Loading...
HomeMy WebLinkAbout1000-63.-3-26 a449 T U"WN OF SOUTHOLD Rental Permit 0548 Owner SMB RE Service Inc. Occupied as Accessory Apartment "B" Located at 56025 Route 25 Southold 63.-3-26 I Maximum Permitted Occupancy 3 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. 11/3/2023 ods rrnyfficial This Notice must be posted by the main entrance at all times a _$ TOWN OF SOUTHOLD Rental Permit 0549 Owner SMB RE Service Inc. Occupied as Accessory Apartment "C" Located at 56025 Route 25 Southold 63.-3-26 Maximum Permitted Occupancy 4 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. 11/3/2023 Enfo t ficial This Notice must be posted by the main entrance at all times acw % TOWN OF SO UTHOLD—BUILDIN(' DEPARTMENr..,,, Town Hall Annex 54375 Main Road P. 0, Box 1179 Southold, NY 111,197,) Telephone (631) 765-1802 Fax (631) 765-9502 RENTAL PERMIT APPLICATION q;- Rental Permit Fee $300(Application must be renewed every two years) Section A. Property Information: Rental Property Address: Tax Map Number: 1000 SECTION 0a3--,UD--BLOCK_0_jDU -LOTA02�(L SECTION B. OWNER INFORMATION: Property Owner Name: -5-� —c's –k—secmi—CCAS Property Owner Legal Address: Property Owner Mailing Address: (Cannot be the same as Rental Property Address) sj� Telephone Number (s): Daytirn6AJ?y- I in� Emergency Property Owner Email J D- Page 1 of 4 (2,p C- i (DS�/ Section C. Authorized Agent Information: Name of Authorized Agent of dwelling unit, if any: .A Address of Authorized Agent (no P.O. Boxes): Mailing Address of Authorized Agent: Telephone Number (s): Daytime "" ` ( Evening Emergency Email Address: �� t Section D. Managing Agent Information: Name of Authorized Agent of dwelling unit, if any: Address of Authorized Agent(no P.O. Boxes): www. Mailing Address of Authorized Agent: Telephone Number (s): Daytime qq. 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): Mailing Address of Managing Agent: w ....... Telephone Number (s): Daytime _ _ Evening Emergency Email Address: Page 2 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." 00, Rental Dwelling Unit Identifie Requested Maximum number of persons allowed to occupy Dwelling U " : �Z Number of rooms in Rental Dwelling Unit: . � 0 Use and Dimensions of each room in Rental Dwelling Unit: 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. Page 3 of 4 SECTION H. DECLARATION: Signature must be notarized and MUST be the owner of the dwelling unit. STATE OF NEW YORK) ) COUNTY OF SUFFOLK) I 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, ior Site Manager. Property Owner's Name: a "` �JCsYI f Property Owner's Signature. Sworn to before me thi�!day of _ , 20cD3 Kimberly M Leidahl Official Notary Publi Signature and Original Notary Stamp Notary Public, State of New York Reg. No. 01 LE6125405 Quelif"red in Suffolk County Commission Expires 04-18-2025 Page 4 of 4 Town Hall Annex « � �� �;� Telephone(631)765-1802 54375 Main Road P. O. Box 1179 y H x Southold, NY 11971-0959 BUILDING DEPARTMENT TOWN OF SOUTHOLD RENTAL PE IT AP 'LICATION ADDENDUM Rental Dwelling Unit Identifier: Requested maximum number person allowed to occupy each dwelling unit Number of Rooms in Rental Dw unit: ' "'" _ Use and Dimen ojn o e c roo wv' t' w Rental Dwelling Unit Identifier: _. Requested maximum number of persons allowed to occupy each dwelling unit: Number of Rooms in Rental Dwelling Unit: Use and Dimension of each room: Rental Dwelling Unit Identifier: Requested maximum number of persons allowed to occupy each dwelling unit: Number of Rooms in Rental Dwelling Unit: Use and Dimension of each room: f4f so TOWN OF SOUTHOLD BUILDING DI w 631 -765-1802 INSPECTION f ] FOUNDATION 1ST [ ] ROUGH PL13G. [ ] FOUNDATION 2ND [ ] INSULATIOWCA[ [ ] FRAMING l STRAPPING [ AL FIREPLACE & CHIMNEY [ ] F FIRE SAFETY IN! [ FIRE RESISTANT CONSTRUCTION [ FIRE RESISTANT PE [ ] ELECTRICAL (ROUGH) [ ELECTRICALS (FII ODE VIOLATION PRE C/O REMARKS: Pre, l A6rs A4 , —_ � l . e) 'I ,U V­'N' e .... ........ .. ............... ........... '' t _ W r f r i f i f _._ ,. f � � � r 1 f f . Z�c f f I f f I 1 i f i ce - 2-� TOWN OF SOUTHOLD PROPERTY RECDLL .. O ER _ STREET VILLAGE DIST. SUB. LOT FORMER OWNER E- Vice55, IPt t .J N E / ACR. ure/ cr/ ry S W TYPE OF BUILDING �Tivi RES. P SEAS. VL. FARM C MISC. Mkt. Value i LAND IMP. TOTAL DATE RE - r � 130 )k— '' . G L-12T CIT C3N NEWN - L� BELOW _�.. �# j � r /c t/ FA a Acre Value Per Acre ��� �- ^C�o 5 P- ' D` e I 17�,( Lr< S�o r C Tillable 1 1 ola-)l q` _ JC r Tillable 2 [ _ w 11� Tillable 3 �;' 73 --- � � le r Ta / � �%crSf ''C- Woodland1 P-H-, -q "hiate S��64M 7- Swampland FRONTA ASTER- i _ J s = FRONTAGE ON ROAD Brushland House Plot I ' DEPTH } BULKHEAD Total I IDOCK 1 � ��� ' �.c.C�«�� 7 11�-�1�-1�1'�-�itiSQal�'�-�i'rc•�\e,,.LJ.'ti'i� }p'(�rGSs�G 1.;�.! 'r� f n..nSQ�,...�.-P.1`C COLOR s } a I (( I _ 4 I TRIM fi 4 i Y fowl pOlUd 10 ,� . I a. i Q i �S M. BI a X a � � #� - Foundation dy ��- Bath i Dinette Extensiont X 0 $�© Basement Floors K. _: E_- Extension Ext. Walls _ Interior Finish LR. Extension Fire Place Heat �9�.(�/. DR. } �17-- - - 5 ® V5.0 [�Zp IType Roof Rooms lst Floor BR. Porch G ` , Recreation Roo Rooms 2nd Floo FIN. Be Porch l Dormer Breezeway Driveway Garage Y A 6a yla3 a = O. B. 4 Total FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Clerk's Office Southold, N. Y. Certificate Of Occupancy No. .Z+ 1.1 . . . . . Date . . . . . , . , . . . . DQo. . 9 . . . . . . . .. 19. 36 THIS CERTIFIES that the building located at /$. . .1''AJA .$owd . . . . . . . . . Street Map No. . 3-4X. . . . . . . Block No.X=. . . . . . .Lot No. . . . . . . . conforms substantially to the Application for Building Permit heretofore filed in this office dated . . . . . . . . . . . . . . . . . 44, A. . 7 4pursuant to which Building Permit No. .?4iZ . dated . _ . . . . . . . : . . .6. . . . . ., 19. 74, was 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 . . . Prirata sw . * . ini(,Vool, with Pence.&. acgfr7s , , , , , , , , , , , , , The certificate is issued to Dr_ Y11 ".Donlan Owner , (owner, lessee or tenant) of the aforesaid building. Suffolk County Department of Health Approval A s-Rk . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . UNDERWRITERS CERTIFICATE No. . .1181.626_ HOUSE NUMBER . . . . . %02�. . . Street . . . . ?'* Road . . .Southold Building Inspector �7 h FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Clerk's Office Southold, N. Y. Certificate Of Occupancy No. ?xtW , . . . . Date . . . . . . . . . . . . . . NOT#. 7 . . . . . 2. g (, (Seet THIS CERTIFIES that the buildin located at . . AL/S. Mairi.Road. . . . . . . Map No. . .XX . . . . . . . Block No. . .=. . . . . .Lot No. zuz . .Southold . .N*Y.. . , . . . . . . conforms substantially to the Application for Building Permit heretofore filed in this office dated . . . . . . . . . . Jan. . . ., 19.72. pursuant to which Building Permit No. . 56.90Z. dated . . . . . . . . . . 4U. . .5 . . . . ., 19.72., was 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 . .PrJx4te. .two. family. Avelling.-r. with. doctors .oitic*. . . . . . . . . . . . The certificate is issued to . .Wm.. R& Donlan. MD . ..Owner• . . . . . . . . . . . . . . . . . . . . . . . (owner, lessee or tenant) of the aforesaid building. Suffolk County Department of Health Approval n.*, . . . . . . . . . . . . . . . . . . . . . . . . . . . . . UNDERWRITERS CERTIFICATE No. . . .PsAd ala. . . . . . . . . . . . . „ . , . . . „ „ . . , , . , , , , . . . . . . . HOUSE NUMBER. .562.05. . . . .Street. . . . . .Xain.Road _ . . . . . . . . . . . . . . . . . . . . . . . . . . . . BUild14ngp Inspector �. ^ FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Insp, ctor Town Hall Southold, N.Y. d 8 CERTIFICATE OF OCCUPANCY No: Z-32177 QDate: 02/05/07 THIS CERTIFIES that the building ADDITION & ALTERATION�wwM° ' Location of Property: 56025 MAIN RD 50UTHOLD (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 63 Block 3 Lot 26 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated NOVEMBER 13, 2006 pursuant to which gg Building Permit No. 32489-Z dated NOVEMBER 13, 2006 P 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 ADDITION & ALTERATION TO AN EXISTING BUILDINGASAPPLIED FORS The certificate is issued to PRESSLER LIVING TRUST _w (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 3016449 12/04/06 PLUMBERS CERTIFICATION DATED 11/20/06 GEORGE J. BERRY, JR�— o t A ori- .d Sic ature d Rev. 1/81 FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.X. CERTIFICATE OF OCCUPANCY No Z-24229 Date MARCH 25, 1996 THIS CERTIFIES that the building ALTERATION Location of Property 56025 MAIN ROAD SOUTHOLD, NEW YORK House No. Street Hamlet County Tax Map No. 1000 Section 63 Block 3 Lot 26 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated DECEMBER 23, 1993 pursuant to which Building Permit No. 21864-Z dated JANUARY 6 1994 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 ENCLOSE PORCH OF EXISTING ANTIQUE STORE AS APPLIED FOR. The certificate is issued to EDMUND & JOAN PRESSLER (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N-323162 - AUGUST 10t 1994 PLUMBERS CERTIFICATION DATED N/A Building Inspect Rev. 1/81