Loading...
HomeMy WebLinkAbout1000-74.-5-8 t� � g TO WN OF SOUTHOLD Rental Permit 0669 Owner Peconic Lane LLC Occupied as Single Family Dwelling Located at 1685 Peconic Lane Peconic 74.-5-8 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. 6/14/2024 Code Enforcement Official This Notice must be posted by the main entrance at all times b xosf sail� a TOWN OF SOUTHOLD BUILDING DEPT. 631-765-1802 ' INSPECTION [ ] FOUNDATION 1ST/ RESAR [ ] 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 [ RENTAL REMARKS: em,4 DATE 111SP'"ECTO Town Hall Annex Town of Southold54375 Main Road "P Rental Inspection Report PO Box 1179 �t Southold, NY 11971-1179 Tel: 631-765-1802 SUM # — S—�� Date �O• /�' Owner , "�". Phone Address Visible . .. Hamlet G Inspector , .. .e .. Floor Level Quantities Sub 1 2 3 Smoke Detectors(not located in bedrooms) Carbon Monoxide Detectors, Fire Extinguishers Exits ....... . ... Bedrooms 1 ° 2� 3 4 5 _ 6 Smoke Detectors Egress " Occupant Count Building Systems Maintained &Operational Condition of Property !Heating _ Building interior Hot water Building exterior Electrical Property clean, maintained &safe Mechanical Handrails&guards installed &secure Pool Safety Pool on Site Surface water alarm I Date of CO issuance Door alarms Pool completely enclosed Self closing/latching gates Pool fence to code requirements _.... CO's for all items present Prior Rental Comments: TOWN OF SOUTHOLD Rental Permit 49 0669 Owner Peconic Ln LLC Occupied as Single Family Dwelling Located at 1685 Peconic Lane Peconic 74-5-8 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. 6/13/2022 e gar n Official This Notice must be posted by the main entrance at all times f J ml pp Town Hall AnnexTelephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1179 '^ ' Southold,NY 11971-0959 � BUILDING DEPARTMENT TOWN OF SOUTHOLD RENTAL PERMIT APPLICATION Rental Permit Fee$200(Application must be renewed every two years) Section A. Property Information: Rental Property Address: Tax Map Number: 1000 SECTION 14 1 3 &Ej _-BLOCK ^1 � -LOT SECTION B. OWNER INFORMATION: i KK�Property Owner Name: t_ �-_LC_ Property Owner Legal Address: Property Owner Mailing Address: o Telephone Number(s): l aytime" l 0 EveningEmergency�,� 1� Property Owner Email Address: O r , �� Page 1 of 5 � �1 Town Hall Annexe Telephone(631)765-1802 54375 Main Road ' Fax(631)765-9502 P.O.Box 1179 Southold,NY 11971-0959 UN BUILDING DEPARTMENT TOWN OF 300` OLD Section C. Authorized Agent Information: Name of Authorized Agent of dwelling unit, if any: _ i Address of Authorized Agent (no P.O. Boxes): �� � (� Mailing Address of Authorized Agent: �'� �)�"�� � �� � ��4 5' � C Telephone Number(s): Daytime l-3 r wening ' -3111-6;4mergency Email Address: k. Zw Ark - A- .��� "-V"N Section D. Managing Agent Information: Name of Authorized Agent of dwelling unit, if any: 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 Town Hall Annex (k� Telephone(631)765-1802 54375 Main Road ; Fax(631)765-9502 P.O.Box 1179 << " , Southold,NY 1 1971-0959 UN BUILDING DEPARTMENT TOWN OF SOUT OLD Mailing Address of Managing Agent: _ 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: µ Requested Maximum number of persons allowed to occupy Dwelling Unit ' C Number of rooms in Rental Dwelling Unit: � ,- I� Use and Dimensions of each room in Rental Dwelling Unit: Page 3 of 5 yam 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 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) L---Q�-, 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 f �✓P h tri„���Ile� � �M '. Town Hall Annex Telephone(631)765-1802 54375 Main Road ; 4(c, Fax(631)765-9502 P.O.Box 1179 �' Southold,NY 11971-095940 m � UN BUILDING DEPARTMENT TOWN OF SOUIVO .«O 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: Property Owner's Signature: , ”" Sworn to before me this ZC day of Itil 20.22 .w� DAAIMAH ABDULHAKEEM BUFFINS * Notary Public-State of New York N0.01BU6424411 Qualified in Suffolk County Official Notary Public Signatu a and Original Notary Stamp MY Commission Expires Nov 1,2025 Page 5 of 5 p t * , TOWN OF SOUTHOLD BUILDING N 831 78518 T �. INSPEC ION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSUTATION/CAl [ ] FRAMING / STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY IN: [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PE [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL {FII CODE VIOLATION ] P / [`o l I ] I S: } t F f f IN J LAI ------------ LI/ � ' r { u N-nr u I Sryj gT e TOWN OF SOUTHOLD PROPERTY RECORD CARS "I �3 I Joao 20-C.— OWNER - STREET VILLAGE DIST SUB LOT c— ACR. REMARKS TYPE OF BLD. � tom" � ,• - �£ _ a� PROP. CLASS - LAND lMP, TOTAL DATE ' a - moi,- ._ I FRONTAGE ON WATER HOUSE/LOT BULKHEAD TOTAL TOWN OF SOUTH LD PROPERTY RE(%0 OWER STREET J r VILLAGE DIST' SUB. LOT ��' FORUMER�0 ER F N E ACR S _ W TYPE OF BUILDING �q// �Wia.ec. "G"�! �}, • __.�_�.__ _ o RES. SEAS. VL. 'FARM COMM. CB. MISC. Mkt. Value LAND {MP. TOTAL DATE REMARKS i F 3 A. F 4 - - E _ e �. � C© � � 3 F �� _� ,_`� � •� _ate c �,a �� � n ©aE Vis=: ,¢ 9v F NNO MAL BELOW ABOVE om£ FARM Acre Ve Pe, i Value t Tillable 1 I ljW F Tillable 2 F - f Tillable 3 Woodland I Swampland f FRONTAGE ON WATER Brushland I ' FRONTAGE ON ROAD House Plot ' DEPTH - ; BULKHEAD Total - DOCK `f' — r � li 4 DLOR � s � F - r ZIM A a - _ ���- 74:5-8 04/03/2018bJ ,. . M. Bldg ��� tndation ; ,? A < • Bath � e Extension `_ Basement i Floors =K. . _ Extension J f, xt Walls�/ anis �. . L . InteriorFinish R Extension ire Place Heat a _, : DR. Type Roof Rooms 1st r BR, s a` Recreation Room =Rooms 2nd F400r FIN. B Porch G�.C, S� } Porch ' Q 'Dormer Q e - E Breezeway 1 Driveway i Garoae - - leg / ..S � .,.(J ! F ------------------ _ - �. O. B- +� Total '_V I �"� ���� � E �L-4 " _ lid Town of Southold 10/19/2017 53095 Main Rd Southold,New York 11971 PRE EXISTING CERTIFICATE OF OCCUPANCY No: 39299 Date: 10/19/2017 THIS CERTIFIES that the structure(s)located at: 1685 Peconic Ln,Peconic SCTM#: 473889 Sec/Block/Lot: 74.-5-8 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- 39299 dated 10/19/2017 was issued and conforms to all the requriements of the applicable provisions of the law. The occupancy for which this certificate is issued is: yacz aframe rine fa-mi weeLIL4g aitli covered mr h 4d g qry st r4g_ sh... ....._a a, Note:BP 596 converision and hat water heater COZ-39298. The certificate is issued to Svec, Charles (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED *PLEASE SEE ATTACHED INSPECTION REPORT. , ._.. _ ut,�.. eel Sign.............�_M.M.Mmmv..w.................... .._ ature BUILDING DEPARTMENT TOWN OF SOUTHOLD HOUSING CODE INSPECTION REPORT LOCATION: 1685 Peconic Ln,Peconic SUFF:CO.TAX ..MAP..NO.:__...74.-5-8�.._..www_...__�............._w_. _.........._M.M.M.M.M.�w.ww. w�......................._.....��� ..� SUBDIVISION: NAME OF OWNER(S): Svec,µµ� ----- ...._... _v. .. ___ W... .... _..... __w.__ . .._ __.� Charles OCCUPANCY: ADMITTED BY: SOURCE OF REQUEST: Svec,CharlesATE: 10/19/2017.. __.......,...�w._._._._._._......_..................._..._.w.w_...... _ _ ._ w�..�. .w............_mm.._..... DWELLING: #STORIES: 2 #EXITS: 4 FOUNDATION: i FOUNDATION': — � ._._ br_..._ _....._..........a... ck and stone CELLAR: basement CRAWL SPACE: ............................ ..................................................._........... _ .....wwwwwwww....n... BATHROOM(S): 2 TOILET ROOM(S): UTILITY ROOM(S): PORCH TYPE: covered............�.M„ .......___ .�..._......... .........M.��...._........ DECK TYPE: PATIO TYPE: BREEZEWAY: �.www_.... ._�........ FIREPLACE: 3 not..muse ...w�w�w�w�ww......................�� ��_�.�...........w�._.v .......... GARAGE: DOMESTIC H ...................................... _�._.. _. .._.ww.... _..... __.M. ................ TWATER: yes TYPE HEATER• gas AIR CONDrr'IONING: g �. �. .. �.radiator TYPE HEAT: as hot water_ WARM AIR: _.....__.......__m.HOT WATER: r,.,. ..._.........w_..................................._�.._... #BEDROOMS: 4 #KTI'CHENS: 1 BASEMENT TYPE: unfinished _............................_�......w..�.�._�.�.�.�.�.�.�.�._ _._�................................. ..._..�......ww.n�__.................................w_.....mmmm.,._.....�...wwwwwww�..._ OTHER: ACCESSORY STRUCTURES: GARAGE,TYPE OF CONST: STORAGE,TYPE OF CONST: SWIMMING POOL: GUEST,TYPE OF CONST: .............._._..........................._. ..._..................�... ....................._...._.�.�...�...�...__............. OTHER: VIOLATIONS: REMARKS: INSPECTED BY: JOHNJ DATE OF INSPECTION: 10/4/2017 TIME START: 9:15am END: 9:45am Qt, Efpt - Town of Southold 5/13/2022 P.O.Bog 1179 53095 Main Rd Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 43068 Date: 5/13/2022 THIS CERTIFIES that the building ALTERATION Location of Property: 1685 Peconic Ln,Peconic SCTM#: 473889 Sec/Block/Lot: 74.-5-8 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 6/19/2020 pursuant to which Building Permit No. 44890 dated 6/19/2020 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: iterataiotas to an exising.sin le fantil d)Kgll%-g sLgRplied for. The certificate is issued to Peconic Ln LLC of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 44890 10/21/2021 PLUMBERS CERTIFICATION DATED 4/25/2022 K&K Plumbing&Heating Authorized Signature *� Town of Southold 10/5/2017 P.O.Box 1179 0. „,� 53095 Main Rd ` a Southold,New York 11971 AL CERTIFICATE OF OCCUPANCY No: 39267 Date: 10/5/2017 THIS CERTIFIES that the building ALTERATION Location of Property: 1685 Peconic Ln,Peconic SCTM#: 473889 Sec/Block/Lot: 74.-5-8 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 5/31/1977 pursuant to which Building Permit No. 42014 dated 9/29/2017 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: amt ation�tc .11 a(2 List acc�essga buildipg sfipprt4for. The certificate is issued to Svec,Charles of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED .. ut to..._. Signature ....._....W�. gglFFClI »� Town of Southold 10/19/2017 P.O.Box 1179 53095 Main Rd Southold,New York 11971 4. CERTIFICATE OF OCCUPANCY No: 39298 Date: 10/19/2017 THIS CERTIFIES that the building ALTERATION Location of Property: 1685 Peconic Ln,Peconic SCTM#: 473889 Sec/Block/Lot: 74.-5-8 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 10/19/2017 pursuant to which Building Permit No. 42070 dated 10/19/2017 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 blt""oil to gas cferlar�and heat water heater a llwcrr. The certificate is issued to Svec,Charles of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED _.,. A.... riz d Signature... ....._.._ t , FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Clerk's Office Southold, N. Y. Certificate Of Occupancy No$. 3. . . . . . Date . . . . . . . . . . . . .AprU. . . .10. . , 19.7 . THIS CERTIFIES that the building located at .W 8 .P$* . . . . Street Map No. .XX. . . . . . . . . Block No. =. . . . . . .Lot No. M . •Poconio. . X#Y.. . . . . . . . . . . . conforms substantially to the Application for Building Permit heretofore filed in this office dated . . . . , . Jvlom 1% 19.72. pursuant to which Building Permit No. 5969Z. . dated . . . . . . . . . . ;: *. . .26. . ., 19-72., 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 agr t +al•building. — agricultural stolra p•*to . . The certificate is issued to A.Marl** o- -Own"s. . . . . . . . . . . . . . . . . . . . (owner, lessee or tenant) of the aforesaid building. Suffolk County Department of Health Approval . g„g.. . . . . . . . . . . . . . . . . . . . . . . . . . . . « . UNDERWRITERS CERTIFICATE No. . .11 ,'7-5370. . . . . . . . . . . . . . . . . . . . . . . . . . HOUSE NUMBER. . . . . . . .Street. . .Pteanie.Ian*. . . . . . „ . . . . . . . . . . . . . . . . . . . . . . . . . Building Inspector a