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Home My WebLink About1000-73.-4-3 TOWN OF SOUTH L Rental Permit 1247 Owner: Martha Burke Occupied as: Single Family Dwelling Located at: 31059 CR 48 Peconic 73.-4-3 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. Issued: 01 07 2025 Expiration: 01/07/2027 Code EnfoLemk4t official This Notice must be posted by the main entrance at all times TOWN OF SOUTHOLD—BUILDING DEPARTMENT Town Hall Annex 5 4375 Main Road P. O. Box 1179 Southold,NY 11971-0959 Telephone (631) 765-1802 Fax (631) 765-9502 htt s://www.soutlioldtownn µ ov ti RENTAL PERMIT APPLICATION 00 Rental Permit Fee $300 (Application must be renewed every two year ; V 1()Q10111�� Section A. ' Property Information: Rental Property Address: Tax Map Number: 1000 SECTION t BLOCK -LOT - SECTION B. OWNER INFORMATION: Property Owner Name: l Property Owner Legal Address: Property Owner Mailing Address: (Cannot be the same as Rental Property Address) t i Telephone Number (s): Daytime Evening, ,.._.... Emergency Property Owner Email Address: 1 r'I a Page 1 of 4 Section C. Authorized Agent Information: Name of Authorized Agent of dwelling unit, if any: Address of Authorized Agent (no P.O. Boxes): Mailing Address of Authorized Agent: Telephone Number (s): Daytime Evening Emergency Email Address: Section D. Managing Agent Information: Name of Authorized Agent of dwelling unit, if any: Address of Authorized Agent (no P.O. Boxes): Mailing Address of Authorized Agent: ho-(-,-) If, wM I IX 3! 3 a � Telephone Number (s): Daytime 1 Evening Emergency Email Address: Q UZ A 14-- �a C SECTION E. SITE MANAGER INFORMATION: (required for rental properties containing 8 or more rental units) Name of Managing Agent of dwelling unit, if any: Address of Managing Agent (no P.O. Boxes): Mailing Address of Managing Agent: Telephone Number (s): Daytime Evening Emergency 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." it Rental Dwelling Unit Identifier: Requested Maximum number of persons allowed to occupy Dwelling Unit: -. Number of rooms in Rental Dwelling Unit: Use and Dimensions of each room in Rental Dwelling Unit: �/ " J'' e1"; _ , '-)I e `> . Is �- ' , 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. L I 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) 1 Pg 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: EL Property Owner's Signature: Sworn to before me this of , 20 " c Offi ial Notary Public Signature and Original Notary Stamp olsr+a of cowwnei. F` sipn•e b(arr nM an ""� JaL by (I�rr4rd of��Mt�1� ..... i Ali Al Tw.ofON=: �..� Page 4 of 4 MY CornVMnWdon Ems: p„mvar„y �qv S&dfpt * TOWN OF SOUTHOLD BUILDING DEPT. u 631-765-1802 13— �3 INSPECTION [ ] FOUNDATION 1 ST/ REBAR [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION/CAULKING [ ] FRAMING /STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) [ ] CODE VIOLATION [ ] PRE C/O [�NTAL k,S5/& 40 wi 117 jp--- DATE INSPECTOR 14 .a w f Town Hall Annex ' Town of Southold 54375 Main Road Rental Inspection Report PO Box 1179 " Southold, NY 11971-1179 ,p Tel: 631-765-1802 SCTM# Date &•.2 S� Owner S0(212, v ALtg, Phone Address 31051 C Visible Hamlet etlo !I C_ Inspector Floor Level Quantities Sub 11 1 2 i 3 Smoke Detectors(not located in bedroom$) Carbon Monoxide Detectors Fire Extinguishers Exits Bedrooms 1 2 3 4 5 6 Smoke Detectors Egress Occupant Count Building Systems Maintained&Operational Condition of Property Heating Building interior Hot water Building exterior Electrical Property clean, maintained&safe Mechanical Handrails&guards installed&secure Pool Safety Pool on Site Surface water alarm Date of CO issuance Door alarms Pool completely enclosed Self closing/latching gates Pool fence to code requirements CO's for all items present Prior Rental Commentsr V' 4 C 10 11151 I OWNER STREET `- VILLAGE DISTRICT SUB. = LOT v �i P L4 f FORMER OWNER N ` E ACREAGE =: 74- 7S _ S � _ TYPE OF BU LDING - A c W p. RE�.7f SEAS, VL. FARM I COMM. IND. CB. I MISC. I LAND IMP, TOTAL DATE REMARKS y_ F- f s t i f� 4-.GE BU NG CON ?ITiON 4 700 - Tillable 3 Wcodland — e Swampland Erushland House Plot s = _ 3 l 3 _ l a i - - 366 1 ! � 11 AM /e ( f = \ If J E v 101 t r _ ... t _ 3 I _ - - ur 1 -, ems Foundation Bath - Basement ensron � � '� � _"' son �d Ext. Walls Interior Finish �cter� � e � �� Z_ Fire Place Heat Extension n IZ X Z Z _i Attic F)C C,0 _ — Porch 1 Por R or i - F Porch Rooms 1st Flo i Breezewa i Patio y Rooms 2nd Floor -- - - Garage Driveway e s i - TOWN OF SOUTHOLD OFFICE OF BUILDING INSPECTOR TOWN HALL g SOUTHOLD, NEW YORIi CERTIFICATE OF OCCUPANCY NONCONFORMING PREMISES THIS IS TO CERTIFY that the DATE: July 6, 1984 Pre C.O4212591 Land /X/ Building(s) F/ Use(s) located at R 0 W. off CTY. 48 Peconic reet kiamlet - shown on County tax map as District 1000, Section 73 , Block 4 Lot 3 , does not conform to the present Building Zone Code of the Town of Southold for the following reasons: Non conforming guest cottage, On the basis of information presented to the Building Inspector's Office, it has been determined that the above nonconforming /_/Land C/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 Inspector's Office, the occupancy and use for which this Certifi- cate is issued is as follows: I story frame & ce t with a one room non conforming cottage. "A" residential-A ricultural zo The Certificate is issued to STELLA REICHMAN (owner, 1RRR")KX i k of the aforesaid building. Suffolk County Department of Health Approval N/A UNDERWRITERS CERTIFICATE NO. N/A Please see attached housing code inspection report. Buildierg Mspector BUILDING DEPARTMENT TOWN. OF SOUTHOLD, N. Y. HOUSING CODE INSPECTION REPORT LocationR.0 W» OFF CTY. 48 PECONIC num er & street .v,n Dips 'y Subdivision Plap No. Lot(s)� Name of Owner(s) STELLA REICHMAN Occupancy i ONE FAMIflJ DWELLING type owner- enant Admitted by: Accompanied by: Key available RICHARD LARK " Suffolk Co. Tax No.073-4-3 Source of request RICHARD F. LARK ATTORNEY Date7/3/84 DWELLING Type of construction 0 A FRAME #stories 1 Foundation CEMENT BLOCK Cellar X Crawl space Total rooms, 1st. F1___ 2nd. F1___3rd. F1� Bathroom(s) 2 Toilet room(s) Porch, type Deck, type X _Patio, type Breezeway Garage Under house Utility roomX & shower Type Heat alarm Air Hotwater X Fireplace(s) No. Exits Airconditioning X Domestic hotwater X Type heater oil fired Other ACCESSORY STRUCTURES: Garage, type const. Storage, type const. Swimming pool Guest, type const. X Frame Other—OpE bedroom only guest cottage (all one room) VIOLATIONS: Housing Code, Chapter 52 Location Description jArt. Seq. Remarks: One room guest cottage in rear yard (pre-existing) Inspected by: Victor Lessard Date of Insp. Time start 3:05 end 3:52 ;r *' FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-22551 Date AUGUST 25 1993 THIS CERTIFIES that the building ACCESSORY Location of Property' 31059 COUNTY ROAD 48 PECONIC N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 73 Block 4, Lot 3 Subdivision Filed Map No. Lot No.� conforms substantially to the Application for Building Permit heretofore filed in this office dated NO 'BER 19g 1992 ------Pursuant to which Building Permit No. 21144-Z dated DECE ER 14 1992 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 ACCESSORY STORAGE BUILDING "AS BUILT" & AS TO CONDITIONS OF ZBA #4124. The certificate is issued to CARL & DOROTHY SORANNO (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N A UNDERWRITERS CERTIFICATE NO. N-284598-7 30 93 & N-284598 - 8 10 93 PLUMBERS CERTIFICATION DATED N/A 1 A /)Aldj:ng Inspector Rev. 1/81 FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-22550 Date AUGUST 25 1993 THIS CERTIFIES that the building ADDITION Location of Property 31059 COUNTY ROAD #48 PECONIC N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 73 Block 4 Lot 3 Subdivision Filed Map No. Lot No.� conforms substantially to the Application for Building Permit heretofore filed in this office dated NOVEMBER lg 1992 ___pursuant to which R Building Permit No. 21144-Z dated DECE'MBER 14 1992 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 EXISTING ONE FAMILY DWELLING "AS BUILT" & AS TO CONDITIONS OF Z #4124. The certificate is issued to CARL & DOROTHY SORANNO (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N A UNDERWRITERS CERTIFICATE NO. NL PLUMBERS CERTIFICATION DATED N A ui ding Inspector Rev. 1/81