HomeMy WebLinkAbout1000-67.-1-7 TOONN OF SOUTHOLD
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Rental Permit
0051
Owner Peconic Sound Ave LLC
Occupied as Single Family Dwelling
Located at 280 Sound Avenue Peconic 67.-1-7
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.
8/14/2023
Code to
rce � r� Official
This Notice must be posted by the main entrance at all times
TOWN OF S D
q
631 -765-1802
INSPECT �10N
[ ] FOUNDATION 1ST [ ] ROUGH PL13G.
[ ] FOUNDATION 2ND [ ] INSULATION/CAl
[ ] FRAMING / STRAPPING [ ] FINAL
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY IN;
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PE
[ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FII
[ ] CODE VIOLATION [ ] PRE C/O [ ,]/I
REMARKS:
aue st
DATE INSPECTOR �
`A Town Hall Annex
IZS
Town of Southold 54375 Main Road
Rental Inspection Report PO Box 1179
Southold, NY 11971-1179
Tel: 631-765-1802
SCTM # �.� �_ ,,...._ '" _ . . Date
Owner
� � a + Phone
Address so a A406 'Visible
Hamlet " GC,py�,�Ci „a. _ Inspector i...... .. . ....
Floor Level Quantities �....,,. �...... Sub. ,I ....... 2 3 1
Smoke Detectors (not located in bedrooms)
Carbon Monoxide Detectors a _
_a .M... ___..... . ... _ _
Fire Extinguishers
..Exits, _� .,..__., _. . .. ......_. ... ..... .. �.. __ _ _
Bedrooms 1 2 3 4 5 6
Smoke Detectors
Egress _
Occupant Count
Building Systems Maintained & Operational Condition of Property
Heating Building interior
Hot water Building exterior
Electrical Property clean, maintained &safe
Mechanical Handrails &guards installed &secure
pool
Pool Safety on Site
Surface water alarm Date of CO issuance
Door a enclosed
alarms Pool completely
Self closing/latching gates Pool fence to code requirements
CO's for all items present Prior Rental 0051 _
Comments:
TOWN OF SOUTHOLD
Rental Permit
Permit No. 0051
a
a
Owner Peconic Sound Ave LLC
Occupied as Single Family Dwelling
Located at 280 Sound Avenue Peconic 67-1-7
Village
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.
6/3/2021cp� &tl"- -
Code Enforc nt Official
This Notice must be posted by the main entrance at all times
�" : % ' FO f
"
SOUTHOLD TOWN Town Hall Annex
54375 Main Road
PO Box 1179 Southold,
" z w7 Rental Inspection
NY 11971-1179
Tel: 631-765-1802
Fax 631-765-9502
SCTM # ` , „` — —1 Date 2" ZI
Owner"'' \(kC0A1C SoVnj. V 11 Phone y 3!D
Address ✓C-. Izip
Hamlet' Inspector
caress visible from street?
LEVELS `SUB 2 3
Smoke Detectors (#- bedroom detectors excluded)
Carbon Monoxide Detectors (#)
Fire Extinguishers (#)
Exits (#)
BEDROOMS 1 3 4 5
Smoke Detector Alarms (#)
Carbon Monoxide Alarms (#) zz
Egress (windows) (Y/N)
BUILDING SYSTEMS 4IN CONDITION OF PROPERTY TN
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
POOLSY POOL BARRIERS Y19
Pool present Pool is completely enclosed
Pool surface alarm and/or door alarm Q Barrier is a min. 48" highale
resent `1
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:
0 Et O Ve, R G
�004t TOWN OF SOUTHOL
EEO
Rental Permit
Permit No. 0051
Owner Peconic Sound Ave LLC
Occupied as Single Family Dwelling
Located at 280 Sound Ave Peconic 67-1-7
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.
5/13/2019 John Jarski
Date of Issue Code Enforcement Officer
This Notice must be posted by the main entrance at all times
Town Hall Annex Telephone(631)765-1802
54375 Main Road r� ��� Fax(631)765-9502
P.O.Box 1179 '
Southold,NY 11971-0959
MITI
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
RENTAL PERMIT APPLICATION
Rental Permit Fee$200(Application must be renewed every two) � m
APR 1 2 201
Section A.
Property Information:
Rental Property Address:
2-?)C Soutilp AVE PE-c01•f1 C- NY IIgSb
Tax Map Number: 1000 SECTION 4-73869 -BLOCK (67 -LOT - 7
SECTION B.
OWNER INFORMATION:
Property Owner Name: ft-cc)Nrc, souNp I9 VEE LLC
Property Owner Legal Address: Property Owner Mailing Address:
M(C#,JE L 1j1ks CyfC)2N M(C"EL yi/Zj-cHhqe1,/
pE"Cc)d(C So,_)I`(D IJVE LLC pE-Con//t; J6�N_b 4116- LLL
307 STE-p_LING PLACE' 307 Sre-XL/N PLACE
8roc „l tti, IJy /12-3b $ _VO /V //2-3a
Telephone Number(s): Daytime '717-744-2-790 Evening Tb-230 Itltmergency -PS-Z3°-/994
Property Owner Email Address: ti -57 P— v'°"�� co"
Vv�
Page 1 of S
jj
Town Hall Annexe" `? Telephone(631)765-1802
54375 Main RoadFax(631)765-9502
P.O.Box 1179
Southold,NY 11971-0959 "
UNTI
BUILDING DEPARTMENT
TOWN OF SO OLD
Section C.
Authorized Agent Information:
Name of Authorized Agent of dwelling unit, if any: NIA
Address of Authorized Agent (no P.O. Boxes):
Mailing Address of Authorized Agent:
Telephone Number(s): Daytime Evening Emergency
Email Address:
Section D.
Managing Agent Information:
Name of Authorized Agent of dwelling unit, if any: N/A
Address of Authorized Agent(no P.O. Boxes):
Mailing Address of Authorized Agent:
Telephone Number(s): Daytime Evening Emergency
Email Address:
SECTION E.
SITE MANAGER INFORMATION: (required for rental properties containing 8 or more rental units)
Name of Managing Agent of dwelling unit, if any: NIA
Address of Managing Agent (no P.O. Boxes)..
Page 2 of 5
�v ftp
Town Hall Annex " Telephone(631)765-1802
54375 Main Road Fax(631)765-9502
P.O.Box 1 179 fA
Southold,NY 1]971-0959
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
Mailing Address of Managing Agent: 1,1 14
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."
g -2-?10 SOV NID 15VE- PFCvn/iL Ny, // 13)
Rental Dwelling Unit Identifier: �
Requested Maximum number of persons allowed to occupy Dwelling Unit:I
Number of rooms in Rental Dwelling Unit:
Use and Dimensions of each room in Rental Dwelling Unit:
a " JE-o 00M 2bgt I , ., !2'x /7 BAT,�fRoOM
(j�}Tp // o o M 2"-�{( ,.. 9•S�x S` �K.1 ��1T<fROOM 2 �, 5 x �r
ar-Ft Cc 2 � ' 1b.r` x �3 ' ►' D/NiIVG ROOM /6' x 13
O LlvlNC kooM 2- x 2V
12-
,,� gEDnooM 2 � � � 14 Page 3 of 5 /VO �
3�-�2 00 AA 3 � � � 14 ' x /v' � � �,�, t�oM �:r�,.e�,�) , �, Z b' x /q
3 C-j> 0 M l 4` x It ' l9- Gvo�K 3�` X Z Z '
Town Hall Annex � Telephone(631)765-1802
54375 Main Road r Fax(631)765-9502
P.O.Box 1179 ° tlp�'
Southold,NY 11971-0959 401
w ,
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.
CY1 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)
I 1A C/04LZ &/5014cvAA-/ ,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
Town Hall Annex Telephone(631)765-1802
54375 Main Road p Fax(631)765-9502
P.O.Box 1179
Southold,NY 11971-0959 r
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: Mr(,F{A4E7- J.
Property Owner's Signature:
Sworn to before me this 10 day of w I -, 20 k'
Official Notary Public Signature and Original Notary Stamp
Page 5 of 5
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.F. Town of Southold Annex
12/13/2011
54375 Main Road
4 Southold,New York 11971
PRE STING
CERTIFICATE OF OCCUPANCY
No:: 35335 Date: 12/13/2011
THIS CERTIFIES that the structure(s)located at: 280 Sound Ave, Peconic
SCTM #: 473889 Sec/Block/Lot: 67.-1-7
Subdivision: Filed Map No. Lot No.
conforms substantially to the requirements for a built prior to
APRIL 9, 1957 pursuant to which CERTIFICATE OF OCCUPANCY NUMBER Z- 35335
aced 121
/ 3/2011 was issued and conforms to all the requiiements of the applicable provisions of the law.
.. ....----
The occupancy for which this certificate is issued is:
ga f—arn'1y dwe[ling.2ith finished bgscmcnt ppd emnent patio
NOTE: BP 9µ910 addition.-with deck and central a.c. updated C/O Z-3533.4.
The certificate is issued to Terranova, Paulina
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
*PLEASE SEE ATTACHED INSPECTION REPORT.
-- t )riz Sigln,ture
...........
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
HOUSING CODE INSPECTION REPORT
LOCATION: 280 Sound Ave,Peconic
SUFF.CO.TAX MAP NO.: 67.-1-7 SUBDIVISION:
... ............................... .......................
NAME OF OWNER(S): Terranova,Paulina
..... ........... . .......
OCCUPANCY:
ADMITTED BY:
SOURCE OF REQUEST: Terranova,Paulina DATE: 12/13/2011
- — --------
DWELLING:
TYPE OF CONSTRUCTION- #STORIES: 19 EXITS: 4
FOUNDATION: cement block CELLAR: CRAWL SPACE:
TOTAL ROOMS: IST FLR.: 2ND FLR.: 3RD FLR.:
BATHROOM(S): 2 TOILET ROOM(S): UTILITY ROOM(S):
PORCH TYPE: DECK TYPE: PATIO TYPE: cement
BREEZEWAY: FIREPLACE: I GARAGE-
...................................................................—
DOMESTIC HOTWATER: yes TYPE HEATER: propane AIR CONDITIONING:
..................
TYPE HEAT: electric WARM AIR: HOT WATER: yes
#BEDROOMS: 4 #KITCHENS: I BASEMENT TYPE: full- finished
OTHER:
... ................
ACCESSORY STRUCTURES:
GARAGE,TYPE OF CONST: STORAGE,TYPE OF CONST:
..............
SWIMMING POOL: GUEST,TYPE OF CONST:
OTHER:
VIOLATIONS:
. ............. ............ . ...................
REMARKS: - . ......... ..............
.......................
.............
. ...........
INSPECTED BY: w DATE OF INSPECTION:
TIME START: lb- END:
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) t Town of Southold Annex 5/16/2014
P.O. Box 1179
54375 Main Road
Southold, New York 11971
CERTIFICATE CCU ANCY
No: 36926 Date: 5/16/2014
THIS CERTIFIES that the building RESIDENTIAL ADDITION
Location of Property: 280 Sound Ave, Peconic,
SCTM#: 473889 Sec/Block/Lot: 67.-1-7
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this officed dated
4/11/2013 pursuant to which Building Permit No. 37957 dated 4/19/2013
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
,ADDITIONS AND ALTE:,RATIO
_ r_�COVERED PO
Nw F� ECO D
w QQ3ALCONT�:S TO AN LNISTING SINGLE FAMILY DWELLING APPLIED l � AS I
D!1SION 6619 DAXF D 01/17/201 .
The certificate is issued to Hirschhorn,Michael&Martinez, Jimena
.
..__.... ...
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 37957 04-30 2014
_ .......
PLUMBERS CERTIFICATION DATED 05-12-2014 3r os" Plumbing& 1-lcatuig. Inc..
_
AV �G tg at
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CARD
TOWN OF SOUTHOLD PROPER
STREET VILLAGE DISTRICT SUB. LOT
-teer6 —2- —tnL
`�- ACREAGE
E
FORMER OWNER, � �I i
N
S W TYPE OF BUILDING
CB. misc. Est. Mkt. Value
SEA \d 1 VL. FARM COMM. IND.
RES. - I
SEAS.
IMP. I TOTAL DATE REMARKS
IS
F,
4
,f 7
F
0 L/
JA
�Fz 9
0
4-,
AGE ING CONI
0 G71%v v
00 t
EW BELOWJ :4 1
114ABOVE FRONTAGE ON WATER
Form Acre Value Per Acre Value FRONTAGE ON ROAD J
Tillable I E BULKHEAD
Tillable 2 DOCK
Tillable 3
Woodland
Swampland
Brushland
a0&."vo
House Plot
J-
Total
f
TOWN OF SOUTHOLD PROPER' CARD
DISTRICT SU
VILLAGE
N STREET
_J
�2
E ACREAGE
FORMER OW N E R U1 ix N
W TYPE OF BUILDING
FARM comm. CB.
Est. Mkt. Value
IND. misc.
RES. ' SEAS. -2(,-0 VL.
C,
LAND IMP. TOTAL DATE REMARKS
74
4
4 - 7
OF
Ln Y
7 V,
BUILbING'CON -1 1 -
�GE
2
BOVE FRONTAGE ON WATER
'
L EW O TELOW
A
Form Acre Value Per Acre Value FRONTAGE ON ROAD
Tillable 1 i BULKHEAD
Tillable 2 DOCK
Tillable 3 i
Woodland
Swampland
Brushland
House Plot
_/J
, -
Total
i -
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COLOR
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11� All
67--2-7 11/2014
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Bath
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Kit,
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rJ
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Fire Place Heat
D.R.
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Ext. Walls
BRa
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Dormer
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Baths
Deck/Patio — -
- Fam. Rm.
Pool
E � Foyer
A.C. -
Laundry
O.B. Library/ -
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