HomeMy WebLinkAbout1000-31.-12-6 g$ TOWN OF SOUTHOLD
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Rental Permit
ik
1225
Owner Steven & Beate Swanson
Occupied as Single Family Dwelling
Located at 1120 Trumans Path East Marion 31-12-6
Maximum Permitted Occupancy 4
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.
11/7/2024
cad car a Official......_
This Notice must be posted by the main entrance at all times
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� r 6e c4 I O(p a o(0
Telephone(631)765-1802
Town Hall Annex
54375 Main Road r � � �y
Fax(631)765-9502
P.O_Box 1179
Southold,NY 11971-0959 � "
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BUILDING DEPARTMENT
TOWN OF SO `HOLD
RENTAL PERMIT APPUCATIOIN
RentaI Permit Fee$200(Application must be renewed every two years)
Section A.
Property Information:
Rental Property Address: `l C.171
Tax Map Number: 1000 SECTION BLOCK, LOT
SECTION B.
OWNER INFORMATION:
Property Owner Name:
Property Owner Legal Address: Property Owner Mailing Address:
(Cannot be the same as Rental Property Address)
.. � fl
Telephone Number
Property Owner Email Address: sm MY)
.. SWCt_V1SCYn') CC?.Yl
Page 1 of 4
Section C.
Authorized Agent Information:
Name of Authorized Agent of dwelling unit,if any: j° H ( . . .Y 1
Address of Authorized Agent(no P.O.Boxes):� C)
Mailing Address of Authorized Agent:
Telephone Number(s):
Email Address;_ TcAnck
Section D.
Managing A pnt Information:
Name of Authoriz d Agent of dwelling unit,if any:
Address of Authoriz Agent(no P.O. Boxes):
Mailing Address of Auth rized Agent:
Telephone Number(s):
Email Address: _ �
SECTION E.
SITE MANAGER IN ORl'iPIATION:(required for rental properties containing 8 or more rental units)
Name of Managing Agen of dwelling unit, if any:
Address of Managing Agent o P.O. Boxes):_,
Mailing Address of Managing Age t:
Telephone Number(s):
Email Address:
Page 2 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: t
Requested Maximum number of persons allowed to occupy Dwelling Unit;
Number of rooms in Rental Dwelling Unit: M. UON
Use and Dimensions of each room in Rental Dwelling Unit:
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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 NYS licensed architect,a NYS 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 taws 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.
Page 3 of 4
l am submitting a completed Town of Southold certification form from a licensed
architect,a licensed professional engineer,or a licensed home inspector who has a valid
New York State Uniform Fire Prevention Building code Certification.
SECTION M.
DECLARATION: Signature must be notarized and MUST be the owner of the dwelling unit
STATE OF NEW YORK)
)
COUNTY OF SUFFOLK)
11
1 "` f"t `' _ 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 Si7Maner.
Property Owner's Name: "µ
Property s �
ProP a Owner' Signature: tJ S W A tJ Su^/
sworn�t before me this 2 day of C, C At b r-, —,,20a
Official Notary Public Signature and Original Notary Stamp
Rebecca A, L uca
Notary Public, Stale of New York Page 4 of 4
Reap. No. OILU6386882
Qualified in Suffolk County
Commission Expires 02/0412027
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TOWN OF SOU THOLD 'BUILDING DE".
s 631-765-1802 7A, --`L _�
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND ZFIRELSAFETY
TION/CAULKING
[ ] FRAMING /STRAPPING
[ ] FIREPLACE & CHIMNEY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FI )
[ ] CODE VIOLATIC, [ ] PRE C/O [ RENTAL
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TOWN OF SOI. THOLD BUILDING DEPT.
765-1802
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INSULATION/CAULKING
[ ] FRAMING /STRAPPING [ ] FINAL
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL)
[ CODE VIOLATION [ ] PRE C/O
REMARKS:
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DATE INSPECTOR
T0WN OF SOUTH HOLD PROPERTY REC v`
OWNER ` STREET ° VILLAGE D1 err : LOT
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FORMER OWNER N s � _ ACR.
S TYPE OF BUILDING
RES SEAS _ V � ; FARM COMM. CB. M-ISC Mkt, Value
tvtP. TOTAL DATE REMARKS `` .-
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FRONTAGE ON WATER
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TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Town Clerk's (Dice
Southold, N. Y.
Certificate Of Occupancy
No.�; "�3.. . . .. . Date . . . . . . . . . . . , " . . . . . ,� . .. . . .. 19.
THIS CERTIFIES that the building located at . Trumm.part.(M. .RAJ. . . Street
Map No.XX. . . . . . . . . . Block No. . . . . . .. .Lot No . . A*.0*X* , X.Y. .
conforms substantially to the Application for Bunlding Permit heretofore filed in this office
dated . . . . . . . . . .. . .25. . ., 19.74. pursuant to which Building Permit No. .?.155% .
dated . . . . . . . . . . A ..4., 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 . . ' :,° t .9W. .Z 34.*"34$49. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . .
The certificate is issued to . .. . :"rt.f 'r.. . . . . 1MT. . . . . . . . . .... . . . . . . . . . . .
(owner, lessee or tenant)
of the aforesaid building.
Suffolk County Department of Health Approval
UNDERWRITERS CERTIFICATE No. . .1 1; 3 . . . . fin*. ..13, . 1 . . . . . . . . . . . .
HOUSE NUMBER . . .11 20. . . .. . Street . . T .W .. .. .. . . . . . . . ... . . . . . . .. . .
ilO�Ee. C,�O. , �►�!�.�t. �Q . .. . .:t!!I.�� 1�.. . . .. , .+ ,�� �r„ u+sa �rx b�.�.+d��r�u�
.... ..... � ...Wes.... ,. ..0. ..., . .... ._._... .. .._.........._...:a�� .;. .. _..
Building Inspector
00.11 Town of Southold 8/21/2017
.t�
P.O.Boa1179
53095 Main Rd
SourthoK New York 11971
.
CERTIFICATE OF OCCUPANCY
No: 39146 Date: _ 8121/2017Mn W
THIS CERTIFIES that the huNing ADDITIONIALTMNrION
Location of Property: 1120"1'rumaus Path,East Marion
SCTM#: 473889 Sec/81ock4,ot:
Subdivision: _.�. Fib Map No. _. . � Lot No. _._..._w._
conforms substantially to the Application for Building Permit heretofore filed in this office dated
8/26/2015 pursuant to which Buitding. Permit No. 40035 dated 8/26/2015
was issued,and conforms to all of the requirements of the applicable vis" s of die law. The occupancy for
which this certificate is issued is:
3-AQVn 11 LT-E9AnQNA%CLU
AINQ
p 1 1t 13 TO C "O L "PER ZE D Sl .
1 13 1 01 ,,A$--AP 1
The certificate is issued to Swanson,Steven&.Swanson,13tate
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTMCATE NO. 37791 07 22-2014
PLUMBERS CERTMCATION DATED 05-19-2017 Piu 'h
. Signature
Town of Southold 8/11/2020
P.O.Box 1179
�. 53095 Main Rd
Southold,Now York 11971
CERTIFICATE F OCCUPANCY
No: 41343 Date: 8/11/2020
THIS CERTIFIES that the building ELECTRICAL
Location of Property: I 120 Truman Path,East Marion
SCTM#: 473889 Sec/Block/Lot: 31:12-6 �mm...
Subdivision: w �_ Filed Map No. . w.� Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dates
8/27/2018 pursuant to which Building Permit No. 42970 dated 8/27/2018
was issued,and conforms to all of the requirements of the applicable provision of the law. The occupancy for
which this certificate is issued is:
M �cn ttji acqqW ild` a li f'
The certificate is issued to Swanson,Steven&Beate
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. � 42970 07/31/2020
PLUMBERS CERTIFICATION DATED
0
`" Authorized Signature
IfQC Town of Southold 4/17/2021
P.O.Box 1179
< 53095 Main Rd
Southold,New York 11971
CERTIFICATE ICA"T`E OF OCCUPANCY
No: 41968
Date: 4/17/2021
THIS CERTIFIES that the building GENERATOR
Location of Property: H 20 Trumans Path, East Marion
SCTM#: 473889 Sec/Block/Lot: 31.-12-6
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
P g _ . ... _ .w.
11/16/2020 pursuant to which Building Permit No. 45512 dated 11/30/2020.�
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:
c p p� ..ge�, r tc 4pl.jied for.
The certificate is issued to Swanson, Steven&Beate
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 45512 4/9/2021
PLUMBERS CERTIFICATION DATED
....._. ...Ar�r:red tgx� � .. ...._.. .. _.....
i Lure
1%0 Daniel Gale Sotheb 's
tNi'EF7NA'F!C=NAi_FtEAU'Y
RESIDENTIAL LEASE FLOOD DISCLOSURE REQUIREMENTS
Property Address:
Effective June 21,2023,Section 231-b of the New York Real Property Law requires all residential leases
to provide notice of the flood risk and flood history of a residential leased premises,as well as a notice to
tenant regarding the availability of flood insurance.
Specifically,the lease must disclose:
(a) whether any or all of the leased premises is located wholly or partially in a Federal Emergency
Management Agency("FEMA")designated floodplain;
(b) whether any or all of the leased premises is located wholly or partially in the Special Flood
Hazard Area("SFHA";"100-yearfloodplain")according to FEMA's current Flood Insurance Rate
Maps for the leased premises'area;
(c) whether any or all of the leased premises is located wholly or partially in a Moderate Risk Flood
Hazard Area("S00-year floodplain")according to FEMA's current Flood Insurance Rate Maps for
the leased premises'area;and
(d) any prior flood damage to the leased premises due to a natural flood event,such as heavy
rainfall,coastal storm surge,tidal inundation,or river overflow,that the lessor knows or
reasonably should know has occurred to such premises and the nature of any such damage.
In addition,every residential lease must include the following language regarding the availability of flood
insurance through FEMA. "Flood insurance is available to renters through the Federal Emergency
Management Agency's(FEMA's)National Flood Insurance Program(NFIP)to cover your personal
property and contents in the event of o flood.A standard renter's insurance policy does not typically
cover flood damage. You are encouraged to examine your policy to determine whether you are covered."
You are strongly advised to consult a real estate attorney to draft your lease and to ensure that you
comply with these requirements.
I have received and read this Disclosure. C"
Date: Owner Signature. yj�
Print Name:
Date: Owner#2 Signature:
Print Name: a
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