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Home My WebLink About1000-79.-2-4.3 � TO 0""WN OF SOUTHOLD Rental Permit 0746 Owner Schwab C & T Living Trt Occupied as Single Family Dwelling Located at 4370 N Bayview Rd Southold 79-2-4.3 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. 9/26/2022 r)rcr t Official This Notice must be posted by the main entrance at all times (I J� C' Town Hall Annex VA q Telephone(631)765-1802 54375 Main Road ` Fax(631)765-9502 P.O.Box 1179 J Southold,NY 11971-0959All - a _ BUILDING DEPARTMENT OCT 2 2 2019 TOWN OF SO TMOLD RENTAL PERMIT APPLICATION Rental Permit Fee $200 (Application must be renewed every two years) Section A. Property Information: Rental Property Address V_ CLA-i la� Tax Map Number: 1000 SECTION BLOCK LOT , SECTION B. OWNER INFORMATION: Property Owner Name: ej, _ Property Owner Legal Address: Property Owner Mailing Address: (Cannot be the same as Rental Property Address) Et F Telephone Number (s): n a / ` . </9 Property Owner Email Address: L�$ Page 1 of 4 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, 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: ' P1411 I Requested Maximum number of persons allowed to occupy Dwe ling Unit:41 Number of rooms in Rental Dwelling Unit: Use and Dimensions of each room in Rental Dwelling Unit: X 13 ` R 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 NYS licensed architect, a NYS 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. Page 3 of 4 ❑ 1 am submitting a completed Town of Southold certification form from a licensed architect, a licensed professional engineer, or a licensed home inspector who has a valid New York State Uniform Fire Prevention Building code Certification. SECTION H. DECLARATION: Signature must be notarized and MUST be the owner of the dwelling unit. STATE OF NEW YORK) ) COUNTY OF SUFFOLK) I IItt Yn jj 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 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 s to any change to the information regarding Authorized Agent, Managing Agent, or Site Manager. Property Owner's Name: 7 Property Owner's Signature: �—QL-2 { Swum Lu before me this_day of 20_ Official Notary Public Signature and Original Notary Stamp Page 4 of 4 � # 4RO14, luto TOWN OF SOUTHOLD BUILDING D ��rou�rt,a� 765.1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATIOWCA [ ] FRAMING / STRAPPING [ Yf INAL�ei'�fh'1/ [ ] FIREPLACE & CHIMNEY [� FIRE SAFETY IN [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PI [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FI ] CODE VIOLATION [ ] PRE GO R MARKS: , #00" - N A T" 13 () tom- eo tvl#I$ wWr� � nV DATE R _ INSPECTOR TOWN OF SOUTHOLD PROPERTY REC 4 , " STREET ) ° ;O f VILLAGE DIST. SUB. LOT b FORMER C► R,R ��✓] r (i.'° N E ACR. g ,^�r;;& y „ • s S W CODE DATE OF CONSTRUCTION d, LAND IMP, TOTAL DATE REMARKS j fi /4 d s S -//�� ' ,.,t" / J ✓ i `'1.n 77 Ile %� ,�� Po` -w.�, g ..'w 1 �.,� � Jr I� �' N f r m � T p� �,� � ,A.-. "„ .. ,k. a".e e, „e. :•�, „d n r r ` .� µP N p V .— ! � N C „� a^�.,,. " m ^' F h � � ��I V� ..".�.i�n„r�i s wFlero�d�' ar+� �� ' '"�""',,,"'+'�`a""t.� '"5"" � ��m „.,�'' "`�,�. �' �o< ✓ ��w Tillable FRONTAGE ON WATER Woodland FRONTAGE ON ROAD Meadowland DEPTH House Plot BULKHEAD Total o°�u �i ✓ y lel 'I � �� 4„ .. r ati o F hx � l 5 W Bld Foundation Bath �f rr Extension Basement „ � Floors Extension ..�.... .__.._.._...___.w ..._Ext. Walls ,'_._.M.,�.�. ...__.�......�_m._ ...._.... __._..�....._�...�.. .__....�....�_�.�. "� jnterior Finish Extension Fire Place Heat ` Porch Pool Attic Deck Patio Rooms 1st Floor Driveway Rooms 2nd Floor " Z- J 5 f '� ......................�........... �. .. �. .. ,. FORM IVO.4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold,N.Y. Certificate Of Occupancy No . .Z- 169.27. Date . . . .M.ay. . 27.,. 1988 THIS CERTIFIES that the building ONE . FAMILY. DWET.LINCr. _ . . . . . . . . . . . . . Location of Property4370 North, Bayview. Road Southold,, _New, York House/Vo. Street Hamlet County Tax hlap No 1000 Section . .079 . . .Block .02. . . . . . .Lot . . .3 . . . . . . . . Subdivision . . . . . . . . . . . . . . . . . . . . Filed A1ap No _Lot No . . . . . . . . . . conforms substantially to the Application for Building Permit heretofore filed in this office dated January' 2 1 ,. 119 8 7 pursuant to Nvluch Building Permit No. . .1.5.662. Z . . . Februaty. 3 , 1987 dated � . . . was issued,and conforms to all of the requirements of the applicable provisions of the law. The occupancy for wlul-lt this certificate is issued is . . . . . ONE FAMILY 'DWELLING WITH ATTACHED GARAGE & ATTACHED WOOD DECK The certificate 1s issued to ROBERT & JANET TROCCOLT (owner,AYs& 3EFeN"-i of the aforesaid building. Suffolk County Department of Health Approval 87-SO-09 May. 2.,. . 19 8.8 UNDERWRITERS CERTIFICATE NO ,N835820. -. .October 5.,. 1987 PLUMBERS CERTIFICATION DATED: April 19, 1988 - Michael. Dawson ButIding 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-28568 Date: 07/05/02 THIS CERTIFIES that the building ACCESSORY Location of Property: 4370 NORTH BAYVIEW RD SOUTHOLD (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 79 Block 2 Lot 4.3 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated APRIL 16, 2002 pursuant to which Building Permit No. 28298-Z dated APRIL 19, 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 SHED AS APPLIED FOR. The certificate is issued to DONALD F & JOAN E BERTRON (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A Authoriz_d Signatr 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-30640 Date: 12/15/04 THIS T' I thate"the building ADDITIbN & ALTERATION LocatjoA7£of Prol7ty4370 NORTH BAYVIEW RD SOUTHOLD (HOUSE NO.) (STREET) (HAMLET) County Tax Map,7o. 473889 Section 79 Block 2 Lot 4.3 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated AUGUST 6, 2002 pursuant to which Building Permit No. 28634-Z dated AUGUST 7, 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 ALTERATION TO EXISTING SINGLE FAMILY DWELLING FOR NST INTI O N'DOOR INGROUND SWIMMING POOL SECURED TO CODE AS APPLIED FOR. The certificate is issued to DONALD F & JOAN E BERTRON (OWNER) of the aforesaid building- SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. 2004602 06/04/04 PLUM13ERS CERTIFICATION DATED N/A Aut rized Signature Rev. 1/81 AJ , CE!- � I 0 aara� 1 � 4�ewn�� / _ y fib t"tAuud�nct�, I ,, Wr v. � �°✓ c . crG { Va �.._' I wL tl y I S �4a! T,TA p C r , amje, ALL .'�r VV PLL �.X,�iwri�a�i�r va F=e ...1 1 { ,A��iC- �i uii tfG-Frei^I e.0 E �ar�r- Kai�{I�Y;"rte �r�,>r-f -= u U�,�c,N �.r•��rur!i �c,j ,cCik.Woo— rTE � O�y p pAFf::S19NF