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HomeMy WebLinkAbout1000-117.-3-9 TOWN OF SOUTHOLD Rental Permit 0408 Owner Sargeant DP Trust Occupied as Single Family Dwelling Located at 1155 Old Harbor Rd New Suffolk 117.-3-9 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. 4/7/2023 Code nfor Ueent O#'' al This Notice must be posted by the main entrance at all times TOWN OF SOUTHOLD BUILDING r. UG «�� 631-765-1802 II - INSPECTION FOUNDATION I FOUNDATION 1ST ROUGH PLBG. FRAMING / STRAPPING I FIREPLACEIMNEY FIRE SAFETY INSPECTION FIRE RESISTANTI IPENETRATION ELECTRICALELECTRICAL (ROUGH) "I CODE VIOLATION PRE C/0 q'-'RENTAL REMARKS-. a $~ •za Ulm �mNci 5 NNr�i L.� 4 v�Z yc_; � m 4T 1 o- -17 y � -I-ITT Z I %m 51 lit v m N z ;gig OR ve. �x n z CA 0 � L u7 -p o � r Z z 0 Z > ro sz _0 M o l o z z rn o m ,fig* ,� ..._.. Xm7-X $ yD um L p-k s. RN m� Z Z ow cCi°�-r Z 1 I ell tr � K � c L .a m BnF ipy�G � <om Y Id 1, IF S FY IFON + n i ✓L I. - i� A Fir T d o � ; ; I IN , fs r�,� ae�� do a n ...: 'BTW N#I V es86J AA;v G1yf ��a o' � m E•I mG�' �� N t+ yn P F I I -+ 4i �_ 4+a 47Xo � 7zmn t mZ Y n o n T c a7wsm E R �YSQ W z aaK o Cl) b t 74 Zm >rn i j m i 7 m A 0 it +O� o ❑ Z -+ Zo0 Zc r �' m_ d Tj �Fb �n A= WYW r I m p qrr p� r I Z o it w z V./ 01 G) a z I_ z O zL (n I o mcl) 0 CD 0Z M TOWN OF SOUTHOLD Rental Permit Permit No. 0408 Owner Sargeant D P Trust Occupied as Single Family Dwelling Located at 1155 Old Harbor Rd. New Suffolk 117.-3-9 Address Village S/13/1- Maximum /B/LMaximum 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. 3/24/2021 John Jarski Date of Issue Code Enforcement Officer This Notice must be posted by the main entrance at all times Town Hail Annex , Telephone(631)765-1802 , _-� , 54375 Main Road "_< Fax(631)765-9502 P.O.Box 11794° southold,NY 1 197 1-0959 `e°�� � `a�` � BUILDING DEPARTMENT AUG _ 3 2020 _=_•J TOWN OF SOUTHOLD RENTAL PERMIT APPUCATION BUH DING DEP r. Rental Permit Fee$200(Application must be renewed every two years) Section A. Property Information: Rental Property Address: Tax Map Number 1000 SECTION 117 -BLOCK -LOT = SECTION B. OWNER INFORMATION: Property Owner Name: a �` � tea n' Property Owner Legal Address: Property Owner Mailing Address: ca9 GlMn Clt2!sem 1�� AJk 119 04 .. &Q-0 -Telephone Number(s):Daytim-e t675 Z�Jvening.5-7$ 75, ergency�ld' 7'O7 ��� Property Owner Email Address: `5-- 55� r Pagel of 5 q) �,� , (Lb Town hall Annex a ' ; Telephone(631)765-1802 54375 Main Road ` Fax(631)765-9502 P.O.Box 1179 s ost {�+ Southold,IVY 11971-0959 ��� �a�il� BUU,DING DEPARTMENT TOWN OF SOUTHOLD Section C. Authorized Agent Information: Name of Authorized Agent of dwelling unit,if any: Da Address of Authorized Agent(no P.O.Boxes): le .0�r CNailing Address of Authorized Agent: 0q�Q�<p If V as 3� Telephone Number(s):Daytime 3i. 7ql/23-jvenin -3('37y Emergency Email Address: Section D. Managing Agent Information: Name of Authorized Agent of dw ling unit,if any: J Address of Authorized Agen no P.O.Boxes): Mailing Address of Auth zed Agent: Telephone Number(s):Daytime Evening Emergency Email Address: SECTION E. SITE MANAGER INFORMATION:(required for tal properties containing 8 or more rental units) Name of Managing Agent of dwelling unit,if ny: Address of Managing Agent(no P.O.Bo s): Page 2 of 5 S107Uly®'t Town Hail Annex Telephone(631)765-1802 54375 Main Road `1,s3 Fax(631)765-9502 CP P.O.Box 1179 Southold,NY 11971-0959 COt1�f[V ' BUILDING DEPARTMENT TOWN OF SOUTHOLD Mailing Address of Managing Agent: d i /y"1 1190f Telephone Number(s):Daytime( 3/ I ` lening Emergency Email Address: o' Ja wA fy1 ,C%oat 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 UnitI ntifier: Requested Maximum number of persons allowed to occupy Dwelling Unit: Number of rooms in Rental Dwelling Unit: 9 Use and Dimensions of each room in Rental Dwelling Unit: !�Av)ram% K 19 , WjVrk6VVU/ L4vt k q� k � Page 3 of 5 9 s Uta h 6 Vermont , 3 J - Virginia 13 Washington 12 West Virginia 5 Wisconsin 10 Wyoming 3 0 1p Town Hall Annex Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1179 Gita, Southold,NY 11971-0959 ` CDU , 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. 0/1 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? �e4slv 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 ��' i 41 Town Hail Annex " � � : 54375 Main Road W Telephone(631)765-1802 r max' P-O.Box 1179 Fax(631)765-9502 ; Southold,NY 11971-0959 BUILDING DEPARTMENT TOWN OF SOUTHOLD applicable laws and rules. 1 further acknowledge that 1 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: Property Owner's Signature: I Sworn to before me this36day of (A 20 a b Official Notary Public 51gnature and Original Notary Stamp ' DARLENE K BRUSH Notary Public-State of New York NO.01BR6318051 Qualified in Suffolk County My Commission Expires Jan 20,2023 Page 5 of 5 P 10ob �� �041 �ovj # # TOWN OF SOUTHOLD-BUILDING -DEPT. 765-1802 INSPECTION--. [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATIOWCAULKING- [ ] FRAMING /STRAPPING [ FINAL �ej4t [ " ] FIREPLACE & CHIMNEY- [ ] FIRE SAFETY-INSPECTION _ [= ]' FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) [ ] CODE VIOLATION [ ] PRE C/O REMARKS: , ,ICA+ ev DATE INSPECTOR M I` 1 4 j e. 4 z A -- E d li P f� t':, File No 04/982/pa Property Address 1155 Old Harbor Road r City New Suffolk County Suffolk State NY Zip 11956 i [Appraiser Borrower N/ALender/Client Client DorothySargeant L/CAddress P.O.Box 667,New Suffolk,NY 11956 Name Phyllis Atkinson,NYSRERA Appr Address P.O.Box 63,Mattituck,NY 11952 I 37.0' 1 �7 Full y f Bedroom Bath Bedroom 0 2nd Floor Walk-In-CloseN o Landing N (Skylite) Hall Full Bath Bedroom 0 11.0' j ti 24.0' 26.0' ; f Heated c ' Sun Room c° ( 2 Skylites �,Snack Ba 13.0' Dining 1 st Floor o Eat • Room In 2 Car v Bi-Fold Doors Kitchen Bedroom c j N Garage i Livingcis Hall 1 Room a- Foyer Fall a 11.0' 23.0' r Bath 26.0' ' Subject Dwelling Comments: I k Scale: 1=15 j AREA CALCULATIONS SUMMARY_ LIVING AREA. BREAKDOWN I •Code Description Size 'Totals; Breakdown Sutatotals, Graf First Floor 1391.00 1391.00 First Floor ,GLA2 Second Floor 959.00 959.00 24.0 x 46.0 i 1104.00 GAR Garage 621.00 I 621.00 2.0 x 28.0 56.00 j 11.0 x 21.0 1 231.00 1 i Second Floor j ++ I 26.0 x 26.0 I 726,00 ; ' 1 - "+ - - a�n. Ss• _- - I - _12x.0_ ,» ,,21,.x.0 _, 231.00 BASEMENT PLAN t 2 4 202'1 a CLIENT 1155 OLD HARBOR RD ' NEW SUFFOLK.NY 11956 0N.HARRIS SERVICES � nicholaosharris IOgmail.com T 815.252 9123 Ll AIR HANDLER i _ PROJECT: «� [21021-OLD HARBOR RD BASEMENT FLOOR PLAN ® MI1�1fiAl �ldd6Elscias BASEMENT FLOOR PLAN • DATE: 02,19/2021 PROJECT NO: 2102 • DRAWN BY: NH CHECK BY: NH DWG NO: A-100 BASEMENT PLAN CLENT 1155 OLD HARBOR RD NEW SUFFOLK.NY 11956 N,HARRISSERVICES (I I odidaU51+am516gmall.Com 7815.252.9123 A tumoLm ( Q' POM PROJECT: 121021-OLD HARBOR RD -- - BASEMENT FLOOR PLAN �, mrvularEymm�aF �� BILSEYBU[fY.00lRAII -. KXE:1M••-�; DATE: 021921121 PROJECT NO: 2102 DRAWN BY: NH CHECK BY: NH DWG NO: A-100 ., TOWN OF SOUTHOLD PROPERTY RECOI OWNER STREET (�— i; VILLAGE DISTRICT SUB. LOT - '�u_� -'- - - `� - FORMER OWNER N E ACREAGE --�Qr k �1�-'f G (�� S TYPE OF BUILDING JCD / %i f� INS �eed/ W 0. W �GtF+ RES. 210 , SEAS. VL. FARM COMM. I IND. I CB. I MISC. Est kt. Value LAND IMP. TOTAL DATE REMARKS 'll JI— e —00 t + --— �S © (� +� t�► 7 7 _f'�/�d �.r ec �o f v.T o 7�d / c'�, �• /�j v.,d. ,3 3 o _ -' •41Y +-, p�0 0 C3 . �} ►—u -io /© .,�C � _Vi c o 7-7-,, V 40o 2 Q3 8 1 g ? G q 500 --3 AGE 100 J BUIL$I 'G CO I I yam- varld Z �� NEW NORMAL BELOW ABOVE F—Mls T'AS, WATER Farm` _ Acre Value Per Acre Value FRONTAGE ON ROAD 9 — _ �7St3 Tillable i - -- _ BULKHEAD c� Tillable 2 DOCK Tillable 3 — Woodland L -� Swampland Brushland House Ploy' —� -- -- -- -- A Total �-j 40Y C O✓ VvAS 6>QflO fi"-0 Jt, f ; 3•ct Al j d r G w t .k-eCA 1- -- _ -- 5ISo CS2 Foundation Both Extension asement �^ Floors J_1 y ✓i L i�� �j�/�'p Extension 7 5 , ;� = r2o�p ! ,C�2t; �� Ext. Walls Interior Finish tti/� L- 8.D ------. Gv✓�r 5f;; -� E en �- �s C� i.-Fire Place ' s Heat — - - K Porch Roof Type L3 i ZZ2 -- Porch Rooms 1st Floor ---------- Breezeway Patio Rooms 2nd Floor Garage -- `` /0 Driveway Dormer -- i O. B. 8O7 4 (2- _ . Bunch, Connie From: Verity, Mike Sent: Wednesday,January 20, 202111:22 AM To: Bunch, Connie Subject: FW: Rental Permit From: Dawn Heard [mailto:pgdawn@gmail.com] Sent:Thursday,January 14, 20215:17 PM �e �d R LL To:Verity, Mike<Mike.Verity@town.southold.ny.us> Subject: Rental Permit llg5g Hello, I am the local contact for a 92 year old lady, Dorothy Sargeant, who owns 1155 Old Harbor Rd in Cutchogue She is currently out of state, but applied for a rental permit in person in August and asked me to check into the status of it. I have tried to call, but haven't been able to get thru. Could you give' me an idea how I can answer her. Thank you Very much, Dawn Heard - 631-374-1238 ATTENTION: This email came from an external source. Do not open attachments or click on links from unknown senders or unexpected emails. i FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. CERTIFICATE OF OCCUPANCY No. .7. .267.5. . . Date . . . . . . . .. . . Xar43h. . . . . ,1p.. . . ., 19.6!! THIS CERTIFIES that the building located at . p ..4A .04— Pid.4P9r Wreet Map No. . .34 .. .. . . . Block No. . ..XX. . . . ...Lot No. XX.. New. .Suf1Polkl. .N,Y. . . . . . . conforms substantially to the Application for Building Permit heretofore filed in this office dated . .. .. .. . . . . . ..4QP 4. . ):,?., 19.6k pursuant to which Building Permit No. .3218.7a dated .. .... . . . . . .Sept. . . .12., 19. .64 was issued, and conforms to all of the require- ments -of the applicable provisions of the law. The occupancy for which this certificate is issued is ...Private. -one .family -dydalling . . . . . .. . . . .. . . .. . . . . ... . . . . . .. .. . . . .. . . The certificate is issued to . Pvte.lr. She. . . ..Owners.. . .. .. .. .. .. .. . ... . . . (owner, lessee or tenant) of the aforesaid building. Suffolk County Department of Health Approval . . XaV,. 201- -1967.• by Rw V;LI- la . . .. . . .. . .. . . Building Inspectr r l FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town -Hall- Southold, N-Y. CERTIFICATE -OF OCCUPANCY No Z-17337 Date SEPTEMBER 22, 1988 THIS CERTIFIES that the building ADDITION 1155 OLD HARBOR ROAD NEW SUFFOLK, N.Y. Location of Property Street Hamlet Hou-se No. County Tax Map No. 1000 Section 117 Block 3 Lot 9 - Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore pursuant to which filed in this off ice -dated MARCfi 11, 1988 Building Permit No-.16828-Z _ dated MARCH 17 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 ADDITION TO EXISTING ONE FAMILY.DWELL NG The certificate is issued to DOROTfiYwner� of tie aforesaid building- $UFFOLR -COUNTY DEPARTMENT OF HEALTH APPROVAL NSA U031661 - SEPTEMBER 6 ,. 1988 UNDERWRITERS CERTIFICATE NO. -- + - PLUMBERS CERTIFICATION DATED NSA "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-27057 Date: 04/26/00 THIS CERTIFIES that the building ADDITION Location of Property: 1155 OLD HARBOR RD NEW SUFFOLK (HOUSE NO. ) (STREET) (HAMLET) County Tax Map No. 473889 Section 117 Block 3 Lot 9 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated JANUARY 7, 1998 pursuant to which Building Permit No. 25521-Z dated FEBRUARY 4, 1999 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 SECOND STORY ADDITION AND RENOVATIONS FOR AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to DOROTHY & HOWARD SARGEANT (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. N 519312 03/27/00 PLUMBERS CERTIFICATION DATED 04/10/00 MIKE JACOBI Aut rized Signature Rev. 1/81