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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. "'-�,//7 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 0- 000 DATE INSPECTOR , Town Hall Annex Town of Southold 54375 Main Road " Rental Inspection Report PO Box 1179 Southold, NY 11971-1179 p, Tel: 631-765-1802 . . . ......... SCTM # .. ate a2,� Owner 4 .. ...,,. _. .. Phone )Address..w. ..... n.. . Visible Ins .ector .,.... _. . .... ...__.. Hamlet ............ P .� 'Floor {{ ... 3 �.. .. Level Quantities .M .....w.w � ...o�..��.. �..._.�.._........ . . ...Sub.., 1.�..�. 2..........� �.. ...........� }.� S oke Detectors (not located in bedrooms) ..,......w ... i�.._ .. ��.n_.. ... �......� .�� ....�...�.w.....m, ___.a_�m . ....� Carbon Monoxide Detectors w.. Fire Extinguishers Exits . Bedrooms 1 1 2 3 H 4 5 6 Detectors Egress v 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 w......a _.,. ._...__.. ..�.. . „w.....,_ _. , �...w..... .Pool'Safety., �. ._...�. Pool on SEte Surface water alarm Date of CO issuance . .�. Door alarmsPool � .���•���ry� _...___. . _. Poolcocompletely enclosed Self Self closing/ iatching gates Pool fence to code requirements m.,.ents �i O's present r all items r �. ,.. w Prior Rental 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 „ a 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 r 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 ' � u 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 r P „. 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 „ r "„& 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 ERT =A %riwf*j1pu s U1 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 I� t • t� �li Ml DATE INSPECTOR w I jLA Ile, a r j .................s _..... �. IS3L l i � j I I w, O C 0 O O $ r:' SII' .r r (^ `''."""~•r" " ".w O G „+ CL CL 0— Y eS. I( ,.....,m......SII 4 ^ D E O Z4 r (D -u G) a U7 "a v� m n m O --I I o z ` C p m a W m .N , 1 p al p 'n m — -I n Z z ; rr w <' ^, r O O y fl ^ U' Q rt u 0 �{ ICDO tbC Ln ci r oS 0 � +u � I tie I i o.. i N S n- O "3 J X O v GZ co -V v mm m 0 0 C O o x x x CIJ O O N CI n (D CD (D �� l N to � j :�< I— O _O Cr c0 r w i kid d ' X r. fi i 1 yh a! u,.. �, � y11r `I. .... . ✓a��Y r rY„ y ° "0 CD t' p v 3 ° CD CD ��.. ol a M MJ VR 3 M t „ 1 < Q O p gr - O I to O N ..w .. -.1 _n .. . id- ( p _e... .-. .. . a .�.__ -tp I f UO ¢ f 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 d d a Rev_ 1/81 u A I Q 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. I I p a d I q p f A f I � f p I j 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 �I 0 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 c �..�.. 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 r ..... .:. _, ..... _.... t ori Signature