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HomeMy WebLinkAbout1000-54.-5-50 p TOWN OF SOUTHOLD w a,I Rental Permint � t 0742 Owner Brian & Tara Reed Occupied as Single Family Dwelling Located at 270 N. Sea Drive Southold 54-5-50 Maximum Permitted Occupancy 8 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. 9/19/2022 de for e en 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 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: r2-70 S e-a- Tax Map Number: 1000 SECTIONJ�g -BLOCS -LOT J - su SECTION B. OWNER INFORMATION: Property Owner Name: Q r\ -1 Property Owner Legal Address: �� '` Property Owner Mailing Address: h,5ez dt A} � � Y a 1 Telepbon Number(s): Daytime � ` '?97 �31� ening Emergency -/ � - —0SV Property Owner Email Address: (Yl fir` Page 1 of S 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 SO THOLD Section C. Authorized Agent Information: r Name of Authorized Agent of dwelling unit, if any: I � Address of Authorized Agent (no P.O. Boxes): /,fl Cr(-Aq)oo 0 Aj< ` dak, 010-rO 7 Mailing Address of Authorized Agent: p Telephone Number(s): Daytime Evening Emergency 7/ -0��y -7 Email Address: �� ' � _ C.p!`A 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 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 Mailing Address of Managing Agent: Telephone Number(s): Daytime Evening Emergency Email Address: SECTION F. PROPERTY DESCRIPTION: Number of Rental Dwelling Units on property: For each Rental Dwelling Unit set forth the Rental Dwelling Unit identifier(for example, Unit 1, Unit 2, Unit 3 or Apt A, B, Q 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: 7 ti Requested Maximum number of persons allowed to occupy Dwelling Unit: Number of rooms in Rental Dwelling Unit: L_1 Use and Dimensions of each room in Rental Dwelling Unit: > x -DDOYL S X g X [,d[(n o M ]cx1 1 Ll v!1 = I V 00 Page 3 of 5 'tic Sol, Town Hall Annex Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 CAI P.O.Box 1179AZ Southold,NY 1 1 971-0959 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. 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 6�(_cll_ /C2Q , 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 RoadFax(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: �Qf16L t`C Property Owner's Signature: 3 6-1, -VAX111 p Sworn to before me this / day of 1-' "t 20 9 F Cr Official Not Public Signature and Original Notary Stamp Juftsa Wall Notary Public,State of New Yak No.01V16066112 Qualified in Clueens Courriy Commission November ,200 j Page 5 of 5 �O1/4, TOWN OF S 765-1802 INSPEC ION [ FOUNDATION IST [ ] ROUGH PL13G. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING / STRAPPING [ ] PINALIM [ ] FIREPLACE & CHIMNEY [ FIRE SAFE Y Its [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT P [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL {F [ ] CODE VIOLATION [ ] CAULKING 000* 11vi l ........... 'xg 'KI) ml .......... cZ SA ro I,o, .—T-I cruor e $4-4e 4 C4000 ,wZAJv a c a. wg ---j oc 67o 7 a—."p, LIT AZ ........... 41 7 0' UPANCY OR 7 uc LA USE IS UN vm—, WITHOUT CERTIFICAl 4 OF OCCUPANCY V SOCA IA t&D 10 mrNr*aix,g d» 5Z-rr. A �iimnsm .........j,7tUj Qi#tiit) A, 0 MAL A"W"SAM gKL4A�Z ............ f , w„g1,4 7 �� ExLsnrJ'G out sorar.Y � � . 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SOV7,9OLG1 �7 � T BELLINIGEL[AQ FDUNDAT/ON P[AnNSEO PROFESSIONAL ENGINEER/sib/718-agar I 3 E- . x i s i s , f : - x * k f * : : 3 z x i S i 3 * x : F � } = x . : * i * x } x : i _ . s x = x ` i i x TOWN OF SOUTHOLD PROPERTY RECORD CARD � .., w R STREkT Z VILLAGE DIST. SUB. LOT a w � FQ ER OWNE A + �"c NN E ACR, K ° ► 1M � aVErrG�tY?U S W_ TYPE OF BUILDING �oigg � /¢S����1�'�6AI►d RES. SEAS. VL. FARM COIVM. CB. MICS. Wt. Value N LAND IMP. TOTAL DATE REMARKS w m o DDD a 22 11r " l — 3.op A N v a 9LV:-O S azo Q 5e ? ,m at b rl i a - 1 rd pwl 3 ag i ?4-v•LO a� cn LO r- TOWN OF SOUTHOL R 15 MR Tillable FRONTAGE ON WATER Woodland FRONTAGE ON ROAD m UMeadowland DEPTH 04 House Plot BULKHEAD m Total M CO x tR TRIM ! u, o! a w � � U) Ln 2 J _ _ " SC-5-50 04/03/2018 a rq t i O T � �- i�+c��� Ene i on I /S X g � ��3a A 75 "7 Z t t Extension Lo Foundation Bath Dinette LO L- Porch Basement Floors K. r Lo 1 Ext. Walls Interior Finish LR. i o SQA Fire Place Heat DR. 1 �, (a ,ate '� Type Roof Roams 1st Floor BR. f } 4� Recreation Room Rooms 2nd Floor j m 0. B. � d*" Dormer Driveway 13EnJ 1 Lq Total FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-22382 Date JUNE 9, 1993 THIS CERTIFIES that the building D LING Location of Property 270 NORTH SFA DRIVE SOUTHOLD, N.Y, House No. Street Hamlet County Tax Map No. 1000 Section 54 Block a Lot 50 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated DE ER 214 1992 Pursuant to which Building Permit No. 21163-Z dated DECEMBER 22, 1992 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 WITH GARAGE IN CELLAR & ATTACHED DECK AS APPLIED FOR. The certificate is issued to RALPH & DOLORES VACCARO (owners) of the aforesaid building. SUFFOLK COUN'T'Y DEPARTMENT OF HEALTH APPROVAL 92-SO-28-MAY 21, 1993 UNDERWRITERS CERTIFICATE N0. N-273633 - APRIL 23, 1993 PLUMBERS CERTIFICATION DATED JUNE 3, 1993 - HARDY PLUMB.& HEATING 3 //Btfilding 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-30115 Date: 04/01/04 TRIS CERTIFIES that the building ADDITION Location of Property: 270 NORTH SEA DR SOUTHOLD (HOUSE 1,10.) (STREET) (HAMLET) County Tax Map No. 473889 Section 54 Block 5 Lot 50 1 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated NOI ER 25, 2003 pursuant to which Building Permit No. 29899,2 dated DE SER 3, 2003 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 REAR LANDING AND STAIR ADDITION TO AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR PER ZBA ##5401 DATED 11/6/03. The certificate is issued to PAUL & MARY STETZ (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A r Authorized Sign. e 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-29613 Date: 07/31/03 THIS CERTIFIES that the building ACCESSORY Location of Property: 270 NORTH SEA DR SOUTHOLD (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 54 Block 5 Lot 50 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated _NOVEMBER 12, 2002 pursuant to which Building Permit No. 28912-Z dated NOVEMBER 12, 2002 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 INGROUND SWIMMING POOL WITH FENCE TO CODE AS APPLIED FOR. The certificate is issued to PAUL & MARY STETZ (OWNER) of the aforesaid building, SUFFOLK COIINTY DEPARTME4T OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. 3632 04/20/03 PLUMBERS CERTIFICATION DATED N/A Authorized Sign e Rev. 1/81 Town of Southold 8/9/2018 P.O.Boz 1179 53095 Main Rd ,n"r- Southold,New York 11971 CERTIFICATE F OCCUPANCY No: 39832 Date: 8/8/2018 THIS CERTIFIES that the building DECK Location of Property: 270 N Sea Dr., Southold SCTM#: 473889 Sec/Block/Lot: 54.-5-50 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 5/9/2017 pursuant to which Building Permit No. 41641 dated 5/16/2017 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: FIRST AND SECOND STORE'DECK ADDITIQNS TO AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR The certificate is issued to Reed,Brian&Tara of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED 17