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Home My WebLink About1000-50.-3-2 4 £ TOWN OF SOUTHOLD Rental Permit z # 0603 Owner Spencer Weinmann Occupied as Single Family Dwelling Located at 3075 Lighthouse Road Southold 50.-3-2 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. 4/21/2023 / % cue fog official This Notice must be posted by the main entrance at all times 9 �4 Yq�mr'ot'�& ow OU46N ILD BUILDING DEPT. 631-765-1802 .�. - Z 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 RENTAL REMA S: V DATE Cad i ► ss u Town Hall Annexa Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1179 Southold,NY 11971-0959 r. _^u BUILDING DEPARTMENTAN TOWN OF SOUTHOLD a« „l'k GN"" ik�l l n RENTAL PERMIT APPLICATION Rental Permit Fee $200 (Application must be renewed every two years) Section A. Property Information: Rental Property Address: . 1 , Tax Map Number: 1000 SECTION 0S 12 -BLOCK 0 -LOT 07— SECTION ZSECTION B. OWNER INFORMATION: Property Owner Name: '�7,> � ' ,. Property Owner Legal Address: Property Owner Mailing Address: Telephone Number (s): Daytime_ 'ning Emergency Property Owner Email Address: WIA 2 L- Page 1 of 5 Town Hall Annex Telephone(631)765-1802 54375 Main Road � Fax(631)765-9502 P.O.Box 1179 w R5 �y Southold,NY 11971-0959 0 BUILDING DEPARTMENT TOWN OF SOUTHOLD Section C. Authorized 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 Emergency Email Address: 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 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: Address of Managing Agent (no P.O. Boxes): Page 2 of 5 Town Hail Annex Telephone(631)765-1802 54375 Main Road Fax (631)765-9502 P.O.Box 1179 a 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, Q 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: 6 Use and Dimensions ofeach room in Rental Dwelling Unit: L4, " ., � , SAIF Page 3 of 5 Town Hall Annex Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1179 a Southold,NY 11971-0959 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. ❑ I am requesting a fire safety inspection to be performed by a Code Enforcement Official from the Town of Southold /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) l 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 ��, Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1179a Southold,NY 11971-0959 '�� z amAl f, 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. 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: Property Owner's Signature: ." Sworn to before me thiA day of �� . " m , 200 Official Notary Public Signature and Original Notary Stamp c NNI c . l tr i i iotat'� 'ubti „State of 5C1 �,��'"Fork No.�Dliwra1551 iiti d inI tsr J4t2y,C commission Exp r��, Page 5 of 5 Town Nall Annex 631 Tele 765-1802 � Telephone( ) 54375 Main Road Fax(631)765-9502 P.O.Box 11791 Southold,NY 11971-0959 e2 S BUILDING DEPARTMENT TOWN OF SOUTHOLD RENTAL PROPERTY CERTIFICATION Form is to be completed by a license architect, licensed engineer or licensed home inspector Separate form is required for each individual Rental Dwelling Unit i ro essioncrt seal required for architect or Irl ginset licensed theme lns ector must Provide copy of valid current certi catiron Rental Property SCTM Number: C. " -2, Rental Property Address: � Lv - i Owner/Name: 4 Rental Dwelling Unit Identifier: Number & Square footage of each bedroom as depicted in the attached floor plan: (i.e. Bedroom #1 -100 sq., Bedroom #2-90 sq., etc.) Property Description (Include all improvements indicated on survey) I certify that I have done a physical inspection of the subject rental dwelling unit and find that it fully complies with all the provisions of the Code of the Town of Southold,the Residential Code of New York State,the Building Code of New York State,the Plumbing Code of New York State, the Fuel Gas Code of New York State, and the Energy Conservation Construc ` Code of New York State. Print Name and Title Original Signature 0 Please place profession of�, D wu y m x E;�Lj 00Tl ..... ii N r b O 00 b p x r w CDD Z � D m o coo 00 l=To r .. � o ..........1pi T Ga N D Z ................ P 7 _. _ _."... xrY t Nu Itu�rsio s D'ttu Dale: 4-10-23 5075 LIGHTHOUSE ROAD DANIEL J KELLEY AIA , " � SOUTHOLD NY 11971 ARCHITECT ......✓ D atan B JS NY 023925 SC SC106 4 FLA AR161237 ...... ......................�_. .' 0 CF"kcd B. DJK U EXISTING FLOOR PLANS .... 3B SANDY COURT email: T LAKE GRO E NY 11755 ..,....... � F tqe',. &arl �1tti �IWi ,, %r � N v�k 11753 390 North Broadway SAO 100 Jarictrra Fu( 16)� � 329 Feu k`tt 390,A Phone(518)390,4300 ch, Website: w; atrh ,0* ch cam E-mail tZatca N t rwa �.cxxn ()RMA,TI0 SERVICE CERTIFICATE OF OCCUPANCY REPORT DATE: 3116/2023 TITLE NUMBER: E300-02000769531 PREMISES: 3075 LIGHTHOUSE RD, SOUTHOLD TAX CLASS: 210 MUNICIPALITY: TOWN OF SOUTHOLD STATE: NEW YORK COUNTY: SUFFOLK DIST: 1000 SECT:050.00 BLOCK: 03.00 LOTS}: 002.000 THE FOLLOWING INFORMATION IS ON FILE WITH THE DEPARTMENT OF BUILDINGS: CERTIFICATE OF OCCUPANCY FOR NON CONFORMING PREMISES#Z-16197 ISSUED:9/22/1987 PERMIT'#N/1. O STORY ONE.FAMILY DWELLING, ACCESSORY GARAGE, CONCRETE DRIVEWAY, HEDGES COMPLETELY AROUND PROPERTY LINES,WOOD GATE CERTIFICATE OF OCCUPANCY#Z-22528 ISSUED:8117/1993 PERMIT#21465-Z DECK ADDITION CERTIFICATE OF OCCUPANCY#Z-22694 ISSUED: 11/4/1993 PERMIT#16881-Z REPAIRS AND ALTERATIONS CERTIFICATE OF OCCUPANCY#43918 ISSUED:3/11/2023 PERMIT#45978 NNGROUND SWIMMING POOL FENCED TO CODE THE pURPO&E Ad- PP*K;,'15 70 PROTIom MAE LEOCCUPANCY INFY E GAL ( LEGAL OCCLp,NCA NOT EEN DETERWNED THIS 416�.SUBMIMED FOR INFORMA'naN PURPOSES�OFINL'„ .,;. DEPARTMENT, 70 20 90 I r .,,.,,.,w..: 'n M.a, ry,<,,,,,,,,,L;•UO/Jl" �,//.f, .9/ /rllaYr,lI,G„Faf 111 rulYff„9✓/ I11,(mrr,i, / !r� ��' f ��il��ff'��IIIIIIII'X11'I'll'111IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII I Iuuuuuui°°°°il°pini "" , i�uiiV9l�Vll�l�ul m. r � TO\1_. rF SOLITIIOGD OrrICE OF BUILDING INSPECTOR TOWN IIA.L.L SOUTHOLD, NEW YORK CERTIFICATE,OP OCCUp�1.NCY NONCONFORMLNG PREMISES '`�/✓/ T2US IS TO CrItTIFY that the 'Land1di�Q(s),, Pre Date- SSeptember 22., 1987 2-1b 197 e F 87 ei F1 usefs) ��, . �,. 1 located 3t 3075 i�hthoase Roed ark � �..�..� ,.....�� ,,.. 3a.'�tho8ri, New 2 J „ of et °- 6�wa'crtlet 1 t n sbcIIvn an County tax map as District l000, section 150 Block 03 i f,/i Lot 02does(110t%eanform to the present Building Zone Code of the Town of Southold for the following reasons: x _. Insuffici.ent total area; front *ard set hack; aidard set-back on Accessary garage On the basis of information,presented to the Building Inspector's Office U it has been determined that the above nonconforming l XJ Land 1 XJ Building(s) 1 Useis) existed on the effective date the.present Building Zbae Cale of the Tonin of Southold, and may be continued pursuant to and subject to'he appli— cable provisions of said Code. IT IS FURTHER CERTIFIED-that, based upon information presented to the Building Inspector's Office, the occupancy and use for-which this Certif'i- nate is issued is as foLo�vs: t`ropettl c-O tains 7, yt"L one Mall sroun 6 ra ad framed dweliiu ; Accessory tafv Cea tAtA drive;,hedges tootiletelf axpta�+mray gg lines; wood.'gat e;'All: ait ted to 'A" id,�nmt.,w.#1 AST"iiiu,tA�-+,x,',a�.ca�»awm„rr,I„,. C, ,cam-co '. Gti �huge Rood; a Iwn saintai.ned goad nW . ROBERT R.R. REILLY The Certificate is issue � ' y (otvner. ' of the aforesaid building.' Suffolk Caanty Department aE Iiealt]a APP-91-11 UAA EP,WRITERS,CERTI ICATE NO. SCF IIEI"IE0 "G �ttao t Owner"of I proves Iii pfll 0 Iu �C"4 Irl 1*1IQ1 tot tla leis' Iitiensta xct�� tot to f3etercne 't ae pt niisas oo"ply ri �l'app" raodeinspection �✓� y n ee�s rather tha"the Rud axoe a zaa' zer ote )was�tzdutte . " rtiiea � therore does xicat" Is shaded awbtb all of �apliceble bt eetti,r acct the late 1 '% i „,,,,. ,�,.,„ ,, ✓ sr rr rpt i ,. _, i ii✓/ / �r1 �. dllsl �� 1, ulmi a uuuuuuuuuuuuuuuuuuuuuuuuuuugiiiiiiipuuui u Tole,OF SOMOLD Off ice BUUILDING DEPARTWM the Buildinginspector Town HaIZ "Southold N.Y. i �'ICAM OF OCCUPAI^iCY " Date AUGUST 17 1993 CERTIF E5 that the building �I»� ON ; Locatian of p " 0rty . 3075 IrMTHOUSE 96ADL NEW ?� Bouse No. Street, U / amlet County Tax Map ,No_ 1000 Section 50 Block 3 Ir�t 2 —__--, Subdivision T � Iap"No. Lot NO. conforms,`substantially to the Application for Bctilding Permit heretofore t f404 in thiZ Office dated JUNE 1 3993 pL ,ant to which Budding Permi.t`No , X1465- cher JUNE 7 399 r was issued,, and' confo=s to all of the requirements of the applicable/ N provisions of the'law. The occupancy for which this certificate is 1S9ue�d lx 4/J:kC^. WDI-IMON 1v KUSTM ylil S13ilLl[1 JJ[ILLLaLlylltS AS APPLM FOR The "certificate is issued"to JAMS D. CLAM L. GREE F-= , & Cof (owners) d , of the aforesaid building SUFFOLK COUNTY DEPARTMENT N/A QF' HEgLTH,Al?PRQVAL IJNDERYlRITZRS �MTE NO, A ; C'F'R=CA I0ff DA �f2 ector � r �/m / / Re r. 1/81 „ / 3 i /�� ' �;YpNladillllllllll IIIIIIIIIIIIIIIIV1111I Illliill 'i qq'i'' II '"" I ��/�'/// , ' '_/� i1'r�l , fa I II'I'uuuuuu uuuuuul y � I I VIII II.m u VVVVVVVV uuuuuuuuuuuuuuuuuuul I e. II II Na Z-22694 / THIS IS CERTIFIES that the ALT 1TlON Ip6catwn of Zro t C CIt �No Street �Hamlet county,Tic'Map, No. 100D Block �tBlock ' Subdivasa.oa i e "Nap No Lot NO.'—.- -to, o. '''ta the Appiacatzc>n for B file d _. . ,. Permit eretofote 46/ �n this L3 Ice date, MARMI e ii 1 , --Pursuant to wh�.ch ti Bn��dang Pexa>zt B0. 16B8�=Z dated" 1988 y svaslissued, and conforms'tn a3_1 of the-requirements of the applicable provjsi.ons of the asv. ,The oacupancy, for which this certtfzcate 15 > , issued ss ALTERATIONS' ' 0 EXISTINGFSI y DW=MG AS, ' FON. 'eke C04af1Cate 1s Issued to � r 6Wn ers} of the afores aid ,buuldiag SIIFF OLR Y?LII+iTY,ilEPAR'I'l�iT OF HEbhTff";APMVAL_ ilamFxt47u r�sra CERTIFIOM .NCI_ 03,6 PL�EES dW FT �y y ; �U «. i CATION SI N J� 0 f e tib inspector SOS "; P f r� + � i u 1W f r Me It ii wa 41autl Y.v �. "'.� � ✓' ,� o r�' i li /r� J �°�r�eu� r ywit�4 i I lv rql r° ✓ � `� +�wi � �y � � n �'y"�` Kr e � �r `ry��'rmyill On �� dy ",v��,�u 11mr � "' �(� p" �J) r'�i�� r'r!lmrr�„��✓�l/Y��l�� h f� s VAN r r ii