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HomeMy WebLinkAbout1000-67.-6-6 a T 0"'AWAVIN OF SOUTHOLD z Rental Permit 0451 Owner Alice Jones Occupied as Single Family Dwelling Located at 305 Fasbender Ave. Peconic 67.-6-6 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. 6/8/2023 Code fnljc ment offi This Notice must be posted by the main entrance at all times So TOWN OF SOUTHOLD BUILDING D1 631 -765-1802 INSPEC ION [ ] FOUNDATION 1ST [ ] ROUGH PLRC. C l FOUNDATION 2ND [ ] INSULATIOWCAL [ ] FRAMING I STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY IN. [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PEI [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (Fit [ ] CGDE VIOLATION [ ] PRE CIC► [ REMARKS: ZX� 40a- con �nva �d DATE INSPECTOR a Town Hall Annex SoUTF�OL D T N 54375 Main Road PO Box 1179 Southold, R �� �6�rt NY 11971-1179 Tel 631-765-1802 Fax 631-765-9502 w Dat e CTM # �._ .. PhoneOwner .. Address . .,M_.w....._.__ City _ ._..._ _ . _... ._ __M"._. Inspector LEVELS SUB_ 3 Smoke Detectors (# bedroom detectors ....d '.mm " _-- - - _.. .._,..m. Carbon Monoxide Detectors # ... Fire Extinguishers (#) _ '..... . . Exits1100g; FAR (#) BEDROOMS 4 .w. ._.,. 2 3 Smoke Detector Alarms (#) .. .., .. ..m __ _......,_... Carbon Monoxide Alarm Egress (windows) (Y/N) �,i�" ,�rarr�' ,T >'/!��'l lil,�,Il��Zn/,r„�%i t I 1 N, �� �/ �� t'1� Ilirul��r1"ll'�f�✓i� G����iN �P1'��i�GG���'�% BUILD _ Y/N PERTY �°� INS SYSTEMS -°�- PRa a __... . . ............. . .. . ..ned �,� ,� � �r te,��tionai � Building I Interior Is clean � maintained . . ....". Heatir�� s,.. kri ma�ntarnr � rerat�onai 7 � Property is Exterior is clean !maintained ...�._..�_..,..�... ., .r Building Ex Hot water r main ain m _. __. ,.,, clean ( safe / maintained w_ stem maintained/rperational p y... - Electrical __,_._ Mechanical systerrt maintained/0)erational Handrails & guards present Rentai Inspection Form a/7/2o21 TOWN OF SOUTHOLD Rental Permit Permit No. 0451 Owner Alice Jones Occupied as Single Family Dwelling Located at 305 Fasbender Ave Peconic 67-6-6 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. 6/3/2021 IOfficial This Notice must be posted by the main entrance at all times 7 En orc Town Hall Annex Telephone(631)765-1802 54375 Main Road : Pax(631)765-9502 P.O.Box 1179 Southold,NY 11971-0959 `� ,f BUILDING DEPARTMENT TOWN OF SOUTHOLID RENTAL PERMIT APPLICATION- Rental Permit Fee$200(Application must be renewed every two years �Ls Section A. - MAY - 6 2021 Property Information:-�,7P-- LNT x7— ! r Rental Property Address: or Ff4Si' A) t'- �U �d Tax Map Number: 1000 SECTION . -BLACK. /0 00. -LOT----6---L— SECTION B. OWNER INFORMATION: Property Owner Name: A 0-0 S Property Owner Legal Address: Property Owner Mailing Address: c_ont IC , New 1-t0tzl� � � co OJQC Telephone Number(s): Daytim --Savening,ahs-Soo Emergency. � r Property Owner Email Address: A N N Page 1 of 5 • • ^yam`®�S�� P ', 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: LA 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 Town Hall Annex 1 �, Telephone(631)76.5-1802 54375 Main Road I _ Fax (631)765-9502 P.O,Box 1179 i Southold,NY 11971-0959 s -ou BUILDING DEPARTMENT TOWN OF SOUTHOLD Mailing Address of Managing Agent:. O Y A 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: Requested Maximum number of persons allowed to occupy Dwelling Unit: Number of rooms in Rental Dwelling Unit: Use and Dimensions of each room in Rental Dwelling Unit: Page 3 of S • • ..' p�OV. C®/)fir., Town Hall Annex d�t Telephone(631)765-1802 54375 Main Road " Fax(631)765-9502 P.O.Box 1179 Southold,NY 11971-0959 BUILDING DEPARTMENT TOWN OF SOUTHOILD 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 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 Aki G� �o 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 � 'SO ' Y Town Hall Annex ,� Telephone(631)765-1802 54375 Main Road ;��, Fax(631)765-9502 P.O.Box 1179 Southold,NY 11971-0959Q � ' l `oUlm ,�' ' 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:. ,I�A -, C,6 -Y8 N, S Property Owner's Signature: Sworn to before me this 0"-day of Agzt 20� �72 ,� i, Official Nota(y Public Signature and Original Notary Stamp MARY DIANA POSTER Notary Public,we Of New Yolk No.524MU42 Cual ied In Suffolk County, Owwassion Expires AuQ21.20,)l Page 5 of 5 f TOWN , - L T + { { ( _ �. _ - OWNE STREET VILLAGE DIST. SUB: COT 'FORMER 01NNE R�,`0,k � fiCR, l� ( 5 W. TYPE OF BUIL©ING 7-77 RES. ¢ SEAS. VL FARM `x COMM. CB MISC. , Nilo. Value LAND IMP'.. TOTAL DATE REMARKS M e ,(� x 3�VA x � i. -� � f {-� df '`s _ 1 ,��,"�t .. � ';�• f jam.,zR"f Par •z - .>•°$.��Jt° x- ''P a� ,. __= - . 74 107 .� :,:d' l;�. �.1, � r l �„ � r �'- £ '7"✓ 3t3.� -a�"f°�cs,'.5' ,<;,�`" i';,/ t� f C" 'j'- zs '� r.. *� r x"" G� c�^., ''� �-��' t'�'" •+ �`e 1 �t",d.^ •�-w�l 1`�s'r`'"�,(:✓°'�;�'`'�r - e f�' t�-�" � �r�'.'t�.fS fP' "� �t� ";a .. ��� • s �� �2. ca ( tr � � d , 4" °rte FARM Acre Value Per -Value. AcrP3 8 Tillable 1 Tillable 2, / "t ® 'a °<`' c y f Tillable �3 - , / { 1 - - woadlcrid Swampland FRONTAGE ON WATER Brushland v .FRONTAGE ON ROAD Nouse PI . DEPTH BULKHEAD Total DOCK , 'Vp1 ;y,,»'` G'�''.``i��'•" ::i_. :'r."f'�r °+':tF.i' "d' iia fir'^".';+::?,+ "1"' ._ '" 'y`.4 'zj°.r::a _ +�y Yti .I':»?: � '�:`;���.' ,q•-•;.:� f4.,�•F:. yf,.x Y �y,.•`f,� ';:x � jam+$$� Jw. (J..w� { 7.�i Fr�i3`1.�' f= �i;!" fR:•,'(«:._. tf„ ¢ C.J' Vit„}y .; ���,yf_. ^�'sv,..�, :�� .. 4.,"+ £^o- `.r"e'3"f'r,pq.a•q.'.e`_ r ..x� rift. '7 '•' �s� •.��•�Cr.ve t L G' ..} 1`J ro C�(1'• �' 7�3RA:"e"'+,ra'o'�'3�-"'•'>�».4 ��'1` `fb. ti�'vt. �• .'� �4..�' I —6 •:•?'�`„s:+}i;,<'? N�' -'c.':,,`�L",�i++'.,_'`<C yY: »i,�+:'�?,-`•-r',��:��:� �r:,,�«� f .. F�" - - - r �'� «:nay,.=v:,y.,,,i"sv".a'. �•`sa:.L� Sa'"2.+y»i� ,ys . ;.�.:ypv,�t:,,;`.i'm}.".'i'y'•A•�roxti i14�. � '' .35t!*.., ,,:-q., k�3:�'µ. f - 'p�' _ .. .— -- _ - t✓.F�-x+'•.;.8"{<>' "+.1:'+ �u�ti.."'�..':`.''S,Nidw'�t'a'"_'E.. .ai ,i':D.t t-_ 67.-6-6 2/08 — - i M. Bldg. r, .° "' EFoundation. BathQ s -" Dinette ; ? r 2.. Extension i 3 f a�^ ._, elf-7 5 ----- t Basement �; c> tr . - 5 j ✓_f Inferior Finish e- P LR. I xtensipon , 04 '% 1 gra j�2- - Ext. Walls, _ f- ti Extension Fire Place p � Heat ,�, ' rr, <C DR, T e"Roof Rooms.1's Fioor' ..-•-. BR. yp X r{ ,,�' Porch !YC _ Recreation Room Rooms Znd Floor , '"r ;d ' .Fl N. B, Porch m "Y� dormer Breezeway Driveway Garage Patio . m Total o _-. _. FORM NO.4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Clerk's Office Southold, N.Y. Certificate Of Occupancy No. 29557 . . . . . . . . . . Date.. . . . . . .Jure. . 8 . . . . . . . . . . . . . . . .. 19 .79 THIS CERTIFIES that the building . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . Location of Property 305. . )?4as)D.=dor. .AVe. . . . . . . . . . . . . . . . . . . .Peoania,. .N.Y. House No. Street Hamlet County Tax Map No. 1000 Section . .06..7 . . . . . .Block . . .06. . . . . . . . . .Lot . . . . Ob . . . . . . . . . . Hy g Subdivision . . . . . . . . .aile . . . .Park. . . . . . . . . . . . . .Filed Map No. .�� . .Lot No. RMUIRNIENTS FOR ONE FAMILY DwII.I nM BUILT PRIOR TO conforms substantially to the CERTIFICATE OF OCCUPANCY . . . ,April . .23. . . . . . . . 19 .57pursuant to which-6Wbhnjbtq0*No. . . . . . . . . Z9557, dated . . . . . J'Urie 8 . . 19 79,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 . . . . . . . . . . . . . . . . . . . . . .Pr1V*to .0X10. FWI;y. .Vwaling .with .ACoeaaory. .Stmotvra . . . . The certificate is issued to . . . . .Robert .F.. & .Daisy. irithmiller . . . . . . . . . . . . . . . (owner of the aforesaid building. Suffolk County Department of Health Approval . . . . . . . . . .Pre-:4# tA;19 . . . . . . . . . . . . . . . . UNDERWRITERS CERTIFICATE NO. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Building Inspector Rev 4ns I BUILDING DEPARTMENT TOWN OF SOUTHOLD, N. Y. HOUSING CODE INSPECTION REPORT Location 305 Fasbender Ave Peconic, New York number & street Municipality f Subdivision Bailey Park Map No. 1097 tot(s) 9 & 10 Name of Owners) Robert F. & Daisy A. Windmuller Occupancy R-1 owner type owner Admitted by: self Accompanied by: self Key. available Rudolph Bruer Suffolk Co. Tax No. 1000-067-06-06 Source of request Rudolph Bruer Date May 21, 1979 D`1ELLING: Type of construction wood framed #stories one Foundation cement block Cellar Crawl space X -Total rooms, lst. Fl 5 2nd. Fl 3rd. F1 Bathroom-(s) 1 Toilet rooms) - Porch, type Deck; type Patio, type Breezeway Garage Utility room Type Heat oil, pipeless?Warm Air Hotwater Fireplace(s) 1 . No, Exits 3 Airconditioning ! Domestic hotwater yes Type heater' electric Other ACCESSORY STRUCTURES: Garage, type const. Storage, type const. wood Saim_ming pool Guest, type const: Other VIOLATIONS: Housing Code, Chapter 52 Location Description Art. 1 Sec. Front step ---step 'too hi h II 52-27 Remarks: l _ Inspected by,: �� ,, , 1�. ,��� /,,>-Date of Insp. June 8, 1979 CURTIS HORTON Time start 9:30 end 10:00 AM