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Home My WebLink About1000-78.-7-46 � t 'OWN F SOU THOLD Rental Permit 1292 Owner: Scott Bennett , Yin Fun Wong-Nguyen Occupied as: Single Family Dwelling Located at: 7300 Main Bayview Rd Southold 78.-7-46 Maximum Permitted Occupancy: 3 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: 04/17/2025 l al Expiration: 04/17/2027 Co ement This Notice must be posted by the main entrance at all times TOWN OF SOUTHOLD BUILDING DEPT. 631-765-1802 7 - 7— C4�kTION 1NS �'` E [ ] 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 (FINIAL) [ ] CODE VIOLATION [ ] PRE C/O [ RENTAL REMARKS: s �ec v ayt. DATE INSPECTOR Town Hall Annex TOW11 Of Southold 54375 Main Road Rental Inspection Report PO Box 1179 t` Southold, NY 11971-1179 Tel: 631-765-1802 SCTM# — Date - Owner Phone Address ao i em) Visible Hamlet linspector Floor Level Quantities Sub 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 Building Systems Maintained &Operational Condition of Property Heating Building interior Hot water Building exterior Electrical Property clean,maintained &safe Mechanical lHandrails&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: E Y L' TOWN OF SOUTHOLD—BUILDING DEP Town Hall Annex 54375 Main Road P. O. Box 1179 South '" 19 "1 5 Building Department Telephone (631) 765-1802 Fax(631) 765-9502 littt)s://www.southoldtow awn of Southold departs Ord Town of Southold RENTAL PERMIT APPLICATION Rental Permit Fee $300(Application must be renewed every two years) ',3 I '1 )5 nk Section A. Property Information: Rental Property Address: Tax Map Number: 1000 SECTION -BLOCK -LOT SECTION B. OWNER INFORMATION: p �f � I^ I Property Owner Name: �* y �� `'� III I1 VI UyQ " Property Owner Legal Address: Property Owner Mailing Address: (Cannot be the same as Rental Property Address) LRDO s u.vl d,w 1kV& �aoo CXAVI� ViAV 4V�& E Telephone Number(s): Daytime Evening Emergency Property Owner Email Address: Cb V\V1A @ -.eJ((rVL a (A ' a VA Page 1 of 4 SECTION F. PROPERTY DESCRIPTION: Number of Rental Dwelling Units on property: OKQ, 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: _. Requested Maximum number of persons allowed to occupy Dwelling Unit: 34 Number of rooms in Rental Dwelling Unit: Use and Dimensions of each room in Rental Dwelling Unit: �UI Roew� 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 ❑ 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) ) COU TY OF SUFFO 67 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 anagin Agent, or Site Manager. Property Owner's Name: �n Property Owner's Signature: Sworn to before me this-M of 20 1 Official Notary Public Signature and Original Notary Stamp THOMAS J.UKUNGER Notary Public,State of New York No.01 UH4733066 OtWiflod in Suffolk County commkWon Expires Feb.28, Page 4 of 4 R! TOWN OF SOUTH OLD PROPERTY -J09W�N 1STREET VILLAGE SUB. LOT , - FORMER OWNER N E ACREAGE CA S W TYPE OF BUILDING 7,7 SEAS. VL. FARM —TEst. Mkt. Value RES. comm. IND. CB. misc. LAND lmpa TOTAL DATE REMARKS -L /125 -a z -7 AGE BUILDING CONDITION NEW NORMAL BELOW ABOVE FRONTAGE ON WATER Form Acre Value Per Acre Value FRONTAGE ON ROAD -----T— Tillable I j BULKHEAD Tillable 2 DOCK Tillable 3 Woodland Swampland BrushlandIa House Plot Tota I 3 a 41, 71, } M. Bldg - >° ;'�-gip Foundation Bath Extension Basement Floors Extension Ext. Walls Interior Finish Extension Fire Place Heat p m Porch Roof Type _ z Porch Rooms 1 st Floor Breezeway g Patio Rooms 2nd Floor Garage_ w = Driveway Dormer O. B. r - I FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERKS OFFICE SOUTHOLD, N. Y. CERTIFICATE OF OCCUPANCY x� �S No. .2,14 `O........... .................... tuber &2 . .. Date ............rt........................ 19. corner Corey Crank Rd. & fnyVie*' Rd, THIS CERTIFIES that the building located at ....ari old............................................... tr,2et Map No. ...................... Block Nb. ...................... Lot No. ........6............................................................. N conforms substantially to the Application for Building Permit heretofore filed in this office dated A B 22 ..., 19..6 :. pursuant to which Building Permit No ,.........��... " ........................ . .....�.......................... dated ....n...' ''! ! .. .••x.«»,..>...••«•.,»••., 19...� , was issued, and conforms to all of the requirements �k of the applicable provisions of the law. The occupancy for which this certificate is issued is ........ PRIVAT>S ONE FAMILY DWELLING ......................................................... ...................... .......................................... ..............................6...... The certificate is issued to ..............�ar. ......��u,...t�............................................................. (owner, lessee or tenant) of the aforesaid building. x+./94 ,•""•'•1•39V'rt•.hw4MF.�4��i; YIY lYIb gFMM rtf:rtb........BuildingIr » 7i «�� » BATH 614" x 7'3" PRIMARY BEDROOM BEDROOM 10'3" x 10'4" 10'0" x 10'4" HALL 6,4., x 27 SCREENED PORCH 914" x 10'5" LIVING ROOM „ KITCHEN , 17'0" x 10'7" 10'3" x 10'7" ESTIMATED AREAS GLA FLOOR 1: 638 sq.ft EXCLUDED AREAS 112 sq.ft Total GLA 638 sq.ft,total area 750 sq.ft FLOOR PLAN CREASED BY CUGICASA APP.MEASUREMENTS DEE'!ED HIGHLY REL IARLE PUT P:OT GUARANTEED. N ESTIMATED AREAS GLA FLOOR 1: 638 sq.ft EXCLUDED AREAS 112 sq.ft Total GLA 638 sq.ft,total area 750 sq.ft F_.Oa R?LAN CREATED BY C€BICASA A.PP.VEASUREMEN-5 DFF"EIs€+.IGHLY RELIABLE BUT NOT GUARANTEED FLOOR 1 i-- 3'10" ---1 [AREA: 638] r r N N -P A 1 TY sae_ No LLL BATH PRIMARY BEDROOM BEDROOM SCREENED PORCH (1) [AREA: 112] HALL 9'10° R N N W a LIVING ROOM KITCHENETTE 9'10" 28T'