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Home My WebLink About1000-65.-1-2 TOWN OF SOUTHOLD Rental Permit 0926 Owner Mitchell Paul Fam Irry Trt Occupied as Single Family Dwelling Located at 1630 Town Harbor Ln Southold 65.-1-2 Maximum Permitted Occupancy 4 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. 6/8/2023 _ Code 1= forcdent Official This Notice must be posted by the main entrance at all times f 1P, Town Hall Annex Telephone(631)765-1802 54375 Main ROM � � Fax(631)765-9502 P.O.Box 1 179 Southold,NY 11971-0959 BUILDING DEPARTMENT TOWN OF SO 'FOLD RENTAL PERMIT APPLICATION Rental Permit Fee $200(Application must be renewed every two years) MAY 3 0 2023 3CVi1Vn A+ Property Information: Rental Property Adore s: 1�a upe Tax Map Number: 1000 SECTION f..,--BLOCK -LOT SECTION B. OWNER INFORMATION: Property Owner Name: ,.,, + � - Property Owner Legal Address: Property Owner Mailing Address: ' - - ' Telephone Number (s): Daytime '��S7 G Evening6�EmergencyS�/67/3 3665 Property Owner Email Address: N /�e �x Ca C' 10 5- 34 -a Page 1 of 5 M . Town Hail Annex � , Telephone(631)765-1802 54374 Main Road Fax (631)765-9502 111.0.Box 1 179 Southold,NY 11971-0959 " " �� BUILDING DEPARTMENT TOWN OF SO 117HOLD Mailing Address of Managing Agent: Telephone dumber (s1: Daytime� EveningEmergency Email Address: y�� 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: /67)� d ��Ow/ j 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: ��. , Page 3 of 5 r"' riv sok Town Hail Annex � Telephone(631)765-1802 54375 Main Road Fax (631)765-9502 P.O.Box I t79x' Southold,NY 11971-0959 BUILDING DEPARTMENT TOWN OF SO SCOLD RENTAL PERMIT APPLICATION ADDENDUM Rental Dwelling Unit Identifier: 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: 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: Requested maximum number of persons allowed to occupy each dwelling unit: Number of Rooms in Rental Dwelling Unit: Use and Dimension of each room: "telephone(631)765-1802 Town Hall Annex 54375 Main Road Fax(631)765-y502 P.O.Box 1 179 ., Southold.NY 1 1971-0959 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. kg" 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) 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 � 4 s ;., w Town Hall Annex -'relephone(631)765-1802 54375 Main Road Fax(63I)765-51502 Y.O.Box 1179 ti Southold,NY 1197[-0959 cou 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. [9r" 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) 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 vat so sh TOWN OF SOUTHOLD BUILDING DI � w 631 -765-1802 INSPECTION [ ] FOUNDATION 1 ST [ ] ROUGH PL13G. [ ] FOUNDATION TND [ ] INSULATION/CAt [ ] FRAMING / STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY IN! [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PE [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL {FII [ ] CODE VIOLATION [ ] PRE C/O [ REMARKS: oko, NA &,Lh � � _� �asz�"4, DATE — INSPECTOR fi Town Hall Annex QUT � D 54375 Main Road PO Box 1179 Southold. �,. entaDSPs'ct9 9n NY 11971-1179 Tel 631-765-1802 Fax 631-765-9502 " Date STM # Phone Owner Address � ® /7 zip �. Inspector city ffff=Ih�la� �1�� Et, .. 3 EV_ELS SUB .._ _........ w L moke Detectors # " bedroom detec S ... ......tors..excluded ... f .. .. .... ._,. Carbon Monoxide Detectors (#) .. Fire E r'9ii Exits /A 1y �>>�� r t _...."_ � ....... _... .._... BEDRO Detector Alarms (#} "' ms (# Carbon Monoxide Aiar N (windowsl Y R IN i ONDT Y/NCONDITION .. IION OF PROPS TY � � ress BUILDING SYSTEMS . ... "� �° s stern rnaint...,_n " rn,en 9 s c ear � m<�inta ned Heats / wined, �afiona _. ". Bui .....wat � tai _... peratnonai Property E x eno �s cigar ma maimed Not water sw ---1 - '...inedio r . _ .." safe ( maintained ed/ofrerationa; P Y . ert is clean..... ....."...��w...... ." .._. tncal s� s� maintain Ha ...... McC anlCa� S� �tenl ratlOna� ndrals P ent J��7 /�{'�� s res marntarne e a ' VMS CONI _.w"".._ .. . _ .. "._. _"" 4!"120121 Rentai l^.spectior ""o'rr r f,l-ANU,- .a I `�. . � I, �� TOWN OF SOUTHOLDT � 1 � 1 �gtgARD I OWNER !STREET ,,- VILLAGE DIST_ SUB. �T j FORMER OWNER� = I N E _ ACR 11 S_ W TYPE OF BUILDING 4 i RES_ SEAS. VL. FARM 1 COMM. CB. MICS. Mkt. Value LAND IMP. TOTAL DATE REMARKS 3 ILI- s �E F J if ti — 9 I i I AGE BUILDING CONDITION NEW NORMAL BELOW ABOVE Acre Value Per Vclue Acre Tillable FRONTAGE ON WATER : Woodland FRONTAGE ON ROAD Meadowla E DEPTH House Plot . BULKHEAD Total DOCK t TOWN OF SOUTHOLD VaOPERTY RE(q ID OWNER STREET VILLAGE DISTRICT SUB. SOT FORMER OWNER IN E ACREAGE 1 TYPE OF BUILDING REQ Est. Mkt. Value VLFARM COMM. IND- CB. misc. SEAS . LAND IMP, TOTAL DATE REMARKS C6 1IDS 4�X, , --AGE BUILDING CON TIQ111A NORMAL -BELOW ABOVE FRONTAGE ON WATER Form Acre Value Per Acre Value FRONTAGE ON ROAD Tillable I BULKHEAD 4f Tillable 2 DOCK Tillable 3 Woodland Swampland Brushland House Plot Total a t � M. Bldg. Foundation Bath Y Extension �t - Basement a Floors - Extension L t Walls ate.or i i:ish � Extension Fire Place < Heot { Porch R 3 pF-- t, - Pore; R_)n.s I st Floor - Breezewav Patio Rooms 2nd Floor Garage Driveway Dormer \.f. B. l TRIM f Off ! ! i E 3 r a , . i s a i T - - -._ E Extension - va Extension Extension Foundation Both - - .:erEo Porch Basernenfi Floor; Porches Ext, Wes'?s = Interior Finish LR. - E i Breezeway Fire Place ' Hent Dt�, 1 Garage Type Roof Rc.nns 1 s, Fbar Patio Recreation Roar < �t -- Ruarns 2nd Flour 0. B. � � �Dormer E ivewav Totai i i F"N TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERKS OFFICE SOUTHOLD. N. Y. CERTIFICATE OF OCCUPANCY No. 4105. .......... Date .... ...... ...... .............. 19.4 THIS CERTIFIES that the building located at VIS...Town..Harbar...:�`'ane......... Street Map No.010?tft...... Block No. ................Lot No. Z*2a conforms substantially to the Application for Building Permit heretofore filed in this office dated ....................Ame_......I......._, 19..6.2, pursuant to which Building Permit No. VfN...... dated . ......... ..........ZUTW......5... ........ 1963..., 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 Trivato..Pne...famllv� ..dV.01.Ung_... ......... ...... ............. .... This certificate is issued to .......... .... ...... ...... .... .. (owner, lessee or tenant) of the aforesaid building. K.D. CK/ Aug, 161t63- Building Inspector YOM X06 4 TOWN OF SO OLD BUILDING DEPARTMENT Town Qerles Office Southold, N. Y. O P OlA Certificate Of Occupancy No. 095.9 . . . . . . Date . . . . . . . . . . . . . . . . Dec. . IA . —, 19.7.7. THIS CERTIFIES that the building located at . . .Town.Hax-bar. .1,as^ . • . . . Street Map No. . Aye r iron. . Block No. . . . . . . . . . .Lot No. .21 . . . .Southold. . .N.Y.., . . . . . .. . . . conforms substantially to the Application for Building Permit heretofore filed in this office dated . . . . . . . . . . . .S.ept. . .1$19.73 pursuant to which Building Permit No. .07W. dated . . . . . . . Sae p t. .1.8. . . . . . .. 19 73 ., 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 with, IXAX on. . . . . . . . . . . . . . . . .. . . . . . The certificate is issued to . Faul.L.•. Xltc.hela.. . . . . %wr e.3Z. . . . . . . . . . „ . . . . . . . . . . . . . . (owner, lessee or tenant) of the aforesaid building. Suffolk County Department of Health Approval . NAR.. . . . . I . . . . . . . . . . . . . . . . . . . . . . . . UNDERWRITERS CERTIFICATE No. pending . * . . . . . . . „ . , „ HOUSE NUMBER . . . . . .1.630. . . . Street . .TQv ix Jia rbgr.Dane . . . . . .. . Amt-hAld. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . „ . . . . . . . . . . . . . . . . . . . . . Building Inspector FORM NOS 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERKS OFFICE SOU LD, 144. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT`ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) �� 680 Z Date ....�e...............18...................., 19..73. Permission is hereby granted to: ......Paul--41!i tehel l........................................... ............. 44a................................. ................. o�[tjcro�d. ....................................... to .......................... ................................................................. ... .......................................................................................... at premises located at .....1.Gt..20...�...pt..a1....."P.--cit.-Overten.............................................. ..................................W/Q....J11 opm..iiaTt-or-1 ante........... .............. ..................................................................................•.............................. •..........................................r..• pursuant to application dated .......................�Iept. ........%Z.•••••• ., 19.73..., and approved by the Building Inspector. Fee ........... 1 BuiWng tnspector FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT � Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-20266 Date OCTOBER 7 It 1991. THIS CERTIFIES that the building ACCESSORY Location of Propert:w 1630 TOWN HARBOR ROAD SOUTHOLD N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 65 Block 1 Tat 2 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated JUNE 26, 1991 pursuant to which Building Permit No. 19991-Z dated JUNE 28 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 ACCESSORY STORAGE BUILDING AS APPLIED FOR. The certificate is issued to PAUL L. MITCHELL (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL NIA UNDERWRITERS CERTIFICATE NO. N/A PLUMBERS CER'TIFICATION DATED N/A Bu"' ding Inspector Rev. 1/81 TOWN Of " ., BU"NG POARTWNY y~0000softe, Southold,N.Y. Carfift4we Of OCCUPWCY No. . .�4 0. . . . . .. . . Data . . , . .OctobAr. 14. . . . . . .. ... 197°. TIES CERTEFIES that the building . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . .. . . . .. . . . . . LOOM of Prapwty 16110 . . . . Harbor L�a�m . . . . . . . . * .. . . . .. .. .. . No ' Lot . .County Tax Map No. 1006 Section . . . . . . , . 01. . . . . . . . . .. .. .. . . . ..... ... . `w Subdivision. Jens►th*-n Ovprten. . . . . . . . . . No. C15p) . .Lat NO. _lit.M PC conform substwitiaRy to the Application for 8WbdWg Foadt-hwWomMad in. Ind July 10 19 7GP�'�dto Permit No. . . . . . .. . . . . .. . . . . . . . . . . . . , dated .!7AT. f} . . . . . . . . . . . . . . . . . 19 7 and conform to all,of the ea►te of the app&sbie providons of the kw.Tlye 00044MY for which thb c wtW"te is bmd it . . . . . . .. . . . . . .Ong'. rAm11y Dw-11 in with AceRaeory.S"cturp, . . �. , The cer irwate is issod to . . . . . . . . . .Te-. .M .. . . . . . . . . . . . . . . . . .. . of the a Ir*s#M building. SWo#k Comty Deputrneat of � . . . . . . . . . . ..! . . . . . . . . . .. . .. . . . . . . . . . . . .. . N rR UNDEINWRITERS CERMCATB NO. . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..� . . . . . . . . . Buflding 4�