1 @—'�= l k._ - ��,� �°_✓{
OWNER STREET "e VILLAGE DISTRICT SUB. LOT
DIY t 5P% �' ch1� It~)a
FORMER OWNER, N �4 / i+ E/ � '' / ACREAGE
�G �p'lGt h M/ , •Hoit se--e) S } V~ Vy y r TYPE OF BUILDING j
„r f� �. /"//�/�4i� V �1 S � - �P /i• ���jh�h .��Js (f,(I�� �.se '9',G l (J)f i ��--"Lr��,'. ,
RES. } avo SEAS. VI— FARM c• COMM. I IND. ( CB. ( MISC. I Est. Mkt. Value
LAND IMP. TOTAL DATE REMARKS
ri U F ( /i-,�✓5 P_ .��j� 7/t.. YA/v-df r- Az, /44LP4>
ell
7 Ae S-- 7 P- vj- 14a-A
/ S O O 0 �' "`� '� -'G' �'.�. �`} ��f -- rFI<-7//'L ----
r
NEW NORMAL �" ' BELOW ABOVE FRONTAGE ON WATER
Farm Acre Value FRONTAGE ON ROAD /-s
l'
Tillable I BULKHEAD
Tillable 2 DOCK
Tillable 3
Woodland
Swampland
House Plot
r
Total
1
..� I
i � r
I
I I
� � 1
CA amu' '- Bath
r ''D `'�.� 6 Foufidation --- I +
M. Bldg. -�.�� � ��
Extension i I Basement Floors --� `''1 .
Extension i ; Ext. Walls = Interior Finish
Extension Fire Place Hoot
Roof Type
% _._ .'�`�-�' �,•� t... Porch __... ��1it.
- Porch
Rooms 1st Floor f,P,
� Patio
Breezeway I Rooms 2nd Floor
Garage h X x� Driveway Dormer
Z-
0. B. �3PC�I+' Z
i
V
TOWN OF SOUTHOLD
OFFICE OF BUILDING INSPECTOR
TOWN HALL
SOUTHOLD, NEW YORK
CERTIFICATE OF OCCUPANCY
NONCONFORMING PREMISES
THIS IS TO CERTIFY that the
ZU Land
Q Building(s) Pre C.O. #--Z]7039
Z7 Use(s)
r •.Date- June 2$, 1988 `
located at 3825 South Harbor Road Southold
Street Hamlet
shown on County tax map as District 1000, Section 078 Block
03 , Lot 10 does(not) conform to the present Building Zone
Code of the Town of Southold for the following reasons:
Insufficient total area.
On the basis of information presented to the Building Inspector's
Office, it has been determined that the above nonconforming 4J Land
0 Building(s) Q Use(s) existed on the effective date the present
Building Zone Code of the Town of Southold, and may be continued
pursuant to and subject to the applicable provisions of said Code.
IT IS FURTHER CERTIFIED that, based upon information presented to
the Building Inspector's Office, the occupancy and use for which this
Certificate is issued is as follows: Property contains a i story, one
family, wood framed dwelling with attached screen porch; attached
single car garage; 6 situated in the A-Residential Agricultural
4
zone with access to South Harbor Road; a town maintained road.
The Certificate is issued to HANNAH M. HANSEN
(owner, X393n Xnxi$ggBl
of the aforesaid building.
Suffolk County Department of Health Approval N/A
UNDERWRITERS CERTIFICATE NO. N/A
NOTICE IS HEREBY GIVEN that the owner of the above premises HAS
NOT CONSENTED TO AN INSPECTION of the premises by the Building Inspec-
tor to determine if the premises comply with all applicable codes and
ordinances, other than the Building Zone Code, and therefore, no such
inspection has been conducted. This Certificate, therefore, does not,
and is not intended to certify that the premises comply with all other
applicable codes and regulations.
Building Inspector