HomeMy WebLinkAbout1000-80.-2-24.1 TOWN OF SOUTHOLD
co W Rental Permit
0679
Owner Michael Cashwell
Occupied as Single Family Dwelling
Located at 2165 Reydon Drive Southold 80-2-24.1
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.
6/24/2022 '
)'Ode nfor em Official
This Notice must be posted by the main entrance at all times
Town Hall Annex N ' Telephone(631)765-1802
54375 Main Road � Fax(631)765-9502
P:O.Box 1179 � .. .
Southold,NY 11971-0959
Krr�-� r
BUILDING DEPARTMENT I
-TOWN OF `✓` E I 1
RENTAL PERMIT APPLICATION AP.9 5 2022
Rental Permit Fee$200(Application must be renewed every two years)_
Section A.
Property Information:
Rental Property Address:
a�'G�" • �. . how V
Tax Map Number: 1000 SECTION ka -BLOCK -LOT &7?
SECTION B.
OWNER INFORMATION:
Property Owner Name:
Property Owner Legal Address: Property Owner Mailing Address;
lv7-
rl/inwl. 1 L :.Act/. Zife
Telephone Number(s): Daytime. Evening....- Emergency
Property Owner Email Address: ! l�L• � . A&
d 4 Page 1 of 5
CK
Town Hall Annex ; Telephone(631)765-1802
54375 Main Road Fax(631)765=9502
P.O.Box 1179 ,.
Southold,NY 11971-0959
BUILDING DEPARTMENT
TORfiI OF l90UTHOLD,
Section C. X111*
Authorized 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 D. 4�A
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 cr.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 ' �5 Telephone(631)765-1802
54375 Main Road a h Pax(631)765-9502
t
P.O.Box 1179
Southold.NY 11971-0959 � 1T '
BUILDING DEPARTMENT
TORTN OF'S0-XJM'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,C);the use of each room in the Rental Dwelling Unit
(for example, Kitchen, Bedroom 1, Bedroom 2, t.iving Room)and the dimensions of each
room.
For properties with multiple Rental Dwelling Units use"Rental Permit Application
Addendum."
Ren'tal'Dwelling Unit Identifier:
Requested Maximum number of persons allowed to occupy Dwelling Unit: l0
Number of rooms In Rental Dwelling Unit:
Use and Dimensions of each room in Rental Dwelling Unit
r/am2 zo s �. P
A'ef'or ;&O-m Z21) , '-S d'
Page 3 of 5 � /
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Town Hall Annex Telephone(631)765-1802
54375 Main Road "' Fax(631)76.5-9502
P.O.Box 1179
Southold,NY 11971-0959r` ',y
BUILDING DEPARTMENT
TOWN OF SOUTHOI.D
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.
requesting a fire safety inspection to be performed by a Code Enforcement Official
ro the Town of Southold
❑ 1 m submitting a completed Town of Southold certification form from a licensed
rchitect 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 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 �'.fir +1 Telephone(631)765-1802
54375 Main Road ;w" x` : Fax(631)765-9502
P.O.Box 1179
Southold.NY 11971-0959 "
1 �� ¢ �F
UILDING DEPARTMENT
TBOWN OF SOXY OLD
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 267 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:. --v "U-,
Property Owner's Signature:
- I
Sworn to of re Me this 2L day of
Official Notary Public Signature and Original Notary Stamp
JINGTING HAN
Notary Public-State of New York
NO.01HA6416000
Qualified in New York County
My Commission Expires Apr 5,2025
Page 5 of 5
May 8, 2022
Town Hall Annex �i Telephone(631)765-1802
54375 Main Road Fax(631)765-9502
P.O.Box 1179 G.�A
Southold,NY 11971-0959
JUN 1 L 2022
BUILDING DEPARTMENT13utl_u�fvC7>�.I7HTH
l-OWN Of SCIOLD
TOWN OF SOUTHOLD
RENTAL PROPERTY CERTIFICATION
Form is to be completed by a license architect, licensed engineer or licensed home inspector
Separate form is required for each individual Rental Dwelling Unit
Professional seal required fvr Architect or Enc_ineer,licensed Home Inspector must provide
copy of valid current certification
Rental Property SCTM Number:
Rental Property Address: 2165 Reydon Dr., Southold NY 11971
Owner/Name; Michael Cashwell
Rental Dwelling Unit Identifier:
Number &Square footage of each bedroom as depicted in the attached floor plan:
(i.e. Bedroom.#171100 sq., Bedroom #2-90 sq., etc.)
Bedroom #1 170 sgft Bedroom #3 110 sqft
Bedroom #2 110sgft
Property Description (Include all improvements indicated on survey)
single family home
I certify that I have done a physical inspection of the subject rental dwelling unit and find that it
fully complies with all the provisions of the Code of the Town of Southold, the Residential Code
of New York State,the Building Code of New York State, the Plumbing Code of New York State,
the Fuel Gas Code of New York State, and the Energy Conservation Construction Code of New
York State.
Victor Cornelius III CEO Inspector
Print Name and Title : ceIF
o# 1216-0283 Ori a Slgn ur
= I
Please place professional seal:
f'
/ SOF So
Dr.
TOWN OF SOUTHOLD BUILDING DEPT.
cou631-765-1802 � r %1., _)A. (
INSPECTION
[ ] 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 (FI AL)
[ ] CODE VIOLATION [ ] PRE C/O [ RENTAL
REMARKS:
yew uo . c, ' .A .erg
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U
DATE to(-Yq '1�y� INSPECTOR IVV14L
I I
El r�rt
7
Bath Guest Kitchen
s xai a Bedroom 9'6"x11'6"
11'6"x9'
CL 4' L)
U"
Sun
Room
a6 8'x17'
Guest
Bedroom
LL-
10'6"x10'6" Living Room
18'6"x30' —
Dining Room
10'x12'
2165 Reydon Drive
1 of 2
First Floor
Tour and Content Copyright O 2004-2022.This floor plan illustration is an approximation of existing structures and features and is provided for convenience only with the permission of the seller.All measurements are approximate and not
guaranteed to be exact or to scale.Buyer should confirm measurements using their own sources.
En-Suite
Bath Primary
7 Bedroom
CIL
17'x10'6"
Loft
11'x11'6"
Open To
Below
2165 Reydon Drive
Second Floor 2of2
Tour and Content Copyright O 2004-2022.This floor plan illustration is an approximation of existing structures and features and is provided for convenience only with the permission of the seller.All measurements are approximate and not
Quaranteed to be exact or to scale.Buyer should confirm measurements using their own sources.
SCTM # j
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OWNER STREET a, r VILLAGE DIST. SUB. LOT
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ACR. REMARKS
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dd TYPE OF BLD.
PROP. CLASS
LAND IMP. TOTAL DATE f j
,FRONTAGE ON WATER HOUSE/LOT
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BULKHEAD
I TOTAL
-a ° .TOWN OF 'SOUTHOLD' .PROPERTY RECORD BARD
OWNER cz> STREET'? VILLAGE DISTRICT SUB. LOTS- :°°"
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FORM%'OWNER N A E ACREAGE ,y '
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TYPE-OF.BUILDING
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RES: x SEAS. VL, FARM COMM. I IND. I CB. I MISC. Est. Mkt. Value
LAND IMP. TOTAL DATE REMARKS
4,27,7
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FORMER OWNER N' E ACREAGE
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RES:.,, SEAS. VL. �. FARM '' COMM_ _ IND CB. I MISC. Est-.-Mkt. Value
a
LAND IMP. TOTAL DATE REMARKS
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AGE,:- BUILDING CONDITION
NEW. NORMAL BELOW ABOVE FRONTAGE ON WATER
Farm Acre Value: Per Acrel Value FRONTAGE ON ROAD
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FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
UPDATED
PRE EXISTING
CERTIFICATE OF OCCUPANCY
No: Z- 28353 Date: 04/23/02
THIS CERTIFIES that the building DWELLING & ACCESSORY
Location of Property 2165 REYDON DR SOUTHOLD
(HOUSE NO.) (STREET) (HAMLET)
County Tax Map No. 473889 Section 080 Block 0002 Lot 024.001
Subdivision Filed Map No. Lot No.
conforms substantially to the Requirements for a ONE FAMILY DWELLING
built prior to APRIL 9, 1957 pursuant to which CERTIFICATE OF
OCCUPANCY NUMBER Z- 28353 dated APRIL 23, 2002
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 WITH 1 1/2 CAR GARAGE.*
The certificate is issued to STEVEN T KOLYER
(OWNER)
of the aforesaid building.
SUFFOLK. COUNTY DEPARTMENT OF HEALTH APPROVAL N/A
ELECTRICAL CERTIFICATE NO. N/A
PLUMBERS CERTIFICATION DATED N/A
*PLEASE SEE ATTACHED INSPECTION REPORT.
This Certificate of Occupancy replaces CO# Z-9921
Auth rized Sig ture
Rev. 1/81
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
HOUSING CODE INSPECTION REPORT
LOCATION: 2165 REYDON DR SOUTHOLD
SUBDIVISION: MAP NO.: LOT (S)
NAME OF OWNER (S): STEVEN T KOLYER
OCCUPANCY: R-1 STEVEN T KOLYER
ADMITTED BY: MRS. WELSCH ACCOMPANIED BY: WM. SMITH
KEY AVAILABLE: SUFF. CO. TAX MAP NO.: 80.-2-24.1
SOURCE OF REQUEST. WILLIAM B SMITH DATE: 04/07/80
DWELLING:
TYPE OF CONSTRUCTION: WOOD # STORIES: 1.5 $ EXITS: 0
FOUNDATION: CEMENT BLOCK CELLAR: PART CRAWL SPACE: X
TOTAL ROOMS: IST FLR.: 6 2ND FLR.: 1 3RD FLR.: 0
BATHROOM(S): 1.0 TOILET ROOM(S): 0.0 UTILITY ROOM(S):
PORCH TYPE: DECK TYPE: PATIO TYPE:
BREEZEWAY: FIREPLACE: 1 GARAGE:
DOPU=C HOTHATER: X TYPE HEATER: TANKLESS AIRCONDITIONING:
TYPE HEAT: OIL HARM AIR: HOTHATER: X
OTHER:
ACCESSORY STRUCTURES:
GARAGE, TYPE OF CONST.: 1 1/2 CAR WOOD STORAGE, TYPE CONST.:
SWIMMING POOL: GUEST, TYPE CONST.:
OTHER:
VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION a BUILDING CODE
LOCATION I DESCRIPTION I ART. SEC.
CELLAR i CELLAR STEPS II 52-27-A
GARAGE SIDING BROKEN IN PLACES III 52-31-B
REMARKS:
INSPECTED BY: DATE ON INSPECTION: 04/10/80
CURTIS HORTON TIME START: 1:40 END: 2:15
��o1pgUFFOI�.CpG Town of Southold 9/29/2015
�- P.O.Box 1179
o • 53095 Main Rd
Southold,New York 11971
CERTIFICATE OF OCCUPANCY
No: 37803 Date: 9/29/2015
THIS CERTIFIES that the building IN GROUND POOL
Location of Property: 2165 Reydon Dr, Southold
SCTM#: 473889 Sec/Block/Lot: 80.-2-24.1
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
4/24/2015 pursuant to which Building Permit No. 39705 . dated 4/24/2015
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 in ground swimming pool with fence to code as applied for per ZBA#5925 dated 9/14/2006
The certificate is issued to Cashwell,John E Jr.&Rachel M.
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 39705 4/28/2015
PLUMBERS CERTIFICATION DATED
oXd-Sigdture'
�o�psUFFOI'fcoy Town of Southold 11/17/2015
0
P.O.Box 1179
53095 Main Rd
oy'y0� �LON, Southold,New York 11971
CERTIFICATE OF OCCUPANCY
No: 37903 Date: 11/17/2015
THIS CERTIFIES that the budding ACCESSORY ALTERATION
Location of Property: 2165 Reydon Dr, Southold
SCTM#: 473889 Sec/Block/Lot: 80-2-241
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
10/28/2015 pursuant to which Building Permit No. 40233 dated 10/30/2015
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"alterations to an existing non-habitable accessory building as apphed for
The certificate is issued to Cashwell Jr,John&Rachel
of the aforesaid building
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 40233 11/2/2015
PLUMBERS CERTIFICATION DATED
rAecy§ignatajr
�o�g116Pat11'�p Town of Southold 9/18/2018
P.O.Box 1179
53095 Main Rd
Southold,New York 11971
CERTIFICATE OF OCCUPANCY
No: 39908 Date: 9/18/2018
THIS CERTIFIES that the building ADDITION/ALTERATION
Location of Property: 2165 Reydon Dr, Southold
SCTM#: 473889 Sec/Block/Lot: 80.-2-24.1
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
8/4/2016 pursuant to which Building Permit No. 40926 dated 8/19/2016
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:
ADDITIONS AND ALTERATIONS INCLUDING A COVERED FRONT PORCH TO AN EXISTING ONE
FAMILY DWELLING AS APPLIED FOR
The certificate is issued to Cashwell,Michael B
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 40926 06-28-2017
PLUMBERS CERTIFICATION DATED 10-25-2017 FeVk Marcotrigiano
u o ed Signature