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HomeMy WebLinkAbout1000-104.-4-23 o `OWN OF SOUTHOLC Rental Permit 1501 Owner: Kristen Baumann Occupied as: Single Family Dwelling Located at: 7955 Skunk Ln Cutchogue 104.4-23 Maximum Permitted Occupancy: 9 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: 06/23/2026 Expiration: 06/22/2028 c iEn et official This Notice must be posted by the main entrance at all times Town Hall Annex Telephone(631)765-1802 54375 Main Road F „ ax(631)765-9502 f P.O.Box 1179 i Southold NY 11971-0959 zk ur MAY BUILDING DEPARTMENT TOWN OF SOUTHOLD . RENTAL PERMIT APPLICATION Rental Permit Fee $200(Application must be renewed every two years) Section A. Property Information: Rental Property Address: 5 u v- l,hf, 40 buti• Tax Map Number: 1000 SECTION 04 -BLOCK -LOT Z-3 SECTION B. OWNER INFORMATION: Property Owner Name: Property Owner Legal Address: Property Owner Mailing Address: Telephone Number(s): Daytime n vening 5A%"L Emergency 6VI) OAy 15_21( Property Owner Email Address: ham ate ' • I9b W%0^1• `O` % `C.InSte+• vmuu a o&e. hgr-66c-• oIpt Page 1 of 5 x Town Hall Annex ;, Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1179 n` Southold,NY 11971-0959 BUILDING DEPARTMENT TOWN OF SOUTHOLD 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): Daytime, Evening Emergency, 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 Emergeny_ _ 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):___ Page 2 of 5 b ,) Town Hall Annex Y Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O. Box 1 179 Southold,NY 1 1 97 1-0959 BUILDING DEPARTMENT TOWN OF SOUTHO;IL D Mailing Address of Managing Agent:,--PIA- Telephone Number(s): Daytime, Evening Emergency Email Address: 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." 51 N%0Vtj qPI'1MILI'—�tsAr/1-j-C& Rental Dwelling Unit Identifier: Requested Maximum number of persons allowed to occupy Dwelling Unit: 10 Number of rooms in Rental Dwelling Unit: 5 -&*;pe0owty Use and Dimensions of each room in Rental Dwelling Unit: vt = «�) w......... �°11y11hi11�d►►��►M �.�,,.GoV�'�1'mq''I�'�1� '( ► " �" �, A.r l " � Page 3 of 5 "i i e Town Hall Annex µ« Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1179 26 Southold,NY 11971-0959 � BUILDING DEPARTMENT TOWN OF SO HOLD 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/ I am requesting a fire safety inspection to be performed by a Code Enforcement Official from the Town of Southold ❑ 1 am submitting a completed Town of Southold certification form from a licensed architect or a licensed professional engineer. SECTION H. DECLARATION: Signature must be notarized and MUST be the owner of the dwelling unit. STATE OF NEW YORK) ) COUNTY OF SUFFOLK) 1 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 Page 4 of 5 Telephone(631)765-1802 Town Hall Annex �%:� � Fax(631)765-9502 54375 Main Road P.O.Box 1179 Southold,NY 11971-0959 �k " " BUILDING DEPARTMENT TOMN OF SO HOLD 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 as to any change to the information regarding Authorized Agent, Managing Agent, or Site Manager. Property Owner's Name: Property Owner's Signature: Sworn to before me this 2f3day of Or 1rl , 20 2) Official Notary Public Signature and Original Notary Stamp SHERI HOWARD Notafy Public-slate o1 New ycaa k 01)#t) 70274 Quaified in ous,ejr,County 1y Crory ss inn ExPlIes January '29,20 Page 5 of 5 TOWN OF SOUTHOLD BUILDING DEPT. °`,room, 631-765-1802 1 N S E T I o" [ ] 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 ve4lcec a2 oe P—em"o ve- . v _� OIL � o o cGv DATE -5- 1,;2& — INSPECTOR �~ 0 Town Hall Annex Town Of Southold 54375 Main Road Rental Inspection Report PO Box 1179 a� � Southold, NY 11971-1179 Tel: 631-765-1802 e / SCTM # Date Owner Phone Address � " " � Visible Hamlet ""4 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 Comments: a #26 Building Sketch BorrotivedClientm._Baumann�?�....._��_��..........__�_.....�.,.�.��.�.......�_...�_,._............._...�....._rv_�_�__.-........._..,__....M,._........�.._.........�.....�.�...—...�..�........_rv_ 79mb5 Skunk Ln ....,.w�m..._.......__M_ ._.,�_...�..,u....�......_MM__..._,...._....... Crt Culcho ue mm __ ,,,w�, Coop Suffolk Slate NY ZI Code 11935 Lender SterUnq National Bank rs.a 9>T F-*1A Fwov- ;7trr n.o� G Goraga DUAW��N'Mb uMw^ 'WNw' 'aiM1Lb#b4`uA*' t DYNM b ., kl+nu�mvn+ nn Stf S.a ffm : U� tr (N"*vl-p ?COL. COmmenls: AREA CALCULATIONS SUMMARY LIVING,AREA.BREAKDOWN Code Da+a ipRouw Size:..-Net 7otaii .... 1ar4uk S H totels' GLAL First Floor 1272.00 1272,00 First Floor V GLAZ Second Floor 607.00 607.00 10-0 x 28.0 M 00 GAR Garage 324.00 324.00 10.0 x 14.0 140,00 28.0 x 34.0 952,00 second 71oor 3.0 x 6.0 18.00 11.0 x 17,0 7,00 2.0 x 9.0 118e_00 10.0 x 15.0 15D.00 14.0 x 16.0 224.00 2.0 x 5.0 10.00 TOTAL LIVABLE (rounded) 1879 9 Calculabons Total(rounded) 11179 Form SK1131d5kl—IVMDTAL°appraisal software by a fa mode,inc.—1-800-ALAMODE H L PERTY RECORD CARD OWNER STREET %' VILLAGE - DISTRICT = SUB. ; LOT ' _ I t I I i ° 71 OP =ER OWNER N1 E ACREAGE F €: is W TYPE OF BUILDING RE , J : SEAS. VL. I FARM COMM. IND, CB, MISC. Est. Mkt. Value LAND IMP, TOTAL I DATE REMARKS 7 l or _ A [ •v .4,f C=.-i idr''1 i` of q _ f= ._. i _jam , .1 Ut .„¢ _ e 1t ; <> MAL �B VE FRONTAGE ON WATER � Farm Acre Value Per Acre Value FRONTAGE ON ROAD ��= � Tillable 1 � BULKHEAD I Tillable 2 DOCK Tillable 3 ' _ CD �_ Woodland Swampland Into Brushlanc;-, House Plot 1 I Toto 1 _ - a _ a "I Y77 f a f _ uAT �. g 104.-4-23 01/27/2017 _ _ M. Bldg. �. - ndation K , Bath Basement Floors Extension I �- _ a- Interior Finish xtension Ext. Walls v✓> sjij t Fre`plMe - Heat aa _ Porch Type Porch 1st Floor - Rooms 2nd Floor j 7J 1 t, ;f)C)7 Garage Dormer O B �' FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. PRE EXISTING CERTIFICATE OF OCCUPANCY No Z-23200 Date SEPTEMBER 7 1994 THIS CERTIFIES that the building 0 FAMILY DWELLING Location of Property 7955 SKUNK LANE CUTCHOGUE, N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 104 Block 4 Lot 23 Subdivision Filed Map No. Lot No. conforms substantially to the Requirements for a One Family Dwelling built Prior to: APRIL 9f 1957 pursuant to which CERTIFICATE OF OCCUPANCY NUMBER Z-23200 dated SEPTEMBER 7 1994 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 ONE FAMILY DWELLING WITH ATTACHED GARAGE* The certificate is issued to HAROLD a NATBLEEN SPREEN (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A *PLEASE SEE ATTACHED INSPECTION REPORT. ZL Q- 14� Building Inspector Rev. 1/81 BUILDING DEPARTMENT TOWN OF SOUTHOLD HOUSING CODE INSPECTION REPORT LOCATION: 7955 SKUNK LANE CUTCHOGUE, N.Y. uumber S street municipality SUBDIVISION NAP NO. LOT(s) NAME OF OWNER (s) HAROLD A KATHLEEN SPREEN OCCUPANCY A-1 RES. OWNER type ovne"r tenaut ADMITTED BY: ACCOMPANIED BY: KEY AVAILABI., NFECO. TAX MAP NO. 1066=TU -23 SOURCE OF REQUEST: KATHLEEN SPERM DATE: AUG. 19, 1994 07 DWELLING: TYPE OF CONSTRUCTION WOOD FRAME # STORIES 1-1/2 # E%ITS 3 FOUNDATION CEMENT BLOCK qU,LAR PARTIAL CRAWL SPACE PARTIAL TOTAL ROOMS: 1ST FLR. 5 , 2ND FL71. 3 3RD FLR. BATHROOM (s) 2 FULL,BATHS "]I:ET ROOM (s) - UTILITY ROOM PORCH TYP 2 ENCLOSED DECK, TYPE IPATIO BREEZEWAY °" FIREPLACE ONE GARAGE ATTACHED TO HOUSE DOMESTIC HOTWATER YES TYPE HEATER OIL AIRCONDITIONING TYPE HEAT OIL WARM AIR IX HOTWATER OTHER: ACCESSORY STRUCTURES: GARAGE, TYPE OF CONST. STORAGE, TYPE CONST. SWIMMING POOL , GUEST, TYPE CONST.. OTHER: VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION 6 BUILDING CODE LOCATION DESCRIPTION ART. SEC. REMARKS: BP #3228-Z - GO Z-2793 ADDITION. INSPECTED BY DATE OF INSPECTION AUG. 31, 1994 GARY - ISO TIME START 9:30 END 9:50 FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT d wh'g 'qpvoll TOWN CLERK'S OFFICE SOUTHOLD, N. Y. + ttA . c ,) (`A CERTIFICATE OF OCCUPANCY No ........Z .27-93..... Date ..,..,,. .. ,.„.......... ..... . ., 19. . THIS CERTIFIES that the building located at .. ..Say.AMM... ............................... .„.. Street Map No "go*I&" • . ock No. ......2=......... Lot No .... .4.. ..... ....CutchOgUSa, .-M&W..XMCX conforms substantially to the Application for Building Permit heretofore filed in this office dated —...„.. . ..........................so ;19 66.. pursuant to which Building Permit No. . .3422a i. dated .... .8 *...jLjj. ............. ... 19 .66 , 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 ........ .... . ...1pne..t�family.-*4611.Ing................ ... .... ........„... .,................... ...................... ..... .... .. Thecertificate is issued to ......... .................................................D.,.. OII#•• ner, lessee or ........ ..... W tenant) of the aforesaid building wilding lnsp FORM NO.x TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) `° 3228 Z Date .................... � ....�:�... 19... Permission is hereby granted to: ....CbAtiw..QX1QW '►:..... ....................wtomm....................................... toak�..gltex'8 .orata..,ax>Ixd..1�u ,].d... ><a...�dd3t at premises located at ......1ftt.A0.-X9L8SwL.1`SPID:I........................................................................ .................................wa......AY..Aq e.y,....... utLhogUO.y...R&Y-4 .................................................... pursuant to application dated .......«.......,......."...:81�?. .......� .................. 19.. and approved by the Building Inspector. Fee $....1!!OQ........... Building Inspector * FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE JJ SOUTHOLD, N. Y. Examined ......... ..�.. .., 19.!'. Application No 2 Approved ...............................�.*...... 19........ Permit No. . ....................... Disapproveda/c .,»»,..,,. .., ,,...,.......„..,,,. ............ ....,..,.. ........................... ....iBuildrng Iraspectar„ „.,..,...,,,<,,.,,.„..»,,.,.,, APPLICATION FOR BUILDING PERMIT Date .,....., ...... ... .... .. . .. . 19.{ INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink and submitted in duplicate to the Buildin, Inspector. b. Plot plan showing location of lot and of buildings on premises,relationship to adloming premises or public streets o areas,and giving a detailed description of layout of property must be drawn on the diagram which is part of this application c. The work covered by this application may not be commenced before issuance of Building Permit d Upon approval of this application, the Building Inspector will issue a Building Permit to the applicant. Such permi shall be kept on the premises available for inspection throughout the progress of the work, e. No building sholl be occupied or used in whole or in part for any purpose whatever until a Certificate of Occupancy shall have been grained by the Building Inspector. APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to the Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances o, Regulotmns, for the construction of buildings,additions or alterations, or for removal or demolition, as herein described The applicant agrees to comply with all applicable lows, ordinances, bui Ing code andjregulations (', igncii r" of applicant or name, if a corporation) (Addre of applicant) G State whether applicant is owner, lessee, agent,architect, engineer, general contractor, electrician, plumber or builder Name of owner of premises ... $..... ...... ....t x--.. ... .., .. , , If applicant is a corporate, signature of duly authorized officer. (Name and title of corporate officer) I Location of land on which proposed work will be done Mop No. "~, .,, Lot No . .,..,.. ,.„,.�. +j". ,. „ ,.>. ,. ,„ . ,.,». �... �.,,.. :, ,.......... .,.„ Street and Number f niciptrlity 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction a Existing use and occupancy ..,„a ^*-t " . .. .,.,.,., .. ......... ... b. Intended use and occupancy ,.. rr.,,.f t.C a ..... .... ....... ......„........ 3. Nature of work (check which applicable) New 8u}|d/no .................. *dumvm —~ .... ....... Repair .—_—_—. | Domv|/hon------ Other Work UDesc,ibe 4. Estimated Cost .......(,3'eze�... -- — . . ..Poe (tn be paid on N/no this application) 5. /f dwelling, number of dwelling units ...... Number of dwelling units on each floor ---__ garage, number of ozn .................... —. ................._~~_.......-....____ -~_—__.____,_`____ d If business, commercial o, mixed mzuponcy, specify nature and extent of each type of use ........................... 7. Dimensions of existing structures, if any: Front. — 4 Roo, ......./—�................. Depth '.-- Heighr .., ---' Number of 3mneo ............. Dimensions of some structure with ohantwnx or additions Front —' ---------- Rea —~------ ' Depth .....m~-°1^~'^—` --'�~ ^� '~—~^--~�--�-�^-- — ~--- - '--'---~^—'—^^ 8. Dimensions of entire now construction- Front .--_ —__—_—_ Reu,---------. Depth -------- Height ... Number of Stories .............. ..................... Y. Size of |o,- Front ....../.A. --- Depth�� . . Rear .. /!c�-�� — .� ' Depth lO Date of Purchase uf ��m* 0�n � ll. Zone o,use district /nwucw premises are situated .' ........... ....... ................. ' 12 Does proposed const vcaun olate any zoning low, ordinanceo, rt qulation? �.��—'. —' . _ �~, \ � 13. ��qmecf Owne, ofpmxn=m/s ��Add�/mm� — --.�p»one No ------� Nome of Architect .......................... . ....... .Address No --' ....... . Name ufContractor . Address — h..Yho= m~//e-/�6.-zs-. PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing vrproposed, and indicate all set-back dimensions fnon property lines, Give stnww^ and block number or description according to deed' and show street names and indico* whether interior orcorner vcm L V STATE OF NEW YORK, IS.S. COUNTY OF being duly sworn, deposes and says that he is the applicar jap (Contractor, agent, corporate officer, etc.) of said owner o, owners, and is duly authorized to perform or have performed the said work and to �ake and f,| this application, that o| statements contained in this application are true to the best of his knowledge and belief, on that the work will be performed /n the manner sot forth h ith. 5°mm to before me this ........../I........ day of 19!� � Notary Public, Our) (Signature of applicant) No 52,W16J Sollolk Count FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-24041 Date NOVEMBER 21 1995 THIS CERTIFIES that the building ACCESSORY Location of Property 7955 SKUNK LANE CUTCHOGUE N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 104 Block 4 Lot 23 Subdivision Filed Map No. Lot No.� conforms substantially to the Application for Building Permit heretofore filed in this office dated NOVEMBER 1 19"95 pursuant to which Building Permit No. 23118-Z dated—NOVENBER 19E 1995 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 STORAGE SHED IN REAR YARD AS APPLIED FOR. The certificate is issued to LAWRENCE & CHRISTINE VACCARI (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A "�L4r Building Inspector Rev. 1/81 Ltd Town of Southold 3/9/2017 P.O.Bog 1179 " 53095 Main Rd * , Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 38849 Date: 3/9/2017 THIS CERTIFIES that the building IN GROUND POOL Location of Property: 7955 Skunk Ln,Cutchogue SCTM#: 473889 Sec/Block/Lot: 104.4-23 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 9/28/2016 pursuant to which Building Permit No. 41060 dated 10/5/2016 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 IN-GROUNDSWDAMING PC)OI.,FFNQED TO CC1DF AS APPLIED FOR The certificate is issued to Baumann,Kristen of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 41060 02-01-2017 PLUMBERS CERTIFICATION DATED P?,�nize'd Signature �� f v r �u 46"a I /zvo,y; I fffff +r ri � uC h � r Vll��ll��i I,I�II� a ui�'�WmNYHSp�„ r t I � u I I I III,I I I� � l I,it I: 4 I r�h / rr r i 1� / ' IN j / � � 9 % uuuuuuuuuuuuuuuuuuq.� } m i r r , % f /