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Home My WebLink About1000-70.-3-22.12 TO WN OF SOUTHOLD Rental Permit 0006 Owner Jack Boyd Occupied as Single Family Dwelling Located at 2330 Wells Avenue Peconic 70.-3-22.12 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. 7/15/2024 Code E(fortVent Official This Notice must be posted by the main entrance at all times TOWN OF SOUTHOLD BUILDING DEPT. 631-765-1802 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 (FINA ) [ ] CODE VIOLATION [ ] PRE C/O [ 4' ENTAL REMARKS: U su ®/'M✓"'Yew u" MiP"nwA" . ��..��.. r°' (, .k. .. K, L ................................ d . DATE PE T•�a a N R 1 S C • Town Hall Annex Town of Southold 54375 Main Road Rental Inspection Report PO Box 1179 Southold, NY 11971-1179 Tel: 631-765-1802 �" ,. SCTM # --cap.. Date �• Owner '80�w Phone Address 07$30 ", /s 14ve Visible Hamlet S$V Al _ Inspector Floor Level Quantities Sub 1 2 3 Smoke Detectors (not located in bedrooms) y 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: SOUTHOLD F Rental 0006 Owner Jack Boyd Occupied as Single Family Dwelling Located at 2330 Wells Ave. Southold 70-3-22.12 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. 1 2/7/2022 Cede EnfoX hent Official This Notice must be posted by the main entrance at all times �� Town Hall Annex SOUTHOLD TOWN 54375 Main Road Rental Inspection PO Box 1179 Southold, m, NY 11971-1179 Tel: 631-765-1802 *M W Fax 631-765-9502 SCTM# Z�- 3 — - 2 Date Ownergo vPhone �( � c - Address 3D e . ZIp I A`l Hamlet o t(� l t2 ( Inspector Address ui"to from street? , LEVELS SUBZ 1 Smoke Detectors(#- bedroom detectors excluded) Carbon Monoxide Detectors (#) Fire Extinguishers(#) Exits (#) BEDROOMS Smoke Detector Alarms (#) Carbon Monoxide Alarms (#) Egress (windows) (Y/N) BUILDING SYSTEMS Y'N CONDITION OF PROPERTY 00 Heating system maintained/operational Building Interior is clean/maintained Hot water system maintained/operational Building Exterior is clean/maintained Electrical system maintained/operational Property is clean/safe/maintained Mechanical system maintained/operational Handrails &guards present POOLS N POOL BARRIERS Pool present Pool is completely enclosed Pool surface alarm and/or door alarm Barrier is a min. 48"high resent POOL GATES ft)N All openings in barrier less than 4" Self-closing, self-latching Max. 2"clearance @ bottom of barrier Latch on pool side of gate, meets height Barrier capable of being locked &child- requirements proof when unattended COMMENTS: TOWN OF L Rental Permit 'APermit No. 0006 Owner Jack Boyd Occupied as Single Family Dwelling Located at 2330 Wells Ave Southold 70-3-22.12 Address Village S/13/1- Maximum /B/LMaximum 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. 3/15/2019 John Jarski Date of Issue Code Enforcement Officer This Notice must be posted by the main entrance at all times soil Town Hall Annex Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1179 Southold,NY 11971-0959 "r COU 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: o Tax Map Number: 1000 SECTION BLOCK T ' 1 SECTION B. OWNER INFORMATION: Property Owner Name: Property Owner Legal Address: Property Owner Mailing Address: (Cannot be the same as Rental Property Address) Telephone Number (s): 1 r7N� Y' Property Owner Email Address: d ° M CA_ � �q"" Page 1 of 4 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): 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): 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): p Mailing Address of Managing Agent: Telephone Number (s): 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." Rental Dwelling Unit Identifier: Requested Maximum number of persons allowed to occupy Dwelling Uni y: (4, Number of rooms in Rental Dwelling Unit. /0 Use and Dimensions of each room in Rental Dwelling Unit: 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 NYS licensed architect, a NYS 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. Page 3 of 4 ❑ I am submitting a completed Town of Southold certification form from a licensed architect, a licensed professional engineer, or a licensed home inspector who has a valid New York State Uniform Fire Prevention Building code Certification. SECTION H. DECLARATION: Signature must be notarized and MUST be the owner of the dwelling unit. STATE OF NEW YORK) ) COUNTY OF SUFFOLK) I 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: Property Owner's Signature: _ ---° cl. q Sworn to before me this 64da f OV 20�� ' Y o .......... Official Notary Public Signature and Original Notary Stamp s , NIP,!TJ, Page 4 of 4 2 ., 2ool . t S, luzTOWN OFSOUTHOLD BUILDING �r 7165-11802 t Y, I :NS1112E,C`11111TI014 „I F III IIII IIIII1IIIIIIIII, IIII IIII° IIIH PL111!3G, „ FOU1411I IIIIIIIIIIIII110114 ,2114D IIIP IIII UII ”"'I "IIP IIII FllP MITFI IIIP F)IING IIP IIID IIII �IIIIP �I,,,,n IIII IIIIIIIIIIIII E l°°11IIII IIiE IP wIIII IIII"IIIIl P IIIIIIIr° IIIIIIIIIIII I11RESISTA1141 r CONSTRuc, IPI IIII°°11111111°IIII IPI IESI,Sl MINT II IIIA IIII n ""'NM" (IIII°°I°I iii IIII°°11111 IIIIIIIIIIII Illll mill ""' VIII IIII IIIE �NVIOLA"'�I°"'IIII' IIIP IIII IIIIIIII Attachment A 2330 Wells Room Dimensions 1st Floor Bath 417" 2' 1st Floor Dining Room 1412" 1616" 1st Floor Entry 8141114'2" 1st Floor Family Room 1812" 713" 1st Floor Kitchen 12' 13'6" 1st Floor Kitchen Nook 11"2" 1414" 1st Floor Laundry 714" 516" 1st Floor Living Room 8131111616" 2nd Floor Bath 2 1 911 3' 2nd Floor Bedroom 2 1 12'8111 1013" 2nd Floor Bedroom 3 1417" 714" " 2nd Floor Bedroom 4 1412" 1316" 2nd Floor Hall 4' 12' 2nd Floor Master Bedroom 1616" 1817" 2nd Floor Master Bedroom Bath 14117" 1012" 2nd Floor Master Closet 8118" 10' 2nd Floor Master Office 6151611 Basement Bath 617" 7' Basement Bedroom 21'10" 20'11' Basement Great Room 2916" 1915" Basement Sitting Room 1413" 1315" Garage 2214" 1116" ;s a i •�\ �� ==p� Vs Jr UN Alk tit p °� g , '° a a44 ,, p ,pODp MO �I�� /w Ira — �@ .. r tir `� `� r bas�roauiesoso ell 1 � yj g _ z �N a s 1 Irv, � will fill IIr g i a i I Ian i d Ia g sfig }} r � s .... ai J, q 90 its fill 2 4111 d m w `' a° am x uj_. � � f Lg zxs!nfllmlrq ea � arrow.:�!�aoaerarmm�s.� aFP ✓� .^,ria�rnawurwn.:arr.aaarwnma.... rrabnzac anosan,raram�ar a�rcwrsmtr «�, �. 1% wUu � dl Ila Z ' ' N cq Mfg qR zYIffy • .a _ a's as baa $ !g eea fill ... A_ '> - rnR �j �- BUIL I:tIEDI,i G�I•!_.� vX k^s� it11 O C xK °p WILT-N 5TORXG.CABIN TS LIP. I 1LSI IG STlL ll^ � n Y % Um To ' Jµ '� M1t I3 �•P � � �l5rtG9:.iUG11�E L^ + lO RLLtNN u o m seri` + `o yR' . FTI (o q7, Pill d _ 9.13.20 10-TCW?J>1L510•I: rooris Irer d-er.acce.s to rs�r�s,. NANCY DWYEFc:cp�sr tc Ipu orat�"n G Ba._nreNTPLM ... DESIGN CONSULTING, INC. SMALL RESIDENCE .nu - Scp as vor[° SOUTFIOLD,fJEWYOfLC 11971 rNist•.lD.fV-Eur 23zow-LsnLxwe par 6732010 G3 I-765-5GG7 Sp0 NO C t:RJIOiC CY H N...OYhPR FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-31889 Date- 10/03/06 THIS CERTIFIES that the building NEW DWELLING Location of Property: 2330 WELLS AVE SOUTHOLD (HOUSE NO.) _ (STREET) (HAMLET) County Tax Map No. 473889 Section 70 Block 3 Lot 22.12 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated MARCH 11 2005 pursuant to which Building Permit No. 31009-Z dated MARCH 18, 2005 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 SINGLE FAMILY DWELLING WITH ATTACHED GARAGE, COVERED FRONT PORCH AND REAR WOOD DECKS AS APPLIED FOR. The certificate is issued to GENDOT HOMES (OWNER) _......................... of the aforesaid building.. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL R10-04-0099 08/29/06 ELECTRICAL CERTIFICATE NO. 6517 07/24/06 PLUMBERS CERTIFICATION DATED 09/05/06 HI-TECH PLUMBING&HEATING •� .hor"ped �.gn�atu:x°e Rev. 1/81 .............. ............... ----—---------------- ................. ..... ....................... .. ............. ................... ............ Town of Southold 5119/2015 P.O.Box 1179 53095 Main Rd Southold,New York 11971 ............ .................- ...................—11 ................ — —------................ ........ ... ................ ....... ....... ..... CERTIFICATE OF OCCUPANCY No: 337570 Date: 5/19/2015 ............................................. ... .......................................---...... - THIS CERTIFIES that the building ALTERATION I............ .................................. ---—---------- --. ....—------ Location of Property: 2330 Wells Ave, Southold ........... ........... SCTM 9: 473889 See/Block/Lot: 70.-3-22.12 ............ ............... ........................ ... .............. ................ Subdivision: Filed Map No. Lot No. .............. conforms substantially to the Application for Building Permit heretofore Med in this office dated 5/87,015 pursuant to which Building Permit No. 39747 dated 5/8/2015 -------- ---- ---------- ----- 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: BASEMENT ALTERATION TO LIVING SPACE IN AN EXISTING ONE FAMILY DWELLING AS APPLIFD FOR The certificate is issued to 2004 J&MJ Small Revoc Trt ........... . ........ ............................ of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 35869 12-10-2010 .................................... ..................... PLUMBERS CERTIFICATION DATED 05-18-2015 ,, George J. Berry Jr .......... —----------e�....................... ..................... Aut'plqriy'ednatuk, '419" ..................... . ............ ............. ........................... ....... ............................. ..................... ..................... ...... ................................................ --- . ........... .......... . ... ........... Town of Southold 5/19/2015 P.O.Box 1179 53poi 095 Main Rd Southold,New York 11971 ........................................... .....—--- -- . .. .............................. .............. ................... ........... CERTIFICATE OF OCCUPANCY No: 37569 Date: 5/19/2015 ........ ......- ... ............................ THIS CERTIFIES that the building IN GROUND POOL ......................................... . ....... Location of Property: 2330 WELLS AVENUE SOUTHOLD --—-------- SCTM#: 473889 Sec/Block/Lot: 70-3-22.12 ......................... . ................ ................... Subdivision: Filed Map No. Lot No. ................. ... ................— conforms substantially to the Application for Building Permit heretofore filed in this office dated 3/29/2011 pursuant to which Building Permit No. 38376 dated 10/1/2013 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-GROUND SWIMMING POOLAS APPLIED FOR The certificate is issued to J&MJ SMALL REVOCABLE TRUST ...... ......................... --l-111,1111............... ............... . ..... ... ...................................................... ..... .................... of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL .......... ELECTRICAL CERTIFICATE NO. 36308 05-09-2011 .................. ..................... . . ....... PLUMBERS CERTIFICATION DATED .............. ...... ..................... A .....-- ---------- xUri7ed dignat � e I 1 J TOWN OF SOUTHOLD PROPERTY RECORD CARD -� - STREET - Z a VILLAGE DIST SUB LOT OWNER��=w� _ g 3 I' CR REMARKS FiKS = � TYPE OF BLD_ ` L L PROP. CLASS _ ,4 .f I s_ - 4LAND IMP- TOTAL DATE / 78 U - _x - Tp r y' 4 0 7i m - t yy i I FRONTAGE ON WATER TILLABLE _ FRONTAGE ON ROAD WOODLAND DEPTH MEADOWLAND' BULKHEAD HOUSE/LOT 1 TOTAL SCTM # �� Is i TOWN OF SOUTHOLD PROPERTY RECORD CARD OWNER - STREET VILLAGE DIST- SU- - LOT — — — � e ACR., REMARKS TYPE OF BLD. — — SRO , CLASS — LAND IMP, TOTAL DATE FRONTAGE ON WATER HOUSE/LOT I BULKHEAD TOTAL f qr _ I — _ C `l 3 70.-3-22.12 4/07 - Btu �� O 7 qq 2 Foundation ce Bath- -tr� Dinette Iq kA_ - Extension Basement Floors Kit. SLAB tensin Ext. Walls Interior Finish L.R a E i Extn`sionit Fire Place Heat Heat D.R. Woodstove BR. SFV - �� g Dormer � porch= �. t t Deck Attic 3 : L. - - e Breezeway - Rooms 1st Floor - — Garage F Driveway Rooms 2nd Floor Pool ;;L- T_ e . t