HomeMy WebLinkAbout1000-58.-2-11 TOWN OF SOUTHOLD
gz Rental Permit
0108
Owner Sound Side Cottage LLC
Occupied as Seasonal Single Family Dwelling
Located at 1840 Leeton Drive Southold 58.-2-11
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.
6/14/2024
Code n orc ent officiaff
This Notice must be posted by the main entrance at all times
TOWN OF SOUTHOLD BUILDING DEPT.
vim, 631-765-1802
I IN S r" L C T I CA" N
[ ] FOUNDATION 1ST/ REBAR [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INSULATION/CAULKING
[ ] FRAMING / STRAPPING [ ] FINAL
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL)
[ ] CODE VIOLATION [ ] PRE C/O [ RENTAL
�� so �.
Town Hall Annex
` Town of Southold
54375 Main Road
r, Rental Inspection Report PO Box 1179
zm
Southold, NY 11971-1179
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Tel: 631-765-1802
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SCTM # 6 '" .-�� Date ► �"-
OwnerOv ............. Phone
Address Visible
le
Hamlet Inspector
_ �"±� _.. e .....
................. ... . _.._ ..... .. ..... . ...e ,_ _ _, _ _. ._ .. a,
Floor Level Quantities Sub 1 2 3
Carbon Detectors not located in bedrooms
Mono )
Detectors
Fire Extinguishers
Exits
........ . ... .. .
Bedrooms 2 3 4 5 6
Smoke Detectors
Egress _
a _ ........ ...... ....... ...
Occupant Count
;Building Systems Maintained &Operational Condition of Property
Heating LBuilding interior
Hot water Building exterior
Electrical Property clean, maintained &safe
Mechanical i Handrails&guards installed &secure
Pool Safety Pool on Site
Surface water alarm Date of CO issuance
.. ........
Door alarms Pool completely enclosed
Self closing/ latching gates Pool fence to code requirements
CO's for all items present Prior Rental
Comments:
Li
TOWN OF SOUTHOLD PROPERT Y. RECORD CARD
DISTRICT SUB. LE OWNER STREET VILLAGE
A
OWNE N E ACREAGE
TYPE OF BU I LDI NG
I-zi
SEAS.
CB-
RE )i FARM COMM, IND. misc.
LAND IMP- TOTAL DATE REMARKS
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;Lf 7-
13PRMAL
NEVv 17 —B-ELQVV ABOVE
Form Acre i Value Per Acre i Value
Tillable I
Tillable 2
Tillable 3
Woodland
Swampland
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House Plot
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58.-2-11 04/03/2018 —_
Y
M. Bldg= Foundation - Bath ,
Extension ' _ �� �� Basement Floors
')1 - _
Extension ,. a Ext. Walls Interior Finis
Extension Fire Place Heat z
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Porch Attic
AJW - - - - — — -
4 �U _ Porch Rooms 1st Floes
Breezeway: Patio Rooms 2nd F1ocr. R
Garage Driveways
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TOWN OF SOUTHOLD
$ � k� � s
4Rental Permit
3
0108
Owner Sound Side Cottage LLC
Occupied as Single Family Dwelling - Seasonal
Located at 1840 Leeton Dr Southold 58-2-11
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.
6/25/2021 - -
Code Eno � ent Official
This Notice must be posted by the main entrance at all times
SOUTHOLD TOWN Town Hall Annex
-` 54375 Main Road
PO Box 1179 Southold,
4" itBl� Inspection
� ,llNY 11971-1179
Tel: 631-765-1802
,� Fax 631-765-9502
SCTM # C):' Date Z�z::
Owner ,Sound S�d� Cotta l (�. Phone 50S__61.r10
Address I Yo Lee-Foil C r , Zip 1117
Hamlet Inspector
Address visible from street?
LEVELS SUB 1 2 30
Smoke Detectors (#-bedroom detectors excluded)
Carbon Monoxide Detectors (#)
Fire Extinguishers (#)
Exits(#)
BEDROOMS 1 2 3 4 5
Smoke Detector Alarms (#)
Carbon Monoxide Alarms (#)
Egress (windows) (Y/N)
BUILDING SYSTEMS fYN CONDITION OF PROPERTY
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
i
POOLS Y POOL BARRIERS
Pool present Pool is completely enclosed
Pool surface alarm and/or door alarm Barrier is a min.48" high 7
resent
POOL GATES I A 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:
T U-WN OF SOUTHOLDRental Permit
Permit No. 0108
Owner Sound Side Cottage LLC
Occupied as Single Family Dwelling - Seasonal
Located at 1840 Leeton Drive Southold 58-2-11
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.
7/9/2019 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
P.O.Box 1179
Southold,NY 11971-0959
IR,
BUILDING DEPARTMENT
TOWN OF SOUTHOILD
RENTAL PERMIT APPLITION
Rental Permit Fee$200(Application must be renewed every two ye(
AIT 1 9 2019
Section A.
T.
Property Information:
Rental Proper y Addr ss::
I l
Tax Map Number: 1000 SECTION � . 7-BLOCK -LOT "
SECTION B.
OWNER INFORMATION:
Property Owner Name:
�u
Property Owner Legal Address: Property Owner Mailing Address:
I'Ve e� . t
lbf—
Telephone Number(s): Daytime- `, Evening Emergency
Property Owner Email Address:ipl,
G
Page 1 of 5
Town Hall Annex „ Telephone(631)765-1802
54375 Main Road Fax(631)765-9502
P.O.Box 1 179 ,
Southold,NY 1 1971-0959 "N
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
�Mailin Address of Managing Agent:
'3
Telephone Number(s): Daytime T11- ZZ- Evening Emergency
Email Address: OlQ/}-► r °l@r � &XYN
SECTION F.
PROPERTY DESCRIPTION:
Number of Rental Dwelling Units on property: __ Q
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: °
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: r IV\ LO'j �X 0�j A`
Page 3 of 5
w
Town Hall Annex Telephone(631)765-1802
54375 Main Road Fax(631)765-9502
P.O.Box 1 179
Southold,NY 11971-0959 � �n
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.
Vfl*'l 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)
I
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 r �` Telephone(631)765-1802
54375 Main Road Fax(631)765-9502
P.O.Box 1179
Southold,NY 11971-0959
1
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 Sit Manager.
Property Owner's Name:
Property Owner's Signature: L �
P Y g
Sworn to e re me this� day of 20
t
Official Nota Pub c Signature and Original Notary Stamp ,w, rg4
v'a'PO, LORENZA PIERRE r'
P-1
` Notary Public-State of Florida
Commission # FF 976359
� My Comm.Expires Mar 28, 201[,
Page 5 of 5
Town Hall Annex Telephone(631)765-1802
54375 Main Road Fax(631)765-9502
P.O.Box 1179
Southold,NY 11971-0959 0
y
BUILDING DEPARTMENT
TOWN OF SOUTHO,ILD
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
Professional seal re aired far architect or Fn sneer licensers Horne Inspector my"Lo
co o valid"current certi kation
Rental Property SCTM Number:
Rental Property Address:
Owner/Name:
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.)
PropertyDescription (Include
escriptionllude all improvements indicated�n suer y
® &A added.
_.._�_..
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 Original Signature
Please place professional seal:
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14 Town of Southold 7/3/2019
53095 Main Rd
Southold,New York 11971
PE
R' EXISTING
CERTIFICATE OF OCCUPANCY
No: 40477 Date: 7/3/2019
THIS CERTIFIES that the structure(s)located at: 1840 Leeton Dr, Southold
SCTM#: 473889 Sec/Block/Lot: 58,2-11
..........
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- 40477
dated 7/3/2019 was issued and conforms to all the requriements of the applicable provisions of the law.
The occupancy for which this certificate is issued is:
wood Prat seasonal one iia LpjiyAwelling with decking,oqtdQ
gK s1lower and ac wood frame shed."
Notes: BP 18352 alterations&, ir§to 9N
i�pp,Asling deck COZ-18332;BP 33964 minor alterations C0 -33521
,i
42033 alterations &additions, i c. cwt�deckCQZ-39662
The certificate is issued to Sound Side Cottage LLC
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
*PLEASE SEE ATTACHED INSPECTION REPORT.
-------
tl rriz ail Signature
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
HOUSING CODE INSPECTION REPORT
LOCATION: 1840 Leeton Dr, Southold
SUFF.CO.TAX MAP NO.: 58-2-11 SUBDIVISION:
NAME OF OWNER(S): Sound Side Cottage LLC
OCCUPANCY:
ADMITTED BY: Mildred Diack
SOURCE OF REQUEST. Sound Side Cote .
tage LLC DATE: 7/3/2019
DWELLING:
#STORIES: #EXITS: 2
FOUNDATION: posts CELLAR: CRAWL SPACE:
.._.... .._........................ ....._..— .� ._�
BATHROOM(S): TOILET ROOM(S): UTILITY ROOM(S):
PORCH TYPE: DECK TYPE: yes PATIO'TYPE:
BREEZEWAY: FIREPLACE: GARAGE:
DOMESTIC HOTWATER: ye TYPE HEATER: electric AIR CONDITIONING:
s NDITIONING:
TYPE HEAT: none WARM AIR: HOT mmmmITIT� � T WATER:
#BEDROOMS: 2 #KITCHENS: 1 BASEMENT TYPE:
OTHER:
ACCESSORY STRUCTURES:
GARAGE,TYPE OF CONST: STORAGE,TYPE OF CONST: wood frame
SWIMMING POOL: GUEST,TYPE OF CONST:
OTHER:
VIOLATIONS:
REMARKS:
INSPECTED BY: JOHNJ DATE OF INSPECTION: 5/8/2019
TIME START: 12:14pm END: 12:35pm
TI
Town of Southold 7/3/2019
P.O.Box 1179
53095 Main Rd
Southold,New York 11971
CERTIFICATE OF OCCUPANCY
No: 18332 Date: 7/3/2019
THIS CERTIFIES that the building ADDITION/ALTERATION
Location of Property: 1840 Leeton Drive, Southold
SCTM#: 473889 See/Block/Lot: 58.-2-11
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
7/25/1989 pursuant to which Building Permit No. 18352 dated 8/4/1989
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:
alteration&r an•s to exist zjfleck of se4agnal one family dwelling_
Corrected 7/3/2019 for°"seasonal"°use.
w
The certificate is issued to Mildred De Rosa
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED ��
is t o n e( Signature
FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No: Z-33521 Date: 01/30/09
THIS CERTIFIES that the building ALTERATION
Location of Property: 1840 LEETON DR SOUTHOLD
(HOUSE NO. ) (STREET) (HAMLET)
County Tax Map No. 473889Section 58 Block 2 Lot 11
Subdivision Filed Map No_ Lot No_
conforms substantially to the Application for Building Permit heretofore
filed in this office dated _MAY 23,, 2008 pursuant to which
Building Perm=it No. 3.3964-Z dated JUNE 12, 2008
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 MINOR ALTERATIONS TO AN EXISTINGONE FAMILY DWELLING AS APPLIED FOR.
The certificate is issued to MILDRED A DIACK
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A
ELECTRICAL CERTIFICATE NO_ 4021787 01/23/09
PLUMBERS CERTIFICATION DATED 01/07/09 BURTS RELIABLE INC
w._ .._............
— _ .._.......�__..,
path zzed S-ignature
r
Rev. 1/81
� 1FEt Town of Southold 7/3/2019
P.O.Box 1179
53095 Main Rd
+ 4' Southold,New York 11971
CEI . IFICATE OF OCCUPANCY
No: 39662 Date: 5/25/2018
THIS CERTIFIES that the building ADDITION/ALTERATION
Location of Property: 1840 Leeton Dr, Southold
SCTM#: 473889 See/Block/Lot: 58.-2-11
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
9/26/2017 pursuant to which Building Permit No. 42033 dated 10/10/2017
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 and additions, including ptHdads,to rtn existing seasonal one family dwelling as a ,plied for.
Corrected 7/3/2019 for"seasonal"use.
The certificate is issued to Sound Side Cottage LLC
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 42033 5/24/2018
PLUMBERS CERTIFICATION DATED 5/22/2018 a, I'iccucll.
_uta "yecl Stgntidtu� .... .....
re
Town of Southold 5/25/2018
P.O.Box 1179
" 53095 Main Rd
Southold,New York 11971
CERTIFICATE OF OCCUPANCY
No: 39662 Date: 5/25/2018
THIS CERTIFIES that the building ADDITION/ALTFRA1,10N
Location of Property: 1840 Leeton Dr, Southold
SCTM#: 473889 Sec/Block/Lot: 58.-2-11
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
9/26/2017 pursuant to which Building Permit No. 42033 dated 10/10/2017
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:
A—Ite ration mma £ dda il? s,,It=llzc in ent: rl 2—ai—ieNi st,ip g--Qije fa jjjy wellin T� ¢�l ecl dor.
The certificate is issued to Sound Side Cottage LLC
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 42033 5/24/2018
PLUMBERS CERTIFICATION DATED 5/22/2018 d Piccuch
Ilio Signature