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Home My WebLink About1000-64.-2-29.1 TORN OF SOUTHOLD ., Rental Permit 0985 Owner Steven & Teresa Schnee Occupied as Single Family Dwelling Located at 250 Korn Rd Southold 64-2-29.1 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. 9/11/2023 Code Er�f c et Official This Notice must be posted by the main entrance at all times Town Hall Annex F Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 cpP.O.Box 1179 ��R Southold,NY 11971-0959 coot, �xo` Ulf E C E 0 V E BUILDING DEPARTMENT TOWN OF SOUTHOLD AUG 9 2023 RENTAL. PERMIT APPLICATION Building Department Town of Southold Rental Permit Fee $200(Application must be renewed every two years) Section A. Property Information: Rental Property Address: a o eDONOqMS . 2J50 ZO h "u�L Qi Tax Map Number: 1000 SECTION `y 2'24. 1 -BLOCK -LOT SECTION B. OWNER INFORMATION: Property Owner Name: '" [ w. ►� ion � ' Property Owner Legal Address: Property Owner Mailing Address: p ) Y ... Z°I c Tele hone Number �s : Daytime 960- Evening Emergency 2a1- 140-2005 Property Owner Email Address: 5 ►. .` �►��0' rkAt�' Ccn-t " .. . ... r ;u.) Page 1 of S Town Hall Annex ;' Telephone(631)765-1802 54375 Main Road , Fax (631)765-9502 U 4C P.O. Box 1 179 K Southold,NY 11971-0959 BUILDING DEPARTMENT TOWN OF SOUTHOLD Mailing Address of Managing Agent: ------- Telephone Number (s): Daytime Evening_ge Emergency, _— Email Address: SECTION F. PROPERTY DESCRIPTION: Number of Rental DwellingUnits on property: ft`1�1e- �►MlL` p p Y� � 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 Unit: L( Number of rooms in Rental Dwelling Unit: � ,A K T(Qr4&J L2—n Z. Use and Dimensions of each room in Rental Dwelling Unit: _....�_, Page 3 of 5 < Town Hall Annex Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 fry P.O.Box 1 179 Southold,NY 11971-0959 q/ Rey /"g CO 4(, 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. j� I am requesting a fire safety inspection to be performed by a Code Enforcement Official from the Town of Southold ❑ 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 �GhrJC ., 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 soy . Town Hall Annex Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 CC 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: �� itrt G(' .w_............. Jam, �G�ii Y-((-V,e Property Owner's Signature: _. Sworn to before me this- day of , 20 fVq ks 6AA cj� Official Notary Public Signature and Original Notary Stamp CONNIE D.BUNCH Notary Public,State of New York No.OI BU6185050 OuaWied in Suffolk County Commission Expires April 14,2_o—j: Page 5 of 5 Sol, * TOWN OF SOUTHOLD BUILDING I coo 631 -765-1802 INSPEC ' ION [ ] FOUNDATION 1ST [ ] ROUGH PL13G. [ ] FOUNDATION 2ND [ ] INSULATION/CAL [ ] FRAMING / STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY WE. [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PE [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (Fit [ ] CODE VIOLATION [ PRE C/O [ sQ9 Jle4- 409- tu o n&I .............. 12 eq(u 1;1,04 1 A'', , a/l O C G DATE ' _ INSPECTOR _0 F01 Town Hall Annex Town of Southold 54375 Main Road c Rental Inspection Report PO Box 1179 `" Southold, NY 11971 1179 Tel: 631-765-1802 . _I Date Owner eO ... .. .. _ ,. hone Address Inspector - Visible ..ecto r � ��. ._.... Hamlet Floor Level Quantities �._., .. . . . a.�.... .. ®. Sub � 2 � 3 ` Smoke Detectors not locatedn, _ . ( in bedroom ) Carbon Monoxide.� __ ._..__ -_ ide Detectors Fire Extinguishers _- Exits Bedrooms _ 1 2 3_ _ 4 5 6 Smoke Detectors Egress Occupant Count a' Building Systems Maintained & Operational Condition of Property Heating Building interior Hot water Building exterior Electrical Property clean, maintained &safe Mechanical Handrails &guards installed & secure Pool Safety Pool on Site _w Surface water alarm Date of CO issuance Door alarms Pool completely enclosed Self closing/ latching gates Pool fence to code requirements CO's for all items present Prior Rental Comments: _ u d"" M m m &(ze, v ;2,o 1 • R(o 0 • 2 oo ig" f� � I�r � i% r r fy �ru � J t�� " 1 r �( I 9 �,i>l� i //��,/i,"��JJ��.�/� f �,�f ,�J ,� /, fly°r;i� ` �� r�i1"�;��f�; �f JJI}ior°,� �1�;� /��/� r �/ //�% /t,J'/�/��/Ili/��i////ri r��l��%Jrrr'��rrf�,��1f�a/r„11��17��d///��a��il„l�l/ J :illi C;,�%��G�i✓�,<1,�k„��1 ai„�io✓i//oii„4r��.��.% �r„i n ,,, TOWN OF SOUTHOLD PR i iv mra.%)RD CARD OWNER STREETDIST.1 5UB. LOT L FORMER OWNER E ACR. v; W TYPE OF BUILDING j RES. SEAS. VL. FARM 6OMM, CB. MICS. Mkt. Value LAND IMP. TOTAL DATE �REMARKS V/, _j C" V� AGE BUILDING CONDITION ---------------- NEW NORMAL BELOW ABOVE FARM i Acre Value Per Value Ac re Tillable 1 FRONTAGE ON WATER ---------- Woodland I FRONTAGE ON ROAD Meadowland DEPTH House Plot BULKHEAD 4-- Totol DOCK -r 3 RIM gg f z i , E , r ' � 4 _ M. Bldg. _ m 1 F m Extension i Extension _ s� Extension i i Foundation Both Qinette Porch !Basement ,Floors i<. Porch $Ext. Walls Interior Finish iLR. _ D,`?. Breezeway Fire Place Heat Garage s 'type Roof Rooms 1 st Floor I I i BR. Patio Recreotion Room ,Rooms 2nd Floor FIN. B ; 0. B. Dormer I t ;Driveway Total = i i . i E s TOWN OF SOUTHOLD PR PERT 1 � CCARD r OWNER STREET VILLAGE DISTRICT SUB. t . N v FORMER OWNER N ' E ACREAGE ' s S 1W TYPE OF BUILDING I t -- RES. : SEAS. 1 VL. FARM COMM. IND. I CB. MISC. Est. Mkt. Value LAND IMP. TOTAL DATE REMARKS i3 3 i i I a E I AGE i BUILDING CONDITION NEW NORMAL BELOW ABOVE 1 FRONTAGE ON WATER Farm Acre Value Per Acre Value FRONTAGE ON ROAD Tillable 1 1 BULKHEAD Tillable 2 DOCK Tillable 3 Woodland Swampland Brushland E House Plot l Total FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall PRE EXISTING CERTIFICATE OF OCCUPANCY No—Z-22588 Date SEPTEMBER 15 1993 THIS CERTIFIES that the building! ONE FAMILY DWELLING Location of Property 40 FOUNDERS PATH SOUTH'OLD N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 64 Block 2 Lot 29.1 Subdivision Filed Map No. Lot No. conforms substantially to the Requirements for a One Family Dwelling built Prior to: APRIL 9 1957 pursuant to which CERTIFICATE OF OCCUPANCY NUMBER Z-22588 dated SEPTEMBER 15 1993 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 * The certificate is issued to IRENE PETTIT & ANO (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. NLA PLUMBERS CERTIFICATION DATED N/A *PLEASE SEE ATTACHED INSPECTION REPORT. uildi,ng Inspector Rev. 1/81 BUILDING DEPARTMENT TOWN OF SOUTHOLD HOUSING CODE INSPECTION REPORT LOCATION: 40 sect FOUN1DeRS4PATH - f..uOUTHOLD, N.Y. �-KK .-�. p; y SUBDIVISION MAP NO_ LOT (s) NAME OF OWNER (s) .w.. IRENE PETTIT 6 AND OCCUPANCY ONE FAMILY RESIDENCE OWNER —��ype .— -owner-tcnant) ADMITTED BY: BETSY WIDIRSTKY � ACCOIWANIED BY:mmSAME KEY AVAILABLE SUFF. CO. TAX MAP NO_ 64-2-29.1 �. SOU&ZZ OF REQUEST: BETSY WIDIRSTKY DATE 6, 1993 DWELLING: TYPE OF CONSTRUCTION FRA!!B @ STORIES 1 0 EXITS 2 FOUNDATION BRICK CELLARm CRAWL SPACE TOTAL ROOMS: IST FLR. 5 2ND FLR. 3RD FLR. BATHROOM (s) 1 TOILET ROOM (s) UTILITY ROOM PORCH TYPE CLOSED IN NO HEAT DECK, TYPE PATIO, TYPE BREEZEWAY FIREPLACE GARAGE DOMESTIC HOTRATER II TYPE HEATER OIL AIRCONDITIONING TYPE HEAT OIL WARM AIR HOTWATER XX OTHER: - ACCESSORY STRUCTURES: GARAGE, TYPE OF CONST._ STORAGE, TYPE CONST. _� SWIMMING POOL , GUEST, TYPE CONST. OTHER: VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION h BUILDING CODE LOCATION DESCRIPTION �- ART. SEC. REMARKS:, INSPECTED BY. DATE ON INSPECTION 5 1993 THOMASJ.rFIS TIME START 10:45 LN[j 11:10