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Home My WebLink About1000-67.-4-24 '*"OUTHOLD Rental Permit vt - 1125 Owner Leona & Bruce Goodheart Occupied as Single Family Dwelling Located at 350 Second Ave Peconic 67.-4-24 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. 5/10/2024 Code Enf*em&Official This Notice must be posted by the main entrance at all times " - TOWN OF SOUTHOLD—BUILDING DEPARTMENT Town Hall Annex 54375 Main Road P. O. Box 1179 Southold, NY It 971-0959 F, ""024 Telephone (631) 765-1802 Fax (631) 765-9502 https-//�wy.Ltl t>ldta>wn RENTAL PERMIT APPLICATION C0-7 2- Rental Permit Fee $300 (Application must be renewed every two years) Section A. Property Information: Rental Property Address: 3,5-z) Tax Map Number: 1000 SECTION —7 -BLOCK —� -LOT 2- SECTION B. OWNER INFORMATION: / Property Owner Name: w .�"t� Property Owner Legal Address: Property Owner Mailing Address: (Cannot be the same as Rental Property Address) /r Y Telephone Number (s): Daytime Evening t/ Emergency ��- � 591 \ Property Owner Email Address: �y' o u � 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, 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." 7y 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: lox 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 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 SU�FFOLK) I DOD!TiA I , 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: Property Owner's Signature: Sworn to before me thij_d'ay of Official Notary Public Signature and Original Notary Stamp CONNIE D.BUNCH Notary Public,State of New York No.01 BU6185050 Page 4 of 4 00 Qualified in Suffolk County COMMISsion Expires A rtl 14, 2_ a°'rarnxa. .r_ hf so TOWN OF SOUTHOLD BUILDING DEPT. 631-7 -18 2 Gr - -a ma 0 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION/CAULKING [ ] FRAMING /STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) [ ] CODE VIOLATION [ ] PRE C/O [ PflRENTAL REMARKS: Csltit0 lei /4"// Vn� DATE INSPECTOR Town Hall Annex Town Of Southold 54375 Main Road " w Rental Inspection Report PO Box 1179 4 Southold, NY 11971-1179 Tel: 631-765-1802 _....... ... .�..� ...� �.. .... SCTM# —� Jr ar' Date Owner � ... ..., .mmm_e�, .� .�........... ti...... _._..._. ...........w�....�.�_ .. .��Phone ......� . . _..... Address �..�.� � U �Vis Visible amlet Inspector FFloor Level Quantities .....,..,, ,�....S.ub.��.� . ......1. .. �.�� 2 3 . ��.�.�„ ��w,� � _��....�.....�.��a........, ........... „�.�, �.,�..,� .�.. _. .. w Smoke Detectors(not located in bedrooms) / Carbon Monoxide Detectors Fire Extinguishers Exits Bedrooms 1 2 3 4 5 6 Egress s _ . � .. ...�...... _ w. . . .�....r .... .... .'�Smoke Detector Occuper�f Count �. .......�" .....rv..Cw..... . ... ...... 1_................. � „uilding Systems Maintained&Operational Condition of Property .w.. , . ��. . .� .... , rv.....� ,�. . .a.,,, . . ..... Heating Building interior Hot water .� . .. ....... .....®, -. ... �8 �� ,, . .a�� .... Building exterior Electrical .... .. Property clean, main.. w� �,�..., ,, . ...,�,, �. . ..... .. ... .r maintained &_safe Mechanical � - � - "Handrails&guards installed &secure � P Pool on Site ool Safety .. ...... Surface water alarm a._._._ Date of CO issuance Door alarms Pool completely enclosed g Pool fence to code requirements � W �. . latching gates �. w.w..,. a._...... ... .. �......._.�._�. ...Q.� ..aa, e .� _ ..... . .�....__.. . . .f ...Self closing ..,�.g.g a ...µ�.. .-..�.. ... .., ...� . . CO s for all items resent Prior Rental .. � .a-p.. . .�.��. �..�. .. ._.�. �.. .m...� _.....� �,.�. .. . .... ..... Comments... .......... .......N.., .... _ ......_... _ _._.. ._.. ._.. .. y 1 ...�.... .. ...w�. w....... ......... ;.... _ .....,..ry.w. __..._... ........ ..... ....... ...w....... .........._...__ _.._.. .... ................. ...._.............................. ..... ...,..._..., .,., �� ........ .. . ..._. ...,.. ..,�.,.,..., ,... ....,�..._r.. ... .... ,..,..�.,,,, .,.._,.. , .�., „min.....,�.,,,,.. ...,......, ..,.. .. .e,_ . ....,.. ,,,. �. ,....�..,ml �„ .. .... .. ..............._ ,. ... .W... . ....... __..W, a ... . ...,_.. ...... .. WM., .,,. i I TOWN OF SOUTHOLD PROPER'. CARD f'? OWNER ffi £STREET x VILLAGE DIST SUB. LOTldve / r r FORMER OWNEW-OC j , A OU-s N E � ACR.f5 S W TYPE OF BUILDING i RES _ SEAS. VL. FARM COMM. CB. MICS. Mkt. Value LAND IMP. TOTAL DATE REMARKS _'��--'�l �t�5 O G o s o�l t s c—U / v /3 D J J , �PCs �� .�F rP�.��,�` � . ,�,� �� r� _ ,a�' - _ a ��..c. r� i � � 7 a m a I E x Tillable FRONTAGE ON WATER Woodland FRONTAGE ON ROAD I Meadowland _ DEPTH -, 41 House Plot BULKHEAD ' I 9 Total -OR TRIM t L , t , E [ = t i 67.-4-24 _ 04/03/2018 I -- , t i M. Bldg. a Extension s Extension i ! .tension I , !Foundation C o u Bath ! [ Dinette } K.Basement FloorsPorch /� O � E �' ► Q - l Ext. Walls ! Interior Finish LR. Fire Place ly Heat L DR. Breezeway I , I _ Type Roof I Rooms 1st Floor ' BR. i Garage I F Patio g Recreation Room = Rooms 2nd Floor FIN. B 0. B e� � Dormer ! I Driveway E Total { �111)0 .P . FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town CIerk's Office Southold, N. Y. Certificate Of Occupancy No.Z IM. . . . . . . Date . . . . . . . . . . . .April. . .1.1 . . . . .. 1973. . THIS CERTIFIES that the building located at . SelCOU& .AT*. . . . . . . . . . . . . . . Street Map Nop*cv. -Shoreg Block No. . . . . . . . . . .Lot No. 1a4 . . . . P.econic . . . H.Y .. . . . . . . . conforms substantially to the Application for Building Permit heretofore filed in this office dated . . . . . . . . . Nov. . 29. . . ., 19.71 . pursuant to which Building Permit No. 5650Z. . dated . . . . . . . . . MOV30. . . . . . . .. 1971. ., was issued, and conforms to all of the require- ments of the applicable provisions of the law. The occupancy for which this certificate is issued is . .Prtvate. .one. . amily. .dvallin,g. . . . ... . . . . . . . . . . . . . . . . . . . . . . . M . W . . . . . . The certificate is issued to .Adel.a,id*. • -Seb ors • • . • • Owner. . • • • . • • . (owner, lessee or tenant) of the aforesaid building. Suffolk County Department of Health Approval . .NOT . .30. 1972. . by.R.#. .V113 t . . . . UNDERWRITERS CERTIFICATE No. . . . X .56347 . . . . Nov. . 20. . 1972. . . . . . . . . . . . . . . . . HOUSE NUMBER. . 3.50 . . . . . . .Street. . .See*nd• Ave . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Building Inspector FOOK xa a TOWN OF SOUT9OLD BUILDING DEPARTMENT Town QerVe Office Southold, N. Y. Certificate Of Occupancy No. . 71.73�� Date . . . . . . . . . . . . . . . . .X*V . . . THIS CERTIFIES that the building located at . . Second .ATe. . . . . . . . . . . .. . Street Map No.Rec onic. Sk.Block No. . . . . . . . . . .Lot No. . a 3.4. . . . .Boo onio. . . S*L. . . . . . . conforms substantially to the Application for Building Permit heretofore filed in this office dated . . . . . . . . . . . . . .jM0. . ;109. .74 pursuant to which Building Permit No. . . .73b9z dated . . . . . . . . . jjtLly. . . . . ., 19. . A was issued, and conforms to all of the require- ments of the applicable provisions of the law. The occupancy for which this certificate is issued is . . . . Rrivat:e .one •family.duelling, with addition. . . . . . . . . . . . . . . . . . The certificate is issued to . .Aicbard, J.* .Davie. . . . . . ; . . . . . . . . . . . . . . . . . . . . . . . . . (owner, lessee or tenant) of the aforesaid building. Suffolk County Department of Health Approval . . . . . . . . . . . . . . . . . . . . . UNDERWRITERS CERTIFICATE No. X*R o.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . HOUSE NUMBER . . . . .350 . . . . . Street . . . . . .Second•A'** . . . . . • .Pocania. . . . . . . . . Building Inspector FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall <� Southold, N.Y. Q }�/0 CERTIFICATE OF OCCUPANCY No Z-24170 Date FEBRUARY 20 1996 THIS CERTIFIES that the building________ACCRSSORY Location of Property 350 SECOND AVENUE PECONIC NEW YORK House No. Street Hamlet County Tax Map No. 1000 Section 67 Block 4 Lot 24 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated MAY 16, 1993 pursuant to which Building Permit No. 21625Z dated AUGUST 30g 1993 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 STORAGE SHED AS APPLIED FOR. The certificate is issued to WENDY G. ALDOUS (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT,OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A /Auifding Inspector Rev. 1/81 .................. f0"r;a274.t&' Town of Southold Annex 4/16/2012 P.O.Box 1179 54375 Main Road Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 35541 Date: 4/16/2012 THIS CERTIFIES that the building HOT TUB Location of Property: 350 Second Ave, Peconic, SCTM#: 473889 Sec/Block/Lot: 67.-4-24 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this officed dated 3/16/2012 pursuant to which Building Permit No. 37092 dated 3/27/2012 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: hot tub as..gMlied for. The certificate is issued to Goodheart, Leona&Goodheart,Bruce ......................... (OWNER) of the aforesaid building, SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 37092 4/11/12 PLUMBERS CERTIFICATION DATED ....... --- A turc .............. Town of Southold 10/29/2015 P.O.Box 1179 53095 Main Rd 105 Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 37876 Date: 10/29/2015 www w...._.._................... ...wwww... THIS CERTIFIES that the building SOLAR PANEL Location of Property: 350 Second Ave,Peconic SCTM#: 473889 Sec/Block/Lot: 67.4-24 w.._.................................... Subdivision: Filed Map No. Lot No. ` conforms substantially to the Application for Building Permit heretofore filed-in•this office dated 4/23/2015 , pursuant to which Building Permit No. 39723 dated 4/30/2015 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: ROOF MOUNTED SOLAR PANELS TO AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR The certificate'is issued to Goodheart,Leona&Goodheart,Bruce of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 39723 06-18-2015 PLUMBERS CERTIFICATION,DATED Town of Southold 5/18/2017 P.O.Box 1179 53095 Main Rd 4, " Southold,New York 11971 CERTIFICATE E F OCCUPANCY No: 38956 Date: 5/18/2017 THIS CERTIFIES that the building RESIDENTIAL ADDITION Location of Property: 350 Second Ave,Peconic SCTM#: 473889 Sec/Block/Lot: 67.-4-24 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 3/13/2017 pursuant to which Building Permit No. 41440 dated 3/20/2017- 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: yqLOSEDPORCHAD flON"TO AN EXISTING NI.I^AMILY I WEI�I' IT. 1 A I7LQja10N#7019, EjI 0 -16�2011,_AS APPLITM. FOR The certificate is issued to Goodheart,Leona of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. _......................................................._..m. .--------.. _..........................._.._ PLUMBERS CERTMCATION DATED t r Si .�.._ __mmmmmmmmmmm_-. gnature I I � t I F r� I rl o I r �"; u _...._.___ _._...,....... 2 4 I v a � f d � y f y a r , r � ___.... n ..... _............... ` v fa t � cJ J� r t p w 0 I I „ o (35012nd Avenue e Proposed Foundation n&1FRA1 T<7NnS 4 ...._... P 1 ICHITECT _._._. C IfII IfI IIIC N -Illill".1 .�.f wtv at^r�:wn:<1iwn.,r)<rnn _ .....: �... Pf'--l-- NY �__ ..i7oor and Window Schedules .....�_]I .�.I.,.I,l