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Home My WebLink About1000-103.-1-26 E; TOWN OF SOUTHOLD Rental Permit irmit No. 0310 Owner a Ra &Lancy Lim �sC)L-l� Occupied as Singcy Family 46weltfng Located at 1920 Harbor LaQ\ Cukbou 103-1-26 Village 5/B/L MaximumP- itted cupancy 4 Is in compliance with all of the provisions of the code o t 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. 6/16/2020 Mike Verity Date of Issue Code Enforcement Officer This Notice must be posted by the main entrance at all times Town Hall Annex Telephone(631)765-1802 �s i 54375 Main Road Fax(631)765-9502 � P.O.Box 1179 "C Southold,NY 11971-0959 BUILDING DEPARTMENT TOWN OF SO HOLD RENTAL PERMIT APPLICATION Rental Permit Fee$200(Application must he renewed every two years) Section A. Property Information: Rental Property Address: Tax Map Number: 1000 SECTION (03 , 0 0 BLOCK O E bd LOT Z 6 • 6 O SECTION B. OWNER INFORMATION: Property Owner Name: V ✓ Property Owner Legal Address: Property Owner Mailing Address: (Cannot be the same as Rental Property Address) �o Dr4 tt Plc,c Telephone Number (s): 4r1ru 12e4516-66{ 2 S L��c L��•�. Rll ' 82 l-O �•(3 Property Owner Email Address: h I-A- w`�' `•�d La �"Z2 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): Email Address: Section D. Managing Agent Information: Name of Authorized Agent of dwelling unit,if any: tv Address of Authorized Agent(no P.O. Boxes): Mailing Address of Authorized Agent: Telephone Number(s): 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: ry A Address of Managing Agent(no P.O. Boxes): Mailing Address of Managing Agent: Telephone Number(s): Email Address: Page 2 of 4 SECTION F. PROPERTY DESCRIPTION: cu+C�o5Ve NY Number of Rental Dwelling Units on property: � M II�c35 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: Ic(2-0 u4r6r• bk- Cv�-Cl a 0 11135 Requested Maximum number of persons allowed to occupy Dwelling Unit: Number of rooms in Rental Dwelling Unit: 10 Toou".5 Use and Dimensions of each room in Rental Dwelling Unit: 8e f6 � # '1 raa�-'�Z= (Z2 SF �4ur.ly 2oo� a 16 '� IR , Kj�ckttA tJ� 11 5 ' 'Dtv.%'tA 11.5'/ 11•S' (.iV; (Z-,-/ � 350 5� s �-� ��, e l l ' (? z -4, e 1 I� X 131 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 NYS licensed architect, a NYS 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. Page 3 of 4 I am submitting a completed Town of Southold certification form from a licensed architect,a licensed professional engineer,or a licensed home inspector who has a valid New York State Uniform Fire Prevention Building code Certification. SECTION H. DECLARATION: Signature must be notarized and MUST be the owner of the dwelling unit STATE OF NEW YORK) } COUNTY OF SUFFOLK) I ,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: vv� Property Owner's Signature -A-it(�A : y Public State of New York Sworn to before me this day of 201 N0.01 BA6342633 0ualified in Nassau County ....� ,x s1,n1'res may 3,2020 Olfficial Notary Public Signature and Original Notary Stamp Notary Public -State of New York NO.01 BA6373832 Qualified in King County My Commission Expires Apr 16,2022 Page 4 of 4 1rrAZN;"&W- . ,a� Town Hall Annex Telephone(631)765-1802 Fax(631)765-9502 54375 Main Road u k'k P.O.Box 1179 Southold,NY 11971-0959 BUILDING DEPARTMENT TOWN OF SOUTTIOLD RENTAL PROPERTY CERTIFICATION Form to be completed by a NYS licensed architect, NYS licensed engineer or licensed home inspector Separate form is required for each individual Rental Dwelling Unit Er—O ssional seal re aired oar Architect or En ineer licensed Home Ins ector must rovide a co o a valid New York State Uniform Fire Prevention,Buildin Code Certi motion. Rental Property SCTIVI U— (7 "tea (0O— Z-Cv o Rental PropertyAddreNumber. � ,", Owner/Name: Rental Dwelling Unit Identifier: Number&Square footage of each bedroom as depicted in the attached floor plan: (i.e. Bedroom#1-100 sq., Bedroom#2-90 sq., etc.) Property Description ption (Include all all improvements 1 n lcate onre survey) � � I certify that I have done a physical inspection of the subject rental dwelling unit and find that the unit 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. Print Name and Title Original Signature a, .0 46"" IR � Plea t ro i as a Ai . 02856r - € - SMOKE/CO DETECTORS = : = j SVMBOI DESOPIPTON � } 1—o eaas eam,re MwrileG i € j Ei a I £ _ � ,q � - 3 CO CMBOlJ MONOXLiOE Deleclae CeIv9 MauMe4 (_� � tt i F € 13EVROOM#1 - 1 i s ' s i i rz 7 j � y , �3 7 ' r € _ - W-10 1:7 s FAMILY92 _H g �I a AKz , e 3 3 ENTRY t KITGHEN Qv ( - HALL _ DINING i - 1 377 A, GARAGE _ 3 TA h : ENTRY € a LIVING i PA17 = I I I € Lg.g^ap� g. -_�-§.. �.�. emu. �;2' 610' S-41rz• b.-10. X.- - : € 1rz i�r-1o•ry -� t 028, - [ I s s. F N DA � LIVING AREA € 2/22/19 1124 50 FT [[ (`5GALE 1 st Floor SEC: 103 BLOCK: 100 LOT: 26 i UNET ( °ffi f I SMOKE/CO DEFECTORS CAFWNMCWXC1�00epvp C 11NMa .r : [ 7 VE EGRE55 WINDOW i€ I _! OFFICE t WELL s ] [ r T 1M._1M I €� Z W ftit g t€ z FAMILY ROOM A _�� [ U C -. t$ S € CRAWL 5FAGE I (� � 5TORAGE IA A €s _ o.®®—®_— j BASEMENT FLOOR PLAN . DATE: E € 5Gt ALE SEC: 103 BLOCK: 100 LOT: 26 f 3 icy j MI' � To septic system APPROVED AS N ;ADprovod 10/20/69) DATEl 01[5 s LMayer , a l ble Trust Taes:T J Saut f d Christines Carter i 3 � i - ( f' 2ftElt Add—e w 1920 Harbor L ane,Cutchogue,NY 11935 _ SCTM q:1000 e103-1-26 FO m s. ;'*4 i As-built building permit fee: v FOLLOWING INSPECTIONS: 1% i� C of O Fee:$50 1 FOUNDATION -TWO REQUIRED CONCRETE So jP_ V- VIEW F2orv1 5 W Original survey gar Tuv '1r451 � f2 cJ P-4 -0 2 R Asa FRAMING & PLUMBING Current survey; f DD°� �. W 3 INSULATION W o condition,Area 10 500sf a ore 1 21 Lot n 4. FINAL-CONSTRUCTION MUST Elevation: It, x � ir� _: Distance to clearest wetlands-i00c€ft w ' BE COMPILE E FOR C 0 -- u s Zoning:Max lot coverage 20%,9 ' ALL CONSTRUCTION SHALL MEET fi N F Main building:Max Height 3511,Min side set-hack 10ft r S L t R r t y, Accessory building:Max height 20ft,Min side-setback 5ft New Sunroom STATE - 7S ul; -- R y = �_� . K Design conditions: Patio „, d OR ,. *r =} S, t u Live food 40 last,Dead toad 10 last,Snow load 20 psf 18ft x 16,5ft Design code:NYS residential occe,1969 or later for improvements I Full Bath $L i c�'1 - S)N Rocm,4IEW_ 1-Q.anl Is Matenals: Sunroom t ' ^l�r Bedroom 2 W Footings:6in thick concrete 3 bat ow grade `S L I 1'l 4 Foundat: rs;Concrete blck and concrete slab at grade Suds and boss plates:Z3 x 5 n :erg=_ [ ( Girders.:2in x 10in number a required . DcT q r a a t Hoa ens and Joists.21n x 8in and 2 x 1 Oln S-n StT Windows and doors:Client choice ¥ D 9 r S L Dining area t G E [ t Kitchen , 1 t s Tl i Deck: t = i ° Floor boards:21n x 6in timber Half Bath L. ; E .iso +; CODES OF - ;; " E Header girders and joists-Ln x 6in timber or equivalent ��g k pasts 41n x 4in treated(umber on concrete footings 6"u c NEW YOr h STATE TOWN CODE S '- a �� Fasteners for deck:galvanized fittings,tecos on header Garage „ C' kS REQUfFEQ 9 9 ( e � t 5/Bin x 4in carriage galv bolts(to avoid fouling Internal services) S " [ 1/21n gale lag bolts, Foy 12 i Zmax 41nx4in wet goot ancrsr equivalent � �.,,, `_'_��*-=�w ��. - ..-. 4 -s to be placzd.SFt�-e.cw g=ade 1 �� Footings: W - a vine_. ,cror iirt3TEE5 G.Q G fir-, M4P T SFr - -- - I 'ENT" .�N.Y. °O Fr sc;u I"=Xse°4t- W TTown water servicz 4S`'NER` ' DWG it Building Permit as-built application S"SF'rI Legend - g Driveway Laundry Equipment LE CS. P. g g g Dsv Title:New Sunroom and Deck general arrangements Closet C # - k t 9r Robert Barrett PE,4296 Vanston Road,Cutchogue,Tel 631 734 2730 Sliding Door S D i These plans are an instrument of the service and are the property of the Door D design professional whose seal is affixed hereto.Infringements 11 . D l s 20. 4 Window W prosecuted to the fullest extent of the law,Contractor shall verify all field f conditions and dimensions and be solely responsible for field Fit.The l' Sky Light S L s design professional assumes no liability for emissions due to unknown Refrigerator R or unforesees,field conditions and or additions based upon comments not Z-q 7_ /lJ formally acknowledged as revisions to these plans. F _ I To septic system r; (Approved 10/20/69) 2n The Lois Meyer S nn irrevocable Trust a. Trustees:T J Sauthoff and Christine S Carter j Proge Addy-ss 19224 Harbor Lane,Cutcttc ue,NY 11935 Si#Attc96-1tt3-1.26 Patio W W � , As-built building permit f : ` C of Q Fee:$SO t Bedroom 1 OrOnal su.t ,an T;r911/05159 DoerL &kv ' Current survey:recontc Surveyors i `1: £� (1 W W Lot condition.Area:19,50sf,Efevatcor:21ff, Distance to nearoet wettands IWo t e W w} = O E Zoning:Max lot coverage 20 , (lain building:Max Height 351ft.fain side set-bads 10ft Accessory building.Max height 29fi,Min side-setback5ft New Sunroom C s'on conditions Patio C' " Live toad 40 psf,Dead lead id psf,Snow load 20 psf 16ft x 16,5ft ,� I W wm t Design code:NYS residential code 1969 or later for improvements SL s3 �� 1 1 r—w C ,r E\ Sty Materials: s' Sunroom f — — '1 . _ ' Bedroom 2 Footings 61n thick concrete 3ft ow grade � � t �' Foundations.C I s L'I {, Fo° Concrete block and cmtcrete slab at grade t Studs and base p ate$.tut x 6in 3€rber t r 4 d Girders tin x Jain number as requiad ac e i t S I leade t and fats.tin x Bin and 2 x 10in e AS 4a' b i L r i , { LYlndowrs and doors:Client choice P SD �3 x _ems � - _ I ° w r Deck: DN ; r Pe ` HAL¢ `Z > ` i Floor boards:tin x 6in timber t1+k t RE , ti atic.girders and jolsM 2 n x 6 n timber cr equivalent neck posts 41n x 4in treated lumber on concrete footings k1 u c Y+ - Fasteners for deck:gatvar;ized fittings,tacos on header Sqim x lain carnage alv belts o avoid foulinginternal services Ci11af44Ce catffi 1' x3aoa�W 112in Slt g _ ?(.IViNC Ro�ni C-aria_ bolts, Foyeg Zmax4mx4lnwet post=anchors osequivalent Footings:to ptared:tft lcw ode "ENT" _ -Town water service : Rev rl€.e.A L.E W .._"SVIJ 2 M v f3E F.¢6 2ns 6o—4c�r�lN, -- - 't- --- Ai4^ ltD, i DWG k 090215 Rev D 6aeldu:g Permit as built application Drive,vayrt C. Dwg Title:New Sunroom and Deck general arrangements ' ., Legend Robert Barrett PE,4295 Vanston Road,Cutchogue,Tel 631 734 2730 ) Laundry Equipment LR These plans are an instrument of the service and are the property of the Closet C design professional whose seal is affixed hereto.Infringements will be a r' Sliding Door SID prosecuted to the fullest extent of the law.Contractor shall verify all field 'f conditions and dimensions and be solely responsible for field fit.The Door D F design professional assumes no liability for omissions due to unknown FE cT Window W or unforeseen field conditions and or add`ttlorls based upon comments not Refrigerator R lr t f formally acknowledged as revisions to these plans. q TOWN OF SOUTHOLD PROPERTY RECORD CARD OWNERif STREET ; P ") VILLAGE DIST SUB. LOT v fa G FORMER N f� ( , i G(�1t7 S W 9_ TYPE OF BUILDING RES. f SEAS. VL. FARM COMM. CB. MILS. Mkt. Value LAND IMP. TOTAL DATE REMARKS oo 31, /q- s 3nF00 _ kill g 1 AGEBUILDING CONDITION - �= NEW NORMAL BELOW ABOVE ----------------------- FARM Acre Value Per Value Acre Tillable FRONTAGE ON WATER Woodland ? FRONTAGE ON ROAD &� 7 i Meadawland DEPTH a �7ef House Plot I BULKHEAD Total DOCK i � I .mow .ram.. ` { _° C R U`w �► QlJ�3V1 TRIM UV V he. -tit I I [ a { i _ - - - TIE� v G � Y 103.4-26 2 2 1 M. Bldg. r Extension - ` Extension I I I Extension - , 6, - on anon Bath _ Dinette Parch ° a / f LAExut RO ement Floors K. Walls 4ev Interior Finish In P,�- ER. Place � Heat. . � � _� QR. Safage d, / = a Q Pe Roof ,•' Roams 1st Floor ,BR. ' (� - Recreation Rooms 2nd Floor FIN. 6 $ _ r f t�1 ,Po'T C) �Qo er Driveway ,Or Total i J r; l 9 s5f44-.L-WV,4J1 goo -300 -70� ;-,(16 FORM NO. 4 r TOWN OF SOUTHOLD. BUILDING DEPARTMENT Town Clerk's Office Southold, N. Y. Certificate Of Occupancy No. .z, 3.611. . . . Date . .october. . .230. . . . . . . . . 19.�9. THIS CERTIFIES that the building located at .H4rbOX.xlane. . . . . . . . . . . Street Map No. . . . . . . . . . . . . Block No. . . . . . . . . .Lot No. .CU ChQ9V1e.., . v; .York . . . . . . . . . conforms substantially to the Application for Building Permit heretofore filed in this office dated . . .Novembe3c. . . .14.,. . 1968— pursuant to which Building Permit No. 41�3 .Z. dated . . .November, .14, . . . . . 19.60 ., was issued, and conforms to all of the require- ments of the applicable provisions of the law. The occupancy for which this certificate is issued is . . .pr Jx-ate. one. ,f.Zmil y. .reel].inch. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . The certificate is issued to . . Cbest?r. Qx1:QWSYt. . . . . . . . . . . . . . . M . . . . . . . . . . . (owner, lessee or tenant) of the aforesaid building. Suffolk County Department of Health Approval . october. P.O.,—19.6.9, . 'Ro]?ert, �7 X. a " Building Inspector House # 1920 Harbor Lane a .�.—----.-—........................ --_ _._.-__..... �...�..wwwww_wwww...._...................�w� Town of Southold 8/1/2019 P.O.Box 1179 53095 Main Rd ` Southold,New York 11971 z CERTIFICATE OF OCCUPANCY No: 40572 Date: 7/31/2019 THIS CERTIFIES that the building AS BUILT ALTERATION Location of Property: 1920 Harbor Ln, Cutchogue SCTM#: 473889 Sec/Block/Lot: 103.4-26 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 10/23/2018 pursuant to which Building Permit No. 43632 dated 4/10/2019 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: "AS BUILT"PARTIALLY FINISHED BASEMENT WITH BATHROOM IN AN EXISTING ONE FAMILY DWELLING The certificate is issued to Raff,Harry&Lim,Lancy of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 43632 12-07-2018 PLUMBERS CERTIFICATION DATED 07-24-2019 Z it Plumbin Aut '° Signature Town of Southold 12/13/2015 P.O.Box 1179 53095 Main Rd Southold,New York 11971 a CERTIFICATE OCCUPANCY PANCY No: 37938 Date: 12/14/2015 THIS CERTIFIES that the building AS BUILT ALTERATION Location of Property: 1920 Harbor Ln, Cutehogue SCTM#: 473889 SecBlock(Lot: 103.4-26 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated p g 1 dated 10/13/2015 * . „C)!7/ �J1..5....... pursuant to which Building Permit No. 4017 ......_ ._, .._._....�..._._wwww.. 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: a jtg atip and"as b _.X stir' one family w lli as appligd for.. The certificate is issued to Boeckmann Lois M Irry Trust of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 40171 11/23/2015 PLUMBERS CERTIFICATION DATED AuthoW_.._ — Sigat ;