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
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TOWN OF SOUTHOLD PROPERTY RECORD CARD
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RES. SEAS. VL. FARM COIVM. CB. MICS. Wt. Value
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LAND IMP. TOTAL DATE REMARKS
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Tillable FRONTAGE ON WATER
Woodland FRONTAGE ON ROAD
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UMeadowland DEPTH
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House Plot BULKHEAD
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Total
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1 �, (a ,ate '� Type Roof Roams 1st Floor BR. f
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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