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Home My WebLink About1000-78.-9-77 TOWN OF SOUTHOLD N ,add Rental Permit 0849 Owner Paul & Amy Hanan Occupied as Single Family Dwelling Located at 95 Victoria Drive Southold 78.-9-77 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. 4/7/2023 Code Enforc rrm of offici, This Notice must be posted by the main entrance at all times n Town Hall Annex NTelephone(631)765-1802 54375 Main Road N Fax(631)765-9502 P.O.Box 1179 Southold,NY 11971-0959 r� BUILDING DEPARTMENT TOWN OF SOUTHOLDHE 8 � I t• , RENTAL PERMIT APPLICATION TOWN0 Rental Permit Fee$200(Application must be renewed every two years) Section A. Property Information: Rental Property Address: Tax Map Number: 1000 SECTION BLOCK -LOT s SECTION B. OWNER INFORMATION:: Property Owner Name: Property Owner Legal Address: Property Owner Mailing Address: L4 R V` Telephone Number(s): Daytime I� -�I�"S I ening Emergency Property Owner Email Address: Vol Page 1 of 5 00 d, � � .. 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 SOU OLD 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: e C Olw firs Address of Authorized Agent (no P.O. Boxes): S/5-0 N w CW-.A% - 9T Z`x Mailing Address of Authorized Agent: "t+ — S Telephone Number(s): Daytimeg66-L(9'+ - Evening Emergency_ Email Address: )C- • fa wW C' JQ ca,S�. •�°`''� 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 Orr Town Hall Annex ? Telephone(631)765-1802 54375 Main Road N Fax(631)765-9502 P.O.Box 1 179 Southold,NY 11971-0959 _< �U 4 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 Number of rooms in Rental Dwelling Unit: Use and Dimensions of each room in Rental Dwelling Unit: Page 3 of 5 4 41 Town Hall Annex Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 aw— P.O.Box 1 179 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) 'W,11,11 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 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: G� 1 ' Property Owner's Signature: ' Sworn to befo a me this Efday of 20X? Offi ' l �blic Signature and Original Notary Stamp JOHN W.BAUER III Notary Public-State of New York No.01BA6295008 Qualified in Suffolk County My Commission Expires 01/13/20:Z4 Page 5 of 5 TOWN OF SOUTHOLD BUILDING D, 631-765-1802 INSPEC ION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION/CA! [ FRAMING / STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY IN! [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PE [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL {LII [ ] CODE VIOLATION [ ] PRT C/O [ I f� 04 "" PROPOSED INTERIOR ALTERATION AT EXI5TING m 2-9TORY RESIDENCE 95 VICTORIA DRIVE KNrv'GWd SECT,TB ELK"9 L—ll ....,,. ..,/ ..... .. ..,I"M" ..:....,...WM.;R",.,,,,, m.......... V,,., &' ,..'„, ZONES R-90 mxi TP T. y " uF& ESIsrI6 III & r~, -o KSGkSLhL cas . 4 ADS gyy.mm.1IJ p�N.�" x*nnwn mwn� �. Q T^ Uwu�wsram N xrw UiM"h4r „ Tva wMA.LK„,., EXlsn116 BASEMENT a� a M:x 4c rx C4p urA� sur,wnwrAxmw N4.,nmd” d EXISwING BASEMENT PLAN o woREX i F1"I�Tm d R ?-AP . -- . Pool E"8 EX.LIVINS Ex wvaxmWx,Nr, xwrenU All ..�______.,...,......�.....---- �,R x6MAM,TN fSre 3� .. . cIILI� a w� 3� w�xxMxTWWfMX ,, - gym till I x r 4y A4 ... .... x .. .� »«0MX[A gkdPRMStl RA. . PLUMBING RISER DIAGRAM E » OND� FLOOR PLAN ' PR�?PDEDSECOND P1.Ot7R PLAN a AxGxCT G'10WYx ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,_ ___..-____,,,,,,,,._______,,,,__________,,,,,,,,._,,,,_ _ _____._, ...................................................,....re.re,................................ tY' 1 +,gyp+xw nwamalmom "....."..','.' ".^....'�....... .......m, ea'row I,vB40LITI0N NIORK SHAM BE IN STRICT CONFORMANCE MOTH LOCAL AND 5.PeRFOR4 THE OB4oLInON YIORI:IN SUCH A NNHUEt A6 70 PREYBNT FIRES. D.ALL E%ISnN6 MCTWQTK ELEGTItICN.KCIIIPNEfL ETC.IN AREAS To DE STATE RESULATIONS INCLUDING ALL PERMITS AM OnLITY CUT-OFFS. REMOVE ALL AMIM.LMED DEERS PROMPTLY.DISPOSAL BY BLRNIN6 ALL. DEMOLISNED SHALL DE FROTECTED AND RELOCATED AS REOA ED .----^^^^'^'""'^, ^^'^,"^^'.'^"'.'^^.. EXIST.fLAWKW,FIRST FLOOR 4 NOT BE P@P9TIED ON SITE.ALL DEBRIS SHALL BE DISPOSED OF OFF SITE IN ACCOR0I116 TO FIELD CMITIONS. �_ FLOOR ft",,F4M4iF"OSE6. 2.PERFORM ALL DHMLITION YORK IN ACCORPANOE MATH THE RlBS"TIONS LUAL.. LSV."WWA " s up armarr-avipiir..www ,'.. R GOFm FLOOR PY,aMN RISE OF AN 5I-FPA 241-1475 ELNLDINI6 CONSTRUCTION AND DEAOLInE4 ON OPAnHT ON 4.PRaAX MST-TIGPAR"ONS BEn`�L AREAS MRE VB40LITION UM�UceraxSEDIGaV FF NOTES# ISE 6.ALL SALVAffABLE MATERIALS AND BOIIPM1W IWL FIKRFES, KORK 15 BE7N5 FEWOF04 FO 4 AREAS MCH ARE FIN19W OR ARE IN USE 5..PROVIDE ALL 784VRARY SAM(AO15,RALIN65,U&MM6,ETC- FURIISHINSS AND DECOR ITEMS SHALL BE STORID AND FROTFLTED FROM a�raxm Tie va�iee.�x�wx��w Im� � T REWIRED TO PROTECT TIE KC4Q4^OPUERS PERSONAL 4 PUBLIC FROM PAMA&E LM7L THE O M DETERMINES THE CNRSE OF ACTION TO BE TAN13N 10.LEAVE EACH AR AREA BROOM CLELPON COMPLETION OF YORK EACH DAY. yiy��a�Ry�xRAAIOq[4GN 4,» wne IURY DUE TO THE DEM YORK PROVIDE R7@/SAFE PASSASE OF KITH SAAE. wxmwnanane uG+4M xOPwx amana axcw DluemrAn poem gtlg U ,I PM,AUA m TO WMAN II..REMOVE ALL INM MOR FINISHES,IN AREAS TO BE REFINISHED 4 REPAIR THE T,PROTECT AND MAINTAIN EYSTIN6 UTILITY LINES MHICH ARE TO REMAIN IN EAST NO SURFACE FOR APPLICATION OF H 04 FI NSHE5 AS SE.MTED BY .-------------- -----.—.-.---------------- 4.THE CONTRACTOR SHALL AT ALL TIM-"S PROVIDE FROTMTION AGAINST SHAKE IN SUCH A MAKER AS TO AVOID INTERE.PRON OF P15E LINES.CAP ARCHIMOT OR OVKK w.x.xorxmxx,mex�aim A_I YEATIER,RNR KIND,STORM,FROST OR HEAT-50 AS TO MAIHTAN ALL HO K ALL VnLIrM LINES TERMINATED BY THE DEMOLITION PORI:IN A MANE{ MATERIALS,EQUIPPER Am FI"J S FREE OF DAMKESREPAIR ANY APPROVED BY THE WVERFENTAL A11nkXT1ES 4 UTILITY GO.'S HAVIN6 D.PATCH ALL EXISTINK FINISV6 TO REMAIN THAT ARE AFFECT®BY i iu�n xmu.wiemev mm DAMAGE TO PROFW1Y OF THE OMEER MHIGH 15 TO REMAIN IN CBE,OR THAT JURSDICnoi ADJACENT VEKXIYION YORK MATCH MATERIALS,COLORS,ETC-TO THE �°XO 9xx®�xxx OF ANY PERSON OR PERSONS ON OR OFF THE SIZE CAUSED BY THE SATISFACTION OF THE ARCHITECT/O IK nn amidn.oxievi.iaa�iue�RPevuwi OD40LITION KORK KNOUT ADDITIONAL El4BEE TO TIE OMME1, xn w�m2 TOWN OF SOUTHOLD PROPERTY RECC STREET a - .. VILLAGE.. ,_ R DIST SUB LO i 64 � t ✓ FORMER OWNER,,, NE 9� 9 ACR. S W TYPE OF BUILDING 3 _,.RES �,.�. . SE.__._.m.._._ __._....._._�. A FARMkt. Value..,._...m._...._._..__�.�_...w.�..._..�,.r ._m �n...�._.m�� ". �.. ..._..__. LAND IMP. TOTAL DATE REMARKS � d J L O r r „"Mrd ....... .........° — ...u ,.�,.e -"!zz ., r 2"fIJg.� . .L' � 2La ...m., . .,�w..,..M................,m.,,__,n,,,..,..,... ....,,...,,_.,.,..._,...__. ..,_,,._.,..,....,,...,w,�.,...._.,,_....�......,......._�,... ..,. � C..'.,..�,....w�'°�� .,.w,,, �7�.., '�. ._�.1.�_..��:.. ...�,�a.,_...�.9�.�,�W,-'�t...��...ww., .�.`'�.�_._...,,�W� 'M� .,._ �._.....,___,....,,�,,..a.,,_.......,....,..�,�,,..,,.._,,.,,�.....,.,,...,...,,, AGE BUILDING CONDITION NEW NORMAL BELOW ABOVE FARM Acre _ VaAcrePe.f.._ ..._m.......Val. . _. .... . .__...m_._ .._.,.. _..._.. ... _..__....,,..., ._.,... _..M_..., _..._.._. ,W_......w„_ .w_ —. ,._.µ._..,_. _._----- ue Tillable FRONTAGE ON WATER„� ,,....�.. ,_.�,..,.. M,_„ ,�.,�..�... �.._.__�.._.aa..M_�......._..__ _....�.,..m Woodland. ....M.. _ .._.._. :,.._ ._...mm .. ......_ .. ...... _..,, FRONTAGE ON MROAD_ i Meadowland 9 DEPTH House PlotBULK HEAD Total _.... DOCK � n . �. _...�. .. i.,_... . ._ _e. _.... .. . . .. T _. RIM ry liII 4�7 1 .- 1 amlq B 78.-9-77 10/06 1 _ ........L_ . . ... m �Id � ------ti Extension4. - 1 Extension —I. Extension .._._._ ._..... .. .. __ _ __ .._._........ ,' —$7 M fl Foundation Both Dinette B Porch asement Floors ��.. . . . A � r d Porch iExt Walls Interior Finish Breezeway 3Fire Place N, Heat DR 9 Gara e I Type Roof Rooms lst F _...n._..__.. _ .W. _ ._ ... S � loot � �B � ..: �� ........._; � 3 �.. _ .._..... ._IT.,...._ . .. ..,.......� �.._,_,..__..,..__„ �.__-.w,_.. .a.�_._.� R Patio .... .,_ _._.._.,�..._„_m.... Recreation Room Room s 2nd Floor k I iii B _. T � � O B �_... Way „... m.....,_. w....__. _.� �Dormer.. .._W..._..,,.._ � .. ..�..... 'Dave. . ..�M.._.. ,. �1_.._.w._..___._.,..m.m..,! _., .�._......__.._,,..,,___. ...... Total y } R,T FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-32199 Date: 02/12/07 THIS CERTIFIES that the building NEW DWEELLING Location of Property: 8745 MAIN BAYVIEW RD SOUTHOLD (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 78 Block 9 Lot 77 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated JANUARY 24, 2005 pursuant to which Building Permit No. 3091.6-Z dated JANUARY 25, 2005 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 SINGLE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to CHARLES P COLOMBO (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL R10- 4-0182 02/06/07 ELECTRICAL CERTIFICATE NO. 2076881 01/23/07 PLUMBERS CERTIFICATION DATED 01/30/07 MIKE JACOBI PLUMBING A,, thor zed ignature Rev. 1/81 + l llt Town of Southold 11/29/2022 P.O.Box 1179' := 53095 Main Rd Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 43 629 Date: 11/29/2022 THIS CERTIFIES that the building ALTERATION Location of Property: 8745 Main Bayview Rd, Southold SCTM#: 473889 Sec/Block/Lot: 78.-9-77 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 3/24/2021 pursuant to which Building Permit No. 46089 dated 4/15/2021 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: interior alterations to existing single-fa il}dwellingas lied for, The certificate is issued to Hanan,Paul&Amy of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 46089 9/28/2022 PLUMBERS CERTIFICATION DATED 5/11/2022 a anan < A o ize tgture -