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HomeMy WebLinkAbout1000-59.-6-2 � € TOWN OF SOUTHOLD Rental Permit F 0831 Owner BUSHKER II LLC Occupied as Single Family Dwelling Located at 7005 Soundview Ave. Southold 59.-6-2 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. 3/13/2023 ii c� rOfficial This Notice must be posted by the main entrance at all times e le�cine 631 � Town Hall Annex � T631)765-".a-",I 54375 Main Road Fax 0 P.O.Box 1179 Southold,NY 11971-0959 BUILDING DEPARTMENT4D TOWN OF SOUTHOL ► RENTAL PERMIT APPLICATION Rental Permit Fee$200 (Application must be renewed every two years) RD, IE2 '1 2023w Section A. (n Property Information: SUIWIN(i0EPT "I I'll Drt:�O/ FS o Re�n'1�1�Property Address: NOL Tax Map Number: 1000 SECTION _-BLOCK C 1> -LOT SECTION B. OWNER INFORMATION: Property Owner Name: j5'h�C-� - U-C. Lftutf-�') Property Owner Legal Address: Property Owner Mailing Address: Telephone Number(s): Daytime `�Vf— 417- Evening SrO� Emergency 303'"93 1 -632-s Property Owner Email Address: . -L-C • CDM Page 1 of 5 � m �r o� Town Hall Annex Telephone(631)765-1802 54375 Main Road „K Fax(631)765-9502 P.O.Box 1179 k sr Southold,NY 11971-0959 BUILDING DEPARTMENT TOWN OF SO HOLD Section C. Authorized Agent Information: Name of Authorized Agent of dwelling unit, if any: 'Jill T)on\J ,... Address of Authorized Agent (no P.O. Boxes): 12-4 t .e Sl-v��/ AJIj 1 Mailing Address of Authorized Agent:—L�d� Telephone Number(s): Daytime G, i 35� Emergency �CK�f CQ 11 - (031- a-i--$--- Email Address: i i k� , A U,"kj&y' Z Section D. Managing Agent Information: Name of Authorized Agent of dwelling unit, if any: I r' Address of Authorized Agent (no P.O. Boxes): Mailing Address of Authorized Agent: Telephone Number(s): Daytime � " Evening Emergency Email Address: �-� n Q f CVM (-QV)A 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 a 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, 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: !!5A6:P � - 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: D Zl )4 214 1 5� t f x 22-'x /3,5', 4 ", °. .16,,6 4 71 le 214,4 tL OD2 ; t�o�-lE o�FL�E��UE�S?2Kf 12�x 24.3 Page 3 of 5 Town Hall Annex , Telephone(631)765-1802 V 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. ❑ 1 am requesting a fire safety inspection to be performed by a Code Enforcement Official from the Town of Southold I/ 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) tl AN6!S COMITY ) I + GOODW 11*-J , 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 ro � Fax(631)765-9502 P.O.Box 1179 Southold,NY 11971-0959 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. �` 1 Property Owner's Name: mil i Property Owner's Signature: f Sworn to before me this I� of �e va , 201!5 z/F Official Notary Public Signature and Original Notary Stamp ADEFOLAHAN O. OYEFESO NOTARY PUBLIC-STATE OF NEW YORK No.010YO327590 Ouslified in Kings County My Commission Expires 07-13-2029 Page 5 of 5 -qm� sm-e4� D�/O- clvw TOWN OF SOUTHOLD BUILDING 'Y 631 -76S4 802 INSPECTION [ ] FOUNDATION IST j ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION/CAI [ ] FRAMING / STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY IN! [ ] FIRE RESISTANT CONSTRUCTION [ FIRE RESISTANT PE I l ELECTRICAL (ROUGH) [ ELECTRICAL (FI [ ] CODE VIOLATION [ PRT C/O REMARKSM DATE o w �G , Town Hall Annex p ", Telephone(631)765-1802 �a 54375 Main Road i Fax(631)765-9502 P.O.Box 1 179 Southold,NY 11971-0959,n �� UN i 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 pro essional seal required Lor Architect or Engineer,licensed Home Inspector must provide copy of valid current certhication Rental Property SCTM Number: e e Rental Property Address: °, 0 :E` _ L Owner/Name: L ' Rental Dwelling Unit Identifier: lL Number &Square footage of each bedroom as depicted in the attached floor plan: (i.e. Bedroom #1 -100 sq., Bedroom#2-90 sq., etc.) 200 Property Description (Include all improvements indicated on survey) .; U! A)8 PA66 - d (o`x 12 00e2 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. ppgl D � , H/ ry�"" 4 UL Print Name and Title i^i lnal Sign tra ��" ,� ` Please place professional seal: TOWN OF SOUTHOLD PROPERTY RECOMI � � � I OWNER SLE VILLAGE SUB= LOT 3 e '. ` � ' 17 f, j IN I E ACR. FORMER O S TYPE OF BUILDING RES SEAS VL. FARM COMM. CB. MICS. Mkt. Value LAND IMP. TOTAL DATE REMARKS I r 3 �V e i i , z 1 3 E AGE BUILDING CONDITION NEW NORMAL I BELOW ABOVE FARM Acre Value Per Value Acre l Tillable _ FRONTAGE ON WATER Woodland FRONTAGE ON ROAD Meadowland DEPTH House Plot _ BULKHEAD tc DOCK i - - LOR , -H44- ! �o- F } a 3 E a 59.-6-2 2/10 I M. Bldg - Extension _ 3 , Extension 7 s Extension i F Foundation = Both ye ;Dinette , Porch = I B Floors '< Basement � �° i Porch Ext. Walls i Interior Finish LR. s > !Fire Place Neat DR Go rage { -Type Roof Rooms !st Floor BR. Patio 'Recreation Room! i Rooms 2nd Floor FIN. B O. B. =Dormer ;Driveway Total I 3 1 FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.X. PRE EXISTING CERTIFICATE OF OCCUPANCY No: Z- 30180 Date: 05 07„04 THIS CERTIFIES that the building DWELLING Location of Property 7005 SO 'VIEW AVE, SOUTHOLD (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 47388,9 Section 059 Block 0006 Lot 002 Subdivision Filed Map No. Lot No. conforms substantially to the Requirements for a 014E FAMILY DWELLING built prior to APRIL X957 pursuant to which CERTIFICATE OF OCCUPANCY NUMBER Z- 301so dated MAY 7 ; 004 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 FAKIL ' DWELLING WITH LAs3SIONE PATIO AND ATTACHED ONE CAR GARAGE.* The certificate is issued to HARRY S OLIVER JR & WF (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL SLSCTRICAL CERTIFICATE NO. - _ NIA . PLUMBERS CERTIFICATION HATED N/A *PLEASE SEE ATTACKED INSPECTION .POR .r��r 2V24 OAC ............... ''I'll Aa Authorized Si r t.ure Rev. 1/81 BUILDINO DEPARTMENT TOWN OF SOUTHOLD HOUSING CODE INSPSC"7"ION RLwPORT LOCATION; 7005 SOTINOTEW AVE SOUTHOLD MAP go.s WT (S) MAXE or Owm (8): HARRY S OLIVER JR & WF OCWpAga, S j!!GLE yAX-jLy HARRY 6 OLIVER JR & WF-- AM12"M BY HENRY OLInR ACCOKPAXIIED BY; —SME M AVXIT-Kw-*- mwr. CO. TAY MAP NO.: 59._6.2 SOURCR OF WXWRST, WILLIAM H PRICE JR -�RATTY DATXs 05-0-Woll DWELLING: TYPE OF aUSTRUCTION, WOOD�FRME 1-2 V =ITS' 2 FOt*QATIOK& CON RETS B&2CK CM61AR. PART CRAWL SPACE: TOTAL ROOKS IST FLR. 2ND FIA.: 0 3RD FLR.z 0 BATELOCK(S) 2.0 TO ROOM(8) Vr=Tr Room($): MUD PATIO Typol FLAG NE DORM TYPE: DRCZ TYPE: DOCK BR$RZoM'y, FIREPLMX- 1___ GARAGE: _1 — DONZ M C BOTMATER: X TYPE RRATARs LP GAS AnCONDITIONING TYPE EO=t OIL Li wx AIRS X— ROTWATZR-. OTMM, 2 _LIAO A ST0RAGE`LAgWW NEW ARE UOIRV'E'-KIT -MR -qT Aq�L]�LSL(LRY GARAW, TYPB'OF CCBWr- STORWA, TYPE CONST. SWINKING POOL: GUYST, TYPE CCN=.: OTEMR: VIOLATIONS, CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILD1140 CODE LOCATION A DESCRIPTION RJUGLU". SP412423D I CO Z.124IL6 _ ,,� By. nMPRCTZD BY DATE 09 IBSPNCrIOK: 04,/14 114, 14 it BOUPIS TXKR STAITc 9;45AM EM: 1042$A14 FOAM NO.4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building inspector Town Hall Southold,N.Y. Certificate Of Occupancy No. A!2466 . . .. . .. . . Dat . . . . . . .. . . . . . . . .. 1984. THIS CERTIFIES that the building , . Add i tioI . n. . . . . . I . ... . . . . . . . . . . . .. . . . . . . . . . . Location of Property . .7. Q . ;3.qup0vieV. Mv: , . . . . . . . . . . . . . . . .Southold. . . . . . . House Nva. Sheet Ham%t County Tax Map No. 1000 Section . . 1 1.7. . . . . .Block . . . . . . . . . . .. . .Lot , . . 6. . . . . . . . .. . . . Subdivision . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . .Filed Map No. . . .. . . . .Lot No. . . . . . .. . . . . . conforms substantially to the Application for Building Permit heretofore Bled In this office dated March, 2.5. _ , , , , 1943.pursuant to wMch Building Permit No. 12 4 2 3 2. . . . . . . . . . . . . . dated . . . . .. . . . , . . . . . . . . 19$3. ,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 . . . . . . .. . . . . For one. two, batD,. .gr}e. ,st;ory addition . . . . . . .. . . . . . . . . The certificate is issued to . . . . . . . . . . . . .... . . .. . ... arrr, of the aforesaid building. Suffolk County Department of Health Approval . ,N/A . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . , . . . . UNDERWRITERS CERTIFICATE NO. . . . . . . . . .f 63,7.9Q7. . . . . . . . . . . . . .. . . . . . . . ., , a. . . . . . . . . . . . . . . . . . . . Building Inspector Rare.1/81 q SUNROOM BREAKFAST NOOK BR 1 25.6'x9.0' 9.69.0, 25.6'x26.1' 235.1 SF 80.6 SF 198.0 SIF 77 I !WHEN Ox17.1' LR 140.6 SF 25.6'x16.8' d 434 SF swu Ii sm/co LIJII GARAGE 10.1'x19.8, 224.8 SF BR 2 Ie 22.0'x13.5' 307.2 SIF HARD WIRED SMOKE AND CARBON MONOXIDE DETECTOR COMBO wrni BATTERY BACK-UP THE GOODWIN RESIDENCE (BUSHKER 11 LLC) 1 ST�/FLOOR PLAN 7005 SOUNNEW AVE, SOMOLD SCALE:3,1116= l'-O' El I I \\RRiCK PATPHI CRAWL SPACE GW13 M3 'V 2" RAT SLAB ADDED R-19 INSULATION IN CEILING LIP sm/co Fw_l FiSHED HEATED # El HNISHED HEATED HOME OF.RCE06T BIR3 RECREATION RM. 1 23.0'x23.4' 255.0 SF i 1454.0 SF, NATURAL LIGHT&VENTILATION FLOOR LEL_ 255 SF SF REQ.SF PROV, QE K UGHTING:min 8% I I CEILING:R—lq BATF INSULATION 2E=FLOOR AREA 204 SF'208 SF INTI'1111 WALLS:To R&W PILLS:R-20�.31 VENTILATION:min 4% " LL*'" �URJGJ�2 11 WALLS C W URIOR ALLS TO GRADE 2"MR.RN1 OF FLOOR AREA 10.4 SF 119.6 SF WALLS AND CEUNG ARE INSULATED E-- --T---------W ————— _W13 CW13 A21 ATIS p27 A21 ISO SOUTERRAIN PLAN 2ND FLOOR PLAN SCALE: 3/16 = l'—O" SCALE: 3/16 = 1' O" x, 0 HARD WIRED SMOKE AND CARBON MONOXIDE DETECTOR COMBO WITH 71 BATTERY BACK—UP THE GOODWIN RESIDENCE (BUSHKER 11 LLC) 7005 SOUNDM AVE, SOUTHOLD ElEl W"PATH CRAWL SPACE `` 2'RAT SLAB ADDEDPAM- R-19 INSULATION IN CEILING j 1 a— UP sm/co 1 s 4. b sHmC AN6HED HEATED HOME k BR 13 RECREAl10N RSI. '1 1255,0 SF i 23.0'x23S 1 ,454.0 SF, NATURAL ucHr&vENnTnnoN ETOOR AREA 255 SF i i [ SF-REO:SF PROV �; .®.......... I � 11GHRNG:min Bx = COLN:R-19 RATT O�YAAININ I ' OF FLOOR AREA 20ASF 0.8 IF INIEAIOR YWLS:3'R—IIAX PLUS:R-20.3 I i VOMTKK-min 4 t- EXTERIOR 00 TO GRADE:2'RIM.R-1 i ❑ OF BOOR AREA 109.6 SF t. _ 9B AND CE]LW ARE MUTED Wit# i i2. ?T 1W SOUTERRAIN PLAN 2ND FLOOR PLAN SCALE: 3/16 = 1'-0" SCALE: 3/16 = 1'-0' su 00 HARD WIRED SMOKE AND CARBON MONOXIDE DETECTOR COMBO WITH BATTERY BACK—UP THE GOODWIN RESIDENCE (BUSHKER II LLC) 7005 SOUNDMEN AVE, SOUTHOLD SUNROOM BREAKFAST NOOK BR 1 25.69.0' 9.0,x9,o, 25.626.1' 235.1 SF 80.6 SF 198.0 SF r SHOWER L FOYER 5.6'x KITCHEN I II ol 9 X171' LR 140.6 SF S 25.616.8' 434 SF sm/co LIP ii sm/co sm/co GARAGE 10.1'x19.8' 224.8 SF BIR 2 U 22.0'x13.5' 307.2 SF jj ,Xl_ HARD WIRED SMOKE AND CARBON S'/C' MONOXIDE DETECTOR COMBO WITH BATTERY BACK—UP t at THE GOODWIN RESIDENCE (BUSHKER 11 LLC) I ST,"FLOOR PLAN 7005 SOUNDVIEW AVE, SOUTHOLD SCALE: 3/16 = l'—o"