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HomeMy WebLinkAbout1000-137.-5-18 TOWN OF SOUTHOLD 3 Rental Permit 0709 Owner Happy Hollow LLC Occupied as Single Family Dwelling Located at 275 Hamilton Avenue Cutchogue 137.-5-18 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 inspectio . 7/30/2024 o a Enforcement Official This Notice must be posted by the main entrance at all tim " gv-e-- TOWN OF SOUTHOLD BUII. IN `i DEPT. 765- 80 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 (FINAL) [ ] CODE VIOLATION [ ] PRE C/O REMARKS: S t = / IF DATE Z Z INSPECTOR TOWN OF SOUTHOLD Rental Permit 0709 Owner Happy Hollow LLC Occupied as Single Family Dwelling Located at 275 Hamilton Ave Cutchogue 137-5-18 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. 7/22/2022 Official This Notice must be posted by the main entrance at all times de rEfo e n Town Hail Annex IJTelephone(631)765-1802 Fax(631)765-9502 54375 Main Road g f rt P.O.Box 1179 Southold,NY 1 197 1-0959 " i BUILDING DEPARTMENT TOWN OF SO OLD RENTAL PERMIT APPLICATION Rental Permit Fee$200(Application must be renewed every two years) . Section A. Property Information: Rental Property Address: Alm.cTvA) /I ewue- Cv T«o Guc Tax Map Number: 1000 SECTION �� BLOCK S LOT SECTION R. OWNER INFORMATION: Property Owner Name: Property Owner Legal Address: Property Owner Mailing Address: (Cannot be the same as Rental Property Address) J,_ d /0 — UU 0 D11_____� pfd, Telephone Number (s): 62 ©/� Property Owner Email Address: .1? N+iL%Z rni3if_ Page 1 of 4 Section C. Authorized Agent Information: Name of Authorized Agent of dwelling unit, if any:. i' 1cklifeelI Address of Authorized Agent (no P.O. Boxes):: Mailing Address of Authorized Agent: Telephone Number(s): 5,/ (, qa Email Address: Mv1 is - . R 8i l c , 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): 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): Mailing Address of Managing Agent: Telephone Number(s): Email Address: Page 2 of 4 SECTION F. PROPERTY DESCRIPTION: Number of Rental Dwelling Units on property: d NLS 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 U i . lv Number of rooms in Rental Dwelling Unit: 5 Use and Dimensions of each room in Rental Dwelling Unit: SECTION C. 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 NYS licensed architect, a NYS 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 la s 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. Page 3 of 4 0 1 am submitting a completed Town of Southold certification form from a licensed architect, a licensed professional engineer, or a licensed home inspector who has a valid New York State Uniform Fire Prevention Building code Certification. SECTION H. DECLARATION: Signature must be notarized and MUST be the owner of the dwelling unit STATE OF NEW YORK) COUNTY OF SUFFOLK) I_ //C Ci ; 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 applicable laws and rules: I further acknowledge that I will notify the Town of Southold Building Department of any changes of address within five (S) 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 s to any change to the information regarding Authorized Agent, Managing Agent, or Site Manager, Property Owner's Name: nrGG- �6 U./LOU_L,/ Property Owner's Signature: Sworn to before me this �q day of lANu 04+, ,20 a 0 Via.. Gary Marino Official NotaKy Public Signature and Original Notary Stamp NOTARY PUBLIC STATE OF NEW JERSEY WCOMMISSION EXPIRES September 28,2020 Page 4 of 4 0 1 am submitting a completed Town of Southold certification form from a licensed architect, a licensed professional engineer, or a licensed home inspector who has a valid New York State Uniform Fire Prevention Building code Certification. SECTION H. DECLARATION: Signature must be notarized and MUST be the owner of the dwelling unit. STATE OF NEW YORK) COUNTY OF SUFFOLK) I (?RfGG 13Urt PUL-11 , certify under penalty of perjury,the following: 1: I 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 applicable laws and rules. I further acknowledge that I will notify the Town of Southold Building Department of any changes of address within five (S) 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 s to any change to the information regarding Authorized Agent, Managing Agent, or Site Manager. Property Owner's Name:_ . ( ,xeZ:G- LK Property Owner's Signature: Sworn to before me this day of Sa>✓ 20 �v y i O ficial Notar ublic Signature and Original Notary Stam Gary Marino Y g g Y p NOTARY PUBLIC STATE OF,NEW JERSEY WCOMMWiON EXPIRES Septem*4^8,20X Page 4 of 4 row., Town Hall Annex Telephone(631)765-1802 .,k � ? 54375 Main Road s ; Fax(631)765-9502 P.O.Box 1179 Southold,NY 11971-0959 � ra BUILDING DEPARTMENT TOWN OF SOXJT'HOLD RENTAL PROPERTY CERTIFICATION Form to be completed by a NYS licensed architect, NYS licensed engineer or licensed home inspector Separate form is required for each individual Rental Dwelling Unit P'rci�essiotittl seal required for Architect or.En Inger licensed Home Inspector must pmvide,o cgcxlid!4lew York State Uniform Fite Prevention Huildin a Code Certi rration. Rental Property SCTM Number: v Rental Property Address: .2-75. -�ca �� NJ L"600 Owner/Name: t r, 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.) S�- cs Ix -M C .. loo �. �c3•``r" �pD�'1 Property Description (Include all improvements indicated on survey) I certify that I have done a physical inspection of the subject rental dwelling unit and find that the unit 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. Print Name and Title Original Signature Please place professional seal: ~��� 9010 • ��• �,�j couNov TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION : [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULAT ION ( ] FRAMING /STRAPPING [ ] FI L [ ] FIREPLACE& CHIMNEY [ FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) REMARKS: DATE 1 + � INSPECTOR Building Sketch Client GreggBurdulis Property Address 275 Hamilton Avenue city Cutcho ue COunty Suffo k State NY Zip Code 11935 Owner Est. of Dorothy E. Burdulis 10' F- o_ Bath 10' 20' Bedroom BO Den M Bedroom 1st Floor io rn Bedroom Dining W o - n 20' 2nd Floor Kitchen Subject Dwelling 8' Front Porch 12' i Ff01qO .Oi Town of Southold 7/22/2022�agU ��or j Gy 53095 Main Rd Southold,New York 11971 N T 41 PRE EXISTING CERTIFICATE OF OCCUPANCY No: 43280 Date: 7/22/2022 THIS CERTIFIES that the structure(s)located at: 275 Hamilton Ave,Cutchogue SCTM#: 473889 Sec/Block/Lot: 137.-5-18 Subdivision: Filed Map No. Lot No. conforms substantially to the requirements for a built prior to APRIL 9, 1957 pursuant to which CERTIFICATE OF OCCUPANCY NUMBER Z- 43280 dated 7/22/2022 was issued and conforms to all the requriements of the applicable provisions of the Iaw. The occupancy for which this certificate is issued is: J wood frame single family dwelling with two screened porches and outdoor shower,and accessory metal shed.* The certificate is issued to Happy Hollow LLC (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED *PLEASE SEE ATTACHED INSPECTION REPORT. Z"4 Cirize0ignature BUILDING DEPARTMENT TOWN OF SOUTHOLD HOUSING CODE INSPECTION REPORT LOCATION: 275 Hamilton Ave,Cutchogue SUFF.CO.TAX MAP NO.: 137.-5-18 SUBDIVISION: NAME OF OWNER(S): Happy Hollow LLC OCCUPANCY: ADMITTED BY: SOURCE OF REQUEST: Happy Hollow LLC DATE: 7/22/2022 DWELLING: #STORIES: 2 #EXITS: 2 FOUNDATION: cement block CELLAR: partial CRAWL SPACE: BATHROOM(S): 1 TOILET ROOM(S): UTILITY ROOM(S): PORCH TYPE: 2 screened DECK TYPE: PATIO TYPE: pavers BREEZEWAY: FIREPLACE: GARAGE: DOMESTIC HOTWATER: x TYPE HEATER: gas AIR CONDITIONING: TYPE HEAT: gas WARM AIR: floor furnace HOT WATER: #BEDROOMS: 1 #KITCHENS: 1 BASEMENT TYPE: unfinished OTHER: ACCESSORY STRUCTURES: GARAGE,TYPE OF CONST: STORAGE,TYPE OF CONST: accessory metal shed SWIMMING POOL: GUEST,TYPE OF CONST: OTHER: VIOLATIONS: REMARKS: INSPECTED BY: JOHNJ DATE OF INSPECTION: 6/26/2018 TIME START: 9:27am END: 10:08am FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z17559 Date DECEMBER 5, 1968 THIS CERTIFIES that the building ADDITION Location of Property 275 HAMILTON AVE. CUTCHOGUE House No. Street Hamlet County Tax Map No. 1000 Section 137 Block 05 Lot 18 Subdivision RAVATONE REALTY Filed Map No. 539 Lot No. 19 conforms substantially to the Application for Building Permit heretofore filed in this office dated SEPT. 29, 1983 pursuant to which Building Permit No. 12655Z dated OCT. 1, 1983 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 DORMER ADDITION TO EXISTING ONE FAMILY DWELLING. The certificate is issued to EDWARD P. KREBS & DOROTHY BURDULIS (owner, ) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N029319 AUG. 24, 1988 PLUMBERS CERTIFICATION DATED NLA 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-25363 Date: 11/12/97 THIS CERTIFIES that the building ACCESSORY BUILDING Location of Property: 275 HAMILTON AVE CUTCHOGUE (HOUSE NO. ) (STREET) (HAMLET) County Tax Map No. 473889 Section 137 Block 5 Lot 18 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated SEPTEMBER 22, 1997 pursuant to which Building Permit No. 24450-Z dated OCTOBER 30, 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 ACCESSORY BUILDING IN REAR YARD AS APPLIED FOR. The certificate is issued to DOROTHY E BURDULIS (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A r Buildi g Inspec't4r Rev. 1/81 i o�su O[Kcoa. Town of Southold 7/22/2022 P.O.Box 1179 T 53095 Main Rd Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 41324 Date: 7/22/2022 THIS CERTIFIES that the building HVAC Location of Property: 275 Hamilton Ave,Cutchogue SCTM#: 473889 Sec/Block/Lot: 137.-5-18 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 7/20/2020 pursuant to which Building Permit No. 45008 dated 7/21/2020 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"HVAC as applied for. The certificate is issued to Happy Hollow LLC i of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 45008 8/5/20A PLUMBERS CERTIFICATION DATED } IL Auth d Si ature I 1 01' SET STAKE t.91.11Ecu 1VAUcwaY � METAL � 4 0 D M ;% -t1r) OUTDOOR i 1V SHOWER V 10.2' 1 a rox CO L112 STY �O WOOD CELLA Fo m FRAME ry ENT. cu RES. O 0J ' 8.0• X ti� k, eco m ���� �r2..• rs.s Lr) 6 KNEE WALL SET_STAKE - - _ - — --- TIE = 2,T1.70' N 32' 15' W 99.50' sP — HAMILTON AVE.' 46 1 I 1 FMf 539 SURVEYED 8/08/97 FILED DEC. 22, 1930 SCALE 1"=30' TM 1000-137-05-18 SURVEY OF. AREA= 7,462.63 Sr OR LOT 19 0.1713 ACRES IN Guarantees Imlkalel L/m qt*44 Qp MAP OF PROPERTY OF only to ilia person for whom the vAv@y RAVATONE REALTY CORPORATION r is prcocrld, end on his beh^If to fhe SITUATE itl► cnnrcn:" .overmentol Agency. :. -- �-:,:-tron, if tis.. herecn, and CUTCHOGUE, TOWN OF SOUTHOLD tothe cssignees of the lending irsl3ution. SUFFOLK COUNTY, N.Y. Gvarontees cro not tromferable to additional institutions at s.bsefNnt owner. SURVEYED FOR DOROTHY E. BURDULIS f GUARANTEED TO SURVEYED DOROTHY E. BUROULIS FIDELTY NATIONAL TITLE INS. CO. i naWhrr?iod alreratbn a asfeiNlon to 06STANbEY-,':; SCTM # TOWN OF SOUTHOLD PROPERTY RECORD CART OWNER STREET VILLAGE DIST_ DT 62 ACR REMARKS TYPE OF BLD. Ah4- 4 PROP. C SS LAND IMP, TOTAL DATE - y r - FRONTAGE ON WATER HOUSE/LOT - - i BULKHEAD TOTAL 7/�3/ 1� TOWN OF SOUTHOLD PkOPERTY 1i6vW*0ft#0 AwAftIM0 OWNER STREET VILLAGE DISTRICT SUB. LOT 0 -pow, 1 FORMER OWNER N E ACREAGE it W TYPE OF BUILDING RES. SEAS. VL. FARM comm. IND. B. misc. Est. Mkt. Value LAND IMP. TOTAL DATE REMARKS + AGE BUILDING CONDITION tif NEW NORMAL BELOW ABOVE FRONTAGE ON WATER Form Acre Value Per Acre Value FRONTAGE ON ROAD e" Tillable I -&46K++E0d)- Tillable 2 DGCX Tillable 3 Woodland Swampland Brushland House Plot Total z _ Of Q NOW _.. , 4--, 0 137.-5-15 311/2021 Bldg, Foundation �s;'• • Extension Basement Flours Extension ext V"Valls interior Finish Extension - Fire 'dace Heat m 7Porch Rao Yee Porch ist Floor Breezeway '! Patio Rooms 2nd Floor Garage Driveway Dormer O. B. ; _ l •