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Home My WebLink About1000-63.-3-27.2 TOWN OF SOUTHOLD F Rental Permit 0719 Q Owner Second-Half Productions Ltd. Occupied as Single Family Dwelling Located at 400 Boisseau Avenue Southold 63-3-27.2 Maximum Permitted Occupancy 4 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. 8/4/2022 j r o a fficial This Notice must be posted by the main entrance at all times Enfo e e "V sonUTy 4 Town Hall Annex Telephone(631)765-1802 54375 Main Road cn Fax(631)765-9502 P.O.Box 1179 Southold,NY 11971-0I9 �V��.� Via°-f-?.rzc��T jD JUL 2 2022 l BUILDING DEPARTMENT BUILDING DEPT. TOWN OF SOUTHOLD TOWN OF SOUTHOLD 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 -BLOCK. 3 -LOT 2"7 _ Z SECTION B. OWNER INFORMATION: Property Owner Name: Property Owner Legal Address: Property Owner Mailing Address: Telephone Number(s): Daytimeo -�B -joEvening f3/!?B MEmergency 63/-7W-147 Property Owner Email Address: �%T�L/�H//yl�i✓��Dl �v»a Page 1 of 5 U Town Hall Annex t, Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1179 Southold,NY 11971-0959 BUILDING DEPARTMENT TOWN OF SOUTHOLD Section C. Authorized Agent Information: Name of Authorized Agent of dwelling unit, if any: Address of Authorized Agent (no P.O. Boxes): 33 4,-wl17o,2ky{ E W�� '`1/47fJ— Mailing Address of Authorized Agent: Telephone Number(s): DaytimeAN R3 f3o Eveninglj/Y&'j"f* Emergency G3/' 75`7—//R7 Email Address: �-!�✓�I�i�G� All 017) 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 Q T Town Hall Annex Telephone(631)765-1802 54375 Main Road Fax (631)765-9502 11.0.Box 1 179 G i Q Southold,NY 11971-0959 ou 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: Ode 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: %r • Requested Maximum number of persons allowed to occupy Dwelling Unit: ' o Number of rooms in Rental Dwelling Unit: P Use and Dimensions of each room in Rental Dwelling Unit: e- 04t?� ...,?y k t'OA g��• -9 `l dL�� is /f''�/�-� L��.%c xean a5°�x 1t'G`0 r�in,wy �um9�k/L�!`,��'�t.��kly��i� / ►�.»�-,Y�S�h�z1`�dnn J&IIW7191, Page 3 of 5 f, apF so�ryo Town Hall Annex l�~tO f� Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1179 Southold,NY 11971-0959 COU4� j 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 V/ 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) I Gfh2/�� d+v✓ 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 i flUT A. } Town Hall Annex �� Telephone(631)765-1802 54375 Main Road fax(631)765-9502 P.O.Box 1179 Southold,NY 11971-0959 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: SG=ozL( r G� gy 7o,* 4 � r Property Owner's Signature: _ Sworn to before me this 7S day of 202-2— Official 0?ZOfficial Notary Public Signature and Original Notary Stamp CHERYLL K.DUHARTpZ'b6 ludysaaldx3 uolss'WWOO Notary Public,state of Klesp,York /lunob>Ilobns ul pagenQ No.01 DUS185390 06£9919f1t3 w'oN Qualified in Suffolk County �jol,09N JO 9181S'ollGnd k81ON Commission Expires April 14,204 1WHf14')i11'083HD Page 5 of 5 so �ao f # TOW OF SOUTHOLD BUILDING DEPT. cou631-765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION/CAULKING [ ] FRAMING /STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANX(FIAL)ATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICALCODE VIOLATION [ ] PRE C/O [ AL REMA S: DATE INSPECTOR Town Hall Annex 4 Telephone(631)765-1802 54375 Main Road Fax-(631)765-9502 P.O.Box-1179 G �' Southold,NY 11971-0959 Call BUILDING , i1 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 required for Architect or Enaineer, licensed Home Inspector must provide copy of valid current certification Rental PropertySCTM Number: 1000-63-03-27.2 Rental Property Address: 400 Boisseau Avenue Owner/Name: Chris Thompson CIO Second Half Productions 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 - 222 sqft; Bedroom #2 - 80 sqft;Bedroom #3 - 96 Sqft Property Description (Include all improvements indicated on survey) Two story frame, single family dwelling with cellar and front porch. Dry garage with gravel driveway. 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. Steven Affelt,Architect <,gED ARCS, Print Name and Title �O� N B. q� ij� )riginal SI nature CO a �� yF Please place professional seal: 037611 OF NES. STEVE AFFELT ARCHITECT �acv� O BATHROOM CI. r — 0 era jp SYMBOL LEGEND �I L__j u oxw SOISSEAUAVE N 2 SECOND FLOOR PLAN _!"�_ m ® tea. adDINS PLAN REVIEW HD7E 03 KITCA♦$1 Q . 0 01 0 n O O ® I LIVING RootsQL ) BOISSEAU AVE HOUSE RELOCATION DINING ROOM FIRST AND SECOND 11 FLOOR PLANS &_11R FLOOR PLAN -��.� Tool A-101.00 0 STEVE AFFELT ARCHITECT --------- - ---------- ---- --- wauv ---------- law ovol Iv mmmw BOISSEAUAVE N ——---——— --------------- — - --------- ------- --4 anDiNg 7m wvBq;;;7 —————————— -- ------------- ------ --------------j let% FOUNDATIONS CONSTRUCTION PLAN SYMBOL LEGEND --BOISSEAU AVE HOUSE RELOCATION o—cr—— NEW FOUNDATION P N LA FOUNDATION WALL DETAIL SYMBOL LEGEND STEVE AFFELT ARCHITECT m e 165 SQPr zto IB L_j BOISSEAU AVE N ,EXISTING GARAGE PLAN(DRY STRUCTURE) m_e_;/RLt'd BWLDINB PLAN WAEW NOf6 ATTic r 475 SOFr BOISSEAU AVE HOUSE RELOCATION ATTIC&GARAGE PLANS (NU o . . 9A A•102 r f STEVE AFFELT ARCHITECT DD µ dI IL---____________________________ BOISSEAU AVE � _J ,NORTH-SOUTH SECTION 2 EXISTING FRONT ELEVATION 1 94LD(N5 PLAN fgVIHN NOTE W7 BOISSEAU AVE I HOUSE RELOCATION i m i i --------------------------------------------------------------i BUILDING ELEVATIONS 8 SECTION TEXISTING FRONT ELEVATION •� I2-200.00 Ll ' _ i i ' .:' -, t,1 .'�"}+�+♦♦-7� ✓rte;;. ■■■■■■■■■■,1■■■■■■■■■ ■�■■■ v -Mi, ■■■■■M■■■■■1■■■■■■E■■MME■■■■■ L� ■■■■■■■1�■fill■■■■ =NOON ak OEM MENSORNMEMMEMEME ■■■=SEEN MEEV■■■■■■■■■■■■■■■■■ ■■■■■■�■ e■��■■■■■■■■■■■■■■■■■ C .■■■■.■�■■.■■■■■■■■■■ ■.NOON ■�■■■■■■■N(■■■■■■■■■■■■■E■■■Fire Place ■■■ Basement i Ext. Walls Interior Finish e Type Roof Rooms Tst Floor Recreation Koorn Rooms 2nd Floor .a,;: },o�gOFFOtKIp Town of Southold 3/20/2022 v P.O.Box 1179 Is _ 53095 Main Rd Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 42933 Date: 3/20/2022 THIS CERTIFIES that the building SINGLE FAMILY DWELLING Location of Property: 400 Boisseau Ave., Southold SCTM#: 473889 Sec/Block/Lot: 63.-3-27.2 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 3/16/2018 pursuant to which Building Permit No. 44966 dated 7/9/2020 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: relocated single-family dwelling with new foundation'(unconditioned finished basement), covered front porch and side deck as applied for. The certificate is issued to Second-Half Productions Ltd of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL R10-18-0031 3/9/2022 ELECTRICAL CERTIFICATE NO. 21-75283 6/16/2021 PLUMBERS CERTIFICATION DATED 0 T u o ' d Signature