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HomeMy WebLinkAbout1000-78.-4-10 � Uf�a�kc TOWN OF SOUTHOLD Rental Permit 0512 Owner Angela O'Riley Occupied as Single Family Dwelling Located at 600 Corey Creek Ln Southold 78-4-10 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. 7/28/2021 &&&ZW/2,5Px Code Enfor nt Official This Notice must be posted by the main entrance at all times sufFot�r Town Hall Annex y� SOUTHOLD TOWN 54375 Main Road o - PO Box 1179 Southold, Rental Inspection � rrr NY 11971-1179 ��, �► �� Tel: 631-765-1802 '�fpl �a0 Fax 631-765-9502 key Phone Y(,-.,-39Z 48I u: Addcess° e� C�'e Zip. :. :Hamlet_" 'Address:vis6il.,from sfreet? LEVELS: SUB; 1; Sm&6 Detectors,(# 'bedroom'detectors excluded), ` `Carbon'Monoxide Detectors (#) Fire Extinguishers (#). :Exits',.(#). BEDROOMS'. _ ' 1 2 .: Smoke•;DetectorAlarms{#). Carbon,Monoxide Alarms`,(#) = -.:Egress (windows) (Y/N)- BUILDINGSYSTEMS CONDITION OF. PROPERTY. N Heating system=`maintained/operational,- Building Interior is clean/,maintained Hot'watersysterimaintained/operational. Building'Exterior is,clean/.maintained'; Eleetricalrsystem,:maintained/operb-tionai = Property is clear'/safe•/.mainta'i06.'� ' Mechanicalaystem maintained/operational" Handrail's,&guards present POOLS, . :`. . Y POOL BARRIERS' Pool present ; Pool,is completely;enclosed" Pool surface.'alarm'and/or door.alarm Barrier is a min.48 high resent . `. POOL:GATES, - Y/N •' All openings,in barrier"less than-4" Self=closing, Max-2"clearance @ bottom"of,bar'rier Latch,on,poolside,of gate, rneets height' Barrier capable of being locked,&child requirements" proof when unattended COMMENTS."f a . SQUTy��a�. Town Hall Annex ;bE, Telephone(631)765-1802 54375 Main Road �< Fax(631)765-9502 P.O.Box 1179 YO f Southold,NY 11971-0959 O f, � 4.-� ,� cri, BUILDING DEPARTMENT MAY 2 4 2�2 TOWN OF SOUTHOLD RENTAL PERMIT APPLICATIONT Rental Permit Fee$200(Application must be renewed every two years Section A. Property Information: Rental Propert Address: Tax Map Number: 1000 SECTION p9 -BLOCK �-LOT SECTION R. OWNER INFORMATION: Property Owner Name: &&I" Property Owner Legal Address: Property Owner Mailing Address: L6 Nq 11 q-71 Telephone Number(s): DaytimetCqb"3-vv7ning �iG�vtp Emergency �"yLZ' Property Owner Email Address: an dd.Dy-,�levo lyia-c Page 1 of 5 i S.0 Town - Town Hall Annex Telephone(631)765-1802 54375 Main Road CA C Fax(631)765-9502 P.O.Box 1 179 Southold,NY 11971-0959 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: 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: t!1WP �Qe .u` Perm f l x I I P.-;k-&V®O-yn 1 5'XN ire Z 10 X I -B�o�-nn Page 3 of 5 pF S004.`��'; Town Hall Annex titt Telephone(631)765-1802 54375 Main Road i Fax(631)765-9502 P.O.Box 1179 Southold,NY 11971-0959 O� 1 Cou�m�/,�� ' 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. V/I am requesting a fire safety inspection to be performed by a Code Enforcement Official from the Town of Southold ❑ lam submittingg-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 li!nf (46t " P w 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 �i n Town Hall Annex Telephone(631)765-1802 54375 Main Road • r Fax(631)765-9502 P.O.Box 1179 i'` Q 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. I 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: 61imaftl Property Owner's Signature: Sworn to before me this—W day of 20_2 A y Official Notary Public Signature and Original Notary Stamp SABRINA M BORN Notary Public,State of New York No.01806317038 Qualified in Suffolk County Commission Expires Dec.22,20— Page 5 of 5 ,`i patio • kitchen 8x11 living room 15x18 ' garage -� 0 CO C ' U • dining roomE entrywa a 11x11 � t: ° closet CM • r losetE 10x11 0 bath2 7x7 8x7 • closet closet CO` C • > o U bedroom 1 1 bedroom 2 15x14 v 10x13 �t bsmt 600 Corey Creek Lane Southold, NY 11971 tax map no. 1000 section 78 black 4 lot 10 patio • ■ y ■ Mooppr 0 La ■ garage ■ ■ N C.0 C ■ ■ m CO ■ .fl E ■ vi ■ ■ Q basement CU Q\ i ee e� ick bsmt bsmt 600 Corey Creek Lane Southold, NY 11971 district 1000 section 078.00 lot 010.000 suffolk county I i SCTM # TOWN OF SOU.TIiOLD'PROPE•RTY RECORD CARD i OWNER STREET VILLAGE DIST: SUB. LOT ef So ail, 0 cl - AC,R. ' .. ` ;REP..AR Sq::L . 17-7 `r SC, TYPE OF BLD. L { f PROP-CLASS i LAND IMP. TOTAL DATE f i i FRONTAGE ON WATER' HOUSE/LOT BULKHEAD i TOTAL '47 ., .T' UTHOl L PROPERTY`x::.RK�- R STREET VILLAGE DIST. SUB.' LO /"�{ (,.�"' :�: 'x e :.. acs; -ct?y F.OR7/vIER"OW � ':N :. E`..,.' A'CR. /t .- TYPE OF BUILDING -S,,,�•.,�. RES. , --� SEAS. VL. FARM COMM. CB. MICS. Mkt. Value -- -- LAND 1MP. TOTAL DATE I, REMARKS I ' �. F ._ yO� LA APCt e ' .__ & � «�i 9 0 4 0 /' C� Q t— ` f3 (� [i ja'• I l w t / - ',r, Zee Z. (1, �7,ewtir>,04 �a> - _ .x , s'� •F nLi e':�,Y;, 1 -��-coo AGE BUILDING CONDITIQN. 12 . . NEW NORMAL BELOW ABOVE -= 1 — ' �. . FARM, A � Acre- Value. Per Value Acre TillableI FRONTAGE:ON WATER ELI Woodland FRONTAGE ON'ROAD MeadcWlan'd ` DEPTH' House 1,,14b*" ,%,)i B.U.LKHEAD' Total DQCK;: t , COLOR. � ., ;:�` " °. .. TRIM , i-. .... .- - -- --— . . ., { i FLO oil ,w ; i _._......_.-,.._-..__......__.......,____.-..... i i................... ....................................__......__________..-.._.._.,:.,..._.,_.,.,.,.—......._....: - -r--+ ' r i M. Bldg. j M - V Extension -- : Extension - T Extension - 1 Foundation Both i s . Dinette : Porchl Bcicement. ; . Floors t' i K. Porch - -� Exfi. V�JaI(s interior Finish j LR. Breezeway � Fire Place Heat l7n I �R. Garage Typ .Rooi . Rooms n3s'r Floor 1,13R. - 4� Re~YOQIiOrl C�aataf I Bool r�s 2nd Floor i FIN. B O. B. { 6�ornei ©r.,iveway, Total { I - 1 4 '-:� .: ..r.... �.... ._ _ ,.�. .......... ... .... v.. ...... ....., ...........,w......n.,,.w..un..w..-....evw...,....w.�r,u...... .e... ....... .,.........w......,.,....v. ..... ... ..... ...r...., a w ■ FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Clerk's Office Southold, N. Y. Certificate Of Occupancy No. .7-54 9 . . . . . Date . . . . . . . . . . .June . . . 6 . . . . . . ., 19. 73 THIS CERTIFIES that the building located at . . .Corm!.Crook.Dr . . _ . . . . . Street Map No. C.O.reB. C$ .$deck No. . . . . . . . . . .Lot No. . .$ . . . Southold. . N.Y.. . . . . . . . . . conforms substantially to the Application for Building Permit heretofore filed in this office dated . . . . . . . . Jan. . .26. . . . ., 19.73. pursuant to which Building Permit No.6350Z. . . 26 dated .Jan . . . . . . . . ., 19. ?3, 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 . . PriVAU. one .faM:Ll.p, dwelling . . . . . . . . . . . . . . . . . The certificate is issued to .Bciw TWA. 4, Zona. Inc. . . . . . . . fir. (owner, lessee or tenant) of the aforesaid building. Suffolk County Department of Health Approval . . . . June, .6, .1 9.73 . . by. .R.. .V.i:Ll& . UNDERWRITERS CERTIFICATE No. . . . .N. 090560. . . .May . .16. . 1973. . . . . . . . . . . . . . . . . HOUSF NUMBFR. . . .600 . . . . .Street. . . lC.orey. .Creek .Dr. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . r (� Building Inspector FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-25502 Date: 01/27/98 THIS CERTIFIES that the building ADDITION Location of Property: 600 COREY CREEK LA SOUTHOLD (HOUSE NO. ) (STREET) (HAMLET) County Tax Map No. 473889 Section 78 Block 4 Lot 10 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated NOVEMBER 13, 1997 pursuant to which Building Permit No. 24556-Z dated DECEMBER 12, 1997 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 BRICK BARBECUE AND DECK ADDITION TO EXISTING ONE FAMILY DWELLING AS APPLIED FOR "AS BUILT". The certificate is issued to HERSCHEL T & RUTH A. RICH (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A B ilding Inspector Rev. 1/81 FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. UPDATED CERTIFICATE OF OCCUPANCY No Z-30114 Date MARCH 31, 2004 THIS CERTIFIES that the building DWELLING Location of Property 600 COREY CREEK LANE SOUTHOLD, N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 78 Block 4 Lot 10 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated JANUARY 26. 1973 pursuant to which Building Permit No. 6350-Z dated JANUARY 26, 1973 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 ATTACHED GARAGE The certificate is issued to CYNTHIA B. SCHMIDT (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ROBERT VILLA - 6/6/1973 UNDERWRITERS CERTIFICATE NO. N-090560 - 5/16/1973 PLUMBERS CERTIFICATION DATED N/A *NOTE: THIS UPDATES CO Z-5184 DATED JUNE 6, 1973. Bu ding Inspe or Rev. 1/81