HomeMy WebLinkAbout1000-68.-1-10 TOWN OF SOUTHOLD
Rental Permit
1437
Owner: Bennett A QPRT I , Bennett A Family Trt I
Occupied as: Single Family Dwelling
Located at: 2725 Soundview Ave Peconic 68.4-10
Maximum Permitted Occupancy: 10
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: 04/06/2026
Expiration: 04/06/2028 cue EnoementofficU
This Notice must be posted by the main entrance at all times
TOWN OF SOUTHOLD—BUILDING DEPARTMENT
Town Hall Annex 54375 Main Road P. O. Box 1179 Southold,NY 11971-0959
Telephone (631) 765-1802 Fax(631) 765-9502 htt s://www.soLitholdtownti . o V
RENTAL PERMIT APPLICATION
Rental Permit Fee $300(Application must be renewed every two years),.,
Section A.
Property Information:
Rental Property Address:
2725 Soundview Ave, Peconic, NY 11958
Tax Map Number: 1000 SECTION 68. -BLOCK 1 -LOT10
SECTION B.
OWNER INFORMATION:
Property Owner Name: Scott V Bennett, Executor
Property Owner Legal Address: Property Owner Mailing Address:
(Cannot be the same as Rental Property Address)
4200 Soundview Ave, Southold, NY 11971 4200 Soundview Ave, Southold, NY
Telephone Number(s): Daytime5166070640 Evening5166070640 Emergency
Property Owner Email Address: scott.bennett@elliman.com
Page 1 of 4
SECTION F.
PROPERTY DESCRIPTION:
Number of Rental Dwelling Units on property: One
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: whole House
Requested Maximum number of persons allowed to occupy Dwelling Unit: 8
Number of rooms in Rental Dwelling Unit: Please see attached Boor plan.
Use and Dimensions of each room in Rental Dwelling Unit: Please see attached Boor plan..
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
❑ 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)
Scott V Bennett, Executor 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: Scott V Bennett, Executor
t ~- ,
Property Owner's Signature:
Sworn to before me this day of �� �G k' , 20 2�
Official Notary Public Sign re and Original Notary Stamp ` o saild -3 U01 WUKO
to�)Jjq pup Pal
WOA N 10 Go4q'oipnpru%oN
Page 4 of 4
Sou
TOWN OF SOUTHOLD BUILDING DEPT.
631-765-1802 6S-/-10
IN .mno- PECTION
[ ] 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 (FIN L)
[ ] CODE VIOLATION [ ] PRE C/O [ RENTAL
REMARKS:
DATE INSPECTOR
Town Hall Annex
TOWN Of Southold 54375 Main Road
Rental Inspection Report PO Box 1179
Ff
Southold, NY 11971-1179
Tel: 631-765-1802
z z ,.
SCTM # Date
Owner Phone
Address a a SovndvZ,---1 Visible
Hamlet Inspector
Floor Level Quantities Sub 1 2 3
Smoke Detectors (not located in bedrooms) ) ( r
Carbon Monoxide Detectors 1
Fire Extinguishers
Exits
Bedrooms 1 2 3 4 5 6
Smoke Detectors
Egress
Occupant Count r`
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
Comments:
TOWN OF SOUTHOLD PROPERTY RECORD
0 OWNER STREET S rVILLAGE DIIST4 SUB, LOT
C
FORMER OWNER N E ACR-
S W TYPE OF BUILDING
RES SEAS, VL, FARM COMW CB. mics, Mkt. Value
LAND IMP. TOTAL DATE REMARKS
f Ai '4
�L
7
AGE BUILDING CONDITION
NEW NORMAL BELOW ABOVE
FARM Acre Value Per valut
Acre
Tillable FRONTAGE ON WATER
Woodland
FRONTAGE ON ROAD
Meadowkind
DEPTH
Hot= Plot -j BULKHEAD
Total DOCK
+
COLOR i
TRIM
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Extension 4
3
Extension -'
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Extension
Foundation 'Bath Dinette
Porch 6 BQuidment ` _- 'Floors K.
Porch _ 'Ext. Walls Interior Finish
�- I ,
Breezeway 'Fire Place ;Heat D;<
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Garage v _T e Roof Rooms.00ms 7 st Floor
- oor = GR.
Patio Recreation Room Rooms 2nd Floor F!V-l, B
I
O B. I :Dormer
Driveway i
Total -
I
2
Ll OP9 - �, - ( - 10 TOWN OF SOUTHOLD PROPERTY RECORD CARD
OWNER STREET VILLAGE DIST- F SUB. LOT
1 _
ACR. // REMARKS
TYPE OF BLD,
PROP. CLASS
LAND IMP. n TOTAL DATE
FRONTAGE ON WATER TILLABLE
FRONTAGE ON ROAD WOODLAND
DEPTH MEADOWLAND
BULKHEAD HOUSE/LOT
TOTAL �
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3
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s COLOR C
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68.4-10 1/22/2021 !
A
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Extension FUL
Basement j rf SLAB Floors Kit
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1 ns Extei Ext_Walls Interior Finish L.R.
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Extension ; Fire Place Heat D.R.
Cr
Woodstove BR.
/`,00 2-
Porch _ Dormer BF
Deck Attic
Breezeway Rooms 1st Floor
Garage _^ Driveway Rooms 2nd Floor
O.B=
9
FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No Z-22427 Date JUNE 30 1993
THIS CERTIFIES that the building ACCESSORY
Location of Property 2725 SOUND'VIEW AVENUE PECONIC N.Y.
House No, Street Hamlet
County Tax Map No. 1000 Section 68 Block 1 Lot 10
Subdivision Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office darted MARCH 2 1993 ursuant to which
Building Permit No. 21256-Z dated MARCH 4 1993
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 ACCESSORY' GARAGE AS APPLIED FOR & AS PER CONDITIONS OF
ZONING BOARD OF APPEALS #4141
The certificate is issued to ALICE BENNETT
(owner)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N A
ELECTRICAL INSPECTION NO. 2799 DATED JUNE 14 1993
PLUMBERS CERTIFICATION DATED N A
r
BuAlding Inspector
Rev. 1/81
ti
FORM NO. 4
TOWN OF SOUTHHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No Z-20616 Date MARCH 31, 1992
THIS CERTIFIES that the building ADDITION
Location of Property 2725 SOUNDVIEW AVENUE PECONIC N.Y.
House No. Street Hamlet
County Tax Map No. 1000 Section 68 Bloch 1 Lot 10
Subdivision Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated. DECEMBER 11 1"0 -----.Pursuant to which
Building Permit No. 19586-Z dated DECEMBER 13 1990
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 ADDITION TO EXISTING ONE FAMILY DWELLING AS APPLIED FOR.
The certificate is issued to ALICE BENNETT
(owner)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL, N A
UNDERWRITERS CERTIFICATE NO. N-228705- PARCH 18 1992
PLUMBERS CERTIFICATION DATED MARCH 27 1992-H.SMITH PLUMBING & HEAT.
L - 1,44L
Building Inspector
Rev. 1/81
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