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HomeMy WebLinkAbout1000-74.-3-11 TOWN OF SOUTHOLD Rental Permit >e 0949 Owner Scott Kruk Occupied as Single Family Dwelling Located at 33800 CR 48 Peconic 74.-3-11 Maximum Permitted Occupancy 10 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. 7/10/2023 Code orce e t Official This Notice must be posted by the main entrance at all times ��,q W, )�3 X Town Nall Annex a Telephone(631)765-1842 54375 Main Road Fax(631)765-9542 P.O.Box 1 179 44 Southold,NY 11971-0959 , , W . BUILDING DEPARTMENT TOWN OF SOUTHOLD �( 9 2023, RENTAL PERMIT APPLICATION Rental Permit Fee $200(Application must be renewed every two ye'brs) Section A. Property Information: Rental Property Address: Tax Map Number: 1000 SECTION gIZ9 )--BLOCK SECTION B. OWNER INFORMATION: Property Owner Name:_ Property Owner Legal Address: Property Owner Mailing Address: Telephone Number (s): Daytime&Sj- 1�'1 9�7 vening,__„__, ,_ Emergency__ ,,__.— Property Owner Email Address: .,V"-U (ZeG Page 1 of 5 L C) l(o s� Oe c�v,,,.)n LD) JUN 2023 RUHDJNG DEPT. TO OF HOD V `�I 15 SO A h Town Hall Annex Telephone(631)765-1802 54375 Main Road h Fax (631)765-9502 P.O.Box 1179 4's Southold,NY 11971-0959 S � BUILDING DEPARTMENT TOWN OF SO IPHOLD 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: Requested Maximum number of persons allowed to occupy Dwelling Unit: Number of rooms in Rental Dwelling Unit: t Use and Dimensions of each room in Rental Dwelling Unit: Page 3 of 5 s A� , Telephone(631)765-1802 Town Hall Annex 54375 Main Road t< Fax(631)765-9502 P_O.Box 1179 Southold,NY 11971-0959 UNVI 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 ❑ 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) I y—vv\( _w µm , 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 TOWN OF SOUTHOLD BUILDING DI 631 -765-1802 INSPECTION ] FOUNDATION 1ST [ ] ROUGH PLRG. ] FOUNDATION 2ND [ ] INSULATION/CAI ] FRAMING / STRAPPING [ ] FINAL ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INS ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PE ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FII [ ] CODE VIOLATION [ ] PRE C/O [ 1 REMARKS: INSPECTORko DATE 77 M C i 5 0 A� r I G� N I JUN TOWN „\ ` QLD s Pdb 1jr lip % air © .. soft amom ago k % t� #» / 1I.Kfthan # ft ~ n. SOW= 2 ■ . <\ \\ - 2 s■ TVDkft ~ Rom 06dmm 2 2 � � Lmv Rom »� Ptah . . � TOWN F SOUTHOLD PROPERTY RECvK1 _ OWNERS STREET VILLAGE DIST.' SUB. LOT - - FORMER OWNER N S W TYPE OF BUILDING -"'NIi a, RES - e I ffx .' VL.� FARM 4 'COMM. CB. MSC. Mkt. Value LAND TOTAL DATE REMARKS v - dL a AGE BUILDING CONDITION f NEW NORMAL BELOWABOVE _ FARM Acre Value Per Value Acre Ga _ Tillable 1 Tillable 2 Tillable 3 [ ` i Woodland Swasnplond E FRONTAGE ON WATER ' FRONTAGE ON ROAD Brus€�land House Mot V i DEPTH BULKHEAD DOCK Total I _ A � f T COLOR TRIM I � � t c r i F r s I i 74.-3-1.1 4/09 _ ®_ Fc�t�nation Bath M E.�� Dinette Wig. _ = - D' tte Extension Basement 5 Floors - -K Extension Ext. Walls ! ! Interior Finish , R_ Extension ,re Place Neat y , DR. Type Roof Rooms I st Floor = �R Porch s= , Recreation Rccsn ; Roams 2nd Floor€ t '. E Porch Dormer Breezeway Driveway a Garage Patio r Q. B. Tata) � — FORM NO.4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold,N.Y. Certificate Of Occupancy No. 2.1.0871. . . . . , . . . , Date . . . . . .Februarr. .5 THIS CERTIFIES t�W?buildings . • • Carroll"Ave'." `" « " « « " . . . . . ` . . . . . . . Location of Property 33800 County Road 4«8 « Feconic /-louse)Va, « . . . ` ` . « Street « . . 'Hii"11e# County Tax Map No. 1000 Section 074. , . . . . , .Block , «a3. , „ « . . « , . , .Lot . . . �. . , « . . « . . . « Subdivision . . R . . . . . . . . . « . . . « . . . . . . .Filed Map No. . . .X. . . .Lot No. X. . . . . . . . . . . . Requirements for a private one-family dwelling built conforms substantially to the AVMt•atltln-fbT-BTffld -ftr ft heli! rrfftd,1tt"this-vf ct-dated* preatlr to April 23 57Certificatte of Occupancy 210871 . « . . , 19 . . . pursuant to which'B`u"Marri ly-eeiinif No. « . « . . . . . . . . . . . . . . . . . .. dated . . .February 5 19 82 ,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 . . . . . . . . . a private one-family dwelling with wooden barn accessory structure. The certificate is issued to _ _ Gerard M. Lang & his wife, :4arilyn i:. of the aforesaid building. Suffolk County Department of Health Approval « nl r. . « . . , . . . . « « . « . . . „ . . . . . . . . . . . UNDERWRITERS CERTIFICATE NO. . . . . . . . . . . . . . . . µnlr Building Inspector Rev.1181 BUILDING DEPARTRFNT TO1",T: OF SOUTHOLD, N. Y. HOUSING CODE INSPECTION REPORT Location ve ecosic number & street Mull icip'-al ity _ Subdivision x Map No. x Lots) x Name of OVm er(s) Gerard & Maril n K. Lan„ owner CccuFanCy R-1 owner-tenaiit type Admitted by: Mr. Lana Accompanied by: Mr. Lang Key available- Suffolk Co. Tax No.O74-03-011 Source of request Gerard LanDate 1/20/82 DWELLING Type of construction # wood framed - stories 2 story Foundation brick _ Cellar partial Crawl space x Total rooms, 1st. F1 2nd. F1 53rd. Fl Bathro:;m(s) 'Toilet room(s) 1 P4-9M,-9M, e Typ e ch Porch, type lassC:�d in Deck, type roof over Breezeway Garage Utility room Type Heat axil fired 'alarm Air Hotwater x Fireplace(s) 1 No. Exits 4 - Airconditioning Domestic hotwater yes Type heater tankless Other a riare atta house s& ched wood shed rate wooden ACCESSORY STRUCTURES: . Garage, type const. _ Storage, type const. wood barn Swimming pool Guest, type const. Other 6 ' fence Carroll Ave. side - VIOLATIONS: Housing Code, Chapter 52 Location Tie bort tion. Art. Secy barn needs various repairs i'ij3-30 A chimne easttaricks need ainticl u etc. III 52-32-B -B chimney west top of chimney missingIII 52-32 - _ _I _ ,--B cellar some floor joists dry rotted III 52-32-A ce a°eo hacd resit ate s uneven II 52-27-A & B rear stairway no hand rail - II 52-27-B attacIIed wrood bed roof leaks sills one--needs major repairs III 52-30-A & C attached i e 122u_ ':ouneeds major re airing III 52-30-A & C rear side porcl floor and sills bad III 5232-A outstsi.d_e . once wogd_s� l .� anis:3inurIII 52-31�B -_ ..._ outside needs painting & gutters need repairing III 52-31-B Remarks Inspected by: A"f" ' Date of Insp.January M21 ,-1982 Curtis W. HortonTime start 2:30 end 3:30