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Home My WebLink About1000-117.-8-11 TOWN OF SOUTHOLD � l Rental Permit 0627 Owner Robert & Mary Walsh Occupied as Single Family Dwelling Located at 780 King Street New Suffolk 117-8-11 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. 4/29/2022 ode e Official This Notice must be posted by the main entrance at all times Town Hall Annex Cia tr�1 7 "i 54375 Main Road P.O.Box 1179 ' DO "' Southold,NY 11971-0959 "� rro A uii.11lSK�I� . BUILDING DEPARTMENT TOWN OF SOUTHOLD RENTAL PERMIT APPLICATION Rental Permit Fee $200(Application must be renewed every two years) Section A. Property Information: p Y ss. -- Renta Pro O L. Tax Map Number: 1000 SECTION 1 -BLOCK - ,_-LOT__U _- SECTION B. OWNER INFORMATION: Property Owner Name: .. _ � ""...",.....,",. �........ ..........,... _.... ..._._... Property Owner Legal Address: Property Owner Mailing Address: _. _. ....2A, t �� Telephone Number(s): Daytime Evening - - �mergency Property Owner Email Address: > t 3 C f C) Page lofS r Town Hall Annex Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 V "k, KKnw P.O.Box 1 179 Southold,NY 11971 0959 BUILDING DEPARTMENT TOWN OF SOUTHOLD Section C. Authorized Agent Information: Name of Authorized Agent of dwelling unit, if any:�m _ „� a , :.. Address of Authorized Agent no P.O. Boxes Mailing Address of Authorized Agent: p... . .. .................._. _..�._..w...�.� ...... .�....,._w._ Telephone Number(s): Daytime____,,______. . Evening�N _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):,-„ g ............�_ _.........._�..........www._ww_�....._�...�._..w..�.....---_._.-.-.-_ Mailing Address of Authorized Agent: .,.......... ...v.,. 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: . ' _ , ..... .... ..._ww _,.,. Address of Managing Agent (no P.O. Boxes):_,,,, ..... ..._....w.....w_.m... ..__....._.._.._.....�.�.�. .. .....................................�.�..�.,....._�_....� Page 2 of 5 Town Hall Annex Telephone(631)765-1802 54375 Main Road Fax (631)765-9502 � w P.O.Box 1179 Southold,NY 11971-0959 ;° BUILDING DEPARTMENT TOWN OF SOUTHOLD Mailing Address of Managing Agent:— . �.......... .�_ .... ...............°°................. _ Telephone Number(s): Daytime..................... .......�. .. _Evening _.............. _w.Emergency_._._w..__.. ............_...... ... Email Address:. SECTION F. PROPERTY DESCRIPTION: Number of Rental Dwelling Units on property: _ �_A—...... ....__...._............_ ._...._._..._....... 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: rtM ' _ � . . _...... ... .... .. . Requested Maximum number of persons allowed o occupy Dwelling Uni ..... „� °” Number of rooms in Rental Dwelling Unit: " m ,°,_,__ Use and Dimensions of each room in Rental Dwelling Unit:_.._" „�, wv.imb1� I _ . ...... ...._..��........�.�.�._�°�°�°..__.��.... :.... I� C � Cl ted” o Q _°.,..(� f (0 ,n...!' i1�. . S . raoµ°. ...��..5«f Page 3 of 5 Town Hall Annex Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1 179 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. ❑ 1 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 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. 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 u�� u P.O.Box 1179 Southold,NY 11971-0959 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. I 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: S�1 m .. ,.u..__"'." '!�._.��_.�. _.�_..www..._.._...,......._.�.................._.._.._. Property Owner's Signature: Sworn to before me thi4day of i �-m.( m..:. _. .._.", 2022 Official Notary Public Signature and Original Notary Stamp (.1 RISTIa I,,.I�1.11IAN E y PG91tl IC.S'rA`1"1:OF N' 'W YOIt1_c,#&I(1)1�62�033r02�,�tr, iflcd in S�alli k(:ortn r"Iks-si rl�'X0ra s,\4ar'2,20 2.a Page 5 of 5 NQW � V�; TOWN OF S HOLD BUILDING DEPT. 765-1602 5., 11 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATI CrINFRAMING /STRAPPING [ ] FINAL �, [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) [ ] CODE VIOLATION [ ] PRE C/O REMT:: w Town Hall Annex 1 Telephone(631)765-1802 54375 Main Road of Fax(631)765-9502 P.O. Box 1179 ' Southold,NY 11971-0959 „ „ BUILDING DEPARTMENT TOWN OF SOUTHOLD RENTAL PROPERTY CERTIFICATION Form is to be completed by a license architect, licensed engineer or licensed home inspector Separate form is required for each individual Rental Dwelling Unit Professional seal re ulred or Architect or Engineer, licensed Home Ins ector mustprovide copy of valid current c+ rti cation Rental Property SCTM Number: 1060 t C Rental Property Address: C S'Atk Owner/Name: Rental Dwelling Unit Identifier: Number &Square footage of each bedroom as depicted in the attached floor plan: (i.e. Bedroom#1 -100 sq., Bedroom#2-90 sq., etc.) 1"' n R. �$l (l F1ep ¢e111�1 I�l�ti kc ll p. �t v (44"',t wt Property Description (Include all improvements indicated on survey) i I certify that I have done a physical inspection of the subject rental dwelling unit and find that it fully complies with all the provisions of the Code of the Town of Southold,the Residential Code of New York State,the Building Code of New York State,the Plumbing Code of New York State, the Fuel Gas Code of New York State, and the Energy Conservation Consul "on Code of New York State. �I c� S ARC Print Name and Title NN s �i al Si J :. f,,'M, Please place professional seal: . . . " 01836 OF N TOWN OF SOUTHOLD PAOPERTY RECORI--7 Z1 ++ xSTREET LGE . VILLAGE I DISTRICT i SUB LOT FORMER OWNS N E - ACREAGE 1 = V .J s vE' 7�,,� AcK = �- TYPE OF BUILDING RES VL. FARM COMM. IND. CB MISC. e Est. Mkt. Value ---------------- LAND IMP, TOTAL DATE REMARKS __. _ ?Q D fa �s 5 � s.� r - C) - d d > t�J � v .�LL� I�,�oc, S ,U- ' ®® ter g� = � �hc•.� A1C.... �o �E / '' BUILDING C,ONDI `IDN r"1� �. - —- - - , - a.tia NEW NORMAL BELOW = ABOVE 1 FRONTAGE ON WATER Farm ,t Acrek� Va Per A=cs V�� FRONTAGE ON ROAD - Tillale 1 ' I BULKHEAD _ . o . Tillable 2 i ; DOCK r Tillable 3 - - - - � fir`std. - Woodland __t - - s _ Wit'-_ -_ n� Swampland }} Brushland � � � - l - 45 House Plot -- _. r Tota ~1 ------------ OL - - d -" -. s y 117:8-11 09/2015 4/10/2019 127:8-11 1 A Bldg, xQ l� X337ginFoundation P Bath t Dinette t Extension � a- �t� = 3�a Basement Fu � — _ 3 �'�._ SLAB Floors - Kit, Extension2( - � 2: S (08- 14 c1 Ext. Walls `"�Y 15L„ iv 2 �� _ : � Interior Finish S LR I Extension ' Fire Place Heat Patio D.R f �. Woodstove BR. _ V Dormer Fin. B tat Deck (� u 12- _° ? 1 1414-- 7 9" Attic �yv Breezeway Garage7G, ? Rooms 1st Floor ' � eF 2Sib � Driveway Rooms 2nd Floor 3 Pool ----_- g _ Y � _ - i a tv r II 3 e - It— Basement _ Floors psl -= Ext. Walls interior Finish ExtensionFire Place Feat Porch Roof T - as _ Porch Rooms 1st Floor BreezewayPatio Rooms 2nd Floor V Garage Driveway Dormer FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Clerk's Office Southold, N. Y. Certificate Of Occupancy No. .. 7 5. Date . . . . . . .J . . .. . . . . ., . 19.76 . . . . . , THIS CERTIFIES that the building located at . .$l$. Mg. At .k. 4. 09,914trSeet Map No. Xxx . . . . . . . Block No. . . . . . . . . . .Lot No. . .XXX. . . . )1ev. SuffO2k. . .Nsy.*. . . . . . . conforms substantially to the Built certificate of OeOUPSLIMY dated . . .before Apr P3 . . ., 19. 57 pursuant to which j-11 lig it o. Z7 °5' . dated . . . . . . . . . . . ;=0. . . .3- -, 19 76 ., 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 . .! .*C*. oxis family dve. ling with two accessory structures The certificate is issued to . Alm. Rogers . . .mmer. of record . . . . . . . . . . . . . . . . . . . . (owner, lessee or tenant) of the aforesaid building. Suffolk County Department of Health Approval .41. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . UNDERWRITERS CERTIFICATE No. .P719!11 114 ttng. . _ _ . . . . . m . . . . . . . . . . . . . . . . . . HOUSE NUMBER . . . 950. . . . . . . Street . . Ag001A.A .-MAtt. . . . . . . . . . . . . . . . . . . . . . . .. 780 King Street Buil.ding 1n pe HOUSING CODE INSPECTION May 28, 1976 950 2nd St. & 780 King St. R-1 New Suffolk, N.Y. Tax Roll: Anne E. Rogers Unoccupied Upon receipt of an application for a Pre-Existing Certificate of Occupancy, I made an inspection of this two story framed dwelling. I picked up key for padlocked front door from North Fork Housing Guild, Middle Road, Mattituck, and began this inspection at approximately 2 :50 P.M. The first floor consists of a front entry hall, living room, kitchen, and bedroom. Second floor consists of a hallway and four rooms. Building is constructed on a stone and masonry foundation. A foundation connected to the west side of building' s founda- tion having an accessible doorway is roofed over. The following violations of the Housing Code, Chapter 52 , Town of Southold, N. Y. were found: Kitchen - gas cooking range, no shutoff valve at unit. Article V, Sec. 52-52 B.2 . Ceiling over sink, plaster loose and missing. Article III, Section 52-32 C. - Floor, southwest corner, rotted, sagging and springy. Article III, Section 52-30 A. Bedroom - first floor, ceiling, sagging, loose, and plaster missing. Article V, Sec. 52-32 C. Sec. 52-30 A. Bathroom - None within building. Article V, Sec. 52- 51 D.2 b.c.d. Rooms - second floor and hallway- missing plaster, loose, sagging, and cracked plaster ceilings and walls. Article III, Section 52-32 C. Floors and floor joist, undue settlement and deformation. Article III , Section 52-30 A. Exterior - siding missing, permitting daylight and plant growth to enter interior of building. Article III, Section 52-31 B.C. �1 Town of Southold 1/28/2016 P.O.Box 1179 ' 53095 Main Rd Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 38067 Date: 1/28/2016 THIS CERTIFIES that the building ACCESSORY GARAGE Location of Property: 780 King St,New Suffolk SCTM#: 473889 Sec/Block/Lot: 117.-8-11 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 2/21/2014 pursuant to which Building Permit No. 38698 dated 3/4/2014 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: accessory Likqcar:ggggeLwfth st ra e ab�aye ands nd fl�xar,lan "ngwit,lay_stairs non-habitable. non-slee ink as plied for ner 7BA#6708.dated 1/23/2014. The certificate is issued to Walsh,Robert&Mary of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 38698 12/2/2015 PLUMBERS CERTIFICATION DATED Auta " ed lnature Town of Southold 1/28/2016 P.O.Box 1179 53095 Main Rd Southold, New York 11971 CE: ."'I"'IFICATE OF OCCUPANCY No: 38066 Date: 1/28/2016 THIS CERTIFIES that the building ADDITION/ALTERATION Location of Property: 780 King St,New Suffolk SCTM#: 473889 Sec/Block/Lot: 117.-8-11 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 2/21/2014 pursuant to which Building Permit No. 38698 dated 3/4/2014 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 and additions.,mcludin srr porccarl _,Elcar decka to a etun canes farcu 1 r dwelling as applied for per ZBA#6708 dated 1/23/2014M The certificate is issued to Walsh,Robert&Mary of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 38698 12/2/2015 PLUMBERS CERTIFICATION DATED 12/4/2015 1 ' dy Plumbing&Heating ......... ..-..._............ .. _............... Au ed pat e GENERAL NOTES JOSEPH J.SCARPULLA ARCHITECT architecture ® interior design noo,:.�oo or,,;aa sarchi,xx.com xn�e�+te+� � fax:6y.gz}A4W WINDOW&DOOR NOTES 02013Josnri—SeaePulla.AlA n9Mz resarvetl I 1 KEY 42 rx- S Issues and Revisions o•,�=a.— . ws o :afire: -ge srw-e ecxa_ 2 2+514 SSUe rORfi?. 9 ___. _.... ___ Htx � LIGHT&VENT i Sheet Information ac�a Tv. .3 uvuv��M_�smE ut+�f nT rAl 1-11 a,r ♦nE or ea,wwux z�E as=m®i i �v� ` � •� ��— SiA6 #�5*ifi ox axs rm+c4 r�min� � o •!\ � t' r. JJ.AlS G a E � Az -'� } ffiiwi ore.ay. JJS i - FRST y =rn3vtr�r t§c — �� ' 1314 a1 49 �. �_ 1` E ' 5 �? vaT Ta � I C t \ .�. .aP.�R _ .x•oJS,..n.retnraa.rw. _ ! Walsh Residence _ - ' dew Su n,NY 11956 � - eo oo, www cEru t»�'wn sff SECOND FLOOR PLAN I I -�e .as®rn,>n ante uo I saes! i SECOND FLOOR PLAN A-4 GENERAL NOTES JOSEPH J.SCARPULIA1 ARCHITECT' Ei architecture interior design �r a,a�enre« oa�seos sw,.� �,o.:�n„aa,w�,�+ur+�,ee.. n„aaegoe nt'�ncs T-2—f— f.:s;,yq.9gy WINDOW&DOOR NOTES i eEvaa,.m,��s�,w:,m ,a�,g� asota ae�a>na s<ama��,niA... All nghis reserved ss wraar�ax e.ms�ID E¢�L � � E ii KEY �.! € frl[ ( "�. ,.,®- Issues and Revisions — / s, I Y cAaR�.c! �+.i^w�m� Pro% dale wes aaa reps ons av'Mo . no ss,GTr Rt?j HAt1 �rce aF wu,*� �saK 3 4a.tae ISSUE EP -rrw e i t f f cBi'itE — —_ — _ a i r FO4 I 0 5= a' srmmau ^vrJ s 4 Sheet Information —13 AS NOTED IJS EllkNOAR A 3 Ka FA tILY RO RS ry 1314 Walsh 1 Residence - - w a®ax.b tea.'.® 790 K'^ N ss vae rWL __>_------ sI � New SuRot NY t<95S l&wsrsut-o {1 z __" 4e nnruiu zeaAREr.frcp4.N.3 T• _ ji'f�' I or Per paz wawuu'A�re Gmv�ng Title wemroEtALLS.mm.,tJ � �I i d I 1 ) s-merwirroo uuee, FIRST FLOOR PLAN FIRST FLOOR PLAN A-3 GENERAL NOTES JOSEPH J.SCARPutaAI ARCHITECT I Architecture t— t for design - fwsi.�s�tr r:>: ,t?tem-s cr. - �:. hanu^Sion ayx*]43 waw-.jjsarchireee.rnm �_ Ig sxw-r-eae�rmr�nr'emw ccs hY�hi3SaJ6 fax:6yyy.8yp WINDOW&DOOR NOTES • of so• a'-ef 3-e .'o i s a-a c p2p'f3 Jose J Stary 4.AiA as ` ` : i i Rll rights reserved ro�T MvcN ^Xt wm 1 � � F#�+�F •� ea nre+vur aa�b�A9o.Rb Lr rxn�®Ra'sz ro�raesz®. wAnLE:H18•rr' E x e i i ____ Pao+�xwau a:e•wa• �-5"'® � i i tmkxJ § cavvsrs rmns vrx nlsst».i i � , KEY ----------- _l i ' cux raa vg I s i i' Issues and Revisions NEW —14 ISSUE FON B.P. l Hai. -55tH-L- rmrvY3 i :si vucrsM Way i v reaawARr - € � II 3 I �.��a.eoeev �� _ S __ � m -_ ai caarow.re wTM wun srsxev � 3 fb REVISIONS Z' ye � lollll - '_. -�ES•.r#-`hie y��x —r_ o- s maonti Sheet Infor -- r> sAm- at7ra uanw.r, ' Ti`T°- s 3rme.azceX rte.0 f5 xara� i i ti• AS NOTE'v uo avrrsr �'r") t�- rTPJ� S� �� eS - _ - i I I rRxa ww ke4 y: JJS $ L. R�.oe, : I _� _- a___�t , I"�,R", a�,•a�r.P !'—, ( ,wa�a�: J:s 1314 \ EASEMENT _ aaasxa crorve i�rx.,�,xwv ` I a Si - r:ro +ice - Paaaassv�rfxar_x rca. EMI TING$49ENT cwse�ss=..� o Walsh Residence me _ - -a-�— _ 0 i wercS meA� 60 Kn95beet I •��- Naw SURo!k.NY 1155b _ _- >_ --______t wwn�mn wu ow u^,�• wance Pei a•coierEre .�.a<••E� coieea.e rooms w,xro as,®.i 1 recon-amu w.0 Hau I `� e e�aw,r�Tme camxas h,rJ i wonsa ram cow uo ��-___ 1-4 `r n BASEM19ENT&FOUNDATION PLAN r $eaal BASEMENT&FOUNDATION PLAN A-2 SCALE_114"=1'-0" xoi:a