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HomeMy WebLinkAbout1000-116.-5-5 $ TOWN OF SOUTHOLD � s Rental Permit R � 0401 Owner Kenneth Kohlmeyer Occupied as Single Family Dwelling Located at 345 Dean Dr Cutchogue 116.-5-5 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 inspectic 6/28/2023 Code tnforcement Official This Notice must be posted by the main entrance at all times 6F SUl% DEPT.5 3 O �v( FOUNDATIONINSPECTION [ ] ROUGH PL13G. [ FOUNDATION 2ND INSULATIOWCAULKING [ ] FRAMING /STRAPPING I FIREPLACEI INSPECTION FIRE RESISTANTI FIRE RESISTANTPENETRATION ELECTRICAL ) ELECTRICAL ( I CODE VIOLATJION, PRE C/O RENTAL !� . _.. v 5- 5 Oz4aTOWN OF SOUTHOLD BUILDING DEPT. 631 -765-1802 //yy INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. ] FOUNDATION 2ND INSULATIOWCAULKING FRAMING !STRAPPING FINAL [ FIREPLACE & CHIMNEY [ ] I INSPECTION FIRE RESISTANT CONSTRUCTION [ I I T NT PENETRATION ELECTRICAL (ROUGH) [ ELECTRICAL (FINAL) VIOLATIONCODE [ ] PRE C/O RENTAL INSPECTORDATE 3/�s/23 TOWN OF SOUTHOLD Rental Permit C w Permit No. 0401 Owner Kenneth Kohlmeyer Occupied as Single Family Dwelling Located at 345 Dean Drive Cutchogue 116-5-5 Village 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. 3/15/2021 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 ; h1fi 5959/j� ami Y' D LM U V tali ' SEP 2 2020 BUILDING DEPARTMENT TO`V N OF SOUTHOLD B' MDING Dom• RENTAL PERMIT APPLICATION TW7v r ,-j�3TjTHoLD Rental Permit Fee$200 (Application must be renewed every two years) Section A. Property Information: Rental Property Address: 3,q,5- 1-I �' Tax Map Number: 1000 SECTION. _ -BLOCK .-_ -LOT. , :. SECTION �. OWNER INFORMATION: Property Owner Name: e Property Owner Legal'Address: Property Owner Mailing Address: AX eV C.4'- �- e L0, 0 Cho 0 Telephone Number (s): Daytime Evening Emergency` ' Property Owner Email Address:: -�exin& �QkIMWer_ J2 kaon 06 cl Page 1 of S Town Hall Annex ' Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1179 Southold,NY 11971-0959 ��,,. , OU&' p BUILDING DEPARTMENT TOWN OF SOUTHOLD 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. Na'__Certificates of Occupancy and Pre-Certificates of Occupancy: Certificates of occupancy or Pre-Certificates of Occupancy for each rental dwelling unit. \W q ❑ 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 �; pfr'SoU��U ,. ti•, lam, . _ 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 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: Address of Authorized Agent(no P.O. Boxes): _ Mailing Address of Authorized Agent: _ Telephone Number (s): Daytime. Evening Emergency' i Email Address: t SECTION E. SITE MANAGER INFORMATION: (required for rental properties containing 8 or mo-re 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 Telephone(631)765-1802 54375 Main Road 'N Fax (631)765-9502 P.O.Box 1179 Southold,NY 11971-0959 BUILDING DEPARTMENT TOWN OF SOUTHOLD ® 'J � Mailing Address of Managing Agent: 1 © 1 R ho X �1 � � �• S� �•e,1t d'3 $6 t5 Syonµ-9=- C�.1� a 3 $S 1i 6 0 b Telephone Number(s): Daytime Evening Emergency Email Address: mod 1 4 CU 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: Requested Maximum number of persons allowed to occupy Dwelling Unit: Number of rooms in Rental Dwelling Unit: C,�td L— 1-�0 1 j off- f Use and Dimensions of each room in Rental Dwelling Unit:, 'Drj L t4 ),cow I N) g Page 3 of 5 S Town Hall Annex * Telephone(631),765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1 179 Southold,NY 11971-0959 c®U ,�� � . 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. l/l am requesting a fire safety inspection to be performed by a Code Enforcement Official from the Town of Southold ❑ 1 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 WOUMweecertify under penalty of perjury,the following: - • '� Viz; <<. 1. 1 am the owner of the property identified:iq,�'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 so Town Hall Annex Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1179 Southold,NY 11971-0959 6, 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: Weivil Property Owner's Signature: L, Sworn to before me this e day of 20 Official Notary Public Signatur a Original,Notary Stamp LYNDSEY BARKER NOTARY PUBLIC,STATE OF NEW YORK No.01BA6156676 Qualified in fires November 27,,20 Commission Exp Page 5-of 5 # # TOWN OF SOUTHOLD BUILDING DEPT. �`y�ouxn � 765-1802 ; ��-� 1lb INSPECTION [ ] FOUNDATION IST [ ] ROUGH PL13G. [ ] FOUNDATION 2ND [ ] INSULATION/CAULKING l [ ] FRAMING/STRAPPING [ FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) [ ] CODE VIOLATION [ ] PRE C/O" REMARKS: VA/ A— CO vp�� (D cw emw DATE — INSPECTORIkX*W4 SSSS■■ SSSS ■ ■■E M ME ME ■ SSSS■■SEEN■■ ■ ■E■■■■■■■■■■■ ■E ■■NNE■ �■ � ,-� % SSSS _ ter■ ■ ON ■ _ _ EN■E■EENE NEE ■ ■N■NE N■ . ■ E NEE ' � ■■NE� 1''.. ■ NE ■■ ■ ii ■■NEMEN M MEMO N � EE■E� ■ , El ENS ■■■N ■■ EENE - ■ �t, I■E■E A i . ■E ■ No N■■E■ ■E k ■E ' ■■■ ■ N■ ■EN■N E `er ■E■ ■■ ■■N■■■ISMIN on ■ ■■E■ E NEN N® f`4 ■� r G' ■ ■N mom ME ■■ ■ ■ _ ■ �■ ' N■■ENE ■ ■ ■ IN ■ E■■ �E ■ _ ■E< ■■■ENE ■ MEN M MEMO 0 N■■EN■■ ■ ■ ■ ■ EN N■■ IMEMMISIMMI ■NEE■ NE ! ■■ ■ ■ENN■■EON momE ■ i W a ■ EEE■ ■E■ ■�■■■■■ _ ' � _ _ -- _ " � _ ■��■�■ �� SSSS■■■ ■N ■■■ ■ ■ESN■ ■ ■■■■EN■ ���� �■�o��ii - � SSSS■ ■ ■■■mom■■■E■■■N■NaE■■■■N■ ■■■■■E■ ■ i s a ew TOWN OF SOUTHOLD PROPERTY RECO --�----- -- - . -- _ -----.--.-------- OWNER STREET VILLAGE L„i. 5UB. LOT (J W A J V!e VI/ J� FORMER OWNER N E ACR. v- , 06 S W TYPE OF BUILDING RES. SEAS. VL. FARM COMM. CB. MICS. Mkt. Value LAND IMP. i TOTAL DATE REMARKS l 7o Scl� � YeeA r, .3d d s o0 I oy ba?/ T C14P 11� _ 72 idU 13 ' ��r (3 1kj uo 1666 /.000 G 7i G/act qa - 00v G G o-b 5 /, Va �� - I��� - iy�G (08 IJ ? 7 4' AGE BUILDING CONDITION NEW NCRMAL BELOW ABOVE FARM Acre Value Per Value I Acre Tillable ' FRONTAGE ON WATER Woodland FRONTAGE ON ROAD Meadowland I DEPTH House Piot BULKHEAD Total DOCK I t b COLOR µ !fz %{ TRIM I ---f+ K,_ M. Bldg.,/� �r7 - laa.T --i Extensi n6 X .2 7 Extension Extension 'Foundation 1 Bath Dinette 'Basement 'FlK. o ru ; oors O et r Porch j !Ext. Walls S Interior Finish S LR. Breezeway - j !Fire Place Heat Garage Zs •7 - Type Roof Rcoms 1st Floor I BR. ' Patio !Recreation Room I Rooms 2nd Floor FIN. B O. B. /S v� 'Dormer !Driveway --Total - - J�3 --------- ------- - - - ----- I FORM NO.4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy No, . Z.1.5 3 2 9. . . . . . . . . Date . . .Margh. 987 . . . . . . . . . . . . . . . . .. THIS CERTIFIES that the building . . . . .R1.e. .f am i.x .qV e. L i np , , , , , , , , , , , , , , , , , , Location of Property , DEAN DRIVE . . CUTCHOGUE' No345use No. Street. . . . . . . . . . . . . . . . . . . . . . . .Nsm%i County Tax Map No. 1000 Section , .1.16. . . . . . .Block . . 5 . . . . . . . . . . .Lot . . .5 . . . . . . . . . . . . . Subdivision M a,p ,o f. Downsview Filed Map No. 5 5 0 9 Lot No. . . 4. . . . . . . . . . conforms substantially to the Application for Building Permit heretofore filed in this office dated pursuant to which Building Permit No. . . 15.1.3 6 Z. . . . . . . . . . . . dated . .J u l Y .44,. .1.986, , , , , , , , , , , ,, 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 wood deck in rear : The certificate is issued to . , , .HENRY KOHLMEYER . . . . . . . . of the aforesaid building. Suffolk County Department of Health Approval . . . 9.1. F e b: 2 5 , 1 9 8 7 UNDERWRITERS CERTIFICATE NO. . . . . . . . . . , ,N 7 8 9 8 2 0 . ,Jan; 2 2 , 1.9 8 7 . . . . PLUMBERS CERTIFICATION DATED: December 29 , 1986 Building Inspector Rev.1/a1 r FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-21040 Date SEPTEMBER 23, 1992 THIS CERTIFIES that the building ACCESSORY Location of Property 345 DEAN DRIVE CUTCHOGUE, N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 116 Block 5 Lot 5 Subdivision Filed Map No. Lot No. - conforms substantially to the Application for Building Permit heretofore filed in this office dated JUNE 23, 1992 pursuant to which Building Permit No. 20758-Z dated JUNE 24, 1992 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 ACCESSORY STORAGE BUILDING IN REAR YARD AS APPLIED FOR. The certificate is issued to HENRY & CONSTANCE KOHLMEYER (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. LiZA PLUMBERS CERTIFICATION DATED N/A Building Inspector Rev. 1/81