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Home My WebLink About1000-56.-5-2 T V' WN OF SOUTHOLD a Rental Permit 0631 Owner Eric Baiz Occupied as Single Family Dwelling Located at 870 Bay Home Road Southold 56.-5-2 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. 8/8/2024 ode rfo e e t Official This Notice must be posted by the main entrance at all times TOWN D SOUTHOLD BUILDING DEPT. 631-765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSU ATION/CAULKING [ ] FRAMING /STRAPPING [ ]�FIRAE LFIREPLACE & CHIMNEY [ SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL #L) [ ] CODE VIO TION [ ] PRE C/O [ RENTAL REMARKS: C�l �4�04 d4v-rv,� 0140 0 &b umt," 4 a 0�hl-`114"l u DATE '� INSPECTOR Eric Baiz<eric.baiz@talktotucker.com> Gmail APR 1 7 2,9 N . ......... ............ ........... CO detector added -S 1 message ........... Eric Baiz<ebaiz@talktotucker.com> Wed,Apr 17,2024 at 10:01 AM To: Eric Baiz<eric.baiz@talktotucker.com> fU�l1��li��UV II�V�5fl8i i `: „ l�f�� /f�iii�/�/'�D�i Vi��` ��Q uuiip�'"° ��'�l�l`�Ij`I�V ar fl IN/ ew TOWN OF SOUTHOLD—BUILDING DEP�T ° , Town Hall Annex 54375 Main Road P. O. Box 1179 Souttholdi NY 11971-0959 P w, .r Telephone (631) 765-1802 Fax(631)765-9502 http jLw sogthojdt �µ,�°a RENTAL PERMIT APPLICATION Rental Permit Fee $300(Application must be renewed every two years) Section A. Property Information: Rental Property Address: 870 Bay Home Road Tax Map Number: 1000 SECTION 56 -BLOCK 5 -LOT 2 - SECTION B. OWNER INFORMATION: Eric Baiz Property Owner Name: Property Owner Legal Address: Property Owner Mailing Address: (Cannot be the same as Rental Property Address) 3130 N Delaware St (same) n ianapo s IN 49265-3919 Telephone Number(s): Daytime3176266364 Evening3176266364 Emergency 3176266364 Property Owner Email Address: Eeaiz@TalkToTueker.com Page 1 of 4 Section C. Authorized Agent Information: Name of Authorized Agent of dwelling unit, if any: (none) 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: Joanna Lane of Property Angels Address of Authorized Agent (no P.O. Boxes): 140 Wagon Wheel Ln,Cutchogue 11935 Mailing Address of Authorized Agent: (same) Number( ) Daytime Telephone s : Da i6312525653 Evenin 6312525653 Emergency 6312525653 P g�...�.._.__.w.._.._.._ g y Email Address: PropertyAngels@gmail.com SECTION E. SITE MANAGER INFORMATION: (required for rental properties containing 8 or more rental units) Name of Managing Agent of dwelling unit, if any: (none) Address of Managing Agent (no P.O. Boxes): Mailing Address of Managing Agent: Telephone Number (s): Daytime Evening Emergency Email Address: Page 2 of 4 SECTION F. PROPERTY DESCRIPTION: 1 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: 870 Bay Home Rd Requested Maximum number of persons allowed to occupy Dwelling Unit: a Number of rooms in Rental Dwelling Unit: Use and Dimensions of each room in Rental Dwelling Unit: MBRI 28X72, BR2 13X70, BR3 13X10, BR4 17X12, LR 26X9, DR 20X16, KT 14X10 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. N I 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. Page 3 of 4 SECTION H. DECLARATION: Signature must be notarized and MUST be the owner of the dwelling unit. STATE OF NEW YORK) COUNTY OF SUFFOLK) I Eric Baiz 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 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 s to any change to the information regarding Authorized Agent, Managing Agent, or Site Manager. Property Owner's Name: Eric Baiz Property Owner's Signature: A ;74 Sworn to fore file this _ day of , 20 i t P �:CH Official Notary Public Signature and Original Notary Stamp „d „a sfata of Indiana SVotary t i SEP! a a,rmtcer, arnarve� u Expires � d hey Page 4 of 4 Town Hall Annex �� Telephone (631)765-1802 54375 Main Road P.O. Box 1179 Southold, NY 11971-0959 r Ay BUILDING DEPARTMENT TOWN OF SOUTHOLD RENTAL PERMIT APPLICATION ADDENDUM Rental Dwelling Unit Identifier: 870 Bay Home Rd Requested maximum number of persons allowed to occupy each dwelling unit:, Number of Rooms in Rental Dwelling Unit:_ 7 Use and Dimension of each room: MBR7 28X72, BR2 13XI0, BR3 13X10, BR4 17X12, LR 26X9, DR 20X16, KT 14X10 Rental Dwelling Unit Identifier: (Not Applicable) Requested maximum number of persons allowed to occupy each dwelling unit: Number of Rooms in Rental Dwelling Unit: Use and Dimension of each room: Rental Dwelling Unit Identifier: (Not Applicable) Requested maximum number of persons allowed to occupy each dwelling unit: Number of Rooms in Rental Dwelling Unit: Use and Dimension of each room: Town Hall Annex Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O. Box 1179 Southold, NY 11971-0959 1q, BUILDING DEPARTMENT TOWN OF SOUTHOLD RENTAL PROPERTY CERTIFICATION Form is to be completed by a licensed architect, licensed engineer or licensed home inspector Separate form is required for each individual Rental Dwelling Unit Professional seal re uired for Architect or Engineer, Licensed Home Ins actor roust rovide copy of valid current certification Rental Property SCTM Number: 473889 56:s-2 870 Bay Home Rd Rental Property Address: Owner/Name: Eric Baiz Rental Dwelling Unit Identifier: 870 Bay Home Rd Number&Square footage of each bedroom as depicted in the attached floor plan: (i.e. Bedroom#1 — 100 sqft., Bedroom#2—90 sgft., etc.) Property Description (Include all improvements indicated on survey) House,Garage,Driveway,rear perimiter fencing, 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,the Fire Code of New York State, the Property Maintenance Code of New York State and the Energy Conservation Construction Code of New York State. Print Name and Title Original Signature Please place Professional Seal: =3 A WN OF SOUTHOLD Rental Permit { z _ 0631 Owner Eric Baiz Occupied as Single Family Dwelling Located at 870 Bay Home Road Southold 56.-5-2 Maximum Permitted Occupancy 8 Is in conpliance 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 re e%Official This Notice must be posted by the main entrance at all times *od m Town Hall Annex Telephone(631)765-1802 54375 Main RoadFax(631)765-9502 P.O.Box 1179 Southold,NY 11971-0959 P BUILDING DEPARTMENT TOWN OF SOUTHOLD Ay 1 2 20 20 RENTAL PERMIT"`APPLICATION � Rental Permit Fee $200 (Application must be renewed every two years) Section A. Property Information: Rental Property Address: S970 Say e td Z-)' � Tax Map Number: 1000 SECTION S6 BLOCK LOT Z-- SECTION B. OWNER INFORMATION: Property Owner Name: �/`te- Property Owner Legal Address: Property Owner Mailing Address: (Cannot be the same as Rental Property Address) ;an*10V b4 r jq Telephone Number (s): 317- X26 — 36 Property Owner Email Address: C 6oy z *1c>fue-ker. cvn► S Z,2 �Q Page 1 of 4 rel , Section C. Authorized Agent Information: Name of Authorized Agent of dwelling unit, if any: &0A)E-) Address of Authorized Agent (no P.O. Boxes): Mailing Address of Authorized Agent: Telephone Number (s): Email Address: Section D. Managing Agent Information: Name of Authorized Agent of dwelling unit, if any: AA . qG W i e�S Address of Authorized Agent(no P.O. Boxes): /Ydof .1 W LN Cv4eAp e. 1173s" Mailing Address of Authorized Agent: �a'►�e) Telephone Number (s): G3!—.ZS.2-S'6 5-3 Email Address: roI- � + SECTION E. SITE MANAGER INFORMATION:(required for rental properties containing 8 or more rental units) Name of Managing Agent of dwelling unit, if any: ljmok Address of Managing Agent (no P.O. Boxes): Mailing Address of Managing Agent: Telephone Number(s): Email Address: Page 2 of 4 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: 20 A4 o! . Requested Maximum number of persons allowed to occupy Dwelling Unit: 00 Number of rooms in Rental Dwelling Unit: 7 Use and Dimensions of each room in Rental Dwelling Unit: MW 01(12-•1W Z- 1V fZ' x 3x ► ' kT 14)e Io ` -26 X 4 ' o X!6 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 NYS licensed architect, a NYS 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 thelawsadopted by the New York State Fire Prevention and Building Code Council. C/ I am requesting a fire safety inspection to be performed by a Code Enforcement official from the Town of Southold. -WS was &/fraeify JoAa 6 y fAe f 4 5 fcrY of 7%c Pre-CO cess . Page 3 of 4 ❑ 1 am submitting a completed Town of Southold certification form from a licensed architect,a licensed professional engineer, or a licensed home inspector who has a valid New York State Uniform Fire Prevention Building code Certification. SECTION H. DECLARATION: Signature must be notarized and MUST be the owner of the dwelling unit. STATE OF NEW YORK) COUNTY OF SUFFOLK) I Tr'rc' tsaf% Z 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 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 s to any change to the information regarding Authorized Agent, Managing Agent, or Site Manager. Property Owner's Name: Property Owner's Signature: Ilk' Sworn to before methis day of , 2020 s) � I ' �" � - „ tee �,y 6 , Official Notary Public ignature and Original Notary Stamp �f ,°�, „;, C� � Page 4 of 4 3/6/2020 Footprint of House-1st Floor b.jpg LP GAS ► 8. 9 . E. 6, 1 ' 12.0' 0 7. 4 ' 10. 1 ' * � 9.0 0 0 Dining Living WOOD --9 Room Room t DECK V Half Bath K% en Laund 5.5ry 13.9 9.0 870 Bay Home Rd stode 1st Floor Feng March 6, 2020 https://mail.google.com/mail/u/0/#inbox?projector-1&messagePartld=0.1 1 N 3/6/2020 Footprint of House-2nd Floor b.jpg F= Filre/Smolce Interconnected CM = Carbon Monoxide w E 6. 1 ' 11 . 4 17 . 0 ' Northcentral Northeast H Bedroom w Bath room Bedroom , 00 - FTI 0 N o FTI South Master Suite Southeasp. Bedroom Halt Bath 28. 4' 870 Bay Home.Rd 2nd Floor March 6, 2020 https://mail.google.com/mail/u/0/#inbox?projector-1&messagePartld=0.2 1/1 TOWN OF SOUTHOLD PROPERTY RECOI OW�NE� STREET VILLAGE DISTRICT SUB. LOT _ � a FORMER OWNER N E ACREAGE E S V TYPE OF BUILDING RES. e� SEAS. VL. FARM COMM. IND. I( CB. MISC. LAND IMP. TOTAL DATE REMARKS _- f 1/0 l I AGE BUILDING CONDITION NEW NORMAL BELOW ABOVE Farm Acre Value Per Acre Value Tillable 1 Tillable 2 Tillable 3 Woodland -- -- „� x Swampland Brushland Plot TDA I_ ,� Y - y e �,t , y e z ev I 17 , - 56.-5-2 10/2014 5114 u71 Foundation SIT)C— Bath M. Bldg - ,� � � C1 � - 1 Extensi x' - _ - Basement Floors i �' /J �' 2- �� " �� Extension Ext. Walls Interior Finish E ensue Fire Place Heat Porc'� Attic E - P orc 1 Rooms 1 st Floor B4. - Patio Rooms 2nd Floor t Driveway Gcrcge O. B. y .... .. .. ..... ..... ...... 'qI f 0 ww o 0 ilk,ffk, 11,o% 41,s ft�j o o 0 0 l�, o 11 f, kA iv 1, 'k I �'o, P q Off"I wl, s 41 S f 0 0 4 10 0 P f I M MOM 10 Of f 0 M I 1 0, �l 0 t 0$ 0 t 0 0 t t 10 11 11, ��j ,to I I 11,�10 1 1,�f I I�!� 1,�I�I f @ f t , 16- ................................. .......................................................... ................. co Ln U) tA— o Lon, cn 0 coo 0 o 0, 6wro ff (D E N ...... 4-JNero f", 0 CL f 0 tEo 'L1. CD co V N,lf� ej > LL or) t Ln 4-J °CS m Qj — CL 10 N r— CL C CL cy') 0 (0 a°a4-J 0 ea H CD rro ms i CJs � r- El 0 co v U) 2� cn C m z C, w CID tj . ... ........ EC ........... "S ne rnZ 11w c�rMa,%Y4S -J Z, e LL :7 ......... 0 0 o 9 0 CL w ,ql "Y"6/ Yfff ;'?'I 11TI' rrq'Tn,f..........jrrrrrn� �rtrf'rrrf �rrrlvtlr�f ro pirrry'ry"� fllr.......... Ill t F?I v fl P, W 04 M 40 Mi Mf MHO Mo, Vo t, k MjfjM 10OW MNNMMOfd 0 1 Gf 0 t If if OMMI MtW MMO AMMi t ff,0 MIH4 10 0 M'M . .......... ........ Town of Southold 12/13/2019 53095 Main Rd Southold,New York 11971 00 1#0 ........... ................ PRE EXISTING CERTIFICATE OF OCCUPANCY No: 40894 Date: 12/11/2019 THIS CERTIFIES that the structure(s)located at: 870 Bay Home Rd., Southold SCTM 473889 See/Block/Lot: 56.-5-2 Subdivision: Filed Map No. Lot No. ..........--.................................. ....... ..................................... conforms substantially to the requirements for a built prior to APRIL 9, 1957 pursuant to which CERTIFICATE OF OCCUPANCY NUMBER Z- 40894 ........... .......... dated 12/11/2019 was issued and conforms to all the requriernents of the applicable provisions of the law. The occupancy for which this certificate is issued is: �Koq I MAjthAqqes �l fTaTne,Qnqf4wj1y dwqtj t_LQry wqQ -a . dote:42004'gLs baht!alt qrACLqtgs and add i(RovL _ )LIQ IAJJOl L: deck addition r _!rgsa variance from s_4nd qqu /,onui,,RQ l_ofA)IV�& a.Building ut. jtjg-� 4jj _Pern The certificate is issued to Baiz, Eric ........... ...... (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED *PLEASE SEE ATTACHED INSPECTION REPORT. t riz- ignature BUILDING DEPARTMENT TOWN OF SOUTHOLD H IJSING CODE INSPECTION REPORT LOCATION: 870 Bay Home Rd.,Southold SUFF.CO.TAi-MAPNO'------ 56.-5- �... �-www.....a�._....�.� _.......,�.,��,-SUBDIVISION: NAME OF OWNER(S): Baiz,Eric OCCUPANCY: ADMITTED BY: SOURCE OFREQUEST:-. Baiz,Eric......_ ric...... DATE......_...12/11/2019 .......... .......... ... ____ ................................. .............__._.._._.......................... DWELLING: #STORMS: 2 #EXITS: 2 FOUNDATION............. ................ brick.., CELLAR: partial CRAWL SPACE: ............... .........._........ ................ BATHROOM(S): I TOILET ROOM(S): 1 UTILITY ROOM(S):1111111111 PORCH TYPE: DECK TYPE: PATIO TYPE: ,,,,,,,,,,,,,,,,,,,,,,,,,,,_.,.....................,,,-w.__. BREEZEWAY: µX µµ FIREPLACE: I GARAGE: DOMESTIC H06fWA—HR- x TYPE HEATER: electric AIR CONDITIONING: TYPE HEAT: oil -.1-1.1-....,... . HOT... jk radiator .4....... ...w ....... ........... #BEDROOMS: #KITCHENS: I BASEMENT TYPE: unfinished ........... OTHER: ACCESSORY STRUCTURES: GARAGE,TYPE OF CONST: wood frame STORAGE,TYPE OF CONST: ........................ SWIMMING POOL: GUEST,TYPE OF CONST: OTHER: VIOLATIONS: ................-.1--.- "as built"deck addition requires a variance from the Zoning Board of Appeals and a Building Permit. - ----------_1111- REMARKS: .' 11111-11............................. .... ....... ........... .. .... .......................... ...... .11,111,111,11,...............11111111111111--_,"....... ........... .................... INSPECTED BY: JOHNJ DATE OF INSPECTION: 5/1/2018 TIME START: 11:35am END: 12:20pm tkt4" -,;,tz Town of Southold 12/11/2019 tt� � P.O.Box 1179 n 53095 Main Rd Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 40893 Date: 11/25/2019 THIS CERTIFIES that the building RESIDENTIAL ALTERATION Location of Property: 870 Bay Home Rd., Southold SCTM#: 473889 Sec/Block/Lot: 56.-5-2 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 4/24/2018 pursuant to which Building Permit No. 42604 dated 4/25/2018 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: "'as built"alterations andadditiorxs clic g paw cr par .w pa yc t d_to llv c ��c 4nd e:aclosed )ox•ch to a:a e:cisti:a one familydwelling s qlplied fc�rmn The certificate is issued to Baiz,Eric of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 42604 7/17/18& 11/11/19 PLUMBERS CERTIFICATION DATED 7/6/2018 enry Srnit :tl Signature FQC�p Town of Southold 10/5/2021 � P.O.Box 1179 53095 Main Rd w„ Southold,New York 11971 Zzd CERTIFICATE OF OCCUPANCY No: 42404 Date: 10/5/2021 THIS CERTIFIES that the building AS BUILT ADDITION Location of Property: 870 Bay Home Rd, Southold SCTM#: 473889 Sec/Block/Lot: 56.-5-2 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 11/4/2020 pursuant to which Building Permit No. 45462 dated 11/18/2020 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 with partial roof over to existine sin le family dwellin 01.i.0 for per ZBA" I ,d4ted 9/17/2020. The certificate is issued to Baiz,Eric of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED _............................ _., Aut�� r e..... nature �at" � ................_ ..