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Home My WebLink About1000-128.-2-7 Rental Permit 1338 Owner: BTK Realty LLC Occupied as: Single Family Dwelling Located at: 6050 Great Peconic Bay Blvd Laurel 128.-2-7 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 Fork State Eire 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: 06/25/2025 Expiration: 06/25/2027 �de onfrcement 4dall This Notice must be posted by the main entrance at all times TOWN OF SOUTHOLD—BUILDING DEPARTMENT i' Town Hall Annex 54375 Main Road P. 0. Box 1179 Southold,NY 11971-0959 Telephone (631) 765-1802 Fax(631) 765-9502 htt,s://Nvww.southoldlo"ri Lily4ay RENTAL PERMIT APPLICATION Rental Permit Fee$300(Application must be renewed every tw rs) Section A. Property Information: Rental Property Address: 6050 Peconic Bay Blvd. Laurel, NY 11948 Tax Map Number: 1000 SECTION 128 -BLOCK 2 -LOT 7 - SECTION B. OWNER INFORMATION: Property Owner Name: Bryan &Tracy Kappenberg Property Owner Legal Address: Property Owner Mailing Address: (Cannot be the same as Rental Property Address) 37 Summit Drive 37 Summit Drive Calverton. NY 11933 Calverton NY 11933 Telephone Number (s): Daytime 631-875-7840 Evening Emergency 631-466-1556 Property Owner Email Address: bkappenberg@rbscorg.com Page 1 of 4 Section C. Authorized Agent Information: Name of Authorized Agent of dwelling unit, if any: N /A 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: N/A 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: N /A 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: One 1 Single Family Detached Residence 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: Unit 1 Requested Maximum number of persons allowed to occupy Dwelling Unit: 5 Number of rooms in Rental Dwelling Unit: Three 3 Bedrooms- Nine 9 Total Use and Dimensions of each room in Rental Dwelling Unit: Bedroom 1 = 13' x 15'5" / Bedroom 2=9'3" x 12'5" / Bedroom 3 = 10'6" x 13' Bath 1=4' x T6" / Bath 2 = 9'x 5' Kitchen = 10'x 9'/ Laundry=8'x5'/ Living Room = 25' x 16'/ Dining= 13' x 15' 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. X 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) COUNTY OF SUFFOLK) Bryan Kappenberg 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 l 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: B an Ka enber Property Owner's Signature: Sworn to before mis� day of 20 —t Official Notary P b41ricSgn re and OriginaN`Notary Stamp SALLY,E.NEk4SWCK NOTAW PUBM,State of Now York No, 5014257,Suffolk,'aurally Term Expires July 15,20 Z-1 Page 4 of 4 so TOWN OF SOUTHOLD BUILDING DEPT. l 631-765-1802 /d cf-,2-7 INSPECTION [ ] , FOUNDATION 1ST/ 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: _ he smo cart d4e, vn jA bqSe Ve4- c� DATE 5'l�-a � 1I M.SPE ►TOR Town Hall Annex Town of Southold 54375 Main Road ui w Rental Inspection Report PO Box 1179 QM p Southold, NY 11971-1179 �" �� Tel: 631-765-1802 SCTM # 'y0" Date Owner n Phone Address p Visible Hamlet G,R Inspector Floor Level Quantities Sub 1 2 3 Smoke Detectors(not located in bedrooms) j Carbon Monoxide Detectors Fire Extinguishers Exits Bedrooms 1 2 3 4 5 6 Smoke Detectors Egress Occupant Count o� a Building Systems Maintained&Operational Condition of Property Heating Building interior Hot water Building exterior Electrical Property clean, maintained &safe Mechanical Handrails&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: _ TOWN OF SOUTHOLD PROPERTY RECON �la�l OWNER STREET VILLAGE DIST. SUB LOT MryeI Ver?ffau {£ _ FORMER O 1= { N E ACR. er AA If 0 -v i vi S W TYPE OF BUILDING RES SAS. JVL. FARM ICOMM. CB. MISC. Mkt. Value LAND IMP, TOTAL DATE I REMARKS 4 s � l # 3s3 �K s AGE BUILDING CONDITION NEW NORMAL BELOW ABOVE FARM Acre Value Per Value Acre Tillable 1 -� Tillable 2 k Tillable 3 Woodland e Swampland FRONTAGE ON WATER FRONTAGE ON ROAD Brushland 4 s s ✓?� `� House Plot DEPTH 'V 'BULKHEAD Total !DOCK t SCTM # t R TOWN OF SOUTHOLD PROPERy �� 1RD OWNER STREET g`V� VILLAGE UiST. SUB, LOT s 0..r) k =m j't4r l ACR REMARKS TKt�5 TYPE OF BLD PROP. CLASS F tF SS l. If LAND IMP. TOTAL DATE FRONTAGE ON WATER HOUSE/LOT BULKHEAD TOTAL 3 1 -7 -' o. b CCLOR _- . . �— 1 � ._...�. �.: t E iz8.a-� z/a/zaz _. � M, Bldg_ '- - 3� -- F- : . Both s Dinette Extension £.,. v ` i'�`�.- Basement Floss K. � Extension / Ext. rJJalls9 Interior Finish = LR_ �f F f Y ? C Extension Fire Place - = ,Heat ?a � DR. Type Roof Rooms 1st Floor iBR. Parch `! J S7 !L rection Room! Rooms 2nd Floor; PIN. B. Dormer Breezeway I briveway e r Garage 4_4 Patio - - Total ems_ t ..„... ,.,;,a,i✓u -xaor o,..- N,o ..d,:. i, - ✓ anmeon ra-: u,a rm am vm mmmnnareusrnawiawwnarn,vmwranmmGamrvG# i6�A7XPJ�'17dYAfAU6YIAlTl4'b1J.1Pt J.F"'v, ///.10/i� Town of Southold 11/21/2024 V 53095 Main Rd Southold,New York 11971 v PRE EXISTING CERTIFICATE OF OCCUPANCY Date: 11/21/2024 No: 45782 i � � d,Laurel Blvd, THIS CERTIFIES that the structures located at: 6054 Great Peconic Bay B _ .wwwww�w w w SCTM#: 473889 Sec/Block/Lot: 128.2-7 Filed Map No. Lot No Subdivision: . __...�ww ........_�w. l conforms substantially to the requirements fora built prior to aylmw r APRIL 9, 1957 pursuant to which CERTIFICATE OF OCCUPANCY NUMBER Z- 45782 ........... dated 11/21/2024 was issued and conforms to all the requriements of the applicable provisions of the law. The occupancy for which this certificate is issued is: wood fr a single famity,,dwelling with covered porch,attached garage and covered outdoor sh wer.*' r w;l The certificate is issued to Palmieri DK 2017 Liv Trt _ .M.M........_._.... (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED f *PLEASE SEE ATTACHED INSPECTION REPORT. A I?ri Signature BUILDING DEPARTMENT TOWN OF SOUTHOLD HOUSING CODE�NSP CT ON REPORT It I�E' LOCATION: 6050 Great Peconic Bay Blvd,Laurel ....... ...... iM" SUBDIVISION: 128.-2-7 . ... .. ....... SUFF.CO.TAX —NO.: NAME OF OWNER(S): Palmieri DK 2017 Liv Trt OCCUPANCY: ADMITTED BY: ....... DATE: 11/21/2024 SOURCE OF REQUEST: Palmieri DK 2017 Liv Trt DWELLING: #STORIES: #EXITS: 4rvMw partial/pit CRAWL SPACE: x FOUNDATION: cement block1brick CELLAR: .........- — --- 1 ROOM(S): BATHROOM(S): TOILET ROOM(S)-l�..-�,�-....—..'�,�"..—1.1........ PATIO TYPE: PORCH TYPE: covered porch DECK TYPE: GARAGE: attached two car BREEZEWAY: FIREPLACE: e.lectric AIR C.ONDIT.IONING: DOMESTIC HOTWATER: yes TYPE HEATER: TYPE HEAT: oil WARM AIR: forced hot air HOT WATER: #BEDROOMS: 3 #KITCHENS: BASEMENT TYPE: OTHER. attached covered outdoor shower ...... ACCESSORY STRUCTURES: GARAGE,TYPE OF CONST: STORAGE,TYPE OF CONST: SWIMMING POOL: GUEST,TYPE OF CONST: OTHER: VIOLATIONS: ......... REMARKS: INSPECTED BY: JOHNJ DATE OF INSPECTION: 10/9/2024 TIME START: END: .......... Of Otrry Town of Southold P.O. Box 1179 53095 Main Rd Southold, New York 11971 CERTIFICATE OF OCCUPANCY No: 45781 Date: 11/21/2024 THIS CERTIFIES that the building AS BUILT HVAC Location of Property: kQ5Q Great P coni rvB 3lvcl Laurel NY 11948 Sec/Block/Lot: 128.-2-7 Conforms substantially to the Application for Building Permit heretofore, filed in this office dated: 09/23/2024 Pursuant to which Building Permit No. 51349 and dated: 11/04/2024 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" HVAC as applied for. The certificate is issued to: Pahnieri DK 2017 Liv Trt,Venteau MA 2017 Lv Trt Of the aforesaid building. p tl SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL: ELECTRICAL CERTIFICATE: 51349 11/18/2024 PLUMBERS CERTIFICATION: _.._.... _._._ ._�........._.... __w, ..._.w�_.. ��.w ��_ ..,,..w.ww------.. . i Autl iriz—d ignature Property: 6050 Peconic Bay Blvd. Laurel, NY 11948 Owners: Bryan and Tracy Kappenberg Regarding: Rental Permit Inspection—Open Items 1. Dryer Vent installed 2. CO/Smoke Dectector installed in basement TOWN OF SOUTHOLD BUILDING DEPT. 631-765-1802 .' 'INSPECTION ' MBAR {_ ] ROUGH PLBG. ANSULATIOWCAULKING ! 1 ] .FINAL FIRESAFETY INSPECTION FIRE RESISTANT PENETRATION ELECTRICAL(FINAL) j 1PRq,C/O [ r�RENTAL '41- f lulu m^n �f i r J ,ray lilr YYYb�/�111/! �� Ifrrrl, r, I IY y {1 1 4! M, � I f � r ! f1h 111 1 I, c rr J Key: Smoke J CO Dectector Bedroom I C? in Covered Porch Closet *cf Closet Closet Linen' IF Dining Room Living Room Utility Bath 2 Bsmt m9'0"x 5 0 U ID 15'-3" 25'-1/2" ID 2 Car Garage sc 10 Bedroom 2 12'-5" 2868 SC FP SC Refrig 12'-5" FP --I-- T C, 00 e, 0 o Kitchen D/W Laundry 10,01,x 9101, 8101.x ST, Bath 1 13'- 011 4'0"x T-6"1 Storage l W D Bedroom 3 o Kappenberg Residence Drawn: 4 1 13 2025 Scale: 1 J 8 = I' 0" 6050 Peconic Bay Blvd Laurel, NY 11948 FLOOR PLAN