HomeMy WebLinkAbout1000-37.-5-5 a TOWN OF SOUTHOLD
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Rental Permit
g
0790
Owner Robert & Barbara Keller
Occupied as Single Family Dwelling
Located at 730 Bayview Drive East Marion 37-5-5
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,
12/14/2022 al-
Aider
or e e 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 1 179
Southold,NY 11971-0959 �t
BUILDING DEPARTMENT 0 G n 0 902
TOWN OF SOUTHOLD
RENTAL PERMIT APPLICATION
Rental Permit Fee $200 (Application must be renewed every two years)
Section A.
Property Information:
Rental Property Address:
Tax Map Number: 1000 SECTION 37 -BLOCK d 5 -LOT �S -
SECTION B.
OWNER INFORMATION:
Property Owner Name: A416"_r t 1641416e024 1'e1E4.Le2-
Property Owner Legal Address: Property Owner Mailing Address:
ll 141,
A1Y_ 71)A _S-MAOeei t
Telephone Number(s): Daytime 5-/k 6391 ening Emergency
Property Owner Email Address: �Z-4.Je_(&Vle
Page 1 of 5
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Town Hall Annex '� Telephone( )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, 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: 4>
SAY VIJ W the ��
Requested Maximum number of persons allowed to occupy Dwelling Unit
Number of rooms in Rental Dwelling Unit:
Use and Dimensions of each room in Rental Dwelling Unit: Lim I VU CT 2L,� 16�x 151/1
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Page 3 of 5
" Telephone(631)765-1802
Town Hall Annex
54375 Main Road Fax(631)765-9502
P.O.Box 1179
Southold,NY 11971-0959ji
, "
i
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.
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 XP A31�.44 "" certify under penalty of perjury,the following:
1. I 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 ,4 Telephone(631)765-1802
54375 Main Road Fax(631)765-9502
P.O.Box 1179 �
Southold,NY 11971-0959 `
„r :`r,x?
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.
a
Property Owner's Name:
Property Owner's Signature: f/ e"'
rr A
Sworn to before me thisi day of ��" m 20-4
Official Notary Public Signature and Original Notary Stamp
CONNIE D.BUNCH
Notary Public,State of New York
No.01 BU6185050
Qualified in Suffolk County
Commission Expires April 14,20D
Page 5 of 5
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TOWN 01 SOUTHOLD BUILDING I
631 -765-1802 241, 0-- .** .-W
INSPEC ION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ FFIRE
TI C
[ ] FRAMING 1 STRAPPING [
[ ] FIREPLACE & CHIMNEY jAFETY IN,c
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PE
[ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL
[ ] CODE VIOLATION [ ] PRT [ 1
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TOWN OF SOUTHOLD PROPERTY RE(
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OWNER 'STREET VILLAGE DIST. SUB. LOT
DORMER OWNER N 1 E ACR.
S
W TYPE OF BUILDING
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RES. SEAS. VL. FARM comm. CB. MICS.
Mkt. Value
LAND IMP. TOTAL DATE REMARKS
42
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AGE BUILDING CONDITION
NEW NORMAL BELOW ABOVE
FARM Acre Value Per Vclue
Acre
Tillable FRONTAGE ON WATER
Woodland FRONTAGE ON ROAD
Meadowland
DEPTH
House Plot
BULKHEAD
Tota'"- DOCK
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BreezewayFire Place 4� 5 Heat DR
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Type Roof .Rooms 1st Floor ER.
Recreation Room Rooms 2nd Floor FIN B
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Dormer Driveway
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Total
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FORK NO. !
TOWN OF SOUTHOLD
BUR DING DEPARTMEff
Town Clerk's Office
Southold, N. Y.
Certificate Of Occupancy
No. 27225. . . . . . Date . . . . . . . . . . . .Sept . . 9. . . . . . . ., 19.76.
THIS CERTIFIES that the building located at s/S •Bayview• Ur. . . . . . . . . . . Street
Map No.Gard..Bay.Mck No. . . . , . . . . . .Lot No. . 1.12+I�3::. • 1Aarton . .N,Y.* . . . . .
conforms substantially to the us coda
dat It befor* f;f e e f occupancy
.Apr- . .23., 19. .57 pursuant to whicho. 2722 .
dated . . . . . . . . . . .Sept. . .9. . . ., 19.76., was issued, and conforms to al� of the require-
ments of the applicable provisions of the law. The occupancy for which this certificate is
issued is . .Pr3wate. .one. .f8: Ily. .dw.c1134g. . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . .
The certificate is issued to . Xarlou. k•. . r offer , , , . , . . .
k w
(owner, lessee or a� t
of the aforesaid building.
Suffolk County Department of Health Approval pro... -existing. . . . , . . . . . . . .
UNDERWRITERS CERTIFICATE No. .pre-axistjng. . . . . . . . . . . . . . , . , . . . , . . . .
HOUSE NUMBER . . . . . . .7.3.G. . . . Street . . -.ayv�.e. .D r .�%e. . . . . .. �. 04
, . . . , . .
. . . . . . . . . . , . . . . . . . . . .
Building Inspector
HOUSING CODE INSPECTION
September 9, 1976
730 Bayview Drive R-1
East Marion, N. Y.
Sub. Div. : Gardiners Bay Estates, Lots 112-113
Tax Roll: Marion L. Stuart
Upon receipt of an application for a Pre-existing Certificate
of Occupancy, I made an inspection of this one and one-half
story, framed dwelling. I was admitted to building by Mrs.
Stuart who accompanied me during this inspection which began
at approximately 10:30 A.M.
The first floor consists of two bedrooms full bath, living
room with fireplace, kitchen and an c used porch. Second floor
has a bedroom with a half bathroom and a balcony. Heat is fur-
nished to al. rooms from an oil-fired, forced warm air furnace
located in full cellar of the building's cement block foundation.
I found no violations of the Housing Code, Chapter 52 , Town
of Southold, New York.
Inspection was completed at approximately 11:00 A.M.
jes.' '6tfully
wd in ermann
Building Inspector
EH:med
FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No: Z-32438 Date: OS 27 07
THIS CERTIFIES that the building ALTERATION
Location of Property: 730 BAYVIEW DR EAST MARION
(HOUSE NO.) (STREET) (HAMLET)
County Tax Map No. 473889 Section 37 Block 5 Lot 5
Subdivision Filed Map No Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated JULY 71 2005 pursuant to which
Building Permit No. 31305-Z dated JULY 25,, 2005
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 AN EXISTING SINGLE FAMILY DWELLING AS APPLIED FOR
& AS PER CONDITIONS OF ZBA ##5682 DATED 4/1405.
The certificate is issued to JOHN J & JOY E GALLAGHER
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL NZA
ELECTRICAL CERTIFICATE NO. 2101254 10 27
PLUMBERS CERTIFICATION DATED 01/03/07 GREENPORT PLUMB.&HEATING
//orim gid. Si ature
Rev. 1/81
st Floor 151
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Residents:Robert and Barbara Keller
730 Bayview Drive,
I A 3i-9i# East Marion,New York 11939
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Closet
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Closet 15'-1 Oil
Residents:Robert and Barbara Keller
730Bayview Drive,
East Marion,New York 11939