HomeMy WebLinkAbout1000-51.-1-13 r r TOWN OF SOUTHOLD
Rental Perm"
��" 0737
Owner Beatrice Dupont
Occupied as Single Family Dwelling
Located at 18725 Soundview Av Southold 51-1-13
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,
9/2/2022
d fo ori Official
This Notice must be posted by the main entrance at all times
Town Hall Annex Telephone(631)765-1802
54375 Main Road = Fax(631)765-9502
P.O.Box 1179
Southold,NY 11971-0959 8
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
RENTAL PERMIT APPLICATION
Rental Permit Fee$200(Application must be renewed every two years)
Section A.
Property Information:
Rental Property Address:
18725 Sooundvi w avenue SOUTHOI D NY 11971
Tax Map Number: 1000 SECTION 473889 -BLOCK �1 -LOT -
SECTION B.
OWNER INFORMATION:
Property Owner Name: Beatrice DUPONT
Property Owner Legal Address: Property Owner Mailing Address:
18725 Soundview avenue SOUTHOLD NY 11971
Telephone Number(s): Daytime512-289-4001 Evening Emergency
Property Owner Email Address: beadupaboa-mm
ft ooa
ANUG 0497
20-
UIL M 0r �F Page 105
Town Hall Annex `�:
Telephone(631)765-1802
54375 Main Road Fax(631)765-9502
P.O.Box 1 179
rV
Southold,NY 11971-0959 ,
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Cou
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: ONE
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: Single family house
Requested Maximum number of persons allowed to occupy Dwelling Unit: 8
Number of rooms in Rental Dwelling Unit:
Use and Dimensions of each room in Rental Dwelling Unit: LR 18x24
Eat in Kitchen 22x13 BEDROOM 1 13'x18' Bedroom 2 13'x14' Bedroom 3 13'x18
Page 3 of 5
..
Town Hall Annex Telephone(631)765-1802
54375 Main Road Fax(631)765-9502
P.O.Box 1 179 . `
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.
IX I am requesting a fire safety inspection to be performed by a Code Enforcement Official
from the Town of Southold
❑ 1 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 6 -;r-1 CE R1 POt-IT , 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 N Fax(631)765-9502
cn
P.O.Box 1179
Southold,NY 11971-0959
Alate,
BUILDING DEPARTMENT
TOVVW OF SOLYMOLD
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: — 16� Q
E
Property Owner's Signature:
Sworn to before me this e�- day of ,V S T 202
2
1 Lip,
Official Notary Public Signature and Original Notary Stamp
CAROLINE M MACARTHUR
NOTARY PUBLIC-STATE OF NEW YORK
No.01 MA6384635
Qualified in Suffolk County
My Commission Expires 12-17-2022
Page 5 of 5
GARY FL NNER OLSEN
COUNSELLOR AT LAW
- P.O. BOX 706• MAIN ROAD • CUTCHOGUE. LONG ISLAND. NEW YORK 11935 • PHONE 516-734-7666
FAX 516-734-7712
October 8, 1991
Re: LaFarge to Dupont
Our File # 5321
Dear Ms. Dupont:
Enclosed please find the contracts of sale which you should sign where
the pencil Marks indicate and return same to my office along with the
down payment check in the sum of $35,000.00 payable to Rudolph H.
Bruer as attorney. .
I am also enclosing herewith the following building permits and
Certificate of Occupancy information which I obtained from the Southold
Building Department:
1. Building Permit #Z1537 dated August 31 , 1961 and Certificate of
Occupancy #Z7752 dated June 30, 1977. (referring to said building
permit #1537Z issued for a one family dwelling with two accessory
buildings)
2. Building permit #8555Zdated May 3, 1976 and Certificate of Occupancy
#Z7717 dated June 15, 1977 (issued fcr utility building and storage
� and pump house).
3. Building permit #9454Z dated August 19, 1977 and Certificate of
Occupancy #Z9479 dated March 28, 1979 (issued for private one family
dwelling).
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Town Hall Annex Telephone(631)765-1802
54375 Main Road Fax(631)765-9502
P.O.Box 1179
x
Southold,NY 11971-0959 _
BUILDING DEPARTMENT
TOWN OF SO THOLD
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 rea rlred for. rchitect ar naine r licensed Home Ins eclFor must provide
copy of valid current certification
Rental Property SCTM Number:
Rental Property Address:
Owner/Name:
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.)
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 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 Original Signature
Please place professional seal:
so 149 ql�� Am,,
!-- "SOWN OF SOUTHOLD UIILDIIDI
631 -765-1802 j f
IN PECTION
] FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] IN ULATIOWCAL
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TOWN, OF SOUTHOLD PROPERTY RECORD CARD
O`WNER STREET VILLAGE DIST. COUNTY TAX MAP NO.
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TOWN OF souTuoLD ;
RITIMING DE t
Town Clerk's ..
Certificate Of Occupancy
No: 71;),4-7.c?. . . . .
Date . . . i�irc,:li, , •?�'
TH'S CERTIFIES that the building located at .113.72-5. . 54���: ,Vi VW . A,
Map No. xVcxxx . Block No. .?cr'a a .
" - ' .Lot No. , , ,
. . . . . . . . . . . . . .
conforms substantially to the Application for Building permit heretofore filed in this office
dated . Aij aauq t . . j? , • , , , , 19• 77 pursuant to which Building permit No. .94!
dated . S!�ntninbe'r. . .14t.
. . . .. I9 , ., was issued and conforms to all of the require_
'1is Of the applicable provisions of the lave.Th £ eupancy for which this Certificate is
issued is . , , , , . . , .vatrs fine l� Rajy
, , . . . . . . , . . . 1#fns
The Certificate is issued to . _ , i. , '_ . .. .+sort&. . ,�t� n , •gAy� TT
of the aforesaid building. (owneri IPS �• . . . . .
Suffolk County Department of Health
Approval . . . . . . . . .. .1tTh� . . . . . . . . . .
UNDERWRITERS CERTIFICATE No. . .
.. . . . . . .N37.7451. . .
. . . . . . . . . . .
HOUSE NUMBER .1% .7? Street . .. . .
• . . . . .�attnd. Viotc► Ave
.
. . Southold,d3 .X raw•Yoatk
. . . . . . . . . . . . . .# . : . ,. .., �
Building Inspector
Countv Tax Wimbnr
bHll�* I-LHNNtK UL6LN ILL" NO .U UCt . 9 ,91 15 :06 P .04
j
FORK NO. 4
TOWN OF SOUTHOLD
BUILDING 1DEPARTAIMT
Town Clerk's Office
Southold, N V.
Certificate Of Occupancy/
o. . . . . . Date . . . . . . . . . .. ..lune. 34 . . . . . . ., 19. 77
THIS CERTIFIES that the building located at . . .h Jd. . , ., . Street
Map No. .x�,L- . . . , , , . Block No. . . . . .Lot No. 4CM . . . i4out hC%1d .
conforms substantially to the Application for Building Permit heretofore filed in this office
dated . . . . . . .Aug 931. . ., 19.73 ' 6pursuant to which Building Permit No. ,P 555371
dated Aug- .31 11-961 . ; . a`1.. 19was 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 .��rtr~i-:�rrily .� l.��• ::;:ttr + - ��ec+c•I • =��s#3.: :nR�s:.. . . . . . . . . . . .
The certificate is issued to
Anthem. . . . . . . . . . . . . . . . . . .
. .
�'--•' (owner, lessee or tenant)
• of the aforesaid building. .
Suffolk County Department of health Approval .by- -19.--1 -13-a- 4-a Fe. c.-A.-
UNDERWRITERS
-iUNDERWRITERS CERTIFICATE No. ti:, ?,. :�_�: 1.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
ROUSE NUMBER . . . . .1 j':5 . - Street . . . :�r:�'r: *•-�• *• :.err± . . . . . . . . . . .
stoui;h�+�d
. . . . . . . . . . . . . . . . . . . . . . . . .. . . .. . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . .. . . ,.. . .. . . . .
Building In
P-A.-.-�Y- n
GR Y •FLANKER OLSEN ILL No .0 Uct . 9 .91 15 :U8 P .Ue
FORM No.
TOWN 4F SOUTHOLD
BUILDING DFrjMTMENT <. .-
Town Clerk's Olrice
Southold, N. Y.
Certificate Of Occupancy
Date . . . . . . .0 & 19.
No. .Z.M. T .
qtr. .. . . .. .. . . .. .�'j
THIS CERTIFIES that the building located at 3A 20=dView Ave,. • - • • • Street
thold s N. Y.
Map No. . . .XX. . . . . . . Block No. gg . . . . .Lot No. . . -3=. . . . . - - . . . . . > . . . . . .. . . • , .
conforms substantially to the Application for Building Permit heretofore filed in this office
dated . . .May. .5 t. . . . . . . . . . . .. 19. !76 pursuant to which Building Permit No.8.55. 5Z. .
dated . . •M ., 19. .76, was issued, and conforms to- all of the require-
pents of the applicable provisions of the law. The occupancy for which this certificate is
issued is . . ,DtCj*t-y_ 13ui7.ding• (storage- •end• pump• houses•) • •• •• •• •• . . . . . . . . .
The certificate is insued to 8$• Zie - . • . . • . . • . . . .. '• • . ' • • • • • • • •
(owner,
of the aforesaid building.
` - Suffolk County Department of Health Approval . . . 11;R;• . • • • • • • • • • • • • • •
UNDERWRITERS CERTIFICATE No. N . . . . . • • • • !• • • . . . . . .
HOUSE NUMBER 18?25 . . . . . . . . Street . •Soundvi AAV*..v• •930uthold0• 56• �+
. . . . .
. . . .. .. . . . . .. a .. . . ,. .. .. . . . . . . .. .. . .. . - ... . .
Building Inspector
�� ��� 5 2
Good afternoon l-
On July 5th , I visited your office to inquire about rental application for above
property.
You kindly sent me the building permits but were unable to locate the certificates
of occupancy.
After searching closing documents sent by my lawyer in October 1991, 1 was able
to locate three different certificates of occupancy on the property for the various
buildings.
I am enclosing copy of my lawyer 's letter dated October 81991 detailing building
permits and corresponding C of O.
I closed on the property in November 1991 and have been living there ever since.
Also please find enclosed my application for Rental .
Thank you for your kind help.
Beatrice Dupont
AUG0 2027
BULL)(NG uE-rJj:
TOww r axe
r
Bunch, Connie
From: Bunch, Connie
Sent: Wednesday, August 24, 2022 10:10 AM
To: 'beadupont@yahoo.com'
Subject: Rental for 18725 Soundview Avenue, Southold
Attachments: ###111 20220824100137.pdf
Please see the attached floor plans for the rental at 18725 Sound View Avenue. Please mark smoke detectors inside
each bedroom and combination smoke detectors and carbon monoxide detectors outside the bedroom areas.You can
email this back to me.
Thank you,
Connie Bunch
A
Southold Town Building Dept.
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BUILDING DEPT.
TOWN OF SOUTHOLD