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Home My WebLink About1000-75.-7-3 TOWN OF SOUTHOLD Rental Permit 0824 Owner Meeserz Holdings LLC Occupied as Single Family Dwelling Located at 2380 S Harbor Lane Southold 75.-7-3 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. 3/2/2023 Code hfo et C►ffiial This Notice must be posted by the main entrance at all times 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 SO>L THOLD RENTAL PERMIT APPLICATION Rental Permit Fee$200 (Application must be renewed every two years) Section A. Property Information: Rental Property ddre s: Tax Map Number: 1000 SECTION -BLOCK �4 -LOT X5 -7- 3 SECTION B. OWNER INFORMATION: Property Owner Name: �& a An Property Owner Legal Address: Property Owner Mailing Address: 51 C ✓ -+ . � Telephone Number (s): Daytime ".LLF Emergency �Ou�-Q Property Owner Email Address: C,O✓l- O(C\\- - i n/l GLwlA 4 n .� � OF U1I r Page 1 of 5 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 Section C. Authorized Agent information: Name of Authorized Agent of dwelling unit, if any: Address of Authorized Agent (no P.O. Boxes): Mailing Address of Authorized Agent: Telephone Number(s): Daytime EveningEmergency Email Address: Section D. Managing Agent Information:Name of Authorized Agent of dwelling unit, if any: WA 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 Town Hall Annex Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1 179 Southold,NY 1 197.1-0959 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 Unit: Number of rooms in Rental Dwelling Unit: Use and Dimensions of each room in Rental Dwelling Unit: LV 2 � ,tLAn / J �� - X l Page 3 of 5 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 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 1 s' 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 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. 3. 1 have read and received a copy o ta � hapter 207 of the Codi"afthe 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: ocs UV-\ Property Owner's Signature: Sworn to WoMme this 4 day of� �� " ,,,_ A 20�Z OffiALNefary Public Signature and Original Notary Stamp BRIAN D PAHK NOTARY PUBLIC-STATE OF NEW YORK d Registration No. DIPA6248720 Qualified in Kings County Commision Exp September 19, 2023 Page 5 of 5 *i4f SO TOWN OF SOUTHOLD BUILDING D1 631 -765-1802 INSPEC ION [ ] FOUNDATION 1ST [ ] ROUGH PTBG. [ ] FOUNDATION 2ND [ ] INSULATIOWCAL [ ] FRAMING / STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY WE. [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PE [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (Fit [ ] CGDE VIOLATION [ ] PRE C/O [ REMARKS: DATE INSPECTOR * TOWN OF SOUTHOLD BUILDING Di 631 -765-1802 I 'NSPEC ION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION/CAI [ ] FRAMING / STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INS [ ] FIRE RESISTANT CONSTRUCTION [ ] EIRE RESISTANT PE [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FIC [ ] CODE VIOLATION [ ] PRE CIO [ C REMARKS: k omuj A i - s INSPECTORDATE SOUTHOLD BUILDING D1 � a 631 -765-1802 INSPEC ION [ ] FOUNDATION 1 ST [ ] ROUGH PTBG. [ ] FOUNDATION 2ND [ ] INSULATIOWCAI [ ] FRAMING / STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY IN! [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PE [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FII [ ] CODE VIOLATION [ ] PRE C/O [ I REMARKS: * A4bg;�K.OVA& wj--ts� 44e-v Ko-k Ln iA DATE INSPECTOR ' ' Town Hall Annex M $OUTHOLD TOWN 54375 Main Road w PO Box 1179 Southold, Rental Inspection -1179NY 11971 ` " Tel: 631-765-1802 Fax 631-765-9502 SCTM # Date Owner Phone Address Zip City Inspector LEVELS SUB 1 2 3 Smoke Detectors (#-bedroom detectors excluded) Carbon Monoxide Detectors (#) Fire Extinguishers (#) Exits (#) BEDROOMS 1 2 3 4 5 Smoke Detector Alarms (#) Carbon Monoxide Alarms (#) Egress (windows) (Y/N) BUILDING SYSTEMS Y/N CONDITION OF PROPERTY Y/N Heatin s stem maintainedloperational Building Interior is clean/maintained Hot waters stem maintained/operational Building Exterior is clean/maintained Electricals stem maintained/operational Property is clean /safe/maintained Mechanicals stem maintained/operational Handrails &guards present COMMENT [46111" 5 fit+ owa 5S S AA 0 Af ------------ t Rental Inspection Form 4/7/2021 8/5/22,2:54 PM TMG-7506jpg . t https://mail.google.comlmail/u/0/#search/contactmia%40gmail.com?projector=l 1/1 8/5/22,2:42 PM TMG-7505.jpg https://mail.google.com/mail/u/0/#search/floor+plan+/FMfcgzGpGBBmNGTWFGB NhwgNjQwdZgKr?projector=I&messagePartld=0.1 1/1 I , �r r I ' S" „.. ) i cy „nN � All " i II ” r R 41 uj m p L j .. �" o uja 6 w 4 d q CMa d n `t t} O . i z Z H ry y � � „ rfl k � LU m a.� t e I p � r told Lf, p 0 5 r i c P� C) LL LL C _0 LL T, 0 C) lj ... . ..._ ._,,._. Q ' 0 0 0 Qj E C D 4-; 0 x LL Lj iL "Ji 11, jj _ et � . .0 0 0 c c X I X LL � Lij LLj ,ti, 1� �.,� a � I o/i � i �a inµ y ��to � u� , ��, �, %� , '! i �, u �, r� � �� ; e �� o y � o NWi�Y �� , ✓roo ��"1�� o �� r n �'� o �"4 ° ,� � r� � o � �� '�" �� "�`e� ""� �?��✓viol ls� ,� poi "UI � �; � o � � � � i% ,r �� + ,� '�� l��id�/n„/!%��ra%��J�AI��/I��l��`��,`�dNN9�y�� W�� l% � � i �� 1 i/� u� �r� moi �� I�f��ro��, S i /,j fir 1, G i N TOSb_ ._)I SOUTHOLD OFFICE OF BUILDING INSPECTOR TOWN ILALL SOUTIIOLD, NEW YORK CERTIFICATE OF OCCUPANCY ZZMECONFORMING PREMISES TIIIS IS TO CERTIFY that the F/ Land Pre C.O. #- 2-15927 Building(s) Date- July 8, 1987 Use(s) located at 2600 South Harbor Road Southold,, New York Street Hamlet shown on County tax map as District 1000, Section 075 , Block 07 Lot 003 doestnot%conform to the present Building Zone Code of the Town of Southold for the following reasons: On the basis of information presented to the Building Inspector's Office, it has been determined that the above nonconforming F/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 two story one familj�,_wood framed dwelling with detached garage; hedges; all situated in 'A' Residential Agricultural zone; with access to South Harbor Road; a Town Maintained Road The Certificate is issued to MILDRED BINGMANN (ot%mer, I8[aLXMI63Ctltald of the aforesaid building. Suffolk County Department of Health Approval N/A UNDER.WRITERS CERTIFICATE NO. N/A NOTICE IS HEREBY GIVEN that the owner of the above premises ILLS NOT CONSENTL:D 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 Certificatc, therefore, does not, and is not intended to certify that the premises comply with all other applicable codes and re.ula- tions, FORM NQ. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTH-OLD, N. Y. CERTIFICATE OF OCCUPANCY 60 No. ........ ....:'� .... Date ...............................� D� 1�..»... ., 19.....— THIS CERTIFIES that the building located at ..w/b...outh.-VArbox. -soutzAadet Map No. .......... Black No. ...... ! .,........ Lot No. ..........................+kwro................................. conforms substantially to the Application for Building Permit heretofore filed in this office dated ........ ., 195.!L, pursuant to which Building Permit No. ... .°�..937........ dated ................... .... °..... ' .....a:�....... 19....c?.,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 ................ PRTVATE ON3 PA14ILY DMUNG This certificate is issued to ................... (owner, lessee or tenant) of the aforesaid building. ................. ». ......................... Building Inspector r r i fi t t d FORM NO. 2 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERICS OFFICE SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) lel 0 937 - Z Date .. ......... Vfl90Mb#Ar...-)A................... 109..... Permission is hereby granted to- ...... . .................. ........ ..... ........ &mtlt 1krbor Read ............. . ... ............... ......... .... . ... ....... .............��t�*...lx^y^........... ..... . .............. toAq� .14..qmjRd ......viln ..RzAt kz..... . ............................................................... ........................................ ........................ .... .............. .................. ......... ........ ...... atpremises located ......... . ........ . ... ....— ..............--........ ..... ............. ..................SPAthA34A....Nit............................................... ................................... pursuant to application dated ..............-D*0=b&r...314........ ........159.... .. and approved by the Building Inspector 00 Fee ................. .....E-i.fdi.ngInspector FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-29107 Date: 1212±Z02 THIS CERTIFIES that the building ADDITION _wwwww Location of Property: 2380 SOUTH HARBOR RD SOUTH/PEC (HOUSE NO.) - (STREET) _ (HAMLET) County Tax Map No. 473889 Section 75 Block 7 Lot 3 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated AUGUST 14 2002 pursuant to which Building Permit No. 28670-Z dated AUGUST 1.9 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 COVERED PORCH ADDITION TO AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR. .w..... The certificate is issued to FRANCESCA ANDERSON (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED _ N/A �__........_......._... u 2 °ize Signature._. Rev. 1/81