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HomeMy WebLinkAbout1000-79.-4-49 TOWN OF SOUTHOLD Rental Permit 0471 Owner Michael Koke Occupied as Single Family Dwelling Located at 755 Brigantine Drive Southold 79.4-49 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. 11/1/2023 Code E00rciJent Offici This Notice must be posted by the main entrance at all times k TOWN OF S 631 -765-1802 7 INSPECTION ] FOUNDATION IST [ ] ROUGH PLBG. FOUNDATION 2ND INSULATION/CAI [ ] FRAMING I STRAPPING [ FINAL j ] FIREPLACE & CHIMNEY [ TIRE SAFETY IN! [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PE [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (E11 [ CODE VIOLATION [ ] PRE CIO [ RE ES: o e— God �t o - o- , 3 ��E� INSPECTOR TOWN OF SOUTHOLD BUILDING DI 631 -765-1802 INSPEC ION [ ] FOUNDATION 1ST [ ] ROUGH PL13G. C l FOUNDATION 2ND [ ] INSULATION/CAl [ ] FRAMING / STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY IN! [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PE [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FII C l CODE VIOLATION [ ] PRE C/O [ REMARKS: DATE INSPECTOR Town Hall Annex Town Of Southold 54375 Main Road Rental Inspection Report PO Box 1179 Ql. Southold, NY 11971-1179 Tel: 631-765-1802 SUM # �Date pOwner Phone Add ress .w � ... > Visible _..... ...._. .__ . "Hamlet "�,„� Insp or i Floor Level Quantities Smoke Detectors(not located in bedrooms) _ _ Gm �.,,.,..._..m.. Carbon Monoxi d e Detectors ® _... .a. ...... _ .. ..........._.ry., . Fire Extinguishers Exits Bedrooms _Z 2. 3 I 4 5 6 Smoke Detectors Egress Occupant Count Building Systems Maintained &Operational `Condition of Property _ _ . .... Heating Building interior Hot water ! Building exterior Electrical �... .. Property clean, maintained &safe Mechanical Handrails &guards installed &secure Pool Safety Pool on Site Surface water alarm Date of CO issuance Door alarms Pool°completely enclose Self closing/latching gates Pool fence to code requirement s i CO's for all items present Prior Rental Comments ooc�c TOWN OF SOUTHOLD Rental Permit 0471 Owner Michael Koke Occupied as Single Family Dwelling Located at 755 Brigantine Drive Southold 79-4-49 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. 6/15/2021 t ficial This Notice must be posted by the main entrance at all times e Enf c Town Hall Annex Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1179 Southold,NY 11971-0959 ^ )j BUILDING DEPARTMENT FEB 12 2021 TOWN OF SOUTHOLD R€ ''T L PERMIT APPLICATION Rental Permit Fee $200 (Application must be renewed every two years) Section A. Property Information: Rental Property Address: �r-- - _-Sp Utbd ... :.... .: Tax Map Number: 1000 SECTION-A- -71 ECTION, l_ SECTION B. OWNER INFORMATION: Property Owner Name:.-._ ,_::,., .....►..�.I.lGY1�e-4......_.....:, . .._.. Property Owner Legal Address: Property Owner Mailing Address: s�o,,jJ1l ttiJ1fj Ig 7 - _. ..S�,��1-►o"fid..: alp), //9-7 / la- - y ( 31 1,31 Telephone Number(s): Daytime. 73°3 Evening _87�-SZ`l I Emergency. `�°y-7-1o3 Property Owner Email Address: AIJK (UGOa �a o1/24dl-'7i. cA.�-�,,- - Pagel of S 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 Mailing Address of Managing Agent: Telephone Number(s): Daytime," ping Emergence Email Address: _. .._-- SECTION F. PROPERTY DESCRIPTION: Number of Rental Dwelling Units on property.-L., 3 BeJ✓ua.-zs. 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: ._ UsQe and Dimensions of each room in Rental Dwelling Unit:; U Xe a GN Page 3 of 5 Town Hall Annex Telephone(631)765-1802 54375 Main Road " ' Fax(631)765-9502 P.O.Box 1179 Southold,NY 11971-0959 C�UIY 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 0 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) C.Y1Gtrt,l 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 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 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:.:.___..... . ...._[..► ILYI_�-� ... IC.�I ... .. Property Owner's Signature: .. . Sworn to before me this !oZ day of 20 l Official Notary Public Signature and Original N Stamp BARBARA H.TANDY Notary Public,State Of New York No. 01 TA6086001 Qualified In Suffolk County Commission Expires 01/13/20 Page 5 of 5 LOT 311 ,STKI- r,.°. . ..SET' O.D. ,. :�'*',� �y 755" ui E <s :£Y 'Ys H CL's � STK SET err i.t..m e C 1✓,,, C 4 p cc -C f 0-7- 74- 72 C � • 5 4 l ! �` V O�aOF SOUTyo ���t/ pr"� - # # TOWN Of BUILDING SOUTH LD B DEPT. O U G courm, 765■1802 INSPECTION [ ]- FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [, ] INSULATION/CAULKING [ ] FRAMING /STRAPPING [ ] INAL [ ] FIREPLACE & CHIMNEY [ FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ °] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) [ ] CODE VIOLATION [ ] PRE C/O REMARKS: P &%P AIAl rw DATE11(ofINSPECTOR C/ a0F SOGTH f TOWN OF)SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] _FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATIOWCAULKING [ ] FRAMING/STRAPPING [ ] FINALA,,.Aj,,,,,- [ ] FIREPLACE & CHIMNEY [V FIRE SAFETY INSPECTION FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) [ ] CODE VIOLATION [ ] PRE C/O REMARKS: Q 1 e%to DATE ld INSPECTOR �A" TOWN OF' SOUTHOLD- PROPERiry RECO Z c'} ' '; . OWNER STREET "" VILLAGE i DIST. a > r' FORMER OWNER – — N, -:` E ; ACR' �j. i S TYPE OF BUILDING NG RES. ;` SEAS. VL. f FARM, COMM. CB,., MICS, Mkt. Value, � LAND IMP. TOTAL DATE . REMARKS y _—ft „'€ , / �' �Kr' Ff7 :` ' t �: '1 •' .:'^'` / �� s'.n^ t ,yam ` 1+ s�.*"� ,_. Cf , — T a. : is bp , .. AGE BUILDING CONDITION NEW NORMAL BELOW ABOVE, FARM Acre Value Per Value Acre Tillable i FRONTAGE'ON WATER Woodland I FRONTAGE ON ROAD 10, 7 Meadowland DEPTH ' House Plot j _ BULKHEAD Total i DOCK-'. .p M s n •.�r .... _.--P��°—°—y•,—h�.,- yg..-, '_s_�•.�..jrIIi •;��,?.^.�%--;�T„<'�' .� ��,.,i° '.,ew IIi v�,=..n�,'._•.= B— , �I �- 92 TRIM , TV T WA K Bld Extension .... ' ..... Extension Extensio aton_ Bathi'? � 1 DI- s-- eI tte Floors sepent { t, �_ iK: erre d. Ext. Walls Interior Finish �R Breezeway 1Fire Place Heat D Garage Type Roof Rooms ist Ficor 6R. TE Patio lRecreaton: RoomRooms 2ndFloor FIN. B O. B. DOY er Driveway I 1 ji LI �I Total , FORM NO.4 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. CERTIFICATE OF OCCUPANCY No. . . 9 . . . ., Date . . . . . . . . . . . . .8ept . . . . . ., 19.67, THIS CERTIVIES that the building located at .Vrlg .fit.: lne. Pm . . . . . . . . . . . Street Harbor Lightg .sets I Map No. . . . . . . . . Block No. . . . . . . . . . . . .Lot No. ou hold.A+ays. . . . . . . conforms substantially to the Application for Building Permit heretofore filed in this office dated . . . . . . . kpri. . . . .19. . , 19. 67 pursuant to which Building Permit No. .3443..Z dated . . . . . . . . . .App.il. . .19. . ., 19. 67, 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 . . Pr�vmte:one Xami:.y. dwal3An g. . . . . . . . . . . . ... . . . . . . . . . . . . . . . . . . . . . . . The certificate i issued to . .40)t.Fit7emt l'i r. . . . . .0xn(,,r . (owner, lessee or tenant) i of the aforesaid;;building. Suffolk County 1 Department of Health Approval . . qJP�. _09. A907 . .1 Y. R t N�.Aa. . . . . . . . . . . . . . . . . . . . . . . . . . . . . Building Inspector I �, 1 FORK NO.2 TOWN OF'SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S'OFFICE SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST-BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N0 3441 Z Date ............................. �....�... ., i 9. .. Permission is hereby granted to: ': : .. 710 V� ► � ....:. ..... 4.1jawou li'.. ......................... .......:., +ice••+ • 0 •, ............ :' . . ...............................................I............................... ... ................ ........... .... ... ......................... at premises located of .... :�:t..... ...... • v, A8hU .....................................................I..................... .................................::...:...:.. ,' :.. ........: .:.................................................... pursuant to application dated .....................::..........x ..:.. . :...., �9f#..., and approved by the Building Inspector. x. _ .Fee $..... b f ...... .. .. _. ' -Byiiding .Inspector -