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HomeMy WebLinkAbout1000-114.-12-14.1 TOWN OF SOUTHOLD Rental Permit 0472 Owner Thomas Ludlow Occupied as Single Family Dwelling Located at 105 Ole Jule Lane Mattituck 114.-12-14.1 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. 6/8/2023 )��" Code dnfo&ment Of c This Notice must be posted by the main entrance at all times TOWN OF SOUTHOLD BUILDINGI 631 -765-1802 INSPEC ION [ j FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND ] INSULATION/CAt, [ ] FRAMING / STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INf% [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PE [ ELECTRICAL (ROUGH) [ ] ELECTRICAL (FI [ ] CODE VIOLATION [ ] PRE C/O [ I DATE I NSPECTOR Town Hall Annex u, S UTH0L TQ 54375 Main Road d PO Box 1179 Southold, Rental [y§ action NY 11971-1179 Tel 631-765-1802 Fax 631-765-9502 - SCTNI # .. Date . . :._.....�. Phone Owner _.. 'Address...._...._ .... .... _....w__._.. . Zip Inspector City._ _.w.....w.. __._.. ... M_ ° ,, � J SUB LEVELS 1 Smoke Detectors (# - bedroom detectors excluded) - Carbon Monoxide Detectors re Extinguishers Exits (#) 911j: CIM 10 mom MEMO ..0 BEDROOMS S...w_ ..�.. _.....4 .....mm. ( } . ... .. ...... � # _. �..... . ..._ .. .. Smoke Defor Alarms Carbon Monoxide Alarms (# Egress (windows) tY/N, BUILDING SYSTEMSCONDITION F PROPERTY YIN .. � O __.....w td11 in nter clear, - ma�� Ca ned eati l s stern maintained , a !ona,..... 1-111,Bu`.... .... H ... .... ..,..... ,..--- ._..,_....._. t . _.. _ .... .._. Bu�4.p...m9 .Exterior is cP a . ma 9 ra. i.ned Hot water rmamtained/o e ationa Property is cl ean 1 safe maintained ctncal maintained/operational at!ona Handrails ua dsresent Mechanical stmmaintairIE,o/rperat!onal aC_ . r � COMM�NTS .. .. .�....... ... .. ., .. .... ... „............... ............._.. .,. .. ,.,, ... ... ...,~ „ ,,, .. ...,,, 4i7/20Z1 `Z?f1i3i !iSpe CUOr`J"T �� r .� TOWN OF SOUTHOLD �svr���X�g� Rental Permit b a� � 0472 Owner Thomas Ludlow Occupied as Single Family Dwelling Located at 105 Ole Jule Lane Mattituck 114-12-14.1 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. 6/16/2021 c ent Official This Notice must be posted by the main entrance at all times 6delr pF'80 Town Hall Annex-- Telephone(631)765-1802_ 54375 Main Road N Fax(631)765-9502 P.O..Box 1179 Southold,NY 11971-0959 O A; CQUNt`l • , BUILDING DEPARTMENT TOWN OF SOUTHOLD MAY .-1 S 200 RENTAL PERMIT APPLICATION 73LTT. . Rental Permit Fee.$200(Application must be renewed every two years) Section A. Property Information: Rental Property Address: t05 0 c'r_ -S0 1-e. Lam Nle-r''�-t Tax Map Number: 1000 SECTION -BLOCK (� -LOT: SECTION B. OWNER INFORMATION: Property Owner Name: prYl aS La atyw Property Owner Legal Address: Property Owner Mailing Address: OJT ote, Jule. >`aL4== Glc. !( ri - 31� Telephone Number(s): Daytime o?11.1 �50�� Evening Emergency Property Owner Email Address: U 02±0n 1'rLe- Il ef. Page 1 of 5 Town Hall Annex -Telephone.(631)765-1802 54375.Main Road Fax(631)765-9502 P.O.Box 1179 -Southold,NY 1:197.1=0959 BUILDING DEPARTMENT- TOWN ORSOXYMOLID -Section C. Authorized Agent Information: Name of Authorized Agent of dwelling unit,if any: �� Cs� � . � elk-C,1rr-co be, Address of Authorized Agent (no P.O.Boxes.):- 6 La •Mailing Address of Authorized Agent: d - -1 -t'h Telephone Number(s): Day�tifne� g ' I:3c) Ev Ing E rgency. Email Address: . c • C-a Section D.- Managing :Managing Agent Information:- Name of Authorized Agent of dwelling unit,if any: by 14 Address of Authorized Agent(no P.O: Boxes):. - Mailing Address.of Authorized Agent: . Telephone Number-(s): Daytime. Evening Emergency Email Address: - SECTION E. i SITE MANAGER INFORMATION:(required for rental plroperties containing 8 or more rental units) Name of Managing Agent of dwelling unit, if any: _l!4 - Address of Managing Agent(no P.O. Boxes)!- Page 2 of 5 50(/jyo_� Town Hall Annex Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1 179 C/3 • Q Southold,NY 11971-0959 Q' i ou 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." � 1 Rental Dwelling Unit Identifier: Requested Maximum number of persons allowed to occupy Dwelling U Number of-rooms in Rental Dwelling Unit: 10 b Use and Dimensions of each room in Rental Dwelling Unit: Livi ivg — k.�fic.�i -co ra 86 _y 6.414A Page 3 of 5 Town Hall Annext J�i Telephone(631)765-1802 54375 Main Road '" Fax(631)765-9502 P.O.Box 1179 Southold,NY 11971=0959 BUILDING DEPARTMENT TOWN.OF SOUTHOLD SEMON 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:bythe Town, a certification from a licensed:architect, alicensed . 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. V.1 am requesting a fire safety inspection to be performed.by a..Code Enforcement-Official z; from the Town of Southold O I 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 T►-.Iv.an04 N1 i Luff L-�, certify under penalty of perjury,the following: 1. 1 am the owner of the property identified in "Section A" of this application: a 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 ;jJ Town Hall,Ann ex 1� 717eleph9ne.(631)76571802 54375 Main Road " Fax(631)765=9502 P.O:Box 1179 ` O Southold;NY 11971-0959 BUILDING DEPARTMENT TOWN.OF SOU MOLD app[it bie laws and rules. I further.acknowledge that l.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: (will notify.the Town within five(5)business days as to any change to the information regarding Authorized Agent; ManagingAgent,or Site Manager: Property Owner's Name:- .. Lv�•— . Property Owner's Signature: Sworn to before me this day of 20 Official.Notary ubl'ic Signature and Original Nota mg j. BARBARA H.TANDY Notary Public,State Of New York No. 01 TA6086001 Clualified In Suffolk County�3 Commission Expires 01/13/20 Page 5 of 5 E:I s;,, PROVIDE OPENINGS FOR EMMINCY LSCAP(AS REQUIRED BY PART,714 OF Ov j. N.t SIATE BUILD, 001. 4-1 L r Of 6P(M(XGS FOR EYE si "INCY ESCAPE A r ED By PART.714 o N•R SR It BUILDING CODE. PROVI VE 'NINGS FOR is e- (111FIrGrAVISCAPt AS 'EQU 4 SIR"IT PART.714 OF Ll rATISUILDING COOL. 7.......... ^ ' 16. ar— OPEN1N0 r IRRgD[ 3 FOR '� f NCRCENCt'ESCAPE AS t �.._ '.� 13 •' RfOUIREDByPART.714Of ` + fTj ? y Y,sTAf 6WLD1NC CODE. '- - J I I1 to FOSEP, 1✓ .'! , �.I; PA R7.717- I 0 —V.- -- __ _ lEl I) UN".rirUL .. t f -OT CERTI ICATI I., JX .^ a fir• t �� � � i: :; � t ,�y 1:R0AT w . r' .cr'13p�iil�It^.'Y tit '�. -I ; Mlitryx P,utr9'wwifA� ,.,., _ PLUMBER CERTIFICATION ON LEAD CQNTENT BEFORE Au;Tnglns;v,Alan,rot • vacn c;ou;gnf mddoo 11 CERTIFICATE OF OCCUPANCY I TER SING Ft A4 Ppwmo�a WA STE ''tSUIYSYSTEMCANNOT wnTrHL&CsNEEoa:. \ LEAD. IE,PNG BEFORE COVER?NO APPjl5 NOTED Z/7O OI TX , - ... _ y IFF t . i d � „ NAi:FY ll Il r1<� I F.ik A. 3 \ '.i f')•. • f1� PRO75S.twi i nAl iO d R T': ' mg!'" VIDE O►ENINCS fOR EYERCENCr ES:Wf AS tEQUNE0IY PA;?C)l103 APR :7 9% i 11 STATE SUKDi*G COOS .:I � + " "�• ` _ 1i1. I ! 1 FIH.ti tA1'lE tE iilr.t-lf lti IN N,).vT _,......._.._ t ..._,..._.... ._.... t ...'.___ i ( ALL CUNSTWIXTRN. SNAIL N.EF.7 s OF U . te r �A HAMnIF, fnN51R IC ON 3 TP1lEP Y DQ T�/r PT..uKe'.� :.00Es NQf RESPONSIBLE FOR AMMG UWT*f11P DESIGN fT OR I:ONSTAUCTION EAftORS a f0E1M l ON wCK" `,4 MAS V-0 APmom I r s.ji L Vf,E.c>> .:i:5 I - T=V.ax,. _ S 1�U TOWN OF SOUTHOLD PROPERTY RECORD CARD I OWNER STREET Jrj VILLAGE DIST. SUB LOT I J ------- ►75 1 ACR. REMARKS TYPE OF BLD. _ { I-I-G) loo-f PROP- CLAS 2 LAND IMP. TOTAL DATE - - - :o LJJ a 6y-A l - • out -" Jif 00 0JrT. -- XI c, _ renroces �# a��� e �. X319 Lo tlw �o4Yt-,/ ©�*k - sow -)5to 2 '01 q �Ev ts� 5000 .SOD- 3 FRONTAGE ON WATER TILLABLE I FRONTAGE ON ROAD WOODLAND DEPTH MEADOWLAND ILI-- BULKHEAD _ HOUSE/LOT TOTAL I i ' 1f ■■■■■■■■■■■��■■■■■'■■ ■■■■■ ■■L■�MMa■■ 9■lil■ , ■■■■■■M■■■■►AM■ ■■■■ ONNIN r . ••• ®IL's Rooms Ist Floor • Driveway Rooms 2 • Floor FORM NO.' 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-30319 Date: 07/28/04 THIS CERTIFIES that the building NEW DWELLING Location of Property: 105 OLE JULE LA MATTITUCK (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 114 Block 12 Lot 14.1 Subdivision Filed Map No_ Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated FEBRUARY 27, 2003 pursuant to which Building Permit No_ 29165-Z dated FEBRUARY 27, 2003 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 WITH COVERED FRONT PORCH, COVERED FRONT ENTRY, REAR ' SCREENED PORCH AND ATTACHED TWO CAR GARAGE AS APPLIED FOR_ The certificate is issued to THOMAS M & NANCY B LUDLOW (OWNER) of the aforesaid building- Sue OLK uilding_SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL R10-95-0042 09/29/97 ELECTRICAL CERTIFICATE NO. H 055334 05/20/97 PLUMBERS CERTIFICATION DATED 04/14/03 TOM LUDLOW t�ior ed Si4nature Rev. 1/81 TORP; NO. TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Tour Nall Southold., N.Y. CERTIFICATE OF OCCUPANCY No: 7_.`30319 Date: 07/28/04 THIS CERTIFIES that the building NFD; DWELLING Location of Property: _ 105_ OLE JT;LE L•A MATTITUCK (HOUSE NO. ) (STREET) J�MAI+ILET) County Tax Map No. 473889 Section 114 Block 12 Lot 14 .1 Subdivision Filed Map No_ Lot No. conforms substantially to the Application for Sui.lding Permit heretofore filed in this office dated FEBRUARY 27, 2003 pursuant to which Building Pexmit. No_ 29'-ta- dated _FEBRUARY 27, 2003 was issued, and conforms to all of the requirements of the applicable provisions of the law. The occupancy for which this certifica':e is issued is ONE; FP1IILY D{d2LLINGG WITS COV13RED FRONT_PORCH, COVERED FRONT ENTRY, REAR SCREENED PORCH AND ATTACHED TWO CAR GARAGE AS ??PPLIED FOR_ The certificate is issued to THON_rS M & NANCY 8 LUD.LOi9 (OWNER) Of the aforesaid building. SUFFOLK COUNTY DEPARTWNT OF HEAT Tg AppROVAL P10-95-004.2 09/29/97 ELECTRICAL CE.RTIFICATE NO_ II 055333 05/2.0/97 PLUMBERS CERTIFICATION DATED 04/14/03 TOM LUDLOW 1 or ed Si attire Rev. 1/81