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HomeMy WebLinkAbout1000-61.-4-11 fat&,, TOWN OF SOUTHOLD Rental Permit 1039 Owner Curtis & Angela Dwyer Occupied as Single Family Dwelling Located at 720 Mechanic Street Southold 61.4-11 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. 12/13/2023 Co e E ocr� n o cial This Notice must be posted by the main entrance at all times � � 12123 4 Town Hail Annex QR Telephone(631)765-1802 54375 Main Road 1'I Fax(631)765-9502 on P.O.Box 1179 °tk Southold,NY 11971-0959 BUILDING DEPARTMENT 1; ��� TOWN OF S+(�►U '"HOLD RENTAL PERMIT APPLICATION LA irftill Permit Fee $200(Application must be renewed every two years) Section A. Property Information: Rental Property Address: Tax Map Number: 1000 SECTION -BLOCK -LOT . 1 L{-7 3 S-8 cA cat. — ►�- — t SECTION B. OWNER INFORMATION: Property Owner Name: A v-:�UL%L-ES 11 D—Z:)�-\e Property Owner Legal Address: Property Owner Mailing Address: < � Eo3\ �.d l Telephone Number (s): Daytimec5 - daZ�ivenin ��O`--i(Arnergency --al _31v_--- Property Owner Email Address: Page 1 of 5 Town Hall Annexe Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 11799r. Southold,NY 11971-0959 � BUILDING DEPARTMENT TOWN OF Std HOLD 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 Soy Town Half Annex . Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1179 Southold,NY 11971-0959 ✓ , colum, BUILDING DEPARTMENT TOWN OF SO HOLD 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: Ld 1 Page 3 of 5 a, .� so Gown Hall Annex m&° 'Telephone(631)765-1802 w Fax(631)765-9-502 54375 Main Road P.O.Box 1 179 ", Southold,NY 11971-0959 k` «� a" 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 0 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 e� �-) —D`^ 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 „�. qf oil, "t's„ Town Hall Annex Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1179 Southold,NY 11971-0959 7 till Ira, NVI BUILDING DEPARTMENT TO OF SOLY OLD 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 Signature: ZJ Sworn to before me this . ()day of, 71) . �”' _ 120— Official 20_Official Notary Public Signature an�origi6gl NotaryStamp ESETH G BANK -Sate of�H fork 18A642r7s3 n Suffolk Courify Exprps Jan 3, 2026 Page 5 of 5 LD BUILDING DEPT. 81802 �9 Y7 ROUGH PLBG. INSULATIOWCAULKING FINAL FIRE SAFETY INSPECTION N [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ j ELECTRICAL (FINAL) [ ] CODE VIOLATION [ ] PRE C/O [ RENTAL / 0" Town Hall Annex ell z"W"ek, Town of Southold 54375 Main Road Rental Inspection Report PO Box 1179 Southold, NY 11971-1179 +rMr Tel: 631-765-1802 SCTM# Date..... ..�a _...._. _ _ . .. . ..... . ...- Phone �.... h Owner W 1'e" _...... .. _.. .. ... ., Visible,.. .._� .. _ . Address � ' m .... . ._—.... . p Ins _. ector. Hamlet Floor Level Quantities Sub 1 2 2 Smoke Detectors (not located in bedrooms) Carbon Monoxide Detectors _ Exits --- - - FireExtinguishers. w.. Bedrooms 1 2 3 4 5 6 _ _ Smoke Detectors Occupant Count bL Building Systems Maintained & Operational Condition of Property Heating Building interior _ Hot waterBuilding exterior ro P � _ Electrical M m Property clean, maintained &safe Mechanical Handrails &guards installed &secure Pool Safety Pool on Site Surface water alarm Date of CO issuance .. . etel nclosed Door alarms c-- --------_ -------- - -- ---, Pool co.mp, ) _,e. . .. ... . .......... , Self closing/ latching gates Pool fence to code requirements CO's for all items present 11 Rental Prior Comments: ;;.4Rt: Rcor-W!FL4-�4'U _ More: FL ylryrx7pM- �rlEOIJCJ-WAA- t�.f�2 .��. C.� � ��'JnFra � j. H �"ate � 5N6^R4LaLL. 'AiI8x8F?F rxc=.2a�t_ - HFeLTu QEPr 1EPRc 15Z-ST'EM E I Z, R4t}_ IJdr TO ISC,aL E Yrg3 UClO" ifr Q..rr =�1ain =1 f Yt - � 33 CU Z6 i - } .t r € 5+ is= um;LriNrbW a L Jai r r^. qtt t '.NEW'4YA RrT TV UlF Lr PC I t hF - v r x �i . - a Tlou ow a� W7 r; CL 1 JOI 4r rt [ To FF?bvtof UNIADIRM a ;I } WAL..mss � I' n4rs poo4norJ M6bTs N.Y.(,.).(1x7E.(Mimi MUMCDCE RMuIePiarr) NYS,Eh1E1ZCAY FMADDITIONS L659 iifaN 54i P CDI.+UITIa1.lEb.}IL�OP_ARF.f.FKESGRIFTIV�ENVFIOPE QUIRE B. lJSG I rJ rwr FL-W.QPI �_ Ktrr::/ALL WJNOOWS To PJB! 4WDSRso W LW IF WP GLA-Yb .. i�}(I:.IaG!-^nom: �-0�.I'©" wrrw 2-2x4o HEADERS IF Klof-cFRIE£ WI"JE Q.PBG4FIF^p New WALL. - - - - - RFMOVL � i-W-L- I�Ir YES o£ r? _-. - -- - - - - a. 5Liu tel- ® - - ® _ i a.7i ''� `x ?'�'•4+s�GfF-1.�'F..�:.�ic�— � g+r�u^ rte' F 3 F u g` !I ej z 9MAVO 414 1 " �V!�v4+4 4-e Nrzs Nsz-� Gchzr C Wier- r r! _ Ji, si.h� •�,Y. r .�a....."� ,...... i Jori rwA@tK PE an F F.&M sn"Wrs • Reeldentiel Designer r= w ,+ , MI-7S 4-2794•Cutchogue,NY f TOWN 'OF SOUTHOLD PROPERTY RECORD � 12 1 g f OWNER ISTREET i VILLAGE DISTRICT SUB. LOT A Jy J FORMER OWNERC f5f N EACREAGE I o X i S o W G TYPE OF BUILDING RES. SEAS. VL. FARM COMM. IND. CB. misc. ( Est. Mkt. Value LAND I MP. TOTAL DATE REMARKS co I ct': j ea A e ? -St j f 0 FRONTAGE ON WATER FRONTAGE ON ROAD Ti Ua>�e7 BULKHEAD - 1-1 Tillable 2i DOCK 1 hr Tillable 3 jwv,r zs -0 0 Woodland Swampland Brushland House Plot Total l Ot � —(O1 —L4 a Y _a —_ XD 3 E �$ t s M. Bldg. Foundation Both �a7. o Extension Basement Floors Extemion x 1 � 26- 114 Ext. Walls � �'' m Interior Finish Extension 14 x 2 f Fire Place Heat _ Porch Roof Type Porch Rooms 1st Floor Patio Rooms 2nd Floor Garage %, z - `� � � driveway � Dormer a � s S/ 7 2 �� FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD. K. Y. CERTIFICATE OF OCCUPANCY No. 2.10.64......... Date .... ...... ....................... ......... THIS CERTIFIES that the building located at Psft... u.sFa-DR... Street Map No. 2=................ Block No. ......Z=..........1,ot No. XX.......SoUthold.................... ............... conforms substantially to the Application for Building Permit heretofore filed in this office dated .......................Nov.... _. ;i....... 1960.. pursuant to which Building Permit No. 22269..... dated . ____ ......... ......NOV....,25...... 19.6.0, 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 ..... AVOILIng...............I....... ..... ....... ...... This certificate is issued to GIOV.or...........­1....Owmr. (owner, lessee or tenant) of the aforesaid building. Building Inspector FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. CERTIFICATE OF OCCUPANCY No. ... ",.•,�, j1}$.......... Date ........................JIL.1'y......Ll............. 196-3--- THIS CERTIFIES that the building located at ..W,/9....:mee),an10-st............................. Street Map No. X=............ Block No. ........ Lot No. .=....I.-Sou-thald-V &,.-...I........... conforms substantially to the Application for Building Permit heretofore filed in this office dated B.....,.3............. 19,63., pursuant to which Building Permit No. ..,7#..207.9 dated ........ ZIM........3............ 19.43., was issued,and conforms to all of the requirements of the applicable provisions of the low. The occupancy for which this certificate is issued is ........ ...............1)r.jV.8t4a-.QnQ..V&Mimly..dwelling................................................................................ The certificate is issued to .....Ar41101IWj=0nd&... ....... ............. ...... towner, lessee or tenant) of the aforesaid building. /�6A,NJ CNA A - . ... .... ............. Building Inspector FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-32663 Date: o. 10 THIS CERTIFIES that the building ADDITIONS & ALTERATIONS Location of Property: 720 MECHANIC ST SOUTHOLD (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 4473889889 Section 61 Block 4 Lot 11 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated JANUARY 4, 2006 pursuant to which Building Permit No. 31773-Z dated FEBRUARY 6, 2006 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 ADDITIONS & ALTERATIONS TO AN EXISTING MINGLE FAMILY DWELLING AS APPLIED FOR. . _. The certificate is issued to CURTIS & ANGELA DWYER (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N� ELECTRICAL ICAL CERTIFICATE NO. 2098366 09 21 PLUMBERSCERTIFICATION DATED 09/10/0 CURTIS DWYER _41__�thoz ed signature Rev. 1/81 FORM X0. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Clerk's Office Southold, N. Y. e� Certificate Of Occupancy No. 2 .36.7.7. . . . Date . . . . . . . . . . . . . . .Doo.. . . . . . ., 1P, .69 THIS CERTIFIES that the building located at .W/S Mechanic. St. ; ,,. . . Street Map No. . .xx . . . . . . . Block No. . . .= . . . .Lot No.xx. . . Southold,,. 14«Y.. . . . . . . . . conforms substantially to the Application for Building Permit heretofore filed in this office dated . . . . . . . . . . . .kpirU. . 2, 19-69 pursuant to which Building Permit No. . .4222 .Z dated . . . . . . . . . . .Apra a. . ., 19.69, 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 &*c*seery• build-ind. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . W k � The certificate is issued to . . .f4ty.DUkeroon. . . . . .Owucr . . . . . . . . . . . . . . . . . . . . . . . . . (owner, lessee or tenant) ; of the aforesaid building. a Suffolk County Department of Health Approval . . . . . . . . . . .a«R.. . . . . . . . . . . . . . . . . . . ; . . n Building Inspector `rn w. w Some # AZO " FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-26882 Date: 01/13/00 THIS CERTIFIES that the building ADDITION Location of Property: 720 MECHANIC ST SOUTHOLD (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 61 Block 4 Lot it Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated OCTOBER 5, 1999 pursuant to which Building Permit No. 26152-Z dated NOVEMBER l2, 1999 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 DECK ADDITION TO AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to CRISTINA HESSEL (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED �w N/A Authorise 6Signatyur & Rev. 1/81