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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 rf Official ary Public Signa - re and Original Notary Stamp n�ACE R,..w D YEl N0TAI!::8Y V:�M....VC,STATE 0F:r NEW YORK NO.01 V�:VV6306900 Page 4 of 4 Q 1. il_VV-tlE:D W Sl lC FOL..K COUNTY Cowl ss(,)N EXJJ::)J RES JUNE 30l,ZA-A� Pay yd 6o, n tA�*oe, TOWN OF SOUTHOLD BUILDING DEPI 7 -1802 65 'INSPECTION FOUNDA 1111 IIII IIIIROUG1 I I L FOUNDAT101114 MllllINSULATION IIIMI I," IIII)l!"uING IIAL Pei F111:1E I' Ilrm, 11Ir , IIV T Il CONSI RIUM 11014 FIRERESISTANT PENS ni L °IRI l (ROUG11111) ELlECTRICAll (FINAL DE VIOL ATIO14 CAULKING LAW, si k _ tc • V; PA Dr. 1,�eA,-e- kvu BUILDING DEP rk� 111176,5mi 802 IIIA TOWN OF SOUTHOLDCT, INSP ' IIIIIIIIIIIIIIIIIII IIIIIIIIIIIIIIIII�V i 10 N IIIA IIII I"r IIII i sIIIII i III: l IIII Il,IIID P1111llllllnlllB III IIII FOU111MIDAT111101114211114D, 111114SU1111iIIIIIII, IIII Illi II lllll', , MG / STRAP121111111ING IIIAREPLACE &, CHIM1111NEY FIRE SAFETY INSIP111E in IIGIII I�IIII" ,Illlnnllll IIt ,,, IIII °nl Illi Illl1"' IIIIIII, IIII°) II . III �� Illlm IIISIIII ;IIIIIIIIIII� ,IIII ' �I °;�� �IIIA Ilrll� � IIIIIII, 11111111 Al llllllllllllllllllll III IIIR�� III IIII�IIIII IIIIIIIIIIIIIIIIIIII �IIIIIIII I IIII PII{ C °� IIIII Illi ill 1II IIIIInC„ IIIIIIIIIIWIIIIIII IIIA IIII 17 ad rOf _ all �y k �2 G7 Sc 411. 1 � x me __ y... xte ...�,..� 1 J .... ....... —_.,.,. .,.may. o a x- o o Q I oQ iL q _. U W J>\ W 0 Pi RI HIM M H Of W e� H if 5 LL cow hw y .. sit I4 eve lote al IIIlost7 81 , mIMPRIHjr 'fill' r 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 i k p, nL 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 a 3 L 2- D __ P = - r o- retCztwe, , fo dam{(4 r-� g6 0Q U _ } "E - UrD DIT F oo O ION = � q z;o - -iVgifl/ � AL 'LO�t AOVE i FRONTAGE ON WATER 0() Io _ Farm Acre Value Per Acre Value FRONTAGE ON ROAD `Tillable 1 BULKHEAD Tillable 2 — . Tillable 3 � Woodland } Swampland Brushland X00 House Plot _ Tota I V# � v ILI E t a � a i t— 126,-3-17 lid 201 117 - 7-� - 757 1 :;k5$ Bldg. Foundation ' Both M - E a Extension Basement Floors � -=sem - Extension �--�" Walls Interior Finish Fa ; _ S,/ Fire Place Heat Extension 3 a r� / 5 3 sRoof Type _ Z1�1 Floor nn Rooms 1st I� All - _Z�S� Patio Rooms 2nd Floor Breezeway Garage Driveway Dormer �- - -