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Home My WebLink About1000-62.-3-17 Rental e rm it 1348 Owner: Andrew Kurita , Alexis Barr Occupied as: Single Family Dwelling Located at: 385 Cottage PI Southold 62.-3-17 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: 07/01/2025 Expiration: 07/01/2027 (ode of rcement cial This Notice must be posted by the main entrance at all times TOWN OF SOUTHOLD—)BUILDING DEPARTMENT Town Hall Annex 54375 Main Road P. 0. Box 1179 Southold,NY 11971-0959 Telephone(631) 765-1802 Fax(631) e �fl RE 'TA ERMIT 'PI.I Tl I q Rental Permit Fee 300 +pBfccrtlorr must be rerreo ed every tw � �s p rs �C►) � b ,*" Section A. Property Information: Rental Property Ad 0 ress: Ma Number: 1000 SECTION :r L SLOC -LOT Tax p SECTION B. OWNER INFORMATION: l Property Owner Name: Property Owner Legal Address: Property Owner Mailing Address: (Cannot be the same as Rental Property Address) l iw, °I ) S�'�c„- Telephone Number(s): Daytime Evening Emergency Property Owner Email Address: Page 1of4 Section C. Authorized Agent information: Name of Authorized Agent of dwelling unit, if any: e' W" %" "J Address of Authorized Agent(no P.O. Boxes): Mailing Address of Authorized Agent: gy CrOC ' ,4L. Telephone Number(s): Daytimes- tC't Evening 24,--c- Emergency S - 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, 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." 0 Rental Dwelling Unit Identifier: C 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: 4 6 ° kV4 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 0 1 am submitting a completed Town of Southold certification form from a licensed architect or a licensed, professional engineer. Page 3of4 SECTION H. DECLARATION: Signature must be notarized and MUST be the owner of the dwelling unit. STATE OF NEW YORK) COUNTY OF SUFFOLK) I V k-f r __,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 thii 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: Property Owner's Signature; � � Sworn to befog me `��day of ^' ' 20 ' Official Notary Public Signature and Original Notary Stamp JAMES DUFFY Notary Public-State of New York N0. 01D00013783 Qualified In Suffolk County My Commission Expires Sep 75„2027 Page 4 of 4 TOWN OF SOUTHOLD BUILDING DEPT. 631-765-1802 /,o,a_ 3- /7 1 IN S P E T 10 N [ ] 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 (FI L) [ ] CODE VIOLATION [ ] PRE C/O [ RENTAL REMARKS: S� a - God �v o - /h Y2a.SO- C f� r C4,* h 1�l A&1 oX 1 � -A� � Cn JtA o vice ur h� 0 ry l on . DATE _ INSPECTOR ',k Town Hall Annex Town Of Southold 54375 Main Road Rental Inspection Report PO Box 1179 Southold NY 11971-1179 Tel: 631-765-1802 SCTM# _ _ Date Owner v al;bX, Phone Address J3� 6p a{.,e— 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 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 RE ( OWNER STREET VILLAGE DIST. SUB. LOT FORMER OWNER E _ A f�l .` � � ►�l �E (�L�� f 'P' / i W - TYPE OF BUILDING ICES, SEAS. VL. FARM COMM. CB. ' MICS. Mkt. Value LAND IMP. TOTAL ! DATE REMARKS ZJ 1 / I u 1 3900 - I �F ,ode i H/ a l l f. i f AGE IBUILDING CONDITION e NEW NORMAL BELOW ABOVE FARM ! Acre I Value Per Value Acre Tillable FRONTAGE ON WATER FRONTAGE ON ROAD �� Woodland i � 7� S, Meadowl.and ! DEPTH House Plot BULKHEAD i i Total I I DOCK I OLOR-11 TRIM -- i Al i I � E i K i { s s: _ - - t a s f 62.-3-17 9/08 f I M. Bldg. 3 E Extension I z Extension �5 Extension Foundation i Both ` Dinette �,�2aoQ> ,G ls Porch � �a - � ,� ;a8o Basement �; �--- Floors � K. Porch �—� M�xt. Walls „q Interior Finish LR. Breezeway E Fire Place Heat DR. Garage i av _ g � ` ��07ype Roof ;Rooms 1st Floor BR. r Recreation Room 'Rooms 2nd Floor FIN, B 0. B. Dormer 'Driveway Total 5 _ TOWN OF SOUTHOLD OFFICE OF BUILDING INSPCCTOR TOWN HALL SOUTHOLD, NEW YORK CERTIFICATE OF OCCUPANCY NONCONFORMING PREMISES THIS IS TO CERTIFY that the Pre C-0- X] Land Date- June 9. 1987 XF Building(s) /_1 Use(s) SOUTHOLD located at 385 COTTAGE PLACE Street Hamlet shown on County tax map as District 1000, Section 062 . Block 03 7 Lot 1 . does�notNconforni to the present Building Zone Code of the Town of Southold for the following reasons: ---------- _IneuEficient total area; front ards set-backs. On the basis of information presented to the Building Inspector's Office, it has been determined that the above nonconforming Landl Building(s) rlUse(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 contains 2 story, one Tamil Ywood cate Is issued is as follows: accessory gara ; a permit framed dwelling with attached porch; sidential 015162Z & C.O. #Z15110 for addition; all situated in A-Re-------- zone with access to Korn Rd. & cottage Pi . a town road. The Certificate is issued to —JEAI+BRE r WAT.TERS (owner,xMMXMX=%1t I XXXX of the aforesaid building. Suffolk County Department of Health Approval UNDERWRITERS CERTIFICATE NO. NIA NOTICE IS HEREBY GIVEN that the owner of the above preraises HAS spec NOT CONSENTED To AN INSPECTION of the premises b codes and ordin y the BuldLng In - tor to determine if the premises comply With All applicable - ances, other than the Building Zone Code, and therefore, no such inspection has been conducted. This Certificate, therefore, does not, and is not intenda ed to certify that the premises comply with all other applicable codes and regul - tions. u FORM NO.4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold,N.Y. Certificate Of Occupancy No. , Z 15. . .0 . . . . . . . . Date . .VIa,,rentbe r. ., 19. . . . . . . . . . . . . . . . 19 , 6 THIS CERTIFIES that the building . . . Add it ion, . . . . . . . . Y . Location of Property . . .2.5 ,Korn Rd. *&. J85 .Cottage Place ' . . * µ Southold House No. Street . . . , . »i affilet 17 County Tax Map No. 1000 Section . . . . . . . . . . . .Block . . . . 0.� „ . . —Lot . . . . . .. . . . . . . . . Subdivision . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Filed Map No. . . . . . . . .Lot No. . . . . . . . . . , . . . conforms substantially to the Application for Building Permit heretofore filed in this office dated . . . . . . . .. 19 .8 6 pursuant to which Building Permit No. 15�.6.2 2. . . . . . . . . . . . . . . datedacat 2. . . . . . . . . . . . . . . . . . 19 . .g,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 . . . . . . . . . KKGarage. addition to an existing one family dwelling. The certificate is issued to , . , „ Jeanne Walters M . . * . . of the aforesaid building. Suffolk County Department of Health Approval . . . . . . ` . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . UNDERWRITERS CERTIFICATE NO. . . . . . . . . . .. . . .W77.7.849. . . . . . . . . . . . . . . . . . . . . . . . . . . Building Inspector Rev.1/81 FORM NO.4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy No. . Z16253 w . , * ` Date „Oct . b , 1987. . . . . . . . . . . . . . . THIS CERTIFIES that the building . P o,01 . . . , . , , M , . . . Location of Property Cottage Place 4 . Southold . . Ho385use No. Street Hamlet' County Tax Map No. 1000 Section . .0 b 2. . . . . . .Block „ . ,0 3. . . . . . . . . .Lat . . . . . . . . . . . . . . . Subdivision . . „ . . . . . . . . . . . . . . . . .,.. , . . . . . . . , .Filed Map No. . . „ . . . . .Lot No. . . .. . . . „ . . . . . . conforms substantially to the Application for Building Permit heretofore filed in this office dated . . . . ..l u u e. .16 , . .1.9 8 7 pursuant to which Building Permit No. �6 14 2 Z . . . . , . R , a . . . dated .June 2 6 , 19 8 7 * * . „ 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 . . . . . . . . . Above ,ground, pool, and fence as applied fork.` . The certificate is issued to JEANNE C . WALTERS . . . . . .(owner /JQW&Xt"k0. . . „ . . . . . . . » . . . , . . . . of the aforesaid building. Suffolk County Department of Health Approval . . . . . . „ . . , . N/A . . . . , . . , . . . , UNDERWRITERS CERTIFICATE NO. . . . . . . . . . . . . . . . . . . . N 8 3 3 9 0 0 9/2 4/8.7 . , . „ . , , . PLUMBERS CERTIFICATION DATED: N/A Building Inspector Rev.1/81 FORM NO. 3 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Hall Southold, N.Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) PERMIT NO. 26905 Z Date NOVEMBER 61 2000 Permission is hereby granted to: RICHARD H FREDERICK 385 COTTAGE PLACE SOUTHOLD,NY 11971 for DEMOLITION OF ABOVE GROUND SWIMMING POOL AS APPLIED FOR. at premises located at 385 COTTAGE PL SOUTHOLD County Tax Map No. 473889 Section 062 Block 0003 Lot No. 017 pursuant to application dated NOVEMBER 3, 2000 and approved by the Building Inspector. Fee $ 15. 00 Authori d Signature ORIGINAL Rev. 2/19/98 FORM NO. 3 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Hall Southold, N.Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) PERMIT NO. 35872 Z Date SEPTEMBER 17, 2010 Permission is hereby granted to: A KURITA & A BARR 385 COTTAGE PL SOUTHOLD NY for DEMOLITION OF ACCESSORY WORKSHOP AS APPLIED FOR at premises located at 385 COTTAGE PL SOUTHOLD County Tax Map No. 473889 Section 062 Block 0003 Lot No. 017 pursuant to application dated SEPTEMBER 3, 2010 and approved by the Building Inspector to expire on MARCH 17,, 2012. Fee $ 280 . 00 -4&Authorized Signature ORIGINAL Rev. 5/8/02 . I v'( Pl ... F .. . eat i BkT L w H W 7 ATM, �.�, LION(, rH i e � G y w� a q„� 4 �0 , e 34 i i II ;;Rig IIU