Loading...
HomeMy WebLinkAbout1000-111.-2-12 TUWN OF SOUTHOLD J. k Rental Permit Vi T_ - 1167 Owner Eugene & Ann Burger Occupied as Single Family Dwelling Located at 930 West Cove Road Cutchogue 111.-2-12 Maximum Permitted Occupancy 12 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. 7/9/2024 e i or e - t Official This Notice must be posted by the main entrance at all times TOWN OF SOUTHOLD—BUILDING DEPARTMENT g Town Hall Annex 54375 Main Road P. O. Box 1179 Southold,NY 11971-0959 Telephone (631) 765-1802 Fax (631) 765-9502 https://ww r.sotttioldto . Ly RENTAL PERMIT APPLICATION (090:21 V „ Rental Permit Fee $300 (Application must be renewed every two y' JUN 21 202 BUILDING DEPT. Section A. TO" X SOIL i01 Property Information: Rental Property Address: �S �I "It Tax Map Number: 1000 SECTION --BLOCK SECTION B. OWNER INFORMATION: Property Owner Name: Property Owner Legal Address: Property Owner Mailing Address: (Cannot be the same as Rental Property Address) 2 21 S-" Pi 0 Telephone Number (s): Daytime 44M6 Evening Emergency Property Owner Email Address: e 4i' Q 1 co Al � boa P4 �-� � Pa(I 1O-)13^7 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." Rental Dwelling Unit Identifier: Requested Maximum number of persons allowed to occupy Dwelling Unit: Number of rooms in Rental Dwelling Unit: V Use and Dimensions of each room in Rental Dwelling Unit: 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 a fire safety inspection to be performed by a Code Enforcement Official from the Town of Southold ❑ 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. 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 this2-1 day of_ ��UVI —', , 20.1 Official No a y Public Signat r and Original Notary Stamp TRACEY L. DWYER NOTARY PUBLIC,STATE OF NEW YI:JIK NOt ("DW63069M FJEo IN SUFFOLK COUNTY Page 4 of 4 comkossm EXPIRES .3e,ZRajp q�pt> (.o vz rc TOWN OF SOUTHOLD BUITDING 531 -765-1802 Nm"m C ION [ ] FOUNDATION 1ST / REBAR [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION/CAI [ ] FRAMING / STRAPPING [ ] AL [ ] FIREPLACE & CHIMNEY [ FIRE SAFETY IN! [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PE [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FIs [ ] CODE VIOLATION [ ] PRE C/O [ REMARKS: INC -tit DATE INSPECTOR f � t L. { { � f F T � r e E s a 2,0 i t f U _ litcA s f p - { f f- � 4 { ;T v �4S ► " TOWN OF SOUTHOLD PROPERTY RECORD OWNER STREET VILLAGE DISTRICT SUB. LOT ---__ �s I N E ACREAGE 1 S s TYPE OF BUILDING W _ _ r d RES.� `} SEAS. VL. FARM COMM_ IND, CB. MISC. LAND IMP. TOTAL DATE REMARKS e s= _ < I d e < a � i C •: 7 AGE BUILDING CONDITION a _ e NEW NORMAL BELOW ABOVE -I" t Farm Acre Value Per Acre Value41 g - Tillable 1 3 3 y: { i!lahle 2 i Tillc,ble 3 01 Weodland . I Swampland Bru-shland House T-'tcI ,R1r t �� l , _ 3 E _ E ., — _ n v � a _ f I 3 1 i i M. Bldg. Foundation Both: I { Basement ; � Extension Floor' Extension Ext. Walls r Interior Finish .F _ ` i s Heat Extension Fire Place I IAi Attic - i Porch Rooms 1st Floor Breezeway' Patio �, Rooms 2nd Floor Driveway Garage i ©. B. I FORM NO.4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold,N.Y. Certificate Of Occupancy No. .Z14975 . . . . . . . . . Date . Octobe.r .9. . . . . . . . . . . . . . . . . . . .. 1986. THIS CERTIFIES that the building �PA. . . . . . . . . . . . . . . . . . . „ . . . . . . .. . . . Location of Property . . 930, West, Cove, Road. . * . , . . Cutchog e . w House No. . . . . . . . . ,street � Hamlet County Tax Map No. 1000 Section . . I1 . . . . . .Block , . . . .2 . . . . . . . . .Lot . . . l.2 . . . . . . . . . . . Subdivision . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Filed Map No. . . . . . . . .Lot No. . . . . . . . . , . . . . conforms substantially to the Application for Building Permit heretofore filed in this office dated . . . . . . . . . 1977. pursuant to which Building Permit No.913.3 Z. . . . . . dated . March. . 28. . . . . . . . . . . . . . . . 19 .77,was issued,and conforms to all of the requirements mm� �mm ..m.mmm� of the applicable provisions of the law. The occupancy for which this certificate is issued is , . . . . . . . . . . . .Adsl�tion .vn. e,�sis .i.nq• �aWglli??5: . . . . . . . . . . . . . . I . . . . . . . . . . . . . . . . . . . . . . . . . The certificate is issued to . .Mar ha. .Paul. . . . . . . . . . . . , . . , , (owner,' W .�� of the aforesaid building. Suffolk County Department of Health Approval . . . . . . . .NJA. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . UNDERWRITERS CERTIFICATE NO. . . . . . . . . . . . . . . .NI.A. . . . . . . . . . . . . . . . . . . . . . . . . . . . Building Inspector Ray.1/81 TOWN OF SOUTHOLD OFFICE OF BUILDING INSPECTOR TOWN HALL SOUTHOLD, NEW YORIi CERTIFICATE OF OCCUPANCY NONCONFORMING PREMISES Z PRE C.O.#15078 THIS IS TO CERTIFY that the November 10, 1986 / i Land Building(s) Use(s) located at 930 West Cove Road Cutchogue S ree Hamlet shown on County tax map as District 1000, Section 111 Block 02 Lot__12 _.-_, does not conform to the present Building Zone Code of the Town of Southold for the following reasons: Insufficient total area. On the basis of information presented to the Building Inspectors Office. it has been determined that the above nonconforming FX/Land /_/ Building(s)' / /Use(s) existed on the effective date the present Building Zone Code of the Town of Southold, and may be continued pursuant to and subject to the appli- cable provisions-of said Code. IT IS FURTHER CERTIFIED that, based upon information presented to the Building Inspectors Office. the occupancy and use for which this Certifi- cate is issued is as follows: Property contains a two story, one family, wood framed dwelling with 2 car garage under house, porch enclosed and all situated in the A-Residential Agricultural zone with access to West Cove Road a town maintained road. The Certificate is issued to MARTHA J. PAUL (owner, la=MWIF-Hafft) of the aforesaid building. Suffolk County Department of Health Approval N/A UNDERWRITERS CERTIFICATE NO. N/A SEE INSPECTION REPORT Buildings Inspector BUILDING DEPART:LAtT TOWN OF SOUTHOLD, N. Y. HOUSING CODE INSPECTION REPORT Location 1 ES'1" COVE ROAD CUTCHOGUE numo,, street Municipality) Subdivision NA P iNT Map No. Lot(s)� Name of Owner(s) MARTHA J. PAUL Occupancy, 1 FAMILY DWELLING �Fy_pe owner-tenant Admitted by: MR/MRS PAUL Accompanied by: Key available ` Suffolk Co. flax No. Source of request BY APPLICATION x Date 11/5/86 D,ELLING Type of construction WOOD ir astories 2 Foundation BLOCK Cellar Xx Crawl space Total rooms, 1st. Fl Ind. F1 rd. F1 Bathrooms) 1 bath Toilet room(s) Porch, type Deck, type Patio, type Breezeway SLATFGarage 2 car. tinder Utility room Type Heat pIT. Warm Air xxII, Hotwater Fireplace s) No. Exits 4-14­1111 Aircondition.ing� Domestic hotwater Type heater Other h- lass door 8 X 16 ACCESSORY STRUCTURES: Garage, type const. Storage, type const. Swimming pool Guest, type const. Other VIOLATIONS: Housing Code, Chapter 45 N.Y. State! niform Fire Prevention Ina Code Location Description Art. { Sec. Remarks- Inspected by: ANGELO ACCARDO Date of Insp. 11 7 86 -Time star, z 45 end; j_a.:. _-..,_