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HomeMy WebLinkAbout1000-99.-1-26 g TOWN OF SOUTHOLD Rental Permit -V 0784 Owner Chris & Kristen Neimeth Occupied as Single Family Dwelling Located at 735 Sound Beach Dr Mattituck 99.-1-26 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. 12/6/2022 rc4nIffid'i This Notice must be posted by the main entrance at all times de; r Town Hall Annexe ;�`ti Telephone(631)765-1802 54375 Main Road { VAP ( I 6 P.O.Box 1179 Southold,NY 11971-0959 MAR flni 1 4 202? V„VpLDII\IG ILrr:.:,P V: BUILDING DEPARTMENT TOWN GJf`':'C�U ii-6._D TOWN OF SOUTHOLD RENTAL PERMIT APPLICATION Rental Permit Fee$200 (Application must be renewed every two years) Section A. Property Information: Rental Property Address: 735 Sound Beach Drive Matkituck NY Tax Map Number: 1000 SECTION 099 _-BLOCK 01 -LOT 026 - SECTION B. OWNER INFORMATION: Property Owner Name:-Christopher Neimeth Property Owner Legal Address: Property Owner Mailing Address: 1230 Watersedge Wall, Southold NY 11971 1230 Watersedge Wad/ �qouthold NY 11 q71 Telephone Number (s): Daytime 9174469760 Evening9174469760 Emergency 9174469760 Property Owner Email Address: kneimeth(Mg mail.com ID(I.r Page 1 of 5 Town Hall Annex ;r Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1179 Southold,NY 11971-0959 J F BUILDING DEPARTMENT TOWN OF SOUTHOLD Section C mow" Authorized Agent Information: Name of Authorized Agent of dwelling unit, if any; . one Address of Authorized Agent (no P.O.,,Bo a ): Mailing Address of Authofiz dµAgent: Telephone N p um r(s): Daytime Evening Emergency Em, i " ddress: Z Section D. Managing g " �n Agent Information: � Name of Authorized Agent of dwelling unit"jf° rly: None Address of Authorized Agent(n .d Boxes): Mailing Address of Au rized Agent: Telephone � Ns): Daytime Evening Emergency Ile Em dress: SECTION E. SITE MANAGER INFORMATION: (req rd f for rental properties containing 8 or more rental units) Name of Managing Agent of duvetl ng unit, if any: None Address of Managing Agent(no P.O. Boxes):__M Page 2 of 5 All Town Hall Annex " di Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1 179 4 ,, Southold,NY 11971-0959N VY' 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: 1 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: whole building: 735 Sound Beach Drive Requested Maximum number of persons allowed to occupy Dwelling Number of rooms in Rental Dwelling Unit: 10 Use and Dimensions of each room in Rental Dwelling Unit: south bedroom adjoining bathroom1" 7" central bakhrotm 11'x "2"` south bat r m T°x11" " SECOND FLOOR: master bedroom 16'3"x21', adjoining bathroom 10'x13'2" Page 3 of 5 r Town Hall Annex Telephone(631)765-1802 54375 Main Road F� ;S Fax(631)765-9502 P.O.Box 1179 'R, � N', Southold,NY 11971-0959 r �("* Y 71 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 Christo her Neimeth , 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 Road 1 Fax(631)765-9502 P.O.Box 1179 m < Southold,NY 11971-0959 j BUILDING DEPARTMENT TOWN OF SOUT,iI'~IIOLD 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: Christoph N meth Property Owner's Signature: Sworn to before me this)Tday of- March 202 Official No a y Public Signatu a nd Original Notary Stamp TRAOEY L.DWYER NOTARY pURLIC,STATE CE NEW YORK NO 1yvG30690 s OUALIF"IEI IN`' C,U I=()LIC COUNTY COMMISSION EXPIRES JUNE (yp b Page 5 of 5 # TOWN OF SOUTHOLD BUILDING DI 631 -765.1802 qlq IOWA INSPEC ION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION/CAL [ ] FRAMING / STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INS [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PEI [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FI [ ] CODE VIOLATION [ ] PRE C/O [ REMARKS: IX rte` Rtil $� � kk000q 0 DATE vY INSPECTO0 Town Hall Annex `m Telephone(631)765-1802 54375 Main Road ' Fax(631)765-9502 P.O.Box 1179 h Southold,NY 11971-0959 � u BUILDING DEPARTMENT TOWN OF SOUTHOILD RENTAL PROPERTY CERTIFICATION Form is to be completed by a license architect, licensed engineer or licensed home inspector Separate form is required for each individual Rental Dwelling Unit 'ro sslonal seal a ufred �rr,�Irchltect or n fneer Ilensed ffonle fns actor rarll.rst rovlde copy of valid current certl catlo Rental Property SCTM Number: 000 - (-)qq Rental Property Address: 735 Sotnd " - Owner/Name: Gtir� �' ,' + Rental Dwelling Unit Identifier: 23 6ovJ 6 e,,ic 6 06 v Number& Square footage of each bedroom as depicted in the attached floor plan: (i.e. Bedroom#1 -100 sq., Bedroom#2-90 sq., etc.) '4101-1 &I-dal"/ l V. r /---liS4 � r 37- Property Description ((include all improvements indicated on sur ) e2-11' I certify that I have done a physical inspection of the subject rental dwelling unit and find that it fully complies with all the provisions of the Code of the Town of Southold,the Residential Code of New York State,the Building Code of New York State,the Plumbing Code of New York State, the Fuel Gas Code of New York State, and the Energy Conservatia onstruction Code of New York State. A ' p Print Na In e a Or g Signature 1� ,D ASC Plea pi ce I al I 04123CJ ��F N �. C0NC. Q �-- STOOP BAY m mar 4 — Z5 north room II' ct 52.4 i east U I �), bedroom U amoke Cla} amo z living room/ deeeet. Ln m amok@ U arm + c�; CO detect ? 1 detect N IDO central i south ' bathroom --� III bedroomsouth bedroom LIJ I a I ,0'w m r adjoining 1 a ° bathroom _ i zFT� r U bathroom 2ND FL R w. family room WOOD , I J DECKsnwko + - BRICK CO detect 34 6 ,D stairs PATIO 25-f i CONC. RET. WALL Ground F10 �� g Lu BAY s boo x � adjainin 4 masteradrm - bathr - oom t s _ _ € t � CKCO dotea, oke FDA stairs deeeor TOWN OF SOUTHOLD PROPERTY RE OWNER �m = STREET VILLAGE I DIST SU13. LOT z � r 3 a FORMER OWNER s N E ACR. S W TYPE OF BUILDING j I RES, SEAS. VIL, FARM `COMM. CB. MISC. Mkt. Value LAND IMP. TOTAL DATE REMARKS i r r _ L � " 7 � a v.v B ,N ,CON 0 I . 1 z - - - =lT-. _ ' —L ,_ sem'- � � �S+R-e FARM Acre Vc�ue Per o 1 I v ` ._ F` �- ' � I s`r t cam-�'- • � - _- � � ,l c'C'< c. _......a blf a Tillable 3 [ I Woodland i, Swampland FRONTAGE ON WATER Brushland FRONTAGE ON ROAD DEPTH House Plot �5J� e , — 1- : t Ia �a BULKHEAD Total i DOCK i r - i, -3s COLOR IUB - - �— — _ 171 - I HIM�44 ! I = 7 i z�sr TRIM r E i � I e f � f T; [ [ � 99.-1-26 3/19/2019 -=z I [ T M. B: j O ,' FFoundatlon � i f � a_�oth g DI tte EXtensi ti �� 1 �° Basement Floors _dy .�Jd } Extension Ext. Walls Interior Finish I - LR_ f 3 3, N ��, ri Fire Place Heat ( DR s = E _ ;Type Roof -_ t Rooms l st Floor BR, � s Bore Recreation Room Rooms 2nd Floor; Dormer Breezeway 1 Driveway i ° Garage i Patio f f , Toto1 i - - FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Clerk's Office Southold, N. Y. Certificate Of Occupancy No. 3389?. . . . . . Date . . . . . . . . . . . . .J . . .g7. . . ., 19.70 THIS CERTIFIES that the building located at .Soy- Beach .Read. . . . . . . _ Street Map No.Capt Kidd• . Block No. . . . . . . . . . .Lot No. .part. N,attituck. • • •W*Y4 conforms substantially to the Application for Building Permit heretofore filed in this office dated . . . . . . . . . . . .June. . . .22 19. .70 pursuant to which Building Permit No. . .4816Z dated . . . . . . .June . . . . . .�3. . ., 19. .70 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 •Private• ane- family, -dwelling . . . . . . . . . . . . . . The certificate is issued to . Andrew•Cyprus• • • • • • Owner. . . . . . . . . . . . . . . . . . . . . . . . (owner, lessee or tenant) of the aforesaid build" Suffolk County Department of Health Approval July - •91 1'970- - ,by* R': 'V111a � r Building Inspector FORM NO.4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold,N.Y. Certificate Of Occupancy No. 212.948 . . . . . . . . Date . . . . . . October .30. . . . . . . . . . . . . .. 19 84. THIS CERTIFIES that the building . . . . . Addition . M . Y . . . * . . Location of Property . . . X35„Sound Beach, . . .. . , . , , , . . . . Matti, . tuck House No. Street fiamlet County Tax Map No. 1000 Section . 0.9.9 , . . . . . .Block —0.1. . . . . . . , . .Lot . . . ?b . . . . . . . Subdivision . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . .Filed Map No. . . . . . . . .Lot No. . . . . . , . . . . . . . conforms substantially to the Application for Building Permit heretofore filed in this office dated . . , . .Nov.. , 2. . . . . , , , , , 103. pursuant to which Building Permit No. . .1.2769A _ . . . . . . . . . dated . . Nov;. .2$ . . . . . . . . . . . . . 103. ,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 .to existing, one family dwelling . . . . . . . . . . . . . . . . . . . . . . . . . . The certificate is issued to . . . . . . . . . . .L a m b r o s B al l a s of the aforesaid building. Suffolk County Department of Health Approval . . . . N.f A. . . . . . . . . . . . . . . I . . . . . . . . . . . . . . . . . . UNDERWRITERS CERTIFICATE NO. . . . . . . . . . . . #.N6603.99. . . . . . . . . . . . . . . .. . . . . . . . . . . . . , . . » . . � . . . . . . . . . . . . . .. . . . . . . . Building Inspector Rev.1/81