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HomeMy WebLinkAbout1000-141.-3-43 � N OF SOUTH0L Rental Permit Uc 1270 Owner: Chris Scholtz Occupied as: Single Family Dwelling Located at: 11850 Sound Ave Mattituck 141.-3-43 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: 03/12/2025 Expiration: 03/12/2027 Cod Eno en ca lU This Notice must be posted by the main entrance at all times TOWN OF SOUTHOLD—BUILDING DEPARTMENT F E B 1 1 202 M Town Hall Annex 54375 Main Road P. O. Box 1179 Southold,NY 11971-0959 Telephone(631) 765-1802 Fax(631) 765-9502 jfts:Hwww south.gl ,t�Ywnp gqy I � sp RENTAL PERMIT APPLICATION r� I o�13Z� 300°= Rental Permit Fee $300 (Application must be renewed every two years) Section A. Property Information: Rental Property Address: . 19-0 S 0 v a4 kjtA V-0_� Tax Map Number: 1000 SECTION -BLOCK 0 -LOT - SECTION B. OWNER INFORMATION: L Property Owner Name: 0 � Property Owner Legal Address: Property Owner Mailing Address: (Cannot be the same as Rental Property Address) ?> s-4 N V Owe �o A , Telephone Number(s): Daytime Evening Emergency.3j--'�)-C q—jY23 Property Owner Email Address: -�C o h a 0, to PA 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: U niT 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:K ):�LQ2 3 Ix10 �Dk \, G �sx3) 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 afire safety inspection to be performed by a Code Enforcement Official from the Town of Southold 0 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) 11 -SA 0 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 (S) business days s to any change to the information regarding Authorized Agent, Managing Agent,or Site Manager. Property Owner's Name: l�� ��� S �� 0 2— Property Owner's Signature: Sworn to before me this S-day of Official Not Public Signature and Original Notary Stamp NANCY LIEBERMAN Notary Public, State of New York Qualified in SulToLk Coun Term expiresNovember 5,2 a Page 4 of 4 No.01 LI6271515 TOWN OF SOUTHOLD BUILDING DEPT. cou 631-765-1602 limziPECTION [ ] FOUNDATION 1ST/ 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 [ �ENTAL REMARKS: /22440ye, of�o(� � k07�'{0 DlL �2 Jt- �� OC�v • DATE INSPECTOR .' � Town Hall Annex Zoe- Town Of Southold 54375 Main Road Rental Inspection Report PO Box 1179 Southold, NY 11971-1179 Tel: 631-765-1802 SCTM# - 3- Date Owner L o/f Phone Address O O✓ Visible Hamlet � Inspector Floor Level Quantities Sub 1 1 2 3 Smoke Detectors (not located in bedrooms) Carbon Monoxide Detectors Fire Extinguishers Exits, Bedrooms 1 2 3 4 5 6 Smoke Detectors Egress Occupant Count v2 Building Systems Maintained &Operational Condition of Property Heating Building interior Hot water Building exterior Electrical --lProperty 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 Comments: t c„nc ------------ IIXI � i l l� V L -1 \J ; A �k pi4c -1 on q l L/0 d- s Alto C4,�C�-[,r s Y v k� r � i � OIX ( o) � Ke 2-110 1 z,5 TOWN OF SOUTHOLD PROPERTY RECORD CARD OWNER BEET VILLAGE DIST_ SUB. LOT a . FORMEP, OWNER N E ACR. . ....... TYPE OF BUILDING S w 4 SEAS. VL FARM comm. co. MICS, Mkt. Value LAND IMP. TOTAL DATE REMARKS T, _j AL AGE BUILDING CONDITION NEW NORMAL BELOW ABOVE FARM Acre Value Per Value Acre Tillable FRONTAGE ON WATER Woodland FRONTAGE ON ROAD M&odowkmd DEPTH BULKHEAD House Plot Tatar DOCK - ---------- - s 3 A LL fi COLOR _ M�� � �' TI'�144 iai.a-a3 2/4/202 _ r 9 M. Bldg Extension Extension — t Extension Foundation :Bath L ir,2ite Porch :Bosement Floors Parch Ext. Walls Interior Finish LF<_ Breezeway Fire Place Hcot �. l n. o _ t Garage Type Roat� [?-orrs ist Floor GF;. Patio Recreation Room Rooms 2nd Floor FiN. B 0. S. Dormer Drive y Tatoi��� se s �_ T fowaoISo4*0)�""Il W=024 PRE, EXISITNG CERTIFICATE OF OCCUPANCY No: 45464 Date: 8/19/2024 THIS CERTWMS that the stracture(s)located at: 11850 Sound Ave,Mattituck SCTM#: 473889 Sec/Block/Lot: 141:3-43 Subdivision: Filed Map No. Lot No. conforms substantially to the requirements for a built prior to APRIL 9,1957 panuant to which CERTIFICATE OF OCCUPANCY NUMBER Z- 45464 dated 8/19/2024 was issued and conforms to all the requriements of the applicable provisions of the law. The occupancy for which this certificate is issued is: The certificate is issued to Funn,Alice (OWKU) of the aforesaid building. SUFFOLK COUNTY DEPARTWNT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED *PLEASE SEE ATTACHED INSPECTION REPORT. A BUILDING DEPARTMENT TOWN OF SOUTHOLD LOCATION: 11950 Sound Ave,Mattituck SUFF.CO.TAX MAP NO.: 141A-43 SUBDIVISION: NAME OF OWNER(S): Funs,Alice OCCUPANCY: ADMITTED BY: SOURCE OF REQUEST: Flinn,Alice DATE: 8/19/2024 #STORIES: 2 #EXITS: 2 FOUNDATION: brick&block CELLAR: full CRAWL SPACE: BATHROOM(S): 1 TOILET ROOM(S): I UTILITY ROOM(S): PORCH TYPE: coves&enclosed DECK TYPE: PATIO TYPE: BREEZEWAY: FIREPLACE: closed up GARAGE: DOMESTIC H A TYPE BEATER: baseboard radiators AIR CONDITIONING: TYPE HEAT: oil WARM AIR: HOT WATER: oil 1lunace #BEDROOMS:3 #KITCHENS: I BASEMENT TYPE: OTHER: GARAGE,TYPE OF CONST: STORAGE,TYPE OF CONST* SWIMMING POOL: GUEST,TYPE OF CONST: OTHER: VIOLATIONS: REMARKS: INSPECTED BY: NANCYD DATE OF INSPECTION: 8/12R024 TIME START: END: Town of Southold P.O. Box 1179 33095 Main Rd Southold,New York 11971 CETFICATE OF OCCUPANCY No: 45828 Date: 12/13/2024 THIS CERTTF'TES that the building SINGLE FAMILY DWELLING-ALTERATION Location of Property: I I IN agod Ave Sec/Block/Lot: 141 -3-4 Conforms substantially to the Application for Building Permit heretofore,filed in this office dated: 10/01/2024 Pursuant to which Building Permit No.51409 and dated: 11/21/2024 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: replacement boiler and windows in-kind to existing single-family dwelling as applied for. The certificate is issued to: Alice Funn Of the aforesaid building;. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL: ELECTRICAL CERTIFICATE: 51409 12/06/2024 PLUMBERS CERTIFICATION: AutfiorbW Si tttt't: