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HomeMy WebLinkAbout1000-104.-2-3.2 eel- Rental TOWN OF SOUTHOLD IV Permit Z 19 All 0817 Owner Jeremy Klein & Marissa Malick Occupied as Single Family Dwelling Located at 105 Bittersweet Lane Cutchogue 104.-2-3.2 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. 2/8/2023 de �rr> pial This Notice must be posted by the main entrance at all times Iwr� �- Town Hall Annex �� t'�i� `���r���� Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1179N'lltk Southold,NY 11971-0959 l i � tf 19'C BUILDING DEPARTMENT FE'B o 6 2023 TOWN OF SOUTHOLD Neo 41"Me OR RENTAL PERMIT APPLICATION Rental Permit Fee $200 (Application must be renewed every two years) Section A. Property Information: Rental Property Address: r. Tax Map Number: 1000 SECTION _,,_,_,-BLOCK_ -LOT .; SECTION B. OWNER INFORMATION: Property Owner Name: :lki , r"r ✓° 1 " Property Owner Legal Address: Property Owner Mailing Address: Telephone Number (s): DaytimelLZi-6 - % 13 Evening l` � � � Emergency " Property Owner Email Address: e '��'� "drA4 a 11,�41 04 _ _ Page 1 of 5 h Town Hail Annex � � i/ri��i ��1�� � //� � Telephone(631)765-1802 54375 Main Road/ '��/�i�%1 l" Fax c631>765-9502 Y P.O. Box 1 179 Southold,NY 11971-0959 BUILDING DEPARTMENT TOWN OF SOUTHOLD Mailing Address of Managing Agent: _µwww �m m _µµµµ_µ w Telephone Number (s): Daytimeµ _ __ Evening..... w................„wwwµ Emergen(:y_,_ ____.._,_ Email Address: SECTION F. PROPERTY DESCRIPTION: Number of Rental Dwelling Units on property:_ x „ , ,W,,,,,,,,,,,,,,,, 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 L Addendum.” Tl 4L llS'f Y'00 0A Ur IIM�YIS[G-YlS Rental Dwelling Unit Identifier: Requested Maximum number of persons allowed to occupy Dwelling Unit: S ,_,,,,,,,,,,,,,,,,,,,,,,,,, Number of rooms in Rental Dwelling Unit: Use and Dimensions of each room in Rental DwellingUnit; Page 3 of 5 �u hM1 r A A Town Hall Annex i� f%f���yf�� ""m Telephone(631)765-1802 54375 Main Road Fax(631)765-9502� l�///�� ����i/%� P.O.Box 1 179 a 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. ❑ 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 � 0 , 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 // P" 4;wj VW✓p 631 765-1802 Telephone Town Hall Annex Tele P ( ) 54375 Main Road i'% i'%%f% Fax(631)765-9502 P.O.Box 1 179 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. 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:r e "re '✓I✓�_ Property Owner's Signature: �_. .www _....... _.._................. Sworn to before me this d9day of :6, 20 3 Official Notary Public Signature and Original Notary Stamp F`U UC-STA OF NW—raEW G 474 4 �I1� YORK 021n New York Corn la ion + 11 Page 5 of 5 0 wer �mK./ Gu� BUILDINGT"W klS UTHOLD 631 -765-1802 INSPECTION [ ] FOUNDATION 1ST ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION/CAI [ ] FRAMING / STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY IN [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PE [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (F [ ] CODE VIOLATION [ ] PRT.. C/ ] REMA 0 O ,�VcAA .......................... DAT T INSPECTOR Town Hall Annex Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1179 o Southold,NY 1 197 1-0959 ." 6B Fu 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 i?rofesional seal re aired or, rchitect or Fn ineer licensed Home lns ec"tor rnust rovide copy of valid current cerci icatio Rental Property SCTM Number: I D U Z OU U U 3 C � Rental Property Address: Owner/Name: Rental Dwelling Unit Identifier: Number&Square footage of each bedroom as depicted in the attached floor plan: e, bedroom Property De cription (Include all improvements indicated on survey) 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 York State,the Plumbing Code of New York State, the Fuel Gas Code of New York State, and the Energy Conservation Construction Code of New York State. Print Name and tle i rir�,•�Signature y^ Please place professional seal: m "� rw"-r ��: Pd��,..'44 - - - -- - - - - - - - - - -- PA _ _PATS} \ - - vy 41 \ \ llhkU151-10' A \ \ `v y' 77, g` ` v vi .' v\ v'\ 7\� ,5D% vA ` v \ ga� \\ \�\M101, \ v v y v ---- ---- - ------ FIRST FLOOR PLAN 105 BITTERSWEET LANE ~ \ Ing \\ iv i M vVA ky \ \\ Ava MY twElA� \ \ O`\`\' \ MM," \. \ ` \ \ LEDGE -------- ---- ---- i t SECOND FLOOR PLAN :105 BITTERSWEET LANE s TOWN OF SOUTHOLD PROPERTY RE{3 x I t I € t OWNER STREET I F, VILLAGE SUB LOT s� e ACR. REMARKS _ TYPE OF BLD. PROP, CLASS LAND IMP, TOTAL DATE I 14, a� _e. s >. -44 "-1 £, ZP FRONTAGE ON WATER TILLABLE FRONTAGE ON ROAD lee, WOODLAND DEPTH MEADOWLAND BULKHEAD HOUSE/LOT TOTAL I �_ I I 716 E jL- 5171 s 3 t5 a r t i '31IL \. f 104.-2-3.2 9/10/2021 J a -a 1. 13J �' Foundation Bath Dinette r C u -Z)N 5" , 6 Extension Basement SLAB Floors Kit i �xterso P cExt. Walls Interior Finish , L.R F I c-` ` Fire Place Neat D R 1 1-5- � onPatio, _ _ S- Dormer Fi ove BR Woodst � Porth Fin. B I Deck `, Attic r _ I Breezeway Rooms 1st Floor IN Gara e , Driveway Rooms 2nd Floor 9 a [. 5 F; Pooh i , / i TOWN OF SOUTHOLD :q BUILDING DEPARTMENT TOWN CLERK'S OFFICE a` SOUTHOLD, NY BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES WITH ONE SET OF APPROVED PLANS AND SPECIFICATIONS UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) Permit#: 47006 Date: 10/20/2021 Permission is hereby granted to: 105 Bittersweet LLC ,.,.�__-.... ... .. PO BOX 162 S Jamesp T , NY 11970 To: Install a deer fence as applied for. Replaces BP# 45348 At premises located at: 105 Bittersweet Ln SCTM # 473889 Sec/Block/Lot# 104.-2-3.2 Pursuant to application dated 10/20/2021 and approved by the Building Inspector. p To expire on 1/1/1900. Fees: PERMIT RENEWAL $75.00 Total: ..._..........,_................... (V'7.... Q75.vv Buildin ector Town of Southold 3/26/2022 P.O.Box 1179 53095 Main Rd Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 42955 Date: 3/26/2022 THIS CERTIFIES that the building GENERATOR Location of Property: 105 Bittersweet Ln., Cutchogue SCTM#: 473889 Sec/Block/Lot: 104.-2-3.2 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 6/16/2021 pursuant to which Building Permit No. 46471 dated 6/23/2021 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: accessory g erat r aga i d fear. The certificate is issued to Klein,Jeremy&Malick,Marissa of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 46471 3/23/2022 PLUMBERS CERTIFICATION DATED t ori- ignature �S f - ,�— GENERAL CONSTRUCTION NOTES F z W .- Q coF =Z E UJ LU 9 _ w �r nr , w:3 Flo Lu t cc U -� �e -Is vimE€ ", i I . e - 3 I D E7tTc4iC€S k�� � SON ALE'fY i._G. 11' Z I :4 E Z KEY NCEE E SAO-' TN R TJ 60 RR 3.V �1�'aa �+ 't'.t``n jI� FL r�y AFM GL Q.:3 _`L'S 04 F��HC+NE to�C,(1L*aW EM to FL�Li1�5 S S,a ❑ O Y IRElDSR 1AiALoc — EGILE:1/4"_1,0" „ ❑ c .� +:'2 G _❑ertCt'TDE. -AREA SCHEDULE NAME _ AREA �e�n s - '`!}'"n€N Fa 'Rks 'ES tN .FINSED BASEMENT AREA'1233Bsq R l _ .t R7R T PCN EACH DE rs G GR V 1—N—l- w Z Ill w 3 1 T- - a 'F u30 Om U . — t 77 ao]UO � c -1-- aSF ry YS Ty ([r S h C �— / 4a S _ ♦ 7 R R. 5 r e 3 t FE 7, t R A tea. RL2 # _ e e Ea r� i ,L-n ( I 4 R'az gT a - 4c'c crag <<.3_. 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