HomeMy WebLinkAbout1000-126.-3-17 0TOWN OF SOUTHOLD
Rental Permit
g
Permit No. 0014
Owner John and Kelly Reardon
Occupied as Single Family Dwelling
Located at 1525 Albo Drive Laurel 126-3-17
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.
3/25/2019 John Jarski
Date of Issue Code Enforcement Officer
This Notice must be posted by the main entrance at all times
rjf S0
Town Hall Annex y Telephone(631)765-1802
54375 Main Road Fax(631)765-9502
P.O.Box 1179
Southold,NY 11971-0959 ✓°
COU
D
BUILDING DEPARTMENT
TOWN OF souTHOLD
RENTAL PERMIT APPLICATION
O °
Rental Permit Fee $200 (Application must be renewed every two years)
Section A.
Property Information:
Rental Property Address:
Tax Map Number:.1000 SECTION J BLOCK
LOT._
SECTION B.
OWNER INFORMATION:
r
Property Owner Name:
Property Owner Legal Address: Property Owner Mailing Address:
(Cannot be the same as Rental Property Address)
I "
Telephone Number (s):
Property Owner Email Address: (���
Page 1 of 4
SECTION F.
PROPERTY DESCRIPTION:
Number of Rental Dwelling Units on property: O'QC
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: z
Requested Maximum number of persons allowed to occupy DwellingUnit
Number of rooms in Rental Dwelling Unit:
Use and Dimensions of each room in Rental Dwelling Unit:
L-` i °
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
❑ 1 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 c') °S or-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:
Sworn to before me this day of ( 2019
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Official ary Public Signa - re and Original Notary Stamp
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FORM NiO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN CLERK'S OFFICE
SOUTHOLD, N. Y.
CER'T'IFICATE OF OCCUPANCY
No.,,#, . � '. . . . . Date .. . . . . . . . . . .CO torb - 19 19 66.
THIS CERTIFIES that the building located at .VS. . :43,bO.DV. . . , ., , , , , Street
Map No. x=. . . . . . . . Block No. .xX.x. . . . .. .Lot No. =. .. .Laurel, N,,,Y . . . . . . . . . . . .
conforms substantially to the Application for Building Permit heretofore filed in this office
dated . , .. , . . . .. . May . . . . .20 , ., 19466. pursuant to which Building Permit No. 3. 097. .Z.
dated . . . . . . . . . .Mar. . . . 20. . . ., 1966 ., was issued, and conforms to all of the require-
ments -of the applicable provisions of the law. The occupancy for which this certificate is
issued,is . Prlvats •ons• family dWe1.1ing. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . , ,. . .
The certificate is issued top �r. �.. � ,
(owner, lessee or tenant)
of the aforesaid building.
Suffolk County Department of Health Approval . . �. 29,t- -1966. , .by- R4 -Villa
iv
y : Building Inspector
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FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No Z-19440 Date OCTOBER 11 1990
THIS CERTIFIES that the building ADDITIONS
Location of Property 1525 ALBO DRIVE LAUREL N.Y.
House No. Street Hamlet
County Tax Map No. 1000 Section 126 Block 3. Lot 17
Subdivision Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated JULY 14, 1989 pursuant to which
Building Permit No. 18447-Z dated AUGUST 31 1989
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 & DECK ADDITIONTO EXISTING ONE FAMILY DWELLING
The certificate is issued to ROBERT W. TURNER
(owner)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A
UNDERWRITERS CERTIFICATE NO_ H-015112- APRIL 3 1990
PLUMBERS CERTIFICATION DATED OCTOBER 11 1990 - PERFECTION PLUMBING
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 Z-20146 Date AUGUST 15, 1991
THIS CERTIFIES that the building ADDITION
Location of Property 1525 ALBO DRIVE LAUREL N.Y.
House No. Street Hamlet
County Tax Map No. 1000 Section 1. 6 Block 3 Lot 17
Subdivision Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated AUGUST 30 1989 __pursuant to which
Building Permit No. 18484-Z dated SEPTEMBER 14 1989
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 SWIMMING POOL ADDITION WITH FENCE ENCLOSURE
AS APPLIED FOR & AS PER ZBA #3922.
The certificate is issued to ROBERT & 'THERESA TtRIt
(owners)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N A
UNDERWRITERS CERTIFICATE NO. H-023053 - AUGUST 7 1991
PLUMBERS CERTIFICATION DATED N/A
Bui' ding Inspector
Rev. 1/81
"` sItp „ Town of Southold 8/20/2015
P.O.Box 1179
53095 Main Rd
Southold,New York 11971
CERTIFICATE OF OCCUPANCY
No: 37728 Date: 8/20/2015
THIS CERTIFIES that the building RESIDENTIAL ADDITION
Location of Property: 1525 Albo Dr, Laurel
SCTM#: 473889 Sec/Block/I 126.-3-17
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
5/13/2015 pursuant to which Building Permit No. 39765 dated 5/13/2015
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:
TWO CAR GARAGE AND BREEZEWAY ADDITION TO AN EXISTING ONE FAMILY DWELLING AS
APPLIED FOR
The certificate is issued to Turner,Robert&Turner,Theresa
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 015912 04-08-1998
PLUMBERS CERTIFICATION DATED
0 `"gid S" nature
Town of Southold 3/29/2016
P.O.Box 1179
tw
EW 53095 Main Rd
Southold,New York 11971
CERTIFICATE OF OCCUPANCY
No: 38181 Date: 3/29/2016
THIS CERTIFIES that the building ADDITION/ALTERATION
Location of Property: 1525 Albo Drive, Laurel
SCTM#: 473889 Sec/Block/Lot: 126.-3-17
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
7/14/1989 pursuant to which Building Permit No. 18447 dated 8/31/1989
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:
cicd� wc�rBv,�aw�lcl 1^I :��9 �i 11m� to exi 1ii1111tLj1!j61y d�olfip g, rtl) I... ( 1N_oogis ,S gppl��d.lbr.
TIiis C're rtifj
jq3,�tq or NjagYLEC-places CD rcla ? 141dG,D,..�,suc�i, totlwl� aclrorrn qpfa:ziY dwelfirig..
The certificate is issued to Robert&Theresa Turner
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A
ELECTRICAL CERTIFICATE NO. H-015112 4/3/1990
PLUMBERS CERTIFICATION DATED 10/11/1990 1' .I`' torr Plumbing
Auth Si 1) ttt�•e
TOWN F SOUTHOLD PkOPERTYSOUTH RECORE
OWNER STREET C C, VILLAGE DISTRICT SIB-- LOT
FORMER 0 NER � N E ACREAGE
Is TYPE OF BUILDING
RES. ,zQ SEAS. VL. FM COMM. IND. CB. MISC. Est. Mkt. Value
LAND IMP. I TOTAL DATE REMARKS 0
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Farm Acre Value Per Acre Value FRONTAGE ON ROAD
`Tillable 1 BULKHEAD
Tillable 2 —
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Tillable 3 �
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Brushland X00
House Plot _
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126,-3-17 lid 201 117 - 7-�
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Bldg.
Foundation
' Both
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Extension Basement Floors
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Extension �--�" Walls Interior Finish
Fa
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Fire Place Heat
Extension 3 a
r� / 5 3 sRoof Type _
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Floor
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Rooms 1st
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_Z�S� Patio Rooms 2nd Floor
Breezeway
Garage Driveway Dormer
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