The URL can be used to link to this page

Home My WebLink About1000-111.-1-13.1 A7 - ��e � TORN 140F SOUTHOLD W-16 Rental Permit 0253 Owner Ross Baltic Occupied as Single Family Dwelling Located at 375 Fisermans Beach Rd Cutchogue 111.-1-13.1 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. 4/8/2024 c e r'r ffci� This Notice must be posted by the main entrance at all times TOWN OF SOUTHOLD BUILDING DEPART ZP Town Hall Annex 543 75 Main Road P. O. Box 1179 Southold, N L 971-0959 . Telephone(631) 765-1802 Fax(631) 765-9502 http0/www,southoldto �n a1 of 'mow oujf RENTAL PERMIT APPLICATION Lj Rental Permit Fee$300 (Application must be renewed every two years) Section A. Property Information: Rental Pro erty Address: t Tax Map Number: 1000 SECTION -BLOCK -LOT SECTION B. OWNER INFORMATION: Property Owner Name: �Os_s c Property Owner Legal Address: Property Owner Mailing Address: (Cannot be the same as Rental Property Address) 11- '9- rcWt WrIrw r► � , 7 2�Z r ?.�2 2.`I � S Telephone Number(s): Daytime - 531 Evening Emergency ,3 Property Owner Email Address: os 6a'C c �nM' Page 1 of 4 Town Hall Annex " Telephone(631)765-1802 54375 Main Road a Fax(631)765-9M P.O.Box 1179 �w Southold,NY 1 1 97 1-0959 � BUILDING DEPARTMENT TOVM OF SOUMOLD Mailing Address of Managing Agent: Telephone Number(s):Daytime Evening Emergency Email Address: 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,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: 1 Requested Maximum number of persons allowed to occupy Dwelling Unit: Number of rooms In Rental Dwelling Unit: I Use and Dimensions of each room in Rental Dwelling Unit: QO r WN i l Page 3 of 5 SECTION H. DECLARATION: Signature must be notarized and MUST be the owner of the dwelling unit. STATE OF NEW YORK) ) COUNTY OF ) I q A 14;(_ _ -, 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: Lt A(, Property Owner's Signature: fJ,4 A A ) Sworn to before me thiso`_I day of eCr4j,, . .. , 202 Allis ON dh AMANDA L HASSEL Notary Public-State of New York Official No ary Public Signature and Original Notary Stamp NO.OIHA6349704 Qualiflod In Nassau County fMy Commission EVires Oct"24,2024 Page 4 of 4 � fit BUILDINGTOWN OF 9OUTHOL � 631 765► 1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PL13G. [ ] FOUNDATION 2ND [ ] INSULATION/CAI [ ] FRAMING / STRAPPING VFIRE NAL FIREPLACE &. CHIMNEY SAFETY IN; [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PE [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (TII C l CODE VIOLATION [ ] PRE C/O [ 1 0 REMA�KSK '0000 ...................h 0,00,00100,110 DATE �6 VA SCTM # 716113 TOWN OF SOUTHOLD PROPERTY RECORD CARD OWNER STREET 70 VILL E AG DIST. SUB_ LOT l vCt R /l ACR. RECARKS I Lip TYPE OF BLDa PROP. CLASS LAND IMP, TOTAL DATE FRONTAGE ON WATER HOUSE/LOT BULKHEAD TOTAL sOF H _ _ PROPERTY RED ;7Z��jp OWNER STREET ! VILLAGE DISTRICT SUB. LOTS' _ z E * i i FORMER OWNER E-'rC�-�'-`' N E ACREAGE S W TYPE OF BUILDING - V I! RES. � SEAS. VL. FARM COMM. IND. CB. MISC. e t LAND IMP, TOTAL DATE REMARKS / � f _ s f I e � E BU'LD �G C DI IOC �or ; Acre Volue Per Aare Value Q � _S �a IV Tillable 1 Tillable 2 I �: � � . Tillable 3 113* � . t� Wcedlond `r`�[�'��a��o-;l Swampland _ Brushlond � m z.. House Plot TCL:]I 1 } , L4 ; _ ei , c rya l M. Bldg Z r" - a - Foundation G _ Bath /ey; E Extens ,' Basement Floors = S Extension � � `� fa 1 f Ext. Walls , r interior Finish . y � Fire Place- Heat I x E; 5g � _ _ ` Porch Attic 41 77 Porch ° Rooms 1 st Floor; jN f B oy — =, Patio r ,� ,�� , Rooms 2nd Floor 3s yCDriveway i j FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-30754 Date: 02��.1105 THIS CERTIFIES that the building NEW DWELLING Location of Property: 370 FISHERMAN_S BEACH RD CUTCHOGUE (HOUSE NO.) (STREET) __ (HAMLET) County Tax Map No_ 473889 Section Ill Block 1 Lot 13.1 Subdivision Filed Map No_ Lot No_ conforms substantially to the Application for Building Permit heretofore filed in this office dated DECEMBER pursuant to which Building Permit No. 8997-Z dated DECEMBER _ 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 FAMILY DWELLING WITH FIRST AND SECOND FLOOR DECKS AND ATTACHED TWO CAR GARAGE AS APPLIED FOR. .........._... The certificate is issued to MARK SCHWARTZ & LAUREN PRAUS (OWNER) ....._.._._._._._._._._._.....� of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL, 6-SO-96 12/29/77 ELECTRICAL CERTIFICATE NO. H 049112 03/L-5 PLUMBERS CERTIFICATION DATED N/A NNN N r � _. :...................... ut11 'ized Signature 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-29663 Date: 08/27�03 THIS CERTIFIES that the building ALTEATION Location of Property: 370 FISHERMANS BEACJ4 RD CUTCHOGUE (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section Ill Block 1 Lot 13 .1 Subdivision Filed Map No_ Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated MARCH 8, 2001 pursuant to which Building Permit No. "7398-Z-Z dated JUNE 13a 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 ALTERATION AND SHED ADDITION TO AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR The certificate is issued to LAUREN PRAUS (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO_ 1159451g...... 08 19 03 PLUMBERS CERTIFICATION DATED ,o/ve�d�Silgnature 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-22594 Date SEPTEMBER 16 1.993 THIS CERTIFIES that the building ALTERATIONS Location of property 370 FISHER MANS BEACH RD. CUTCHOGUE N.Y. House No. Street Hamlet County Tax Map No. 1000 Section ill Block 1 Lot 13.1 Subdivision Filed Map No. Lot No_ conforms substantially to the Application for Building Permit heretofore filed in this office dated DULY 1 1993 ursuant to which Building permit No. 21552-Z dated JC:1LY 23 1.993 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 ALTERATIONS TO EXISTING ONE FAMILY DWELLING AS APPLIED FOR The certificate is issued to MARIAN J. PRAUS (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N A PLUMBERS CERTIFICATION DATED NIA °ualdin Inspector Rev. 1/81 a o FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z--24752 Date NOVEMBER 96 THIS CERTIFIES that the building - _ ADDITION Location of Property� 370 FISHERMANS BEACH ROAD CUTCHOGUE, N.X. House No. � Street Hamlet County Tax Map No. 1000 Section III Block 1 Lot- 13.1 Subdivision Filed Map No. —Lot No.— - conforms substantially to the Application for Building Permit heretofore filed in this office dated OCTOBER 17 1996 pursuant to which Building Permit No. 23796--Z dated NL(AVENBER 1, 1996 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 EXISTING ONE FAMILY DWELLING "AS BUILT" AS APPLIED FOR. The certificate is issued to MARIAN J. PRAUS (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A ui ing Inspector 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-29664 Date: 08L27/03 THIS CERTIFIES that the building ACCESSORY Location of Property: 370 FISHERMANS BEACH RD � CUTCHOGUE (HOUSE NO.) (STREET} µM Nm(HAMLET) County Tax Map No. 473889 Section 111 Block 1 Lot 13.1 Subdivision _ Filed Map No. Lot No_ conforms substantially to the Application for Building Permit heretofore filed in this office dated MARCH 8, 2001 pursuant to which Building Permit No. 7398-Z dated DUNE 13 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 ACCESSORY SHED AS APPLIED FOR. The certificate is issued to LAUREN PRAUS (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N A, ELECTRICAL CERTIFICATE NO. 1159451 08/1 03 PLUMBERS CERTIFICATION DATED N/A a hoZed Signature Rev. 1/81