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Home My WebLink About1000-55.-7-3 T'"'hwN OF SOUTHOLD uWW Rental Permit At 0802 Owner Philip & Lia Chasen Occupied as Single Family Dwelling Located at 1585 Long Creek Dr. Southold 55.-7-3 Maximum Permitted Occupancy 8 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. 1/11/2023 � nfo � (ficial This Notice must be posted by the main entrance at all times µ„.. Town Hall Annex Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1179 � Southold,NY 11971-0959 �kh 4, BUILDING DEPARTMENT TOWN TOWN OF SOUTHOLD RENTAL PERMIT APPLICATION Rental Permit Fee $200 (Application must be renewed every two years) Section A. Property Information: Rental Property Address: 1585 Long Creek Dr., Southold NY 11971 Tax Map Number: 1000 SECTION5jj -l3LOCI -LOT 3 - SECTION B. OWNER INFORMATION: Property Owner Name:--Ohilip Chasen Property Owner Legal Address: Property Owner Mailing Address: 15 5 Long C eek Dr. 10 C-1Qar Tows Ridge Southold, NY 11971 East Norwich NY 117 2 1"A Mk Telephone Number(s): D6ytIMe 516-922-2090 Evening Emergency Property Owner Email Address: hilchasen mail-com Page 1 of S S .. 4 � a Town Hall Annex ^, Telephone(631)765-1802 54375 Main Roadi° Fax(631)765-9502 P.O.Box 1179 Southold,NY 11971-0959 BUILDING DEPARTMENT TOWN OF SOUTHOLD Section C. Authorized Agent Information: Name of Authorized Agent of dwelling unit, if any: NIA Address of Authorized Agent (no P.O. Boxes): Mailing Address of Authorized Agent: Telephone Number(s): Daytime Evening Emergency Email Address: Section D. Managing Agent Information: Name of Authorized Agent of dwelling unit, if any: N/A Address of Authorized Agent (no P.O. Boxes): Mailing Address of Authorized Agent: Telephone Number(s): Daytime Evening _ Emergency Email Address: SECTION E. SITE MANAGER INFORMATION: (required for rental properties containing 8 or more rental units) Name of Managing Agent of dwelling unit, if any: Address of Managing Agent (no P.O. Boxes): Page 2 of 5 . "ka Town Hall Annex hone(631)765-1802 � °i Telephone 54375 Main Road Fa-: (63 i)765-9502 P.O. Box 1179 Southold,NY 11971-0959 cou 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: 1 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: Single family dwelling Requested Maximum number of persons allowed to occupy Dwelling Unit B Number of rooms in Rental Dwelling Unit: 9 00' Use and Dimensions of each room in Rental Dwelling Unit: B/R 1 B/R 2 (0' �\ B/R 3 VS:1 )(-('V B/R 4 till IKITlr�t ,,i pl i Playroom above garage �'�'1 XI�' Office Page 3 of 5 Souk,m. �r � Town Hall Annex Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 ZW Or P.O.Box 1 179 Southold,NY 11971-0959 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. [A I 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 Phili Chasen 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 fi Town Hall Annex Telepi-ione(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1179 I" Southold,NY 11971-0959ou � u BUILDING DEPARTMENT TOWN OF SO HOLD 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: Phil! Chasen Property Owner's Signature: Sworn to before me this NR- day of , 20_ao Official NoVary Public Signature and Original Notary Stamp STACEY M.KALOUDIS NOWY Public.State of New York Nc►.01 01499 Quafi in Namu Couryly Commission Fxpires December 9,2023 Page 5 of 5 o TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 1 Nlot'oh- wvq h mEm C T 10 N [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION/CAULKING [ ] FRAMING/STRAPPING [ ] NAL Aa4acl [ ] FIREPLACE & CHIMNEY [ FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) [ ] CODE VIOLATION [ ] PRE C/O REMARKS: vq � 'Cllr - At fwvK urAw�t6i- APA DATE INSPECTOR TOWN OF SOUIT'HOLD BUILDING DEPT,. 631-765-1802 I v E Com' T 10" N [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION/CAULKING [ ] FRAMING /STRAPPING j ] F AL [ ] FIREPLACE & CHIMNEY [ FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FI L) [ ] CODE VIOLATION [ ] PRE C/O j RENTAL REMARKS: t" L4 pv--- c�Met DATE INSPECTOR TOWN OF SOUTHOLD PROPER TY-RECOF VI OWNER STREET LLAGE DIST] SUB. LOT A 11 7 _T'�� ify W N E ACR.. FORMER OWNER `01 S W TYPE OF BUILDING RES. SEAS. VL, I FARM Mkt. Value LAND IMP. TOTAL DATE REMARKS 73 . fA € 06 f 4 77L C-7 on Z 7 1 I A Lai Jck -17 FRONTAGE ON WATER 3 FRONTAGE ON ROAD .,1 /17 ;12 Meadowland DEPTH BULKHEAD House Plot Total ) r a _ I > r I y _ M _ �� -- — Bath � Foundatic�, .. �� I > Extension ; i 1 r 1 � p . ,�o? Basement Floors Extension Ext. Walls Interior Finish '. Extension Fire Place Heat 14 Q o R Pool Attic Porch �� Deck y ^�' S" Patio Rooms 1st Floor g= I ,, l Bre way _ ti Driveway Rooms 2nd Floor � ,. � ` Garage G ti X Z _ . 1 _ c I ruv- FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CER'T'IFICATE OF OCCUPANCY No 217268 Date SEPTEMBER 7 1988 THIS CERTIFIES that the building ONE FAMILY DWELLING Location of Property 3000 LA ETA A NUE SOUTHOLD House No. Street Hamlet County Tax Map No. 1000 Section 55 Block 7 Lot 3 SubdivisionLONG POND EST.-SEC.1Filed Map No. 8037 Lot No. 8 conforms substantially to the Application for Building Permit heretofore filed in this office dated MARCH 5 1987 pursuant to which Building Permit No. 157382 dated MARCH II 1987 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 ONE FAMILY DWELLING W BREEZEWAY & ATTACHED TWO CAR. GARAGE. The certificate is issued to MOHRING ENTERPRISES f INC. (owner, ) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL 87-SO-35 8/3 87 UNDERWRITERS CERTIFICATE NO. N821649 PLUMBERS CERTIFICATION DATED CHARLES SANDERS PLUMBING & HEATING 9 2 86 Building Inspector Rev. 1/81. FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-18453 Date OCTOBER. 10 1989 THIS CERTIFIES that the building ALTERATION Location of Property 1585 LONG CREER DR. & 1100 LAUREL AVE» SOU'L`IOLD NY House No. Street Hamlet County Tax Map No. 1000 Section 55 Block 7 Lot 3 Subdivision LONG POND ESTS. Filed Map No. 8037 Lot No. 8 conforms substantially to the Application for Building Permit heretofore filed in this office dated MARCH 31t 1989 pursuant to which Building Permit No. 18005-Z dated APRIL 6 1989 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 ENCLOSE BREEZEWAY ON EXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to RICHARD & PATRICIA SHOW (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N/A PLUMBERS CERTIFICAT-ON DATED N/A Building Inspector Rev. 1/81 FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-23187 Date AUGUST 301 1994 THIS CERTIFIES that the building ADDITION Location of Property 1585 LONG CREEK DRIVE SOUTHOIJ)r NY House No. Street Hamlet County Tax Map No. 1000 Section 55 Block 7 Lot 3 Subdivision Filed Map No. Lot No. conforms substantiallf to the Application for Building Permit heretofore filed in this office dated OCTOBER 10, 1959 pursuant to which Building Permit No. 18588-Z dated OCTOBER 24 1989 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 A DECK AND GAZEBO ADDITION TO EXISITING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to RICHARD & PATRICIA SNOW (owner's) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A, Building inspec Rev. 1/81 FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: 2--25624 Date: 04/01/98 THIS CERTIFIES that the building ADDITION & ALTERATION Location of Property: 1585 LONG CREEK DR SOUTHOLD (HOUSE NO. ) (STREET) (HAMLET) County Tax Map No. 473889 Section 55 Block 7 Lot 3 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated MARCH 14 1997 pursuant to which Building Permit No. 240262 dated APRIL 1t 1997 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 ADDITION AND ALTERATION TO AN EXISTING ONE FAMILY DWELLING. The certificate is issued to THOMAS TYREE (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. PENDING 04/03/98 PLUMBERS CERTIFICATION DATED N/A Buil ng Inalt, for Rev. 1/81 gtllfOt,f Town of Southold 9/13/2021 P.O.Bog 1179 53095 Main Rd Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 42329 Date: 9/13/2021 THIS CERTIFIES that the building SOLAR PANEL Location of Property: 1585 Long Creek Dr., Southold SCTM#: 473889 Sec/Block/Lot: 55.-7-3 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 4/1/2021 pursuant to which Building Permit No. 46111 dated 4/21/2021 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: (mounted sol r c1 on cxistin sin lc dwellin as lied dor. The certificate is issued to Chasen,Philip&Lia of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. _ 46111 mm mm _M 5/5 021µ m PLUMBERS CERTIFICATION DATED A o iz nature ctfdltpTown of Southold 1/12/2023 P.O.Box 1179 53095 Main Rd 4' " a �° Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 43753 Date: 1/12/2023 THIS CERTIFIES that the building IN GROUND POOL Location of Property: 1585 Long Creek Dr., Southold SCTM#: 473889 Sec/Block/Lot: 55.-7-3 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 7/42021 pursuant to which Building Permit No. 46625 dated 7/27/2021 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: aqqe5 a,r _I unite swimmin c ofl... it 4t(a kld. The certificate is issued to Chasen,Philip&Lia of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 46625 1/ /2023 PLUMBERS CERTIFICATION DATED Aug ori w ; ture tlCIA Town of Southold 1/11/2023 P.O.Box 1179 53095 Main Rd ON. " Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 43751 Date: 1/11/2023 THIS CERTIFIES that the building AS BUILT ADDITION Location of Property: 1585 Long Creek Dr, Southold SCTM#: 473889 Sec/Block/Lot: 55.-7-3 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 10/15/2021 pursuant to which Building Permit No. 47051 dated 10/28/2021 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: alterations and adc at qiso x c_lgdi g deck with ellis axed"" "hovered fro t rch twin flag , a roily dwelling armed or, �M. The certificate is issued to Chasen,Philip&Lia of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 47051 1/5/2022 PLUMBERS CERTIFICATION DATED the ize S, atur Suffolk Environmental Consulting, Inc. Newman Village • Suite E • 2310 Main Street PO Box 2003 • Bridgehampton NY 11932-2003 t 631.537.5160 f 631.537.5291 Bruce Anderson,M.S.,President HAND DELIVERED May 131h,2021 John Jarski Senior Building Inspector Building Department Town of Southold P.O. Box 1179 Southold, NY 11971 RE: CHASEN Property -Floor Plans Situate: 1585 Long Creek Drive •Southold, NY 11971 SCTM#: 1000 - 055 - 07- 03 Dear Mr. Jarski, As per your instructions, please find four (4) sets of floor plans of the second floor of the existing dwelling, depicting the location of all smoke/CO alarms. Thank you for your time and consideration regarding this matter. Should you have any questions or concerns, please feel free to reach out to this Office at any point. Yours Truly, 01obert W. Anderson (enc.) Li=ck. or BgLcavY Ex. S � z Fwy sobs AP (_ (Ic I I' VA �( vf �7LS LNE of CAMTIlEVEKE� z ,, r to I I IEKISTIAIG L IYJNC € DAP&- 7 _ FWe b«as € F E}I STINC.� I 3052-3 Fj �L9 FIRST FL0FPS PEr2 AI(�. CONE:- NEW � 4 FWli SEkS SASH 14 N43l a �« ( w mwjq 1 NYC i I I --------------------------<----«<_- - - - < __-------- --- -------- CE I 0VVX 40 1 HALLWAY I -10e-00- EN S 0- , 00 0110 �� I ----------------- • I ------ ------------------------- --------------------------------- -------- -----------------: AERIAL VIEW " V 10' NOTES: SMOKEJCO ALARM. I CHASEN Property - FLOOR PLAN (Second Floor) 1 SCTM#:1000-055-07-03 Situate:1585 Long Creek Drive Southold,NY 11971 1 i Drawn by: R.W.A. Suffolk Environmental Consulting, Inc. Date: 04-27-2021 [ Scale: 1"=10' P.O.Box 2003 •Bridgehampton,NY •11932 Notes: I' s (631)537-5160 j