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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 l�)whhed in�msi he,,I ji"Y 0 � m m m m o m Tm m n c cre m n v s z za 7C m ra a mR. z z j z O p cn S D Z a z �_ d fir" 3 m m z zz ° m n .r .r r 0 m m0 47 m a m m c r n m n r A a x r M n � o r a a z oo z r t zf v D m M m zO z .. ........ 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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 � 1 Q 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