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Home My WebLink About1000-78.-4-10 Y= x£ TOWN OF SOUTHOLD Rental Permit - 0512 Owner Martin & Tamara Coudurier Occupied as Single Family Dwelling Located at 600 Corey Creek Ln. Southold 78.4-10 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. 8/14/2023 4" L e c met Official This Notice must be posted by the main entrance at all times = d i 4 Town Hall Annex 54375 Main Road m n„ P.O.Box 1 179 Southold,NY 11971-0959 �" � �` AUG1 1 2023 BUILDING DEPARTMENT � � TOWN OF SOUTHOLD TO ... 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 02—(-)A.). --v4�-BLOCK LOT SECTION B. OWNER INFORMATION: Property Owner Name:, Property Owner Legal Address: Property Owner Mailing Address: Telephone Number (s): Daytimek _ \Evening � � i iergency_.S„"-2 �� l � 2 3� 23- Property Property Owner Email Address: j" � �. ......� arara. Ceo ...� C Q. Pagel of 5 Town Hall Annex Telephone(631)765-1802 54375 Main Road Fax (631)765-9502 P.O. Box 1179 Cc- dFs Southold,NY 1 1971-0959 eou BUILDING DEPARTMENT TOWN OF SOUTHOLD Mailing Address of Managing Agent: Telephone Number (s): Daytime Evening Emergency___..„_,,, ...ww 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: Requested Maximum number of persons allowed to occupy Dwelling Ul 1t:tl Number of rooms in Rental Dwelling Unit: Use and Dimensions of each room in Rental Dwelling Unit: Page 3 of 5 f-m ' ry Telephone(631)765-1802 Town Hall Annex �''" �� Telc P 54375 Main Road Fax(631)765-9502 Y.O.Box 1 179 � r m 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 iI 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 OFSUFFOLK) �- � ttI lig C 0 Uv ce1r 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 Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O. Box 1179 ;y ,� Southold,NY 11971-0959 �fi d ° t"Ou0.� s 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 20, Official Notary Public Signature and Original Notary Stamp CONNIE D.BUNCH Notary Public,State of New York No.01 BU6185050 Qualified in Suffolk County Commission Expires April 14, 2 � Page 5 of 5 S, OD C&k 631 -765-1802 INSPEC ION [ ] FOUNDATION 1ST [ ] ROUGH PL13G. [ ] FOUNDATION 2ND [ ] INSULATION/CAl [ ] FRAMING / STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY IN! [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PE [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FI CODE VIOLATION PRE C/O [ REMAR r r Ct1,vPA(lW 600 COREY CREEK LANE, SOUTHOLD Interior: Exterior. Unfinished Lower Level: 1,153± sq. ft. Porch: 21± sq. ft. First Floor: 1,173± sq. ft. Garage: 333± sq. ft. Total: 1,173± sq, ft. Patio: 803± sq. ft. W EN LA v 0'6 44 7T 'ATI corn 4 0 Corn LL p-O w x L C. 59-Y 3-^' FI RST FLOOR LOWER LEVEL `.�. fc .. D:...,_..s. t �;X ..o.... ', ;? c;..o .:G ,..i: Is_ t_j"3^ ��,: z, ...^.i_',..:s-web- eta b. 'Obz— � May 13, 2023 tf h{JU lm Town Hall Annexe Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1179 w« Southold,NY 1 197 1-0959 " BUILDING DEPARTMENT 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 re aired Lor Architect or Engineer licensed Home Inspector must provide my of valid current cerci cation Rental Property SCTM Number: Rental Property Address: 000 Corey Creek; l..n Southold NY 11971 Owner/Name: Martin Pierre Coudurier Rental Dwelling Unit Identifier: Number & Square footage of each bedroom as depicted in the attached floor plan: (i.e. Bedroom #1 -100 sq., Bedroom #2-90 sq., etc.) Bedroom #1 105 S ft Bedroom #3 120 sqft Bedroom #2 180 sqft Property Description (Include all improvements indicated on survey) milv 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 ceo# 1216-0283 Original Signatu Please place professional seal: SCTM # fZ TOWN OF SOUTHOLD PROPERTY RECORD CARD .......... OWNER STREET VILLAGE DIST, SUB LOT A I�j ACR. 8 S 7A S r;fie ir TYPE OF BLD. PROP, J, LAND IMP, TOTAL DATE %) n FRONTAGE ON WATER HOUSE/LOT .................. ......... BULKHEAD TOTAL TOWN OF SOUTHOLD PROPERTY REL'coLl LLID SFT VILLAGE DISE SUB LOuF ACR... _...'` ....,�.�,_ ..'_. �. _ .. ._.._..._..... ...._,.�...,.. O RFN OWNER"" lv li" Q N E S W TYPE OF BUILDING ",.2,21 ) SEAS. VL 1 ..FARM COMM ...__ .. .. CB. B .�.._MICS. ._ ..Mkt. Value.._.__.. _...... ..._.,......,.....,.._.�._.......,._. . .._._,.,,..�...�. ..., LAND IMP. TOTAL DATE REMARKS .�_ _. F r } �r I N9"u i f Ji Ld AGE + f a l BUILDING CONDITIONi f qE W NORMAL BELOW ABOVE =ARM Acre Value Per Value Acre _v.. ......_ .. _ .... .........._.._..... ..._. _....... . _. . . . ,,. .. .,..w............. ..,......_.. _._._........, illable FRONTAGE ON WATER foodland FRONTAGE ON ROAD Meadowland DEPTH _.. .. ,_w _......,. Ouse Na BULKHEAD _. __... _.. .,..,_, .. _._....,. a.m.w. ...m....... _...W _... otal ! DOCK . .... , ...._, n.... ._ _..... _,._. ........m..._ _ ..,.,.... ._...__ _ ._...,. .._.,. .......... _.. ..._._.. ..,, .... . . _............ VIR M id r T . .... f 7'' A. Bldg. .7 :xtension :Xtension :xtension Bath D�nefje Foundation Basement IC 'orch 712" 'arch Ext. NA"alls Interior FinishLP ........... �see zewoy 1 j Fire Place iHeat /Type Roof R.�ur�sIst Floor ZPe-reation Roorr, orns 2nd Floor l", B. Dormer Driveway FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. UPDATED CERTIFICATE OF OCCUPANCY No Z-30114 Date MARCH al. 2004 THIS CERTIFIES that the building DWELLING Location of Property 600 COREY CREEK LANE SOUTHOLD. N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 78 Block 4 Lot 10 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated...-, JANUARY 26 1973 pursuant to which Building Permit No. 6350-Z dated_ JANUARY 26 1973 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 ACHED GARAGE The certificate is issued to CYNTHIA B. CHMIDT (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL RQBERI VILLA - 6/6/1973 UNDERWRITERS CERTIFICATE NO. N-090560 - 5/16/1973 PLUMBERS CERTIFICATION DATED N/A *NOTE: THIS UPDATES CO Z-5184 DATED JUNE 6, 1973. Bu ding Inspec or 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-25502 Date: 01/27/98 THIS CERTIFIES that the building ADDITION Location of Property: 600 COREY CREEK LA SOUTHOLD (HOUSE NO. ) (STREET) (HAMLET) County Tax Map No. 473889 Section 78 Block 4 Lot 10 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated NOVEMBER 13 1997 pursuant to which Building Permit No. 24556-Z dated DECEMBER 12, 1997 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 BRICK BARBECUE AND DECK ADDITION TO EXISTING ONE FAMILY DWELLING AS APPLIED FOR "AS BUILT". The certificate is issued to HERSCHEL T & RUTH A. RICH (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A 8 ilding Inspector Rev. 1/81