The URL can be used to link to this page

Home My WebLink About1000-70.-8-5 1O4'WWWN OF SOUTHOLD Rental Permit } 1042 Owner Nicole Kofman Occupied as Single Family Dwelling Located at 245 Clearview Ave W. Southold 70.-8-5 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. 12/19/2023 *coo ce ent Official This Notice must be posted by the main entrance at all times lhsp ► 11a i(c L -H` l b ' TOWN OF SOUTHOLD—BUILDING DEPARTMENT " Town Hall Annex 54375 Main Road P. O. Box 1179 Southold,NY 11971-0959 Telephone (631) 765-1802 Fax(631)765-9502 la t :j�www. gut hol dt �y M.day RENTAL PERMIT APPLICATION Rental Permit Fee $300(Application must be renewed every two 0 C 1 0 2023 Section A. Property Information: Rental Property Address: 245 Clearview Ave W c o Tax Map Number: 1000 SECTION 70 -BLOCK, 8 -LOT 5 SECTION B. OWNER INFORMATION: Property Owner Name: Nicole Kofman Property Owner Legal Address: Property Owner Mailing Address: (Cannot be the same as Rental Property Address) 110 2nd Street,Apt 2 110 2nd Street, Apt 2 Brooklyn, NY 11231 Brooklyn, NY 11231 Telephone Number(s): Daytime 732-673-7897 Evening Emergency Property Owner Email Address: nicole.kofman@gmail.com Page 1 of 4 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: e. « e "' .o...w« 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: s' kv,NG, 19 10 LU D 7— IOC 1 � 1r \ NX 7Y 1 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. V1 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. Page 3 of 4 SECTION H. DECLARATION: Signature must be notarized and MUST be the owner of the dwelling unit. STATE OF NEW YORK) COUNTY OF SUFFOLK) Nicole Kofman , 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 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 s to any change to the information regarding Authorized Agent, Managing Agent, or Site Manager. Property Owner's Name: Nicole Kofman Property Owner's Signature: /1�4 Z— Sworn to before me this 20 day of October , 2023 14 OLN Official Notary lic Signature and O iginal Notary Stamp TRACEY L. DWYER NOTARY PUBLIC,STATE OF NEW YORK NO.01 DW6306900 OtIAWFIED IN SUFFOLK COUNTY COMLOSSION EXPIRES JUNE 30,211-YP Page 4 of 4 O��OF SOOIy� ��C ttMV1 \• QI �� ;0\A4 TOWN OF S011THOLD BUILDING D +uvu�n 1A 631 =765-1802INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATIOWCAI [ ] FRAMING / STRAPPING [ ] AL [ ] FIREPLACE & CHIMNEY Nj FIRE SAFETY IN [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PE [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FI [ ] CODE VIOLATION [ ] PRE C/O RE ARKS: w '1� .lkAtiG AM ok& u �L U'11�41 Aow > �V .......... C DATE IN101�J INSPECTOR TOWN OF SOUTHOLD PROPERTY RECORD ia1'�l s ,QWNR 1 STREET —a --- -- VILLAGE DIST SUB. LOT FORMER OWNER _ E ACR. - I PHa e e _. S W TYPE OF BUILDING RFS. SEAS. VL. — ;FARM COMM. CB, MISC. Mkt. Value LAND IMP TOTAL DATE REMARKS E f y s 1 • B �G CQNQT ti iy� P NEW NOR10,AL PLELiW A00VE f FARM Acre I Value Per Value Acres l Tillable ] - Tillable 2 Tillable 3 Woodland f Swampland ! FRONTAGE ON WATE� Brushland FRONTAGE ON ROAD House Plot DEPTH } 'BULKHEAD Total t DOCK i i 4 MOR U _ d l s ViI kl � £ 1r i i 1 ] = t 70.-B-5 2/22/2019 M. Bldg. -Foundation Bath Dinette E s Basement ' i Floors K i Extension �, Ext. Walls Interior Finish LR. Extension _ 5 y ., 1 - _ Fire Place Heat tea ` D . ` R ' Extension T e Roof Rooms 1st Floor ;BR. = r YP l iNRecre 'Rooms 2nd F ation Rmoo, B. Porch Don-ner Breezeway Driveway Garage } - - Total ef ES _ \ Town of Southold 7/9/2018 P.O.Box 1179 53095 Main Rd w► Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 39753 Date: 7/9/2018 THIS CERTIFIES that the building SINGLE.FAMILY.DWELLING _w ........ W - mm mmu Location of Property: 245 Clearview Ave W, Southold SCTM#: 473889 See/Block/Lot: 70.-8-5 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 4/24/2017 pursuant to which Building Permit No. 41623 dated 5/10/2017 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: QNE FAMILY.DWELLING WITED ( EN"1"I . 1°lw,,,.._.. Ft.W(�01) ST .. .T"CACHEQ.j A9AQE All 1T1TIIII 13A1 Aa 1'P1.IE13l) , The certificate is issued to Equity Trt Co of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL R10-17-0006 05-31-2018 ELECTRICAL CERTIFICATE NO. 41623 06-05-2018 PLUMBERS CERTIFICATION DATED 05-29-2018 Rupp ...........—................ ................. ..................... Town of Southold 3/27/2021 P.O.Box 1179 53095 Main Rd *;A# Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 41850 Date: 2/28/2021 THIS CERTIFIES that the building AS BUILT ALTERATION Location of Property: 245 Clearview Ave W., Southold ............. SCTM#: 473889 Sec/Block/Lot: 70.-8-5 ........................ ...... Subdivision: Filed Map No. Lot No. .................... ........... conforms substantially to the Application for Building Permit heretofore filed in this office dated 10/8/2020 pursuant to which Building Permit No. 45364 dated 10/22/2020 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: "as,buile'finished basement with bathroom to exis,0,ja o .,tin�13 lvjpg� The certificate is issued to LeVasseur,Ryan&Emily of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL .......................................... ELECTRICAL CERTIFICATE NO. 45364 2/8/2021 PLUMBERS CERTIFICATION DATED 2/8/2021 All East nbing&' 'eat. Aut d S g afore SYMBOL LEGEND AJ- -- ---------------- ------ VIVO! L ills! I J711 J- Em �i 414-24,S -2 WL -LI Noun 0 -�ZOT=VT 1 13 --------------------- ------------- ------------------------- LLLLJ D FOJNDATON PLAN av Ell Ij�V 3112 U mv-, Owl, FOUMATON ANWORAGE DETML -:!x RIO ro MIT r - SYMBOL LEGEND t y L ) 3 f n �t DETAIL C-4 1 — l ] PROPOSED FLcL0 PLANr7777777m �u i= h (Tyr)A U iN2 LAXON D€TAL 7 SEG sECT1oN v�Ew �, TION v�Ew ( S.O.T.M.#1000-70-8-5 k P(Iffif);SNOTEp cam=.:rraF. — x1—� >: LAUNDRY DA .RQ,Si 1YASiEI'NE 'f9YVitttUR 9^ES n.I,--"{ r' -=_— 7 F- 3 &ASHRODhf I. I z z Pr'c vxe -, I CELLAR a� ..g I A s A �x OR CL45.q;vSz^y,'.c..nuR$. N— It S_RYFfiESYSiEM WATER PLUMBING RISER DRAWING WATER WASTE RISER DRAWING COMPLY WITH ALL CODES OF NEW YORK STATE&TOWN CODES AS REQUIRED AND CONDITIONS OF �� k ... ��FWNe+ncNwnu �v 4 j.• SEES I h OCCUPANCY OR —.1— — SE IS UNLAWFUL WITHOUTCERTIFICAT ! WATER SERV CLOSET aosET 0 OF OCCUPANCY .- N LAUNDRY ; l r I I ELECTRICAL x. N . _ INSPECTION REQUIRED E --_-_------- _ I I-III._ � — _— -' "' — "— I _ c PLUMBER CERTiRCA O - ONLEADCONTENTBE 0.a i CERTIFICATE OF OCCUP,", ________ __ ___ ___ SOLDER USED IN WA,El SUPPLYSYSTEMCA'+•o MULTI PURPOSE ROOMEXCEEQ?ItOCF' _<v.r r) OFFICE -' .Woxsa�Ns rxz�a• az„�wx ¢LUMB€tdz' I — zsxwsecw�' a�ArP I ` tt<extt'EG�s+rx`eow r S CC3 €QR=C '4v CLOs=T; €s FeFacuss copse.. rx:ry I W'WFACKKt ( Additional R 4'a'.N3 LertiftczTian ,$ I ?tap Be Required, kI cz'11 s c.r.sl:aaT.+aw sscreaucsLors ^-�'�' LE VAUSSEUR _=. Cpndon Engineering,P.C. RESDENCE 7 .. a vss syRwa zas aeaavlEwAvauuEv,�sr OF M.tC M�OM1 k.Nett rcrk++?S2 •riot➢NY (mit�e-spaspasazss�m BASEMENT s(