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Home My WebLink About1000-78.-4-7 TOWN OF SOUTHOLD Rental Permit 0601 Owner Nick Colon & Colleen Stellato Occupied as Single Family Dwelling Located at 300 Corey Creek Lane Southold 78-4-7 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. 3/7/2022 Code Enfo ennent off tial This Notice must be posted by the main entrance at all times Town Hall Annex P �, Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P0_Box 1179 6 'SSSSSSSSK SoudwALLNY 11971-0959 '; Jff VIEBUILDING DEPARTMENT TOWN OF SOUTHOLD RENTAL PERMIT APPLICATION T T.111, P'W', DEP Rental Permit Fee$200(Application must be renewed every two years Section A. Property Information: Rental Property Address: Tax Map Number:1000 SECTION BLO LOT, SECTION B. OWNER INFORMATION: Property Owner Name: Property Owner Legal Address: Property Owner Mailing Address: s a la o ve- o C( l,a - Telephone Number(s): Daytime 5 ho -421 -YSEvening Emergency 51 k_3:1 1 J312-3 (,roll oo, Property Owner Email Address: r,n I l . Sf 1 KrD @ Ci Ma 1 Page 1 of S Town Mall Annex t Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1179 ` sssssssss,SOulholarNY 119714)959 BUILDING DEPARTMENT TOWN OF SOUT OLD 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 Hall Annex Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P_O.Box 1179 :SSSSSSSSS5Soulhold„NY l 19714959 BUILDING DEPARTMENT TOWN OF SOU"1"HOLD 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: "g �s k bad 2 hid 3I X L �. Page 3 of 5 d Town Nall Annex J Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P_O_Box 1179 m � u Southold NY 11971-0959 ;?�3° 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 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) Ie Jae,[ I& 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 Ball Annex Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1179 ate" SSSSSSSSS'.Southold,MY 11971-0959 �� ml � ��,�,4 x y "'�'»j 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: Property Owner's Signature: CONNIE D.BUNCH 20 I Notary Public,State of New York Sworn to before me this day of No.01 BU6185050 Qualified in Suffolk County Commission Expires April 14,20_A3 Official Notary Public Signature and Original Notary Stamp Page 5 of 5 SQ�/p,��a TOWN OF' SOUTHOLD BUILDING-DJEPT., 765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION/CAULKING [ ] FRAMING/STRAPPING [ ] FI L. [ ] FIREPLACE & CHIMNEY [ FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) [ ] CODE VIOLATION [ ] PRE C/O REMARKS: t Y DATE d "3 . oaf,so TOWN OF SOUTHOLD BUILDING T. 765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PL13G. [ ] FOUNDATION 2ND [ ] INSULATION/CAULKING [ ] FRAMING /STRAPPING [ ] FI L [ ] FIREPLACE & CHIMNEY [ FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) [ ] CODE VIOLATION [ ] PRE C/O DATE D! �---- INSPECTOR Ifs' 1, v qF so�rt� TOM41 SOUTHOLD BUILDING DEPT. c765-1802 INSPECTION , [ ] FOUNDATION 1ST [ ] ROUGH PL13G. [ ] FOUNDATION 2ND [ ] INSULATION/CAING [ ] FRAMING /STRAPPING [ ] FINAL � EK*1' [ ] FIREPLACE & CHIMNEY [ ] FIRE S FETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) [ ] CODE VIOLATION [ ] PRE C/O [ DATE INSPEC,7T0*Ry nAlt3TE1C BARtt M K�T�tt6M 46, yu�st 0 � GhKky� BEDR�ow �- - TOWN OF SOUTHOLD I RT " R .,w... OWNER VA sSTREET VILLAGE DIST. SUB. LOT q FORMER OWNERtp `��' � E ACR., 3 ,_ e Fv I 3 S W TYPE OF BUILDING y z RES. SEAS. Vl FARM COMM. CB. MICS. Mk#. Value LAND IMP. TOTAL DATE _ REMARKS i J w , �r s _ if'r�,,�, s 8 ?g r i j AGE BUILDING CONDITION NEW NORMAL BELOW ABOVE FARM Acre Value Per Value Acre Tillable ; FRONTAGE ON WATER Woodland FRONTAGE ON ROAD Meadowland DEPTH House Plot l t BULKHEAD TotalDOCK l l 4 TRIh,A u — f e — It — } E u� s. 78:4-7 2J4J2021 I - - a 3I 3 -- , M. BldI Extension = f i Extension _ t Extension v , Foundation } F � Both Dinette Porch C, ?BasementLy ; Floors .. Ext. Walls Interior Finish = _R, Breezeway Fire Place I l Heat �R. ;�" `N Garage, ? 'Type Roof ;Rooms ]st Flco R. `J Patio i Roo ns 2nd Flog 'Recreation Roon s t PC Dormer Driveway � cfDt ¢ Town of Southold 12/8/2020 P.O.Box 1179 53095 Main Rd Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 41668 Date: 12/8/2020 THIS CERTIFIES that the building SINGLE FAMILY DWELLING Location of Property: 300 Corey Creek Ln, Southold SCTM#: 473889 Sec/Block/Lot: 78.4-7 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 2/4/2020 pursuant to which Building Permit No. 44681 dated 2/11/2020 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: amine family dwelligg,.with unfinished ba pmgt covered front entry r stop and att taed one car �ra e q a lied f+ r. The certificate is issued to WH Crumb LLC of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL, R-20-0090 11/20/2020 ELECTRICAL CERTIFICATE NO. 44681 10/21/2020 _..w_..w ....w ....._..... . aul Rupp PLUMBERS CERTIFICATION DATED _._11/11/2020.... _....... ......-A.... .... w..... car` Signature � ttllt, Qac . Town of Southold 1/15/2022 P.O.Box 1179 53095 Main Rd Southold,New York 11971 At CERTIFICATE OF OCCUPANCY No: 42687 Date: 1/15/2022 THIS CERTIFIES that the building IN GROUND POOL Location of Property: 300 Corey Creek Ln, Southold SCTM#: 473889 Sec/Block/Lot: 78.-4-7 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 3/19/2021 pursuant to which Building Permit No. 46061 dated 4/12/2021 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: deo in- roa�nd wimmin ozl unc t .plp s lid f The certificate is issued to Colon,Nick&Stellato,Colleen of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CER.TWICATE NO. 46061 9/3/2021 PLUMBERS CERTIFICATION DATED Autlatriz itturc