HomeMy WebLinkAbout1000-70.-5-8 TOWN OF SOUTHOLD
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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
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BEDROOM#3
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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 „
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SCTM #
C) TOWN OF SOUTHOLD PROPERTY RECORD
OWNER STREET VILLAGE ly-',. SUB. LOT
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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 �
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FRONTAGE ON WATER
HOUSE/LOT
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BULKHEAD
TOTAL
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TOWN OF SOUTHOLD PROPERTY
iiiOiiD CARD
STREET VILLAGE DIST. COUNTY TAX MAP NO.
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LAND- IMP. TOTAL DATE REMARKS:
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TOWN OF SOUTHOLD Tq- 90J CARD
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OWNER STREET VILLAGE DISTRICT SUB. I LOT
FORMER OWNER E ACREAGE
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W v TYPE OF BUILDING t
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RES, - SEAS. VL. FARM COMM � IND. CB. � MISC.
LAND i IMPa TOTAL DATE REMARKS ` _ _ Igo
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�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
!+
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ABrushlanft"'
IHouse Plot
Tctal i I
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1
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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