HomeMy WebLinkAbout1000-59.-8-6.2 Rental Permit
1274
Owner: Charles Rosenbaum , Kimberly Landman
Occupied as: Single Family Dwelling
Located at: 6710 Soundview Ave Southold 59.-8-6.2
Maximum Permitted Occupancy: 8
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 14 2025
Expiration: 03/14/2027 Code En r45LMof
This Notice must be posted by the main entrance at all times
TOWN OF SOUTHOLD—BUILDING DEPARTMENT �
VA u
�P Town Hall Annex 54375 Main Road P. O. Box 1179 Southold,NY 11971-0959 _
Telephone( 31)765-1 02 Fax(631.)7 5-9502 lit s://www.sotithol(itownn .go ,,
RENTAL PERMIT APPLICATION
Rental Permit Fee$300(Application must be renewed every two years)
Section A.
Property Information:
Rental Property Address:
6710 Sou ndview Ave, Southold, NY 11971
Tax Map Number: 1000 SECTION 05900 _BLOCK 0800 -LOT 006002
SECTION B.
OWNER INFORMATION:
Property Owner Name: Charles Rosenbaum
Property Owner Legal Address: Property Owner Mailing Address:
(Cannot be the same as Rental Property Address)
608 President Street Apt 4A 608 President Street,Apt 4A
Brooklyn, NY 11215 Brooklyn, NY 11215
Telephone Number(s): Daytime 212-634-7180 Even i nR202-421-887 Emergency 202-421-8873
Property Owner Email Address: chosenbaum@gmail.com
Page 1 of 4
Section C.
Authorized Agent Information:
Name of Authorized Agent of dwelling unit, if any: l
Address of Authorized Agent (no P.O. Boxes):
Mailing Address of Authorized Agent:
.. W- 336
Telephone Number(s): Daytime Evening Emergency
v
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:
Telephone Number (s): Daytime Evening Emergency
Email Address:
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: 6Y
For each Rental Dwelling Unit set forth the Rental Dwelling Unit identifier(for example,
Unit 1, Unit 2, Unit 3 or Apt A, B, C); 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: r��f 0 /1G�✓��W Av'( Gt-f�7 d
Requested Maximum number of persons allowed to occupy Dwelling Unit: O&W
Number of rooms in Rental Dwelling Unit: �*
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 Charles Rosenbaum 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: Charley Rosenbaum
Property Owner's Signature:
r
Sworn to before t day of lcxlmt-,� 202s
y"qq ,
p(�dkdd f ''CC , r�
Official—No-t—ar-y-P 1 1 of P� r��r���:� �rr�rI �a kvi�C
� : PO '
Page 4 of 4
of aou
TOWN OF SOUTHOLD BUILDING DEPT.
631-765-1802
N S'hP
10 N
[ ] FOUNDATION 1ST/REBAR [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INSULATIOWCAULKING
[ ] FRAMING /STRAPPING [ ] FINAL
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL �(FIN )
[ ] CODE VIOLATION �
[ ] PRE C/O RENTAL
REMARKS: �� �o
.._� � � OVA
DATE 3/3-�� INSPECTOR �
S14FFOL
„'" w..
Town Hall Annex
Town of Southold
5 � ,
54375 Main Road
Rental Inspection Report PO Box 1179
Southold, NY 11971-1179
Tel: 631-765-1802
SUM# •
Owner Date
.Address �
Phone
Hamlet Visible
Inspector
Floor Level Quantities
Smoke Detectors(not located in bedrooms) Sub 1 2 3
Carbon Monoxide Detectors
Fire Extinguishers
Exits
Bedrooms 1
Smoke Detectors 2 3 4 5 6
Egress
Occupant Count
Building Systems Maintained&Operational
Condition of Property
Heating
Building interior
Hot water
Electrical Building exterior
Mechanical Property clean, maintained &safe
Handrails&guards installed &secure
Pool Safety
Surface water alarm Pool on Site
Door alarms
Date of CO issuance p�Self closing/latchingPool completely enclosed
gates Pool fence to code requirementsCO's for all items present
Prior Rental
Comments:
TOWN OF SOUTHOLD PROPERTY RECORD CP l�ly�23
OWNER STREET ��� �� VILLAGE DIST_ SUB. LOT
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ACR. REMARKS j ^
TYPE OFBLD.
O�QSF ' � I � PROP. C SS4f
LAND IMP_ TOTAL DATE
It
f
`fie Loa1 , +
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i
FRONTAGE ON WATER TILLABLE
3
FRONTAGE ON ROAD WOODLAND
! DEPTH MEADOWLAND
BULKHEAD HOUSE/LOT `°
TOTAL
3
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44
4
„$ 7,
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Town of Southold 3/2/2024
P.O.Box 1179
53095 Main Rd
�A� � Southold,New York 11971
R
CERTIFICATE OF OCCUPANCY
No: 45019 Date: 3/2/2024
THIS CERTIFIES that the building SINGLE FAMILY DWELLING
Location of Property: 6710 Soundview Ave, Southold
SCTM#: 473889 Sec/Block/Lot: 59.-8-6.2
b
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
5/19/2022 pursuant to which Building Permit No. 48306 dated 9/16/2022
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:
sinale family dwelline with rear covered arch.rear deck.outdoor shower,covered fro t entry and scre ned norch as
applied for.
The certificate is issued to Rosenbaum,Charles&Landman,Kimberly
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL R-21-1045 16/26/2023
ELECTRICAL CERTIFICATE NO. 48306 9/15/2023
PLUMBERS CERTIFICATION DATED 10/13/2023 Phi wo lu ing&He ing
Aut ri S stature
gUEtlrtq � Town of Southold 3/2/2024
P.O.Box 1179
53095 Main Rd
Southold,New York 11971
CERTIFICATE OF OCCUPANCY
No: 45020 Date: 3/2/2024
THIS CERTIFIES that the building IN GROUND POOL
Location of Property: 6710 Soundview Ave, Southold
SCTM#: 473889 See/Block/Lot: 59:8-6.2
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
1/10/2023 pursuant to which Building Permit No. 48868 dated 2/7/2023
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:
access ru in gLound swimming l fenced to code as a lied for..
The certificate is issued to Rosenbaum,Charles&Landman,Kimberly
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 48868 9/26/2023
PLUMBERS CERTIFICATION DATED
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6710 Soundview Avenje
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Project No.:A-2001
ARCXITECTUWL
Permit Set
First Floor Rele.ted Ceiling P1.1
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LIGHT AND AIR CALCI ILATIONS I IGHT AND 1 1 AIR CAt('ULATIQUS I IrHT AND AIR CAI QI II ATIQ
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Area=111 SF Area=129 SF
Light reqd=9 SF;16 SF provided Light.qd=9 SF;16 SF provided Light reqd 10 S. 16 SF provided Pr7mary sa
Air reqd 4.5 SF;I I SF provided Air 4,5 SF;11 SF prolded Air req'd 5 SF;11 SF provided
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WOOD BURNING STOVE.POSTION 108
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SHALL BE MINIMUM DIMENIONS REEN—
FROM ADJ COMBUSTIBLE WALLS PRIVACY SCREEN
AT OUTDOOR
L GHT I AND A8 CAI rl It AlIONS,
PER M FTR.SPECS.FLOOR MA71- SHOWER
4'-0- SHALL BE NON-NON-COMBUSTIBLEArea-173 SF
PER MFTR SPECS Liqht,aq'd 14 S 67 SF provided
CcOkTOP Air roqd=7 SF;23 SF provided i
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SANOUETTEE