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HomeMy WebLinkAbout1000-25.-3-5 4 : TOWN OF SOUTHOLD 3 Rental Permit t_ 0827 Owner Claire Weinraub & Augusta Duffey Occupied as Single Family Dwelling Located at 1125 Navy Street Orient 25.-3-5 Maximum Permitted Occupancy 6 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. 3/6/2023 Code tnforct Offi is This Notice must be posted by the main entrance at all times SPTown Hall Annex Telephone 631)765-1802 54375 Main Road _. Fax(631)765-9502 P.O.Box 1179 . Southold,NY 11971-0959 . ' I Witai . BUILDING DEPARTMENT ID TOWN OF SOUTHOLD � RENTAL PERMIT APPLICATION � 1, Rental Permit Fee $200(Application must be renewed every two years) Section A. Property Information: Rental Propert Address A A Tax Map Number: 1000 SECTION -BLOCK -LOT - SECTION B. OWNER INFORMATION: Property Owner Name: SCA Property Owner Legal Address: Property Owner Mailing Address: 1 .. Telephone Number (s): Daytime ` � ����1ing�Emergency Property Owner Email Address: �d anb Pagel 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 SOL OLD Section C. Authorized Agent Information: Name of Authorized Agent of dwelling unit, if any: Address of Authorized Agent (no P.O) es : Mailing Address of Authorized Agent: Telephone Number(s): Daytime Eve"' Emergency Email Address: Section D. Managing Agent Information: Name of Authorizedd"Agent of dwelling unit, if any: Address of Authorized Ag ht,(no P.O. Boxes): Mailing Address of Authorized Agen " ° Telephone Number(s): Daytime " Evening Emergency Email Address: SECTION E. SITE MANAGER INFOOMATION: (required for rental properties containing 8 or more rental units) Name of Managing Agent of4yvelling unit, if any: "°w„'\ Address of Managing Agent (no P.&, oxes): Page 2 of 5 Town Hall Annex Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1 179 a 9-klw Southold,NY 11971-0959 �OUM`I � 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 U "t Number of rooms in Rental Dwelling Unit: Use and Dimensions of each room in Rental Dwelling Unit: '" v �_ ' Page 3 of 5 Met � w Town Hall Annex Telephone(631)765-1902 54375 Main Road Fax(631)765-9502 P.O.Box 1 179 Southold,NY 11971-0959 �ouffm 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. L am requesting a fire safety inspection to be performed by a Code Enforcement Official om 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) 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 °� Telephone 631 765-1802 Town Hall Annex � P ( ) 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 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: Property Owner's Si nature " Sworn to before me this day of .� °' ,' �� 20s� Official Notary Public Signature and Original Notary Stamp COWFEE D7 kit.NCt—1 p4otary ublic%ante of New York No,01 f3U6 fl 55050 ua need 6n Stiffolk county � ��earrars�e� ic�ra axreril ,2 � ..� Page 5 of 5 //-�p 5- /,Jx V/ TOWN F SOUTHOLD BUILDINGDEPT. 631-765-1802 INSPECTION [ ] FOUNDATION IST [ ] ROUGH PL13G. [ ] FOUNDATION 2ND [ ] INSULATION/CAULKING [ ] FRAMING /STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) [ ] CODE VIOLATION [ ] PRE C/O [ �NTAL REMARKS: ok- /2.So GAG n DATE 3-3- g:?> INSPECTOR f1F 8py � �17 � \ SOUTHOLD BUILDINGDEPT you1-x65-1 ,802 " ,''fir• �, ` INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION/CAULKING [ ] FRAMING /STRAPPING [ F' AL [ ] FIREPLACE & CHIMNEY [ FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENET ION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FI L) [ ] CODE VIOLATION [ ] PRE C/O [ RENTAL REMARKS: :Aa : ow, ' DATE l--;� — INSPECTOR Town Hall Annex • ` SOUTHOLD TOWN 54375 Main Road PO Box 1179 Southold, NY 11971-1179 k Rental Inspection Tel: 631-765-1802 b Fax 631-765-9502 SCTM # Date 3- Owner Ajf,(A 12tv Phone address V Zip City Inspector LEVELS SUB 1 2 3 Smoke Detectors (#- bedroom detectors excluded) Carbon Monoxide Detectors (#) 7 Fire Extinguishers (#) Exits (#) BEDROOMS 1 2 43 4 5 Smoke Detector Alarms (#) Carbon Monoxide Alarms (#) Egress(windows,) (°r'/N) III III 111g 1 111" 1111111 soon BUILDING SYSTEMS Y/N CONDITION OF PROPERTY Y/ Heatin s stem maintained/operational Building Interior is clean /maintained Hot waters stem maintained/operational Building Exterior is clean/maintained Electricals stem maintaineddo erationai Property is clean /safe/maintained Mechanical sstem maintained/operational Handrails & guards present. COMMENTS:. Rental Inspection Form 4/7/2021 f1--. Sto ------- P, M.. TOWN OF SOUTHOLD PROPERTY 3��`�� a- ARD OWNER STREET E t VILLAGE DIST. SUB. LOT • v y �. 1=0�ER OWNER rr J _ N E ACR. t S i W = TYPE OF BUILDING RES /� SEAS. VL. FARM COMM. CB. MISC. Mkt. Value LAND IMP. TOTAL DATE REMARKS 3�1Z rpt a e P .- F n ,E � x _ _ N ty- _ e 4 � �-11 AGE BUILDING CONDITION NEW NORMAL BELOW ABOVE ,P o?ll FARM Acre Value Per Value I ', Acre a ii t V.`( �� � , __ _ - Q� Tillable 1 = � � �� � Tillable 2 Tillable 3 Woodland 3 t _ Swampland FRONTAGE ON WATER -� Brushland FRONTAGE ON ROAD House Plot DEPTH BULKHEAD . DOCK l3 3 eoLORAl 4 ,_ 1 € i \ y 1 - A-� a 25.-3-5 4/11II� � e: � s Dinette= M Bldg — _ _ Foundat _ Both f � Extension �� Basement fors _ K Extension ' J 2— 'Ext. Walls Intecrr Finish LR. Extension e Fire Place Heat "i i CIA4 � Type Roof Rooms 1st �c = BR. Porch Recreation Ro Rooms 2nd FI Fid B- Porch ' p - armer Breezeway ' Driveway ` Garage OND Potios - i o. B. - -- Total i € s _ EtAA I i ci IA.b IMAY 11 2022 COLOR TRIM 25.-3-5 1/21/2022 O 1st Floor 2nd Floor TOTAL SQ. FT Fin ER Foundation BathM. Bldg, Dinette Extension Basement FULL coMBo PARTIAL Floors Kit. 1/ SLAB . Extension Finished B. Interior Finish L.R, Extension FP/WBS Heat 6 vl�W D.R. 3 Garage r 9433© Ext. Walls Ills t BR Porch V- 9,4 L �9 Z ,d 0 1 q I Dormer Baths Deck/Patio C1 K 3C) 1-7 U SLt O a. S 5 Roof Fam. Rm. Pool Solar Foyer _ A.C./GEN Laundry Library/ O.B. Study Dock loicl1 5v 1 3�as FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. PRE EXISTING CERTIFICATE OF OCCUPANCY No: Z- 34643 Date: 11/01/10 THIS CERTIFIES that the building DWELLING AND ACCESSORY Location of Property 1125 NAVY ST ORIENT (HOUSE NO.) "(STREET) (HAMLET) County Tax Nap No. 473889 Section 025 Block 0003 Lot 005 subdivision Filed Map No. Lot No. conforms substantially to the Requirements for a ONE FAMILY DWELLING built prior to APRIL 9, 1957 pursuant to which CERTIFICATE OF OCCUPANCY NUMBER Z- 34643 dated NOVEMBERR 1�2„010 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 DWELL„ING WITH ENCLOSED FRONT PORCH AND ACCESSORY ONE CAR GARAGE.* The certificate is issued to LL HOSSNLOPP REV TRUST & ANO (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ........... ELECTRICAL CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED �N/A *PLEASE SEE ATTACHED INSPECTION REPORT. ......... ._ —� ut rizecf gignAture Rev. 1/81 ... ......... ...... BUILDING DEPARTMENT TOWN OF SOUTHOLD HOUSING CODE INSPECTION REPORT LOCATION: 1,125 NAVY ST SUBDIVISION: MAP NO_: LOT (S) JENME OF ONNER (S): LL HOSSENLOPP REV TRUST & ANO OCCUPANCY- ONE FAMILY DWELLING LL HOSSENLOP.P. REV TRUST- & ANO , AM@CrrTED BY: ACCOMPANIED BY: KEY AVAJETJMI ............. SUL'7- CO. TAX MAP NO. 2 5.-3 .............5_,_,....._.,-........_.._.. SOURCE OF REQORST: LINDA L HOSSENLOPP DATE: 11/01/10 . - "I'll-l-.......... ... ......... DWELLING; TYPE OF CONSTRUCTION: WOOD FRAME # STORIES: 2-0 # EXITS-. 2 FOUNDATION: CEMENT BLOCK CELLAR-. -- CRAML SPACE: TOTAL ROCKS: IST FLR.: 4 2ND FLR.: 3 3RD FLR.: 0 RATBROOK(S)- 1.0 T03l.ET ROCN(S): 1.0 UTILITY ROCK(S)- PORCH TYPE: ENCLOSED FRONT PORCH DECK TYPE: PATIO BR30923NtAY- FIREPLACE- GARAGE DCROKSTIC HOTIULTER: YES TYPE HEATER: GAS AIRCONDMOKING. TYPE HEAT: OIL IGUM AIR HOTWATER: STEAM............... ACCESSORY STRUCTURES: GARAGE, TYPE OF CONST.: ONECAR-... ....... STORAGE, TYPE CONST-: ........... SIII C13r. POOL: GUEST, TYPE CONST.. OTHER- .......... VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE LOCATION ........_.DESCRIPTION ............. .... REMARKS: ................ INSPECTED BY: TE ON 3XSPECTION. 10/04/10 1 G:A�RY J F SH TM4E START- 11--l"I"-. ............. ........... Town of Southold Annex 10/25/2013 P.O.Box 1179 54375 Main Road Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 36579 Date: 10/25/2013 THIS CERTIFIES that the building ALTERATION Location of Property: 1125 Navy St,Orient, SCT M 4: 473889 See/Block/Lot: 25.-3-5 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this officed dated IY28/2011 pursuant to which Building Permit No. 38342 dated 9/19/2013 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: alter tions to ars a cistin n ftmitty dwelling ashplied for. The certificate is issued to Havlik,Eric (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 38342 10-10-2013 PLUMBERS CERTIFICATION DATED 10-22-2013 Edward H. King t )r"" Signartttr Town of Southold 10/11/2022 P.O.Box 1179 53095 Main Rd Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 43468 Date: 10/11/2022 .......................... THIS CERTIFIES that the building ADDITION/ALTERATION Location of Property: 1125 Navy St,Orient . ............... ............ .........- SCTM#: 473889 See/Block/Lot: 25.-3-5 ........... Subdivision: Filed Map No. Lot No. ........................ .......... conforms substantially to the Application for Building Permit heretofore filed in this office dated 7/6/2020 pursuant to which Building Permit No. 45321 dated 10/13/2020 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 ddi-&Tus An da-1te-r4fiQ9,s,-iml W i n c !Ni s le-fam dw g j( tQ --i -- -d�- I -scmg — The certificate is issued to Weinraub,Claire&Duffey,Augusta ............ ..........................................................---........ of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 45321 4/22/2021 ............... PLUMBERS CERTIFICATION DATED 5/26/2021 risto D2 Dc�lefa . ............................... Au rig FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Clerk's Office Southold, N. Y. Certificate Of Occupancy No.Z0197. . . . . . . Date . . . . . , . . . April . . .2.+S . . , . , ,, 19.71, THIS CERTIFIES that the building located at .Navy. . at . Street Map No. .=. . . . . . . . . Block No. . . .XX. . . . .Lot No. . - ri al&t• • • - It..y4 . . . . . . . . . conforms substantially to the Application for Building Permit heretofore filed in this office dated . . . . . . . . . . . Nov. . . .16., 19.7-2 . pursuant to which Building Permit No. 624.52 . . dated . . . . . . . . . . . Nov- . - .16. ,, 19.72., 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 . . .Prjvat,*• #&ftgt •(*QG*s ` bldg} . . . . . . . . . . . . . . . . . . . . . . . „ . . . . . . . The certificate is issued to . . Alexander. Baker . . . . . . .Owner• • • • . • • . • . . • . (owner, lessee or tenant) of the aforesaid building. Suffolk County Department of Health Approval X.l .. . . . . . . . . . . . . . . . . . . . UNDERWRITERS CERTIFICATE No. . . .It#EL► . . . . . . . . . . . . . . . . . . HOUSE NUMBER. . .1125 . . . . .Street. . . . . . .Kavy.8t. . . . . . . . , , „ . . . . . . . . . . . . . . . . . . . . . . . --z,--1 , ,,:� . . - Building Inspector