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HomeMy WebLinkAbout1000-79.-7-16 smMMFG 0a TOWN OF SOUTHOLD Rental Permit 0689 Owner Bernadette M. Arnold & Michael J. Rabus Occupied as Single Family Dwelling Located at 660 Topsail Lane Southold 79-7-16 Maximum Permitted Occupancy 8 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. 7/5/2022 ode rleU Official This Notice must be posted by the main entrance at all times K) o0 SOUTy�; Town Hall Annex Telephone(631)765-1802 54375 Main Road en Fax(631)765-9502 P.O.Box 1179 ® -Q-- Southold, Southold,NY 11971-0959 BUILDING DEPARTMENT TOWN OF SOUTHOLD RENTAL PERMIT APPLICATION Rental Permit Fee$200(Application must be renewed every two years) 22 I1 �n MAY 2'4 7f` DD 172 Section A. BUILDING DEPT. Property Information: TOWN OF SOUTHOLD Rental Property Address: J / i Z-a "/ so Tax Map Number: 1000 SECTION 071, G° -BLOCK © l. OJ -LOT Ol SECTION B. / OWNER INFORMATION: Property Owner Name: I C Ile 1 �14 4 je �i Property Owner Legal Address: Property Owner Mailing Address: -7 s 4c( t? R 4 -7 �e c /�/ /i -70 Telephone Number(s): Daytime 3/3,dPo Evening-76'-1-79)1 Emergency Sa D DU Property Owner Email Address: (l GWt6 Pagel of 5 o�t�pF SUUp�ol�s T Telephone 631 765-1802 Town Hall Annex � �� P ( ) 54375 Main Road cn Fax(631)765-9502 P.O.Box 1179 Southold,NY 11971-09590 � �OUV'- BUILDING BUILDING DEPARTMENT TOWN OF SOUTHOLD Section C. Authorized Agent Information: l/ Name of Authorized Agent of dwelling unit, if any: Address of Authorized Agent(no P.O. Boxes): !� vy s Mailing Address of Authorized Agent:® 9o-V S ./y /v3 �'�' '�ccGl #;")0 Telephone Number(s): Daytime Evening Emergency 631 S-�5 Email Address: J-4 s4i�r �(�a 4O k7 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 solip,olo Town Hall Annex ➢�t �� Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1179 O Southold,NY 11971-0959 ' yCOUNTV� 1 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, C);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: 00 s Requested Maximum number of persons allowed to occupy Dwelling Unil(,Q Number of rooms in Rental Dwelling Unit: R t4d a�1a �)�00✓hS Use and Dimensions of each room in Rental Dwelling Unit: !1 �C�� ��KX /W1 I -L .906w" /� X / 4 / x 1 I L , 2�'��' oorv� j br 1/ �ec� �o� � 3 j� x I � �/ ���� Ivo,•, � �x Page 3of5 /`� �4t lOvrN 3- �X i oF SOtlTyolo '['own Hall Annex Telephone(631)765-1802 54375 Main Road cn Fax(631)765-9502 P.O.Box 1179 �O Southold,NY [1971-0959 O` COUS�.,��11�� �7rsr� 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)) / I J ll (��° / I• 14 fed/Jcertify 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 Io�pf SOlyT�ol Town Hall Annex } Telephone(631)765-1802 54375 Main Road j Fax(631)765-9502 P.O.Box 1179 , y0 Southold,NY 11971-0959a�y 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: Property Owner's Signature: Sworn to before me this—day of MQW 20-2 Official Notary Public Signature and Original Notary Stamp CONNIE D.BUNCH Notary Public,State of Now York No.01 BU6185050 Qualified in Suffolk County Commission Expires April 14,2_D Page 5 of 5 r� f --- OF SOGTyo�o # TOWN OF SOUTHOLD BUILDING DEPT. �o . �o �ycourm,�� 631-765-1802 4.1 ,--'- -- t( INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PL13G. [ ] FOUNDATION 2ND [ ] INSULATION/CAULKING [ ] FRAMING /STRAPPING [ ] NAL [ ] FIREPLACE & CHIMNEY [ FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (F AL) [ ] CODE VIOLATION [ ] PRE C/O [ ] RENTAL REMARKS: (�-- vf-4 WA CD DO q�CA 0 yovL ` . P�V5�0►�t l DATE Y77 'Yv INSPECTOR L v O L 4r d'n• a,•a la_�' 10:4• '�_ .�*. Cp.�1d 11W� •puoow -+YAM.. A /[a11Cf•ri ibV I .�.� 0 ps7•aw._ I I +, \ J { per.'_""•�"' fie' L_�° __ — — — --- — e"". •;� c,r.• .c. � —_A. hV_�erns+__`°, � i Ya.i� _ �;. L • ' I -•:� A' :.X.'L'.1' Sb' [' r.f' 7d• -. _---.._-_"-�Ilfi. .1 ._. � 9 Y �'4 p 1. 1 Ai VA c-ry �� 1 a.•• to h S 1.! .W7 Ftu� 4i.woxc ITSAe.Li. -i.w•wR uz Uallix M114 ;� I �. �. eeoe£�, i- �t t.: �� --"•� i --;J�+. ' 1 'e'�� 4J�J I ' Tkra _ ' t mac •! O Jo \ it I _ I tt•' O ., � I :k� I ('&O�-�..n II .�: _ __ .�_�.—_ I�ry�•,��eft � ` 4`� _ _�-- '� b ' ~'___' _— E -�•----�' - � 13'-0�.:.__.—_ y� ' •, ` �� a .r ::° ry .�•►�y ° ----scr.- ? 'v Ii . •• \ ,r I t • 1 — --_ �� �►Z - err+ •,„ r^(i� ;u ., C•.O D'-O'_—... 1 0T1 {r�c7 �:M"lA[116 I, 1t� R00► OIALMIiL lm.9Elll i;, -.--•--__—_. -- Twy ,.�.i TIST. . 16E0 0.T MY 01ac,Y:J:.T AIff.AE A ''.•� 7IOR Of Ex.ifh.Y r7 re x •3 ..- NRC t 't,e••p °-� Y el/ iYwro•! tn,TAUT � . A-303 - ; NEW �ESID�NGE EI LEE N G�LL IN HERMAPF L GOLDBITRG A.I.A.a. �/�� �/f /��/, / ['� (T A, \\� REGISTERED ARCHITECT LOT fel°- 41 , „ LEE•[�/�Iv I� (�.T 5R&1 �/lew° .- �[�ON\�fY�•T filly;,,." •� IENTygpp.N`EW vORKElt717 r ToPsdIL. L LNE, �,dYVIEW NEW � L C& � �Rpo 015�bnd� OL Pill9lpa k G� Pic ��lo�looc��hS �b°oG- �- ly X.P4wm Awe- TOWN OF SOUTHOLD PROPERTY RECORD 1 OWNER STREET == T VILLAGE DIST. i SUB LOT F MtR OWNER : C-01 t j y). o-N E ACR. *%f 4-1 S W TYPE OF BUILDING __ t tc"d '.6: e j/ RES. SEAS. VL. FARM COMM. CB. MICS. Mkt. Value LAND IMP. TOTAL DATE REMARKS ,• , / j g S d ' rz a 4- . a 0$ 3 2S BPS Tillable FRONTAGE ON WATER Woodland FRONTAGE ON ROAD Meadowkw4 DEPTH House Plot BULKHEAD Total n COLOR _ TRIM .. : KV A LLI 01 I t r 4 79.-7-16 4/07 -- Extension I i I Foundation , Both Dinette P Basement �P, Floors K. Acnch- _ _. Ext. Walls / ' J Interior Finish LR. J - Breezeway Fire Place Heat J DR. rode M_ , ; Type Roof Rooms tst Floor BR. Pati �� y_,�j�u.. ,_ ._ : �- - �.`.: Recreation Room Rooms 2nd Floor FIN. B l O. B. Ar4A`41 a, `�`t{ o`•¢` Dormer Driveway TQfol < ' ,-- n 12 5 6 FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z18238 Date AUGUST 4, 1989 THIS CERTIFIES that the building ONE FAMILY DWELLING Location of Property 660 TOPSAIL LANE SOUTHOLD House No. Street Hamlet County Tax Map No. 1000 Section 079 Block 07 Lot 16 LEEWARD ACRES Subdivision AT BAYVIEW Filed Map No. 5599 Lot No. 41 conforms substantially to the Application for Building Permit heretofore filed in this office dated AUG. 21, 1984 pursuant to which Building Permit No. 13383Z dated AUG. 27_, 1984 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 ATTACHED GARAGE AMENDED TO INCLUDE PATIO. The certificate is issued to JOSEPH J. COLLINS (owner, ) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL 14-SO-125 AUG. 2, 1989 UNDERWRITERS CERTIFICATE NO. N822099 JULY 24 1987 PLUMBERS CERTIFICATION DATED RALPH E. SAMPLES DEC. 20 1984 Building Inspector Rev. 1/81 L. FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY NO: Z-32179 Date: 02/06/07 THIS CERTIFIES that the building ADDITION Location of Property: 660 TOPSAIL LANE SOUTHOLD (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 79 Block 7 Lot 16 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated SEPTEMBER 21, 1990 pursuant to which I Building Permit No. 19457-Z dated OCTOBER 15, 1990 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 ADDITION TO AN EXISTING SINGLE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to EILEEN COLLINS (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A E4HCTRICAL CERTIFICATE NO. 107638C 05/19/06 PLUMBERS CERTIFICATION DATED N/A //Au.t,fioriied Signature Rev. 1/B1 FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT office of the Building Inspector Town Hall Southold, N.X. CERTIFICATE OF OCCUPANCY No: Z-33232 Date: 08/19/08 THIS CERTIFIES that the building IN-GROUND SWIMMING POOL Location of Property: 660 TOPSAIL LA SOUTHOLD (HOUSE NO.) (STREET) (HAMLET) County Tax Map No_ 473889 Section 79 Block 7 Lot 16 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated MAY 27, 2008 pursuant to which Building Permit No. 33934-Z dated MAY 27, 2008 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 INGROUN SWIMMING POOL WITH FENCE TO CODE AS APPLIED FOR. The certificate is issued to JOSEPH & EILEEN COLLINS (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. 111333C 09/11/06 PLUMBERS CERTIFICATION DATED N/A t Authorized Signature Rev. 1/81