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Home My WebLink About1000-78.-9-34.3 TOWN OF SOUTHOLD t Rental Permit 0761 Owner - Donald Hoyer & Michael De Fazio Occupied as Single Family Dwelling Located at 30 Summer-Lane Southold 78.-9-34.3 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. 10/18/2022 ')%4 ode E or nt Official - This Notice must be posted by the main entrance at all times so Town Hall Annex Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 W" IF P.O.Box 1179 Southold,NY 11971-0959 F W E BUILDING DEPARTMENT TOWN OF SOUTHOLD JUL 2 119-0172' RENTAL PERMIT APPLICATION BU,ILDINIGDEPT. 'OU TOWN.-OFI& ITH�LD Rental Permit Fee $200 (Application must be renewed every two years) Section A. Property Information: Rental Property Address: 0 �Ur4) Tax Map Number: 1000 SECTION ---_-LOT D03 SECTION B. OWNER INFORIVIATION• , -/ Property Owner Name: 0/-1 A Property Owner Legal Address: Property Owner Mailing Address: I U-C '2 Telephone Number(s): Daytime j q I Ejq'ZEvening <�O-L Emergency. 9j �— Property Owner Email Address: -D 9 Iv.. 11-10,1 A C D-0 C) d Page 1 of 5 { , f , Town Hall Annex " Telephone(631)765-1802 , t 5437.5 Main Road � � ,; .` Fax(631)765-9502 P.O.Box 1179 Southold,NY 11971-0959 BUILDING DEPARTMENT TOWN OF SOUTHOLD Section C. Authorized 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 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 c ntaining 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 E Town Hall Annex4 Telephone(631)765-1802 a A $ 54375 Main Road �.4 '� Fax (631)765-9502 P.O• Box 1179 Southold,NY 11971-0959 z-t- BUILDING DEPARTMENT TOWN OF SOUT7LD 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: < Requested Maximum number of persons allowed to occupy Dwelling Unit: Yl P• Number of rooms in Rental Dwelling Unit: Use and Dimensions of each room in Rental DwellingUnit: LX�i-i fy -00 4-1, L�Woi 4 f 9c,�4, /4)jt,11 j Page 3 of 5 ' Town Hall Annex 4 Telephone VBD765-|8O2 54s7sMain Road Fax VaU7a-e502 P/}.Box ||79 Southold,yVY /|97/-0959 ' BUILDING DEPARTMENT 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. |fthe owner chooses not to have said inspection performed by the Town, a certification from a licensed architect, a licensed professional engineer oro home inspector who has a valid New York State Uniform Fine 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 bythe laws adopted bythe New York State Fire Prevention and Building Code Council. m� I am requesting a fire safety inspection to be performed by a Code Enforcement Official ` — from the Town of Southold O 1 am submitting a completed Town of Southold certification form from a licensed architect mralicensed professional engineer. SECTION H. � DECLARATION: Signature must bmnotarized and MUST be the owner of the dwelling unit. STATE OFNEW YORK) ) ' AVI | ^- certify under penalty ofperjury, 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 4ofG � ! hO��pF SOUlyolo �kNMot4 bPl�TOSOUTHbLD BUILDING DEPT. `ycouen a 631-765-1802 ' 3 7 = INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND ( ] INSULATION/CAULKING [ ] FRAMING /STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FI L) [ ] CODE VIOLATION [ ] PRE C/O [ RENTAL REMARKS: 0 Net,9& C 0 g✓�t1 ., . � ns �o✓t DATEAIIWTIL/ INSPECTOR rqsf so TOWN OF SOUTHOLD BUILDING DEPT. 631-765-1802 INSPECTION FOUNDATION 1ST ROUGH PL13G. FOUNDATION 2ND INSULATION/CAULKING FRAMING /STRAPPING WAL FIREPLACE & CHIMNEY FIRE SAFETY INSPECTION FIRE RESISTANT CONSTRUCTION FIRE RESISTANT PENETRATION ELECTRICAL (ROUGH) ELECTRICAL CODE VIOLATION PRE C/O [7RENTAL, REMARKS: VA4v. cH DATE — INSPECTOR Summer i i ; r v 19 Bed,x Deck 3' 90 C � dn�ng '" Nuo ROOM Room Kdchen Unfinlsheo 5etlroom , easement 3 wlnq 3 Car ° Garage Ro.m Bedroorh _ W.gty ;nt 31' Y . s• J� 37, tR• iF_Main_FileNo._211102933 Page#I-- 8_� Photograph Addendum Borrower Donald Hoyer&Michael DeFazio _ Property Address 30 Summer Ln _ CM Southold County Suffolk State NY LpCode 11971 Lender/Client Bridgeview Mortgage Cor VI w y x . .: Side View Side View Deck Via„ f h t 1 Rear Yard 1 Car Garage 1 Car Garage - �I V� Driveway Kitchen Kitchen f �. 1t s 1,tJfs^k.. t- Kitchen Kitchen Smoke/CO Detector 1 f � m1 Living Room Fireplace Dining Room Form PIN -'?OTAL"appraisal software by a la mode,inc.-1.800-ALAMODE Main File No.2111.02933 I_Page#17 of 28 Photograph Addendum Borrower Donald Hoyer&Michael DeF_azio Property Address 30 Summer Ln Cq Southold Suffolk State NY LpCode 11971 Lender/Client Bridgeview Mortgage Cor 4 Y++t Mud Room Half Bath Bathroom 1 Bathroom 2 Smoke/CO Detector Bedroom 7 5�5 Yea . S 40 yyy Bedroom 2 Bedroom 3 Laundry gra" r F x� Drop Down Stairs to Attic Attic Outside Stairs to Basement n .rte R ' r Basement Electric Panel Utility Form PIC15-'TOTAL"appraisal software by a la mode,inc.-1-800-ALAMODE - -- Main File No.2111.0_2_93.3__�Paage#18 of 28 Photograph Addendum Borrower Donald Hoyer&Michael Dei _ Property address 30 Summer Ln City Southold__._ _ county Suffolk State NY zip Code 1.1971 ---- Lender/Client Bridgeview Mortgage Cor Jill li w r, r .> � = # AC Unit Propane Electric Service 1 � 1s � � i s f t P 1 s 1 £ S .�...e.«,.+.«.,w�.....w........v.....,.�ws,.«..�«..�....�»»�.».ro. mw�-..,mm,....�..«« «..a�..�..,n.....+..w.ax,nwa. .. �.M..e .v,e...wry...�..�..�.,.�..�..�..�...«.....w..v+ww.....r.�... i 3 i s Form PIC15-"TOTAL"appraisal software by a la mode,inc.-1-800-ALAMODE TOWN OF SOUTHOLD PROPERTY RECORD CARD OWNER STREET- I STREET VILLAGE DIST, SUB. LOT WW1 I ' ► — _ .EORMEj,6 . i NEID E ACR. sem.Lki— Je rIC S � W TYPE OF BUILDING r E-'' RES. SEAS. VL. FARM COMM. CB. MICS. Mkt. Value LAND IMP. TOTAL DATE REMARKS �„1 ...»+ ;�..w�., I:'l � ws .... 4'S''` �' � ,.°`.,.^,t•.-Y� ^�✓ t i`k`t't.�S Rw` �d''i.K.it ^4 I i Tillable FRONTAGE ON WATER Woodland FRONTAGE ON ROAD Meadowland DEPTH House Plot BULKHEAD ----- - -- — Total a� tee. TOWN OF SOUTHOLD PROPERTY RE D O NER c4el-11 Ir STREET VILLAGE B. LOT FORMER OWNER ;t..,,., � N E ,� ACR. , -: S W TYPE OF BUILDING e 4z P c -. & RES. SEAS. VL. FARM COMM. CB. MICS. Mkt. Value LAND IMP. TOTAL DATE REMARKS A n C Li ao 0 jig- L 12-!�954 } a Tillable I FRONTAGE ON WATER a Woodland FRONTA EQb Z Meadowland DEPTH House Plot BULKHEAD Total r MEMO _ " �■■■■■!�■■■iii!■■ ii■ ■!!■!!(�! ■■ii!■■ ■■■ moons ■!■�i�!■!!!!!!■!■■ -~ ■!!■�ii�ii■!!■ 0 } 51 ■!i■L :liMEMOON ■i■ti■rii■ z ...._ ■■■■ii iliiiii■'iii■■ ■■!!!!�i■■■!i■ NU NN E . 1 Rooms 1st Floor .. Rooms 2nd Floor • - s � w �gUFfO�,�C Town of Southold 12/7/2021 P.O.Box 1179 � • � 53095 Main Rd ySouthold,New York 11971 ,,�> CERTIFICATE OF OCCUPANCY No: 42581 Date: 12/7/2021 THIS CERTIFIES that the building SINGLE FAMILY DWELLING Location of Property: 30 Summer Ln,Southold SCTM#: 473889 Sec/Block/Lot: 78.-9-34.3 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 1/17/2020 pursuant to which Building Permit No. 44637 dated 1/29/2020 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: single-family.dwelling with unfinished basement front covered entry,rear deck,covered basement entrance and attached garage as applied for. The certificate is issued to Gibbs,Kim of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL R-19-0044 11/18/2021 ELECTRICAL CERTIFICATE NO. 44637 7/8/2021 PLUMBERS CERTIFICATION DATED _ 7/19/202] _ ayrpqd J. Hul. F. m — o oriz Signature Town of Southold 12/7/2021 P.O.Box 1179 j + 53095 Main Rd {� /3 Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 42582 Date: 12/7/2021 THIS CERTIFIES that the building GENERATOR Location of Property: 30 Summer Ln.,Southold SCTM#: 473889 Sec/Block/Lot: 78.-9-34.3 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 7/23/2021 pursuant to which Building Permit No. 46643 dated 8/2/2021 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: "as-buil"accessgZ generator as.applied:for. The certificate is issued to Gibbs,Kim of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 46643 8/4/ 021 PLUMBERS CERTIFICATION DATED Au ori•ed S gi ture