The URL can be used to link to this page

Home My WebLink About1000-64.-2-30 :a TOWN OF SOUTHOLD Rental Permit ff 1076 Owner Anne Bertelsen Occupied as Single Family Dwelling Located at 145 Founders Path Southold 64.-2-30 Maximum Permitted Occupancy 5 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. 2/20/2024 Code EO- rct t off id# This Notice must be posted by the main entrance at all times TOWN OF SOUTHOLD—BUILDING DEPARTMENT au'1 Town Hall Annex 54375 Main Road P. O. Box 1179 Southold,NY 11971-0959 �c7 Telephone 631 765-1802 Fax 631 765-9502 RENTAL PERMIT APPLICATION AN ,2 6 On24 Rental Permit Fee$300(Application must be renewed every two years) Section A. Property Information: RentalPropertyProperty Address: t-1 I 2 � Tax Map Number: 1000 SECTION -BLOCK -LOT SECTION B. OWNER INFORMATION: Property Owner Name: ` Property Owner Legal Address: Property Owner Mailing Address: (Cannot be the same as Rental Property Address) L4 T),1 Telephone Number (s): Daytime qT3` 0 rrrr Emergency Property Owner Email Address: IVIJry km Ll C 1,0 qTLM k,-- . 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: �^ Requested Maximum number of persons allowed to occupy Dwelling Unit: J Number of rooms in Rental Dwelling Unit: Use and Dimensions of each room in Rental Dwelling Unit: w r lwkyA I ouol . ayA' H'to,► 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. ` L 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 ��qf so TOWN OF SOUTHOLD BUILDING D 631 -765-1802 INSPEC ION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION/CAI [ ] FRAMING / STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY IN [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PE [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FII [ ] CODE VIOLATION [ ] PRE C/O [ Oil ok- 5 PLe�?r\ DATE INSPECTOR m n LA vi LA 0 z m LA D rco > LA c? m > o --i -P� 0 ;u M m X x ;10 0 x CO = x I- m 0 C:) c5 m 0 .rn > C3 xx 00Z 0 02 CD orn m 0 - 0 x ;o 0 F- 0 cn x F� r) Town Hall Annex Town of Southold 54375 Main Road Rental Inspection Report PO Box 1179 Southold, NY 11971-1179 Tel: 631-765-1802 �� SDate CTM# S Owner Phone I Address � " Visible Hamlet pecto .._,_.. .... ...._ .w_.._.... .._ Insr ...._. _. ..,. . Floor Level Quantities Y Smoke Detectors(not located in bedrooms) u Carbon Monoxide Detectors f ........ �. ...,......, Fire Extinguisher Exits �.u., __........__...�....... . Bedrooms ,3 Smoke Detectors Egress g �'. ...... ... .. .. ._....._ .... ..r . - Occupant Count . Building sMaintained & Operational g S Y,tems b _ . _.. _ �COndItFOn of Property Heating !Building interior . , M, ._...�.....ww ,,,, Building exterior water �..�. _ Electrical Property clean,maintained&safe MechanicalNan _ ..... . _ ... ..,.. ._ ginstalled, � cure . dra�Es& yards &se IT, ........Pool Safety -4-Pool. .�.....�....�.�.� o �e .. on Site r . Surface water alarm Date of CO issuance Door Pool completely enclose alarms se.d. afc . ..w _,.. _._ �I osing latching gates Pool fence to code reou�rements � ei `CO's for all items present �11 Priior Rental Comments TOWN OF SOUTHOLD Pt(OPERTY F -.ARD OWNER = STREET VILLAGE DISTRICT SUB. LOT T- �� Y, FORMER OWNER N E ACREAGE S W TYPE OF BUILDING RES. I SEAS. 1 VL. FARM comm. I IND. CB- misc. Est. Mkt. Value 2-le" T LAND I IMP. TOTAL DATE REMARKS t 4�f-_Q A i C, -4- AGE BUILDING CONDITION L 4 r NEW NORMAL BELOW ABOVE = FRONTAGE ON WATER Form tAcre 6- Value Per Acre Value FRONTAGE ON ROAD 41 - Tillable I BULKHEAD- Tillable 2 DOCK Tillable 3h . Lf q'iol Woodland Swampland 4- Brushland House Plot Toto I g � E s r 8 64.-2-30 2/08 �t, id ''� s Foundation oath z Extension°- ' Basement , !'i'f Floors o ` =` Extension _ Ext. Walls � `. Interior Finish Extension Fire Place Heat Porch Roof [,ape a Porch Roams l st Floor w - Patio Rooms 2nd Floor Garage = ' Driveway Dormer 0 ijr V CT o FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. PRE EXISTING CERTIFICATE OF OCCUPANCY No: Z- 27518 Date: _OI 17 THIS CERTIFIES that the building DWELLING Location of Property 145 FOUNDERS PATH SOUTHOLD (HOUSE NO.) (STREET) (HAMLET) County Tax Map No_ 473889 Section 054 Block 0002 Lot 030 Subdivision Filed Map No_ Lot No. conforms substantially to the Requirements for a ONE FAMILY DWELLING built prior to APRIL 9.,_ 1957 pursuant to which CERTIFICATE OF OCCUPANCY NUMBER Z- 27518 dated JANUARY 17,2001 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 ONE FAMILYDWELLING* The certificate is issued to JOHN & MARTHA OHLMANN ggqq..... (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED C ....._..., *PLEASE SEE ATTACHED INSPECTION REPORT. ut ized Signature Rev. 1/81 BUILDING DEPARTMENT TOWN OF SOUTHOLD HOUSING CODE INSPECTION REPORT LOCATION: 145 FOUNDERS PATH SOUTHOLD SUBDIVISION: .....w__,w..,, _ AAP NO.: LOT (S) Nium OF OWNER (S): Jf]HNgq& MARTHA OHLMANN OCCUPANCY: SINGLE FAMILY JOHN w&w MARTHA OHLMANN ,_,_ ADMITTED BY: JOHN OHLMANN _ .�... ACCOMPANIED BY: SAME KEY AVAILABLE: SUFF. CO- TAX NPiP NO_: 64,.-2-30..........................._M.M.M .M.......... SOURCE OF REQUEST: JOHN_& MARTHA R'CHTPiANN DATE: 01/11/01 DWELLING: TYPE OF CONSTRUCTION: WOOD # STORIES: 1.0 # EXITS: 3 FOUNDATION: CINDER BLOCK CELaR: PART CRAWL SPACE: TOTAL ROOMS: IST FLR.: 5 2ND FLR.: 0 3RD FLR.: 0 BATRROOK(S): 1.0 TOILET ROOM(S): 0.0 UTILITY ROOM(S) MUD PORCH TYPE: FRONT ENCLOSED DEC% TYPE: PATIO TYPE: BREEZEMAY: FIREPLACE: NONE GARAGE: .w_______.._ „„„,......_.._w___.......... DOMESTIC tiOlIMTER: YES TYPE HKATE R.: NATURAL GAS AIRCONDITIONIRG: TYPE HEAT: ,OIL WARM AIB: 011m.- ... .......... _._ _..,.„w.....w_................................... ...._........................ _........,.,..... ACCESSORY STRUCTURES: GARAGE, TYPE OF CONST.: 1 CAR WOOD/ NO ELECTRIC _ STORAGE, TYPE CONST_: SCREENED SHED SWIMMING POOL: GUEST, TYPE CONST.: OTHER: VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE LOCATION �._ DESCR'�I',P1�&0'��5 _... ._ _w_.__..j ART, a �.......� � _ w. ..._....._......_�... V M N g j � q INSPECTED BY: wr ..___......._.,,, DATE ON INSPECTION:_ 01/11/01 WN TIME START: 10:20 END: 11:05 FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y_ CERTIFICATE OF OCCUPANCY No: Z-34483 Date: 0 0 THIS CERTIFIES that the building DECK ADDITION Location of Property: - (HOUSE 145) FOUNDERS(SAREET} (HAMLET) A SOUTHOLD LET) County Tax Map No. 473889 Section 64 Block 2 Lot 30 �. .. .,,-. Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated „APRIL 2, 2010 pursuant to which Building Permit No. 35434-Z dated APRIL 2x..,.20 0 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 AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR. _.. The certificate is issued to URSULA C EVANS �,...... �, (OWNER) of the aforesaid building. SDFFOLA COUNTY DEPARTMENT OF HEALTH APPROVAL N A ....__...._. ELECTRICAL CERTIFICATE NO- PLUMBERS O_PTUMHERS dERTIFICATION DATED ------ LS .___.._........ % Au Sig �ture Rev. 1/81