HomeMy WebLinkAbout1000-75.-4-26 TOWN OF SOUTHOLD
3
Rental Permit
f
0551
Owner Michael Florie
Occupied as Single Family Dwelling
Located at 45 Bay Water Avenue Southold 75.4-26
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.
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10/27/2023
Code E(!'�j
ent Official.
This Notice must be posted by the main entrance at all times
SO, "
TOWN OF' SOUTHOLD BUILDING D
631 -765-1802 75-
INS'PECTION
[ ] FOUNDATION 1ST [ ] ROUGH PL13G.
[ ] FOUNDATION 2ND [ ] INSULATION/CAv
I l FRAMING / STRAPPING [ ] FINAL
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY 1N!
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PE
[ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (Ell
[ ] CODE VIOLATION [ ] PRE C/O [ r
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DATE INSPECTOR ,
Town Hall Annex
Town of Southold 54375 Main Road
" Rental Inspection Report PO Box 1179
Southold, NY 11971-1179
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Tel: 631-765-1802
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ate a2,�
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oke Detectors (not located in bedrooms) ..,......w ... i�.._ .. ��.n_.. ... �......� .�� ....�...�.w.....m, ___.a_�m . ....�
Carbon Monoxide Detectors
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Fire Extinguishers
Exits .
Bedrooms 1 1 2 3 H 4 5 6
Detectors
Egress
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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
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.Pool'Safety., �. ._...�.
Pool on SEte
Surface water alarm Date of CO issuance
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Door alarmsPool
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_...___. . _. Poolcocompletely enclosed
Self
Self closing/ iatching gates Pool fence to code requirements m.,.ents
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Comments:
TOWN OF SOUTHOLD
Rental Permit
0551
Owner Michael Florie
Occupied as Single Family Dwelling
Located at 45 Bay Water Avenue Southold 75-4-26
Maximum Permitted Occupancy 7
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.
i
10/25/2021
Co of r Ment Official
This Notice must be posted by the main entrance at all times
1✓ ° a
Town Hall Annex Telephone(631)765-1802
54375 Main Road ¢ Fax(631)765-9502
Na
P.O.Box 1179
Southold,NY 11971-0959
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BUILDING DEPARTMENT
TOWN OF SOUTHOLD
RENTAL PERMIT APPLICATION
Rental Permit Fee$200(Application must be renewed every two years)
Section A.
Property Information:
Rental Property A dress:
4y L4_),fTef- /4 Ve- - cel l
Tax Map Number: 1000 SECTION 07-1-; 00 -BLOCK C�y� � C>
SECTION B.
OWNER INFORMATION:
Property Owner Name: AcAe
Property Owner Legal Address: Property Owner Mailing Address:
LdPP AUS . AVS
1
S�
Telephone Number(s): Daytime Evening Emergency
Property Owner Email Address: MP Fly/2T t A #00• �'8'�
Page 1 of 5
N
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Town Hall Annex Nr Telephone(631)765-1802
54375 Main Road Ca !r Fax(631)765-9502
P.O.Box 1179CtZ
Southold,NY 11971-0959
BUILDING DEPARTMENT
TOWN OF SOLYMOLD
Section C.
Authorized Agent Information:
Name of Authorized Agent of dwelling unit, if any:—W—L, 5CA
Address of Authorized Agent (no P.O. Boxes):
�J
Mailing Address of Authorized Agent:
Telephone Number(s): Daytik Even inErn ergeny
Email Address: C b /7
Section D.
Managing 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_ Emergently
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
rev
Town Hall Annex' Telephone(631)765-1802
54375 Main Road p` II r* Fax(631)765-9502
P.O.Box 1 179
Southold,NY 11971-0959
'
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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 n Rental Dwelling Unit: blumjgv " ' A c�
r t 1` �1 1
Page 3 of 5
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Town Hall Annex L Telephone(631)765-1802
r�
54375 Main Roads Fax(631)765-9502
�N co';m
P.O.Box 1 179
Southold,NY 11971-0959 r,
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.
pL 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 1�1 rpt i e- certify under penalty of perjury,the following:
1. 1 am the owner of the propertv 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
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Town Hall Annex Telephone(631)765-1802
54375 Main Road Fax(631)765-9502
P.O.Box It 79 u l
Southold,NY 11971-0959
BUILDING DEPARTMENT
TOWN OF SO HOLD
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: M 'A IN t
Property Owner's Signature: --'
P Y
Sworn to before me this) day of , 2Cal
Aae::�--4 I
Official Notary RX116ignature and Original Notary Stamp
19 sw1�3 uoI
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wmy Iubft, of w Ve* d Y"IZO ON.
No,02UMMWI 40A"IMI 10 sWW'oIl4nd LWN
in Suftk COU"W OHS V""I 1H390H
CoMw*wWn
Page 5 of 5
SID)"
TOWN OF SOUTHOLD BUILDING DEPT'.
765-1802 ' y-
INSPECTION
[ ] FOUNDATION IST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INSULATION/CAULKING
[ l
FRAMING/ST I [ ] INAL
[ ]
FIREPLACE CHIMNEY FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL)
[ ] CODE VIOLATION [ ] PRE C/O
REMARKS: I *V ll✓w`' I'1
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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- 30257 Date_ 06/ 5/'0
THIS CERTIFIES that the building DWELLING
Location of Property 45 BAY WATER AVE SOUTH/PEC
(HOUSE NO.) (STREET) (H]z�MLET)
County Tax Map No. 473989 Section 075 Bloch 0004 Lot 026
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- 30257 dated JUNE25, 2004
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 CHARLES R FOSTER
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPAW174F= OF HEALTH APPROVAL. N�A
ELECTRICAL CHRTIFICATE NO_ IJ/A _
PLUMBERS CERTIFICATION DATED N/A
*PLEASE SEE ATTACHED INSPECTION REPORT.
m'ithor ,zedgignature
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Rev_ 1/81
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BUILDING DEPARTMENT
TOWN OF SOUTHOLD
m. HOUSING CODE INSPECTION REPORT
LOCATION: 4S BAY 471_TER =VE SOC
SUBDIVISION: MAP NO.: LOT (S)
" NAME OF l)MTER (S): CHARLES F FOSTER
a .
ULT:UPANCY: SINGLE F.MILY CHARLES R FOST1•R
AUMI'r.VKD BY: RICK BIRD ACCOMPANIED BY: SAME
KEY AVAILABLE: SUFF. CO_ TAX MAP NO.: 75.-4-26 ... ,,�.
SOURCE OF REQUEST. CI,T'_�RLES 'ROBE»^:' FOSTER-5/2.VO4 DATE: 06/25/04
WELLING:
TYPE OF CONSTRUCTION- WOOD FRIU4E # STORIES: 1.5 # EXITS: 2
FOUNDATION.- BRICK CfMILAR: PART CRAWL SPACE:
" TOTAL ROOMS: IST FI. 5 2ND FMR M 2 3RD PLR.: 0
B BATHROOM(S); 2.0 TOILET ROOM(S): 0.0 UTILITY ROOM(S)
PORCH IYPE: FRONT DECK TYPE: PATIO TYPE: ,
tl
BREEZEWAY: FIREPLACE: GARAGE:
a
DOMESTIC HOTWATER: XX TYPE HEATER: L_P..d)AS AIRCONDITIONING:
TYPE HEAT: OIL WARM AIR: XX HMMATER:
OTHER:
ACCESSORY STRUCTURES:
GARAGE, TYPE OF CONST.: T"704D—MARGE—WITH ELEC.) STORAGE, TYPE CONST.:
u
SHIMMING POOL: GUEST, TYPE CONST..
9
OTHER:
VIGLhTIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PRECENTION E BUILDING CODE
LOCATION DESCRIPTIOtI ww PRT.. EEC.
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b RE24ARKS... BP#59092—COZ—u'257 (AGCY GPA�CE T^IITIt :DDITI4P7)
„ INSPECTIM BY: ,,. DATE ON INSPECTION: G4::'07/04
GARY „ FISH TIME STARTe END:
I
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FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Town Clerk's Office
Southold, N. Y.
Certificate Of Occupancy
NcZ .6257. . . . . . . Date . . . . . . . . . . . . . .Dec. . . .27. . . . ., 19.74.
THIS CERTIFIES that the building located at Baywater. & .S.. Harbw ..Rd Street
Map No. .xx . . . . . . . . Block No.xx. . . . . . . .Lot Noxx . . . S.outhgld. . i.X,. . . . . . . . . . .
conforms substantially to the Application for Building Permit heretofore filed in this office
dated
. . . . . . . . . . .I... 3.1- -, 197k. . pursuant to which Building Permit No. .590.9z.
dated . . . . . . . . Kay. . 31 . . . . . .. 1972 ., 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 . . Fxlyata .garage. .(acca.asory). building. with. addition. & .fens* .
The certificate is issued to .Charles. li. .Faster . . . . . . �wn®r, . . . . . . . . . I , , . . . . . . . .
(owner, lessee or tenant)
of the aforesaid building.
Suffolk County Department of Health Approval lie 11. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
UNDERWRITEUS CERTIFICATE NoN.R. y . . . , . , . . . , „
HOUSE NUMBER . . .2 51.5. . . . . . Street . S.auth. Barb ar .RAad. . . . . . . . . . . . . . . . „ . . .
45 Bayvater Rd
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-31218 Date: 10/13/05
THIS CERTIFIES that the building ALTERATION
Location of Property: 45 BAY WATER AVE SOUTHOLD
(HOUSE NO.) (STREET) (HAMLET)
County Tax Map No. 473889 Section 75 Block 4 Lot 26
Subdivision Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated JULY 7,_ 2005 pursuant to which
Building Permit No. 31331-Z dated AUGUST 3 2005
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 ALTERATION TO OPEN AN ENCLOSED PORCH IN AN_EXISTING SINGLE FAMILY
DWELLING AS APPLIED FOR.
The certificate is issued to PAUL LOEB
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL, ITN/A
ELECTRICAL CERTIFICATE NO. 2070470 10 06 05
PLUMBERS CERTIFICATION DATED . NA
" f
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�..�.. how' ed S gnature -
Rev. 1/81
"fFOL Town of Southold 10/23/2021
P.O.Box 1179
53095 Main Rd
Southold,New York 11971
CERTIFICATE OF OCCUPANCY
No: 42464 Date: 10/23/2021
THIS CERTIFIES that the building HVAC
Location of Property: 45 Bay Water Ave., Southold
SCTM#: 473889 See/Block/Lot: 75.-4-26
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
9/27/2021 pursuant to which Building Permit No. 46935 dated 10/7/2021
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:
"as built""11V, C system as, p,olied for..
The certificate is issued to Florie,Michael
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 46935 10/18/2021
PLUMBERS CERTIFICATION DATED
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