HomeMy WebLinkAbout1000-63.-7-20 TOWN OF SOUTHOLD
t Rental Permit
0910
Owner DRU Properties LLC
Occupied as Single Family Dwelling
Located at 630 Calves Neck Rd. Southold 63.-7-20
Maximum Permitted Occupancy 8
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.
5/19/2023
Code En f rcer Official
This Notice must be posted by the main entrance at all times
eµ
- Telephone(631)765-1802
Town Hall Annex
54375 Main RoadFax(631)765-9502
P.O.Box 1 179
Southold,NY 11971-0959
BUILDING DEPARTMENT APR 1 3 2023
TOWN OF SO OLD
RENTAL PERMIT APED ICATIO I
Rental Permit Fee $200(Application must be renewed every two years)
accuo�� A
Property Information:
Rental Property Address:
Tax Map Number: 1004 SECTION -BLOCK —7 'LOT � ®-
SECTION B.
OWNER INFORMATION:
�1
Property Owner Name:Xy
Property Owner Legal Address: --r l4k,4-1 L1 ,J V—
�IO7% -3,T3 -- 70)1
Telephone Number(s): Daytime Evening Emergency.
Property Owner Email Address: 5::-o ki
Cc C' ��b2
Page 1 of 5
Town Hall Annex Telephone(631)765-1802
54375 Mala Road w
fax (631)765-9502
P.O.Box 1179
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:
Use and Dimensions of each room in Rental Dwelling Unit:
__._._.m. .._...... ......._------........_.. � _ �.u_
Page 3 of 5
S .
Town Hall Annex ;telephone(631)765-1802
54375 Main Road Fax(631)765-9502
P.O.Box 1 179 4
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
❑ lam 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)
certify under penalty of perjury, the following:
1. i 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
0 souk„"
Town Hall Annex Telephone(631)765-1802
543"15 Main goad � Fax(631)765-9502
P.O.Box 1 179
Southold,NY !1971-0959 �
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a. 1
BUILDING DEPARTMENT
TOWN OF SOLPMOLD
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: i,
Property Owner's Signature: _..�..._ .....mm. .. .. ......___
Sworn to before me this L day of 1 _ 20.23
Official Notary a lic Signature a d Original Notary Stamp
TP' ,EY L. DWYER
NOTARY PUKIC,STATE OF NEW YORK
NO.01 77W66306900
OUALlFIFO IN SIJFFC`L.K COUNTY
COMWSS,C)PJ EX3'$'�E 5 JUNE 30, (p
Page 5 of 5
'
631-765-1802
INSPECTION
LFOUNDATION1STROUGH PLEIG.
FOUNDATION
FRAMING /STRAPPING FINAL
CHIMNEYFIREPLACE &
IRE RESISTANT.-CONSTRUCTION FIREIPENETRATION
-'d l Town Hall Annex
a ��r
SOUTHOLD TOWN 54375 Main Road
o/ PO Box 1179 Southold,
NY 11971-1179
Tel: 631-765-1802
c W Fax 631-765-9502
SCTM # Date
Owner Phone .._ .... ww. w
Address t
ZIP
city Inspector
LEVELS 1 2 3
_ _ _ � ___. ._....w
Smoke Detectors (# bedroom detectors excluded)Carbon Monoxide Monoxide Detectors
Fire Extinguishers (#) --..-•.- - ---.-.. -
Exits (#) _...�..w.-...�.�.�... .... �� , ,,
BED o0 De3 tector Alarms # � � � ��m�,.. .... .
. ... ...m_ . w..._.._�..
Carbon Monoxide Alarms
._.. _ . ..
Egress (windows) (Y/N)
BUILDING SYSTEMS Y/N CONDITION OF PROPERTY Y/N
Heatin stem maintained/operational _ Building Interior is clean /maintained
s
�� p rational Property is clean / clean /maintained
Building Exterior i
Hot water stent malntattt/o -�--
/ safe/maintained
Electrical s stem
La Lin _...... _ �... ._ ._
Mechanical 's stem maintained/o)er'at*nal Handrails & guards present
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COMMENTS:
.____....._...
.�..._ ,_......
Rental Inspection Form 4/7/2021
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TOWN OF SOUTH LD PROPERTY RECORE
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OWNER- STREET ; _';;i VILLAGE DIST,' SUB. LOT
FORMER OWNER N , , ! E ACR
S W TYPE OF BUILDING
-— - _--— - ---- - -
RES. `? ; SEAS. VL. FARM COMM. CB. MISC. Mkt. Value
LAND IMP. TOTALDATE REMARKS
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AGE BUILDING CONDITION ,
NEW NORMAL BELOW ABOVE s
FARM Acre Value Per l Value
Acre
Tillable 1
Tillable 2
Tillable 3
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Woodland
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Swampland FRONTAGE ON WATER j
FRONTAGE ON ROAD
Brushland - -
House Plot
� DEPTH
BULKHEAD
Total DOCK
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61-7-20 10/7/2022 i
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M. Bldg.
4
3
Bath Dinette
F
Basement i
Extensiop�. -_ .$ , Floors K.
Extension Ext. Walls f @' LR
Interior Finish
Extension Fire Place _ Heath DR. IV/'
- j Type Roof Rooms 1st Floor ' B R. _--_
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Rooms 2nd Floors } FIN. B.
Porch = _' ` Recreation R _ -
Dormer
Porch
Breezeway 1 iDriveway
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Total '
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11t0t °.. Town of Southold 1/19/2023
Nrr P.O. Box 1179
53095 Main Rd
•` Southold,New York 11971
C
CERTIFICATE OF OCCUPANCY
No: 43772 Date: 1/19/2023
THIS CERTIFIES that the building SINGLE FAMILY DWELLING
Location of Property: 630 Calves Neck Rd, Southold
SCTM#: 473889 Sec/Block/Lot: 63.-7-20
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
7/12/2021 pursuant to which Building Permit No. 46600 dated 7/22/2021
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:
One `arn dw ffiLij.,with attached twocar grgggj`igished ► �an oec � .. unfinished
IT.r1
basement gs.alajid fral,
The certificate is issued to DRU Properties
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL R-21-1562 12-28-2022
ELECTRICAL CERTIFICATE NO. 46600 01-05-2023
PLUMBERS CERTIFICATION DATED 12-22-2022 _... __.... . ... . .m...... '_. _...�_ ....B.erry..
it, o6..... .w.Signature
11Town of Southold 5/19/2023
P.O.Box 1179
53095 Main Rd
• Southold,New York 11971
CERTIFICATE E Off" OCCUPANCY
No: 44115 Date: 5/19/2023
THIS CERTIFIES that the building IN GROUND POOL
Location of Property: 630 Calves Neck Rd., Southold
SCTM#: 473889 Sec/Block/Lot: 63.-7-20
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
10/28/2021 pursuant to which Building Permit No. 47098 dated 11/9/2021
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:
access
my LfIl ;jQ 1 fenced to read as p 41tied for.,
The certificate is issued to DRU Properties LLC
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 47098 5/18/2023
PLUMBERS CERTIFICATION DATED
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