HomeMy WebLinkAbout1000-60.-1-1 TOWN OF SOUTHOLD
Rental Permit
0898
Owner Michael & Patricia Coyle
Occupied as Single Family Dwelling
Located at 1975 Youngs Avenue Southold 60.4-1
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.
5/9/2023 U"WLI
ads of rc rpt Official
This Notice must be posted by the main entrance at all times
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Town Hall Annex - Telephone(631)765-1802
54375 Main Road �� � - Fax(631)765-9502
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I .O.Box 1 179
Southold,NY 11971-0959eh
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BUILDING DEPARTMENT
TOWN OF SOUTHOLD
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RENTAL PERMIT APPLICATION iAPR 2 5 2023
Rental Permit Fee $200 (Application must be renewed every two yf�
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Sectioo
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Property Information:
Rental Property Address:
---LIT � --� )/ I Iq-7
Tax Map Number:. _ .._ ...._
1000 SECTION �...,��..re...�,_, -BLOCK o -LOT
SECTION B.
OWNER INFORMATION:
._..._.�.A cl-5L °�' .. � C W�.�_�.�..�. ��[- _.._ . ... �_ ._... ..
Property Owner Name, J,4 I-�f��l� .. .._.__�.� `'.._�...._,_�.. ...._..��._.
Property Owner Legal Address: Property Owner Mailing Address:
Aj
-75717 6�3/-
Telephone Number (s): Daytimey/,�/- 757• >f-7.,-Evening Emergency
Property
._.
Pro ert Owner Email Address: .. r'�> 9.. je co, Xo 1,C
Page 1 of 5
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Town Half Annex Telephone(631)765-1802
54375 Main Road Fax(631)765-9502
a� 6r
P.O.Box 1179
Southold,NY 11971-0959
BUILDING DEPARTMENT
TOWN OF S UTHOLD
Section C.
Authorized Agent Information:
Name of Authorized Agent of dwelling unit, if any:
Address of Authorized Agent (no P.O.
Mailing Address of Authorized Agent:
Telephone Number (s): Daytime_, ___„ M,� vening,_m_..__,_..,�..............._. Emergency---,.
EmailAddress: ..._._. _...... .._... _ .._M__. ._..M.....__�..�...�_�.�....,_.. ....... .w�w�... . ..w..�.�., ..._.�._._.. .. .. .._..,. _ ...._�.......�.w. _..�.�.�, .._.,._..._,
Section D.
Managing Agent Information:
Name of Authorized Agent of dwelling unit, if any: _.,., ._. . ,,.,,.. _.._...., w__, ...._._��� .w_..�_,�..............._�
Address of Authorized (Agent no P.O. Boxes):—__u
g
Mailing Address of Authorized Agent: .___._,.
(
Number one
Tele hs): Daytime _.... ... ...__....._..�7//"Evening- Emergency----.-----,., .._
Telephone
Email Address: ..
SECTION E.
SITE MANAGER INFORMATION: (required r rental properties containing 8 or more rental units)
Name of Managing Agent of dwelling uni if any ._._._.._.._.w. _w .._. ....... _.. ... .. .. ...._..w.. _.......
Address of Managing Agent (no P.Ox oxes): ...w...._... ._. _�_�_..�_. _.._..,.._....���...-....._.,...............�._. __��.. ._._�_. ,,__-._.. __. _ ._
Page 2 of 5
Town Hall Annex Telephone(631)765-1802
54375 Main Road a � � � Fax (631)765--95012
V,!
11.0. Box 1 179 r
Southold,NY 11971-0959
BUILDING DEPARTMENT
TOWN OF SO THOLD
Mailing Address of Managing Agent:
Telephone Number (s): Daytime _ _ Eveni gu _ Emergency _
Email Address:
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SECTION F.
PROPERTY DESCRIPTION:
Number of Rental Dwelling Units on property .. ._..... .. _....... ........._......�__� .. ..w__w_.w.. . .
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: _......w�.1�_.� _�..__��. .. .__.._.. ........_.__ _..... .,,..a.__.. � ....... � ._.._
Requested Maximum number of persons allowed to occupy Dwelling Unit'
Number of rooms in Rental Dwelling Unit: _ "
Use and Dimensions,of each roam in Rental 10e l nit:� 1� �+✓� .M_. ..... ,
._us E : bid I P-oo� _ I. �� � .�a/ � � 3:U-se
K -rC146rl,�...L:
o6N �3' sc: eg,beeo Y6 D c /N� 1 ,/ /3'
to 56 M rJ� ..b G.t S E..° age o 5
� -'Celephone{53 l)765-I R02
Town Hall Annex
54375 Main Roar! j, Fax(531)765-9502
P.O.Box 1179
Southold.NY 11971-0959
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
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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.
f/- , 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)�)
lib ° mmmom M certify under penalty of perjury, the following:
1. I 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
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applicable laws and miles. 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, Managing Agent, or Site Manager.
Property Owners Name: ,
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Property Owner's Signature: ..
Sworn to b ore e thi day of
official Not Pub Ic Signature a original Notary Stamp
DOUGLAS P DOWDLE
Notary Public State of New York
NO. 01D06120199
Qualified in Suffolk County
My Commission Expires Dec 13, 2024
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Page 5 of 5
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*, TOWN OF SOUTHOLD BUILDING D1
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631 -765-1802
INSPEC ION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[ j FOUNDATION TND [ ] INSULATION/CAL
[ j FRAMING / STRAPPING [ ] INAL
[ j FIREPLACE & CHIMNEY [ FIRE SAFETY WE.
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PEI
[ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL
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[ ] CODE VIOLATION [ ] PRE [ F
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DATE ' INSPECTOR
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3 TOWN OF SOUTHOLD PROPERTY RECORD CARD
OWNER STREET VILLAGE VILLAGE DIST- SUB LOT
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ACR. REMARKS .
TYPE OF BLD
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CLASS
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LAND IMP. TOTAL DATE
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FRONTAGE ON WATER HOUSE/LOT
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TOWN OF SOUTH LD PROPERTY RECt
VILLAGE IST.," SUBLOT
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FORMER.OWNE" N E ACR.
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RES. i,-, SEAS. VL. FARM 1 COMM. -CB MICS. Mkt. Value
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LAND IMP. TOTAL
DATE REMARKS
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AGE BUILDING CONDITION
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NEW NORMAL BELOW ABOVE
Ap Acre Vale Per Value
Acre
riltcble FRONTAGE ON WATER
FRONTAGE ON ROAD
Woodland 6
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BULKHEAD
House Plot
Total DOCK
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Patio _ ,� Recreation Room Rooms 2nd Floor F!NI B��
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FORM NO.4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
Certificate Of Occupancy
210765 November 6 µ, l9 . 81
No. . . , , . , . » » . , . . . . . . Date . . » » . . » » . » » . . . . . » . » » » . . . , . . .
THIS CERTIFIES that the building . , . » , . . . » . » . . „ . . . . . . . . . » » . . . . » . . . . . » . » .
1975 Youngs Avenue Southold, New York
Locationof Property . . . . , . . . . . » . . . . . . . . . . . . . . , . . » » » . » . . . . . . » » » . » . . .
l-louse oto» Striver 1 »HaavaPei
County Tax Map No. 1000 Section . . . . 160, . . . .Block . . . . .i . » » . . . . . .Lot » . . . » . . . . » . . . . . . »
Subdivision . . . . . . . . . . . » . » . . . „ . . . . . . . . . . . .Filed Map No. . » » » . . . .Lot No. . . , .
II a rementa for a�One 'a�amil Dwelling Built-Prior to
conforms substantially to the A " 'erini1reto"ofled in this office dated
April 23 Certificate of Occupancy Z10765»
. . . . . . . . . . . . . . . . . . . . . 319 5.l pursuant to whic P rrQg°V 1 'W0__ . . . . . .
November 6 81
dated . . . 1 . 1 - - . - . . . . . . . . . . » . . 19 . . . ,was issued,and conforms to aU of the requirements
of the applicable provisions of the law. The occupancy for which this certificate is issued is . . . . . . . » .
One Family Dwelling
The certificate is issued to . , , George J. Mohr A Wf.
of the aforesaid building.
Suffolk County Department of Health Approval . . . . N/R . . . . . . . . . . . . » . . » .. . . . . . . . . . » . »
UNDERWRITERS CERTIFICATE NO. . . . . . N,1R. . . . . . . . . » . » . . . ., » . . . . . . . . . . . . . . . . » . . ,
Zw 5 � zet-
. . . . . . . . . . . . . .
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Building Inspector
Rev.1/81
Re: Premises owned by George J. Mahr
and Mary A. Mahr (1000-60-1-1)
STATE OF NEW YORK)
SS:
COUNTY OF SUFFOLK)
ROBERT W. TASKER, being duly sworn deposes and says:
That he resides at 202 Sixth Street, Greenport, New York;
That he is an attorney duly admitted to practice as such in the State of New York
and maintains an office at 425 Main Street, Greenport, New York. That deponent
is the attorney for George J. Mahr andMary A. Mahr who are the owners of a
parcel of land on the west side of Youngs Avenue (also known as Railroad Avenue).
Said parcel contains approximately one-half acre of land and is shown on the survey
map prepared by John P. Ferrantello.
That this affidavit is submitted to the Building Inspector of the
Town of Southold for purposes of establishing the fact that the premises in question
were held in single and separate ownership prior to the adoption of the zoning
ordinance of the Town of Southold and said single and separate ownership has con-
tinued uninterrupted to the present time. A survey map of the premises is attached
hereto.
That I have searched the title to the above premises from 1942 to
date and I find the following deeds, copies of which are likewise attached hereto, to
wit:
a) Deed dated November 19, 1942 made by Mabel P. Monsell and
Clara P. Lee to Henry F. Cornils which deed was recorded in the Suffolk County
Clerk's Office in Liber 2269 of deeds at page 115.
b) Deed dated May 11, 1944 from Henry F. Cornils to Inez B.
Stellmann which deed was recorded in the Suffolk County Clerk's Office on May 15,
1944 in Liber 2358 of deeds at page 133.
c) Deed dated July 14, 1945 from Inez Kaelin (formerly Inez
Stellmann) to Ernest C. Maier which deed was recorded in the Suffolk County Clerk's
Office on July 16, 1945 in Liber 2464 of deeds at page 12.
d) Deed dated April 12, 1968 from Ernest C. Maier to James E.
Kirby, Commissioner of Social Services of Suffolk County, which deed was recorded
on May 8, 1968 in Liber 6344 of deeds at page 439.
e) Deed dated August 13, 1975 from James E. Kirby to George
J. Mahr and Mary A. Mahr which deed was recorded in the Suffolk County Clerk's
Office on August 15, 1975 in Liber 7892 of deeds at page 455.
That as is evident from the attached deeds, title to this property
has been in single and separate ownership since 1942 to the present day and,
accordingly, the premises constitute preexisting, nonconforming parcel of land
and, accordingly, a certificate from the Building inspector should be issued certifying
to this fact. It is also pointed out that in all of the deeds mentioned herein reference
to a dwelling being located on the premises is made.
Robert W. Tasker
Sworn to before me this
f
day of4rPmL e e, 1981
Notary Public
Notary Public. 5 cat New'Yo1*
No, bra 0344993 suttee to Coun
19
FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No Z-19133 Date JUNE 11 1990
THIS CERTIFIES that the building ADD.1TION
Location of Property 1975 YOUNGS AVENUE SOUTHOLD N.Y.
House No. Street Hamlet
County Tax Map No. 1000 Section 60 Block 01 Lot 01
Subdivision Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated MARCH 1 1982. ursuant to which
Building Permit No. 11600-Z dated APRIL 8 1982
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 FIREPLACE ADDITION TO EXISTING ONE FAMILY DWELLING
The certificate is issued to MARILYN G. LAMBERT
(owner)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A
UNDERWRITERS CERTIFICATE NO. NIA
PLUMBERS CERTIFICATION DATED N/A
tariding Inspector
Rev. 1/81
o gy
FORM NO. 4
TOWN OF SOUTHOLD IV Q Lpr IJS
BUILDING DEPARTMENT
office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No Z-19149 Date JUNE 14 1990
THIS CERTIFIES that the building ADDITION
Location of Property 1975 YOUNGS AVENUE- SOUTHOLD N.Y.
House No. Street Hamlet
County Tax Map No. 1000 Section 60 Block. 1 Lot 1
Subdivision Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated MA" 1990 ursuant to which
Building Permit No. 19006-Z, dated. MAY ill 1994
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 FISTING ONE FAMILY DWELLING AS APPLIED FOR.
The certificate is issued to MARILYN G. LMSERT
(owner)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A
UNDERWRITERS CERTIFICATE NO.- NLA
PLUMBERS CERTIFICATION DATED ___N/A
C.'p I a
Building Onspectbr
Rev. 1/81
FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No: Z--26088 Date: 11/09/98
THIS CERTIFIES that the building ADD & ALTER
Location of Property: 1975 YOUNGS AVE SOUTHOLD
(HOUSE NO.) (STREET) (HAMLET)
County Tax Map No. 473889 Section 60 Block 1 Lot 1
Subdivision Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated APRIL 15, 1998 pursuant to which
Building Permit No. 24834-E dated MAY 15 1998
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 ADDITION & ALTERATION TO AN EXISTING ONE FAMILY DWELLING AS APPLIED
FOR.
The certificate is issued to MARY ELLEN KELLY
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A
ELECTRICAL CERTIFICATE NO. 0-463625 08/31/98
PLUMBERS CERTIFICATION DATED 08/21/98 PECONIC PLUMBING & HEAT.
sul0ing Insp or
Rev. 1/81