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Home My WebLink About1000-59.-6-19.4 -at so 1R)WN OF SOUTHOLD Rental Permit 1303 Owner: Lawrence Currie Occupied as: Single Family Dwelling Located at: 8515 Soundview Ave Southold 59.-6-19.4 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. Issued: 05/05/2025 W" Expiration: 05/05/2027 c+eE fi re ment offl' ciiV This Notice must be posted by the main entrance at all times �n TOWN OF SOUTHOLD—BUILDING DEPARTMENT Town Hall Annex 54375 Main Road P. O. Box 1179 Southold,NY 11971-0959 Telephone (631) 765-1802 Fax (631) 765-9502 htt-VL,,//wry ,icl t@1r l t a r RENTAL PERMIT APPLICATION MAR2 2025 Rental Permit Fee 00(Application n7ust be renewed every two y o " Section A. Property Information: Rental Property Address: �. � ) Tax Map Number: 1000 SECTION 0 -BLOCKS -LOT SECTION B. OWNER INFORMATION: Pr Owner Name: �Aov_ l� LE djlL :I � m Property Property Owner Legal Address: Property Owner Mailing Address: (Cannot be the same as Rental Property,Address) aL.,b �L 57�_ J / Telephone Number (s): Daytihie Via' Ll 1.venin 3 Emergency V - Property Owner Email Address: Cl ) �aL�, L4 Page 1 of 4 Section C. Authorized Agent Information: C me of A�.thecized Agent of dwelling unit, if any: 0 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: d p� 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: d 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." Rental Dwelling Unit Identifier: Requested Maximum number of persons allowed to occupy Dwelling Unit: Number of rooms in Rental Dwelling Unit: L) 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. fire safety inspection to be performed by a Code Enforcement Official is th Southold asu completed Town of Southold certification form from a licensed � �. afic °'ter a i ° nsed 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) lLh—Q-Ll r'° Ja CO �� certify rt fy 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: JA (J4-kl L� Property Owner's Signature: Sworn to before me this day of Pl r-k 20 2-5 Official Notary Public Signature and Original Notary Stamp Page 4 of 4 o 50JlPy + TOWN OF SOUTHOLD BUILDING DEPT. 631-765-1802 o?-4- /9, lNzitp =%;Tl0N ON& [ ] 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 (FI L) [ ] CODE VIOLATION [ ] PRE C/O [ RENTAL 0 DATE INSPECTOR 4" � Town Hall Annex " Town Of Southold54375 Main Road Rental Inspection Report PO Box 1179 Southold, NY 11971-1179 Tel: 631-765-1802 SUM # —(Q- Date c Owner " elPhone Address �S 5� foL)�.ur.� Visible Hamlet Inspector 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 lctppant Count Building Bit+ ms Maintained&Operational Condition of Property Heating; Building interior Hot water Building exterior Electrical Property clean,maintained&safe Mechanical Handrails 8c 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 CC1's for all items present Prior Rental Comments; WN OF SOUTHOLD PROPERTY q116113 CAM OWNER STREET s VILLAGE t DIST.11 SUB. LOT I tp,RMER OWNER N E - ACR. r - f S W TYPE OF BUILDING RES. ! SEAS. FARM COMM. CB. MISC. Mkt. Value LAND IMP. TOTAL DATE i REMARKS - _ - z a j - e� F s AGE __ BUILDING CONDITI ?N �o - a-G -' N� NORMALI L }W �� FARM I Acre Value er Value y.. , ;: e:�. y;'� < _ ! °,;� f f r. E i l,Y�, /� m -707 Tills le 2 t —ems Tillable 3 i Woodland Swampland - FRONTAGE ON WATER ` i FRONTAGE ON ROAD Brushland � House Plot DEPTH BULKHEAD Total---' iDOCK I � — i I = ' X e ' j COLOR - f � — . I { THA/ I i TRIM I } t . _ F I 3 - I I # I 1 F t l� pp �f I i — f i M. Bldg, - Foundation Bathe 1 Dinette Extension Basement Floors K. a Extension 'Ext. Walls Interior Finish LR. I _Extension Fire Places HeatL e v DR. € jType Roof Rooms 1st Floor BR. -Porch a.; [ 1Recreation Rooml Rooms 2nd Floors ® FIN B I �r� ' /U Z' Z o Dormer j �� = G U Jr I Breezeway Driveway Garage I 'T Patio 16 .�5 0. B. 0 A/ sp o r �S Total �/U FORM NO.4 TOWN OF SOUTHOL.D BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy Z14609 July 9 1986 No. . . . . . . . . ...le. . . . . . . Date . . . . . . . . . . . . . . . . . . . . . . . . . . . . THIS CERTIFIES that the building . . . . . . . .deck a d d i t ion: . . . . . Y . . . . Location of Property 8515 Soundview Ave . Southold ' House i1ta�: "treei M Hamlet County Tax Map No. 1000 Section . . . . , . . . . . .Block . . . . . . . . . . . . . . .Lot . . . . . ... . . . . . . . , . . Subdivision . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Filed Map No. . .X. . . . .Lot No. . . . . . X. . . . conforms substantially to the Application for Building Permit heretofore filed in this office dated . . . . . . .R o v e ah e r. . . . . . 19 86.pursuant to which Building Permit No. . . . . . 1 4 6.3,q . . . . . . . . . dated . , , March M1w2 µ . . . . . . . µ 19 .86,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. 4 ¢ 4 . * . . The certificate is issued to . . . . . . . . . . . . . . . . .A L,I C E C U R R I E of the aforesaid building. Suffolk County Department of Health Approval . . . . . . . . . . . . x . . N/A . . . . . . . µ . . . . . µ . . . . . . . UNDERWRITERS CERTIFICATE NO. . . . . . . . . . . . . . . . . . . . . . N/A 4 . . . . . . . . . . , , . . . . » , Building Inspector Rev.1/81 oil of rE. ji oil : i" 1 rill,,,,,,, �,, " OJ f tiu I4� l �1,1Nn r i / ir / / / r % rrrrrrrrrrrrrrrrrrrrrrrrrrrr r /i// /Jf//i „>,a r r =,,�, r„�, ,,,,,,,,� ', � r1/l�G✓/�t��K;l�U1IWOW�INkyN� v r „ , / / 1`