Loading...
HomeMy WebLinkAbout1000-117.-6-19.3 a, c TOWN OF SOUTHOLD Rental Permit 0903 Owner Richard & Pamela Fahey Occupied as Single Family Dwelling Located at 480 Kouros Road New Suffolk 117.-6-19.3 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. 5/15/2023 %1- ods € ffici This Notice must be posted by the main entrance at all times hf ,r S so Town Hall Annex �° Telephone(631)765-1802 54375 Main R6ad p Fax(631)765-9502 P.O.Box 1 179 Southold,NY 1 1971-0959 `° TI � I 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 Adress: / 1 Tax Map Number: 1000 SECTION ,,,_,-A0 -LOT !_�1 SECTION B. OWNER INFORMATION: Property Owner Name: . C1,G1 Property Owner Legal Address: Property Owner Mailing Address: W61 Telephone Number(s): Daytime Evening Emergency I 9 c1 S 1�— Property Owner Email Address: '�'� --- Page 1 of S SO (`Y .w Town Hall Annex Telephone(631)765-1802 54375 Main RoadFax(631)765-9502 P.O.Box 1179 Southold,NY 1 197 1-0959 BUILDING DEPARTMENT TOWN OF SOUTHOLD Mailing Address of Managing Agent:__ Telephone Number(s): Daytime Evening Emergency_. Email Address:. SECTION F. PROPERTY DERIPTION: 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: www Requested Maximum number of persons allowed to occupy Dwelling U i a' Number of rooms in Rental Dwelling Unit: C�`e n Use and Dimensions of each room in Rental Dwelling Unit: kAhoo . ��ZX�y \\J C, nS k.9,v-1 �"+ �► a'8.� /o �� ,n7c, 9129-X"2-7 j3 Page 3 of 5 SO � Town Hall Annex Telephone(631)765-1802 54375 Main Road ra q Fax(631)765-9502 P_O.Box 1 179 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 fro'n the Town of Southold e[ am subnr tting a completed Town of Southold certification form from a licensed rchitect&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) Iwo \-} _ 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 Town Hall Annexe Telephone(631)765-1802 54375 Main Road ' Fax(631)765-9502 j r P.O.Box 1179 Southold,NY 11971-0959 , p4V� er4s,` BUILDING DEPARTMENT TOWN OF S+ J UTHOLD 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: 16,e,,.kN0— Property Owner's Signature: Sworn to before me this 1�-day of 2 CI 17 , Offi ial Notary Public Signatu' Origin I Notary Stamp LILLIANNA R KIEL Notary Public-state of New York No,01KI6424267 Qualified in Suffolk County My Commission Expires Oct 25, 2025 Page 5 of 5 '4f s, o qfo V-,w v-o TOWN OF SOUTHOLD BUILDING I � 6311 -765-1802 it INSPEC ION [ ] FOUNDATION 1ST [ ] ROUGH PL13G. [ ] FOUNDATION 2ND [ ] INSULATION/CAI [ ] FRAMING / STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY IN! [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PE [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL {FII I ] CODE VIOLATION [ ] PRE C/O [ '" N INSPECTORREMAR S: DATE Town Hall Annex Telephone(631)765-18021 14375 Main Road Fax(631)765-9502 P.O.Box I l79 Southold.NY 11971-0959 BUILDING DEPARTMENT TOWN OF SOUTHOLD 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 leqyh _)'ic-e se(f Amar I (- , Enrlim,,er _ Rental Property SCTM Number: Rental Property Address: LTo OaSA- Owner/Name: A;2) CA., Rental Dwelling Unit Identifier: Number&Square footage of each bedroom as depicted in the attached floor plan: e. Bedroom#t1-100 sq.,Bedroom#2-90 sq.,etc.) la? .......... ...... Property Description (include all improvements indicated on survey) ........... have done a physcal urj5pecjj(>rjof thesubject rental dwelling unit and find thatit c,)jrr�rdies with all the pro%Asaorrs&the Code of the Town of Southold, the Residential Code fr,,,,rk State,the BuiKng Code of New York,State,the Plumbing Code of Neve York State, the Fuel Gas Code of New York State,and the Energy Conservation Coristru0on Code of New York State vrwrr kel Print Name and Title ori rg.— Signature Please place professional seal: Ground floor/basement ---------- 18'710 Utility Room Garage ti CO detector 1 k IA- itb Denotes smoke detector F q Denotes CO alarm 1 st Floor L< Vi 1 51 r Bedroom #1 168 sq ft y I i w fr77 L—A A—A C\I C\j rav! 71 Bedroom #2 126 sq ft ,J,41) )Denotes smoke detector Denotes CO alarm 2nd Floor Closet/Storage Closet ff Bedroom #3 161 Sq ft F { _g r•.4 Closet/Storage Closet IA Denotes smoke detector Denotes CO alarm TOWN OF SOUTHOLD PROPERTY RECORCI Di ��YN STREET 01A VILLAGE SUB. LOT ,FORMER OWNER L h a sera 4 � N E ACR. S W TYPE OF BUILDING .3anuic, iK RES. SEAS. VL. FARM comm. CB, mics. Mkt. Value LAND Imp- i TOTAL DATE REMARKS S.. (0 A— L i7 7 A- 7, ,e ic Y nvil j I Tillable FRONTAGE ON WATER_ Woodland FRONTAGE ON ROAD Meadowland DEPTH House Plot bn(n -7,p BULKHEAD TF Toto I g DLOR TRIM A , i s 117.-6-14.3 1108 -g - `/ ILL M. Bldg • Ext -.i t Jr D T / �I �r t '� 4 L.J l P d b• - - - � s I r i L _ m e _ t � E tension i Extension Foundation [ �; ' Bath n _ Dinette ette ` s Basement fi s,t Floors - K -PQ"h y, Ext. Walls .Y Int Finish � f I SLR Breezeway Fire Place t ; Heat !� QR, T e Garage �; � � _ yp Roof Rooms 1st Floor �BR Patio — ? 7 Recreation Room. Rooms 2nd Floor FIN. B ' - 0. B. ' Dormer Driveway i Total 3 ; jL�ln� I I TOWN OF S UTHOLD PR PERTY � � R -- w BARD OWNER �STR �-�EET VILLAGE DIST . SUB. LOT FORMER OWNER I N tf E ,� ,. ACR. �3 —I_13 --_ W TYPE OF BUILDING HOS RES. 2 1 SEAS, VL. FARM COMM. CB. MICS. Mkt. Value � e LAND I IMPz TOTAL DATE REMARKS J; - _ 4 i i i I I [ I f f[ Tillable FRONTAGE ON WATER! Woodland I = ; FRONTAGE ON ROAD I Meadowland DEPTH House Plot BULKHEAD Tota FORM NO.4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Clerk's Office Southold, N.Y. Certificate Of Occupancy No. . 66 . . . . . . . , . . . Date . . . . . September. 4 . . . . . . . . . . . . .. 19 -7.9 THIS CERTIFIES that the building . . . . . . . . . . . . . . . . . . . . » . . „ . . , . . . . . . . . . . . . . . , . . . . Location of Property 48�! Kouros RaBd s. . . . . . . . . . . . . . . . . .IgM. &uffDo.k. . . Hou No. t Pt. of 19HOMiei County Tax Map No. 1000 Section . .117. . . . . . .Block . . . —96 96 . . . . . .Lot .F.t... .Of. .18. . . . . Subdivision . . . . . . . . . . , . „ . . . . . . , . . . „ . . . . . . .Filed Map No. . „ . . . . . .Lot No. . . .. .. . . . » . . . conforms substantially to the Application for Building Permit heretofore filed in this office dated . .Se ? ae . . . . . . . 19 78 pursuant to which Building Permit No. . .995?. . . . . . . . . . . . . . . dated , „ .§"o. : ` r 25 . . . . . . . . . . . . . . . . 1978. ,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 , . . . . . . . . Private One Family Dwelling. . , . . . . . . m . .. . . „ . . . . . . . . The certificate is issued to „ . Albin J' viek „ „ . R . . tessie„er'tewr�'rlrt of the aforesaid building. Suffolk County Department of Health Approval . . .August .30,. .1.979. - El.. A. .Villa. . . UNDERWRITERS CERTIFICATE NO. . N443962. . . „ . . . . . „ . . , . . . . . . . 3. . . . . . . . . . . . . . . . . � � . Buil , „ Building Inspector Rev 4ng FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-33845 Date: 07/23/09 THIS CERTIFIES that the building SWIMMING POOL_. ...... ...... ..._ .,_ Location of Property. 480 KOUROS RD �µ NEW SUFFOLK �m (HOUSE NO. ) (STREET) (HAMLET) Section 117 Block 6 Lot 19.3 County Tax Map No. 4...........73889�...._... ........_..._.. Subdivision �m Filed Map No. Lot NO. conforms substantially to the Application for Building Permit heretofore filed in this office dated _ JULY 13 2009 pursuant to which �5dated JULY 13, 20 Building Permit No_ 34855-Z 09`�..........._. .... 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 ACCESSORY IN GROUND SWIMMING POOL WITH FENCE TO CODE AS APPLIED FOR. The certificate is issued to ERIKA SHAPIRO (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. 7532 04/09/07 FLUIMERS CERTIFICATION DATED N/A _............... Autigrized Signature Rev. 1/81 , t► f01 Town of Southold 9/1/2023 P.O.Box 1179 53095 Main Rd Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 44516 Date: 9/1/2023 THIS CERTIFIES that the building ALTERATION Location of Properly: 480 Kouros Rd,New Suffolk SCTM#: 473889 Sec/Block/Lot: 117.449.3 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 12/15/2022 pursuant to which Building Permit No. 48783 dated 1/23/2023 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: "asilli""g4diticns an alterationsracl din��ais add to l ent :recreation roorr�and athr oma to �ci tib sin 1 i1 dwellin as a lied for. The certificate is issued to Fahey,Richard&Pamela of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 48783 4/4/2023 PLUMBERS CERTIFICATION DATED 3/1/2023 rd umbing U A, rite inature, STATE OF NEW YORK Be it known that Robert Bennett has successfully completed the requirements of a Basic Code Enforcement Training Program established by the Minimum Standards for Code Enforcement Personnel (19 NYCRR Part 1208) in the State of New York as a: BUILDING SAFETY INSPECTOR John R.Addario,P.E., Director Division of Building Standards and Codes Buildin Standards Certification No. B0121-0001 g and Codes To maintain this certification,such person must satisfy annual in-service trainining requirements and advanced in-service training.