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HomeMy WebLinkAbout1000-70.-5-8 TOWN OF SOUTHOLD ik Rental Permit 1018 Owner Jason & Katina Wachter Occupied as Single Family Dwelling Located at 230 Jockey Creek Dr. Southold 70.-5-8 Maximum Permitted Occupancy 7 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 Code Enf ce e t Official This Notice must be posted by the main entrance at all times 200 `'' C f x5"`710► Town Hall Annex �" Telephone(631)765-1802 54375 Main Road ��r Awa '= k3 6� WE P.O.Box 1179 Southold,NY 11971-0959 "k � Q" BUILDING DEPARTMENT TOWN OF SOUTHOLD Building Department Town of Southold RENTAL PERMIT APPLICATION Rental Permit Fee$200(Application must be renewed every two'years) 100 0-(� 105- �j Section A. Property Information: Rental Pro erty Address: rJ T l "� Tax Map Number: 1000 SECTION AQ-7P.......... _ RLOIwI SECTION B. OWNER INFORMATION: Property Owner Name: Property Owner Legal Address: Property Owner Mailing Address: AJ Telephone Number(s): Daytime Evening_Emergency Property Owner Email Address: Page 1 of 5 Town Hn11 Annex Telephone(631)765-1802 54375 Mnln Road "� �' Pax(631)765-9502 P.O.Bok 1179 r y yx Soulhold,NY 11971-0959 1 BUILDING DEPARTMENT TOWN Or, SOUTHOLD Mailing Address of Managing Agent: —ft �g Telephone Number(s):Daytime_ i G Evening Emergency_,_.. ---.„— Email Address: 1 ���`te-1 - 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: . T � 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: 1 2.Sl II tab ISAP 13-� 10'� Page 3 of 5 Telephone(631)765-1802 Town Hall Annex 54375 Main Road P Fax(631)765-9502 Co P.O.Box 1179 � r e Southold,NY 11971-0959 P P " gi ray-. 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. ❑ 1 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) 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 r Fax(631)765-9502 P.O.Box 1179 Southold,NY 11971-0959 BUILDING DEPARTMENT TOWN OF SSOUMOLD 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: . QA Property Owner's Signature: Sworn to before me this 2-0 day of 202-3 Official Notary Public Signature and Original Notary Stamp Kavi Bhatia NOTARY PUBLIC STATE OF NEW YORK NO.01BH6415326 QUALIFIED IN NASSAU COUNTY CERTIFICATE FILED IN NEW YORK COUNTY COMMISSION EXPIRES MARCH 15,202X Page 5 of 5 Town Hall Annex Telephone(631)765-1802 54375 Main RoadFax(631)765-9502 f� P.O.Box 1179 Y, Southold,NY 1 197 1-0959 � f BUILDING DEPARTMENT TOWN OF SOUTHOLD 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 Rro essional seal required for Architect or Engineer _Lovide licensed Home Inspector must copy of valid current cerci cat"l'on Rental Property SCTM Number: DoO Rental Property Address: '24"3 w 1 Owner/Name: ti— Rental Rental Dwelling Unit Identifier: Number&Square footage of each bedroom as depicted in the attached floor plan: Bedroom#1-100 sq., Bedroom#2-90 sq., etc.) 4—L 170 '5 V: ,PPr�operty Description (Include all i rovements indicated on survey) t. (M A 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 the Plumbing Code of New York State, the Fuel Gas Code of New York State, an ation Constru de of New York State. T. Print Name and Title igi al S& re Please place professional seal: OF '' TOWN OF SOUTHOLD BUILDING D 631 -765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PL13G. [ ] FOUNDATION 2ND [ ] INSULATION/CAr [ ] FRAMING / STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY IN! [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PE [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FI [ ] CODE VIOLATION [ ] PRE C/O [ REMARKS: Ok- 5 0 DATE 2 - �' �..�. INSPECTOR BEDROOM#1 1025.F. WANG,411=4 WTCHEEO ........... FAMAV V ROOM UVWG,ROOM TWO CAR GARAGE 1.T- FIRST FLOOR PLAN a I b e BEDROOM#3 u5F. BEDROOM#2 BATH 745F.. VgkJ A FR.DooM0l� w µry!g.TSP, y=11c ................... .......�G,R,�. SECOND FLOOR PLAN wwwwww ._.,_ IST TWO STORY RESIDENCE DANIEL J KELLEY,AIA N . Kel;siunsDa� os-il-�3 230 JOCKEY CREEK DRIVE A R C H I T E C T SONTHOLD,NY 11971 Ch. reBy.is w NY 023925 SC SC10651 FLA AR101237 Ch 1,1 By DIK ..... .. ................. FLOOR PIANS 3BSANDV COURT LAKE GROVE,NV 11]55 V4 b „ .. ��,. ..............�.....,......,.�....... lel:516-0288536arteil .................. .�...........,........ ... FN .............�... ,......�,.,,........,....... tlkelbY.aM�9........,..,.,�,,,,,,,,,,,,,,,....ilwm ...W...........,.,.�.,,.....,..,,,,,....,.,.....,...,.,.,...,,..,.,......,..r,.......,........,..,..«,..�,,,�,.«,....,,.....,,..,.,,...,. SCTM # C) TOWN OF SOUTHOLD PROPERTY RECORD OWNER STREET VILLAGE ly-',. SUB. LOT g lk a f.l fb,f ACR. 1 REQ+ARr SI 4 S 2 S OC TYPE OF BLD.. PROP. CLASS q/S LAND IMP. TOTAL DATE _ i 1(D C) 3 � EE FRONTAGE ON WATER HOUSE/LOT i i BULKHEAD TOTAL � e TOWN OF SOUTHOLD PROPERTY iiiOiiD CARD STREET VILLAGE DIST. COUNTY TAX MAP NO. s-s p` s- B r LAND- IMP. TOTAL DATE REMARKS: 3 _ r - _ x s g 2-1 rf 'et s i i t t i 1 I I F" vre" TOWN OF SOUTHOLD Tq- 90J CARD -- _ OWNER STREET VILLAGE DISTRICT SUB. I LOT FORMER OWNER E ACREAGE = n, W v TYPE OF BUILDING t J - i RES, - SEAS. VL. FARM COMM � IND. CB. � MISC. LAND i IMPa TOTAL DATE REMARKS ` _ _ Igo �_t E 3 ; 5 e r t a 4 � Co jra r; E tr � �AG BUILDING C NDITION ,. NEW NORMAL - BELOW ABOVE I _ Farm Acre Value Per Acre Value Tillable 1 I I Tillable 2 I Tillable, 3 I Woodland I _ i � I Swampland !+ j ABrushlanft"' IHouse Plot Tctal i I .,,.._ 1 F e i s I _ _ E i a i g f , f l M. Bldg. i Foundation £< Bath Extension Basement Floors Extension Ext. Walls _- I Interior Finish Extension - Fire Place Heat 3 Porch Attic _ - Porch Rooms Ist Floor �} � A ZOO Patio Rooms 2nd Floor j Garage _ Driveway x - �- TOWN OF SOUTHOLD OFFICE OF BUILDING INSPECTOR TOWN HALL SOUTHOLD, NEW YORK CERTIFICATE OF OCCUPANCY NONCONFORMING PREMISES THIS IS TO CERTIFY that the L!7 Land Pre C.O. #-Z-16283 Building(s) Q Use(s) Date- October 13, 1987� located at 210 Jockey Creek Drive Southold, New York Street Hamlet shown on County tax map as District 1000, Section 074 , Block OS , Lot 08 , does(not) conform to the present Building Zone Code of the Town of Southold for the following reasons: Insufficient total area; side and rear yard On the basis of information presented to. the Building Inspector's Office, it has been determined that the above nonconforming ® Land 1--'Y Building(s) Q Use(s) existed on the effective date the present Building Zone Code of the Town of Southold, and.may be continued. pursuant to and subject to the applicable provisions of said Code. IT IS FURTHER CERTIFIED that, based upon information presented to the Building Inspector's Office, the occupancy and use for which this Certificate is issued is as follows: Property contains 1'k story, one family, wood framed dwelling with attached wood deck and garage; concrete patio; inground pool and fence; permits 9792-CO Z739; permit 3135Z CO Z2560; Permit 4272 CO Z3564; Permit 74362 CO 26897; Bulkhead 6 Floating dock; all situated in 'A' Residential zone with access to Jockey Creek Drive. The Certificate is issued to ELLIS 6 MARGARET TERRY (owner, of the aforesaid building. Suffolk County Department of Health Approval N/A -_� UNDERWRITERS CERTIFICATE NO. N/A NOTICE IS HEREBY GIVEN that the owner of the above premises HAS NOT CONSENTED TO AN INSPECTION of the premises by the Building Inspec- tor to determine if the premises comply with all applicable codes and ordinances, other than the Building Zone Code, and therefore, no such inspection has been conducted. This Certificate, therefore, does not, and is not intended to certify that the premises comply with all other applicable codes and regulations. Building Inspector FOWW A10. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD. X. Y. CERTIFICATE OF OCCUPANCY No. ......... Z$P.. Date ........ ......................aWIZ...2.0............ 1,9AQ- THIS CERTrMS that the building located at 25.,v....ftutb.old.. Street . . ....... ......--. ....... Map No. ........!!! .....Block No. ......„.' ....Lot No. ... ...... conforms substantially to the Application-for Building Permit heretofore filed in this office Vuax5 0 79 dated ...... dbr..........y.....2....... 10R.. pursuant to which Building Permit No. .............9..."..1-1. dated --X ...... 19.0, 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 ..................................................... ....................................... This certificate is issued to ............. PVTMV;......................................I............... (owner, lessee or tenant) of the aforesaid building. ......... ......... Building Inspector FORM NO. 2 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N� 979 Z Date ......................Y,l ......a6.... ...... 19.()0... Permission is hereby granted to: A70.1*..Jericho.1pk......................................... x9im,,-...N..y'^...................»....,............,. to ..................".........,...,................,,.,.....»,................ at premises located at .8/0....M. .mad*....E/S... 33..S ri$ .... Al $# .. 3 ........................... o'er I":- , . .....6'"`..A» ��;.� -....a.......»........... ..« ............,. •,J pursuant to application dated ..»...................»„fo ry.•..+2.,.,....,,.....».19..60.., and approved by the Building Inspector Fee $.. r►....P.d.”.chsek Building Inspector FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. CERTIFICATE OF OCCUPANCY Date . . . . .. . . . . . .... THIS CERTIFIES that the building located at .$/$.. . Street Map No. . . Block No. . .2=. . . . . . Lot No. .=. . . . . SOU-taI0341. Noy.* . . . . . . conforms substantially to the Application for Building Permit heretofore filed in this office dated . . . .. . . . . .. . .4.qnO . . . ;27, 19, .66 pursuant to which Building Permit No. - 313,5-Z dated » . . . . .. . . . _. J=o . . . 27 19.6,6, 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 PXIVAtO. .01aO. .VaWil'Y-ft'211ing. . . . . . . . . . _ _ _ . . . . . . . . . . .. . . .. . . . The certificate is issued to . .132411.5-1h-lrry..... ...Owner ... . . ... ... . . . . . .... .. (owner, lessee or tenant) of the aforesaid building, ,Suffolk County Department of Health Approval . . . . . . ..V16-g.. . . . . . . . . . . . . . . . . . . . . . Building Inspector FOAM NO. 2 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) �® 3135 Z Dote ......a .......� 19.0.. Permission is hereby granted to:, ..................................... ............ . .......................................... to .... i�..� � .: , r..�, .. .. .. .� L a . ................................................. ..... .............................................................................. ................................,............................ atpremises located at .... ..... .. :� ..Dr......-..........................................I--....... 5 4 ..... . r.................................,......................................,,.........,....,. pursuant to application dated ...............................Jmo.....27.....•••••. 19..66., and approved by the Building Inspector Fee $... Y ;p............ Building..l nspector. ............. FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Clerk's Office Southold, N. Y. Certificate Of Occupancy No. .3 . . . . Date . . . . . . . . . . . t . .I I. . . .119. 69 THIS CERTIFIES that the building located at . . .8/8 . ., er' Cr*ok.Dr eet Map No. . .XZ . . . . . . . Block No . . . . . . .Lot No. . =t. . . . ;( .�,Y. • • • . . . . conforms substantially to the Application for Building Permit heretofore filed in this office dated . . . . . . . . . . ref . .18- 19.69. pursuant to which Building Permit No. 4 . . dated . . . . . . . . . . a ". . . .2. . . ., 19.bg, was issued, and conforms to all of the require- ments of the applicable provisions of the law. The occupancy for which this certificate is issued is . . .Pztiva taw► •oaa •foxily•dwolling . . . . . • .(a n .by. 24. perk) The certificate is issued to . . .ZIL111,f0 . . . . . . . . r• . . . • . . . . . . . . . . . . . . . . (owner, lessee or tenant) of the aforesaid building. Suffolk County Department of Health Approval . .R.Ro . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Building Inspector FORM NO.$ TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N° 4272 Z Date ........................PW...... .`............... Permission is hereby granted to: ............................... ....................................... ...............J .. NIS..� »"IIG..................... ................... ..........,............................... to .......................................... ............... . I . ±w ..�. ..fit `.. IMS.. ... ., + rI l.....................I.................. atpremises located at .......................... .......................................... .................................................................I .... «Xw........................................................... ..................................................................... . ....................................................... . ........... pursuant to application doted ...W........................... ... ]9...0, and approved by the Building Inspector. Fee $. ............. .,.. . .. ............. Buil $i Inspector FORM Na 4 TOWN OF SOUTHOp BUILDING DEPARTMMW Town Clerk's Office Southold, N Y. Certificate Of Occupancy No. i . . . .. . Date . . . . . . . .$'4b. . . .26 . . . . . ., 07.6. . THIS CERTIFIES that the building located at . .13 .6.41 . .Y. !q4.DrPrl. . . Street Map No. 4. • • . . . . . . Block No. M;. . . . . . .Lot No XXX. . . . . . .3n . ," old *Y- conforms substantially to the Application for Building Permit heretofore filed in this office G dated . . . . . . . .. . . . JAaZr 1924. pursuant to wh%ch Building Permit No. 7�30 dated . . . . . . . . . . . A147 . .? . ., 19 7�., was issued and conforms to all of e - � the require- ments of the applicable provisions of the law. The occupancy for which this certificate is issued is ? 3vate. s1 . .Po .with fano & a°00SorY$ , . . l . . . .. .. .. . . . . .. . The certificate is issued to Mr . ,s12 . . . . .$ is. Ter. � (owner, lessee or tenant) of the aforesaid building. Suffolk County Department of Health Approval 1j ra.#. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . UNDERWRITERS CERTIFICATE No, . . . . . . . .. . . HOUSE NUMBER . . . X59. . . . . . . Street ..T99Xg7.9k Drive . ,. . . .,. . . . . . . Building Inspector. . 111x1 Town of Southold 3/11/2021 P.O.Box 1179 " 53095 Main Rd Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 41870 Date: 3/11/2021 T131GS CERTIFIES that the building HVAC Location of Property: 230 Jockey Creek Dr, Southold SCTM#: 473889 See/Block/Lot: 70.-5-8 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 1/19/2021 pursuant to which Building Permit No. 45762 dated 2/2/2021 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: The certificate is issued to Vitale,Gasper of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 45762 02-19-2021 PLUMBERS CERTIFICATION DATED uthori Daa e