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Home My WebLink About1000-59.-2-27 v "WN OF SOUTHOLD za g Rental Permit 0652 Owner Nadine Araoz & Robert Beuka Occupied as Single Family Dwelling Located at 175 Birch Road Southold 59.-2-27 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. 6/3/2024 )g&a Code Cnfor&nent ofAc This Notice must be posted by the main entrance at all times F saucy TOWN OF SOUTHOLD BUILDING DEPT. Iarr�rn�� 631-765-1802 = wm 1 � � PP CTION [ ] FOUNDATION 1 ST/ REBAR [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION/CAULKING [ ] FRAMING /STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FIN L) [ ] CODE VIOLATION [ ] PRE C/O [ ENTAL � o soya TOWN OF SO L 8 ING DEPT. 5-1802 S;:;I NN [ ] 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 (FINA [ ] CODE VIOLATION [ ] PRE C/O [ RENTAL REMARKS: 9 <o Ru es5 qj�f, 4V (/1L n Town Hall Annex Town of Southold 54375 Main Road Rental Inspection Report PO Box 1179 Southold, NY 11971-1179 �w W Tel: 631-765-1802 Oil SCTM # D"" �� ate Phone _.. ...__._ ._., ,Owner _........ . Address Visible Inspector","for Hamlet Floor Lemm�..µ...... _.. . ..vel Quantities Sub 3 ......... � 1 2 Smoke DetectorsR.. _. .,�. (not located in bedrooms) I 1 Carbon Monoxide _„ ...._.Detectors Fire Extinguishers Exits �._ �. ..��. w B e Detectors � f . .. a 6 edrooms 5 1 � 2 � 3 4 Smoke Smo Egress Occupant Count _.m. l ..d . .... of g Y P Property Building Systems Maintained &Operational Condition of eating Building interior Hot water Building exterior Property clean, main tained &safe } ... . , . . k Handrails a. El ectrical P Mechanical rails&guards installed & secure ® � Pool Safety �Pool on Site Surface water alarm Date of CO issuance Door alarms Pool completely enclosed Self closing/ latching gates P.�...._.. .. .....w.. code.., q ., s ......... _........ .. .A ..._..............,._ _ _ Pool fence to re uirement CO s for all items resent Prior Rental p ,Comments 4V1 �� P SOWN OF SOUTHOLD Rental Permit 0652 Owner Nadine Araoz & Robert Beuka Occupied as Single Family Dwelling Located at 175 Birch Road Southold 59-2-27 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. 5/18/2022 ` de Ecirc a Official This Notice must be posted by the main entrance at all times Town Hall Annex i Telephone(631)765-1802 54375 Main Roads 4 Fax(631)765-9502 P.O.Box 1179 Southold,NY 11971-0959 ' " a OEC 1 11 01 BUILDING DEPARTMENT TOWN OF SOUTHOLD BUeL[',WG DEP-r RENTAL PERMIT APPLICATION Rental Permit Fee$200(Application must be renewed every two years) Section A. Property Information: Rental Prori rty Address: ► �� r ti 9-d go � � l�� Jv M C/ T 3 / Tax Map Number: 1000 SECTION O 1 d -BLOCKOZ- 0Z -LOTO ?- -7 - 000 SECTION B. OWNER INFORMATION: Property Owner Name: Na&( o �C�-- Property Owner Legal Address: Property Owner Mailing Address: 2-0 4d eff Telephone Number (s): DaytimeEvening Emergency S Q^-V- Property Owner Email Address: 1 � Page 1 of 5 Wu Town Hall Annex ;' Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1179 Southold,NY 11971-0959 BUILDING DEPARTMENT TOWN OF SOUMOLD Section C. Authorized Agent Information: Name of Authorized Agent of dwelling unit, if any: � ti�.__.._....__, .__. ...�._,. 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: No op Address of Authorized Agent(no P.O. Boxes): Mailing Address of Authorized Agent: 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: Address of Managing Agent (no P.O. Boxes):_ Page 2 of 5 r � p � , " Town Hall Annex u� Telephone(631)765-1802 54375 Main Road ,kg R Fax(631)765-9502 P.O.Box 1 1799L xy Southold,NY 1 1971-0959 � M BUILDING DEPARTMENT TOWN OF SOUTHOLD Mailing Address of Managing Agent: /U A Q- 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: _ C Requested Maximum number of persons allowed to occupy Dwe ing Un t: 5 Number of rooms in Rental Dwelling Unit: /►� C � G Use and Dimensions of each room in Rental Dwelling Unit: J1——1'" —LAO,Lb I Page 3 of 5 dy Town Hall Annex ' Telephone(631)765-1802 54375 Main Road a Fax(63 t)765-9502 r P.O.Box 1179 a � � 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. 65/1 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) 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 P.O.Box 1179 Southold,NY 11971-0959 ,a. BUILDING DEPARTMENT TOWN OF SO HOBO 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 Owner's Name: . w� Property Owner's Signatur41� e: P Y Sworn to before me this day of �� , 202 Officiat��yPl Noblic Signa re and Original Notary Stamp -2 � Page 5 of 5 oP6 , ScpAko � TOWN OF SOUTHOLD BUILDING DI 631 -765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PL13G. [ ] FOUNDATION 2ND [ ] INSULATIOWCAL [ ] FRAMING / STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INE [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PE I ] ELECTRICAL, (ROUGH) [ ] ELECTRICAL (FI [ ] CODE VIOLATIONI ] P / [ I REMAR Kf �wl A/ -(01 .... ........ 6 i mlooltk4 DATE -d*Y* l INSPECTOR TOWN OF SOUTHOLD BUILDING 0 765-1802 [ ] FOUNDATION 1ST [ ] ROUGH PLI3G. [ ] FOUNDATION 2ND [ ] INSULATION/CA [ ] FRAMING / 'STRAPPING [ SINAL ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY IN [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PI [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FI [ ] CODE VIOLATION [ ] PRE C/O Ile / e am000le QCCC5; So S�?0(Ge L;L,'2- dG' j-7°v 4.T@m&L2 �kCA 2v x l0 s k� g S i-cU v-S �z to 4 t Ot —30 SVVI � F a ' Co / o' eKCl �Z C 4F I c6 jv v TOWN OF SOUTHOLD PROPERTY RECORD i go o _ NSR STREET VILLAGE l DIST. 5U1 . LOT FORMER OWNER A-),. � for u z l N E E ACR. Q _ - S W TYPE OF BUILDING RES. SEAS. 'VL. =FARM COViM, CB. MISC. Mkt. Value LAND IMP. ` TOTAL DATE REMARKS I it r ✓i / r� s''s E eF t jj74 �q f 4 4 3 - -- - AGE BUILDING CONDITION �. - j P r � NEW NORMAL BELOW ABOVE #Z91)Z p in f- �- __ 4 L FARM Acre Value Per Value 3 Acre Irx- Tillable Z F Tillable 2 I Tillable 3 l Woodland i Swampland FRONTAGE ON WATER i E Brushlond FRONTAGE ON ROAD f a la 7 House Plot [ I DEPTH BUL'HEAD Total DOCK 4 _ COLOR ZT s � TRIM 71 ,. 711 i M. G1dg I Foundation Bath s Dinette Zil Extensian meat Floors K. Extension `ext- Walls Interior Finish LR. Extension `Fire Place Heat - , D P,. Type Roof ' Rooms 1st Floor ' €oR. Porch Recreation Room_ Rooms 2nd Floorme- 1 6 E.eezeway �nveway Gorcge I Patio t . Total t t FORM NO. s TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Clerk's Office Southold, N. Y. Certificate Of Occupancy No. Z 6C>U�� Date . . . . . . . . . . . . . .Juiy. . t;t. . . ., 19.71+. THIS CERTIFIES that the building located at 21rah.&. .ale s land.Road. . . Street Map No. Xx , . . . . . . . . Block No. .xz . . . . . .Lot No.XX.t. . . .SWthold. . .1;.`I. I . . , . . conforms substantially to the " a9 code built Cex1 ifica.te of Occupancy dated . , b9fore April p3 ., 19�7 . pursuant to which No. Z. 6004. dated . . . . . . . . .J? . . . . 4. . ., 19 7 ., 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 ciwe3ling w . . . . . . . . . . . . . . . . . „ The certificate is issued t jppLRq F & Anne Connors . "wnera . (owner, lessee or tenant) of the aforesaid building. Suffolk County Department of Health Approval WZIP7. existing , . . . . UNDERWRITERS CERTIFICATE No. . pre-existir{ . HOUSE NUMBER . . .175— , . . Street .isirch .add . . . . . . . 450 wesland Rd Building.Inspect HOUSING CODE INSPECTION July 15, 1974 #175 Birch Road-450 Westland Rd. Southold, N. Y. R-1 Tax Roll: James F. Connors & Wf Unoccupied Upon receipt of application for Pre-Existing Certificate of Occupancy I made inspection of this one story framed dwelling and found the following violations of Chapter 52, Housing Code, Town of Southold. I picked up key from the Lewis Real Estate Agency, Main Road, Southold, and began inspection at approximately 10:50 A.M. consists a g. room, full ath4;q m,ccloed an en s porch north s..�ie n e buildingtwo 1�q_4rpi o orcheat-in kitchenThe and screened in orc on the wast side of the building. Living room ceiling furnished with_c� tAlly loc it d fl6 register from warm .r furnace located in partial cellar. _ Kitchen, lamp cord outlet on baseboard in corner near cooking range, with undercabinet light and three-way receptical; electrical source is wall outlet behind refrigerator. Article V, Section 52-56, A.l. Cellar , open junction box in crawl space attached to floor joist under kitchen. Article V, Section 52-56 A.1. Split rail fence beyond property boundaries in violation of Chapter 100, Zoning Ordinance, Town of Southold, Article III, Section 100-34 and 100-35 A. Inspection completed at approximately 11:15 A.M. Key was returned to Lewis Real Estate offii�zard =Hiddermann ted, EH:mm Building Inspector ................ .........................-............. Town of Southold 5/18/2022 P.O.Box 1179 VIA 53095 Main Rd Southold,New York 11971 ---——-----CER TIFICA"TE OF OCCUPANCY No: 43087 Date: 5/18/2022 .............. THIS CERTIFIES that the building AS BUILT ALTERATION Location of Property: 175 Birch Rd,Southold ............. .......- SCTM#: 473889 Sec/Block/Lot: 59.-2-27 .................. Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 4/15/2022 pursuant to which Building Permit No. 47682 dated 4/15/2022 ................. 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"window replacemegs, �aiidW�ACugittoex�istin AWZkj�Mjjyjweljing as applied for. The certificate is issued to Araoz,Nadine&Beuka,Robert ............................... of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 47682 5/11/2022 PLUMBERS CERTIFICATION DATED . ..... .......... ............ Au z o led i ture