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HomeMy WebLinkAbout1000-88.-5-40 r TOWN OF SOUTHOLD Rental Permit 0630 IG Owner Sean & Diane Rainey Occupied as Single Family Dwelling Located at 1195 Rambler Rd Southold 88.-5-40 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 i= for ent Offici This Notice must be posted by the main entrance at all times SO r 631 E85-1802 INSPEC ION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION TND [ ] INSULATION/CAI [ ] FRAMING / STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] TIRE SAFETY IN! [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PE [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL {TIN [ ] CODE VIOLATION [ ] PRE CIO [ 41 Town Hall Annex Town of Southold 54375 Main Road G�� o Rental Inspection Report PO Box 1179 Southold, NY 11971-1179 Tel: 631-765-1802 Date SCTM# .2 ����. �.. .. . _.... .. . �_ Phone Owner µ, ... m . ..._.... ..._. ...... ... Visible .., ... _._......... .. ......._. _.. m... . _._...._ ..._. ... �t/ ® Address: �" � ��� Inspector Hamlet .�.._. ,...,._.. ...,M.. . ..... . .-.m _ .._..... .. ... _..,..... ..... _. .. _._ .._.u.._.. __mm.. ...._ Floor Level Quantities Sub 1 2 3 .w...� . .. .....a. _ �m .. k .� .. Smoke Detectors not located in bedrooms Carbon Monoxide Detectors ®.,., ...._..�...., ,....._. ,m... .._ ,w . .... _.... . ...w _ _. . roe._ . ExitsExtinguishers Firem . �........�.. �.._ _._.. ._._ _.... _- ..w,._.�....�..�.. ..._. „m _ �_ a�., ..� _...., _. Bedrooms 1.. 2a . 3 / 4 1 5 6 � Smoke Detectors Egress .... .. _ ., �.. Occupant � ... .�. _ ..... .. .. _.. _. , .� ..�„.,. p Count Building Systems Maintained &Operational Condition of Property Heating Building interior Hot water Building exterior ElectricalProperty clean, maintained & safe j Mechanical Handrails&guards installed & secure w. Pool _... ...... w.....�........_.� ..rc Pool Safety r alarm �Date of CO�ssuan 1 Surface water Date p.. .___y is suance r Door alarms.u..._. ....�..a. .e.,..�_�., ....�s.�.... .w�..... .. _ ..._ .... , Pool comp letely enclosed ,.Self closing ._... _ ... _ . _.. / latching gates Pool fence to code requirements CO's for all items present Prior Rental a� m Comments TOWN OF SOUTHOLD g" Rental Permit 0630 Owner Sean & Diane Rainey Occupied as Single Family Dwelling Located at 1195 Rambler Road Southold 88-5-40 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. 5/2/2022 odeNEnrc t (ficial This Notice must be posted by the main entrance at all times Town Hall Annex Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1179 Southold,NY 11971-0959 BUILDING DEPARTMENT r � �� TOWN OF SOUTHOLD i E 'T L PERMIT APPLICATION J Rental Permit Fee $200(Applicotion must be renewed every two years) iJ Section A. FEB A' 12 f"I) Property Information: N, ! Rental Property Address: Tax Map Number: 1000 SECTION C7�� ..-BLOCK US•t7 U -LOT Qq0 - C)r v SECTION B. OWNER INFORMATION: � r\\ Property Owner Name: � � Property Owner Legal Address: Property Owner Mailing Address: o n. . . av 117 3Z Telephone Number(s): Daytime Tq 61')IVAUvening-51 637114_'Emergency Property Owner Email Address:___Qa� sr , at,,4 q e ca /J Page 1 of 5 Town Hall Annex Telephone(631)765-1$02 54375 C toad P.O.Boxox 11179 Fax(631)765-9502 Southold,NY 11971-0959 ya W 13UILDING 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: . „ w Telephone Number(s): Daytime mmm 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):uµ„v„w . w Mailing Address of Authorized Agent: Telephone Number (s): Daytime--- Evening Emergency Email Address: SECTION E. J k-7 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.C. Boxes):.,-,,_, Page 2 of 5 TO W n Hall Annex Telephone(631)765-1802 54:175 Main Road Fax(631)765-9502 P.O. Box 1 179 Southold,NY If 971-0959 4� ,. BUILDING DEPARTMENT TOWN OF SOUTHOLD Mailing Address of Managing Agent: . µ„ �) ! 14 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: p... Number of rooms in Rental Dwelling Unit:_ `4h t 3 r U(A �r r � Use and Dimensions of each room in Rental Dwelling Unit k ' ,;, , y ( 1" 10 Page 3 of 5 Town Hall Annex Box 1179 (631)765-1802 P.O. 54375 Main 1117979 Fax(63 I)765-9502 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 I 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) I 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 Jt-n ILA Artn � �^, Telephone(631)765-1802 Sfa=.n Rit,J Fax(631)755-9502 F'�7_Ria 11's� arta ° �m r BUILDING DEPARTMENT TOWN OF SO' L' applicable laws and rules. 1 further acknowledge that 1 will notify the Town of Southold Building Department of any changes of address within five (5)days of any changes thereto. 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 ,M]l 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 Ov,ner's Signature= J & Z/� 2 Sworn to before me this day of �� Official Notary Public Sign + ,Pw aid "" w rai U'Jorary Stamp UALWIED IN NASSAU COUNTY comm, EXE. r � �OF/Ilu� y� mage 5 of 5 /STRAPPINGNTOWN OF SOUTHOL BUILDING DEPT. OUNTM,' 631-765-1802 INSPECTION FOUNDATION 1ST ROUGH PL13G. FOUNDATION2ND INSULATION/CAULKING FRAMING VIOLATIONFIREPLACE & CHIMNEY FIRE SAFETY INSPECTION FIRE RESISTANT CONSTRUCTION FIRE RESISTANT PENETRATION ELECTRICAL (ROUGH) ELECTRICAL CODE [urL)RE REMARKS■ ov4m DATE - V-� INSPECTOR TOWN OF SOUTHOLD PROPERTY RECORD DOWNER STREET VILLAGE i DIST." SUB. w F F FORMER OWNER E ACR, i S W TYPE OF BUILDING I i RESo : SEAS. VL. FARM COMM. CB. MICS. Mkt. Value i LAND IMP. TOTAL DATE REMARKS 3 i 3 f - - } AGE BUILDING CONDITION NEW NORMAL BELOW ABOVE FARM Acre Value Per Value Acre Tillable FRONTAGE ON WATER Woodland FRONTAGE ON ROAD Meadowland - DEPTH House Plot - BULKHEAD Total `}" t `s F DOCK l I .o COLOR TRIM - t 12, Imo_ 7 M. B Idg. � 0 Extension l 7 5 S 'V 7 t , g.y Extension - z? = , � Extension 1, _ Foundation > Bath Dinette Porch _ Basement i Floors a K. 9 �• < g. Porch !Ext. Walls Interior Finish LR. i 1?. r �1I eezew Bray Fire Place — ; Heat GR. , GarageType Roof Rcoms 1st Floor BR. Patio Recreation Room' l Rooms 2nd Floor FIN. B O• B. Dormer Driveway Total - s i FORM xo. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Clerk's Office Southold, N. Y. Certificate Of Occupancy No. Z6o51 . . . . . . Date . . . . . . . . . . . . . A'49. . 9. . . . . .. 197 . THIS CERTIFIES that the building located at Rambler .Road . . . . . . . . . . . . . Street Map No.Tarry .Water ock No. . . . . . . . . . .Lot No. . 12 . . . . ,Southold. . .N-!Y.•. . . . rt conforms substantially to the Application for Building Permit heretofore filed in this office dated . . . . . . . . . . . .deb19.?'+. pursuant to which Building Permit No.7078Z. . . dated . . . . . . . . . Feb 13 19.?, 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 .Private one family ,dwell 1 The certificate is issued to . AO 9911A 4,. . , . . . , . , .Owner, . . . . . . . . . . . (owner, lessee or tenant) of the aforesaid building. Suffolk County Department of Health Approval . . .JA1Y. 19 . .197.4. . p. ,R., TtUA UNDERWRITERS CERTIFICATE No.417434. . Aug. 19?4 HOUSE NUMBER . . . . . 11.95. . . . Street . . . . bler Road Building Inspect r G ',l 7 c11FfpC, Town of Southold 4/30/2022 P.O.Box 1179 53095 Main Rd Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 43033 Date: 4/30/2022 THIS CERTIFIES that the building ADDITION/ALTERATION Location of Property: 1195 Rambler Rd., Southold SCTM#: 473889 Sec/Block/Lot: 88.-5-40 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 2/5/2021 pursuant to which Building Permit No. 45828 dated 2/17/2021 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: alterations and addition,recreaction room in basement and covered boot la9rchtca cx stirs .3 prlro Msin lq-fart� eiweltitl applied f, The certificate is issued to Rainey,Sean&Diane of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 4587.9 2/11/2022 PLUMBERS CERTIFICATION DATED ....._.�. ._A� �o� "�.e�d�..w-'�• attire,....._www.�.__.�..___.. 1195 RAMBLER ROAD i OE =r nxn-- =N'T N-1 Li JFts � �` LiaEMOVE� NOFs --r77— ,�F*12; (II ir' DII95-RamblerRa--dIlSTFLOOR 5595 Rare&ter Raab;POST DETAIL "?4IN I-, A-101 PLAN (AMENDED) 3 LA 1195 RAMBLER ROAD SOUTHOLD NY 11971 BASEMENT PLAN `REV 2 DRAWINGS-3-22-22 1.,j:TSUBjS,I 12,00C STUI Must provide Manuals ;'AIN'T SNIT _ a� D.;'and S as per elb.-YS Energy C-ode Blawer .4' S� v r and du6tworl te-sti-n—c-,required. , n In F ,4,u HT- i;tiFi'.;_SpEv ' _ HAT LIC -AFF. - TiG o- R7_ l _ -- -•.-, �, F� _ .��'�t '� _ 5A]OhEr`Cr.:+_CL.- Ct•.^X?G �=r:T:C"v^F h ., �..v n4 NDOWS - _ 4 AT { -COa - _JC - C EH Pn `_NYL �' POSTS ..