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HomeMy WebLinkAbout1000-98.-4-4 . � TOWN OF SOUTHOLD Rental Permit Permit No. 0455 Owner Christine Blackburn Occupied as Single Family Dwelling Located at 335 Smith Road Peconic 98.-4-4 Village Maximum Permitted Occupancy 10 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. 6/7/2021 Code Enforcement Official This Notice must be posted by the main entrance at all times o�o000tIra Town Hall Annex ay, .yam SOUTHOLD TOWN 54375 Main Road C= - PO Box 1179 Southold, CIO Rental Inspection NY 11971-1179 • `� Tel: 631-765-1802 ®y�J Fax 631-765-9502 SCTM # m Date �✓ `� Owner Phone Phone Address 733 SMIT'O Zip Hamlet SC_7 1Q-1 e_ Inspector I -.B't o-ovU. Address visible from street? LEVELS SUB 1 2 3 ,. Smoke Detectors (#-bedroom detectors excluded) t / 4 Carbon Monoxide Detectors (#) / I / 46 Fire Extinguishers (#) p / Exits (#) 0 12 BEDROOMS 1 2 3 4 5 Smoke Detector Alarms (#) { { Carbon Monoxide Alarms (#) t l Egress (windows) (Y/N) BUILDING SYSTEMS Y/N CONDITION OF PROPERTY Y/N Heating system maintained/operational Building Interior is clean/maintained Y. Hot water system maintained/operational Building Exterior is clean/maintained Electrical system maintained/operational Property is clean/safe/maintained Mechanical system maintained/operational Handrails&guards present POOLS Y/N POOL BARRIERS Y/N Pool present Pool is completely enclosed Pool surface alarm and/or door alarm "is a min.48" high resent POOL GATES Y/N All openings in barrier less than 4" Self-closing, self=latching Max. 2"clearance @ bottom of barrier Latch on pool side of gate, meets height Barrier capable of being locked &child- requirements proof when unattended r COMMENTS: e xs�w� �pF SUS(j , ti o � Town Hall Annex Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1179 Southold,NY 11971-0959 Q Y BUILDING DEPARTMENT TOWN OF SOUTHOLD RENTAL PERMIT APPLICATION Rental Permit Fee $200 (Application must be renewed every two cars JAN - 8 2021 Section A. Property Information: `1?...,._'.:. Rental Property Addr ss: ��'�� ►1tit 1 EO dA Tax Map Number: 1000 SECTION -BLOCK -LOTLA _- 0 00 [000 - 0q$ -00 - oma( -40 -06L4-0o0 c SECTION B. OWNER INFORMATION: Property Owner Name: i(1 ur,h� 00,666co Property Owner Legal Address: Property Owner Mailing Address: �-g ��-O," aSamk- 1�5w6uqxvl ate 3�a mob Telephone Number(s): Daytimeq.143ga`iaoening Emergency X1,14 309- L(900 Property Owner Email Address: Ndl(,t✓ Qfn ?I 'l l (6YY). Page 1 of S o�r . Town Hall Annex. Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1179 Southold,NY 11971-0959 Uii 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.:: _ ❑ 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 . ._ *of $Q(fr�Q�. Town Hall Annex 1 Telephone(631)765-1802 54375 Main Road CAR Fax(631)765-9502 P.O.Box 1179 Southold,NY 11971-0959 Q ou 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: I �T 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 o �F soUr?e , Town Hall Annex 4 Telephone(631)765-1802 54375 Main Road Fax (631)765-9502 P.O.Box 1 179 Southold,NY 11971-0959 (J coUINOMN � BUILDING DEPARTMENT TOWN OF SOUTHOLD Mailing Address of Managing Agent: �j 1A 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 RentaiDwelling 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 Unfit: _ ll Use and Dimensions of each room in Rental Dwelling Unit: aLualeol-rnh ICIim ro /i ux ® � CF� x )TS1 f r!� A �Vl l ,X d1 x, CD Page 3 of 5 i �O lQ Town Hall Annex Telephone(631)765-1802 54375 Main Road N Fax(63 l)765-9502 P.O.Box 1 179 Southold,NY 11971-0959 Cou 7' 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-professionaI engineer: SECTION H. DECLARATION: Signature must be notarized and MUST be the owner of the dwelling unit. STATE OF NEW YORK) COUNTY OF SUFFOLK) J--&6 ,m j1 certify under-prenalty 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,p�© ,moo to � Town Hall Annex Telephone(631)765-1802 54375 Main Road cn Fax(631)765-9502 P.O.Box 1179 Southold,NY 11971-0959OC 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: &j�afinA Property Owner's Signature: Sworn to before me this day of 201;�,) Official Votary Public Signature a riginal Notary Stamp BOGUMILA T. ROSEBURG NOTARY PUBLIC-STATE OF NEW YORK NO. 01R05071459 QUALIFIED IN QUEENS COUNTY COMMISSION EXPIRES,1ANUARY 13, 20 Page 5 of 5 FRIVATE RESIDENCE ADDITION/ RENOVATION 555 5MITH ROAD PEGONIG NY 11958 JO MACHINIST AP CH I T E C I fN Pb�♦.a Mvmm M Imp.¢W atYlm 1 isn�• p'o�' T-nj p. pi —T A —9.a pEM_¢ 17 - � T a 0 n FtATrsoor� _ eecemx wi alry FLAT I—F Ecn 5-2 ..� N V hY ..arn '-u}• - 4 alaan -A-RR o.RNrlEfTHG n i E�l _4. 9 owRN`s Il3tri'A'f lla=TOK - 5- / � oeaan u9AiEOI�nm+rT�mr6 �:• eF1wI RU Z14ouo' `�i�p�' rc '-�3 - I oarnn vam rwn.en rcvm� �[Io 22e - '[Acro 7C/L Io �LfCld¢2tl4," li:foef4�ic� a„ef.ryy iz�Fy e•- ecavac.•,w� �. �sxe ro�ur�.s nF-s ns - _ 2ND FLOOR AND _ ROOF PLANS FIEAOkru 2 E P NEW GON5TRUGTION ROOF PLAN 2ND FLOOR PLAN N 5GALE�1/4"=1'-O° 50AL5 3A(,'=1'-0° 4Am ^ PRIVATE RESIDENGE i ADDITION/ RENOVATION 555 SMITH ROAD FECONIC NY IIg58 JO MACHINIST ARCHITECT og NA]slim I LD Pts — SLRC[IED PO¢LX fxI5T.1G SfACnSD PDRGN fiL'RA:Q 00.5) ElllH(r prtDDDR SroKR zXcn`R 4 e-I {x9 — — ,5 L3y4-Y1[E o FULL 6SMT � 5J 4 n _f KrtcX L o ^ LV— F i a -- z 4 oaten MA--um+iHEETolS p e•i^�" 4 O - s oe�nre,umnrffiw5 Misr ZKloelb'� E3C:ZY�aBW'bu 'p`"` F... 2 oaoan uwA,Eo rtnan,Ir�Tn15 - n BwTHRarn O 1 o.w I FfAEDFR 0.w RC m ` ��Ex.PSK Pi —-CeN'�'+1�.7DK 7a ' b ar �nns-a•¢. 'Q� ras uo l¢rfaz i ;R��oE91�Eil1r2 Fao'rlrJ as Fol k yY- Iry. _c �-5 5-s , 's ;; — CELLAR AND b _ r IrE-aGF IMPaOJE MFI✓(' �` � — iXi�1L"o�PJ 4 Q 3 �ryrl�ef7 15T FLOOR PLAN5 ALLW1rJro.J�Az21{Ef}pi1LS NEW CONSTRUCTION 7o(jE'2.2XIo vNLESS N� CELLAR PLAN �Hrlcwis6 JriEo FIRST FLOOR PLAN 51-ALE:5/16°=1'-0" 51,ALE:1/4"=1'-0' i5 •�1tl• — 9A.01 7-26-17 DFIn�Gff. �-� 5 OWNER STREET ` `: AGE': :PRO CARD UTHP RID TOWN OF,: SO DISTRICT SUB:', ' LOT J Ot�i .._.. _.....-.-... .._..._.............. ....w........ y FORMER OWNER 3J" W ---- E ACREAGE _— -- TYPE OF BU I,LDI NG RES. { S .$S. �� -- VL. FARM i' COiVIM.. 1,ND: CB. MISC. Est. Mkt. Value 1 . �­ . -1 .1 � LAND IMP. TOTAL DATE '' REMARKS 3 j w v ��1 h J!f U IF9& _ArZ4S,6 f.��� � k —._.. .. _—_........... O J ;; j -QA E 1. ( � BU.ILDI I CO -- __._..-- ------- - .. s N V✓ NORMAL BELOW ABOVE FRONTAGE ON WATER p4�r^ '. "K�•r-"`�J'„ry.f C.=J:..�I.•`^.,i �F�f c..°��"t..J Y'e7i??�! w�,F Farm Acre Value Per 'Acre Value. FRONTAGE ON ROAD ,• Tillable 1 BULKHEAD: zo _..__............._.._..—.___._......_-....__.._.....__.... _._.._.._..... ..._.__..._...... — --._._.._..-.-....... - -- Tillable : 2 DOCK. t.-% 9 'J < - z Tillable 3 j Woodland Ct Swampland ; --_— _..-.......... ..----- -- Brushland House Plot — _._........_.. _ —.._............... _ ------ ._.... .._......_._...__.. -- ---.._.._.. _.__...._..-- - Tota I fi �;, '•` `v _'>�•. --s. .'.' •�,:.� /` j X1.:3 t_- "(7, - .i;7J n �:+, r14, '.nay�.�r ^.'s t:.;• :3 a`.,'P:':-;-t.-. " - s ` _—__..._....... _.. ............_ ... . ....1...._ ,rte. i i € ; F a.• i trs�s+uvr �"+-r.- ,.r,„„•�... ».,,,.. k\e..,3�r'! 'f�:A '"�"f :.. t qF lx. .. > . �,•; �� .,.is ..r —; � '%, - r i m — .. r' — 1 . 1 - it • - t : .T 98 03/20/2018 .. _ 4 �- _. 1 . - z M. Bldget _ , F- nclation > Extension ) , ' '�ysement. i drF.loors I f' is s 1 �A r --= a _ — _ ..._....... _... ---------- = —-—.... — r. " nit� - Extension i ; , , ; Ext: Walls ; Interior Finish . ...........................-._... _ s v_ n ° _ d - Fs Extension ;,Fire Place ' H.eat_..---...._..._...._.._._.....___.-- - __—� ' Porth I . oof Type _.......... ------ .............................. _--—..._. I'-- _---- _........ -- - - ..........................._..._ ....... - - f ., -• ' ; Po c . Rooms Floor L Breezeway. ;:.=-Patio Rooms 2nd Floor. —._..._._._.._—_....,._.................................-- _--------.. ........._................. - -- ---- ---- ---.._.__._ � I -...._.. ---------.------- -----...- - GarageDriveway Dormer - — _ FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. PRE EXISTING CERTIFICATE OF OCCUPANCY No Z-22440 Date JULY 8, 1993 THIS CERTIFIES that the building ONE FAMILY DWELLING Location of Property 335 SMITH ROAD PECONIC, N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 98 Block 4 Lot 4 Subdivision Filed Map No. Lot No. conforms substantially to the Requirements for a One Family Dwelling built Prior to: APRIL 9, 1957 pursuant to which CERTIFICATE OF OCCUPANCY NUMBER Z-22440 dated JULY 8, 1993 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 * The certificate is issued to ROBERT & PATRICIA ALCUS (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL NLA UNDERWRITERS CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED NZA *PLEASE SEE ATTACHED INSPECTION REPORT. )- x, /,� uilding Inspector Rev. 1/81 BUILDING DEPARTMENT TOWN OF SOUTHOLD HOUSING CODE INSPECTION REPORT LOCATION: 335 SMITH ROAD PECONIC, N.Y. number S street municipality SUBDIVISION -MAP NO. LOT (s) NAME OF OWNER (s) ROBERT W. ALCUS OCCUPANCY A-1 RES. OWNER type) owner-tenant) ADMITTED BY:. JAY DEMPSEY ACCOMPANIED BY.• SAME KEY AVAILABLE SUFE. CO. TAX MAP NO. 98-4-4. SOURCE OF REQUEST: ROBERT ALCUS DATE: FEBRUARY 4, 1993 DWELLING: TYPE OF CONSTRUCTION WOOD FRAME # STORIES ONE # EXITS 3 FOUNDATION CEMENT BLOCK CELLAR PIT CRAWL SPACE TOTAL ROOMS: IST FLR. 5 2ND FIR. 3RD FLR. BATHROOM (s) 1 FULL BATH TOILET ROOM (s) UTILITY ROOM PORCH TYPE SCREEN PORCH(REAR) DECK, TYPE PATIO, TYPE BREEZEWAY FIREPLACE ONE GARAGE DOMESTIC HOTWATER YES TYPE BEATER ELECTRIC AIRCONDITIONING TYPE HEAT OIL WARM AIR HOTWATER XX OTHER: SHOWER ON REAROp HOUSE (EXTEgTog) ACCESSORY STRUCTURES: GARAGE, TYPE OF CONST. STORAGE, TYPE CONST. - SWIMMING POOL INGROUND POOL GUEST, TYPE CONST. OTHER: DECK AROUND POOL VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION 6 BUILDING CODE LOCATION DESCRIPTION ART. SEC. REMARKS: BP #245-COZ-747-ADD., BP 113046-COZ-14664-INGROUND POOL BP #21441-COZ-ZZ363 PORCH ✓* SHOWER, ADD, CO --Z-22362, DECK AROUND POOL INSPECTED BY: DATE ON INSPECTION JULY 1, 1993 FISH TIME START END rimm No. i TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. CERTIFICATE OF OCCUPANCY Z 747 6TUly 21 No. Date 19�0 THIS CERTIFIES that the building located al 'Smith-LaP.6, lndi&.n Neck,. So!Uopad .... .. . . ..... Map No. . .*. Block No. . .." '... ....Lot No. .. .... .. ...... .... conforms substantially to the Application for Building Perinit heretofore filed in this office dated ..... ... . March is........ IP pursuant to which Building Permit No. ..... ..?j-245. . dated ............. 18 19*8 , 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 PrIVATZ ORB FAMILY DMLLIM ...... ............................................... .... . . .. .... . ... .. . . ....... .... . . ...... This certificate is issued to ....WillUM A. Regan, owneic . .. . ... .. ........... .. .. .... ............. (owner, lessee or tenant) of the aforesaid building. ...........iLf ....... ........... .... Building Inspector FORM NO.4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building inspector Town Hall Southold, N.Y. Certificate Of Occupancy No. . . . . . . . . Date . . . . . . . .J.u1Y. A. . . . . . . . . . . . . . . .. 19 .:8.6 THIS CERTIFIES that the building . . . . . . .ilagxousad. AWiWM: -3g. pO.Q I. . . . . . . ... . . . . . . Location of Property 335 Smith Drive Peconic, New York House No. Street � Hamlet County Tax Map No. 1000 Section . ... . . . . . . . .Block . . . . . . . . . . . . . . .Lot . . . . . .. . . . . . . . . . . SubdivisionM,lo. .Iiadian .19@ck .I?axk . . ... . . .Filed Map No. 551. . . . .Lot No. . A . .. . . . . . . . . conforms substantially to the Application for Building Permit heretofore filed 'in this office dated . . . . .App 1. ?..7. . . . . . , 19U.6.pursuant to which Building Permit No, . . . . . . . . . . . . . dated . . April 17, 19 86,was issued,and conforms to all of the requirements of the applicable provisions of the law. The occupancy for which this certificatels issued is . . . . . . . . . . . . . . . . . . . . i.ngrQ.ur3a. pW�romi c .pool . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . The certificate is issued to . . .Robert W.. Alcus I . (owner,fee�i of the aforesaid building. Suffolk County Department of Health Approval . . . . . . . . . . . . .N/?A . . . . . UNDERWRITERS CERTIFICATE NO. . . . . . . . . . . . . . .N647496. . . , . _ . , . . . . _ . . . . , , Building Inspector Rev.1181 FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Ha11 Southold, N.Y. CERTIFICATE. OF OCCUPANCY No Z-22362 Date MAY 27, 1993 THIS CERTIFIES that the building ADDITION TO ACCESSORY Location of Property 335 SMITH ROAD PECONIC N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 98 Block 4 Lot 4 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated MAY 26, 1993 pursuant to which Building,Permit No. 21441-Z dated MAY 27, 1993 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 DECK ADDITION TO EXISTING ACCESSORY SWIMMING POOL "AS BUILT" The certificate is issued to ROBERT & PATRICIA ALCUS (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N-276045 - MAY 14, 1993 PLUMBERS CERTIFICATION DATED_ N/A ilding 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-22363 Date MAY 27, 1993 THIS CERTIFIES that the building ADDITIONS Location of Property 335 SMITH ROAD PECONIC, N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 98 Block 4 Lot 4 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated MAY 26, 1993 pursuant to which Building Permit No. 21441-Z dated MAY 27, 1993 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 SCREENED PORCH & SHOWER ADDITION TO EXISTING ONE FAMILY DWELLING "AS BUILT". The certificate is issued to ROBERT & PATRICIA ALCUS (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N-276045 - MAY 14, 1993 PLUMBERS CERTIFICATION DATED N/A /�bwilding Inspector Rev. 1/81 �ps °i'1'c Town of Southold 6/21/2018 0 P.O.Bog 1179 53095 Main Rd Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 39724 Date: 6/21/2018 THIS CERTIFIES that the budding ADDITION/ALTERATION Location of•Property: 335 Smith Rd,Peconic SCTM#: 473889 Sec/BloddLot: 98.4-4 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 10/24/2017 pursuant to which Building Permit No. 42118 dated 11/6/2017 was issued,and conforms to all of the requires of the applicable provisions of the law. The occupancy for which this certificate is issued is: ADDMONS AND ALTERATIONS INCLUDING FRONT STOOP AND OUTDOOR SHOWER TO AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR The certificate is issued to Blackburn,Christine of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL RIO-17-0194 06-20-2018 ELECTRICAL CERTIFICATE NO. 42118 06-14-2018 PLUMBERS CERTIFICATION DATED 02-26-2018 RkB Plum tg and Heating t ignature