The URL can be used to link to this page

Home My WebLink About1000-59.-5-29.3 TOWN OF SOUTHOLD Rental Permit a 0609 v, Owner Christopher & Colleen Connors Occupied as Single Family Dwelling Located at 350 West Drive Southold 59.-5-29.3 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. 5/10/2024 Code En rc ent Official This Notice must be posted by the main entrance at all times TOWN OF SOUTHOLD BUILDING DI 631 765 1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PL13G. [ ] FOUNDATION TND [ ] INSULATION/CAl [ ] FRAMING / STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY IN! [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PE [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (EII [ ] CODE VIOLATION [ ] PRE C/O [ Joel REMARKS: ok- - INSPECTOR F " " Town Hall Annex S Town Of Southold 54375 Main Road Rental Inspection Report PO Box 1179 Southold, NY 11971-1179 Tel: 631-765-1802 '„CTM# - Date Owner ,n pr�, 'Phone Aso.. .. w.. . . .... Address Visible _. Inspector . Hamlet.. .,..._ .. .. ._ ..... ...,.._._... ..,.._ .._.... ........ . ____ .Gw...._..._.. Floor level Quantities Sub3 �.��..., �...., m...... .... . ..... .� ... _.. _� ... . . _w . .._..� .. ...( bedrooms) e_._. Smoke Detectors not locate m . ®....rc .. ..b., .e,... ..� Carbon Monoxide Detectors Fire Extinguishers Exits Bedrooms 1 2 3 4 �� 5 6 ..._ w, �_.._.... ..., _. . w....�..... w..._.... ._, _ Smoke Detector s Egress V' pant Count Building Systems Maintained &Operation al Condition of Property Heating ; Building interior Hot water g Buil i n exterior Property clean, maintained & safe j _ _., ....._. ._. ...._. . .� w�....._ _.. . guards .w._ _ _ ed secure i ,Me,Mechanicale.. e Handrails& install &.._.,.. . . � .. ...., .... . _.... b .. ...... ..... � .,.. ..w„ .Pool Safetyw ., . .. .. . �POOI on Siteµ ;Surface water alarm Date of CO issuance Door alarms Pool completely enclosed Y S if g _ latching � �.o...r n _ocode Self closing/ la -.. ,. requirements tch�n gates � � .e,e. Pool fence to code � _.� _ .. .._... . , .�.. 0 O"s for all items present Prior Rental Comments: TOWN OF SOUTHOLD Rental Permit 0609 Owner Christopher & Colleen Connors Occupied as Single Family Dwelling Located at 350 West Drive Southold 59-5-29.3 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. 3/28/2022 Code n1lbr nt Official This Notice must be posted by the main entrance at all times 1r Telephone(631)765-1802 Town Halt Annexe Fax(631)765-9502 54375 Main Road P.OBox 1179 southold,NY 11971-0959 a BUILDING ' : ARI'M SN„ 11OWN OF O UTH L REN `, I� ., Rental Permit Fee $200 (Application must be renewed every two years) Section A. Property In r i n, Rental Property Address: Tax Map iurnher: 1000SEC-HON ....M . „ .w. ....- HC l _.._... _ ,,......_ ._. . .. SECTION B. OWNERR i : Property Ow .__ Property owner Legal Address: Property ®caner Mailing Address. 5100 Evening...... . .., .. _. ...w Emergency-...,..__, _..,. Telephone i`ltarrlbr (s): Daytime ,.....,,,� Property Owner Email Address: � �� _ C._ .. ..._,.,_w. _. .)"C C1 (� 0 ` Page I of 5 Town Hall Annex Telephone(631)765-1802 Fax(631)765-9502 54375 Main Road / P.O.Box 1179 Southold,NY 11971-0959 BUILDING DEPAR'T'MENT TOWN OF SOUTHOLD Section C. Authorized ent Information, Name of Authorized Agent of dwelling unit, if anym��... ...M..........�.�.�.�. ._............� �...._._ __ .......:._.....w.�.....................�.�.... Address of Authorized Agent (no P.Q. Boxes}: .,.___. .._ _......._ w___........_.. ..........._ .____._ ... .._. _._._.._....._. Mailing Address of Authorized Agent: .,,__,,, .............._._..... ._.._. .._ ._ m.. . _�._.. _..� Telephone Number (s): Daytime,,, Evening �..._... .......Emergency.__ .....�_ �.�._.�, Email Address: _, __.�..w...._,w_..�._._�._..w............ .�._ �...._..�..�.��..�........ .u_..... . .. ...... Section D. Managing gent Information: Name of Authoriz/te dwelling 4 , if any: ._.... ...- Address of Author (no P. .. Boxes): Mailing Address ogent: _. . __............ ....... _...... .... . . ._.. _... .... p Evening_.._.. Emergency_,.�._......w....��....�.�._�.. ._. Telephone Numb ......._......_. .�_......w....._ Email Address: ....... .. _. _ ...... ._ w. _ w_....__..... _ __...... ......._.__ ..._. µ... E I SITE : (required for rental properties containing 8 or more rental units) Name f Managing Agent of dwelling unit, if any: A ' cess of Managing Agent (no P.Q. Boxes): Page 2 of s Town Hall Annex �t I Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O. Fox 1 179 Southold,NY 1 1971-0959 BUILDING DEPARTMENT TOWN OF SOUTHOLD ....... .._.... M .._ .... ............................M.m_w ..ww Mailing Address of Managing ...... Agent: , ,,,� ..... .��.w_._.W�....., � Telephone Number (s): Daytime—,,-- _Bening.._�__�..._.��_...�w.....�.�.._..w Emergency____.,..,,,,_,,_,_,_.,,_ Email Address: SECTION F. PROPERTYDESCRIPTION- Number of Rental Dwelling Units on property: _.M,.,,,,.,..._....._._..... ..,__.......__ 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." d` u Rental Dwelling Unit Identifier: .., . ._...._.... .... ....... ........._.._..__�....._..__�._��__...._.��._ .._��, �� k't Requested Maximum number of persons allowed to occupy Dwelling Unit: � ) Number of rooms in Rental Dwelling Unit; ....... . _w.. w_._... .. ._ ....._w_..... Use and Dimensions of each roni in Rental Dwelling Unit � 1 i Z i. ._. � _ ... �.i ! (kCn X�1�1 2,J I t t P\L 5 . �' 1 Page 3 of 5 1 Town Hall Annex At , Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P_0. Box 1 179 r Southold,NY 1 1971-0959 Ibs : BUILDING DEPARTMENT TOWN OF SOUTHOIJ) 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. N 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 DECLARATION: Signature mast be notarized and MUSTbe the owner of the dwelling unit. STATE OF NEW YORK) ) COUNTY OF SUFFOLK) under penalty of perjury, the following: 1. I aryl the owner,of tl°ie,property identified in "Section A," of this application. 2. The property.6wneres i gai 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 Halt Annex Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 mw P.O.Box 1 179 Southold,NY 1 1971-0959 a if ow 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. 1 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. � . . ..w .......... ._ _ ... _. Property Owner's Marne: ...- 4 � n .M... � � Property Owner's Signature: _ �.. ...... "�.........-....-�.. Sworn to before me this ��day of.�_.o„ .��;��,�,w° �......,�,.._._.,.,_.., 24,. ..11,.. Official Notary Public Signature and Original (Votary Stamp USN M BARNES W COMMISSION i GG 300205 EXPIRES:February 11,2023 A. ? Bonded lhcu baa Page 5 of OF 0t1Weg—W. S6vJgo TOWN OF SOUTHOLD BUILDING DEPT, 765-1802 INSPECTION FOUNDATION 1ST ROUGH PL13G. FOUNDATION 2ND INSULATION/CAULKING FRAMING/STRAPPING I] INAL�g.,WIV, FIREPLACE & CHIMNEY FIRE,SAFY INSPECTION FIRE RESISTANT CONSTRUCTION FIRE RESISTANT PENETRATION ELECTRICAL (ROUGH) ELECTRICAL (FINAL) CODE VIOLATION PRE C/O .JEMARKS: DATE 31A�WYIO-- INSPECTO ff �r t - JT C-_ y y .� T resat t 1 e P' o.. 1 5,SKtfiGt't `- , i Zc i2'P{1Y 3 Me-5rtr.;s - Gfe£i5 cw eq5 s�zwrw-ACL : ;. c'zfU3,•. - Iq iGf si.c-- ,:c<. ."- 1kr'€� s' RM, { hk4 sri-F. ED-fi`YJ`F € �� DIS o? ✓ � 7�J 344 ._ cc t Ny I F= LEMWENty IDE OPENINGS FOR r� F PROVIDED {SCAPEAS �" E#fRUK fSC AS REO BYPART 71d OEC � `- `: UIRE66T PARft711<Of• E(ATE BUIE NO COOS I �. { t f N.Y:STATEBUILD4 cma: `.� Foo ee MPS D£Ci� - ,n j( J F� I .i PnLL �' t1 ® ILI, - sa riiT yiLn4 ir; Yi; .A1 Ak. VrkVY Dfn£N51 r Phnpe 47?;t}}OQ � i4:am R«ad 1 ` f GREELI'?ORrF.i Y F t 5,;a sfiv � 4 FrK -FLAl`€` .". def E-=s x C3'° le3PFr t0 i 4 E - {� 71r I - tai SFfRIG PE5WP1 - } Ai;{u'AtIS i ,tt, SLtfY tU LAN S.ii p. _ F4r� kya.=v DrnreNs�euus t - t - V4' 4l (bu%5 #7 in R��d #t TOWN OF SOUTHOLD PROPERir 9 7M �� CARS E OWNER "STREET = VILLAGE = DIST. SUB. LOT i —FORJR OWNER _ -MN E ACR 3 �I �a r S W TYPE OF BUILDING RES. SEAS. VL. 3 FARM CO&W. CB. MICS. Mkt. Value LAND IMP. TOTAL DATE REMARKS y£ i v 7 _ _ 7 r> ra ' I l � i Tillable FRONTAGE ON WATER Woodland FRONTAGE ON ROAD I Meadowkw)d DEPTH House Plot BULKHEAD Total F E � o I COLOR If. C_. TRIM , s = Bldg { E s 1 i 3 JCtIJn P ,j "` moi? 1 i 3 3 3_ Extension ] i i Extension ------------- 'Foundation =Both } ? =Dinette Z.� i � B � r I asement Floors K t iI Finish LR Ext Walls =— h nterior nis s � - a Breezeway Fire Place € Feat z ,DR. oy, Garage Roof Rooms lst Floor BR. Patio Recreatio R Rooms 2nd Floor I 0. B. I .Dormer � ?Driveway / I =s Teta R, wmr ""rrtinwir ..,. FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-25755 Date: 06/01/98 THIS CERTIFIES that the building NEW DWELLING _w (HOUSE NO. ) (STREET) ( -w-........._. _m_..... HAMLETET) County Tax Map No. 473889 Section 59 Block 5 Lot 29.3 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated JUNE 4, 1996 pursuant to which Building Permit No. 23533-Z dated JUNE 25, 1996 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 WITH ATTACHED DECK & 2ND STORY DECK AS APPLIED FOR & AS PER ZBA #3649. The certificate is issued to CHRISTOPHER M. & WILLIAM T. CONNORS (OWNER) - - . of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL R10-94-0071 02/06/98 ELECTRICAL CERTIFICATE NO. N432234 09/22/97 PLUMBERS CERTIFICATION DATED 05/01/98 VAN ETTEN PLUMBING � Building .nspector �� Rev. 1/81