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HomeMy WebLinkAbout1000-80.-1-25 TOWN OF SOUTHOLD t4l9 Rental Permit 0983 Owner Jonathan & Chloe Huang Occupied as Single Family Dwelling Located at 1160 Paradise Shore Rd Southold 80-1-25 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. 41�- 8/30/2023 ALF odeEfifo4cen, Official This Notice must be posted by the main entrance at all times Town Hall Annex " 1 Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1179 „ Southold,NY 11971-0959loU t � BUILDING DEPARTMENT "s TOWN OF SOUTHOI D M A"( 8 r 2 RENTAL PERMIT APPLICATION Rental Permit Fee $2.00(Application n7ust;be renewed every two yeos) Section A. Property Information: Rental Property Address: 1160 Paradise Shores Road, Southold, NY Tax Map Number: 1000 SECTION 080.00 -BLOCK 01.00 -LOT 025 000 SECTION B. OWNER INFORMATION: Property Owner Name: Chloe Huang Property Owner Legal Address: Property Owner Mailing Address: 7 Oakwood Drive West 7 Oakwood Drive West_ Lloyd Harbor. NY 11743 _LJ 631-896-0519 Telephone Number (s): Daytime 631-896-0519 Evening Emergency 631-896-0519 Property Owner Email Address: chloerubel@ mail.com Page 1 of 5 p Town Hall Annex t , � Telephone(631)765-1802 54375 Main Road � � Fax(631)765-9502 P.O.Box It 791 u; Southold,NY 11971-0959 RPS" 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: 1 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. Unit 1 Requested Maximum number of persons allowed to occupy Dwelling Unit: 6 Number of rooms in Rental Dwelling Unit: 7 Use and Dimensions of each room in Rental Dwelling Unit: Kitchen/Living Room - 15'x19'& 10'x8' Full Bathroom-9'x5' Halt Bathroom-5'x4' Laundry Room - 8'x8' Bedroom 1 - 9'x12' Bedroom 2 - 9'x12' Bedroom 3 - 91x9' Page 3 of 5 k Town Hall Annex Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1 179 Southold,NY 11971-0959 � eou 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. ❑ 1 am requesting a fire safety inspection to be performed by a Code Enforcement Official from the Town of Southold W 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) 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 r � Ze, Town Hall Annex �� , Telephone(631)765-1802 54375 Main Road q rax(631)765-9502 P.O.Box It 79 Southold,NY 11971-0959 "r k 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: Chloe Huan Property Owner's Signature: Sworn to before me this��day of__bAaV 20?-3 Official Notary Public Sign re and Original Notary Stamp ROSALIE A. BRANCACCIO Notary Public, State of New York No. 01 BR6396872 Qualified in Queens County Commission Expires August 261,26 Z3 Page 5 of 5 Town I lail Annex �, Telephone(031)765-1802 54375 Main Road Pax(63 1)765-9502 P.O.Box 1 179 Sowhold,NY 11971.0959 i fail&t V BUILDING DEPARTMENT TOWN OF SOU'THOLD RENTAL PROPERTY CERTIFICATION Form is to be completed by o license architect, licensed engineer or licensed home inspector Separate form is required for each individual Rental Dwelling Unit Pro ssiongl seat reguulre far rT a t j t(qr C"nglpr" !. rc r rl l rra Pns ect f r rrq jrp crvirfc copy of I valid current certtfct icsrr Rental Property SCTM Number: 1000-080,00-01.00-025.000 Rental Property Address: 1160 qhores ,Sq,. khold, Owner/Name: Chloe Huanq . __.._ _u._—__ .. .._._ .. _.. ._ ._ ._—_....,...._..... .. ___w� Rental Dwelling Unit Identifier: Number&Square footage of each bedroom as depicted in the attached floor plan: (i.e. Bedroom #1 —100 sq., Bedroom a2-90 sq., etc.) Bedroom #1 - 108 S.F,..__ Bedroom #2 - 108 SF Bedroom#3-81 SF Property Description (Include all improvements indicated on survey) One story residence with a ravel driveway+and wood decks at front and rear. — 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. Print Name and Title r". zl 0 as cot Please place professional seal: s10 _ aAT TOWN OF SOUTHOLD BUILDING CREPT. ���` 631-765.1802 114m S P E C T 10 N [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATIOWCAULKING [ ] FRAMING /STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) [ ] CODE VIOLATION [ ] PRE C/O [ ]4ENTAL TOWN OF SOUT'HOLD BUILDING DEPT. 631-765-1802 T T 10 N [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION/CAULKING [ ] FRAMING /STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PEN TRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (F AL) [ ] CODE VIOLATION [ ] PRE C/O [ RENTAL REMARKS: DATE ------------ CLOSEr B]BEDROOM IEDRWM ] 0-0 s Rff 0. . � \ } Ln 14 KITCHEN LAUNDRY ROOM FOYEUR i CLOSET BEDROOM 6-- BEDROOM CLOSET 4 71DROOM' UVINGAINING ROOM "I LEGEND CW) WX DETECM A COM MWXUX ACTOR FIRST FLOOR PLAN i �3 } 1-3 CELM AT GRdC s LEGEND 1M4 D€IECTDR e0 CARBCVd kiQh XME DETECTOR CELLAR PLAN M 1/¢'_V4 i TOWN OF S T1 � OWNER STREET VILLAGE DIST; SUB. LOT FORMER OWNER N E ACR TYPE OF BUILD F- S fN RES. ` SEAS VL. ; FARM COMM. CB, MICS. Mkt. Value LAND IMP. TOTAL DATE REMARKS a 7 F o - __ � ; of JL- i AGE1 BUILDING CONDITION NEW NORMAL BELOW ABOVE �(G .5 1 bq FARRM Acre Value Per Value Ac re Tillobie FRONTAGE ON WATER Woodland FRONTAGE ON ROAD Meadowland DEPTH House Plot BULKHEAD Total DOCK i � t'X--3 e < , COLON _ TRIM y € � x z z � I — 3 _ } o t x y0.' r _ E d =s. a — Extension - - Extension _ - i Extension '£ Foundation Bath Dinette �Baserne;t Floors K. i Pore- a Ext. Walls interior FinishLR. _ Breezm_._y _. e ire Place Heat DR. ` _ Garage Ty pe Roof iRooms 7st Floor 3QR. ` - Patio Recreation Room Roon-is 2nd Floor FIN. B 1 O. B. _ Dormer 'Driveway _ Total '= i i 3 FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Clerk's Office Southold, N. Y. Certificate Of Occupancy No. A5109 . . . . . Date . . . . . . . . . . . . .Flay. . . . 2.9. . . . . ,, 19.73. THIS CERTIFIES that the building located at . Paradise - Share S. Road. . . Street Map No. . . XX . . . . . . . Block No. ? . . . . . . .Lot No. . . ? . . Southold .t.I. t conforms substantially to the evade,. CartifIcate P Y before- April .23. . ., 19.57. pursuant to which N —141 7. — dated . . . . . . . . . .May. . . .29. . . ., 19. 73, was issued, and conforms to all of the require- ments of the applicable provisions of the law. The occupancy for which this certificate is issued is . . . .Private• one -family. dwelling . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . The certificate is issued to . itichard lfe. . , . .Owners . . . . . . . . . . . . . . . . . . (owner, lessee or tenant) of the aforesaid building. Suffolk County Department of Health Approval Pra-.exists R9 . . . . . . . . . . . . . . . . . . UNDERWRITERS CERTIFICATE No. . . .rre-AxOstir. HOUSE: NUMBER. . .116-0 . . , . .Street. . , s ,load. „ . , . . . . . . t�xeeptiorls • tc- -00de.3. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1 No light a`ritch at point of entry ( SIS) 529b / I 2. No shutoff valve at kitchen range 50£b / 3. No show,.r cl' tul in bathrcon 505b I+* bttertor— ia/S no founciatlaL or skirt 302& 6C4Wkiilcling Inspector HOUSING CODE INSPECTION May 29, 1973 #1160 Paradise Shores Road Southold, N.Y. Tax Roll : Richard C. Clark and wife Seasonal Upon request of the Southold Town Building Department, I made inspection of this one story framed dwelling and found the following violations of Local Law #1, Housing Code Town of Southold. I was admitted to south entrance to screened enclosed porch by Mrs. Clark and began inspection at approximately 9:30 a.m. Large room containing livina room and kitchen: No switch at south entrance to control ligHt in room - Section 529b. Kitchen: Range, gas, no shutoff valve at unit - Section 508b. Half Bath: No shower or tub inside dwelling - Section 505b. Exterior: Building on posts with crawl space; section on west e under kitchen and bath area not skirted - Section 302a, and Section 604b. Inspection completed at approximately 10 :00 a.m. pectfully bmitted,, Edward Hin ermann Building Inspector EH:tle FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT' Town Clerk's Office Southold, N. Y. Certificate Of Occupancy No. ,gab ?. . . . . Date . _. . . , , . . .July . . . 16 . . . . ., 19.75. THIS CERTIFIES that the building located atE/S. Yexad.ise. ,Shores .1oadStreet Map No. xxx. . . . . . . . Block No. . xxx. . . . .Lot No. .xxx - -Southold - -V-1 . . . . . . . . . . conforms substantially to the Application for Building Permit heretofore filed in this office dated . . . . - . . . . - . . .J-1+--1 16, 19 7.5 • pursuant to which Building Permit No. BoAQr. . dated . . . . . . - .July. . . . 16. . . . ., 19 r?5., was issued, and conforms to all of the require- ments of the applicable provisions of the law.The occupancy for which this certificate is issued is . . .PrI-vate c�1 .ssory stoxa e- building: . . . . . . . . . , . . . , . The certificate is issued to . Uchar-d . . Phyllis •Clark • - • • owners • • • • • • • - . . • • . • • (owner, lessee or tenant) of the aforesaid building. Suffolk County Department of Health Approval . . . . . . . . • . . . . • • . r w UNDERWRITERS CERTIFICATE No. . A+13+. . . . . . . . . . . < . . • • . . • • • . • . • . ,. M . HOUSE NUMBER . . . 1.7.64. . . . . . Street . . . . .Paraditse• Shores• -Road. . . . . . . . . . . . . Building Ins r FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-21011 Date SEPTEMBER 11, 1992 THIS CERTIFIES that the building ADDITION Location of Property, 1160 PARADISE SHORE ROAD SOUTHOLD N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 80 Block 1. Lot 25 Subdivision Filed Map No. Lot No.� conforms substantially to the Application for Building Permit heretofore filed in this office dated SEPTEMBER 2314 1.987_ ______.pursuant to which Building Permit No. 16490-Z dared SEPTEMBER 30 1987 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 DECK ADDITION TO EXISTING ONE .FAMILY DWELLING AS APPLIED FOR The certificate is issued to JOHN & ETHEL McKENNA (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL, NLA_. UNDERWRITERS CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED NIA Uuild I spoo or Rev. 1/81 j M FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-21012 Date SEPTEMBER 11 1992 THIS CERTIFIES that the building ADDITION & ALwT TION Location of Property 1160 PARAI7'ISE SHO�tES ROAD SOUTHOLD N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 80 Block I—Lot 2 Subdivision Filed Map No. Lot No.� conforms substantially to the Application for Building Permit heretofore filed in this office dated—MARCH 11 1991 pursuant to which Building Permit No. 19715-Z dated MARCH 15 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 D'ITION ALTERATIONS & DECK. ADDITION TO CONVERT AN EXISTING SEASONAL DWELLING TO YEAR ROUND ONE FAMILY DWELLING.. The certificate is issued to JOHN & ETHEL McKENNA (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N A UNDERWRITERS CERTIFICATE NO. N-208903 - OCTOBER 21 1991 PLUMBERS CERTIFICATION DATED SEPT_ 1.8 1991 - MIKE JACOBI PLUMB & HEAT �. Bui ng Inspect6r Rev. 1/81 w