The URL can be used to link to this page

Home My WebLink About1000-70.-8-27 a TOWN F SOUTHOLD Rental Permit 1074 Owner Victor & Maude Schwartz Occupied as Single Family Dwelling Located at 145 Custer Avenue Southold 70.-8-27 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 dor ent Offici This Notice must be posted by the main entrance at all times X121 Zq Pa�f 560 TOWN OF SOUTHOLD-BUILDING DEPARTMENT Town Hall Annex 54375 Main Road P. O. Box 1179 Southold, NY 11971-0959 Telephone (631) 765-1802 Fax (631) 765-9502 htt)s 1.-://www RENTAL PERMIT APPLICATION Rental Permit Fee $300 (Application must be renewed every two years 024 Section A. Property Information: Rental Property Address: Tax Map Number: 1000 SECTION Djjo--BLOCK__o A -LOT jU2�7 SECTION B. OWNER INFORMATION: Wd,L- 0_ Z Property Owner Name: )l n (A—rf- L_ Property Owner Legal Address: Property Owner Mailing Address: (Cannot be the same as Rental Property Address) 300 Telephone Number (s): Daytime Fw'�10`11 - Evening_ Emergency Property Owner Email Address: jr � 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: Number of rooms in Rental Dwelling Unit:. Use and Dimensions of each room in Rental Dwelling Unit: el . ynJ t� �� ' c P nAll 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. ❑ lam requesting afire 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. Page 3 of 4 SECTION H. DECLARATION: Signature must be notarized and MUST be the owner of the dwelling unit. STATE OF NEW YORK) ) COUNTY OF SUFFOLK) 1 � 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 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. 1 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 s to any change to the information regarding Authorized Agent, Managing Agent, or Site Manager. Property Owner's Name: Property Owner's Signature:/ ' °��,. it A �� 2 ' Sworn to before me thi,)nly of ,<L 20a 7 Official Notary Public Signature and Original Notary Stamp CONNIE D.BUNCH Notary Public,State of New York No.01 BU6185050 Qualified in Suffolk County Page 4 of 4 Commission Exp7ree April 14,2-M;q of so *,, TOWN OF SOUTHOLD BUILDING DI m - r INSPEC ION [ ] FOUNDATION IST [ ] ROUGH PLEG. [ ] FOUNDATION 2ND [ ] INSULATION/CAl [ ] FRAMING / STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY IN! [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PE [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL {FII [ ] CODE VIOLATION [ ] PRE C/O [ 'l REMARKS: DATE INSPECTOR Town Hall Annex Town of Southold 54375 Main Road PO Box 1179 Rental Inspection Report Southold, NY 11971-1179 Tel: 631-765-1802 01 Date Phone Owner Address Visible Hamlet Inspector vl�C . IFloor Level Quantities Sub 1 2 3 Smoke Detectors( tot located in bedrooms) t� Carbon Monoxide Detectors i Fire Extinguishers Exits .. Bedrooms ._..� f...... �.3 �. .. 6_ . Smoke ...Detectors Egress _..... _ .-------, ..�. occupant Count . uildi�n. Systems.M, .aintained &Operational Condition of Property_,... ... . t,... c i".. interior Heating Buckling �nteor Hot water Building exterior gym... ....�"�,� . .Electrical Property Pro rty clean, maintained &safe � . . Mechanical Handrails&guards installed&secure �.."� Mechanical. .�.._..,. ...w. ,�e �_m_..a.. _w.�. �.w.. ._. �. ... �.�....... ... ... Poo) l on Site Surface water alarm Date of CO issuance ��m.," �aw ," "" ...�" . a �_...".�. . .. n., 'Door alarms j Pool completely enclosed _ .. Pool fence to code requirements coq ;Self closet latching ates......M. ._.._ CO's for all items present i Prior Rental (Comments. _.. ........e SCbll •%•N ronbcv,a�n� yn�xaD__- ---'yvl-'"espovvlce.a.�p' Z5 —tl Htl NOIl]f1a1sNOJ tlO N0— aD3 31015NOtlS3a lAN S300J ":""""""""""`":'::::::::::::•::•'" ' AOn3N3 7 NOI1Jf1111SNOJ A N 3H1 i0 SIfflW�tllno3tl 3N1 I 133W o llNOI1Jf 16VCJ C J a0i 3131cWi 398 isnW N:.I__Y.,SNVI Insm Y DN�xwnla a:Nlwvai-I•onoa x ...... ......:_ ...._:. ... .:... _ .......,......,......�..:..»,... . 31.anJ o] nn"aoi S VOIIJ 5 I 10110] 4 3N1 alOf Y 3 O Y!V G ZJ31 59L b±bN V Y"'Gb'! W p�" pm��thMP .. � � mom- MW ..•.......,' � N �" i ..... ... ""' k791f3NN SY G...0✓�+dHM d/y "a ". J. nv;j G "ate� ....�, ° � / •,r"^dY -d ...., ,,a:��,,.....,._,.:...... I. " � ..'7'.rW^v'^ aa,~•r .fi+,a zo-c... a � �vu.{�,�°„�":w',r•�n�mw: ,,., +� �.^.`. ..'"^ � P`M. ..,fl: �t��.� .,..".1 �- 6^, f o o ao� pY/�C�' v S "Tiijigo �ax90' 4 10 1 nnq ^4l,.p'Wi«M} rn IL w'mw».T ..., � .. .,.,.. ...' ..,.,.:.:..w. :'..'............ ..................�..�.,.,...m..,wd,�, .. ye,." ..,...�,...� b., Y �1c1 7d „%Ix„B FFF �k xM k tl i� V 4k r� I (� o SCTM # TOWN OF SOUTHOLD PROPERTY RECORD CAR! OWNER STREET P� VILLAGE DIST SUB. LOT ACR. REMARKS ~ TYPE OF BLD_ PROP. CLASS LAND IMP TOTAL DATE F d f f FRONTAGE ON WATER HOUSE/LOT I i f BULKHEAD ' TOTAL TOWN OF SOUTHOLD PROPERTY REO '3� P4;0_ STREET VILLAGE DI ST.' SUB. LOT .. ........ e. Z FORMER OWNERI-1110,",e 14 g E ACR, W TYPE OF BUILDING r7�e RES, SEAS. VII. FARM 'COMM. CB. MISC. Mkt. Value LAND lmp. TOTAL DATE = REMARKS - -7 mm -7 AGE BUILDING CONDITION NW NORMAL 1 BELOW A B CD V 17" f F,kRtv Acre Value Per value � I - J, -- - 11, ",1"f" - �� -I , , ?, jj tit, Acre 'J Z Tillable I Tillable 2 Tillable 3 Woodland Swumpkind !FRONTAGE ON `NATER Brushland FRONTAGE ON ROAD House Plot DEPTH BULKHEAD Total !DOCK t COLOR l r�� i _ T l i , f „ l „ x t , I t TRIMjj i „ t a —4— _ t , } ' c ndatEcr ` Bath Dinette' M. B. g Extension Basement Floors ir K- Extension ,Ext. Walls 1 Interior Finish l 3, i Extension Fire Place ; Heat Type Root Rooms 1st Floor F BR. l Porch lRecreation Room; 11Rooms2nd Floor! FIN. B- .. �, Dormer j Breezeway I Driveway F I Garage t ! „ Patio Tota! FORM NO,4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold,N.Y. Certificate Of Occupancy No. Z 1:3. 0.7 .. . . . . . . . Date , . . . . . . . October . . . . . . . . . . . . . . .. 19 .8 5 THIS CERTIFIES that the building . . .NNW. .PW11X49. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Location of Property 14 5 . . . . . . . . .Ouster Ave. . . . . . . . . . . . .Southold . . Haase/Vd. Street Hamlet County Tax Map No. 1000 Section . . . 9 7 0 . . . . .Block . . . 08. . . . . . . . . .Lot . . . . 2.7 . . . . . . . . . . Subdivision . ,Fa irview. Park. . . . . . . „ ..Filed Map No. .�S 8 8. . .Lot No. . . .? . . . . . . . conforms substantially to the Application for Building Permit heretofore filed in this office dated APri 1. . . . .12. . . . , 1 g 5,pursuant to which Building Permit No. , . 13 8 9 3 Z . . . . . . . y M dated . . . . . . r.il , . 2.6 . . . . . . . , . . . 19 85,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 . . . . . . . . . - --- New. Private.One Family Dwelling w - - - M . w The certificate is issued to . . . . . . I . . . . . . .BUTKOV1CH, GARB" . . . . . . . . . . . . . . . . . . of the aforesaid building. Suffolk County Department of Health Approval . . . . . . . 185. .- .So. .- .48. . . . , . . . . . • . • . . . . . . „ UNDERWRITERS CERTIFICATE NO. . . . . . . . . . . . . . . .N703479 M . . . . . . . . . . . . . . . . . . . . . .00 Building Inspector Rev.1/81