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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