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HomeMy WebLinkAbout1000-54.-1-14 � E TOWN OF SOUTHOLD gg g Rental Permit } 0678 Owner Jonathan Rich & Katherine Leaver Occupied as Single Family Dwelling Located at 2710 Hyatt Road Southold 54.-1-14 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. 6/23/2024 Code r� &ment� � I This Notice must be posted by the main entrance at all times TOWN OF SOUTf TOLD BUILDING DEPT. ou 631-765-1802 57�t- 7 N S � �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 (FILIAL) [ ] CODE VIOLATION [ ] PRE C/O [ ��RENTAL Town Hall Annex Town of Southold 54375 Main Road F �11 Rental Inspection Report PO Box 1179 � Southold, NY 11971-1179 " Tel: 631-765-1802 SCTM # JC —�--� Date " Phone Owner / „„� - ,Q,�/ _. Address p Visible Hamlet ._ Inspector.............. ' re w Floor Level Quantities Sub 1 2 3 Smoke Detectors (not located in bedrooms) j Carbon Monoxide Detectors J Fire Extinguishers Exits Bedrooms 1 / 3, 4 5 6. Smoke Detectors y/ 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 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: Tzar;!% TOWN OF SOUTHOLD Rental Permit 0678 Owner Jonathan Rich & Katherine Leaver Occupied as Single Family Dwelling Located at 2710 Hyatt Road Southold 54-1-14 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. 6/23/2022 Code n rc en Official This Notice must be posted by the main entrance at all times q � Town Hall Annex i Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1179 r-- Southold,NY 11971-0959 270 COD II BUILDING DEPARTMENT FEB 23 2022 TOWN OF iSOUTHOLD .T� ,�}�t��.�?.x RENTAL PERMIT APPLICATION TO WN eq, JT�g�xg1i?� Rental Permit Fee$200(Application must be renewed every two years) Section A. Property Information: Rental Property Address: 2710 Hyatt Road, Southold, NY 11971 Tax Map Number: 1000 SECTION 54 -BLOCK 1 -LOT 14 SECTION B. OWNER INFORMATION: Property Owner Name: Jonathan Rich & Katherine Leaver Property Owner Legal Address: Property Owner Mailing Address: 532 9th Street,#2, Brooklyn, NY, 11215 532 9th Street,#2, Brooklyn, NY, 11215 Telephone Number(s): Daytime 732406-8498 Evening 732-406-8498 Emergency Property Owner Email Address: Jwrich88@gmail.com t 0 Qp c 4© Page 1 of 5 �pYr SOUT,yQ Town Hall Annex � Telephone(631)765-1802 54375 Main Road 41 Fax(631)765-9502 P.O.Box 1 179 • O Southold,NY 11971-0959 Q BUILDING DEPARTMENT TOWN OF SOUTHOLD 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: �dults Number of rooms in Rental Dwelling Unit: 8 Use and Dimensions of each room in Rental Dwelling Unit: Living Room (26' x 14'); Den (12' x 12'); Bathroom#1 (8' x 5'); Bathroom#2 (12' x 4'); Bedroom#1 (16' x 151 Bedroom #2 Kitchen (10' x 20'); Enclosed Porch (20' x 8'). Page 3 of 5 Town Hall Annex Telephone(631)765-1802 54375 Main Road C Fax(631)765-9502 P.O.Box 1179 _ Southold,NY 11971-0959 WN 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 Jonathan Rich ,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 Sol], Q. �d � Town Hall Annex i Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1179 G Q Southold,NY 11971-0959 COMM 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 Owner's Name: Jonathan Rich r Property Owner's Signature: orn to before me this I 7day of , 20Notary !viyoeoc Iti< Official Notary Pub i-c-Signature and Original Notary Stamp �P" : .za, zo22 NEWE MICKAILOVA Notal Public State of New Yodc No.01 M15029636 clualiried in Kings County commission Expires June 27,2022 Page 5 of 5 OF SOUI�o� # * TOWN OF SOUTHOLD BUILDING DEPT. cou631-765-1802 i o �ck1' . INSPECT16N [ ] FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION/CAULKING [ ] FRAMING /STRAPPING [ ] NAL [ ] FIREPLACE & CHIMNEY IV FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FI L) [ ] CODE VIOLATION [ ] PRE C/O RENTAL REMARKS: nn , rl IVI t ( • �d*mul_ P11A. INV vu AqL& ovvPr (ILA) va6v-,.-v 0 CA v r �Qpa#el4 91Y DATE a'� INSPECTOR Floor Plan ' 2710 Hyatt Road Southold, NY. Drawing not to scale Closet L-jF Shower Bedroom#1 Den ° O Bathroom Bedroom#2 #7 0 Smetk. fi Cathen monolUi Hall d � Bathroom#2 --- - Closet - - ®mete i- a2r6e0% "Im-f de, Kitchen c�x}e cf or Living Room Enclosed Porch Hyatt Road . OWN ' OF _ .: ° k ,STREET:" STRICT SUB. LOT F RMER:O N ER .> E ACREAGE �. Q "N ` I {`� „�Q' a �,� � f _ .r�: �'{�9y'q��•``� '�.q'�, `' � � �, -W:,.�= „gd' ,,�, .��" TYPE OF BU I LD I NG ' G., .e:- .w���sw��,• s µX+ay�� ,c» .; �,:�. ,�`'�. � ; =�' � �� �.t?s: ,F-.�:° _�'�+�zs f J' "°� f '°^" .,«..^°��$g,f yy RES:. ' . $EAS:`: VL .' 'FARM- .. CoMNt:., IND. Co. MISC. LAND. I IMP: TOTAL DATE REMARKS " 1. 7, . " ., .aa , — -- — max �^-"1,......� "el. - .LP, .; /{ 'A' ^%t "",j e F• 1� C b�. �;'°'€ .�«` i �d '] �^g a� ce{}') •� y'' { / P I El, W tBOVE, J `'r Farm ''Acre Value :Per Acre, yi lae f' :l Tillable 2 pp �A - ;- - �- Tillable: 3 i # 7-7 No Woodland ` ...........................— --_ _... ' .:. �' `tom 1� -�1 Swampland _,�__ _ �1.. �1 �5 - ;cep � , aae k a jl BCLiSk [qs,d• i House:Plot — " 4 i d ( _ _Ya _ - s AN jt,J , , �+,:.''_ 'e'`Yis .7i«•r••°; °'T� ��^ ? i .X - h � Je,,t�.�i�'�C',.��M�-i, .• ^Gr • 1 _ __ � r�--..-. — Af [Ywt��Nl,o.ca.`:;r�'"���,xi'.d=.„<`•.�'�"Y`^``'��� N".z�=��-•�,'�''•rr�tty _ •a5�� � f F- �I � ; '"t by�Y'4•� -�. v,,7�N�7�'^+.:^i J4 � � � � , Gx;: �'•=+�i:°,�<R,�.ti»,�r".�._ ,�'�,`�pv= .�jy'&^ ✓ �,�, �"`�.`�.r-hk*'t `�>x�„� j �" I � j � � ...._.,_...wvo.�+ jy-<`>�-;y�RTa' ,s�:cs,,_Fx.-,s!'"_'°� � ..�'a i. �:Y�'«r�M��t'i�'•:s'�_...' r. _ `': I ! I �� � ,.....«,.«.«..„„,,.�.. .^,-.�..,.. 54.-1-14 1.1/07 z ! M. Bldg. Foundation Bath f Extension - I ! Basement j 51� Floors' i , Extension 4 ; Ext. Walls � 7 Interior Finish G ;t` W t a I e-1-1 f rr;a- Extension Fire Place Heat _ . a a Porch Attic F i Porch Rooms I st Floor 1 I Breezeway Pafi Rooms 2nd,Floor Garage Driveway: 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-19962 Date JUNE 10, 1991 THIS CERTIFIES that the building ONE FAMILY DWELLING Location of Property 2710 PRIVATE ROAD #18 SOUTHOLD, N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 54 Block 1 Lot 14 Subdivision Filed Map No_ Lot No. conforms substantially to the requirements for a Private One Family Dwelling built prior to: APRIL 9, 1957 pursuant to which CERTIFICATE OF OCC. #Z-19962 dated JUNE 10, 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 ONE FAMILY DWELLING The certificate is issued to ESTATE OF EDWARD W. OFFENHEISER (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A *PLEASE SEE ATTACHED INSPECTION REPORT. B ilding Inspector Rev. 1/81 BUILDIy.G DEPART:—LENT TO'474 OF SOUTfiOLD, N. Y. HOUSI77C CODE INSPECTION REPORT Location 2710 PRIVATE ROAD #18 SOUTHOLD, N.Y. �nt:moer a street) li•iunicipal.Lzy) Subdivision Flap No. Lot(3) Name of Owner(s) ESTATE OF EDWARD W. OFFENHEISER Occupancy A-1 OWNER (type) oviner-uenant) Admitted by: Ray Offenheiser Accompanied by: SAME Key available Suffolk Co. Tax No. 54-1-14 Source of request ROBERT E. OFFENHEISER Date MAY 16, 1991 DWELLING Type of construction WOOD FRAME Ustories ONE Foundation CEMENT BLOCK Cellar NO Crawl space xx Total rooms, 1st. F1 5 2nd. F1 3rd. F1 Bathroom(s) ONE FULL Toilet room(s) Porch, type FRONT ENCLOSED Deck, type Patio, type Breezeviay Garage Utility room Type Heat OIL Warm Air Ho twater %% Fireplace(s) NONE No. Exits 2 Airconditioning Domestic hotwater YES Type heater OFF THE FURNACE Other ACCESSORY STRUCTURES: Garage, type const. Storage, type const. Swim-ning pool Guest, type const. Other VIOLATIONS: CHAPTER 45—N.Y. STATE UNIFORM FIRE PIZL•'VENTION & BUILDING CODE Location DesCrintion � Art. Sec. Remar!cs; BP #6568/CO Z-5436, BP #1504O/C0 Z-19818 Inspected by: 3Date -of Insp. MAY 29, 1991 GA ,I. ISH Time start 9:40 end 10:00 w FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector_ Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-19818 Date MARCH 27, 1991 THIS CERTIFIES that the building ACCESSORY Location of Property 2710 PRIVATE ROAD #18 SOUTHOLD, N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 54 Block 1 Lot 14 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated JUNE 18, 1986 pursuant to which Building Permit No. 15040-Z dated JUNE 27, 1986 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 SHED AS APPLIED FOR. The certificate is issued to EDWARD OFFENHEISER, DECEASED (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A J""q 94.Z- Building Inspector Rev. 1/81 FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-24849 Date JANUARY 13, 1997 THIS CERTIFIES that the building ADDITION Location of Property 2710 HYATT RD. SOUTHOLD, K.X. House No. Street Hamlet County Tax Map No. 1000 Section 54 Block 1 Lot 14 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated SEPTEMBER 27, 1995 --Pursuant to which Building Permit No. 23063-Z dated OCTOBER 13, 1995 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 BILCO CELLAR ENTRANCE ADDITION & PARTIAL CELLAR TO EXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to MICHAEL & KATHLEEN SPICER (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N-369652-11/9/95 & H-047935-11/29/1995 PLUMBERS CERTIFICATION DATED DEC. 3 6-MICHAEL SPICER 7 Building Inspector Rev. 1/81 FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. \V CERTIFICATE OF OCCUPANCY No: Z-32582 Date: 09/05/07 THIS CERTIFIES that the building ALTERATION Location of Property: 2710 HYATT RD SOUTHOLD (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 54 Block 1 Lot 14 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated DECEMBER 1, 2006 pursuant to which Building Permit No_ 32564-Z dated DECEMBER 13, 2006 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 ALTERATION TO AN EXISTING SINGLE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to SILVANA D BURDICK (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. 3030100 05/11/07 PLUMBERS CERTIFICATION DATED 04/03/07 BURTS RELIABLE, INC. r Authorized Signature Rev. 1/81 fit r'..y �'•'•-f .� � �y.r SSR � ± •' _yif: I' ,�� � ' r •�S moi. X�, ' rS'�,.. +-If.. t ��t, YF 4 ms's M•. i '•+ �y���� N'� I y..g F 4 `.yam+ . 4, 1 1 .✓f Yd��,�sr i y a. ' a .ti ti i M t i. y i