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HomeMy WebLinkAbout1000-71.-2-11.2 £ _ TOWN OF SOUTHOLD Rental Permit 0074 Owner 240 Windjammer LLC Occupied as Single Family Dwelling Located at 240 Windjammer Dr Southold 71.-2-11.2 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. 4/28/2023 , de Enforcement Official This Notice must be posted by the main entrance at all time Ile lraf so�t� � �� L✓��� J f���� ITOWN OF SOUTHOLD BUILDING DEPT. 31 IX7 INSPECTIO FOUNDATION 1ST ROUGH PL13G. FOUNDATION 2ND INSULATION/CAULKINGFRAMING f STRAPPING FINAL FIREPLACE & CHIMNEY FIRE SAFETY INSPECTION FIRE RESISTANT CONSTRUCTION FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) CODE I PRE C/O ��ENTAL TOWN OF SOUTHOLD 5 Rental Permit Permit No. 0074 Owner 240 Windjammer LLC Occupied as Single Family Dwelling Located at 240 Windjammer Dr. Southold 71-2-11.2 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. 5/14/2021 Code Enforce Official This Notice must be posted by the main entrance at all times 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 # — Date 3�Z Owner; LCA Phone 6 q6 7 1-733,57- Address Zip 7 Hamlet Inspector Address visible from street? LEVELS SUB 1 2 3 Smoke Detectors (#-bedroom detectors excluded) Carbon Monoxide Detectors (#) Fire Extinguishers (#) Exits (#) BEDROOMS 1Z 2 3 4 5 Smoke Detector Alarms(#) LIZ Carbon Monoxide Alarms (#) V Z7 Egress (windows) d BUILDING SYSTEMS Y CONDITION OF PROPERTY "wI' 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 YiV POOL BARRIERS d" Pool present NA I Pool is completely enclosed Pool surface alarm and/or door alarm Barrier is a min.48" high resent 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: TOWN OF SOUTHOL } Rental Permit t. 101 s Permit No. 0074 Owner 240 Windjammer LLC Occupied as Single Family Dwelling Located at 240 Windjammer Dr Southold 71-2-11.2 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. 06/203/2019 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 Fax(631)765-9502 � e� P.O.Box 1179 Southold,NY 11971-0959 BUILDING DEPARTMENT TO 'OF.S01ffHOLD RENTAL PERMIT APPLICATION Rental Permit Fee $200(Application must be renewed every two MAY i V 2019 Section A. TOWN M SOUTUOLL Property Information: Rental Property Address:: _ Tax Map Number 1000 SECTION RLO -SOT SECTION B. OWNER INFORM,AT,I,ON: m : .. Property Owner Name: 'b Property Owner Le'i0l.`Add ress: Pr'detty Owneu°"N� mi6 A dress: E� g: „y � . /V 6 D en ng Telephone Dumber (s): Daytime l �Emer en - Property Owner Email Address: /t N2 ryA/` 1 C!9 K F Pagel of 5 �^M✓ � (� r� / / s Town Hall Annex Telephone(631)765-1802 54375 Main Road Fax(631)765=9502 P.O.Box 1179 Southold,NY 11971-0959 BUILDING DEPARTMENT TOWN OF SOUTHOLD Section Authorized Information: 14 Name of Authorized Agent of dwelling unit, if any: - Address of Authorized Agent (no P. oes): Mailing Address of Authorized Agent: X11 Telephone Number(s): Daytime vening ,Emergency ��� 71,E l3 Email Address: dy " j - Section D. Managing AgentInformation Name of Authorized Agent of dwelling unit, if any: Address of Authorized Agent{!no•P.Q. Boxes)': e " Mailing Address of Authorized Agent:, mm. Telephone`Nuirnber(s): Daytime Il::vening IE.mergen µ;ry� IIS �ry IImI��IIM�IIIII III III III a W III d W�Mi IIIi����N tl I w SII SECTION E. SITE MANAGER INFORMATION: (required for rental properties contain(ng a 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 Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1 179 Southold,NY 11971-0959 �ww 'oo w4 UILVING.DE:PART ENT Mailing Address of Managing Agent: _ Telephone Number (s) ° Da one w °venin . Emer en�;y a Email Address:' , ft PROPERTY IDESC IPT11 : 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 exat�ple, N ! hen, I e�rpcirp 1, Bedroom 2, Living Room) and the dimensions of each room. For.properties with multiple Rental Dwelling Units use "Ronit l it it-Application Addendum." p Rental Dwelling Unit Identifier: Requested Maximum numh�er of persons allowed to occupy Dwelling Unit:VIZ Number of roorns 1n Rental Dwelling,Unit, Jet Use and Dimensions f each room in Rental Dwelling Unit' Page 3 of 5 Town'Mall Annex o Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 Y.O.Box 1 179 Southold,NY 11971-0959 BUILDING DEPARTMENT TOWN OF SOUTHOLD SECTION G. Pursuant to>the:Town,Code of the Town of Southold.Chapte.r,..,2Q7(Rental,PXop.eri;i;es)„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 Certificatian.is;required stating that the prgpprty which:is th.e s_ubject 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 Councill. I am requesting a fire safety inspection to be performed by a Code Enforcement Official from the Town of Southold ❑ lam submitting a completed•.,Town ofSo�thold cei`tification form from a licensed architect or a licensed professionalmeflginer. SECTION H. DECLARATION: Signature must be notarized and MUST be the owner of the dwelling unit. STATE OF NEW YORK) COUNTY OF SUFFOLK ...� 'F �5r� STf e���� r nY of"perjury, the fllorirg;. 1. I am the owner of the pro!i � 1 � �1Klg fction 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 so Town Hall Annex Telephone(634)765-1802 54375 Main:Road Fax(631)765-9502 P.O.Box 1 179 Southold,NY 11971-0959 BUILDING DEPARTMENT TOWN OF SOUTHOUD applicable laws and rules. I further acknowledge that I will notify the Town of SCouthoild foil' in drtrn t f any than' es -ad r ss -i ift"fiv ) a s f 66y changes thereto. w . I have ae d an d r6 eiv d a"copy of Chapter 2 7 ofthe'Code of the i..a d bf Southold and ag�, esd to bmd by th '�wn 4. I will notify the 'own within five (5) business days as to any change to the information.. regarding Authorized Agent, Managing Agent, or Site ana ` o ' . ., , , A � g Property. Owner,s'N'ame: Property Owner's Signature: LIV Sworn to before me this_J�Z day of _ 20 Offic I Notaub c Si Lure and Origina INtaM �� am N6bqPu' ' '1 of N,W York Na 01146225827 Ckafified in Brprtx TWM aoresJuly ' Page 5 of 5 li I r I' P k' , ^^ " w � n 4 `wow �"+,'W •_,_rF }oo �m s ....... . ...... ...,... ...� ��9 µ r.l y �u I l kE ry f, e f ] K 11 N4, .......... r. .. ............ q ,4 t Y)I...... � yin µ, N, c I b d f f m FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No 217616 Date DEC. 20, 1988 THIS CERTIFIES that the building ONE FAMILY DWELLING Location of Property 240 W" N 1U7�E DRIVE SOUTHOLD House No. Street Hamlet County Tax Map No. 1000 Section 071 Block 02 Lot 11.2 SubdivisionHARBOR LGTS SEC. 2 Tiled Map No. 4681 Lot No. 42 conforms substantially to the Application for Building Permit heretofore filed in this office dated. FEB.. 24 1988 "______pursuant to which Building Permit No. 16"790Z dated MARCH 10 1988 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 WITH DECK AND SCREENED PORCH. The certificate is issued to BRUCE & EDITH ROMBOLI (owner, XXX_XXXXXXXXXXXXX) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL 88-SO-04 12/14/88 UNDERWRITERS CERTIFICATE NO. N04609 NOV. 21 1988 PLUMBERS CERTIFICATION DATED MC SHANES PLUMBING_ 12f/88 Building Inspector Rev. 1/81 ' tFt1t� �._ e Town of Southold 5/31/2019 P.O.Box 1179 53095 Main Rd Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 40423 Date: 5/31/2019 THIS CERTIFIES that the building ALTERATION Location of Property: 240 Windjammer Dr., Southold SCTM#: 473889 Sec/Block/Lot: 71.-2-11.2 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 2/15/2018 pursuant to which Building Permit No. 42408 dated 2/22/2018 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 TOAN EXISTING ENCLOSED, PORCH AS APPLIED FOR The certificate is issued to 240 Windjammer Dr LLC of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 42408 06-29-2018 PLUMBERS CERTIFICATION DATED At t .F Signature /N a 765-1802 I INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING /STRAPPING [ ] IN L ".� [ ] FIREPLACE & CHIMNEY FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) [ ] CODE VIOLATION [ ] CAULKING i kin DATE i i I INSPECTOR , .......... TOWN OF SOUTHOLD BUILDING DEPT., 765-1802 INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION � [ ] FRAMING STRAPPING [ ] FINAL [ ] FIREPLACE CHIMNEY [ 'FIRE SAFETY" INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) [ ] CODE VIOLATION [ ] CAULKING � REMARKS: DATE INSPECTOR 1 i j "Ift i Ak way 1 r � r / / Mg ME Any, �dill i���PlYi� 11�IIt11�0 �II�II�I��� , 1 / r / / /c. //iii _ ,,,.... /.. ..ri� �/�ii�� ri,,..✓// //,/ r//r„ �/.�/ ri ../ r ,, ,:,, /ii,,,ri, ,a r viii:. / �/�% r r %/,,i ,�r/ � /�aii, %, /i/ ,,;, /i�,;,i� ' ' %//O% „ r ri r r , i r r o Dili /i / ii I I'M, r/ J ; ' / 1 , /, of / 1 1 J 0 / i //// � l/ // ��/�/� 0 Or / . 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