The URL can be used to link to this page

Home My WebLink About1000-63.-1-25.3 .g g TOWN OF SOUTHOLD Al Rental Permit 0642 V- Owner Peconic Land Trust Inc Occupied as Single Family Dwelling Located at 3005 Youngs Ave Southold 63.4-25.3 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. 5/22/2024 c� nfo ment Of This Notice must be posted by the main entrance at all times ffift TOWN OF SOUTHOLD BUILDING DI 1802 6sr INSPEC ION [ ] FOUNDATION I ET [ ] ROUGH PL13G. [ ] FOUNDATION 2ND [ ] INSULATION/CAI [ ] FRAMING / STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY IN! [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PE [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (F11 [ ca [ DE VIOLATION ] PRE C/O [] REMARKS: DATE � INSPECTOR f Fat Town Hall Annex SO Fat Town of Southold 54375 Main Road °. c Rental Inspection Report PO Box 1179 Southold, NY 11971-1179 Tel: 631-765-1802 SCTM #,,, .. . _. .... , .. ._ ?. ..._ .,`" � ._ . �. ... ._.w..._ _ .W. __... .. .._. ... .. Date. ..... . ,.a .. .1 Owner �• t C.t.�C 'Phone ,Address ' �� +. ........ .. ...... . ... __w...._.... Visible „ ......._ . . _.e_..._ .., Hamlet i Inspector . ,� ..._..�. �. .... ,. _.. . .._.W., Floor Level Quantities Sub 1 ,. M 2 3 Smoke Detectors(not located in bedrooms) . Carbon Monoxide Detectors Fire Extinguishers Exits Bedrooms 1 2 ( 3 4 5 6 Smoke ke Detect � ors .a,� �...��.. ss . . _..: Occupant Count » Building Systems Maintained &Operational... ..... BuildingConditn of interior Heating _... a.w_.._�._. .. .....m.,,e Hot water Elect Building exterior ...�.. ......... ...._. w...� _.. . � .n�...m,.� ..�.,.. � . Electrical Property clean, maintained &safe 'Mechanical d,,.._......... ._...._,� .._�.. .. _._.._ .......... . .. m .. �a Handrails &guards installed & secure Pool Safety ;Pool on Site Surface water alarm Date of CO issuance Door alarms Pool completely enclosed ..._-- ....... . ,.. ._.....--l ...._. _. - . ;Self closing/ latching gates Pool fence to code requirements CO's for all items present Prior Rental Comments. Tuo"WWWN OF SOUTHOLD 4r� _ Rental Permit 0642 Owner Peconic Land Trust Inc. Occupied as Single Family Dwelling Located at 3005 Youngs Avenue Southold 63-1-25.3 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. 5/12/2022 IL Yde y � official This Notice must be posted by the main entrance at all times Town Hall Annex ",°1 Telephone(631)765-1802 54375 Main Road Ij Fax(631)765-9502 P.O.Box 1179 Southold,NY 11971-0959 f' BUILDING DEPARTMENT TOWN OF SOUTHOILD RENTAL PERMIT APPLICATION Rental Permit Fee$200(Application must be renewed every two years) Section A. Property Information: Rental Property Address: 3005 Youngs Ave., Southold, NY 11971 Z Tax Map Number: 1000 SECTION 63 -BLOCK 1 _-LOT 25 _ J SECTION B. OWNER INFORMATION: Property Owner Name: Peconic Land Trust Property Owner Legal Address: Property Owner Mailing Address: 296 Hampton Rd. 296 Hampton Rd. Southampton, NY 11968 Southampton, NY 11968 Telephone Number(s): Daytime 631-2813-3195 ext.43 Evening631-5065-1210Emergency Property Owner Email Address: dheston@peconiciandtrust.org/jwilson@peconiclandtrust.org Page 2 of 5 Town Hall Annex Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 r w P.O.Box 1179 Southold,NY 11971-0959 BUILDING DEPARTMENT TOWN OF SOUTHOLD Section C. Authorized Agent Information: Name of Authorized Agent of dwelling unit,if any: Daniel Heston Address of Authorized Agent(no P.O. Boxes): 296 Hampton Rd. Southampton,NY 11968 Mailing Address of Authorized Agent: 296 Hampton Rd. Southampton,NY 11968 Telephone Number(s): Daytime 631-734-5630 Eveltin '18 381µ4488 Emergency Email Address: dheston@peconiclandtrust.org Section D. Managing Agent Information: Name of Authorized Agent of dwelling unit, if any: Daniel Heston Address of Authorized Agent(no P.O. Boxes): 296 Hampton Rd. Southampton,NY 11968 Mailing Address of Authorized Agent: 296 Hampton Rd. Southampton,NY 11968 631-734-5630 Cell. 516-381-4489 Telephone Number(s):Daytime _Evening ,Emergency Email Address: dheston@peconiclandtrust.org 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): Page 2 of 5 1 Town Hall Annex " Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1 179 Southold,NY 11971-0959 0 Owl a,rzrr ,t, BUILDING DEPARTMENT TOWN OF SOUTHOLD Mailing Address of Managing Agent: Telephone Number(s): Daytime EaetaiD&._.._._,_...,_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, 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: House Requested Maximum number of persons allowed to occupy Dwelling Unit: 2 Number of rooms in Rental Dwelling Unit: 10 Use and Dimensions of each room.irl Rental Dwelling Unit:. Q'st Floor ,Pedroom 114ft.6in x 12ft.) Dining ( ) Room (19ft.x 14.51 ),L�i�ring Room " ,19ft. 6in.x 13ft.6 in.) KirttclhenArea 14ft.x Eft. �.t�nl ()4ft.x 12.5ft.) Laundry(I Oft. loin x aft.6in.),Second Flm;( - Bedroom 2 15ft.x 13ft.6in.) Bedroom 3 .Sin.x 14ft.6in.),Bedroom 3B( .6ft.x loft.),Storage Room(14ft.x 12ft.) ( Page 3 of 5 Town Hall Annex Telephone(631)765-1802 54375 Main Roads �J Fax(631)765-9502 'r 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. ® 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. SECTION H. DECLARATION: Signature must be notarized and MUST be the owner of the dwelling unit. STATE OF NEW YORK) COUNTY OF SUFFOLK) I Pamela Greene-PLT sr.Vice President 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 �f Fax(631)765-9502 P.O.Box 1 179 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. 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 Owners Name: Peconlc Land Trust . Pamela GreeneSr. Vice President Property Owners Signature:,__...................... " n o ef'or me this da Sw L v of ; ,� ° �,� ,� �A 20_2-< Official Notary Publignature and Original Notary Stamp KNOERLY WARTY NOTARyp &Ljef STATE of NEW YORK .01I 4 ? 1n suft&County Coggninipn ExOW odobw 3.2023, Page 5 of 5 ria DEPT.TOWN OF SOUTHOLD BUILDING 765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION/CAULKING [ ] FRAMING /STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) [ ] CODE VIOLATION [ ] PRE C/O REMARK 7", . &�,, yl M 1 9V CMAVMJVkk,- in-M PrA t vj DATEqINSPECTOR DEPT.q so TOWN OF SO THOLD BUILDING oom, 631-765-1802 c¢ r INSPECTION [ ] FOUNDATION 1STROUGH PL13G. [ ] FOUNDATION 2ND [ ] INSULATIOWCAULKING ] FRAMING /STRAPPING C ] FINAL CFIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] CC l] FI RESISTA NT RATION I ) ELECTRICAL CODE VIOLATION E CTAL G� REMARKS: DATE C)C) f f s N� dA �,✓" 1 r✓� ti i ba.• rq3. I �i rr f k`ryf�7r� ✓ �;(r pA SCTM # TOWN OF SOUTHOLD PROPERTY RECORD OWNER STREET VILLAGE DIST, SUB, LOT - t o6r , Ire , €£ � ; _ ACR. REMARKS TYPE OF BLD. PROP. CLASS LAND IMP, TOTAL DATE i FRONTAGE ON WATER HOUSE/LOT _ I BULKHEAD TOTAL TOWN OF SOUTHOLD PROPERTY RECORD OWNER STREE=T �� VILLAGE DIST.; SUB. LOT p FORMER OWNER Ns E_ ACR. r .6 Swi TYPE OF BUILDING RES. SEAS. VL. FARM _ ° . CB. MICS. Mkt. Value LAND IMP. TOTAL I DATE I REMARKS : J. --------------- 1 V } l r- F as tig � _ E f _ � a ( F i t AGE��;. = BLINDING CONDtTiqNA fr �- NEW NORMAL BELOW ABOVE z r = FARM Acre Value Per Volue Acre„ - - E i _ Tillable FRONTAGE ON WATER�' I �` � ��;�_��m a Woodland - FRONTAGE ON ROAD �� g C' in _ Meadowland DEPTH —y A $ _ 1 House Plot BULKHEADS �4 z Total " DOCK 3 e �� b , w ) TRIM - L OR t r _ yam f h -5 f y z r \ 63.-1-25.3 3/2014 - � M. Bfdg 3 7 C! s ] m a Extension see 6 Extension Extension 1` T � ;Foundation !Both Dinette f ;� Porch Basement ;Floors 'K. C Cr ;i tr ; Ext. Wars _ t for Finish -� _ Enter R ` Breezeway Fire Place Hcar 1v R m Mai , ; DrZ, Garage Type Roos` <Reoins 1 s'c Floor i BR. Polio Recreation Room, ,Rooms 2nd Floor i HN,N. E O. B. - Dormer ` Driveway Toral f-7 _7 50 d r FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT office of the Building Inspector Town Hall Southold, N.Y. PRE EXISTING CERTIFICATE OF OCCUPANCY No: Z- 32935 Date: 03 19 THIS CERTIFIES that the building DWELLING Location of Property 3005 YOUNGS AVE SOUTHOLD (HOUSE NO.) _ (STREET) (HAMLET) County Tax Map No. 473889 Section 063 Block 0001 Lot 025 Subdivision Filed Map No. Lot No. conforms substantially to the Requirements for a t;.11NE FAMILY DWELLING built prior to APRIL 9 1957 pursuant to which CERTIFICATE OF OCCUPANCY NC Z- 32935 dated MARCH 19,_ 2008 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 FAMILY DWELLING WITH ACCESSORY BARN 2 SHEDS OUTHOUSE PUMP ROOM & CHICKEN COOP* The certificate is issued to DANIEL CHARNEWS (OWNER) of the aforesaid building. Su7FOLR COUNTY DEPARTMENT OF HEALTH APPROVAL NCA ELE(.'1"'i"t.ICAL CERTIFICATE NO. . ......N,. A pIA)WMERS CEMTIFICATION DATED SIA *PLEASE SEE ATTACHED INSPECTION REPORT. a Authorized Signature Rev. 1/81 BUILDING DEPARTMENT TOWN OF SOUTHOLD HOUSING C0R'S 1# PECTION REPORT IACNITI0E: -,,,_..._.3005 YOUNGS AVE �. ....._ SOUTHOLD SUBDIVISIOK: KSP NO.; IAT (S) BUM OF ONNER (S): DANIEL CHARNEWS OCCUPARM: ONE FAMILY RESIDENCE DANIEL CHARNEWS _,_ ADNQITED BY: DANIEL CHARNEWS BY: SAME �... IMy AVAIL RWA. SAF. CO. TAX MAP Y0.: 63-1-25___ S0UR= OF BEQUEST: DANIEL CHARNEWS„w„m-..,3., 13 f 08 DASS: 03/19108 DWELLING: TSPS OF CONSTRUCTION: WOOD F # STORIES: 2.0 '# EXITS: 4 00 wON: BRICK KBEDATr C MLM. FULL CRAM SPACE: TOTAL ROOKS: LST FLR.: 5 22D 6 32D FLY'..: 0 BATBROOK(S): 1.0 '„o (S) 0.0 UTILITY ROM(a): 1 Iw` �el '10 POBCfi TYPE: COVERED : _ PATIO TYPE: .: mow: FIREPLACE: YES _.. _ GARAGE: 04 DOMESTIC HOTNATER: YES TYPE HBi1TBQ: RADIATORS..... A TTI : TYPE FEAT: STEAM EMN AIB: ElOTHATER: YES OTBBQ: _ ) '. a ACCESSORY STRUCTURES: ,o GARAGM, TYPE OF OOMr.: STCOU E. TYPE CONST.: BARN MMM sulmotm POOL: GUEST, TYPE COEST.: OTBMt: 2 SHEDS OUSE PUMP ROOM & CHICKEN COOP. VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE LOCATIONDESCRIPTION ART. SEC...,,. l p N REN►RES: BP�19824-Z-COZ-1992]. (REBUILD PORCH) 3399PBCTM BY: DATE ON n SFElCrrON: 03119/08 GEORGE GII ill TIME STANT; BND: �' L FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-19921 Date MAX 20 1991 THIS CERTIFIES that the building ALTERATION Location of Property, 2785 YOUNGS AVENUE SOUTHOLD N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 63 Block 1 Lot 25 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated APRIL 29 1991 -pursuant to which Building Permit No. 19824-Z dated APRIL 30, 1991 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 REBUILD EXISTING PORCH AS APPLIED FOR. The certificate is issued to DANIEL CHARNEWS & WIFE (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO, N/A PLUMBERS CERTIFICATION DATED N/A Bu:a.:lding Inspector Rev. 1/81 Town of Southold 5/20/2021 a P.O.Box 1179 53095 Main Rd Southold New York 11971 CERTIFICATE OF OCCUPANCY No: 42040 Date: 5/20/2021 THIS CERTIFIES that the building ALTERATION Location of Property: 3005 Youngs Ave., Southold SCTM#: 473889 Sec/Block/Lot: 63.-1-25.3 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 12/19/2012 pursuant to which Building Permit No. 45736 dated 1/27/2021 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: athroorn altegtio�aWteawwp exitin sin*le tlaaaµa dwlin as a lief fear. The certificate is issued to Peconic Land Trust Inc of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 45736 4/29/2021 PLUMBERS CERTIFICATION DATED 4/19/2021 oni . J Hewlitt 1 w......_....... w ....w rye. ..i .. .w.__.. .... ..... nature PECONIC LAND TRUST June 10,2021 To: Town of Southold Building Department Town Hall Annex 54375 Main Rd. PO Box 1179 Southold, NY 11971-0959 RE: Application for Rental Permit Charnews House—3005 Youngs Ave., Southold,NY 11971 SCTM#: 1000-63-01-25 Dear Sir/Madam: The Peconic Land Trust is requesting a Rental Permit for our Charnews House,location referenced above. Enclosed please find our check#40129 in the amount of$200.00 to cover the rental permit application fee along with the following: • Application for Rental Permit • Floor Plans • Certificates of Occupancy Should you have any questions or require additional information, please do not hesitate to contact me. Very truly yo rs,. ' 0Z"'602<'-I J cque ine Wilson Stewardship Program Coordinator Southampton, NY 11969 (631)283-3195 Ex. 43 Enclosures 296 HAMPTON ROAD I P.O.BOX 1776 1 SOUTHAMPTON,NY 11969 1 TEL:631.283.3195 1 FAX:631.283.0235 www.peconiclandtTUst.org