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HomeMy WebLinkAbout1000-38.-6-13 �s TOWN OF SOUTHOLD
Rental Permit
0026
Owner Jonathan & Christine Meyer
Occupied as Single Family Dwelling
Located at 370 South Ln East Marion 38.-6-13
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.
7/10/2023
de Enf6rcement Official
This Notice must be posted by the main entrance at all t" est
-3 ��,
5e� LX ��
TOWN OF SOUTHOLD BUILDING DI
� 6311 -765,4802
INSPEC ION
[ ] FOUNDATION 1ST [ ] ROUGH PL13G.
[ FOUNDATION 2ND [ ] INSUEATION/CAl
[ ] FRAMING / STRAPPING [ ] FINAL
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY IN;
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PE
[ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FII
[ ] CODE VIOLATION [ ] PRE C/O "[ Jr
RE a
8
--� ?o L1,
TOWN OF SOUTHOLD BUILDING DI
631 .765.1802
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INSULATION/CAI
[ ] FRAMING / STRAPPING [ ] FINAL AX-4
[ ] FIREPLACE & CHIMNEY /iaFIRE SAFETY IN:
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PE
[ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FII
[ ] CODE VIOLATION [ ] PRE C/O
REMARKS•
(,C>
DATE ��� Z INSPECTOR �� �
Town Hall Annex
SOUTHOLD TOWN 54375 Main Road
PO Box 1179 Southold,
Rental Inspection NY 11971-1179
` Tel: 631-765-1802
Fax 631-765-9502
SCTM # 3 Date Z/ Z(
Owner
e c Phone S46 -S�) -0 Z(7
Addresspv' ((� Zip f 3
HamletET
`r A O.V-I Inspector
Address visible from street?
LEVELS SUB 1 3
Smoke Detectors (#- bedroom detectors excluded)
Carbon Monoxide Detectors (#)
Fire Extinguishers (#)
Exits (#)
BEDROOMS 1 2 3 4 5
Smoke Detector Alarms (#)
Carbon Monoxide Alarms (#)
Egress (windows) ( /fib)
BUILDING SYSTEMS CONDITION OF PROPERTY 41N
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 Y# POOL BARRIERS Y
Pool present Pool is completely enclosed
Pool surface alarm and/or door alarm Barrier is a min. 48" high
resent
POOL GATES Y/M 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:
r It
Town Hall Annex � Telephone(631)765-1802
54375 Main RoadFax(631)765-9502
U �U
P.O.Box 1179 off
Southold,NY 11971-0959
fr b 4 N M
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
RENTAL PROPERTY CERTIFICATION
Form is to be completed by a license architect, licensed engineer or licensed home inspector
Separate form is required for each individual Rental Dwelling Unit
i�ro essiorlol seal re paired carrcflitect or n lrleer ti� ensed dome lrls actor must r+avide
co ra vol/d current cert/ cation
Rental Property SCTM Number: L173
Rental Property Address: 37v v z 'T
Owner/Name: € , f'lr�v.
Rental Dwelling Unit Identifier: S-OP—G dock 7iO T
Number & Square footage of each bedroom as depicted in the attached floor plan:
(i.e. Bedroom #1 -100 sq., Bedroom#2-90 sq., etc.)
p ( e
Property Descrl tion IncIncude all improvements Indicate on survey
Al
Z�z
1 certify that I have done a physical inspection of the subject rental dwelling unit and find that it
fully complies with all the provisions of the Code of the Town of Southold,the Residential Code
of New York State,the Building Code of New York State,the Plumbing Code of New York State,
the Fuel Gas Code of New York State, and the Energy Conservation Construction Code of New
York State.
�� �Ae-�tf' _
Print Name and Title O girl Signa re
Please place professional seal:
TOONN OF SOUTHOLD
Rental Permit
VK
0026
Owner Jonathon & Christine Meyer
Occupied as Single Family Dwelling
Located at 370 South Lane East Marion 38-6-13
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.
6/25/2021
Code Enf p y c - ent Official
This Notice must be posted by the main entrance at all times
w Town Hall Annex
SOUTHOLD TOWN 54375 Main Road
Inspection Rental Ins PO Box 1179 Southold,
CIO
� NY 11971-1179
Tel: 631-765-1802
Fax 631-765-9502
SCTM # 3 K' G' 3 Date
Owner lvme (fPhone 51,6 -S��) -O 2(7
Address �`l ((\ Zip 4'
Hamlet lInspector
Address visible from street? .
LEVELS SUB 1 3
Smoke Detectors (#-bedroom detectors excluded)
Carbon Monoxide Detectors (#)
Fire Extinguishers (#)
Exits (#) LIZ
BEDROOMS 1 2 3 4 5
Smoke Detector Alarms(#)
Carbon Monoxide Alarms (#)
Egress (windows) (Y/N)
BUILDING SYSTEMS CONDITION OF PROPERTY /N
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 7 POOL BARRIERS ` yfo
Pool present Pool is completely enclosed
Pool surface alarm and/or door alarm Barrier is a min. 48" high
present
POOL GATES Y/ 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:
T "WN OF L
Rental Permit
p} Permit No. 0026
- 3
Owner Jonathon & Christine Meyer
Occupied as Single Family Dwelling
Located at 370 South Lane East Marion 38-6-13
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.
4/5/2019 John Jarski
Date of Issue Code Enforcement Officer
This Notice must be posted by the main entrance at all times
P °
Town Hall Annex Telephone(631)765-1802
54375 Main Road Fax(631)765-9502
P.O.Box 1179
Southold,NY 11971-0959 44��
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
RENTAL PERMIT APPLICATION
Rental Permit Fee $200(Application must be renewed every in
s
M
V9 '1 4 2019
Section A. T.
Property Information: ,
Property Address:
dres
Rental Pr �'j ��
Tax Map Number: 1000 SECTION w
� ,B'l"OCI( ( LOT-13-1?
SECTION B.
OWNER INFORMATION:
Property Owner Name: " "'VN
Property Owner Legal Address: Property Owner Mailing Address:
(Cannot be the same as Rental Property Address)
I L�l
Telephone Number(s): �
Property Owner Email Address: .� C& A i a j C6
Page lof4 lei � (d�
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 Unit w[
Number of rooms in Rental Dwelling Unit:
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.
0 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)
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: /K!::V
Property Owner's Signature:
q
Sworn to before me this l e day of March
0 icial Not Public Signaturea �riginal Notary Stamp
TRACEY L. 13WYER
NOTARY PUBLIC,STATE OF h6F:W YORK
Page 4 of 4 NO.01DW6 0 00
QUALIFIED IN SUFFOLK COUNTY
COMMISSION EXPIRES JUNE 30,2-02,
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FORM X0. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Town Clerk's Office
Southold, N. Y.
Certificate Of Occupancy
No.47bO. . . . . . . Date . . . . . . . . . . . . . . !A . ., 19. -77
THIS CERTIFIES that the building located at A/�. A )144 fan®. • . . • • . . . . Street
Map No. xt . . . . . . . . . Block No. XX. . . . . . .Lot No. . . .Z.ast. Marion _N., . . . . . . .
conforms substantially to the Application for Building Permit heretofore filed in this office
dated . . . . . . . . . . . .Nriq .7. • •, 19.7§. pursuant to which Building Permit No. '
dated . . . . . . . . . . .T",141e. . ... . . •, 19. 7.6, 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 Pic Ivzate cne. :family d,we1,1ing. . . . . . . . . . . . . . . . . . . . . . . . . . . . I . . . . . . . . . . .
The certificate is issued to 9Marles. •`� gargurite .Jobnson. . . . . VIleY3. . . .
. . . . . . . . . . . . .
(owner, lessee or tenant)
of the aforesaid building.
Suffolk County Department of Health Approval1�. . .
UNDERWRITERS CERTIFICATE No. . ,N309.913. . . . .0t .29. .x.97 . . . . , . . . . . .
HOUSE NUMBER . . . . . ryd . . . . . Street . . a $; Cnpr 1,
Building Inspector
sfP fat Town of Southold Annex 12/9/2011
54375 Main Road
Southold,New York 11971
J
11010
10
CERTIFICATE OF OCCUPANCY
No: 35326 Date: 12/9/2011
THIS CERTIFIES that the building ADDITION/ALTERATION
Location of Property: 370 SOUTH LA EAST MARION,
SCTM#: 473889 Sec/Block/Lot: 38.-6-13
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this officed dated
5/24/2010 pursuant to which Building Permit No. 35628 dated 6/9/2010
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:
alterations and addlitions including recreation room inmbaselncnt, cowered)g li,.. a�ci s��ond 1�c��r :�Y�o y,Ro sst existing,
ogle f nily ct�yellinit as at�t liedfor.
The certificate is issued to Meyer,Jonathan&Cippitelli,Josephine
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 35628 3/11/11
PLUMBERS CERTIFICATION DATED 12/6/11 erMarczewski, Jr.
- — -- .........
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PROPERTYTOWN OF SOUTHOLD - CARD -
OWNER i STREETi J VILLAGE DISTRICT SUB. LOT
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FORMER t N E A SAGE f
Afl R
Off S W_ _ = TYPE OF BUILDING
�...__. �5 � � ,:�� �'�' ���_`I �e. �. �• ��R = ! � _ �T�
. _
RES. SEAS. VL. FARM COMM. IND. CB. MISC.
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LAND IMP, TOTALS DATE REMARKS �r s
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Etion �Xta q � o - Finished B. Interior Finish LR. 3
a _ ! __ - -
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2-16 Y-S7 a t Fire Place {. HeatD.R.
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Porc_ - af _ t Dormer Baths a
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A.C. i Laundry
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Library/
brary/
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Bree7ewav Patio Rooms 2nd Floor
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Driveway
Garage
O. B.
..... -—----
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