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Home My WebLink About1000-70.-5-29 TOWN OF SOUTHOLD 9 e� Rental Permit rn 0118 Owner Robert & Karen Kowalski Occupied as Single Family Dwelling Located at 245 Pine Neck Road Southold 70.-5-29 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. 7/24/2023 k .� Code Enfo c ent offb . l This Notice must be posted by the main entrance at all times TOWN OF SOUTHOLD BUILDING D 631-765-1802 .... INSPEC ION [ ] FOUNDATION 1ST [ ] ROUGH PL13G. [ ] FOUNDATION 2ND [ ] INSULATION/CA [ ] FRAMING / STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY IN [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT P [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL {FI [ ] CODE VIOLATION [ ] PRE C/O [ ]` REMARKS: &Az6t1w ok0/,7 DATE � �� FQ(KPS Town Hall Annex Town of Southold 54375 Main Road Rental Inspection Report PO Box 1179 Southold, NY 11971-1179 *�wawtbp� Tel: 631-765-1802 a SCTM# — :Date Owner - - Phone :Address Visible ,Hamlet Inspector i Floor Level Quantities Sub 1 1 2 3 Smoke Detectors (not located in bedrooms) Carbon Monoxide Detectors Fire Extinguishers Exits _ - Bedrooms 1 2 3 4 5 6 Smoke Detectors Egress Occupant Count y 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 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 40/4/� Comments: OWN OF SOUTHOLDfit A£ Rental 0118 Owner Robert & Karen Kowalski Occupied as Single Family Dwelling Located at 245 Pine Neck Rd Southold 70-5-29 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. 7/19/2021 Code Enfooc, ent Official This Notice must be posted by the main entrance at all times s Town Hall Annex SOUTHOLD TOWN 54375 Main Road ` PO Box 1179 Southold, Rental hection NY 11971-1179 °a Tel: 631-765-1802 �09 Fax 631-765-9502 SCTM # Owner Address 2 c t1CCXZip Hamlet Inspector Address visible from street? LEVELS SUB 1 2 3 Smoke Detectors(#- bedroom detectors excluded) - Carbon Monoxide Detectors (#) Fire Extinguishers (#) Exits(#) BEDROOMS 1 2 5 Smoke Detector Alarms(#) Carbon Monoxide Alarms (#) Egress (windows) (Y/N) BUILDING SYSTEMSM CONDITION OF PROPERTY 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 maintainedloperational Handrails&guards present POOLS Y POOL BARRIERS Pool present Pool is completely enclosed Pool surface alarm and/or door alarm Barrier is a min.48" high resent POOL GATES 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: e ¥ � F014q;- TOWN OF SO TOOL Rental Permit Permit No. 0118 Owner Robert & Karen Kowalski Occupied as Single Family Dwelling Located at 245 Pine Neck Rd Southold 70-5-29 Address Village S/B/L 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. 7/23/2019 John Jarski Date of Issue Code Enforcement Officer This Notice must be posted by the main entrance at all times so " �. Town Hail 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 RENTAL PERMIT APPLICATION Rental Permit Fee $200 (Application must be renewed every two ye „I 1, Section A. Property Information: Rental Propert Address: \ % `neck. Tax Map Number: 1000 SECTION -BLOCK -LOT SECTION B. OWNER INFORMATION: Property Owner Name: Property Owner Legal Address: Property Owner Mailing Address: Telephone Number(s): DaytimeS4C -Emer , Evening gency Property Owner Email Address: Page 1 of S Town Hall Annex Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1179 Southold,NY 11971-0959 o a BUILDING DEPARTMENT TOWN OF SO HOLD J0 1 2019 1, Section C. T. Authorized Agent Information: i Name of Authorized Agent of dwelling unit, if any: o � Address of Authorized Agent (no P.O. Bones). 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. 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: lzal 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 BUILDING DEPARTMENT TOWN OF SOUTHOLD Mailing Address of Managing Agent: Telephone Number(s): Daytime ning Emergency Email Address: SECTION F. PROPERTY DESCRIPTION: Number of Rental Dwelling on property: roperty: I 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: o°� Requested Maximum number of persons allowed to occupy Dwelling Unit:(", Number of rooms in Rental Dwelling Unit: Liv k\ w o� io s Dwelling Unit: � Dimens of each room 1n Rental Use and f . 4) , A Of f Page 3 of 5 laaf Town Hall Annex Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1 179 a� Southold,NY 11971-0959 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 aws adopted by the New York State Fire Prevention and Building Code Council 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) m, 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 Fax(631)765-9502 P.O.Box 1179 Southold,NY 11971-0959 BUILDING DEPARTMENT TOWN OF SO SOLD 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: '° A. Property Owner's Signature: Sworn to before me tl iJ 2-1day of, 201 I rV4 I, `� " ., - � . Official Notary Public Signature and Original Notary Stamp Notary Publlo,,State o1 New YOfl� No.01BU185050 Ouafi11e,d in Su Coo l Expires And 14, Page 5 of 5 �MJe- 0& (� - TOWN OF SOUTHOLD BUILDING ,r 765=1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING /STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [' ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) I [ ] CODE VIOLATION [ ] CAULKING REMARKS: 1 DATE INSPECTOR i I, w P g I " I n el -� z03 2 o O S S Sr k Z D Z N m � fD v o o m m 6 `° T `� r m p o � A4 � "� � � �...�.....— ..................�,..�,..._.. .�..�.� .�........., ..,..,,� �..., .. __..........._.. ...._-e.,,..... �y»,;- ^sem" u,„Yw„„w , a 30— Ln oll 4 { r �l CID 01 Z v� r i 1 In II flCIOrD w. e.. . r ( m O C E n r- O O [s m rnm D D ov m rn 0 0 ... Z b. 4 0 i �w. � n �f I' I O G) m m m 00 o m j o ro w , �Y N 7 7 7 7 7 7 /(/ l ilii r„ JfF 31 kyr f 1 U t i c I rIr1 �, ' I q I 1 x o 0 CD rt < "_�• `° m 3 f � A I 4 4 /J O co O 0 y NI o u 7a rtN I T it - i r I I l FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. PRE EXISTING CERTIFICATE OF OCCUPANCY No: Z- 34909 Date: 04/22 11 THIS CERTIFIES that the building DWELLING Location of Property 245 PINE NECK RD SOUTHOLD (HOUSE NO. ) (STREET) (HAMLET) y p Section 070 Block 0005 Lot 029 Count Tax Ma No_ 4"!3 S H 9 SubdivisionFiled Map 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 Z- 34909 dated APRIL 20, 2011 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 ROBERT & KAREN KOWALSKI (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A *PLEASE SEE ATTACHED INSPECTION REPORT. �......,,,,, 'n _............... ......,....,.......,r, r t' or' ped Signature Rev. 1/S1 BUILDING DEPARTMENT TOWN OF SOUTHOLD HOUSING CODE INSPECTION REPORT LOCATION- 245 PINE NECK RD SOUTHOLD SUBDIVISION: MAP NO.: IAT (S) NAME OF ONNW (S): ROBERT & KAREN KOWALSKI OCCUPANCY: ONE FAMILY DWELLING ROBERT & KAREN KOWALSKI ADMITTED BY: ACCOMPANIED BY: KEY AVAIL : SUFF. CO„ TAX MAP NO.: 70.-5-29 SCURCM OF REQUEST: EOBER'T & KN' KOWALSKI DATE: 04/20/1 DWELLING: TYPE OF CONSTRUCTION: WOOD FRAME # STORIES: �1._0 # EXITS: 2 FOUNDATION: CEMENT BLOCK CXLLAR: FULL CRAWL SPACE: TOTAL ROCS: IST FLR.: 4 21W FLR.: 0 3RD FLR.: 0 BAT (S): 1.0 TOILET ROCK(S): _ 0.0 =I= ROOMS) PORCH TYPE: DECK TYPE: PATIO TYPE: BREEZEWAY: FIREPLACE. GARAGE: DOIIESTIC H, THR: YES TYPE DATER: KEY SPAN GAS AIRCONDITIONING: TYPE HEAT: KEYSPAN WARM AIR: DO"CWA1wTER: OTHER: ACCESSORY STRUCTURES: GARAGE, TYPE OF CONST.: BP .. STORAGE, TYPE CONST.: � � SW33*4ING POOL: GUEST, TYPE CONST.: OTHER: VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE mLOCATION..._ �._._ DESCRIPTION T. .._.... __ m,.. L 6 � f n � C A 9 � V 0 II I' V C 9 f L I M I I V � I REMARKS: BP 359,51. 'RENO 1":O"2349',T§ .... ...... . INSPELTED BY: � DATE ON INSPECTION: 04/07�f11 GARY J F I S}] T134E START: 10:3 0 AM END: 11:00 AM . .................. ................... ...... ...... ................ ............. '0 ,` M Town of Southold Annex' 4/20/2011 54375 Main Road Southold,New York 11971 ......................................... ...................... .............. ........ ....... ............ ............................................... CERTIFICATE OF OCCUPANCY No: 34908 Date: 4/20/2011 ................ THIS CERTIFIES that the building ALTERATION Location of Property: 245 Pine Neck Road, Southold,NY 11971, ................ ......... - --—----- SCTM#: 473889 See/Block/Lot: 70.-5-29 ........... ........... ............. ............... Subdivision: Filed Map No. Lot No. .................. ............ conforms substantially to the Application for Building Permit heretofore Med in this officed dated 10/18/2010 pursuant to which Building Permit No. 35981 dated 10/28/2010 .......... ..................... 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: interior alteration(irisulatioil, plumb, &electrics.toap-existing one firmily dwelling as applied for, The certificate is issued to Kowalski,Robert&Kowalski,Karen .................... ................... ................ (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 35981 4/8/11 PLUMBERS CERTIFICATION DATED 4/8/11 K Plumbing&Heating .......... /?Iorizeignatt(re