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HomeMy WebLinkAbout1000-78.-8-10 so 291M"WN OF SOUTHOLD Rental Permit 0833 Owner: 150 GCL LLC Occupied as: Single Family Dwelling Located at: 150 Goose Creek Lane Ext Southold 78.-8-10 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. Issued: 05/08/2025 Expiration: 05/08/2027 bode iUforceme1nt "a' This Notice must be posted by the main entrance at all times TOWN OF SOUTHOLD BUILDING DEPT. ` .� 631-765-1802 INSPECTION [ ] FOUNDATION 1 ST/ REBAR [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION/CAULKING [ ] FRAMING /STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FI AL) [ ] CODE VIOLATION [ ] PRE C/O [ RENTAL 2er 7 e (�41elz ens- DATE INSPECTOR Town Hall Annex Town of Southold 54375 Main Road Rental Inspection Report PO Box 1179 rll� ill Southold, NY 11971-1179 NVI Tel: 631-765-1802 SUM # — Date O a Owner Phone Address ,v 6 Visible Hamlet y Inspector Floor Level Quantities Sub 1 2 3 Smoke Detectors(not located in bedrooms) r I Carbon Monoxide Detectors r Fire Extinguishers Exits Bedrooms 12 3 4 5 6 Smoke Detectors Egress Occupant Count A. Building Systems Maintained &Operational Condition of Property Heating Building interior Hot water Building exterior Electrical Property clean, maintained&safe Mechanical Handrails&guards installed&secure Pool Safety Pool on Site Surface water alarm Date of CO issuance Door alarms Pool completely enclosed Self closing/latching gates Pool fence to code requirements CO's for all items present Prior Rental 33 ? Comments: / t�liid'°ii ii�Illi III / / i r///i PROP, /rill/ // r ///i/ r 1J� 1 r r �/ i rrai/ii �Wpl %r i oo wiles 1 r f j r r r �y >° \ ���J��\ �;;t ���f �\ % �\ . �> . ��%:»<�: .  , 2 \ §���\�: ���%�d �: ��\ . . . y � 6 / ��«. � � : 6 �'«� « ���\ � 2 `'» �m � � �: , ° � �,_ . ��� � ��\ � �:z : � . � ��\, � ± 2 . � \ . § > 2 . \ ~ ° \:° \\ r� f�. } ^ \ � \ � � ` \ � \ � »\ � / � ��^� .; . � 2?�z : ° zw : . <«�� ����: . /� ���. � �% �� a: , . 3 TOWN OF SOUTHOLD g Rental Permit 0833 Owner 150 GCL, LLC Occupied as Single Family Dwelling Located at 150 Goose Creek Ln Ext Southold 78.-8-10 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. 3/13/2023 Q� a%wy 0 ode Ent rc t fficial This Notice must be posted by the main entrance at all times ( ) Val Town Hall Annex F Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1179 Southold,NY 11971-09594 BUILDING DEPARTMENT TOWN OF SOUTHOLD "," " �.p fi RENTAL PERMIT APPLICATION Rental Permit Fee$200(Application must be renewed every two years) Section A. Property Information: Rental Property Address: �t t Tax Map Number: 1000 SECTION F/g -BLOCK 0 -LOT 8 SECTION B. a OWNER INFORMATION: Property Owner Name: l �=�L L L �- Property Owner Legal Address: Property Owner Mailing Address: � zo 0a,x.. / /:(,. Telephone Number (s): Daytime ���� Evening Emergency . Property Owner Email Address: Page 1 of 5 ' �olltj4 Town Hall Annex Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1179 4 Southold,NY 11971-0959 w 2nr;W" 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 Evening Emergency Email Address: Section D. Managing 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 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 r f SOUP, Town Hall Annex ' , Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1 179 Southold,NY 1 1 97 1-0959 rou zz X° 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: 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: I,Iv . 1200`✓I l9,& X 1 '7 Be t r]( i1 64 3 /3. Ll X / Z • I t y - L604�-tE U'�- Page 3 of 5 J 5 ,�� w Town Hall Annex w Telephone(631)765-1802 54375 Main Road N � 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 th6 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 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 O FOLK 1 certify under penalty of perjury,the following: �w 1. 1 am the owner o�thep rty 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 �4 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, Manag ng Agent, or Site Manager. Property Owner's Name: Property Owner's Signature: let tiome is da of 20Sworn to � y O tAN FRANiiCE f Public Signature and Orig1aa15Na& tamp Qualified in Suffolk County My Commission E zPites September 09,20 Z� Page 5 of 5 a , TOW'N OF SOUTHOLD BUILDING I � W 631 E6r5r 18 2 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PL13G. [ ] FOUNDATION 2ND [ ] INSULATION/CAL [ ] FRAMING / STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY IN. [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PE' [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FII` [ ] CODE VIOLATION [ ] PRE C/OL4 F REMARKS: k DATE 0 xl�l INSPECTOR TOWN F SOUTHOLD PROPERTY RECOF W� F STREET i VILLAGE DISTRICT SUB. [ LOT } 1ER OWNER N E ACREAGE a 3 - S W TYPE OF BUILDING f a_ s a a RES= _ SEAS. VL. 1 FARM COMM. IND. CB. MISC. Est. Mkt. Va[u - LAND IMP, TOTAL DATE REMARKS 1 i a r i - _ s z 3� -t a. AGE BUILDING CONDITION `S _ NEW NORMAL BELOW ABOVE FRONTAGE ON WATER , � . a. Farm i Acre Value Per Acre i Value FRONTAGE ON ROAD l 1- - - _ - BULKHEAD Tillable 2 Zl ? Tillable 3 1 l i Woodland i Swampland I Brushland I House Plot Tota c � r 3 _ ARE, e K Bicg. tl Foundation B at h � Extension Basement Floors Extension Ext. Walls Interior Finish Extension i Fire Place Heat Porch : Roof Type Porch Rooms 1 st Floor Breezeway Patio Rooms 2nd Floor Driveway Dormer O. BF FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: 2-26570 Date: 07/20/99 THIS CERTIFIES that the building NEW DWELLING Location of Property: 150 GOOSE CREEK 'LA EXT SOUTHOLD (HOUSE NO.) (STREET) (HAMLET) county Tax Map No. 47889 Section 78 Block 8 Lot 10 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed In this office dated APRIL. 9, 1998 pursuant to which Building Permit No. 24864-Z dated MAY 11 1998 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 WITH ATTACHED WOOD DECK AS APPLIED FOR. The certificate is issued to JOHN G KENDALL (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL RIO-97-0113 07/08/99 ELECTRICAL CERTIFICATE NO. 94625 06/ 0/99 PLUMBERS CERTIFICATION DATED 06/17/99 GERARD STEWART PLUMBING Building Inspector Rev. 1/81 I FORM No. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-26571 Date: 07/20/99 THIS CERTIFIES that the building ACCESSORY BARN Location of Property: 150 GOOSE CREEK LA EXT SOUTHOLD (HOUSE NO. ) (STREET) County Tax Map No. 473889 Section 78 Block 8 Lot 10 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated APRIL 9� 1998 pursuant to which Building Permit No. 24865-Z dated MAY 11 1998 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 AGRICULTURAL STORAGE BARN AS APPLIED FOR. The certificate is issued to JOHN G KENDALL (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. NO ELEC* 07/20/99 PLUMBERS CERTIFICATION DATED N/A *NO ELECTRIC IN ACCESSORY BARN AT S TIME. Building infector Rev. ]/81 1t, Town of Southold 2/17/2023 P.O.Box 1179 53095 Main Rd Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 43862 Date: 2/17/2023 THIS CERTIFIES that the building ADDITION/ALTERATION Location of Property: 150 Goose Creek Lane Ext., Southold SCTM#: 473889 Sec/Block/Lot: 78:8-10 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 5/27/2022 pursuant to which Building Permit No. 48020 dated 6/29/2022 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: d ifigg Rd r4ti_�ala _.sr1 m1d ► c vpreel, r r nth ggutraL irwco ditLonin kit jl n Ltd k thr opa Frei tion and fn sl ed_C sgmeilt with reecre tion LggLip,b tea qQj aLi vet rya Jcitch!;a to q xi tin irk at il�dN y llin a p!:ed for. The certificate is issued to Kendall,Beverly of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 48020 12/14/2022 PLUMBERS CERTIFICATION DATED 2/13/2023 'ar ratan PI r bing ....... . _ .. nth r..�d Signature ........... .._�... SUET ( Town of Southold 2/13/2023 ;i P.O.Box 1179 53095 Main Rd Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 43848 Date: 2/13/2023 THIS CERTIFIES that the building ELECTRICAL Location of Property: 150 Goose Creek Lane Ext, Southold SCTM#: 473889 Sec/Block/Lot: 78.-8-10 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 2/13/2023 _ pursuant to which Building Permit No. �48902 _ dated 2/13/2023 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: eleeftic�for accessory barn. The certificate is issued to Kendall,Beverly Q of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 48902 12/14/2022 PLUMBERS CERTIFICATION DATED uthri .. d . natu _. _. . mN To' L9 tz srx.m.�xwvam.aa=b -ue� as -u.:csaaxxa+exxs� §�T inx�rcnn.xo us �m�ssro, x 3 sa zwsyscaar m scawvs x� su rs. i r s' c svvsuss.vnsavaz-sWa.cf � �rz vamc c'.t--.=�+svara+aw-v. +wv_r ""-`` PLUMB-Nfi RISER DIAGRAM tNT51 To a x E u = �----- ------.....................- In tla o m to s P�oa» �csn } g R I ,e gig7.71n s o I maw'— ba�e I.-_ - .<.-. �Y�P ' t } -'x 8 MIT f m WALL LEGEND BASEMEN LIVING ARr PLAN FGUNDATIGN PLAN LIVINGAREA sa,FT. PAGE: 8 2 of 4 - .a �RKr } it ! 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