HomeMy WebLinkAbout1000-31.-13-2 mmg TOWN OF SOUTHOLD
Rental Permit
0049
e
Owner Robert O'Brien
Occupied as Single Family Dwelling
Located at 1955 Trumans Path East Marion 31.-13-2
Maximum Permitted Occupancy 6
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.
4/13/2023
Code E oc t official'
This Notice must be posted by the main entrance at all times
h 12,3
164 2,4
2 6 oaim oi " �. APR 12023 ,
Town Hall Annex lei t)7 65-1802
54375 Main Road 765-9502
P��y t �1 765-9502
P.O.Box 1179
Southold,NY 11971-0959
BUILDING DEPAwrMENT
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
Fra esslcanaJ sea!re aired or,Architect or Fn ineer licensed Nome inspector must ro%lIde
gla o valid current certl kation
Rental Property SCTM Number: — 1-6 --a—
Rental
'aRental Property Address: " U <
Owner/Name: C)
Rental Dwelling Unit Identifier: 5tT4-k A-e 1+6 t vF
Number&Square footage of each bedroom as depicted in the attached floor plan:
(i.e. Bedroom#1-100 sq., Bedroom#2-90 sq., etc.)
9,V,, - S P
a , IYh SF 3nF=
Property Description (Include all improvements indicated on survey)
I 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 Construc a of New
York State. �
goM6-i2:r'0ir'.IJ
Print Name and Title OF N't nal Signature
Please place professional seal:
Cpi�1�
��SS14 �
OFT w`W 0" " F ""'0 U T H 0 L D
A � �, � � l
z
Rental Permit
Permit No. 0049
Owner Robert O'Brien
Occupied as Single Family Dwelling
Located at 1955 Trumans Path East Marion 31.-13-2
Village
Maximum Permitted Occupancy 6
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.
l
4/30/2021
r Official
This Notice must be posted by the main entrance at all times Cts E)rc
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 °
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
Prr� s aoi seal req rlrgc orw wlw hite�t or lWrar irrr car°, licensed l-fgrr�q,i s ac> t°rr must provide
copy Valra�i rtrr^rr ruPµ r l rf alit r°u
Rental Property SCTM Number: ..
Rental Property Address 17Is-
r .rm�. .
Owner/Name: ...W. . -� � 7 N �. . � ._ � = : .. ......
_.__—
Rental Dwelling Unit Identifier: _ hcn _—
Number &Square footage of each bedroom as depicted in the attached floor plan:
(i.e. Bedroom #1 –100sq., Bedroom #2-90 sq., etc.)
,.... .
.� n.....
Property Description (Include all improvements indicated on survey)
d
}, :.
I 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; iew
York State. . ' y °
M
_.....
r
Iaf S
Print Name al d Title �ugl�atl;lre
" ww
Ole s k
�. � � l :
TOWN OF SOUTHOL
ctt Rental Permit
3
� £ #3 Permit No. 0049
Owner Robert O'Brien
Occupied as Single Family Dwelling
Located at 1955 Trumans Path East Marion 31-13-2
Address Village S/13/1-
Maximum
/B/LMaximum Permitted Occupancy 6
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.
5/10/2019 John Jarski
Date of Issue Code Enforcement Officer
This Notice must be posted by the main entrance at all times
5m1��
6C wo
Town Hall Annex ��' �f�� K Telephone(631)765-1802
54375 Main Road Fax(631)765-9502
P.O.Box 1179 '-f
IN
Southold,NY 11971-0959 �0 ��/0�
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
RENTAL PERMIT APPLICATION
Rental Permit Fee $200 (Application must be renewed every two years)
Ep
Section A. _" N,1 AY ,,
Property Information:
Rental Property Address: O„"y.N f„iF S, fTa
_. _. 'gas P/YfSz/ ,eFiYS� 1�'1.�1x 1..�
Tax Map Number: 1000 SECTION -6LOCi � _, -LOT z -
SECTION B.
OWNER INFORMATION:
Property Owner Name: ,% . P � .Q, *"......
Property Owner Legal Address: Property Owner Mailing Address:
Telephone Number (s): Daytime _ EveninJP Emergency���
Property Owner Email Address: I°
Page 1 of 5
/
Town Hall Annex ��� /,��/;���% Telephone(631)765-1802
54375 Main Road �;/�„ '�'/i�r�/� ' Fax(631)765-9502
r` J%
P.O.Box 1 179
Southold,NY 11971-0959 ,
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
Section C.
Authorized Agent Information:
Name of Authorized Agent of dwelling unit, if any ,u,,,,,
Address of Authorized Agent (no P.O. Boxes):.--.-
Mailing Address of Authorized Agentw...
f
Telephone Number (s): Daytime_ , _ Evening Emergency,
.-
Email Address:
Section D.
Managing Agent Information:
Name of Authorized Agent of dwelling unit, if an
Address of Authorized Agent (no P.O. Boxes):
Mailing Address of Authorized Agent: _ ,y
Telephone Number (s): Daytime---- Evening Emergency_ ,,,,_,,_
Email Address:
SECTION E.
SITE MANAG ER 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);_ _.-
Page 2 of 5
Town Hall Annex �� j�y Telephone(631)765-1802
54375 Main Road Fax(631)765-9502
P.O.Box 1 179
Southold,NY 11971-0959
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
Mailing Address of Managing Agent:
Telephone Number (s): Daytime~.... ing .Emergency
Email Address:�............�. .... — �..._ a.. - ------- .._... T . ... _ . ......... �
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, Q 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."
�' r
Rental Dwelling Unit Identifier:_��, "'� .�. `''".._. �p ��' 4 �
Requested Maximum number of persons allowed to occupy Dwelling Uni :
Number of rooms in Rental Dwelling Unit:
Use and Dimensions of each room in Rental Dwelling Unit:_ _
L ........ms1
Page 3 of 5
f
l
Telephone(631)765-1802
Town Hall Annex ;%/,� �/�i �
��/ii
Fax(631)765-9502
54375 Main Road
Y.O.Box 1179
Southold,NY 11971-0959
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.
❑ 1 am requesting a fire safety inspection to be performed by a Code Enforcement Official
from the Town of Southold
I 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)
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
Page 4 of 5
�j
Town Hall Annex ,o,�ii�U/�„�/,i%/ Telephone(631)765-1802
54375 Main Road Fax(631)765-9502
P.O.Box 1179 �i �
Southold,NY 11971-0959
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
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 as to any change to the information
regarding Authorized Agent, Managing Agent, or Site Manager.
Property Owner's Name:.
Property Owner's Signature_ r -
Sworn to before me this fit-day of � � _ . .... _a 20 19
r
Official Notary Public original�
Signature and Notary Stamp
N� !� IA C��,FCi ANO
118
mma'7a�1& :f'1 l ,Is.r;� I lulle,i�'� 19, 20
Page 5 of 5
� If
Telephone(631)765-1802
Town Hall Annex
54375 Main Road
!i, Fax(631)765-9502
;�i/lj/ G�/�j
P.O.Box 1179
Southold,NY 11971-0959
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
cp " p'rlyd curt c�rt� ��[�tiorl
Rental Property SCTM Number: ... m_r" rcd Z
Rental Property Address: '" `
Owner/Name: m rte _
Rental Dwelling Unit Identifier
Number&Square footage of each bedroom as depicted in the attached floor plan:
(i.e. Bedroom#1 -100 sq., Bedroom #2-90 sq., etc.)
za -F
Property Description (include all improvements indicated on survey)
I 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.
Print Name and Title t iginal Signature
Please plac ,pr fessi
ll0
...
s
3 0 mm m m m
a O r O O ,
v m m m D c c
m �o m z zLn
., " z sp z z p
Si p 7o 0 n
zv'° z in
Z c = v �
O U) m ti
-, z -
x � 91
a
-. N
1 z c
n m
7o z N 0 W
" C
0 m N r rc- O � C
�N
m
M 0 0
Z oo Z
a _
s �
i';
mW 141
...........
zIL
w
IL
IL
%I
T D
4"2
h� 5 wi
Z w
yN
m _ � - °
i�
q!l
�w
i
p
a
s
I
C,7 0
n ¢ H
{ ,. in O
µ �G
�'-�'".r�•'�"�'`+"�3a!" �q � 4Nlo, _ z- z6 mein ,
i
Ii
I
i � r
-7A 7 .r.
h
V _
tk v
_ - �\K
sorra vo'oaivw ays 'dam ta�owwaaro••a,�•os ooc�aaoo Lraiaavlva
FORM NO.4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
Certificate Of Occupancy
No, . . .Z i 0421, . . „ . . . . Date . . . . . .March 1 8!. . . . . . . . . . . . . . . .. 19 .81
THIS CERTIFIES that the building , . . , . . . . . . , . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Location of Property 1950 50 Trumans Path East Marion . . » .
House Nor. Hamlet
County Tax Map No. 1000 Section . . . .31. . . . . .Block 3d , . . . . , .Lot , . .? , . , . . , . , . . »
Subdivision . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Filed Map No. . . . . . . . .Lot No. . . . . . . , .
requirements for a one-family dwelling: guilt prior to
conforms substantially to the A7pikatim, for-DWIding Pent it-heretofore-f&-d-in-this-offixdatedr-
April 23 57 Certificate of Occupancy 210421
. . . . . . . . . . . . . . . . . . . . . . 19 . . .pursuant to w"l th-FUUCc Na eFin—a T o7 . . . . . . . . . . . . . . . . . . . . .
March 18, 81
dated . . . . . . . . . . . . . . . . . . . . . . . . . . . . 19 . . . ,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 Dwelling for Summer Occupancy ONLY
The certificate is issued to . . . . . . . s i e Foster. . . . . . . . . .
'low �xer�� ' .
of the aforesaid building.
Suffolk County Department of Health Approval . . , 'j.�}? . , . . . . . . . . . .. . . . . . . . . . .
UNDERWRITERS CERTIFICATE NO. , » . . » ,:`/R » . . . . . . . . . . . . . . . . . . . . . . . » . » . , . . . . . . . .. . .
Building Inspector
R*v.1181
BUILDING DFP T'MF1,!T
TOINU OF SOUTHOLD, N. Y.
HOUSING CODE INSPECTION REPORT
Location 18900,11 �tier� clpaity
nur ber c street
Subdivision
flap No Lot(s)
Name of Orm er(s) Brookhaven Bus Lines and Ano. -�
O cu' Unoccu� rie
''ancy R-1, owner-tenant)
type'
Admitted by: Mr. Lewis Accompanied by:
Key available Suffolk Co. Tax No. � 115-6-6
Source of request
William H. Price', Jr. Date March 13, 1981
DVMLIN z
Type of construction Wood ,stories 2
Foundation Cement Block Cellar Fuji—Crawl space
Total rooms, 1st. F1 .. 2nd. Fl 2_3rd. Fl
Bathroc,m(s) 1 Toilet room(s)_ 2
Porch, type
beck, type Patio, type_ Cement
Breezeway Garage __ Utility room
Type Heat u2il Fired Warm Air Hotwater X-
-Fireplace(s) _ 1 No. Exits 3 Airconditioning
Domestic hotwater Yes Tpe heater Tenkless
Other
ACCESSORY STRUC T WIES:
Garage, type const.
Wood-one car Storage, type const.
Swimming pool.. Guest, type const.
Other
VIOLATIONS: Housing Code, Chapter 52
Io ca-ion Descriotion Art.. Sec..
Cellar No Rail on one side of open stairs _ " -2
Kitchen No shit 0' Wr.
Remarks:
s me start11:30 end1
Inspected by: to of Insp..
Curtis W. Horton Ti 1 _r�R
FORM NO.4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hail
Southold, N.Y.
Certificate Of Occupancy,
Date . . . . . J.un e. 1.1. . . . . . . .. . . . . . . . .. 19192
THIS CERTIFIES that the building . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . , . . . . . . . . . . . .
Location of Property 1. 50. . . . . . . . . . . . . . . . .Trnman',9. PatA _ tjar�on
House No. Street Heimlet
County Tax Map No. 1000 Section . m31 . . . . . . .Block . . .1.3 . . . . . , . , . .Lot . . .4Q 2. . . . . . . . . . .
Subdivision . . . .X « . . . . . . . . . . . . . . . . . . . . . . .Filed Map No. . X . . . . .Lot No. . .y. . . . . . . . . .
conforms substantially to the Application for wilding Permit heretofore filed in this office dated
. - e b r u a r y- •2 . . . . . . . . 19 82 pursuant to which Building Permit No. . .17 5 5.4 .Z. . . . . . . . . . .
dated . . .F e b r.u a ry. .3. . . . . . . . . . . . . 19 82. ,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 . . . .. . . .
• .add.i.tioDs . to. -an. "is Zing .prigrata. Ave l.iinB.. . . . . . . . . . . . . . . . . . . . . . . . . . . .
The certificate is issued to . . . .Cha.r.Ias. .S. .&. 114ur io.1 .L.. T +waA . .. . . . . . . . , . . . . . . . . .
(owner„
of the aforesaid building.
Suffolk County Department of Health Approval . . . .nlr. . . . . . . . , „ . . . . . . . „ . . . . . . . . . . . . . . . . .
UNDERWRITERS CERTIFICATE NO. . . . . . .pending. . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . .
. . . , . . , . . . . . . . . . .
Building Inspector
Rev.1181
—_...e�� ..r..,..
s.
�p Flta Town of Southold Annex 10/19/2011
54375 Main Road
� k, Southold, New York 11971
Ilk +s�"
�X
CERTIFICATE OF OCCUPANCY
No: 352499/
Date: 10/19/2011
THIS CERTIFIES that the building ADDITION/ALTERATION
Location of Property: 1955 TRUMANS PATH EAST MARION,
SCTM#: 473889 See/Block/Lot: 31.-13-2
Subdivision: Filed Map No. Lot No.
conforms substantially to
the Application for Building Permit heretofore filed in this officed dated
10/15/2009 pursuant to which Building Permit No. 35073 dated 10/15/2009
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:
Tomera d ty a s a��d dt addition to an ex stirs orze fa �i:l d yell.n as a lied for er ZBA#6075 dated 9/2°x/07.
The certificate is issued to O'Brien,Robert
. _ (OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 35073 10/3/11
PLUMBERS CERTIFICATION DATED 10/19/11 Mike Jacobi
. ........
ori d i i tore