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HomeMy WebLinkAbout1000-117.-8-4 of soA WN OF S UTH L Rental Permit 1427 Owner: David Noonan , Susan Noonan Occupied as: Single Family Dwelling Located at: 150 King St New Suffolk 117.-8-4 Maximum Permitted Occupancy: 8 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: 03/08/2026 f Expiration: 03/07/2028 Code 1E orc me t cial This Notice must be posted by the main entrance t all ti es '0DEC1 �! TOWN OF SOUTHOLD—BUILDING DEPARTMENT �l Wk °� Town Hall Annex 54375 Main Road P. O. Box 1179 Southold,NY 11971-0959 Telephone(631) 765-1802 Fax (631) 765-9502 h SOL1twl101dtow� g 1? RENTAL PERMIT APPLICATION Rental Permit Fee $300 (Application must be renewed every two years) Section A. Property Information: Rental Pr�ert Address: ,� ITV Lw ✓ d l lc Tax Map Number: 1000 SECTION _--BLOCK O -LOT F - SECTION B. OWNER INFORMATION: Property Owner Name: D Property Owner Legal Address: Property Owner Mailing Address: (Cannot be the same as Rental Property Address) A) ` tom✓ � a� � ... .. ""C�_ - o- P� �._�.. ci17 -.4m - 3ZC* Telephone Number (s): Daytime Evening � Emergency �. Property Owner Email Address: 2 , Page 1 of 4 Section C. Authorized Agent Information: NO 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: 1 Name of Authorized Agent of dwelling unit, if any: 1`� 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: --KJA- 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 an ip aensions of each room in Rental Dwel i gU"nit: t-4� 0 ! 2- 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. ;R I am requesting afire 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) l fi•�J �. lhcertify 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: ! " Property Owner's Signature. 114, m._ Sworn to before me this U day of 20_25 li�1WW,.? A Official No y Public Signatur d Original Notary Stamp NOT,6RY PUP',,, e,c;T TC OF NEW Y RK P1'0.01 DW63016900 GOPv1t�Vi ""rJVJ F;Pi : JU E o,PaAlp Page 4 of 4 TOWN 019OUTHOLD BUILDING DEPT. 631-765-1802AV% V% lNaoritCTIO' N [ ] FOUNDATION 1ST/ REBAR [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION/CAULKING [ ] FRAMING /STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PEN RATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (F AL) [ ] CODE VIOLATION [ ] PRE C/O [ RENTAL REMARKS: l� .N JA a DA7rE INSP CTO �� r . TOWN OF SOUTHOLD PROPERTY RECORD OWNER i STREET VILLAGE DISTRICT SUB. LOT s _ f FORMER OWNER r t _ E �, �a a� ;� �� � r`� ACREAGE �a 0--v35 ` 6 � l _ TYPE OF BUILDING RES ! - C.V i SEAS. VL. - FARM I COMM. LAND Est. Mkt. Value I IMP. TOTAL DATE REMARKS - E e q- --- - - -. _- - - �\ e -_� �i6� ti�j— .e-`��Jr�C� Io - � � � �77��" �f J S- 44 r-- i ! a L z i 3 i AGE . BUILDING CONDITION NEW ! NORMAL t BELOW ABOVE E FRONTAGE ON WATER a Farm Acre Value Per Acre I" Value FRONTAGE ON ROAD Tillable ' 1 � n e BULKHEAD Tillable 2 ��-- _ DOCK i Tillable 3e Woodland Swampland ! T_ - Brushland House Plot --------------- Tota 3 } g F i 117:8-4 3/30/2022 v ,a Foundation Bath - d } y M. BI g, 1 s 33 = ; - -_ d- , - _ Floors - L/ 3 6 i C ° B rasement C'U a t _ Extension nterior Finish of is n Ue r c� Ext. W _ ��� Extension a Heat ace Fire Place � � --- - -- Extension - - — _ _ -- Porch � Q 2 R - oof Type 5- ,_,_ �� � 'Rooms l st Floor - Porch ;Roo -- - 1 Rooms 2nd Floor �u 1 Patio t. - Breeze\vay - - — ; Dormer -Driveway i Garage 3 3 - 77 f I COLOR 1 t� P it TRIM 117-8-4 02/03 { Idz Foundation �a Bath �/Z Dinette 18��� ULL t ` ' 3 1C (o '� � 5 oa (��d Basement CRAWL Floors ©O Kit. Extension SLAG Extension Ext. Walls Interior Finish p, L.R. g C Q�orX �. w �ra5c o�X\ ✓ Extension ( -7 X 2 5 = �12 5' `;a.osg' Fire Place SE CS Heat D.R. ✓ Pate Woodstove V BR, Porch_ �2S 1�, _ I Q _ � ... Dormer Fin. B. Deck q lCIn= 5�4 2-5 t''{ Attic Be gray �� _ �7b-�'" H 0'O Rooms 1st Floor Garage Driveway Rooms 2nd Floor O.B. qq Pool o — _ FORM NO, 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY NO Z20022 Date JUNE 1 1991 THIS CERTIFIES that the building ADDITION AND ALTERATION Location of Property ISO KING ST & 1075 4TH ST. NEW SUFFOLK House No. Street Hamlet County Tax Map No. 1000 Section 117Block 08� I; t 04 Subdivision Filed Map No. Lot NO. conforms substantially to the Application for Building Permit heretofore filed in this office dated JUNE 19 1990 ursuant to which Building Permit No. 19I49Z dated ,1 1990 was issued, and conforms to all of the requirements of the applicable provisions of the law. The occupancy for which this certificate is REPLACE DOORS, WINDOWS AND ADD A DECK, issued is TO ISTING ONE FAMILY DWELLING. The certificate is issued to SUSAN AND DAVID NOONAN (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N A UNDERWRITERS CERTIFICATE NO. N1919S1 -TUNE 17 1991 PLUMBERS CERTIFICATION DATED PIS' CTION PLUMBING & HEATING 1 Building Inspector Rev. 1/81 Town Of Southold --------- P.O.Box 1179 10/23/2021 53095 Main Rd Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 42482 Date: 10/23/2021 T'HS CERTIFIES that the building GENERATOR Location of Property: 1075 Fourth St,New Suffolk._..�_.�._....�_._m�.�.._.__�._--._- ..... .__.__.�,�v� _m.�__..w__w�...._.._...�..�..�................w_....__._._..._ SCTM#: 473889 Sec/Block/Lot: 117.-8-4 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Pen-nit heretofore filed in this office date'd 8/17/2021 Pursuant to which Building Permit No. 46744 dated was8/26/2021 issued, and conforms to all of the requirements of the applicable provisions of the law. The oc which this certificate is issued is: cupancy for ac�e sib ry The certificate is issued to Noonan,David&Susan ........... of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CER TIFICATE NO. ------ PLUMBERS CERTIFICATION DATED 46744 9/29/2021 t t riz ignature YORM NO- 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-28666 Date: 08 12/02 THIS CERTIFIES that the building ACCESSORY Location of Property: _ FOURTH ST (HOUSE NO,) (STREET) NEW SUFFOLK County Tax Map no. 473889 Section 117— Block 8 Lot 4 (HAMLET) Subdivision Filed Map No, Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated JANUARY 18 2002 pursuant to which Building Permit No. 28023-Z dated JANUARY 22, 2002 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 NOWT LE ACCESSORY ONE CAR GARAGE/GARDEN SHED AS APPLIED FOR. The certificate is issued to DAVID L & SUSAN A —NAN of the aforesaid building. (OWNER) SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 62570 05 OB/02 PLUMBERS CERTIFICATION DATED 07/31/02 PERFECTION PLUMETNG c uth ized gnature Rev. 1/81 F-�"11- r ---- �� ----.-� ��®,€ {j�-ii� - 3 � � :� •' i NOONAN RESIDENCE . ` it !i ( j 3 1JL! 11I3�r STREET t �( A NEW SUFFOLK, N.Y. ENTRY s{ I �l [ -fir I1 77777 _0 T€TLE ! I � 1>7 i I � �-"� '� .1v--. t —-• _ ! t� _ j __NQRTN.SCALE.�L� �t.i�l. E _ � E I SCOTI'P.KELLER,AIA # ? ttI 343 3�EST END AVENUE NEW YORK NY 10024 ; ._ GREAT ROOM 00.1 O �1 N "unicaga socigitss _ P]a;inars end A{chrteots f 18DT lYesi SUnn - 1 '-� � � •- � '� '�� .tee.-3. ..:.. -.:..a. �.;, . _ ,..�......:.k M1� .. i ....-Ss_ c%G � Q.e_. } Dl LfNt OF N(>ONt1N RESIDENCE 15( KING STREET NEW SUFFOLK, N.Y. .beginning CL _ of roof Pitch* / DY i : '�� fir:�-?� � t✓ LATE ' ' AUA;F Io)L 7r asx l Az� s. oYVINEZ!� attic 1 BEDROOM accesDRO s IF-911 TR_lE - - AL IF LL �=w' G�3�+ L &ram 5 DATE , 1 i`£ DG2? EzLW NORTH scALE:V4.a=lr,0t* �1 CL. ta;tb-1� SCOTT P.KELLEf,A 9. - f3� INFtLLiO 343WESTENI}fYEYL'E,' -4" ? ATGI? T NEW YopjI t y 10024 wry--FI sty -T-,IM z ' BEDROOM BEDROOM - «, �1 I1'-9' . 17'- - - Chicago Associates 3' Planners and A.Chitects. i' Z { t$QZ Ylesi Sunityside a Chicago lm601560640 - � Phone 912 27S 78tt7 - - foxt