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Home My WebLink About1000-59.-6-19.3 Rental Permit 1302 Owner: Lawrence Currie Occupied as: Single Family Dwelling Located at: 8415 Soundview Ave Southold 59.-6-19.3 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 Expiration: 05/05/2027 Code knforck ent o tia This Notice must be posted by the main entrance at all times 5 "affG 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 hops://www.southoldto wlin�ov RENTAL PERMIT APPLICATION Rental Permit Fee $300 (Application must be renewed e �t y �r Section A. Property Information: Rental Property Address: ON VILLA r��V� � �� 1 r ` � ► Tax Map Number: 1000 SECTION 913 -BLOCK -5�1 -LOT SECTION B. OWNER INFORMATION: Property Owner Name: d" Property Owner Legal Address: Property Owner Mailing Address: (Cannot be the same as Rental Property Address) Do 6�-d�.J5 5-f- A ? 6 / a. t' Telephone Number (s): Daytime c 3 3 Evenings . Eme g cy Pr Owner Email Address: Property Page 1 of 4 Section C. Authorized Agent Information: Name of Authorized Agent of dwelling unit, if any: N 0 Address of Authorized Agent (no P.O. Boxes): Mailing Address of Authorized Agent: a, Telephone Number (s): Daytime Evening Emergency Email Address: Section D. Managing Agent Information: Name of Authorized Agent of dwelling unit, if any: N N 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: Cl 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: N 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: Number of rooms in Rental Dwelling Unit: Use and Dimensions of each room in Rental Dwelling Unit: A-R) Ln6n A ' 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. ]WqLl a safety inspection to be performed by a Code Enforcement Official uthold mpleted 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 SUFFO K) i( 1 ��L 3 (d )t: 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: d )�,-)Afl Property Owner's Signature: Sworn to before me this day of 20 2-5- 0 ------ fficial Notary Public Signature and Original Notary Stamp rrN1 swim Page 4 of 4 TOWN OF SOUTHOLD BUILDING DEPT. g ( 631-765-1802 5-If- 6 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 (FI AL) [ ] CODE VIOLATION [ ] PRE C/O [ RENTAL REMARKS: �k4&[I S 0 -, 2 ik I - O � Y, cc� DATE -� � __ INSPECTOR Town Hall Annex /7� Z �� g Town of Southold 54375 Main Road rj Rental Inspection Report PO Box 1179 Ka rn »w� Southold, NY 11971-1179 TM N, Tel: 631-765-1802 SCTM# f Date Owner Phone Address F ,Soy v� Visible Hamlet c 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 Occupant Count , Building Systems Maintained&Operational Condition of Property Heating Building interior Hot water Building exterior Electrical Property clean,maintained&safe Mechanical jHandeails&.guards installed&secure Pool Safety Pool on Site Surface Wi ter alarm Date of CO issuance Door alarms Ippol completely enclosed , Self closing/latching gates Pool fence to code requirements CO's for all items present 1Pr1or Rental Comments: 1 5 /7/ � . OWNER STREET _ VILLAGE DIST.I SUB. LOT - �� r�11 1- Cv e FORMER OWNER N E ACR. S W TYPE OF BUILDING r Pr f RES. _.- I SAS. VL. FARM COMM. CB. MICS. Mkt. Value LAND i IMP. TOTAL DATE REMARKS ir- i • b F r - e I z AGE BUILDING CONDITION _ IV -rv; _� NEW NORMAL BELOW ABOVE FARM Acre Value Per Value [ I Acre Tillable I FRONTAGE ON WATER Woodland FRONTAGE ON ROAD '_, . I F Meadowland DEPTH House Plot BULKHEAD Total J DOCK l I COLOR o uity# TRIM t ' 3 _ _ _ . s E i i f i I A , 97 1 I i s i , F t 4f 3 I M. Bldg t Extension _ _ _ _ Extension I Extension i I Foundation C Bath1 Dinette Porch I Basement - I L Floors i 0 - K. Porch - i Ext. Walls Interior Finish I LR. Breezeway i 3 `Fire Place ' h Heat , DR, /I Garage _ Type Roof i Rooms 1st Floor i BR. [ Patio Recreation Room Rooms 2nd Floor l FIN B O. B. ;Dormer IDriveway - F p . Total l I 9/7/4 '' �= TOWN OF SOUTHOLD PROPERTY RECORD CARD e OWNER STREET VILLAGE DIST.� SUB, LOTS ` . FORMER OWNER 4 N = � E � ACR. S W TYPE OF BUILDING RES. SEAS. VL. FARM COMM. CB. MICS. Mkt. Value LAND IMP. TOTAL DATE REMARKS �. I � 7S-C` r/r�' f b �'.�.t r�~r C J`e- N C. 3 miM �f v #, F I f I 1 I r Tillable FRONTAGE ON WATER 22 S le Woodland FRONTAGE ON ROAD Meadowland DEPTH House Plot BULKHEAD Total FORM NO.4 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. a CERTIFICATE OF OCCUPANCY No .. ......,»..... Date ............ . ..»......! ...».»... ........... 19..(... THIS CERTIFIES that the building located at .. 4.....4.0=d...V;LQW..A7Q...................... Street Map No. .. ............... Block No. �................ Lot No xmx.».......SOUthold .........1` "5 ""..,.,...».»...,...... conforms substantially to the Application for Building Permit heretofore filed in this office dated .............................YA �'rla.......PrY.......... ., 19 67.. pursuant to which Building Permit No. ... . dated ........... . .... .X4;rWX ........27.. -, 19..167., 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 ........ The certificate is issued to .lxgg..+P.e.Swrlo.......... ...,.. Ar...... . ....... .........»............. (owner, lessee or tenant) of the aforesaid building, H,D.Arproval July 11 1968 by R#Vta3.a Building Inspectcar EXISM NO.4 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. CERTIFICATE OF OCCUPANCY No ............. Date ............ . ......... .......19........ .. 19..6.8. THIS CERTIFIES that the building located at xpa.....amd—Viow-A'10...................... Street Map No. ......... Block No. ?!*.-............. Lot No ........... conforms substantially to the Application for Building Permit heretofore filed in this office dated .............................jr4upt.......27............. 19.62.. pursuant to which Building Permit No. .3 iq..� dated ........... „ .— ..NTWX ........27.. -, 19-67., was issued, and conforms to all of the requirements of the applicable provisions of the low The occupancy for which this certificate is issued is ........ P.rivate,.MJ.am:L4..g,1%ja- Z. ..... ....... ......... ................................. ................ Private,. A ....... The certificate is issued to ....................PWWr................ ................ (owner, lessee or tenant) of the aforesaid building. RoD.Approval July 11 1968 by R#V*11a .......... 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