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HomeMy WebLinkAbout1000-110.-5-3 � Falk TU W WN OF SOUTHOLD _m 8 Rental Permit 1131 Owner Kathryn Klencheski Occupied as Single Family Dwelling Located at 2705 W Creek Ave Cutchogue 110.-5-3 Maximum Permitted Occupancy 6 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. 5/22/2024 ns j ?CodeWOc7Official This Notice must be posted by the main entrance at all times TOWN OF SOUTHOLD—BUILDING DEPARTMENT .7 Town Hall Annex 54375 Main Road P. O. Box 1179 Southold,NY 11971-0959 �mi��p stir i Telephone (631) 765-1802 Fax(631) 765-9502 littos://www.soiltIlol(ito � 01, RENTAL PERMIT APPLICATION Rental Permit Fee $300 (Application must be renewed every two years) ����1._ Section A. \ Property Information: Rental Property Address: 2705 WEST CREEK AVENUE, CUTCHOGUE Tax Map Number: 1000 SECTION 110 -BLOCK 5 -LOT 3 - SECTION B. OWNER INFORMATION: Property Owner Name: KATIE KLENCHESKI Property Owner Legal Address: Property Owner Mailing Address: (Cannot be the same as Rental Property Address) 450 WEST 17TH STREET #334 SAME Telephone Number (s): Daytime 917-648-6926 Evening Emergency Property Owner Email Address: katie@smakkstudios.com Page 1 of 4 SECTION F. PROPERTY DESCRIPTION: Number of Rental Dwelling Units on property: 1 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: UNIT 1 Requested Maximum number of persons allowed to occupy Dwelling Unit: Number of rooms in Rental Dwelling Unit: 7 Use and Dimensions of each room in Rental Dwelling Unit: BEDROOM #1 - 15'-3"X11'-811; M- T-8" X 10'-3"; BEDROOM -�.W.15'-7" X 13'-0"; BATHROOM #1 - BEDROOM 2, 5'-0" X 17'-0"; BATHROOM #2 - 3'-6" X 10'-0"; LIVING ROOM / KITCHEN - 20'-" X 17'-6"; SUNROOM - 10'-2" X 9'-4" 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 a fire safety inspection to be performed by a Code Enforcement Official from the Town of Southold X I 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) I � certify under penalty of perjury,the following: 1. I 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: 'I Sworn to before me this 1`day of 4 , 20)1 Official No ublic 'ignatuVe and Original Notary Stamp ENOtarY JPIf- NY State of New YorkBE6284112 Suffolk County Expires 06117/2025 Page 4 of 4 Ave- SOUTHOLD BUILDING Du 631 -7655184E INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. C l FOUNDATION 2ND [ ] INSULATION/CAI C l FRAMING / STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY W. [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PE [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FII CODE VIOLATION PRE C/O [ I INSPECTORREMAR .......... WN--------- DATE IeO Telephone 631 765-1802 Town Hall Annex � � ���'�� P ( ) 54375 Main Road k Fax(631) 765-9502 P. O. Box 1179 Southold, NY 11971-0959 a � k� BUILDING DEPARTMENT TOWN OF SOUTHOLD RENTAL PROPERTY CERTIFICATION Form is to be completed by a licensed architect, licensed engineer or licensed home inspector Separate form is required for each individual Rental Dwelling Unit Professional seal re aired for Architect or Engineer, Licensed Borne Inspector must rovide col2y of valid current certification Rental Property SCTM Number: 1000-110.-5-3 Rental Property Address: 2705 WEST CREEK AVENUE, CUTCHOGUE Owner/Name: KATIE KLENCHESKI Rental Dwelling Unit Identifier: UNIT 1 Number& Square footage of each bedroom as depicted in the attached floor plan: (i.e. Bedroom#1 — 100 sgft., Bedroom#2—90 sgft., etc.) BEDROOM #1 - 195 SF, BEDROOM #2 - 80 SF, BEDROOM #3 - 200 SF Property Description (Include all improvements indicated on survey) ONE STORY SINGLE FAMILY DWELLNG WITH GARAGE UNDER AND WOOD DECK I certify that I have done a physical inspection of the subject rental dwelling unit and find that it fully complies with all the provisions of the Code of the Town of Southold, the Residential Code of New York State, the Building Code of New York State, the PI Code of New York State, the Fuel Gas Code of New York State, the Fire Code of New York PA Maintenance Code of New York State and the Energy Conservation Constructio e , JONATHAN BAKER, RA Print Name and Title s rigin Iti nature Please place Professional Seal: aC17 �� I � Z U """d"'MMM^uww.'Mr,{ W yrj &�W4 P,d 'Pom„ Y M R Z Z Z N gy cc 0 U U LL z Uowe LU �wwwww_.. LO N H j LU O O (A G Z i U. i i ~� �X U`N C7 Z Z j F IR Z z J a� d x oz O wa O m z J o LL x U) o M U C) LL E C7 � Z_ LU �. ..................... 0 O U 0X 19 ( ..�D m I LU U /� U V U � O Q 0 n W in LU o Z U O X w C3 mO m Q " Y 1 W w .. .......__..... F- U Lu LLI LO �0 O aN SCTM # _ TOWN OF SOUTHOLD PROPERTY RECOFi OWNER STREET ? VILLAGE DIST SUB LOT If ACR. t= REMARKS m TYPE OF BLD. s z 4 _ a R PROP. CLASS _ LAND IMP. TOTAL DATE FRONTAGE ON WATER HOUSE/LOT I BULKHEAD _ TOTAL TOWN OF SOUTHOLD PROPERTY RECOR07/5ho OWNER STREET VILLAGE DISTRICT SUB. LOT L-4, Ask- le �4- E R TR E ACREAGE ! -------- - --- s I W TYPE OF B UILDING -- 1� L RESo VL. 1 FARM Comm- IND, CB. SEAS misc. - --- -------- - LAND IMP, TOTAL DATE RE.NIARKS AGE BUILDING CONDITION If NEW NORMAL BELOW ABOVE Farm Acre Value Per Acre Value Tillable I T'l IcbIe 2 Tillable, 3 f D A, 4in W c c,d I a d Swampland !on L I J Ljou e Din- _ s f a � } a E 111 a:s-3 1 a/os -- - I �?7 o - — �F � 1 a Foundation � ,. Bath M. Bldg �. , F s > _ - - - Basement — Floors Extension Ext. Walls`'.E�> �s� ..� Interior Finish -- „_ _ _ - z H r v Fire Place - � E tv on e a't Porch r" _ Attic y..1 ' 3 Porch Rooms I st Patio = Rooms 2nd Fi��,r Br eL ov! - � --- Garcge Driveway - 3 o. B r -TT':, ---- _E FFfi Town of Southold - 8/18/2016 53095 Main Rd Southold,New York 11971 owl PRE EXISTING CERTIFICATE OF OCCUPANCY No: 38458 Date: 8/18/2016 THIS CERTIFIES that the structure(s)located at: 2705 W Creek Ave., Cutchogue SCTM#: 473889 Sec/Block/Lot: 110.-5-3 Subdivision: Filed Map No. Lot No. conforms substantially to the recluirements for a built prior to APRIL 9, 1957 pursuant to which CERTIFICATE OF OCCUPANCY NUMBER Z- 38458 dated 8/18/2016 was issued and conforms to all the requriements of the applicable provisions of the law. The occupancy for which this certificate is issued is: wood frame one,i mil dwelling,with garageunder.* Note I3P 7 9 addition COZ-414° EP 1 844 k add t c?zJ, OZ-101.44:BP 3 541 windows heat and e1 t ical a d9 COZ-33491. A Building Permit isw w ui br the"as built"d ckpL Lit on. The certificate is issued to Joy, James Joy,Nancy (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED *PLEASE SEE ATTACHED INSPECTION REPORT. Autho ed si to ee BUILDING DEPARTMENT TOWN OF SOUTHOLD BOUSI'G CODE INSPECTION REPORT LOCATION: 2705 W Creek Ave.,Cutchogue X MAP NO.:....110. .................... ............._._...... _..............__.. SUBDIVISION ................ SUFF.CO.TA .. _.. _., wv ...,w....._, NAME OF OWNER(S): Joy,James&Nancy.. m.�.� ._...........::: ��.�.�.�.�.�.�.�.�........_...w. _..�. ........__ ............... �M.__w..�....�.•.�..................................---....� OCCUPANCY: ADMITTED BY: KristyNadd_.1_. ....._,,,,, ,,,,,,,,,,_W __. ...w.......____. .... ._.... ._.,...,........... ..........v. _ �.. SOURCEOF REQUEST `"_ ..���...._��.w...�..�......w..w_.__._.....w..__..__.,..._._.....,.......w...............���... ��.�.. d e 1 _...._._._._._._._._._..... _.w .__. .......... .. . • Joy,James DATE: 8/18/2016 DWELLING: #STORIES: 1 #EXITS: 2 FOUNDATION: ....... concrete block CELLAR: X CRAWL SPACE: X BATHROOM(S): __aaa ._.w..._ TOILET ROOM(S):� UTILITY ROOM(S): PORCH TYPE: - ......................................... ....w w___.....w_ FIREPLACE: __.._yes....ww_ _ _........GARAGE: unde _._ er TYPE HEATER: gas see BP 33531 AIR see B DOMESTIC HOT yes WATER: ................ P 33531 TYPE HEAT: WARIVI..._ ...�...._�.,..._w_......................�..... ...... .....�...._...m_...._....�_ AIR: HOT WATER: #BEDROOMS: ..._._. 2 �............ #KITCHENS: 1 ............................BASEMENT TYPE: _.........wwwwwwww..w.. ....unfinished OTHER: ACCESSORY STRUCTURES: GARAGE,TYPE OF CONST: STORAGE,TYPE OF CONST: SWIMMING POOL: GUEST,TYPE OF CONST: OTHER: VIOLATIONS: A Building Permit is required for the"as built"deck addition to the dwelling.Since the deck does not meet the required side yard setback,a variance from the Zoning Board of Appeals is required. _. _. .. .......... .............. ..�........_. ._........� _. .._. ...v_u REMARKS: INSPECTED BY: MIKEV DATE OF INSPECTION: 8/5/2016 TIME START: 11:30am END: 12:20pm FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-33491 Date: 01/14/09 THIS CERTIFIES that the building ALTERATIONS Location of Property: 2705 WEST CREEK AVE CUTCHOGUE (HOUSE NO. ) (STREET) (HAMLET) County Tax Map No. 473869 Section 110wnnnnww Block 5 W Lot 3 q Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated NOVEMBER 8, 2007 pursuant to which Building Permit No. 33531-Z dated NOVEMBER 15, 2007 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 WINDOW REPLACEMENT, HEAT AND ELECTRICAL UPGRADE IN AN EXISTING ONE FAMILY DWELLING. The certificate is issued to ROBERT & LINDA KENNEY (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO_ 3061375 05 O6�/08 PLUMBERS CERTIFICATION DATED N/A Au orize d ....... Signature Rev. 1/81 FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. CERTIFICATE OF OCCUPANCY No. .-Z4U.............. Dote .............................90P-W)b0r...30..., 109.... THIS CERTIFIES that the building located att/Z....Woot-Creek.-Ave...----................. Street Map No, 7=.................. Block No. .....Xx%.............Lot No. ..x=............Cutahogae#....XJ.............— conforms substantially to the Application for Building Permit heretofore filed in this office dated —...—....— .....Anglwt......4.............. 19-5.9.., pursuant to which Building Permit No. ...Z...789............... dated ...... .............. 19-69..,was issued,and conforms to all of the requirements of the applicable provisions of the low. The occupancy for which this certificate is issued is .............. .................. ..................................................................... ........... This certificate is issued to (owner, lessee or tenant) of the aforesaid building, Building Inspector FORM NO. 2 TOWN OF SOUTHOLD BUILDING DEPARTMEPIT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N00 789 Z Date 4 Permission is hereby granted to: Axethur...F. c a i 4.,a/*..William P. May ..&..fit, FAOXI. 366............................................„„. ...C.Utah , u, �... �w.. or . ................„„...,,..,... to .. ?t c iiw ..� d n On existing � family dven n of premises located at .M�-' ..Vost 0re-ek . V a e, L� tZ " ski Cuteh©gue) X*Y# pursuant to application dated ..............„..........,.„....... � ., .........19. .., and approved by the Building Inspector Fee .43!3 pBt C1 Building Inspector HOWARD M. T Y FORM NO.4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Clerk's Office Southold, N.Y. Certificate Of Occupancy No. . . . Z .1d'144. . . . Date . . . . . SeQt laex' 1. . . . . . . . . . . . 19 $Q THIS CERTIFIES that the building . . . . . . . . . . . . . . . . . . . . . . • • . . . . • . • . Location of Property ?7Q . Odes •�x'e�l�, jiQ�d� . . . . . . . . . . C..UtChQgUe,. N.Y.. House No. Street Hamlet County Tax Map No. 1000 Section . . . .110. . . . .Block . . 05 . . . . . . . . . .Lot .003 . . . . . . . . . . . . Subdivision . " . . . . . . . . . . . . . . . . . . . . .Filed Map No. . . . . . . . .Lot No. . . . . . . . . . . . . . conforms substantially to the Application for Building Permit heretofore filed in this office dated .Ausus 2P . . . . . . . . 1999. pursuant to which Building Permit No. . AQ$4k .7, . . . . • • • • . dated . . . . u st. 21 , . • . • • • • . • • . . 19 •89,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 .a. Q4p.�'�i�-y. .We7-:LATn9. . . . . . . . . . . . . . . . . . . . . . . . . . . The certificate is issued to . . . . Robert Latham . . . . . . . . . . . . . . . . . . . . . �oa�raer' " " x of the aforesaid building. Suffolk County Department of Health Approval . . . . . . . . . . . . . . . . . • . . . . , • . . • • . . . . . . . . . • . UNDERWRITERS CERTIFICATE NO. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . • . . . . . . . . . , • . . . Building Inspector Rev 4»s i ro �4% l ���� �y / r � faifi a /J !r, grAl w r, PHOTO OF EXISTING REAR DECK 5/12/24 �F-D 130794 OP N