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Home My WebLink About1000-74.-3-10 TOWN OF SOUTHOLD Rental Permit ly �a 0800 Owner Diane Parker & Ors. Occupied as Single Family Dwelling Located at 1825 Carroll Avenue Peconic 74.-3-10 Maximum Permitted Occupancy 4 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. 1/10/2023 Code � fficial This Notice must be posted by the main entrance at all times e erg O Town Hall Annex Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1179 Southold,NY 11971-0959 +S BUILDING DEPARTMENT TOW11 OF SOUTHOLD DEC 0 12022 RENTAL PERMIT APPLICATION BUILDING DEPT: TOWNOFSOUTHOLD Rental Permit Fee $200(Application must be renewed every two years) Section A. Property Information: Rental Propert ddress: Tax Map Number: 1000 SECTION _-BLOCK 7q -LOT _-� SECTION B. OWNER INFORMATION: Property Owner Name: Property Owner Legal Address: Property Owner Mailing Address: 1 :9 60/7, 30� Telephone Number (s): Daytime __Evening_1-Emergency. C/ Property Owner Email Address: \��_& Page 1 of 5 SO& m Town Hall Annex Telephone(631)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: Requested Maximum number of persons allowed to occupy Dwelling Uni Number of rooms in Rental Dwelling Unit: Use and Dimensions of each room in Rental Dwelling Unit: c �7L AL �rN � p r 68 CIA Page 3 of 5 Town Hall Annex Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1 179 ^" Southold,NY 11971-0959 UWN 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 ❑ 1 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 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 7 h Town Hall Annex Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1179 Southold,NY 11971-0959 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. 1 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 l e anager. Property Owner's Name: ` Property Owner's Signature: Sworn to before me thiJ'-4-day of ,,CC 2Q_0 Official Notary Public Signature and Original Notary Stamp CONNIE D. BUNCH Notary Public,State of New York No.01BU6185050 Qualified in Suffolk County Commission Expires April 14, ;;1b4� Page 5 of 5 v , a � � LA b m a � ,- E TOWN OF SOUTHOLD BUILDING I 631 -765-1802 INSPECTION ] FOUNDATION 1ST [ ] ROUGH PL13G. [ ] FOUNDATION 2ND [ ] INSULATION/CAL I l FRAMING / STRAPPING [ E �L [ ] FIREPLACE & CHIMNEY [ EIRE SAFETY WE. [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PEI. [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (Flf° I l CODE VIOLATION [ ] PRE C/O [� ........EMARKS: DATE INSPECTOR I o TOWN OF S UTH LD PROPERTY A Al 7 OWNER ; STREET i VILLAGE SUB. LOT I FORMER OWNER NE ACRa s a _ - W PE OF BUILDING TY 1 RES. q SEAS. VL. `FARM !COMM. CB. MISC. Mkt. Value LAND IMP, TOTAL DATE REMARKS z _ 3 - _ 4- 3 N f vv ZOO q o, �s 3 � _ 1� Yt r1 t tt- .i ( 'f ' a P - s , /62 _SZ) s FARM Acre Value PerValue Acre Tillable 1 Tillable 2 i Tillable 3 iE Woodland Swampland FRONTAGE ON WATER FRONTAGE ON ROAD Brushland i I DEPTH Hue Pilot t `BULKHEAD o-4 Tate DOCK Im a5 W, \may �g — e - - COLOR - � 1 { _ TRIM _ n 7771 t r 1 � - I 3 a, e i M. BldD' gf Foundation ( _ L a in B th ette A 44 Extension Basement ; =` t Floors i<. Extension Walls Interior Finish LR. 71,711 Extension sFire Plnce ' Heat : DR. x 7ype Roof `Rooms 1 st Floor 3 BR. Porch =Recreation Room 'Rooms 2nd Floor FIi14. B_ . l i ` ;Dormer � Breezeway jrivewoy G-ro i - l E i Total ° d TOWN OF SOUTHOLD OFFICE OF BUILDING INSPECTOR TOWN HALL SOUTHOLD, NEW YORK CERTIFICATE OF OCCUPANCY NONCONFORMING PREMISES THIS IS TO CERTIFY that the Land Pre C.O. #- Z13922 Building(s) Date- Oct. 10 1905 Use(s) located at 1675 Carroll Ave. Peconic Street Hamlet shown on County tax map as District 1000, Section d74 , Block 03 Lot 010 does(not)conform to the present Building Zone Code of the Town of Southold for the following reasons: Insufficient total area. Non-Conforming Second Dwelling. On the basis of information presented to the Building Inspector's Office, it has been determined that the above nonconforming /g/Land /_/Building(s) / /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 appli- cable 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 Certifi- cate is issued is as follows: Property contains a two stoEy, one family, wood framed dwelling. it also contains a one story, one family, wood framed dwelling. Permit # 5136Z with C.O. # Z4807. Propert is situated in the A-Residential--Agricultural Zone with access to Carro7.1 Ave, a Town Maintained Rd. The Certificate is issued to HAIRSTON, VIRGINIA (owner,�eaceo-0r_tesLaat) of the aforesaid building. Suffolk County Department of Health Approval N/A UNDERWRITERS CERTIFICA'T'E 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 ordin- ances, 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 regula- tions. Building inspector _._._. ., u FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Clerk's Office Southold, N. Y. Certificate Of Occupancy No.14807 . . . Date dept 12 19 72 THIS CERTIFIES that the building located at Carr*12 Awe • Street Map No. = . Block No. = . . . Lot No. X= Nemille . N"Y conforms substantially to the Application for Building Permit heretofore filed in this office dated .dab. 17, 19.71, pursuant to which Building Permit No. 51362 dated Feb 17 , 1971. ., 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 Prdvate .one tamily •dwelling . . . . . . . . . . . . . . . . . . • The certificate is issued to Walter Hairston . . Owner. • . . . . . (owner, lessee or tenant) of the aforesaid building. Suffolk County Department of Health Approval Rept U. 1.` 72,. 'hY f•« V1.13..4 UNDERWRITERS CERTIFICATE No panding I10USE NUMBER 1875 Street . . Carroll Ave Budding Inspector FORM NO.4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy Z'i 37,19 August.6, . . . . . « « . . . 1985 No. . . . . , . . . . . . . . . Date . . . . . . . . . . . . . . . ., . . THIS CERTIFIES that the building . . . . Ch o ' + . . . . . . . „ , . . « . » . . . . . . . . . . . . . . . . . . Location of Property . . . . 825. . . . . . . . . . . . . . . .Qar;rQl A'KQ r. . . . . . . . . .F'econic. . House No. Street Hamlet County Tax Map No. 1000 Section . . . . 71 . . . . .Block . . . . . . . . . . 3. . . .Lot . . .19.. . . . . . . . . . . . Subdivision . . . . . . . . . . « . . . ,x. . . . . . . . . . . . . . .Filed Map No. . . .Lot No. . . . . .x. . . . . . . conforms substantially to the Application for Building Permit heretofore filed in this office dated . . . .'1. . . . . .. . . . . . . . . . „November. . . „ . , . » . . . , 1980. pursuant to which Building Permit No. dated , , , . . .November 100 . . 1 . . . , 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 . . . » . . . . . An accessory (storage) structure. The certificate is issued to . , . . » . . , V,ZRGINIA WALTER HAIRSTON (civwrer, ffi of the aforesaid building. Suffolk County Department of Health Approval . . . . . . . . . . . . . „ « . . . . — . . . . . . . . . . . » « » « UNDERWRITERS CERTIFICATE NO. . , . . . . . . • . . . • . . . . . . . . . . « N/A. . . . . . . . . . . » , . » . . » Building Inspector Rev. 4/81 w gtlFf04 Town of Southold 8/26/2021 P.O.Box 1179 'e 53095 Main Rd 4. Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 42292 Date: 8/26/2021 THIS CERTIFIES that the building ELECTRICAL Location of Property: 1825 Carroll Ave,Peconic SCTM#: 473889 Sec/Block/Lot: 74.-3-10 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 5/20/2021 pursuant to which Building Permit No. 46288 dated 5/20/2021 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: pLXLgjp&eleqttijq service to be r The certificate is issued to Parker,Diane&Ors of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 46288 5/25/2021 PLUMBERS CERTIFICATION DATED ._.__..........__ Authorized Signature