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HomeMy WebLinkAbout1000-57.-1-31 TOWN OF SOUTHOLD
r Rental Permit
0857
Owner Claus & Andrea Rademacher
Occupied as Single Family Dwelling
Located at 950 Blue Marlin Drive Southold 57.-1-31
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.
4/10/2023
Code-E;forWhent Offici
This Notice must be posted by the main entrance at all times
so` o
Town Hall Annex , Telephone(631)765-1802
54375 Main Road Fax(631)765-9502
P.O.Box 1179 ® O
Southold,NY 11971-0959 d
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
RENTAL PERMIT APPLICATION
Rental Permit Fee$200(Application must be renewed every two years)
Section A.
Property Information:
Rental Property Address:
Tax Map Number: 1000 SECTION 57 -BLOCK. -LOT 31 - 06
SECTION B.
OWNER INFORMATION:
Property Owner Name: C L A-US
Property Owner Legal Address: Property Owner Mailing Address:
3 Servs %✓�A.)V 3 S Sv^�S -7 &Nv�
/211JC�,�r�vaob Al�J' 07yS6) N�J_ o?ysz
Telephone Number(s): Daytimel 0�` 7�Qvening : �d- Emergency Sits
Property Owner Email Address: c. ( a v S c ) a r r a de a c(n e • .
Vol �
Page 1 of S
soTown Hall Annex a~® r® Telephone(631)765-1802
54375 Main Road Fax(631)765-9502
P.O.Box 1179
Southold,NY 11971-0959
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
.1U?P'-- ' Aty.ey'e�jJ9A.Y :1'.
—M-75, fain Load
PRO.Box 1179
Southold,•NY 11971-0959A 6-1 d,jDVP 1�—
OVs01UTHO D.
,MWa &Address of`Managing Agent
Wime .:I verrrng Emergency. -
Envil(Ad&'ess:
SEMON F.
PP'ROPERTY DESCRIPTION:
9txabeF•Qf•9entar,DwrWn' g Units on property: NK
Fovekh Rentai'Dwelling.Unit set forth the Rentar'Dwelting,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
(fdr example, Kitchen, Bedroom 1, Bedroom 2, Living Room)and the dimensions of each
room.
F;arfroperties with multiple Rental Dwelling Units use "Rental Permit Application
:A�t)deridil�rl."
Rental Oweiling Unit Identifier: AIC
Requested Maximum number,of persons allowed to occupy Dwelling Unit:.
Number of rooms in Rental Dwelling Unit: L-v e--
Use and Dimensions of each room in Rental'Dwelling Unit:, .SvA1A,00Aj
L r✓p A16 ROOM 500 facer, (f l i t do /1/0l0tir 160 Cit f
ovrz d0AAf; 300 5,9 r-F 0 saFr;. 160.svr
.ovlt ..3. 26o�ts: (�a SQ FT •. �o SFr-; -35 Sari 3o-I�/-�
Page 3 of 5
Y
ol�r
Town Hall Annex Telephone(631)765-1802
54375 Main Road -_INC Fax(631)765-9502
P.O.Box 1179 G�
Southold,NY 1 197 1-0959
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 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 (� LAS Xe A/q'�,�rtify 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
'Ilo
Town Bali Annex �t Telephone(631)765-1802
54375 Main Road Fax(631)765-9502
P.O.Box 1179
Sbuthold,NY 11971-0959
BUILDING DEPARTMENT,
TOWN OF SOUTHOLD
applicable laws and rules. I further acknowledge that 1 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: _— --- "' —
Sworn to before me thi ay of M afrC I 2Q �
Official Notary Public Signature and Opiginal,Notary Stamp
Erin R McCullough
Commission#50198250
Notary Public,.State of New Jersey
My Commission-Expires
Jur4.20,2027
r' Page.5 of 5
I
1 �l/�
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 SOUMOLD
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
Professional seal required for Architect or Enaineer,licensed dome Inspector must provide
copy of valid current cerWatiom
Rental Property SCTM Number: 1000 7
Rental Property Address: !a<_n L"�L 016L /1)d'/«/'✓ Z)Q? 1�y S'd✓1 L:D PY Il q-/
Owner/Name: -cy--A
Rental Dwelling Unit Identifier:, /
Number&Square footage of each bedroom as depicted in-the attached floor plan:
(i.e. Bedroom#1-100 sq.,Bedroom#2-90 sq.,etc.)
(fri,DhoO / — ddd Sar. 13,1D/ _tl Koo A
ouuu► k )-ca /0 S2.
Property Description (Include all improvements indicated on survey)
S(�✓G4�f4l FA�r/c-I t 'S� Lyl?� .�T/R�i1�D �•¢����
-1--10 171AI e4w5 13&S90t AAA
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 Plumbin ff New York State,
the Fuel Gas Code of New York State,and the Energy Conserv n Constructidn of New
York State.
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Print,Ng&and Title Ori ' igna re
fk--A - (A V� A
Please place-professional seal:
LEGEND VERT. CASING NOTES'
0 LV. CEKJNG FIXTURE EXIST. 150 AMP SERVICE AND CIRCUIT BREAKER TO REMAIN
„
� DECCEILING FIXTURE 3/4 5/8 FOLLOW EXIST SWITCH HEIGHTS TO ALL NEW AREAS - KEEP ALL SWITCH
. »
,�, ❑ BOXES AS CLOSE TO EDGE OF WALL/ DOOR CASINGS AS POSSIBLE
♦+ DEC. WALL FIXTURE a ,r ALL BASE RECEPTACLES TO BE MTD HORIZONTALLY IN BASEBOARD— SEE
`Jr,ELECTRICAL WRING PLINTH BLOCK NEW ELE RtlCAL yV 1
EX/ST.a• •'ac �0 DETAIL #1
� DUPLEX RECEPTACLE c �F� (.� BASE RECEPTACLES HAVE BEEN SHOWN TO REFLECT REQUIRED 12'0" SPACING
� SWITCHED RECEPTACLE(ONE LEG ONLY) `
EXIST.aECTRICAL TO REMAIN,•
DIRECT CONNECTION DEDICATED CIRCUIT c Exlsr a'-o•ac HLxwr
� CLOCK RECEPTACLE � �COO
moo, GROUND FAULT INTERRUPTER RECEPTACLE
4 TELEPHONE RECEPTACLE .n �����"c J � ed 14 c � WWI
❑ CABLE CONNECTION �0�", T Ecmlcac � f->� r-rte- �� �
uuuwu PLUG - MOLD
,. a
#� SWITCH 3 WAY EXIST ELECTRICAL TOREMAIN,• r
SPEAKER LOCATION EXIST 8•-0'ac HEIGHT I
SMOKE DETECTOR (HARD WIRED) EXIST�-o a HHExHr f ��� � � O Al z � �%-,
$, DIMMER SWITCH RECEPTACLE I ___
0 BLOWER FAN110 0 �� \\
W AUDIO KEYPADAl
EvSr.8'o'ac Hr \
$ SWITCH
$o, DOOR SWITCH (JAMB) " o
FLOOR RECEPTACLE / j J 9'o'ac Hr
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EXIST.EXT.LIwm
10 40 j 8VD EXIST.
_ '0'a0 HEIGHT T
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L-1 h}�P t.�4 ELECTRLCAL
TO REMAIN f ❑ 4£RIFY HEIGHT
ABOVE MANTLE EXIST.ELECTRICAL TO REMAIN
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/ TYPE LtzbLimiwl SPECIFICATIONS HOUSING TRIM COLOR QTY. m wYa►k,NY1DG21
RECESSED LV ADJ. DOYNLIGHT 7DM w Gws18 ftc2125WO=
TAPED EDGE 2125WIWO
—— � RECESSED LV ADJ. DOWNLIGHT 8
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CONTRAST
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ET ell
TOWN OF SOUTHOLD PROPERTY %.HRD
/OWNER STREET VILLAGE DIST. SUB.., LOT
IIp hfJ.� $ISLE{.erl 7 ' i
FORMER OW� ANER,, I N E ACR.
.P✓} 7"rl'M--' �,`}r S W TYPE OF BUILDING
RES. ' it SEAS. VL. FARM COMM. CB. MISC. Mkt. Value
LAND IMP, TOTAL DATE REMARKS IA _ . /I. 1 J
ti , j/
Co 6433
c� �}- J"' J 1/ /J/ '7rt,' L•-- ! Il �� r`�' j'': i !i 1r-I-t ��,` {is 'S ,/ /) ',r `l� a,�',\'
{< < ? �b �!� 6 t' 1 �` '..C• t F , 7C-7—L
AGE BUILDING CONDITION } r,
l b <<}! 7 1 ��J i G
NEWNORMAL BELOW ABOVE <<,f
1-711
FARM Acre Value Per Value
Acre
• i
Tillable 1
Tillable 2
Tillable 3
Woodland
Swampland FRONTAGE ON WATER t
Brushland FRONTAGE ON ROAD ;
House Plot DEPTH -?
BULKHEAD
Totn-l. DOCK
XOR
iFt1� 5 , 1M2k,
o- 1
fr'..c:. .'cam�'=� ��,,:•- - � � ,
r..-_��.�.-;:�-:':G"i--i� ::••,t, -.;�:�% ,•::".< . -tip�' � ,
n 57.-1-31 11/10 - —
M. Bldg. - i Foundation i; Both Dinette
Extension , /, �' -o }Basement Floors .5 1. K. i
Extension I } j .z `, , r, Ext. Walls :�.,,v fnterior Finish LR. ✓
Extension
'Fire Place Heat - DR. I !s!
^�«C,a r•fc\ l 2 Y,23 �7 j fc st�:f.3-.;:�,,.'1. " !?^-'� - � fi
�� fi- f, IType Roof Rooms lst Floor BR.
Porch iRecreation Room Rooms 2nd Floor FIN. B.
Porch ��a_ "�4' Dormer
BAY c l2c��o� ��.( - ---- — —
Driveway '
Garage
O. B. i
Total , j f
rin'4 604 M0 41
FORK N06 4
TOWN OF SOUTHOLDt
BUMI)ING DEPARTMENT
Town Clerk's Office
Southold, N. Y.
Certificate Of Occupancy
No. 94. .33. . . . . . Date . . . . . . . . . . . . ..Wil. . . .29. . ., 19.7.5
THIS CERTIFIES that the building located at .8&lite•MrILD DrlV* • • • • . • Street
Map No.83d.• ahs.. . Block No. . . . . . . . .. .Lot No. . . 1.0. . . Dieenport. . .N.Y.. . . . . . .
conforms substantially to the Application for Building Permit heretofore filed in this office
dated . . . . . . . . . . . . .Oct. . .T ., 19.74. pursuant to which Building Permit No. 7.61 gt. .
dated . . . . . . . . .NOT. . . .4. . . . . .119.0}., 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 . .Drlx4te. ame. fAmily. .dxnl llug. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
The certificate is issued to Warren .Mathe sea . . . . owner. . . . . . . . . . . . . . . . . . . . . . . . . . .
(owner, lessee or tenant)
of the aforesaid building.
Suffolk County Department of Health Approval . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
UNDERWRITERS CERTIFICATE No. 1206732. . . Jam- ..30. . 1.975. . . . . . . . . . . . • . . .
HOUSE NUMBER . . 9.50. . . . . . . . Street .Blua .Marin.Da .. . . . . . . . . . . . . . . . . . . . . . .
. . . . . . .. . . . . . . . . . . . . . . ... . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . .
. . . . . .'g
Building Inspector
Town of Southold Annex 5/3/2011
erffi�%g
54375 Main Road
Southold,New York 11971
CERTIFICATE OF OCCUPANCY
No: 34918 Date: 4/29/2011
THIS CERTIFIES that the building ADDITION/ALTERATION
Location of Property: 950 BLUE MARLIN DR SOUTHOLD NY 11971,
SCTM#: 473889 Sec/Block/Lot: 57.-1-31
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this officed dated
10/22/2009 pursuant to which Building Permit No. 35142 dated 11/6/2009
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:
alterations and additions including second floor deck and second floor balcony,to an existing one family dwelling as
applied for.
The certificate is issued to Rademacher,Claus&Rademacher,Andrea
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL 4-SO-14S 7/23/09
ELECTRICAL CERTIFICATE NO. 12290 8/23/10
PLUMBERS CERTIFICATION DATED 10/21/10 Cutchogue East Plumbing
Authorized Signa re