HomeMy WebLinkAbout1000-31.-9-8.2 p�
TOWN OF SOUTHOLD
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Rental Permit
0045
Owner William Reilly
Occupied as Single Family Dwelling
Located at 1535 Bay Avenue East Marion 31.-9-8.2
Maximum Permitted Occupancy 4
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.
5/12/2023
Code i orce� jnt Official
This Notice must be posted by the main entrance at all times
DEPT.TOWN OF SOUTHOLD BUILDING
. � 631 -765-1802
FOUNDATIONINSPECTION
[ ROUGH PLBG.
] FOUNDATION 2ND INSULATION/CAULKING
[ ] FRAMING /STRAPPING FINAL
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
] FIRE RESISTANTTI ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL - ) [ ] ELECTRICAL FI ., )
[ ] CODE VIOLATION [ ] PRE C/O [ J"RENTAL
�'>> �0 Town Hall Annex
IN
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�� PO Box 1179 Southold,
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W , Rental I is ection NY 11971-1179
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Tel: 631-765-1802
Fax 631-765-9502
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SCTM # _. �
Date
Owner
Phone
._ w_ .__. ....
Address '1�S .�w .... Zip
city Inspector
LEVELS SUB I 2 3
Smoke Detectors (# bedroom detectors excluded)
Carbon Monoxide Detectors
Fire Extinguishers (#) __....
Exits (#)_ ..__� ... ..���..�....�.. ..�w__...__.�..... _, ��..�.
BEDROOMS 2 3 4
Smoke Detector Alarms
YEress
c:�.r�rbon irte alar°airs (#) w......,...__...�l -._�....�...�... .�_. _w ..._.M_......�..�..�.-.
_. g (windows) (Y/N)
BUILDING SYSTEMS Y/N CONDITION OF PROPERTY _ Y/N
Buildin5 Interior is clean /maintained
H atirr �sten'r maintained/operational
Building Exterior is clean /maintained
Horati
ot water system maintained/opeonal
Property is clean / safe/ maintained
Electrical. ern, maintained/operational _w
Mechanical s stern maintained/operational 'Handrails & guards present
COMMENTS 0
_._..........w_..__.._.._. ...__.. �: _.w_....:....._.. ... _.. :. __.. _ .... .... .._........ ..._............_._._.._�
_ .._ ..__.._. .., ...__...,...._...w........................ . .. ...........w......_._..............
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Rental Inspection Form 4/7/2021
Rental Permit
IN
T TUOYNN OF SOUTHOLD
Permit No. 0045
Owner William Reilly
Occupied as Single Family Dwelling
Located at 1535 Bay Avenue East Marion 31.-9-8.2
Village
Maximum Permitted Occupancy 4
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.
5/13/2021
Code Enforcement Official
This Notice must be posted by the main entrance at all times
w m' rr�
Town Hall Annex
SOUTHOLD TOWN54375 Main Road
PO Box 1179 Southold,
Rental Inspection
NY 11971-1179
Tel: 631-765-1802
Fax 631-765-9502
u� r
SCTM #
�1. —`� � S .. � Date. 5-Jl3J!'�4
Owner LLL.. Phonel�
Address 5,-/z! A,, Zip
Hamlet Inspector I tnout,,,
Address visible from street?
LEVELS SUB 1 2 3
Smoke Detectors (#- bedroom detectors excluded) 1
Carbon Monoxide Detectors (#) I
Fire Extinguishers (#) O I
Exits (#) l ;Z
BEDROOMS 1 2 3 4 5
Smoke Detector Alarms(#) I I !
Carbon Monoxide Alarms
Egress (windows) (Y/N) y Y
BUILDING SYSTEMS Y/N CONDITION OF PROPERTY =Y/N
Heating system maintained/operational Building Interior is clean/maintained
Hot water system maintained/operational Building Exterior is clean/maintained y
Electrical system maintained/operational Property is clean/safe/maintained
Mechanical system maintained/operational (Handrails&guards present
POOLS Y/N POOL BARRIERS Y/N
Pool present Pool is completely enclosed
Pool surface alarm and/or door alarm Barrier is a min.48„high
ilpresent
POOL GATES Y/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:
-�
LT
- _�. M
TOWS! OF SOU OL
CR
Rental Permit
Permit No. 0045
Owner William Reilly
Occupied as Single Family Dwelling
Located at 1535 Bay Avenue East Marion 31-9-8.2
Address Village S/13/1-
Maximum
/B/LMaximum Permitted Occupancy 4
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.
5/8/2019 John Jarski
Date of Issue Code Enforcement Officer
This Notice must be posted by the main entrance at all times
631 765-1802
Telephone Tele
Town Hall Annex P ( )
54375 Main Road Fax(631)765-9502
P.O.Box 1179
Southold,NY 11971-0959 � r
Uum
BUILDING-DEPARTMENT '
TOWN OF SOUTHOID
RENTAL PERMIT APPLICATION
Rental Permit Fee $200 (Application must be renewed every two years)
Section A.
Property Information:
Rental Property Address:
. '
Tax Map Number:.1Q00.SECTION , LOC -LOT�;�_
SECTION B.
OWNER INFORMATION:
Property Owner Name: d C,
Property Owner Legal Address: Farb 'e n6t 6 IliAddress:
A�
Telephone Number(s): Daytime3]Ls-4 3_ Evening Emergency
Property Owner Email Address: °
Page 1 of 5
Oil
Town Hall Annex Telephone(631)765-1802
54375 Main Road Fax(631)765-9502
P.O. Box 1 179
Southold,NY 1 1971-0959 � �
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
Mailing Address of Managing Agent:
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, 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 :
Nu of rooms in Rental Dwelling Unit:
Us and Dimensions of each room in Rental Dwelling Unit: te-4��7
Page 3 of 5
4' A,
Town Hall Annex Telephone(631)765-1802
54375 Main Road F Fax(631)765-9502
P.O. Box 1 179
Southold,NY 11971-0959 j
trll
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
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 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)
IW iii A l certify under penalty of perjury, the following:
1. I 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" ofthis-application.is my legal
address and I understand the Town will use the address for service pursuant to all
Page 4 of 5
Town Hall Annex Telephone(631)765-1802
54375 Main Road q" Fax(631)765-9502
P.O.Box 1 179 I
Southold,NY 11971-0959 µ h
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
applicable laws and rules. l 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.
I have read and received a copy of Chapter 207 of the Code of the Town o Southold and
agreed to abide by the samIe,
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: W L�, #it LI/
Property Owner's Signature:
Sworn to before me this nay of hTy 20V
44aw — '-Uj
Official No y Public Signature A Original Notary Stamp
TRACEY L. DWYER
NOTARY PUBLIC,STATE OF NEW YORK
NO.01 DW6306900
QUALIFIER IN SUFFOLK COUNTY
COMMISSION EXPIRES JUNE 30,2-0a,2,
Page 5 of 5
TOWN OF SOUTHOLD BUILDING DEPT.
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FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
PRE EXISTING
CERTIFICATE OF OCCUPANCY
No 5-23118 Date JULY 27 1994
THIS CERTIFIES that the building ONE FAMILY DWZLLING
Location of Property 1535 BAY AVENUE EAST MARION, _N.Y.
House No. Street Hamlet
County Tax Map No. 1000 Section 31 Block 9 Lot 8.2
Subdivision Filed Map No. Lot No.
conforms substantially to the Requirements for a One Family Dwelling built
Prior to: APRIL 9, 1957 pursuant to which CERTIFICATE OF
OCCUPANCY NUMBER 5-23118 dated JULY 27, 1944
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 SEASONAL DWELLING
The certificate is issued to KURT M. VERBER
(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 ATTACEM INSPECTION REPORT.
1_'et4
ilding Inspector
Rev. 1/81
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
HOUSING CODE INSPECTION REPORT
LOCATION: 15 35 BAY AVENUE EAST MARION �n zY�' a , l�nty�_..._.�, -
nolacr street P
SUBDIVISION i1AP NO. LOT(s)
NAME OF OWNER (s) FE _
BURT M_
LE
SEASONAL DWN� �..�
OCCUPANCY LING VACANT
._._...
type owner-tenant
ADMITTED BY: MARYELLEN WERBER ACCOMPANIED BY: SAME
KEY AVAILABLE SUFir..
�.� .,_ CO. TQC MAP N0. I Om Tr
SOURCE OF REQUEST; DATE .LUNE 20, 1994
BURT H- WERBER ..�_. _....._.. - . _ _....._..�,
TYPE OF CONSTRUCTIONEXITS
.,W.,,,,,,1„ 2
FRAHE _mmm {� STORIES / ,
FOUNDATION CEMENT BLOCK CELLAR II CRAWL SPACE
TOTAL ROOMS: IST FLR. _.,..
4 2ND FLR_ 3RD FLR_
BATHROOM (s) 1 TOILET ROOM (s) UTILITY ROOM
- .�
PORCH TYPE SCREENS
_
D DECK, TYPE PATIO
BREEZEWAY FIREPLACE GARAGE
DOMESTIC HOTWATER
xx TYPE HEATER STREET GAS AIRCONDITIONING
TYPE HEAT NOME WARM AIR HOTWATER
OTHER:_
ACCESSORY STRUCTURES: NONE
GARAGE, TYPE OF CONST.__ _, STORAGE, TYPE CONST...... .. ..."
SWIMMING POOL GUEST, TYPE CONST.
OTHER: �
V-W)ATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION 6 BUILDING CODE
LOCATION DESCRIPTION ART. SEC.
'ARKS- BP 122207-Z - CO Z-23117 (Alteration b Addition)
CTED DATE O-
1994
-� F INSPECTION JUNE 27
TIME START 10:10 END 10:40
FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No Z-23117 Date JULY 27 1994
THIS CERTIFIES that the building ADDrITICO & ALTERATION
Location of Property 1538 BAY AVENUE BAST MARION, N.Y.
House No. Street Hamlet
County Tax Map No. 1000 Section 31 Block 9 Lot 8.2
Subdivision Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated JULY 8, 1.9914 _______pursuant to which
Building Permit No. 22207-Z dated JULY 27, _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 CELLAR & BLOCK FOUNDATIONS, ALTERATIONS TO FRONT SCREMED
PORCB ATTIC ROOF ROOk' & S ING ADDITION OVER RBAR RAISED PATIO
TO EXISTING ONE FAMILY SEASONAL DWELLING "AS BUILT"
The certificate is issued to KURT N. WERBER
(owner)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL— N/A
UNDERWRITERS CERTIFICATE NO. B-041810 - JULY 19, 1994
PLUMBERS CERTIFICATION DATED N/A
uildifig Inspector
Rev. 1/81
Aw
OWN OF SOUTHOLD PROPERTY REq-0
i STREET - VILLAGE DIST.j SUB, LOT _
3
>
' ve ueTL
FORMER OWNER A`' ASR
N � _.
- -= _ E e
= to
W TYPE F
BUILDING
01
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F � t
RES, SEAS. VL. FARM COMM. CB. MICS. Mkt. Value
LAND IMP, TOTAL DATE REMARKS£ - # ,
$ -
s c. ' r
__ .
g F
t s t� �
e �
g �
py
— - -
E
Le
i
3 --
T�—
C
E
E
Tillable Y FRONTAGE ON WATER
Woodland FRONTAGE ON ROAD
Meadowland DEPTH
House Plot BULKHEAD
Total
C01 OR t TRIM
r
-------------
4
7--
4-7
M. Bldg. I
-----
Extension
-7
Extension
Extension
-7
:7n Foundation 6 C t h Dinette
7- Basement 4L
Floors
0 1 K-
/V
Porch Ext. Walls 47
Interior Finish V - LR.
Xal
Breezeway Fire Place Heat DR.
Garage
ype Roof Rooms I st Floor BR.
Patio j Recreation Room rfiooms 2nd Floor FIN. B
O. B. T—Dormer Driveway
Total
1 1 -7i r