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Home My WebLink About1000-59.-11-7 TOWN OF SOUTHOLD Rental Perri 1215 Owner Emily Kessler Occupied as Single Family Dwelling (Basement Apartment) Located at 375 Tuckers Lane Southold 59-11-7 Maximum Permitted Occupancy 2 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. 10/18/2024 ` or � Official This Notice must be posted by the main entrance at all times ode k low , TOWN OF SOUTHOLD—BUILDING DEPARTMENT ' Town Hall Annex 54375 Main Road P. O.Box 1179 Southold,NY Telephone (631)765-1802 Fax(631) 765-9502 j'Ltp,5://www,southoldtowt c� D AUG1 9 2024 BUILDING DEPT. RENTAL PERMIT APPLICATION TQWN,3F SOUTHOI Rental Permit Fee $300 (Application must be renewed every two years) Section A. Property Information: Rental Property Address: 375 Tuckers Lane(basement apartment)Southold NY 11971 Tax Map Number: 1000 SECTION �" ---BLOCK -LOT - SECTION B. OWNER INFORMATION: Property Owner Name: Emily Kessler Property Owner Legal Address: Property Owner Mailing Address: (Cannot be the same as Rental Property Address) 375 Tuckers Lane(main house) ou Southold,NY 11971 Telephone Number (s): Daytime 9179691173 Evening 9179691173 Emergency 9179691173 Property Owner Email Address: emiWacklynkesslerO mall.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, 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: Basement Apartment Requested Maximum number of persons allowed to occupy Dwelling Uni . 2 Number of rooms in Rental Dwelling Unit: 3 Use and Dimensions of each room in Rental Dwelling Unit: 1 bedroom:200sqft,1 Bathroom:US,1 eat in kitchen:160 sgft 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 John said he would do this on his other final inspection of the property ❑ 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) 1 emily kessler 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: UJ Sworrw�to b re me this day, August , 20 24 Offid I o'tary Publi gna r and Original Notary Stamp Myit ' l Stdo of Now VA 01"I""�8l779 9 Expires lan.9."� Page 4 of 4 TO N OF SOUTHOL D BUILDING CREPT. 631-765-1802 . INSPECTION [ ] FOUNDATION 1 ST/ REBAR [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATIOWCAULKING [ ] FRAMING /STRAPPING VIFIRE INAL FIREPLACE & CHIMNEY SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICALTdAQ [ ] CODE VIOLATION [ ] PRE C/O RENTAL REMARK .- 09(-:1 . A-�.., ✓ti v � TOWN OF SOUThlOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION 1 ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION/CAULKING [ ] FRAMING/STRAPPING [ ] INAL [ ] FIREPLACE & CHIMNEY [ FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) [ ] CODE VIOLATION [ ] PRE CIO REMARKS:MARKS: �► &qul-oe, I k- ' is t b4xnp\.,o ov---------------- r � w 6r"oo\ @-N"C", 4Ait o �wvl !ATEINSPECTOR ,e- "w f- . . t 6, 4 RM 6- G-PTKOG F I H MIN "IM 375 T e-v<6 M_S I AP4 C SOL) 765 - -5 A # 7\—DOM -BE D -KODVjj L IS, 6TV� ro z1ze 1-j . P) IIEAIEJ� CU 4 SASH- STORM 0 T E)L jElet�STING GKii-i.- TO H&AT 1<17 11 A, 0 0 m C)A X = Smoke.\_d\ edector -A 7�bL-X) moor CO= CO dedector A _N 14 A 6,iih Ll� additional CO in basement by furnace 14) x ........... A a W" st z'w" A TM v _0 No L"I'"W j '44 N J %-A 'T �N' v"'MN ov `0 A a 0 w J M N C L -�0 Of f, cq o u-)z iCL o zc o omfO N o a go x asa � 19f"i.A C?l ( 1 1 h „RGR AeE,a€ a 5F [ 4�I \04AVr E_i�f¢ 4 i_ Lam. 17 ems.sa tea—•�.a.# �£a� € kubm x, 41 61 It - - 01) - Ex z =h� ,I � ,.`vx 7 �MIL— E - I t c ' z ROJEDi; i OP05' D FOUNDATION PLANKESSLER ! .ABA sF a sch�e �,<°=E'-0.. RESIDENCE a�a 365 TUCKERS LN " SOUTHOLD PROPOSED FOUNDATON PLAN �(DESIGN DETAILS # y v TOWN OF O .D PROPERTY RE OR OWNER iSTREET VILLAGE DISTJ SUB. LOT { FORMER OWNER ` N E = ACR. S 3 W TYPE OF BUILDING ` RES. ' SEAS_ VL. FARM COMM. CB. MICS. Mkt. Value LAND IMP. TOTAL DATE REMARKS _ { E s € e - _ !h � r nY } t E , AGE ` BUILDING CONDITION NEW NORMAL BELOW ABOVE FARM Acre Value Per Value Ac re Tillable FRONTAGE ON WATER Woodland E FRONTAGE ON ROAD g Meadowl.and DEPTH House Plot I BULKHEAD Total DOCK I �_ COLOR TRIM - i e � z 3 � x Cv l I i M. Bldg. Extension n _ Extension Extension Foundation Bath Dinette Basement _ Floors K. =Ext. Walls Interior Finish LR fi Breezeway ;Fire Pioce Heat DR. Garage d ,`�° �_ Type Roof - Rooms 1st Floor BR. Patio Recreation Room Rooms 2nd Floor FIN. B O. B. Dormer Driveway Total __e �lt Town of Southold 6/6/2016 53095 Main Rd Southold,New York 11971 PRE EXISTING CERTIFICATE OF OCCUPANCY No: 38325 Date: 6/1/2016 THIS CERTIFIES that the structure(s)located at: 375 Tucker Ln, Southold SCTM#: 473889 See/Block/Lot: 59.-11-7 Subdivision: Filed Map No. Lot No. conforms substantially to the requirements for a built prior to APRIL 9, 1957 pursuant to which CERTIFICATE OF OCCUPANCY NUMBER Z- 38325 dated 6/l/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: qo frame one thmilv dwellina with atta ktq� one car g . Note,:BP#3462 addition COZ (1 ., I' 1_ : " de wara t partil..w c o over 2-210 ;,,,L_P 40682 as built alteraticr�l COZ-38324. The certificate is issued to Fisher,Katherine (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED *PLEASE SEE ATTACHED INSPECTION REPORT. . uth S......�.�. ........ e(l.............. .w Signature ure BUILDING DEPARTMENT TOWN OF SOUTHOLD ROUSING CODE INSPECTION REPORT LOCATION: 375 Tucker Ln,Southold- SUFF.CO.TAX MAP NO.:......... 59--11-7......vv_. _............w_.....www..___ ..............DIV.IS IO-6N: .........��......� NAME OF OWNER(S) e.......... SUB Fish r,Katherine ..,............_.... ............ ................ OCCUPANCY: ADMITTED BY: Kathen...... —Fish...._.........-.......-.. ..._,�._.........w.www._.�..................... . -. - he ----------------_w..._.www.�..._............. �..wwww..._....w..-�,,,.�.._._..... ne Fisr SOURCE OF RE —Fisher, _._ -_------------------------- ..... VEST: �.... Q Fisher,Katherine DATE: 6/1/2016 DWELLING: #STORIES: 1 #EXITS: 3 FOUNDATION: _� cement block CELLAR: 2/3 CRAWL SPACE: 1/3 BATHROOM(S): 1 _._ ,.�...�.............._..__ TOILET ROOM(S): 1 .��UTILITY ROOM(S): PORCH TYPE: DECK TYPE: PATIO TYPE: BREEZEWAY: FIREPLACE: GARAGE: 1 car .._................_......____�_ ................. � � � _..._ �.....................ww_... _ � .M...,w _w DOMESTIC HOTWATER: yes TYPE HEATER: propane AIR CONDITIONING: TYPE HEAT: oil WARM AIR: x HOT WATER: #BEDROOMS- 3 #KITCHENS: --_.-"._�..1_. ._.. BASEMENT TYPE: . _1-roo_'o"'o-..—fi'. • m finished ...vw. ............. .........._._............ ._.._...� OTHER: ACCESSORY STRUCTURES: GARAGE,TYPE OF CONST: STORAGE,TYPE OF CONST: SWIM1 IING POOL: GUEST TYPE OF CONST: OTHER: � ...�...�.....�__.............��_. _.. .......�.._.._.._._._____ww_-........_M..-,.. VIOLATIONS: REMARKS: INSPECTED BY: GARYF DATE OF INSPECTION: 1/6/2014 TIME START: END: FORM NO. 4 TOWN OF SOUTHOLD BUlI.DING DEPARTMENT Town Clerk's Office Southold, N. Y. Certificate Of Occupancy No. Z 10201 „ w Date . .October 15 t. . . . . . . . . . THIS CERTIFIES that the building located at .375 .'puckers, Lane , . , , . , Street 30 Griswold Street Map No. . . . . . , . . , Block No. . . , . . . . . . .Lot No. . . --. . . . . . . . . . . . . . . . . . . . . . . . . conforms substantially to the Application for Building Permit heretofore filed in this office dated . -May. .2 . . . . . . . . . . . . . .. 19. .5'7 pursuant to which Building Permit No. 34P.Z. dated . .K,�.y. .' . . . . . . . • • • . • . . ., 19.6 ., 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 . . . .pr.jVate .One.--,Fami1y.Dwelling. . . . . . . . . . . . . . . . . . . . . . The certificate is issued to . . . .G19—O 90. And, Ii< tbgr�ne .fisher. , , , , „ , . . . , , , , „ . , . (owner, bammmedemm# of the aforesaid building. Suffolk County Department of Health Approval . . . .NIR . . . . . . . . . . . . . . . . . . . . . . . . . . . . UNDERWRITERS CERTIFICATE No. . . . . . . . . . . . . N/.R. . . . . . . . . . . . . . I . . . . . . . . . HOUSE NUMBER . . . .375. . . . . . . Street . . Tuckers Lane . , . . . . . . .Southold, .1Vaw ,York . , . . . . . . . . . . . . . . . . . . . . . . . . . County Tax #1000--59-11-007 Building Inspector Town of Southold 8/2/2023 " P.O.Box 1179 53095 Main Rd Southold New York 11971 CERTIFICATE OF OCCUPANCY No: 44362 Date: 8/2/2023 THIS CERTIFIES that the building SOLAR PANEL Location of Property: 375 Tucker Ln.,Southold SCTM#: 473889 Sec/Block/Lot: 59.-11-7 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 5/23/2022 pursuant to which Building Permit No. 48000 dated 6/24/2022 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: rcaqf rn untgd..sgtqrp4 s to ea:is�itag sin 1�artm�I caw ljin, �?pl for. The certificate is issued to Kessler,Emily of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 48000 6/29/2023 r PLUMBERS CERTIFICATION DATED Act or � l to t . Town of Southold 6/1/2016 P.O.Box 1179 53095 Main Rd 4N �0 Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 38324 Date: 6/1/2016 THIS CERTIFIES that the building AS BUILT ALTERATION Location of Property: 375 Tucker Ln., Southold SCTM#: 473889 Sec/Block/Lot: 59.41-7 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 4/27/2016 pursuant to which Building Permit No. 40682 dated 5/9/2016 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: °`ate lguilt"alt ratioca to an existin renal d ov 1,d k addition on a one f .rail dwellin as appliq4jor. The certificate is issued to Fisher,Katherine of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED A tl o... .... d Sh t FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z20026 Date JUNE 2491991 THIS CERTIFIES that the building ADDITION Location of Property 375 TUCKERS LANE & 50 GRISWOLD ST. SOUTHOLD House No. Street Hamlet County Tax Map No. 1000 Section 59 Block 11 Lot 07 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated MAY 20 1991 ua.nt to which Building Permit No. 19892Z dated MAY 28 1991 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 EXISTS ONE ILY DWELLING. The certificate is issued to GEORGE & KATHERINE FISHER {owners} of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N A UNDERWRITERS CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N A Building Inspector Rev. 1/81 f sol/ Town of Southold P.O. Box 1179 53095 Main Rd Southold, New York 11971 CERTIFICATE OF OCCUPANCY No: 45667 Date: 10/24/2024 THIS CERTIFIES that the building SINGLE sE FAMILY DWELLING- ADDITION AND ALTERATION ERA I ION Location of Property: 375 Tucker Ln Southold„NY 11971 Sec/Block/Lot: 59.-11-7 Conforms substantially to the Application for Building Permit heretofore, filed in this office dated: 06/02/2023 Pursuant to which Building Permit No. 49457 and dated: 07/10/2023 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: addition and alterations, including first floor alterations with entry stoop, portion of as built finished basement converted to accessory basement apartment, to existing single family dwelling as applied for. The certificate is issued to: Emily Kessler Of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL: ELECTRICAL CERTIFICATE: 49457 09/09/2024 PLUMBERS CERTIFICATION: Jack Gismundi 08/29/2024 utihc> i Si 1n tture