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HomeMy WebLinkAbout1000-58.-2-10 =F TOWN OF SOUTHOLD g Rental Permit s 3 € 0916 Owner Kristen & Thomas Clifford Occupied as Single Family Dwelling Located at 1895 Leeton Dr Southold 58.-2-10 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. 5'25/2023 (:)1"( r de or em Official This Notice must be posted by the main entrance at all times , F di, Town.Hall Annex Telephone(631)765-1802 54375 Main Road Pax(631)765-9502 P.O.Box 1179 Southold,NY 11971-0959 p BUILDING DEPARTMENT TOWN OF SOUTHOI.D RENTAL PERMIT APPLICATION aw„ Rental Permit Fee$200(Application must be renewed every two years) Section A. Property Information: Rental P Add�ss: 61 A � l 11�I -7 I Property � Tax Map Number: 1000 SECTION ­ _ BLOCK2- -LOT .. SECTION B. OWNER INFORMATION: Property Owner Name: .....w_...m....w_._. Property Owner Legal Address. Property Owner Mailing Address: rr� y 10$03 Z-, arra _�. .. . ��.... � e � � go 3 -� � _. ...........�.�. . �..�...�._.... Telephone Number(s): Daytime °F Evenin Emergency.M Property Owner Email Address: .,._�f�S 1p1 C aYYY(A �... _............,.......v...._.m............� . .6 rd 000 G> b IY4 I . Ir c7y\-, Page 1 of 5 Town Hall Annex Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1179 1e Southold,NY 11971-0959 BUILDING DEPARTMENT TOWN OF SOZ1T" I:OI:. Section C. nne�n bn� Authorized Agent Information: Iv Name of Authorized' Agent+o flIng unit,if any: Address of Authorized Agent(no P.O. So ___.. _.w___.........._ .ww.._._ Mailing Address of Authorized Agent: .M. . ..,.. . . ._.., ...... __. . . ....w.ww�_ w_._.,__._,.m. _....,. Telephone Number(s): Daytime , �, mm_. w Ev t g _. Emergency . ... ,,,,..._...._.a__._.. Email Address: � : w, Section D. Managing Agent Information: Name of Authorized Agent of dwelling unit, if any: _ Address of Authorized Agent no P.O. Boxes):,—-.-., MailingAddress of Authorized Agent: ww_ wwN �.__..... _......_ _..,...�...... Jg`� A I Telephone Number(s): Daytime!✓ .,� tvening 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):._.~~_.__ _............ _....._�.........,.� -..�.�.._.� „ __w....,.,,,, �._.._. .........__..w......�. Page 2 of 5 Town Hall Annex Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1179 Southold,NY 11971-0959 BUILDING DEPARTMENT TOWN OF SO HOLD Mailing Address of Managing Agent: Telephone Number(s): Daytime,.................„ w �.Evening­.._,_­..._,Emergency­­ Email ._.. EmailAddress: _w .... www_wv .............. ...........w........... .... ....._......._.w...._...�.�. _.� ....... . .. �...._�..�..__..__ .. ..._�........._... .., .w.., 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: M._.... .....ww....._ww.._......_... .._..m..._........ _. _......._.._.w._w_....................... ._........ ....... Requested Maximum number of persons allowed to occupy Dwelling Unit:.w .w,,,,mm„w.._ ...v_ ...... Number of rooms in Rental Dwelling Unit: _MM_......._w...... ......�..._...... _w� ....�m... . ._.... _............_W.__.._......M.M...._...._.. Use and Dimensions of each room in Rental Dwelling Unit: .­­—­--­­., Page 3 of 5 d,-r Town Hall Annex Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1179 Southold,NY 1 1971-0959 w, BUILDING DEPARTMENT TOWN OF SO FOLD 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. /am requesting a firm 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) ._ � -- .w W 1µM . . _ ��w„„ 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 7 BUILDING DEPARTMENT TOWN OF SOI T OLD 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: ..,.w.. _..m Property Owner's Signature. ' - ...-------- Sworn ---_..Sworn to before me this leday of. _ vl _ 2023 Official Nota Pu llc Slµ tureand nd Original Notary Stamp RORY P ODONOGHUE Notary Public-state of New York NO.01OD6437011 Qualified in Kings County My Commission Expires Aug 1,2026 Page 5 of 5 Dr C..ZVV pvlot� TOWN OF s 631-765-1802 �� _.�.... ( b INSPECTION [ I FOUNDATIONIST [ ROUGH PLBG. FOUNDAT[ I C ) INSULATION/CAULKING STRAPPINGFRAMING/ CFINAL FIREPLACEI CFIRE SAFETYINSPECTION C I 1 CONSTRUCTION C FIRE RESISTANT PENETRATION ELECTRICAL.� ��� (ROUGH),,,",,,,,-- [ 7ELECTRICAL (FINAL) CODE .„ WtAv�, wt vk jj 77 DATEAe 1 � 1 6'-G' 28 t _ 28 ` S £ F �: ; LL 1'1 (LO=FT ` DOUBLE HUNG =t 3 VINDGv CASENEN' 3 W'NDDv a E £ e t ® s wane a or TM—', ' s 7 ' 6'sUolne aoor&A�CONY DECK SMo K D ETE 7"a t2 -- ® C 6M67-NE D sMoxr. 4/v0 c,4R 8 ory Mo�vo x= E GTo / �45ft FiF,5f FI.00F PLAN �n : X151 N!6 5 E CG? rl F OE C PLAN A N4NE -- DRAWING TITLE ,s ROBERT A.STEELS i SCALE _1 DWG.Na STEELS RESIDENCE ADDITION EXISTING FLOOR PLANS A I PROFE5510NALENGINEER 26 ROLLING ROAD J' 3111 6/09 ; EP-C MILLER PLACE.NY i 176A S{10WN 1695 LEETON DRIVE SOUTHOLD, NY 1 1971 � ®� i I . - O , t h I 16'-0' I PROPOSED BEDROOM h E9D 288sf T I SMOKE DETECTOR INTERCQNNECTED # 5'67�• f 1 �n}WINDQVfDQQR LABEL ' o 6. _f GoMBz�V,r✓D SMoKF- ANDr4RgaN NjONOx= D F d 1 FFShISIZE V BRAND T YPE V 6�SKYLIGHT SCHEDULE V � ARK. � VINaD jmA CRT.". ' ` tUAL SIZE AND EQUAL OR GREATER ENERGY VALUES MAY BE USED IN LIEU - NGTES- OF ANDER LHARDEN ONSVIWW SEC G EXISTING RESIDENCE vISEE�DETAIL a FOR ON svc.DT-1 FOR TYPICAL NIGH VEND WINDOW PROTECTION FOR NEW WOR SCHEDULE plp - -g.. TYPE VIDTRR r$YGNT QUAN. EGRESS f r = AREA 423101) -F j j i3 �E AN4ER NLGpgpSQR db•._. 91)• S 2 14.039(SF) - j t WOOD PANEL MOLDED - 30• D0 E = Nq E s - �� £ s wm £3 1 IFLUDIR AREA F? ]PETNSLE AREA(STSG S 14 i EXISTIN 2DQ 19H 3g = I ' r 2y�E Iy�7 �y^/� yl'� �{,\I�y/E FL yr7 yy7 A� - INSTAL GAS FORCED AIR HEATING SYSTEM MEETS REQUIREMENTS lg R3D3b POI 05 l /VCOI VV I VOOI\1 V!V V INSTALLED 2DD6 3 PRp.ECT NAME _-. TaA _ ROBERT A-5TEELE ' _-. STEELS RESIDENCE ADDITION PROPOSED REAR ADDITION PROFESSIONAL ENGINEER I611,O 26 ROLLING ROAD i 1895 LEETON DRIVE SOUTHOLD, NY I 1 971 PLAN € MILLER PLACE,NY 1 1764 OVEN - \�\\\�\ COLOR TRITE i 15 _ a t _ _ { P 58.-2-10 4101 t r r M. Bldg Extension } Extension Both ath rrvtt � L3 i e i S ;Basement Floors dk Ext. Walls lrtt4rior Finish - LR. Breezeway Fire Piave Meat DR. Garage Type Roof =Room-is 1st F-loor BR. Patio Recreation Room Rooms 2nd Floor ! F1 N. E3 Q B. Dormer' Driveway Total - a � a TtWN OF SOUTHOLD PROPERTY RECORD � WN R STREET VELLAGE �DIST� SUB. LOT FORMER OWNED N E �` ACR e 3 S W E TYPE OF BUILDING 4 RES. SEAS, VL. FARM COMM. CB. MICS. Mkt. Value � � u LAND IMP. TOTAL DATE REMARKS Co Z c- a s j a a ` i ; g �' r , !LL , NEW NORMAL BELOW ABOVE - FARM Acre Value Per Value Acre FRONTAGE ON WATER p 3 Tillable �, U Woodland FRONTAGE ON ROAD Meadowland DEPTH C� House Plot BULKHEAD - ,, DOCK 4 G-L,�'b o'I*N-'�>1l:A c ck c— to C e FORM NO. 4 TOWN OF SOU'THOLD BUILDING DEPARTMENT JAo PLW-) :'OWN CLERK'S OFFICE SOUTHOLD. N. Y. CERTIFICATE OF OCCUPANCY No. . . . . Date .. . . .. . . . . . .... :MAMA . . V1 THIS CERTIFIES that the building located at . .Uieto t. Dr.it- Mast. Pr. . . . Street Map No. . . ?PM . . . . . Block No. .=. . . . . . Lot No. A=. rau hOlA t. . N O X* — , . conforms substantially to the AppIication for Building Permit heretofore filed in this office dated . . . . . . . . . . . .Aprtl. . . .14, 19+16. pursuant to which Building Permit No. 30.55. .Z. dated . . . . . . . . . . . . .AP;r�!_14, 19.6..6, 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 . P.ri:vata -0Y1e .fandJ.y'. dweJ:,lin& , , . . . . . . . . , . „ . . .. . . . . . . . . . . . . . . The certificate is issued to .Ap:�hur.i�k Q3.©:'�a. sv. . . . . . . . .. .0ime s . . . .. .. .. . . . .. (owner, lessee or tenant) of the aforesaid building. ,Suffolk County Department of Health Approval . . .�Tlay'. . .3-8.s .3,966 . .by.1"" .V;LI:Li, . -7- . . . . . . . . . . . . . . .7- Building Inspector h FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-24816 Date DECEMBER 24 1996 THIS CERTIFIES that the building ALTERATION Location of Property 1895 LEETON DR. SOUTHOLD, N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 58 Block 2 Lot 10 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated NOVEMBER 30 1990 pursuant to which Building Permit No. 19568-Z dated DECEMBER 7, 1990 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 ALTERATIONS TO EXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to ARTHUR FUSS JR. & GLORIA FUSS (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N-403246 - NOVEMBER 15, 1996 PLUMBERS CERTIFICATION DATED DEC. 13 1996-MARK MYSLISORSKI Building Inspecto Rev. 1/81 FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-24871 Date JANUARY 29, 1997 THIS CERTIFIES that the building ADDITIONS Location of Property 1895 LEETON DRIVE SOUTHOLD N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 58 Block 2 Lot 10 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated-NOVEMBER,MBER 26 1996 pursuant to which Building Permit No. 23858-Z dated DECEMBER 11 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 DECK ADDITIONS TO EXISTING ONE FAMILY DWELLING AS APPLIED FOR "AS BUILT" The certificate is issued to ARTHUR E. & GLORIA FUSS (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A u4,1 ing nspector Rev. 1/81 FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-26520 Date: 06/23/99 THIS CERTIFIES that the building ADDITION Location of Property: 1895 LEETON DR SOUTHOLD (HOUSE NO. ) (STREET) (SET) County Tax Map No. 473889 Section 58 Block 2 Lot 10 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated MAY 13, 1998 pursuant to which Building Permit No. 24967-Z dated JUNE 19, 1998 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 DECK ADDITION TO EXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to WILLIAM R & MARY T STEELE (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. N/A __�, PLUMBERS CERTIFICATION DATED N/A Buil ing In eCtor Rev. 1/81 FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT m r� Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-33627 Date: 03/31/09 ON/AITERA.. THIS CERTIFIES that the building ADDITI TION wr. Location of Property: 1895 LEETON DRSOUTHOLD (HOUSE } (STREET) (HAMLET)WM County Tax Map No. 473889 Section 58 Block 2 Lot 10 subdivision Filed Map No_ Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated MARCH 31, 2009 pursuant to which Building Permit No. 34548-Z dated MARCH 31, 2009 was issued, and conforms to all of the requirements of the applicable provisions of the law. The occupancy for which this certificate is issued iLG AS APPLIED s DORMER ADDITION ALTERATION TO AN EXISTING ONE FAMILY DWELLING� � FOR. The certificate is issued to WILLIAM R & MARY T STEELE (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. 2045730 10/10/06 PLUMBERS CERTIFICATION DATED 0 6/2 8 07 BRETTSINCLAIR.�wwww A thorized Signature Rev. 1/81 Town of Southold Annex 5/7/2013 P.O.Box 1179 54375 Main Road Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 32662 Date: 5/7/2013 THIS CERTIFIES that the building ADDITION/ALTERATION Location of Property: 1895 LEETON DR SOUTHOLD, SCTM#: 473889 Sec/Block/Lot: 58.-2-10 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this officed dated 4/23/2009 pursuant to which Building Permit No. 34732 dated 6/1/2009 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: The certificate is issued to WILLIAM R&MARY T STEELE (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL 8I0-04-0058 4/26/13 . .......... ....... ---—-------- ELECTRICAL CERTIFICATE NO. 4033370 8/31/09 ............ PLUMBERS CERTIFICATION DATED ..................... ut oriz Si attire .......... .