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Home My WebLink About1000-52.-2-13.2 TOWN OF SOUTHOLD Rental Permit 1090 Owner 345 Old Cove Blvd LLC Occupied as Single Family Dwelling Located at 345 Old Cove Blvd. Southold 52.-2-13.2 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. 3/18/2024 � de- Enr fficial This Notice must be posted by the main entrance at all times Town Hall Annex d r Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 ISE P.O.Box 1179 Southold,NY 11971-0959 BUILDING DEPARTMENT TOWN OF SO OLD 73KW RENTAL PERMIT APPLICATION Rental Permit Fee $200 (Application must be renewed every two years) ( squ Section A. Property Information: Rental Pro y1F�ddre� i Cj o f Tax Map Number: 1000 SECTION BLOCK LOT Sz � 2 `2-- SECTION B. OWNER INFORMATION: r 1 Property ert Owner Name. v g� 1 G)qe, U,C_ Property Owner Legal Address: Property Owner Mailing Address: (Cannot be the same as Rental Property Address) q -K F 71<' P- L� t l , Telephone Number(s): Property Owner Email Address: 1 Cds E Page 1 of 4 q Section C. Authorized Agent Information: I e of Authorized Agent of dwelling unit, if any: �,C— ` C OS Nam g a Address of Authorized Agent (no P.O. Boxes): � V2LQ.0L1Z'-) Ov R-, 'm Mailing Address of Authorized Agent: �� Telephone Number(s): 16` " Email Address: . �S f. `" ' C�o ' Section D. Managing Agent Information: Name of Authorized Agent of dwelling unit, if any: Address of Authorized Agent (no P.O. Boxes): Mailing Address of Authorized Agent: Telephone Number(s): Email Address: SECTION E. SITE MANAGER INFORMATION: (required for rental properties containing 8 or more rental units) Name of Managing Agent of dwelling unit, if any: t Address of Managing Agent (no P.O. Boxes): Mailing Address of Managing Agent: Telephone Number(s): Email Address: Page 2 of 4 SECTION F. PROPERTY DESCRIPTION: ��``) Number of Rental Dwelling Units on property: Or -Ill 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 U�4e 00 Number of rooms in Rental Dwelling Unit: 40 Use an Dimensions of each room in Rental Dwelling Unit: QahL 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 NYS licensed architect, a NYS 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. Page 3 of 4 ❑ I am submitting a completed Town of Southold certification form from a licensed architect, a licensed professional engineer, or a licensed home inspector who has a valid New York State Uniform Fire Prevention Building code Certification. SECTION H. DECLARATION: Signature must be notarized and MUST be the owner of the dwelling unit. STATE OF NEW YORK) COUNTY OF SUFFOppLK) 1 ( Glc M L ` _ , 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. 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 s to any change to the information regarding Authorized Agent, Managing Agent, ,,//or Site Manager. Property Owner's Name: LIB f� OptProperty Owner's Signature: � "" Sworn to before me this g day of� _ , 20J 0( ANDREA RIVE Official Notary Public Signature and Original Notary Stamp Notary Public,State of New York No.01 R14768970 Qualified in Suffolk County Page 4 of 4 Commission Expires Nov.30,20 a L+ f � 0 _ W E ' a L? En - J P4 t [ _ Q z € m ir w= } r v ' w e WIN —LE:IX 1ST. FLOOR PLAN .x.��.n.. ,w�. vi.. SHrE(TT NO ) .-- N ` o M 0 W J Q w t C °x [ ce al o's „ W 2ND. FLOOR PLAN . .i..� ..c i E:114.=1.-0` SHEET NO: cn O W a Z LUrA � cuaa s xrn gE— C�5 v C i m F { t s s s ---------------- �t w _ns________________ i z V Z Z e € ° Q qq O Q7 - a0. fA m" � LL � cnnss cwas j � Q. s 1ST. ALTERNATIVE FLOOR PLAN SCALE: 1/4"=1€-0" DRAWN BY:7F ! 7/2/2014 g � SHEET NO: l7`�5oo" 01/b Gee- �tu� 5o,/4 *Q� TOWN OF SOUTHOLD BU LDING D 631 .765-1802 INSPECTION [ ] 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 (FI [ ] CODE VIOLATION [ ] PRE GO [ L-d( REMARKS: N 01 �YaP.t,� . n � cvk �f Sit�- � co -LAA4� P•� DATE INSPECTOR >4� o(D A> 4�7 TOWN OF SOUTHOLD BUILDING W 31 INSPECTION [ ] FOUNDATION 1 ST [ ] ROUGH PLRG. [ ] FOUNDATION 2ND [ ] INSULATION/CAI [ ] FRAMING / STRAPPING [ T L [ ] FIREPLACE & CHIMNEY [ FIRE SAFETY IN! [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PE [ ] ECTRICAL (ROUGH) [ ] ELECTRICAL (FII CODE VIOLATION [ ] PRE C/O [ INSPECTORDATE oloeo C dO -� S FIREPLACETOWN OF SOUTHOLD BUILDING I 65 INSPECTION FOUNDATION 1ST ROUGH PL13G. FOUNDATION 2ND INSULATION FRAMING / STRAPPING INAL K- 4-4v RESISTANTFIRE IFIRE RESISTANT P CODE VIOLATION J000e CAULKING DATEELECTRICAL (ROUGH) ELECTRICAL (F wt> O TOWN OF SOUTHOLD BUILDING I 765-1802 INSPECTION [ FOUNDATION 1ST [ ROUGH PLRG. [ FOUNDATION 2ND [ ] INSULATION [ FRAMING 1 STRAPPING [ ] INAL 4m�wf [ ] FIREPLACE & CHIMNEY [ FIRE SAFETY I [ ] FIRE RESISTANT CONSTRUCTION [ FIRE RESISTANT P [ ] ELECTRICAL (ROUGH) [ ELECTRICAL (F [ ] CODE VIOLATION [ ] CAULKING REMARKS. +w kew o -#-,r DATE INSPECTOR 7//F SCTM # �3 2 —L — I3 ,2. TOWN OF SOUTHOLD PROPERTY RECORD CARD OWNER STREET - VILLAGE DIST SUB. LOT r ve &vj LL >$ '�_ �J v ) F f ACR. {��,� R AcSE �— v TYPE OF BLD. \ I PROP. CLASS _ 5 4 LAND IMP- T'OTAL DATE L4s � r LZ Lq = ace *7 0 h� k � I � r�a + FRONTAGE ON WATER no HOUSE/LOT BULKHEAD TOTAL e� COLOR , TRIM S2.-2-13.2 09/2016 I1 = t st 2nd cB M, Bldg. — i-�Q d 5 Foundation OTHER Bath Dinette FULL COMBO tertsin Basement PARTIAL Floors Kit. � 1 ><�5 = !i a �-- 33 z.- � ,ds Lj 3�7 SLA ' Extension ��ar 3 Finished B. Interior Finish L.R. Extension Fire Place Heat 6,45 D.R. �ral1} i{ K AC 41.�o Ext. Walls BR. for _ k a 15 Dormer Baths Deck/Patie- lLo X _ �q jp ,asp arl�' Fam. Rm. Foyer = CA.C, �-Q,�- _ ' ' a Laundry Library/ , O.B. Study i Dock '� Town of Southold 5/31/2017 P.O.Box 1179 53095 Main Rd Southold,New York 11971 ................ ............ CERTIFICATE OF OCCUPANCY No: 38981 Date: 5/31/2017 ........................— THIS CERTIFIES that the building SINGLE FAMILY DWELLING .......... .............. ...... Location of Property: 345 Old Cove Blvd., Southold .......... ...... ............... SCTM#: 473889 Sec/Block/Lot: 52.-2-13.2 ............ .............. .... .. ................. Subdivision: Filed Map No. Lot No. ................... conforms substantially to the Application for Building Permit heretofore filed in this office dated 9/29/2014 pursuant to which Building Permit No. 41671 dated 5/26/2017 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 f4pul cck..§Pc9W,jL00r—balconnL—aud-QuccararAge y dwellin with second flogr --41�jied�fox nr ZBA#44-NI dated 7//24/1997. The certificate is issued to 345 Old Cove Blvd LLC ........... of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL RI0-14-0045 12/2/2016 .......... ELECTRICAL CERTIFICATE NO. 41671 5/24/2017 PLUMBERS CERTIFICATION DATED 3/30/2017 Peter Kyrio utios ........... ....... nt..h..(µ r ed+Sigiatur,e 0 LLI 0 � W z -8 VII E- P, o o r. AMER fn 0 WET Li, ROOM Imo, BATH BAR V) ou loll t BEDROOM LIVING ROOM 43 w Q) z lz- -------------------- -LILI 1 91-2� ENTRY 0< 0 Z LD F- 0 BATH w 0 rl DRAWN BY:JF 4/11/2017 SCALE:SEE PLAN IST, FLOOR FLAN SCALE:114'= '-0" SHEET NO: HY 2 2 2017 0 551" LU o IZ4 N KITCHENO BEDROOM OINtNG ROOM o C) loo /RATH 1 LU sl CLOSETET LLI u z BEDROOM z Lu MEZZANINE ABOVE '00tf) BATH co U) 0. U. 0 of 3,-S, 3' 77 DRAWN BY:F 4/11/2017 SCALE:SEE PLAN 2ND, FLOOR FLAN SCALE:114' FIg" SHEET NO: