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HomeMy WebLinkAbout1000-103.-10-8 Tu""WWWN OF SOUTHOLD py 4=01 Rental Permit Al 1140 -4111 �a y - Owner Geertrui Van De Heyning Occupied as Single Family Dwelling Located at 835 Strohson Rd Cutchogue 101-10-8 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. 5/28/2024 Code E rc t Official This Notice must be posted by the main entrance at all times �" TOWN OF SOUTHOLD—WELDING DEPARTMENT Town Hall Annex 54375 Main Road P.0.Box 1179 Southold,NY 11971-0959 Telephone(631)765-1802 Fax(631)765-9502 htt s:/ ww thold o nn . ov RENTAL PERMIT APPLICATION Rental Permit Fee $300(Application must be renewed every two years) Section A. Property Information: Rental Property Address: Tax Map Number: 1000 SECTION 10 --BLOCK i 0 •LOT SECTION B. OWNER INFORMATION: Property Owner Name: , Property Owner Legal Address: Property Owner Mailing Address: (Cannot be the same as Rental Property Address) Telephone Number(s): Daytime Evenings_ Emergency �� �2,IZ 00,�* Property Owner Email Address: V �� �� OI L Page 1 of 4 SECTION F. PROPERTY DESCRIPTION: Number of Rental Dwelling Units on property: I 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: Rental Dwelling Unit Identifier: ) OV I Requested maximum number of persons allowed to occupy each dwelling unit: . _ Number of Rooms in Rental Dwelling Unit: IWL Use and Dimension of each room: QQ tl c .......o ",Myi LLKI fl .,; ?_a 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. ® 1 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 SUFFOLK) 1 E it i),T P"j, V f 0 D , certify under penalty of perjury,the following: Hcy fJ& 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: I 1 p 9 Property Owner's Signature: a °' Sworn to before me thi��d y of +,0, 20 Official Notary Public Signature and Original Notary Stamp CONNIE D.BUNCH Page 4 of 4 Notary Public,State of New York No.01 BU6186050 Qualified In Suffolk County Commission Expires April 14,2a�� so TOWN OF SOUTHOLD BUILDING 631 -765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLTG. [ ] FOUNDATION 2ND [ ] INSULATION/CAI [ ] FRAMING / STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY IN', [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PE [ ] ELECTRICAL (TOUGH) [ ] ELECTRICAL (FI' [ ] CODE VIOLATION [ ] PRE C/OREMARKS: memii [ LotLi( w -� b ,v(ku X6 K 06 G WO S�F Town Hall Annex NVY �, Town of Southold 54375 Main Road c Rental Inspection Report PO Box 1179 Southold, NY 11971-1179 ' Tel: 631-765-1802 �SCTM# "�. .. _� .. . .._ w ..... .......... . ....... _.. Date Owner V ?+tU 6A�I1 Phone ,Address $'3S 5000 _ Visiblem.mm. . .�., �.... ,w.. Hamlet Inspector Floor Level Quantities m_„ ....�Sub �... . _��� ... .3...... Smoke Detectors not located bedrooms C Carbon Monoxide Detectors �r �. ..,. . . . .m., Fire Extinguishers �.... _..�. . ..__ _... .�. �..._.._ .�.. ..m... �.. .e.�_� �� , .. . . ....... �._; ,.... Exits. Bedrooms 1 .. ., .. 3., ,.......4 5 6 I/ Smoke Detectors _ Egre ss Occupant Count ..n... ............... - __ ...b.., .. _ ...�,w.. _. Building Systems Maintained & Operational !Condition of Property �_..._�...__ 'Heating ..�.�. _....,w.. �.� . . Building interior Hot water �._,. . _ wBuilding ld g exterior Property Electrical pen rty clean main _ ta-ne d & safe ,Mechanical Handrails &guards installed & secure Pool Safety Pool on Site Surface water alarm Date of CO issuance r Door alarms Pool completely enclosed 'Self closing/ latching gates Pool fence to code requirements CO's for all items present Prior Rental Comments 17 EXIST.BILCO - 321 RNERSIDE DR DOOR 4 RIVERNEAD NVIIM .. (Sl6{576�4 NOOKI _ - BEDROOM KRCREN .' A m m m�mrw i ^ 1 g DEN >� Np LMNG ROOM t t _.. BEDROOM lit BEDROOM " 40P CL FIRST FLOOR PLAN X _ , t t FIRST FLOOR t l'v ���fl��4 I SCALE:31W=r-0•(EXIST 1,407 S.F.) }." FLAN By R a—&M W KD. I J.E.M- watno� A-1 IQ tQ A0 K) 2 « \ _ / � \�6z6 .� /� � * � � . . / {_ TOWN OF SOUTHOLD PxOPERTY RECORD CARD OWNER STREET VILLAGE DISTRICT SUB. I LOT yro rso e E ACREAGE ZA FORMEP, OWNEP, k-l" Tti_ N .......-,- _J 7 TYPE OF BUILDING w RES. SEAS VL FARM comm. IND. Cs. misc. Est. Mkt. Value : Z A, LAND lmp� TOTAL DATE REMARKS f CIO, - ----------- ...... AGE BUILDING CONDITION iq oiE NORMAL BELOW FRCNTAGE ON WATER ABOVE Form Acre Value Per Acre Value FRONTAGE ON ROAD Ti I!able I BULKHEAD Tillable 2 DOCK Ti liable 3 L m J-0 W cvo j!a n d L rl Swampland Brushland House Plot GP '+-s c-0 T, I u Total F a 41 - r I:x-enSEon _ .t. 3 € Extension Piece Y Porch v V Breezeway POT.0 2 E cF=s�v r3 ,, _- FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Clerk's Office Southold, N. Y. Certificate Of Occupancy No. Z .55 1 . . . . Date . . . . . . . . . .Oct . . . . .1.9 . . . . . 19. .73 THIS CERTIFIES that the building located at . •Strohson. Road- .(.PVT Street Map No. . .g . . . . . . Block No. . . .X*Q:X. .Lot No. . XXX. . . . .Cla-tdhogue i�J.Y... . . e u1 e nt r e I l� ire i ,ho ping code conforms substantially to the A56.ra o' u a, r ' C� a�� , iudilt occupancy da e bofo_& 4,r:rd-1-23-, 57 p o. . . . . . . . . _ . T�. �, � 19. . . . pursuant to which zl dated . . . . • • .0 e t • . • . •1.9• . • • -, 19.73., 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 •Pri-vate- -one. family -d;.r3.11 ing. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . The certificate is issued to .Frail_ •A..• -r:cOeo 4• ':,1ife. • • -Cvners • • • • • • • • • • • . • • • • • . (owner, lessee or tenant) of the aforesaid building. Suffolk County Department of Health Approval .pre— -exist94n-9 . . . . . . . . . . . . . . . . . . . I UNDERWRITERS CERTIFICATE No. .pre— -elx-i-sting . . • . • HOUSE NUMBER - - ,JS. . . . . . . . . Street . . ,"trohson• Road. . . . . . • • • - • • . . . . . . • • • • - • Building Inspector 1 i HOUSING CODE INSPECTION October 19, 1973 1 #83 5 Strohson Road, R-1 Cutbhogue, N.Y. Tax Roll: Frank A. McGee & wf. Uhoccupied Upon request of the Southold Town 3uifiding Department I made inspection of this one family framed dwelling and found no violations of Local Law #1, Housing Code, Town of Southold. I picked up key from Mrs. Steve N. Stepnoski and began inspection at approximately 2:00 P.M. This is a one story ranch with attached one car garage. The building consists of living room, kitchen with dining area-, three, bedrooms -and one full bathroom. The building and grounds are in good order. Inspection completed at approximately 2;30 P.M. with return of key to Mrs: - Stepnoski. - wctf s mitted, Building Inspector o & FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Clerk's Office Southold, N. Y. Certificate Of Occupancy No. Z 5952. . . . . . Date . . . . . . . . . . . ." . . . . . .une 1 C. . . . . .1 19. ' THIS CERTIFIES that the building located at W0430n.RO". . . . . I . . . . . . Street Map No. .XZX' . . . . . . . Block No. . XY. . . . . .Lot No. . .Cntoho . . . . . A.Y.. . . . . . . . . conforms substantially to the Application for Building Permit heretofore filed in this office dated . . . . . . . . . . MAY. . . .b. . ., 19. 14 pursuant to which Building Permit No. 723". . dated . . . . . . . . . . -T. . 6 . . . . .. 19. . .74., 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 Private accessory, .(storagee 6c Barn) building The certificate is issued to . Robert Horvath r* . (owner, lessee or tenant) of the aforesaid building. O Suffolk County Department of Health Approval AA . . . . . o . . . . . . . . . . . . . . . . . . . . . . UNDERWRITERS CERTIFICATE No. N`R'. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . HOUSE NUMBER . . 8351 s r tho . . . . . . . Street . . ohson Rd cue Building Inspector Town of Southold 4/6/2024 P.O. Box 1179 53095 Main Rd Southold,New York 11971 5 � CERTIFICATE CATS OF OCCUPANCY No: 45110 Date: 4/6/2024 THIS CERTIFIES that the building AS BUILT ALTERATION Location of Property: 835 Strohson Rd, Cutchogue SCTM#: 473889 See/Block/Lot: 101-10-8 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 1/23/2024 pursuant to which Building Permit No. 50366 dated 2/22/2024 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: k wilt"°...,.1.1.tgratior s,,_r cW(fi &b. athrc orn nd utiti,l ty ra�prp, llt 1a 1 inns z d b i�nent tr�v� mt tir�� g1gic f ra ,y dw llixljg, s, pp[i d for. The certificate is issued to Van De Heyning,Geertrui of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 50366 3/18/2024 PLUMBERS CERTIFICATION DATED 3/27/2024 err- cc H i ilt o iz Signature