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HomeMy WebLinkAbout1000-51.-6-11 Rental Permit 1309 Owner: Lisa Markey Occupied as: Single Family Dwelling Located at: 610 Richmond Rd Southold 51.-6-11 Maximum Permitted Occupancy: 6 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: 05/14/2025 Expiration: 05/14/2027 Code fors ent official This Notice must be posted by the main entrance at all times i u sv '' �a�a � V"41, TOWN OF SOUTHOLD—BUILDING DEPARTMENT Town Hall Annex 54375 Main Road P. O. Box 1179 Southold,NY 1'1 71-0 ►5 Tlelalonef ) 765=1802 Fax(631) 765-9502 ltt s://www.sotflldtownZov & 4� RENTAL PERMIT APPLICATION e,n al Permit Fee$300(Application must be renewed every two years) Section A. Property Information: Rental Property Address: ,. 2 C-" v-,�...ok> Tax Map Number: 1000 SECTION 6—/ -BLOCK SECTION B. OWNER INFORMATION: Property Owner Name: L Property Owner Legal Address: Property Owner Mailing Address: (Cannot be the same as Rental Property Address) Telephone Number (s): Daytime -3zu vening Emergency Property Owner Email Address: k,i i t c_ t-z' � Page 1 of 4 Section C. Authorized 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 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: 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: Use and Dimensions of each room in Rental Dwelling Unit: w eop 10 43 ' 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 ❑ 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),�� l 5 R tivl P�' ut-F `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: /--L Property Owner's Signature: Sworn to before me this_day of ►' / . 200 y 0-'�" ram-- 8un Official Notary Public Signature and Original Notary Stamp CONNIE D.BUNCH Notary Public,Mate of New York No.0i BU6185060 Qualified in Suffolk County Commission Expires April 14,2� Page 4 of 4 f rim, TOWN OF SOUTHOLD BUILDING DEPT. 631-765-1802 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 (FINAL) [ ] CODE VIOLATION [ ] PRE C/O [ RENTAL REMARKS: Q(L -PO,2-, TOWN OF SOUTHOL D BUILDING DFPI""". 631-765.1802 INSPECTION [ ] FOUNDATION 1ST [ ] 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 [ kifEENTAL REMARKS: c o r "' -42 S4 7/ 4 i Cie- IAS�11te- DATE INSPECTOR Town Hall Annex ". Town Of Southold 54375 Main Road Rental Inspection Report PO Box 1179 RCn ZL- Southold, NY 11971-1179 �o Tel: 631-765-1802 SCTM # — Date .. .... ...o? . �wner..". .....m.... .Ma ... .. ••__,..�Ar Phone O .. Address �"r � Visible qq .. I inspector 'Hamlet 1 2 Lecter Sub Floor Level Quantities 3 Smoke Detectors knot located in bedrooms) --Carbon Monoxide Detectors .., . .._.a.. ......... Fire Extinguishers ° Exits . _. ._..w.. .m.. . _... 4._ ... 5 6 Bedrooms 1 w ....�, 3 �.._._ _... ... .... . Smoke Detectors Egress Occupant Count Building Systems Maintained &Operational I Condition µof Property Heating Building interior Hot water I... Building exte ri or Electrical Property clean, maintained &safe _ _ � Mechanical installed & secure �......... �. _..... e,v..... . . . Handrails&guards __... ..,. ., ..w ... Pool Safety Pool on Site ..�., Surface water alarm Date of CO issuance ,Door alarms (Pool completely ode osed � Self closing/hatching gates Pool fence torequirements _. CO s for -.�. .. . ' items present j Prior Rental Comments. ~ ' \ / ' l � • i r r r — t 51.-6-11 1/28/2019 M. Bldg. i = F undation ;Bath a.1 Extension Basement � Floors � Ext. Walls ; Interior Finish G(, } Extension = Fire Place Wk35 Heat Cc Porch Roof Type Porch s Rooms 1 st Floor Elreegewc� f��V L4 d of ' Patio Rooms 2nd Floor _ -- - — — - c (% - F Driveway Dormer O. B. } L �s a j® J Cu f 3 ago � ffi �PO2ot? to 'k,N,Nv i� I � s r r TOtt'N OF SOUTIIOLD OFFICI; OF BUILDING I\Sl'L;CT `Ic TOtt N IIALL SOUTIIOLD, NEW Y OI',K CERTIFICATE OF OCCUPANCY NONCONFORMING PREMISES No. ,Z12219 January 25, 1984 TIiIS IS TO CERTIFY that the /X/ Land Building(s) Use(s) located at 610 Richmond Road Southold Street Hamlet shown on County tax map as District 1000, Section 051 , Block 06 Lot 01 1 , does;noOconform to the present Building Zone Code of the Town of Southold for the following reasons; the property has insufficient area. On the basis of information presented to the Building Inspector's Office, it has been determined that the above nonconforming /X/Land /u/Building(s) / /Use(s) existed on the effective date the present Building Zone Code of the Town of Southold, and may be continued pursuant to and subject to the appli- cable provisions of said Code. IT IS FURTHER CERTIFIED that, based upon information presented to the Building Inspector's Office, the occupancy and use for which this Certifi- cate is issued is as follows: a private one-family dwelling, with accessory burner and accessory shed located in the rearyard. The Certificate is issued to MARION D. RICHARDS (ESTATE) (owner, 1e3se%—_ 1nr-ten3nt•) of the aforesaid building. Suffolk County Department of Health Approval no record UINDEPL%VRITERS CERTIFICATE NO. no record NOTICE IS HEREBY GIVEN that the owner of the above premises HAS NOT CONSENTED TO AN INSPECTION of the premises by the Building Inspec- tor to determine if the premises comply with all applicable codes and ordin- ances, other than the Building Zone Code, and therefore, no such inspection has been conducted. This Certificate, therefore, does not, and is not intended to certify that the premises comply with all other applicable codes and regula- tions. lttildi,i^ inspector Foe Town of Southold 3/30/2017 P.O.Box 1179 53095 Main Rd ' ° gyp Southold,New York 11971 CERT"`MCAT OF OCCUPANCY No: 38874 Date: 3/23/2017 THIS CERTIFIES that the building RESIDENTIAL ALTERATION Location of Property: 610 Richmond Rd, Southold SCTM#: 473889 See/Block/Lot: 51.-6-11 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 8/15/2016 pursuant to which Building Permit No. 40933 dated 8/24/2016 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: 'ALTERATIONS TO AN EX STING ONE ILy_QWELI,ING AS APPLIED FOR The certificate is issued to Richter,Dagmar of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 40933 03-07-2017 PLUMBERS CERTIFICATION DATED 12-13-2016 hogue Plumbing ia `-ec Signature Town of Southold Annex 11/25/2013 P.O.Box 1179 54375 Main Road Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 36620 Date: 11/25/2013 THIS CERTIFIES that the building RESIDENTIAL ADDITION Location of Property: 610 RICHMOND ROAD SOUTHOLD, SCTM#: 473889 Sec/Block/Lot: 51.-6-11 Subdivision: Filed Map No. Lot No. ................. ........ ...... ...............conforms substantially to the Application for Building Permit heretofore filed in this officed dated 8/25/2010 pursuant to which Budding Permit No. 37808 dated 2/14/2013 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: 4CIPL(ign a d Iterati r Wo and dqcLjqAq cxis Ling o m—A —nq.� -gl —_M..including one 0_ -a_ _.I_ tinj)y4w ling s h4ftcwr. The certificate is issued to MARIE L.CARRIG ........... (OWNER) of the aforesaid building. SUt FOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. N 344792 3/8/95 ...... ....... .......... PLUMBERS CERTIFICATION DATED ....... ... .... .............. Auth z Si turc Town of Southold 8/5/2019 P.O.Box 1179 53095 Main Rd ,40 Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 40589 Date: 8/5/2019 THIS CERTIFIES that the building IN GROUND POOL Location of Property: 610 Richmond Rd., Southold SCTM#: 473889 Sec/Block/Lot: 51.-6-11 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 2/21/2018 pursuant to which Building Permit No. 42416 dated 2/27/2018 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: is.-n a nd,wirnn in o fenced to code as a Lied for. The certificate is issued to Markey,Lisa of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 42416 4/19/2018 PLUMBERS CERTIFICATION DATED ut o Signature fi u0000000000000000000000000000000000000000000000000000000000000000000000000�������������������������������������������������������������������� VV I uuuuuuuuuuuuuuuuuuuuuuuuuuuglllllllpuuuuuuuuuuuuuuuuuuuuuuuuuuullllllllpuuuuulllllllli��������������������������������� IIII V4 %r ' rr l uuuuuiiiii VVVVV uuuuuuuuuuuuuuuuuuuuuuuliiiuuuu I I I I, I � � W III I I i I