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Home My WebLink About1000-77.-2-17 pa aa� TOWN OF SOUTHOLD Rental Permit 0213 g� Owner David Hume Occupied as Single Family Dwelling Located at 675 Birch Avenue Southold 77.-2-17 Maximum Permitted Occupancy 10 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. 5/28/2024 Code Enfo� e n Official This Notice must be posted by the main entrance at all times 631 -765-1802 INSPEC i ION [ ] FOUNDATION 1ST [ ] ROUGH PL13G. [ ] FOUNDATION 2ND [ ] INSULATIOWCA! [ ] FRAMING / STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY IN! [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PE [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FII [ ] CODE VIOLATION [ ] PRE C/O,zvt�u [ - / DATE INSPECTOR Town Hall Annex Town Of Southold 54375 Main Road Rental Inspection Report PO Box 1179 Southold, NY 11971-1179 Tel: 631-765-1802 ._.......... . .._............. SCTM #. .... . ,. .. _ . ._................. .�... . ... Date ....,. .. ...v..� Owner Phone Address Gj Visible .. .. Hamlet��.� .��.�.�.��.�-. �� ........................ �__... M ..._....... ........ .. ...w..��..��-�.,.. ...�...................��lnspector `�..........�.�_ ...w..- W......,. ..... ,..._............ �....__ ... _. _ ......_._ w_.. ._.. Floor Level Quantities Sub 1 2 3 Carbon Monoxide Detectors .. ........... )...,,,, . .,.,..�,, ....... ..d.. � .� .... . .....��_... .��imm.... .�. ..� Smoke Detectors not located in bedrooms ....�..., �aa_.n ..�... ..D..�,a.c r � . ..o ..._... _. . . Fire Extinguishers Exits Bedrooms 1 2 3/ 4 6 _,... .m �.m_... .. ._.. �.. _ �...... ............ .. Smoke Detectors � . Egress Occupa nt Count , ! ..�.'......... .. ...... .I. . ..-w..._°.. -. ..�._. ,.. . �� _ .......... ........ ............ . ... .....,., _ ..w� ��.,...w ., .._.. ..... . . ...... �. _... � . .,..,..�. __ ...w..�. 6 e Building Systems Maintained &Operational Condition of Property ....... Heating Building interior �.... .. .�. .�. . „ �.. . ._..m. .. .. ..... w. .... .... . ..- ... �........._.. Hot water Building._.. . exterior Electrical Property clean, maintained &safe Mechanical �',',-hiandrails&guards installed &secure _w_................ ...... Pool Safety Pool on Site Surface water alarm Date of CO issuance �..�a .. .. . .,... ...... . . .....__ �_..... ��w.a.� ..a ..,.. �.... -�...... . ... Door alarms Pool completely enclosed �.. �.�,...... ... ...... Self closing/latching gates Pool fence to code requirements O's for all items present Prior Rental �/� w Comments: w.�.�...-,-. .�._�............��..-......w..-,-.�µ_......._........�....�..,.w._.......�...........................................�..........�_._.�..mm..,�....,..�..�..,�.....� _..........� .........�................. .....�............. ...m........��.��.. ..�.� ..�.� ��......��__�_.� �-.w. _�._ ........�.. �.�.�.�_......�..........._�.�.�.�w..�-� ..�w�...�.�-�.��.�..�..�_�..............�.....�.-�. _.....�....�.�.�..�.�.�....�..... ��...��.�-.�.�.�.�.�._..._..._. � ��..........��...�-w�.�. .._........_... .......a.. ...._...... ................... .. .w.�.....,. ....... . . ... ...._............ .. . .,.... .. ......................., TOWN OF SOUTHOLD 15 Rental Permit 0213 Owner David Hume Occupied as Single Family Dwelling Located at 675 Birch Avenue Southold 77-2-17 Maximum Permitted Occupancy 10 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. 6/15/2022 c� � � r t ficial This Notice must be posted by the main entrance at all times m Town Hall Annex Telephone(631)765-1802 54375 Main Road w� Fax(631)765-9502 P.O.Box 1179 Southold,NY 11971-0959 BUILDING DEPARTMENT TOWN OF SOUTHOLD N RENTAL PERMIT APPLICATION � rsJ Rental Permit Fee $200 (Application must be renewed every t o yer � 1:•C�la :"�� jv04 ( Section A. Property Information: Rental Proper y Address: Tax Ma Number: 1000 SECTION DD 0 BLOCK -LOT T p �� SECTION B. OWNER INFORMATION::�/'�L}-,� Property Owner Name: DWI I Property Owner Legal Address: Property Owner Mailing Address: � ' Telephone Number (sj: Daytime"ning_ Emergency "�f! Z�•�/ Property Owner Email Address: Pagel of S yA7A"i Town Hal]Annex �° rv" Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1179 Southold,NY 11971-0959 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 wa " Town Hall Annex � �, �?. Telephone(631)765-1802 54375 Main Roads o Fax(631)765-9502 P.O.Box 1 179 0XP Southold,NY 11971-0959 n� 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 Roam) 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: 3:1, , I Page 3 of 5 r , Town Hall Annexa � Telephone(631)765-1802 54375 Main Road y Fax(631)765-9502 P.O.Box 1 179 Southold,NY 11971-0959 r w K01 �f 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. 2/1 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) 1�?Tl/I I D F f1.(.lVl.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 1179 Southold,NY 11971-0959 3� .� 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 this $day of ! I 20 d� �N1 4 12 5 1-C, e- ---,2— �"� � New Nof-k and Official Notary Public Signature and Original Notary Stamp Couaa of New "lorK bijoic, v\ WAI)q mmqd Yo w 19 o6 -7 (oma 1 I FIcd ern AJeOorVNC,o%4 � M\I COMM) 510A E X 1 (C s , Page 5 of 5 6 (o/ Q�/ nods 1 1 � 1 A • I � FIN15H PO5T514/I X A2ER H' .-- -- TJI OR-O {PROVIDECAPAPl5E 1 ?F > EL d I FIDl5T5 CANTEEN ER OtrEMION I -ate 10'AW GIRDER 01r-M5TO4 10 5ONOTUBE W/POURID ![ I > � ) OOhCREfEEOOTING £ 2'-0'%2-0'X 1'-0'd PROVIDE IN5ECT 5CREENM, [ I T (TYPICAL ALL FOOTING5) y UNDER DECfiNG MATERIAL I HELOW SL�NRGOM • - [ /�- =AXE" _ To IOC RIM BOARD- - - MOIST OR RIM BOARD [ yyk§* 3 € AS BLOCF.ING �0 :0 M N 22 METAL05a —5 I< ' 2-2'X G'AGO SILL PWM - -- I L <s "` -..-.1. HOLD DCMM ANCHORS �' E AT GARAGE WOR OPENING u -NOTO J05T5 . 57 ' ` Ja`= —L >,- _ .L h - `® _ MUST HE PROTEGTm _- _ ;.•_ _ - t FROM WEATHER 6 # r ZI O PROVIDE SIMPSON MD5 CORNER5 I I _ JO'5T5 NRO°HC1DT Z) P II n ' -' ; Fi � § � �_ ��ANCHOR WETS $-z I GG� DETAIL A 1 -- � �.}�� MIN.DEPTH 0 48•P.C. , NOT i0 SCALE ^SWII V/MIN.573V WASHER ®GREAT OOMzimGARAGE T3§ NG BETWEEN D55z Lu FORFl_ RATED 1 � - `1I OVER GARAGE AREA 4 TA POURPD CONCRETE SB �¢ _ POUROT CONLRnr N $ UNDER �II gb DN COM-ACTED nu-W t s T} WJ33le I g A ALL A- RUNNING W.W.M GX6(10X 10 [ - I-04'X f' ,Wv. I _ Y -3 tALLIMN BURIPC IN G-GE NP WE( -ALL ARPnS 1 2-14 REBAR IN WRHIN GARAGE) E� ("rALALLA2EA) D�ff PROOP PER--- W � ) "'§ FOUNDATION WALL _L �. (TYPIGIL ALL A1E15) FOV AI E HEAM POCFET IN _ n- ---`-" IRE WAIL 5U D' - ...�. a_ 5I REQUIRED iTARALL c UTIIJTIY M S 510 (EYP.WTH ENDS) .FIRE RATED 0,g—;fN% Aza, _ � v xYA35 AN=r AN=' UTIU7Y RM 1Dzo—� „OT E STOPAGr AREA i z u } �sl PINISI�D SPAQ YlN5rfP, v[wID € It �J�L� a IEl M! I al- <00u •' ' ( a < g a ra LEWJi1D^.xREhS g!6 O c.; Z 0 u H' PROVIDE FaIJRED': d ( 1 € to-- [[ HANG DJ.FROM IPDGER WTHT O CONCRETE 1 - `— - XH ____ - SIMPSON W2P CONNECTORCi - uj u� a � � �' � X4 POST ON ID" 66 cOq WNCREI- Z-aX 2'-0'X 1-0•d. < Ln OP DCOIC (TYPICAL ALL FOOTING5) BASEMEN � '*��T Taa �+�I•x 9'RIMT� , EAS-(T HN19rtD5 - _ WITH TliEN HD g'X 'BOLTS PAPE FOUNDATION PIAN` SCALP; a I'-0' ----. --- C) i ---------- 1-H4 —A'X 4''05TS p s W-P, iw, ---------- ALL DECK 4 W j4� X 2'X4' 1:0 U5E 51MP50N Wl�CM 1 rMT5 Tfr E40 BEARJNG) co�NccrcRTO J015T5 rLLt5M MMM- KATCHEN A fi Da,-,t x—ma- 2-it X I lk V(L FIREPLACE VM-All ft-om--j tj lu M1, A Q) WOODBURNING FfLE-FAB LU 1151A! 1�11 FEWING A5 PER. 0 r�66�DKAIN lf, Zip 1. 2-$ li/L UffADER LO N-1�4 1 0 2-W i3ll DROPPED AZICAT CUM, Lu ZM4 OL �LEGEND e-W NEW 2-X lx�m X-1 s M, FM wl I wm?rLymooD 511FATHING I I LAY1111 GY111M DDARD ON IWVW? > LIVING ROOM i 2'X4'5TLDrPAME m VAT 50ARD N rAGh SIDE;�f tl I LA)M"G-F5UM 0- N cowta-mlocc'm + M05TUORE R2515TANT BOARD IN MOT5 @ �HEA.EX a ALL KrrCHEN,BA�4 MUDROOM AREA5 41152.OHDI!�OA ONA�ARIA5 To RECIEVE TILE rWVIDZ?-I N x 9?LVL HEADM JEH-ll ABOVE ALL.MNDOW5.DOOFS c UNLE55 arIlM115t NCY-M,HMDER. —4-J-7 L%FL-f-LL dz";7z-z&, H ffr5A55HO&NON!ECnOM5 Lr) p A.FOR.4-WILLJON ALL MIRED WINDOWS 5HOWN ON PLAN5 rLrvATK)NS z P� Lu T M-rXI"OK ibM 0 X 0 POEM M51 ftocR LAMA 111"', PFZrINr5HED"IM LAP 6 J' NR5T FLOOK PLAN I 4'X 4'POSTS,2'X 2- j 7 BAWSTER5 MIDI S # - --. _ TOP 9OTiOM RAILS 1 ' CONTINUOUSLY AROUND " MEMBRANE ROOflNG . ...... - OVCR,�SHEATHING ON ISM Btlow X G'DECWNG CVER _ ROOFING MEMBRANE s PROVIDEE MEMFLASHING OVER I Ll r - _ w - MASTER BEDROOM Z W I d_ Fu U-i BATn2Ii_ closer — I —m �- [ — 7 I 4EW CONSTRUCTION W J 1L Y+_ $$. 4'FRAME R-IIINSWATDN �� S eD ON 4NTERIOD GYPSUM � wr [ I BOA. 2'X 4'STUD FRANK — EDGE OF. - BELOW I wfR1 I IAmk GYP5UM Q(�i�� 3 # , BOARD ON EACH SIDE LEiE O MOLSTURE RE515TANT BOARD Z W Z =a O IN ALL BATHROOM ARES 4 USE WONDERDOARD ON ALL AREAS �O TO RBCIEVE TILE PROVIDE 2-I J'X]}'LVL HEADERS # ' ABOVE ALL WIN DOW5 UNL155 OHIERM5E - - _ - meg.. ,_ NOTED:HEADER HEIGHT AS SHOMN IN ' A. a SECTIONS N ALLOW FOR A'MU W ET ON BETWEEN ALL PAIRED WINDOWS SHOWN ON PIAN5 F ELEVATIONS A SECOND FLOOR PLAN -4:41 1 i T. WN F SOUTHOLD BUILDING DI 631 -765-1802 IN PECTION [ Avt FOUNDATION 1ST [ ] ROUGH PL.13G. [ ] FOUNDATION 2ND INSUL TIO CA C l FRAMING / STRAPPING Fi,AL L l FIREPLACE & CHIMNEY TIRE SAFETY IN [ ] FIRE RESISTANT CONSTRUCTION [ 1 FIRE RESISTANT PE L l ELECTRICAL (ROUGH) [ ] ELECTRICAL (T1 C l CODE VIOLATION [ ] PRE C/O [ I REMARKS: 0KAS1 (to) 17A JAM Lo DATE '' INSPECTOR TOWN OF SOUTHOLD PROPERTY RECORD i OWNER STREET VILLAGE DISTRICT SUB. LOT r L 'L FORMER OWNER N 1 E ACREAGE` - V'12 11 IS W I TYPE OF BUILDING RES, misc. Est. Mkt. Value SEAS, VL. FARM comm. IND. CB. Z-4� LAND IMP. TOTAL DATE REMARKS F777 7_;1 Y dX o' L i 2- 1 L1 LA c0b' r AGE BUILDING CONDITION NEW NORMAL BELOW ABOVE FRONTAGE ON WATER 4- Form Acre Value Per Acre Value FRONTAGE ON ROAD Tillable 1 z BULKHEAD Tillable 2 I DOCK Tillable 3 Woodland Swampland —-——--------------- Brushland House Plot ------------------ Toto I 1a�2 reg T OUTS PROPERTYRECORD rF_ OWNER 1STREET f __ VILLAGE DISTRICT ' SUB, LOT g FORMER OWNERL _ N E ACREAGE S TYPE OF BUILDING i W RES_ SEAS. VL. FARM COMM. IND. CB, MISC. ' Est. Mkt. Value LAND IMP, I TOTAL DATE REMARKS � t —jitv, -- - I,- w i AGE BUILDING CONDITION NEW NORMAL ' BELOW ABOVE FRONTAGE ON WATER Farm Acre Value Per Acre Value FRONTAGE ON ROAD , Tillable 1 i BULKHEAD Tillable 2 DOCK Tillable 3 Woodland Swampland Br'oshIand I f House Plot I 3 � � Total i 3 M- ERld 3 rF € a` "t" Foundation �� Bath eA� �__. r € j s E Fxtrision g :€ - � Basement Floors Extension ?t f� ai Ext. Walls Interior Finish Extension Fire place t, , Heat ' ` t Porch Roof Type Porch_ Roams 1st Floor BrayPatio Rooms 2nd Floor aroe Dormer Driveway FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-34495 Date: 08/12/10 THIS CERTIFIES that the building NEW DWELLING ...w. Location of Property: 675 BIRCH AVE SOUTHOLD ,�.�,. M (HOUSE NO, ) .__......,._. (STREET) (HAMLET) County Tax Map No. 473889 Section 77 Block 2 Lot 17 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated MARCH 25, 2010 pursuant to which Building Permit No. 35458-Z dated w..„APRIL 9 2010 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 COVERED PORCH, SCREENED PORCH FIRST AND SECOND mmH^_ww� FLOOR DECKS AND ONE CAR GARAGE UNDER AS APPLIED FOR, .*www The certificate is issued to PENELOPE J MCCARTHY _w _ (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL R10y08-0087 08/0310 ELECTRICAL CERTIFICATE NO. 35458 08/05/10 PLUMBERS CERTIFICATION DATED 07/15/10 BURTS RELIABLE INC �.._. ._ A ho� zedig....... ' nature Rev. 1/81