HomeMy WebLinkAbout1000-55.-7-2 as TOWN OF SOUTHOLD
Rental Permit
�3
0412
Owner Paul & Ellen Vanwie
Occupied as Single Family Dwelling
Located at 1720 Long Creek Dr. Southold 55.-7-2
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 L v,
e I _ orcement Official
This Notice must be posted by the main entrance at all times
f s �
TOWN OF SOUTHOLD BUILDING DEPT.,
roue631-765-1802
INSPECTION
FOUNDATION 1ST ROUGH .
] FOUNDATION 2ND I INSULATIOWCAULKING
CHIMNEYFRAMING /STRAPPING FINAL
FIREPLACE & ] IINSPECTION
FIRE RESISTANTI IRE RESISTANT PENETRATION
ELECTRICAL (ROUGH) ELECTRICAL ( I
CODE VIOLATION PRE / RENTALL
REMARKS: 6)94-4 10
D
r
DATE
J
�/� l/Z3INSPECTOR
TOWN OF SOUTHOLD
co Rental Permit
Permit No. 0412
Owner Paul & Ellen Vanwie
Occupied as Single Family Dwelling
Located at 1720 Long Creek Dr Southold 55-7-2
Village
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.
4/7/2021 John Jarski
Code Enforcement Officer
This Notice must be posted by the main entrance at all times
""®F ®(/T�®fid
Town Hall Annex 4 Telephone(631)765-1802
54375 Main Road N Fax(631)765-9502
P.O.Box 1179 G.c� Q
Southold,NY 11971-0959 Q
COU1,63Y,�c�
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
RENTAL PERMIT APPLICATION
Rental Permit Fee$200(Application must be renewed every two years)'
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MAR 1 8 2021
Section A.
Property Information:
Rental Property Address:
1120 LoN& oleEEK MINE) 6'oumoLD N-\( 11971
Tax Map Number: 1000 SECTION :9ya -BLOCK 7 -LOT 2 -
SECTION B.
OWNER INFORMATION:
Property Owner Name: PAUL, & ELUE- I N,( N WIEz
Property Owner Legal Address: Property Owner Mailing Address:
22 227 Cm n oe Slre-4 --
Fr-an klih -Quare 1\( 11010 n etre NY 11010
516 '782 Q-r 516 9g4 22o g
Telephone Number(s): Daytime _ 9?55- Evening Emergency
Property Owner Email Address: py a n 9q 7o,ao1. coyn
Pagel of S
+ 1
S
Town Hall Annex Telephone(631)765-1802
54375 Main Road cn Fax(631)765-9502
P.O.Box 1179 G
Southold,NY 11971-0959 `Q
c®UM`I,��
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
Section C.
Authorized Agent Information:
Name of Authorized Agent of dwelling unit, if any: SUSAP4 SUTTbPJ Coi2Co2AN R EAL7'(
Address of Authorized Agent(no P.O. Boxes): ROA coTcH 0G'bg Ni-:Wfy0Fk 1192
1973 5"
Mailing Address of Authorized Agent: MAIN ROAD, cLadoGUE,Ni wYlOEY, X 35
(531.s33.5030
Telephone Number(s): Daytime Evening Emergency
Email Address: 5U56[r1'S-*0n(@ corcomyl-cm
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
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:
Address of Managing Agent (no P.O. Boxes):
Page 2 of 5
OF S®U��®
Town Hall Annex Telephone(631)765-1802
54375 Main Road 41 41 Fax(631)765-9502
P.O.Box 1 179
Southold,NY 11971-0959
l MUN,,� �
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: 17210 T ON(Gr CP% -DR I UF_, gomDLD J\f Y (1,9 71
Requested Maximum number of persons allowed to occupy Dwelling Unit: 6
Number of rooms in Rental Dwelling Unit: 8 i~o o m S -1- 2 a 6 ATN S
Use and Dimensions of each room in Rental Dwelling Unit: L.1yi;,IG PNcX'---r-1 1-4 X 13/
P4\,m(-LV I~o-om 13x l-3 - KIT'c.l-I2N 20 X 13 ; DI MN& ROOM IN.M3;
rr:()P'Oom d -- 1'+Xl3 - SEMOOPm
T 6VIL. 51 c- 2,240,
Page 3 of 5
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Town Hall Annex Telephone(631)765-1802
54375 Main Road Fax(63 1)765-9502
P.O.Box 1179
Souihold,NY 11971-0959 y_{
Cow
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
❑ 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 .,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
pf Sol ,
Town Hall Annex Telephone(631)765-1802
54375 Main Road Fax(631)765-9502
P.O.Box 1179 CO-® ® 0
Southold,NY 11971-0959
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: PAUL D, ` AL4 W/1 F—
Property Owner's Signature:
Sw to before me this d1 day offc'7 , 20u
7
d-UET�kt"
Official Notary Public Signature and Original Notary Stamp
rm� MICHELLE VENTURA
L",�ed
ry Public-State of New York
N0.01VE6128903
ualifiin Nassau County
mision Expires Jun 20, 2021
Page 5 of 5
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MASTER BDRM 186 21.22 11.46 SECTION R301.2.1.2 EXCEPTION, THE BUILDER/ PURCHASER Q U 0 0
SHALL BE RESPONSIBLE FOR PROVIDING THE REQUIRED z
BEDROOM 2 164 21.22 11.46 EXTERIOR PROTECTION, INCLUDING THE FASTENING. !�Z �p d"2'
BEDROOM 3 107 10.61 5.73 2) WINDOW AND EXTERIOR DOOR DESIGN PERFORMANCE (n u5 <U
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ENTIRE FIRST FLOOR Fb=2950 psi v
Fv=285 psi j} c m
ALL WINDOW & EXTERIOR DOOR HEADERS: Q Z rn H
(2)2x10's SPF#2 UNLESS OTHERWISE NOTED �/�
NOTES: H J Z Q V / ®®
— ANDERSEN 400 SERIES WINDOWS W/ FINELITE p 002
GRILLES WINDBORNE DEBRIS NOTE' z Y��
LIGHT & VENTILATION SCHEDULE (SF) - 2x1 os 012"O.C. IN KITCHEN 0 Of 2O O ®®
ZIP SHEATHING ON EXTERIOR WALLS 1) WINDOWS SHALL BE PROTECTED FROM WIND BORNE DEBRIS � Q Y
ROOM AREA LIGHT SUPPLIED VENT SUPPLIED - O.S.B. SHEATHING ON MARRIAGE WALLS IN ACCORDANCE WITH THE INTERNATIONAL RESIDENTIAL CODE Q c o ZO
- UPGRADE INTERIOR TRIM SECTION R301.21 2 EXCEPTION, THE BUILDER/ PURCHASER Q LLJU 0 0
LIVING ROOM 186 25.78 14.28 SHALL BE RESPONSIBLE FOR PROVIDING THE REQUIRED Z
DINING ROOM 164 25.78 14.28 EXTERIOR PROTECTION, INCLUDING THE FASTENING. Q
KITCHEN/BREAKFAST 265 40.4 22.96 2) WINDOW AND EXTERIOR DOOR DESIGN PERFORMANCE I`__ ak'
RATING SHALL CONFORM TO IRC SECTION R301.2.1 8 �o z� N
FAMILY ROOM 168 32.4 15.56 W ist oa
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_ ,w TOWN OF SOUTHOLD PROPERTlI R 1� ��n= �" �, ��D sj -
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OWNER; STREET - VILLAGE DIST. SUB. LOT
4-401d :5
FORMER OWNER N E ACR.
S W TYPE OF BUILDING
RES. z�o SEAS. VL. FARM COMM. CB. MICS. Mkt. Value
LAND IMP: TOTAL, DATE REMARKS _
L 10-0:" I97- tyfc! ty J kt,c 4MOhriHrx�n-'x?
L 00
E51i� ti e ® -
Tillable FRONTAGE ON WATER
Woodland `FRONTAGE .ON ROAD
i Meadowland DEPTH
i House Plot BULKHEAD
Total
A 4J1J
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iM Bldg. ��c — ! J"� �, L¢. , Foundation; , Bath 1�y }fit
Extension 13'asement LL Floorsr~�LYt
Extension u Ext. Walls Vtri Interior Finish
Extension Fire Place ) Heat
Porch LX 10 = � f7 Pool Attic OA 1
_ i
Deck _ . Patio Rooms 1st Floor �-
Breezeway Driveway' Rooms 2nd Floor
Garage
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Town of Southold 2/24/2021
P.O.Box 1179
53095 Main Rd
Southold,New York 11971
CERTIFICATE OF OCCUPANCY
No: 41827 Date: 2/24/2021
THIS CERTIFIES that the building SINGLE FAMILY DWELLING
Location of Property: 1720 Long Creek Dr, Southold
SCTM#: 473889 Sec/Block/Lot: 55.-7-2
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
2/5/2020 pursuant to which Building Permit No. 44697 dated 2/14/2020
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:
one-faixifly'dwellinix with unfinished baseiridnt- covered entrycovered porch and deck as applied For-
The certificate is issued to VanWie,Paul&Ellen
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL R10-19-0122 1/29/2021
ELECTRICAL CERTIFICATE NO. 44697 12/28/2020
PLUMBERS CERTIFICATION DATED 12/22/2020 G e,Alm?n 's
u t► ' e Signature