HomeMy WebLinkAbout1000-67.-1-9 TOWN OF SOUTHOLD
Rental Permit
V;
0093
Owner James Connors & Elizabeth Howng
Occupied as Single Family Dwelling
Located at 180 Sound Ave Peconic 67.4-9
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.
6/26/2023
N)x4w—
CodW-Enf ement o al
This Notice must be posted by the main entrance at all times
A
�, C1�r f11t����ea
TOWN OF SOUTHOLD BUILDING DEPT.
631-765-1802 6 -1- / -9
1 Nb'g"hP E(C" T 10 N
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INSULATION/CAULKING
[ ] FRAMING /STRAPPING [ ] FINAL
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (F AL)
[ ] CODE VIOLATION [ ] PRE C/O RENTAL
REMARKS: &—W
C,6 n'�rl wl 14- PeP-son
DATE
Town Hail Annex
��H�L® TOWN 54375 Main Road
`, a �® �oN
'. PO Box 1
=5 PC Southold,
nta„0Lv§ ��"��®�w NY 11971-1179
Te'. 631-765-1802
Fax 631-765-9502
.SCTM # o� l /-
...._._ Date �a
Phone
Owner .4..
.._.w..._w� Zip
Address1 � ...
city
JGW�� �
S��U D1 J
4a�i. •m•
Baw
2
LEVELS
...
Ty_µ ...,..�.�...n.�_.M. . ._ _.
Smoke Detectors ,# bedroom detectors excluded,
. ....
on Monoxide
.....n..—..Detectors..(#)
_ ..... w-.� .�. ....�—.. .. __...�
Fire bExtinnguisshers
Exits
3 �, �rr �, �,'�.,�r��rf„7” r%� �'ri�"�('�.Yy l %W.,;�a^r�",.�ir��eJ1+'�' Z...�.:..l,�r�r✓'�I!�, �/ii1 u + -Y � J .,.._..,...
BEDROOMS 2 .3 ... - ..... _ _..._
Smoke Detector...µ. ..t.. _ .. ..
_.
Alarms
Carbon Monoxide Alarmsµ.�.#._. �� ....�.. ... ..._....._. ......... � �._..... k
Egress (windows) (Y/N; _ . . _
.w_...,
.. �..,. . _-�_._-.. PERT ...
Y/ GOND T90N O� PROPERT
YIN
UILDING SYSTEMS rig dnter or is clean
_.. _
maintained/operational
Bu i Exterior Is clean rnaintai
.._. ._.. � maintained
. .....r.. .. ,, ned
HBe F. strm main ... ... .__ n
NEloetcwtriactael r system
+sit�ea.r.m_.. maintain_.
_ .___ .__e
_db rationa
l Property is cleansafe maintained intained
^ aintained/o rt°oval Handrails & guards present
Mechanical systernmaintainsc.trte atonal
COMM_ .. .. .._....._._ ._.�.M ....�.._...�.._...
Rental Inspection corm
41712021
TOWN OF SOUTHOLDPermitRental
0093
Owner James Connors & Elizabeth Howng
Occupied as Single Family Dwelling
Located at 180 Sound Ave Peconic 67.-1-9
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.
6/16/2021 ("/n
Q ���x _
Code Enforcement Official
This Notice must be posted by the main entrance at all times
F F
Town Hall Annex
� SOUTHOLD TOWN 54375 Main Road
PO Box 1179 Southold,
Rental Inspection
t; `y 01" 'r NY 11971-1179
Tel: 631-765-1802
Fax 631-765-9502
SCTM # C�`�z — 1 — `� Date (;c (5L-2-k
Owner' Phone
"_ o — 0 -
Addresst U Zip
Hamlet l Inspector
Address visible from street?
IN
LEVELS SUB 1 2 3
Smoke Detectors (#- bedroom detectors excluded) 9
Carbon Monoxide Detectors (#) I
Fire Extinguishers (#) I
Exits (#) l
BEDROOMS 1 2 3 4 5
Smoke Detector Alarms (#) I
Carbon Monoxide Alarms (#) ► I
Egress (windows) (Y/N)
'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
Electrical system maintained/operational Property is clean /safe/maintained
Mechanical system maintained/operational—�—t 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
resent
POOL GATES Y/N All openmi Sia arrier less than 4"
Self-closing,self-latching Max. 2" clearance @ 6o�m of barrier
Latch on pool side of gate, meets height Barrier capable of being locked &c) Ifi •
requirements proof when unattended M, .
COMMENTS:
£y TOWN OF SOUTHOLD
Rental Permit
Permit No. 0093
Owner James Connors & Elizabeth Howng
Occupied as Single Family Dwelling
Located at 180 Sound Ave Peconic 67-1-9
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.
6/25/2019 John Jarski
Date of Issue Code Enforcement Officer
This Notice must be posted by the main entrance at all times
Town 14,11 Annex Telephone(631)765-1802
54375 Main Road Fax(631)765-9502
P.O.Box 1179 "
� e
4�i,ti'
Southold,NY 11971-0959
BUILDING DEPARTMENT
LD
TOWN OF SO OLD MAR 15 2019
RENTAL PERMIT APPLICATION P"'LUDING w"� . ",
TOWN OF SOUMULD
Rental Permit,Fee $200.(Application must be renewed every two years)
Section A.
Property Information:
Rental Property Address:
Tax Map Number: 1000 SECTION G(9 7 _BLOCK 000 _WT_jj:::;jg9
S,ECTION B.
OWNER INFORMATION:
Property Owner Name: APS (5014101LS
Property Owner Legal Address: Property Owner Mailing Address:
(Cannot be the same as Rental Property Address)
6 1 . I VB. 1
L
Telephone Number (s): �, ,� « -y —57-7`1-
C OWX
Property Owner Email Address:_mm _
Page 1 of 4 � w
Section C.
Authorized Agent Information:
Name of Authorized Agent of dwelling unit, if any:
Address of Authorized Agent (no P.O. Boxes):
Mailing Address of Authorized Agent:
Telephone Number (s):__.
Email Address:
Section .
µ nagg . i
Name of.Authorized Agent of dwelling unit, if any:
Ilk
Address of Authorized Agent(no P.O. Boxes):.,._..
F
iViailing'Addess of Adtho'rizec(Agent:
F elepIii ane: Ni,'j,rnber Oa
m,u ,
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: +^
Address of Managing Agent (no-P.O. Boxes):,
Mailing Address of Managing Agent,
Telephone Number (s): --
Email Address:
Page 2 of 4
SECTION F.
PROPERTY DESCRIPTION:
Number of Rental Dwelling Units on property: Iw
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: Avo 19 (.4- (Z.1,
f"
Requested Maximum numb.e,r of persons allowed to occupy Dwelling Uni ;
Number of rooms in Rental Dwelling Unit:
Use and Dimensions of each room in Rental Dwelling Unit:
f If 1 f/
9
�r3u
yr lrw � I - 1�1 X �� fl � Ak = 1 uX.19 f�" M1 N «FfI)c
!74-
SECTION G.
INSPECTION.
Pursuant to the Town Code of the Town of Southold Chapter 207 (RentalProperties), 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 NYS licensed architect,-a NYS 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.
am requesting a fire safety inspection to be performed by a Code Enforcement Official
from the Town of Southold.
Page 3 of 4
❑ 1 am submitting a completed Town of Southold certification for from a licensed
architect, a licensed professional engineer, or a licensed home inspector who has a valid
New York State Uniform Fire Prevention Building code Certification.
SECTION H.
DECLARATION: Signature must be notarized and MUST be the owner of the dwelling unit.
STATE OF NEWYORK)
COUNTY OF SUFFOLK)
I s s ce i 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 thea ress for service pursuant to all
applicable laws and rules. I her 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 oft Code of the Town of Southold and
agreed to abide by the same.
4. 1 will notify the Town within five (5) business days s to any change to the information
regarding Authorized Agent, Managing Agent, or Site Manager.
_FA("E"_�- V
Property Owner's Name:
Property Owner's Signature:
...........
Sworn to before methisQ / dayof, 20
0 i Original Notary Stamp
Page 4 of 4
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FORM NO. 4 pvc C�d
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
office of the Building Inspector
Town Hall
Southold, N.Y.
PRE EXISTING
CERTIFICATE OF OCCUPANCY
No: S- 27309 Date: 09/22/00
THIS C MIFIRS that the building DWELLING
Location of Property 180 SOUND AVE SOUTH/PEC
(HOUSE NO. ) (STREET) (HAMLET)
county Tax Map No. 473889 Section 067 Bloch 0001 Lot 009
Subdivision Filed leap 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 S- 27309 dated SE'PTEMB'ER 22L2000
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 *
The certificate is issued to PATRICIA G ABRAMO
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DZPARTMRNT OF E09ALTH APPROVAL N/A
ELECTRICAL CERTIFICATE NO. N/A
pLUNEXM cERTIFICATION DATED N/A
*PLEASE SEE ATTACHED INSPECTION REPORT.
"
A orized Signature
Rev. 1/81
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
PoR
LOGTvo: X 00 SOUND ALEti S
SUBDIVISION: LAP HD-: LOT (S)
Atilgg OF cmwm (s): TA -
PAT C,IA-G AK,AM9 ......---...... _.
AUKEr m BY: ?ABIR'D BY:
[EY AVAILMUS- BUFF- CO- TAX LAP 110.: 67 1-4
SOUBCB OF REDUEST. GARY 0 ,r�r, ... X10/00 DATE: 09/22/00
DWELLING:
TYPE OF CORSTRUCTIout WOOD F _ _M.. 8 S70RIES: 1Q # EXITS- 2
FOOL7DATION: MI .NT raMW- CRM SPACE:
TOTAL ROOMS: ISP FLR.: 4 2ND FLR-: 0 3RD FLA.: __.Q
RAXRROOK(S) - 1.0 TOILET ROCK(S) 0.0 UTILITY ROOMS) : XX*
PORCH TYPE: � �_.... .. DECK TYPE: WOOD __...... PATIO TYPE:
: - -
D(E[3SLIC BDI ATER: YES TYPE TER: ELECTRIC A 3tCOL rfl : ....,..
TYPE HEAT: OIL ILUM AIR: XX HUMTER. �..�.
WARACo, TYPE OF CD88T.: STORAGE, TYPE COSSP-: _.. ..._ _ .......
POOL: CUESP, TYPE COMSP.: _ ...... �.
VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE
I II 9
I
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8 d V
1 �
I II 9
I M I
I I f
I 9 l
I ! �
I 8 f
I I I
I
........ .. _ _ ...... ...
I]RSPECTED BY: �r DATE ON INSPECTION. 08/21/00
GARY FIBS" TILD3 START: 10:10 AM END: 10:30 AM
i
FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No Z-20579 Date MARCH 10, 1992
THIS CERTIFIES that the building ALTERATION
Location of Property 180 SOUNDVIEW AVENUE PECONIC N.Y.
House No. Street Hamlet
County Tax Map No. 1000 Section 67 Block 1 Lot 99
Subdivision Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated APRIL 201984 ____pursuant to which
Building Permit No. 13096-Z dated MAY_7r 1984
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 ENCLOSE EXISTING PORCH OF ONE FAMILY DWELLING AS APPLIED FOR.
The certificate is issued to WILLARD P. & VIOLETTE G. LISTING
(owners)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL NZA
UNDERWRITERS CERTIFICATE NO.—N-&23880 - JULY 30 1987
PLUMBERS CERTIFICATION DATED NIA
B inr' ;inspector
Rev. 1/81
FORM NO. 4. 6 /
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No: Z-31078 Date: 08/03/05
THIS CERTIFIES that the building ADDITION
Location of Property: 180 SOUND AVE PECONIC
(HOUSE NO.) (STREET) (HAMLET)
County Tax Map No_ 473889 Section 67 Block 1 Lot 9
Subdivision Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated MARCH 8, 2005 pursuant to which
Building Permit No. S0875-Z dated MARCH 8, 2005
_
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 "AS BUILT" DECK ADDITION TO EXISTING SINGLE FAMILY DWELLING AS APPLIED
FOR & AS PER CONDITIONS OF ZBA ##5608 DATED 11/18/04 .
The certificate is issued to RISA LYNN ARIN
(OWNER) .�.._�....�........._..........�.
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A
ELECTRICAL CERTIFICATE NO. N/A
PLUMBERS CERTIFICATION DATED N/A
8
Authorized Signature
Rev. 1/81
1P,� t Town of Southold Annex 12/1/2014
P.O.Box 1179
54375 Main Road
Southold,New York 11971
CERTIFICATE OF OCCUPANCY
No: 37212 Date: 12/1/2014
THIS CERTIFIES that the building AS BUILT ALTERATION
Location of Property: 180 Sound Ave,Peconic,
SCTM#: 473889 Sec/Block/Lot: 67.-1-9
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
11/10/2014 pursuant to which Building Permit No. 39370 dated 11/18/2014
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:
as built bathroom alteration as applied f"or.
The certificate is issued to Foster,Thomas&Seiver,Dinah
..... .w-_ ......... ..... m,,,,...........
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 39370 11/25/2014
PLUMBERS CERTIFICATION DATED 11/13/2014 George Fredricks
t r c S4natr