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HomeMy WebLinkAbout1000-37.-5-5 a TOWN OF SOUTHOLD Cot 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 w 00 631hone 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 �I} I� ' � lifSff1f lz IT .. . w 7' -7=7 ' L o f'?'� ! � !�i9# � 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 t N 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 7 0 TOWN OF SOUTHOLD PROPERTY RE( j , OWNER 'STREET VILLAGE DIST. SUB. LOT DORMER OWNER N 1 E ACR. S W TYPE OF BUILDING tt RES. SEAS. VL. FARM comm. CB. MICS. Mkt. Value LAND IMP. TOTAL DATE REMARKS 42 L4 PD F z CZ� 61 ke r (AIJ Y4 _ Q1 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 04 4 tI COLOR _ TRIM r # k-c � .,. - - — P e. E E i a i v. 37 -5 91Q6 � - - - 5 - _ t a M Bldg. _ �# �Q t - Extension - � i s� E Extension - i a Extension �.r Foundation Bath ' Dinette Po SFr _ erent Floors K_ e a Ext. e _ Finish shWalIntert t _ .R BreezewayFire Place 4� 5 Heat DR t ``� Type Roof .Rooms 1st Floor ER. Recreation Room Rooms 2nd Floor FIN B O Dormer Driveway � E Total 7) ! ,zo 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 -61 i 16i-11" i Fire Place i %0 � a _ Z �7 v si j I � tJ SAROKE' ` � i {I4 Li 7IH/K6 O' eo z C' �,.0 EN IT T U� U-) zLn �10 00 # - o ,® O O1 I t11A�LF'/�- Residents:Robert and Barbara Keller 730 Bayview Drive, I A 3i-9i# East Marion,New York 11939 R= ` .� ��KO =� =� Floor oor Closet Showel Deck Closet 15'-1 Oil Residents:Robert and Barbara Keller 730Bayview Drive, East Marion,New York 11939