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Home My WebLink About1000-87.-2-30 4 s�FEI>�lk�� TOWN OF SOUTHOLD o Rental Permit 0520 Owner John F. de Reeder & Anne McDonald Occupied as Single Family Dwelling Located at 240 Wampum Way Southold 87-2-30 Maximum Permitted Occupancy 5 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. 8/13/2021 de fo a en Official This Notice must be posted by the main entrance at all times 'eJ0�r1�. Town Hall Annex r, 'l Telephone(631)765-1802 54375 Main Road , Fax(631)765-9502 Gn P.O.Box 1179 :. - Southold,NY 11971-0959 r. BUILDING DEPARTMENT TOWN OF 90VM61b APR 2 6 2021 RENTAL PERMIT APPLICATION Rental Permit Fee$200(Application must be renewed every two years) Section A. Property Information: Rental Property Address: 240 Wampum Way Southold,New York 11971 Tax Map Number: 1000 SECTION 087 -BLOCK 02 -LOT 030-000 SECTION B. OWNER INFORMATION: Property Owner Name: John F. de Reeder and Anne de Reeder Mc Donald Property Owner Legal Address: Property Owner Mailing Address: 525 New Suffolk Avenue Post Office Box 1322 Mattituck,New York 11952. Mattituck,New York 11952 Telephone Number(s): Daytime 631 298 6161 Eveningi31 298 4445Emergency Property Owner Email Address:_jdereede(agmail.com Page 1 of 5 Town Hall Annex .Fi Telephone(631)765-1802 54375 Main Road t " Fax(631)765=9502 P.O.Box 1179 ii -"� � �+ Southold,NY 11971-0959 BUILDING DEPARTMENT TOWN OF SIMOLD OU" Section C. Authorized Agent Information: Name of Authorized Agent of dwelling unit,if any:NONE 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: NONE 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: NONE Address of Managing Agent(no P.O. Boxes): Page 2 of 5 Town Hail Annex ' 4Telephone(631)765-1802 ,. 54375 Main Road } Fax(631)765-9502 P.O.Box 1179 '-� G• �` Southold,NY 11971=0959 ® is BUILDING DEPARTMENT TOWN OF SOUMOLD Mailing Address of Managing Agent: n/a. . Telephone Number(s): Daytime Evening Emergency Email Address:. SECTION F. PROPERTY DESCRIPTION: Number of Rental Dwelling Units on property: 1 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: ?40 Wampum Way, Southold Requested Maximum number of persons allowed to occupy Dwelling Un i 12 Number of rooms In Rental Dwelling Unit: 10 Use and Dimensions of each room in Rental Dwelling Unit: 1. Living room: 14'5"by 16'0" 2. Kitchen: 11'4"by 15'8" 3. Dining room: 11'4"by 11'8" 4. Library/den: 11'4"by 11'8" 5. TV/game room: 11'4"by 11'8" 6. Laundry/utility room: 7'4"by 15'8" 7._ Bedroom 1: 11'4".by 1.67". 8. Bedroom 2: 11'4'.'.by 1452" 9. Bedroom 3: 1097"by 1.1'4'' 10. Office: 9'2"by 1056" 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 t 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 1s 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. IR 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 John F. de Reeder , 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 ..��tt,, Telephone(631)765-1802 54375 Main Road (t Fax(631)765-9502 P.O.Box 1179 t, G- 4 r Southold,NY 11971-0959 V; BUILDING DEPARTMENT TOWN OF SOU MOLD 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. I 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: John F Regi oer Property Owner's Signature:. Sworn to before me his .6 day of_ I , 20 2 l Official Notary blic Signatt, d Ori inal Notary Stamp JONATHAN ®. FOGARTY Notary Public o State of New York NO.01F06241421 Qualifed in Suffolk County My Commission'Expires May 23,20P Page 5 of 5 pF SOUTdplo 1 # # TOWN OF. 011THOL (BUILDING DEPT. �ycou765-1802 � /I 3 (� INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PL13G. [ ] FOUNDATION 2ND [ ] INSULATION/CAULKING [ ] FRAMING /STRAPPING [ ] FINAL ®� [ ]" FIREPLACE &CHIMNEY<' [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) [ ] CODE VIOLATION [ ] PRE C/O REMARKS: (49 ?w 4A,�ovl DATE '10 INSPECTOR 240 WAMPUM WAY ,, 5OUTHOLD Roughly to Scale, meaouremento approximate - - - - - - - - - - - - - - - - SD Smoke detector TV/GAME ROOM LIVING ROOM DINING ROOM sS Combination Smoke/CO detector 11'4"x 11'8" � 14'5"x 160" � 11'4 x 11'8" Green labels identify detectors OPEN TO LIVING shown in composite photo BEDROOM ROOM BELOW BEDROOM 11'4"x 14'2" 11'4"x 167" SD BALCONY SD LIBRARY/DEN FP KITCHEN so 11'4"x 15'8" 11'4"x 15'8" CL CL CHIMNEY Jill 1 SD SD UP-D jil --DN 2E co a---DOWN DRE55 5° _ING CL S° LAUNDRY/UTILITY S° MASTER ROOM ENTRY HALL T4"x 15'8" BEDROOM �0 10'7"x 11'4" BATH OFFICE - S° 5'0"x 9'0" 10'6"x 9'2" BATH -7EDATH CL CL CL2" sS5'0"x 14'5" Smoke detector on baeement ceiling at bottom of Stairway FIRST FLOOR PLAN SECOND FL00R PLAN GARAGE J u�l Q 2021 13T7Tj)TN(1 i?FpT. 240 WAMPUM WAY 5OUTHOLD SMOKE AND CO DETECTOR IN5TALLATION LOCAT N5 r Tm Basement(B1) Laundry/Utility(1A) Front hallway (113) Library/Den (1C) Balcony(2A) CJ I• 4 Fif .. : Outside shared bath MBR (2C) L5E BIZ (2D) NE BIZ (2E) Office (2F) FFOL/r019 Town of Southold 8/13/2021 0 a� y� P.O.Box 1179 0 o • 53095 Main Rd V Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 42232 Date: 8/13/2021 THIS CERTIFIES that the building SINGLE FAMILY DWELLING Location of Property: 535 Tepee Trail, Southold SCTM#: 473889 Sec/Block/Lot: 87.-2-30 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 1/15/1973 pursuant to which Building Permit No. 6418 dated 3/20/1973 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: single family dwelling with unfinished basement,attached garage "as built"deck and outdoor shower as ap liep d for The certificate is issued to John de Reeder&Anne McDonald , of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL S01280 9/11/1975 ELECTRICAL CERTIFICATE NO. 6418 7/14/2021 PLUMBERS CERTIFICATION DATED 6/25/2012 /7NJoIK.de Ree ri ed ignature