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HomeMy WebLinkAbout1000-104.-1-30 w TOWN OF SOUTHOLD Rental Permit g 1047 Owner Colin Touhey Occupied as Single Family Dwelling Located at 900 Lilac Lane Cutchogue 104.4-30 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. 1/3/2024 ' Code n r � rpt Officia This Notice must be posted by the main entrance at all times Town Hall Annex ��� Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1179 Q Southold,NY 11971-0959 o„`fig"%P �� BUILDING DEPARTMENT L 1 0 2023 TOWN OF SOUTHOLD REM"TAI.PERMIT APPLICATION BU11DING DEPT. Rental Permit Fee$200(Application must be renewed every two years) Section A. Property Information: Ren I Pro e y Address: /v 1 cl Tax Map Number: 1000 SECTION ` Li - ,__, ._-BLOCK Off' -LOT 030 _ SECTION B. OWNER INFORMATION: Property Owner Name: Property Owner Legal Address: Property Owner Mailing Address: Telephone Number (s): Daytime Evening_ ,,, Emergency__. Property Owner Email Address: Pd -z ao -d-3 # �-o 0 r6t,C, I oLl 01-)L Page 1 of 5 Town Hall Annex r �l Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1 179 4 , Southold,NY 11971-0959 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: ._w Number of rooms in Rental Dwelling Unit: „ _Lt/ -—-- Use — .Use and Dimensions of each room in Rental Dwelling Unit: V'� Page 3 of 5 Town Hall Annexpmt 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 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) 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 ,' Telephone(631)765-1802 Town Hall Annex 54375 Main Road V�G� Fax(631)765-9502 o ;o P.O.Box It 79 F Southold,NY 11971-0959Q � )i ,1 W1 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. I 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, Mana in Agent r Site Manager. Property Owner's Name: Property Owner's Signature: _. . �... CONNIE D.BUNCH Notary Public,State of New York No.01 BU6185050 Qualified in Suffolk County V gyp, Commission Expires April 14,2 Sworn to before me thiv( �'day of, �� �� 20' Official Notary Public Signature and Original Notary Stamp Page 5 of 5 TOWN OF SOUTHOLD BUILDING I 631 -765-1802 INSPEC ION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION/CAI [ ] FRAMING / STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INc% [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PT [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FII CODE VIOLATION [ ] PRE C/O [ el REMARKS: Igm I � u Li DATE Town Hall Annex Town Of Southold 54375 Main Road Rental Inspection Report PO Box 1179 r; Southold, NY 11971-1179 P aka Tel: 631-765-1802 10� Date .CTM#. OwnerPhone Address �t L Visible Hamlet .._.._.... ' VL. P ector . F � Sub _ ..�� .... loor Level Quantities _..�1 ... e 3 Smoke Detectors(not located in bedrooms) � Carbon Monoxide Detectors Fire Extinguishers Exits _1..._... _ .._.....� _.... .mm . �� .......�.. .W.. . .. ..,..,� ...._._..m.. .... .a.. Bedrooms 23r4 5 . ...6 � 1 _ ..._ . . ._a .�..� Smoke Detectors Egress �� j �" Occupant ,., .w.Count m . Building Systems Maintained &Operational JCondition of Property HeatingBuilding interior ,. �� ....ea ._. Hot water Building exterior Electrical .� .�....._. � �....... �. ........... ....._..�_Paa-ro. perty. c.le_.an.., maintained &safe —11111-111111-1--- Handrails&guards installed & sec ureMechanical ... �.,... .... . .. _ ,.ry ......, Pool Safety Pool o .... n Site Surface water alarm Date of CO issuance o?0 .....�. , ..... ... _ ..�a Door alarms Pool completely enclosed .. „ Pool fence to code requirement Self closing/latching gatess.... w_ .....w_. ._. ...�.. .e. e,. ........-._�........� ...._........_ �....w..� .......oitems present Prior Rental ... .. �... .��.. Prior �. �� CO's for all . pp [Comments:. P . .._ ! .�-.._.�. .... , ... ......... .. _...... �.. 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DlGtovanni& i Associates I _ Architects I 10 E [ P@9®p 679-362{ i ' �;- i f r : - ., 00011ANCY OR 'F1 H5NJT CERTIF At _CC PANCV E - i APPR6VEbAS NOTES NOTE: :_ALL P6T6 CChTLYTO MS COJE �[��XX� <. �M �# �cik4i l05 Pw HAY ESfiPE _. an a xn..x9v d wsz oar w ,.A *x�. ==42:44. ..ca cec n.+t• f/ ue ac ��.��.��x+T € � I 2&NLn546N6WePgT50R eKP�S f fib.�iCk�f6-�i0J[sC.l. �� � - MS ( ( I 5.K6 RCGt6 cGTF_Y T6 NYS f�€r2R (� M � •� -- _. _ � KOSMYNKA a.Ati w�oav,aee rasn�as ro E€ i RESIDENCE � ne sue�laeAw a�nn uNaess -. -TS� t € ire 1 a@esxw l mm79w Lik law 's '- s.Au cas9weno-x s Ewsnr+t,erl.g 4" QdCit011gUC,NY - I �PkaY-YIF Rllt31W W¢KIFKAL - � g Ist$ 2nd Floor i and Site Plans,Notes i g LIfAG :�� � A� n. A-1 Tsereanon neauREo :'T A _ -. t DAA .: 3 DiGiovanni& Associates CU i " �. _ s➢W.OY E965➢ ? ���, 131848P4•d528 } W18t61 Pdi4 S]➢ p , s n I 15 I KOSMYNKA RESIDENCE vtm ubw L.W froi E'. 3 1 r THOLD PROPERTY RECORD CAR OWNERISTREET VILLAGE DIST.! SUB. LOT��r FORMER OWNER ! N E ACR. , Zi = S , W TYPE OF BUILDING' - on RES. SEAS. i VL. FARM COMM. CB. MICS. Mkt. Value LAND IMP. TOTAL DATE REMARKS 1 e I r, R e m. sCo Fe s { a AGE BUILDING CONDITION NEW NORMAL BELOW ABOVE FARM Acre Value Per Value Acre _. Tillable FRONTAGE ON WATER { Woodland FRONTAGE ON ROAD Meadowland DEPTH House Plot BULKHEAD Total DOCK r Am r OLORR IM f . E = r , k a= s ��y��" 104.4-30 7/12 z, _ 777 M. Bldg. k Extension — Extension F Extension _ r6undotion ;Bath f, 5 Dinette a _ ?oxo ; # - �, Basement - Floors K. Ext. Walls lInterior Finish =LR. Pgx" z Breezeway Fire Place ., 'Heat DR. A !Type Roof Rooms 1 st Floor BR. s Patio e _ Recreation Room I Rooms 2nd Floor :=- FIN. B O. B. Dormer. Driveway 1 ? t Total = - Volm NO. 4 TOWN OF SO OLD BUILDING DEPARTMENT Town ClerVa Office Southold, N. Y. Certificate Of Occupancy No.Z 904 . . . . . . Date . . . . . . . . . . . . .May. . .11 . . . . . . .. 19.7+. 'THIS CERTIFIES that the building located at 113 C .dc. Horton.Vit. . . . . . . Street Map Nol4assan. lin. . No. . . . . . . . . . .Lot No. . .P ."t 1?1 . . . .�t+ 3��M . . ..��►Z� conforms substantially to the Application for Building Permit heretofore filed in this office dated . . . . . . . . . .Nab! . .20. . . ., 192 . pursuant to which Building Permit No. 64.7.82. . dated . . . . . . . Apr. A2. . . . . . ., 1973., 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 . P.rivate.one .family. . ,.02nd. door .being..a lat*4). The certificate is issued to . . . . 'r 1r. YAUP. Ar. . . . . . . • . . . . . . . . . . . . . • . . • . . . . . . (owner, lessee or tenant) of the aforesaid building. Suffolk County Department of Health Approval . . . . .(. 0. tow. G/0 . . . . . UNDERWRITERS CERTIFICATE No. . . . . . . . . . . . . . . . HOUSE NUMBER . .900 -UU4. Street . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . 600 Hortes Rd . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Buduag Inspector Town of Southold Annex 316/2012 (I j4 P1 Nk P.O.Box 1179 54375 Main Road Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 35469Date: 3/6/2012 THIS CERTIFIES that the building RESIDENTIAL ALTERATION Location of Property; 900 Lilac Ln,Cutchogue, SCTM#: 473889 Sec/Block/Lot: 104.-1-30 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Budding Permit heretofore filed in this officed dated 10/24/2011 pursuant to which Building Permit No. 36804 dated 11/9/201 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 tq 44K x g�,f 4mily dwejjig a it DLJ - The certificate is issued to 900 Lilac Ln. LLC (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 36804 2/10/12 PLUMBERS CERTIFICATION DATED 2/8/12 Burts Reliable �12 - 4--­ �tho-­�edSi;Signature Town of Southold 7/18/2016 �. P.O.Box 1179 53095 Main Rd Southold,New York 11971 CERTIFICATE F OCCUPANCY No: 38391 Date: 7/18/2016 THIS CERTIFIES that the building IN GROUND POOL Location of Property: 900 Lilac Ln,Cutchogue SCTM#: 473889 Sec/Block/Lot: 104.4-30 Subdivisio • • • n; Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 9/17/2015 pursuant to which Building Permit No. 40124 dated 9/28/2015 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: ACF aC!1 ""ir"1:N R,ClUNl3�a" I' kll " "POO;I� p"f?NCI3 T �' DIS .AS, ,PLII�D 1*OR The certificate Robin e is issued to Sweeny, ......._....,_.._....�w...........�_,_.._.,. .�.... ww _.....m,._....�.._ .._ ........mm..`_� of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 40124 12-15-2015 PLUMBERS CERTIFICATION DATED Aut Si at KK .'' tllt�� Town of Southold 1/3/2024 C► 4, P.O.Box 1179 j 53095 Main Rd Southold,New York 11971 .:a ,w CERTIFICATE OF OCCUPANCY No: 44865 Date 1/3/2024 THIS CERTIFIES that the building AS BUILT ALTERATION Location of Property: 900 Lilac Ln, Cutc ogue SCTM#: 473889 Sec/Block/Lot: 104.-1-30 ... ........ . ........ Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 11/8/2023 pursuant to which Building Permit No. 50066 dated 11/28/2023 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: "� Ili t' mIt ratio r►s rnclud,l�l�c�cjqtrgj,qtr con iti nr iig rjci g s r, gggj. qr t�n�w��nlrlcaµkmm a���,l �c��r�l� n a� ap,aic . for. The certificate is issued to Touhey, Colin of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 50066 12/13/2023 PLUMBERS CERTIFICATION DATED �.... rt e i 11 'fir A1�At�1 °,