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HomeMy WebLinkAbout1000-26.-1-4 3 TOWN OF SOUTHOLD { Rental Permit 0125 Owner Ellen McNeilly Occupied as Single Family Dwelling Located at 205 Willow Street Orient 26.-1-4 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. 8/10/2023 >47e'l Code for ent Offic` This Notice must be posted by the main entrance at all times isf so TOWN OF SQ► J THOLD BUILDING DEPT., c 631.765-1802 I mmwm S P 10 N [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATIOWCAULKING [ ] FRAMING /STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) [ ] CODE VIOLATION [ ] PRE C/O [ ��RENTAL e In sal ea- ori ari A-rils o O ,e- ot, �n veo( a/ DATE - �� INSPECTOR Town Hall Annex Town of Southold 54375 Main Road Rental Inspection Report PO Box 1179 COcm Z& ` Southold, NY 11971-1179 " Tel: 631-765-1802 Date jOwnerC " hone .. Visible Address Hamlet P _.,. . '-1 ...w.._ Ins ector _.L e.,. .... Floor Level Quantities _ .,.._.Sub.. &._. ..w..1 .. ....... .._ -, k ---3. ... .� Smoke Detectors e .-- (not located i n bedrooms) _.... Carbon Monoxide Detectors � Fire Extinguishers Exits Bedrooms . °. . _..... _. . ._. .. _.. .. m. ,...._ .._�. e.. . -. 1 2 3 4 5 6 i Smoke Detectors .. _.te 1✓ V" Egress _a Occupant Count Building Systems Maintained & Operational Condition of Property _.._.. a _. in Heating Building interior, Hot w... . v _ _ _ aterg exterior B u.�... m ext.,. . _.. ... .. _. Electrical Property clean, maintained &safe Me11 chanical Handrails&guards installed &secure Pool Safety Pool on Site Surface water alarm Date of CO issuance completely enclosed Pool com Door alarms p y Self closing/ latching gates Pool fence to code requirements re p �,a�i,.n��.. Prior Rental COs for all items Comments: F. TOWN OF SOUTHOLD Rental Permit 0125 Owner Ellen McNeilly Occupied as Single Family Dwelling Located at 205 Willow Street Orient 26.-1-4 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. 8/10/2021iZ Code Enfore t Official This Notice must be posted by the main entrance at all times lot SOUTHOLD TOWN Town Hall Annex 54375 Main Road p pJ; PO Box 1179 Southold, Rental Irr�s�e�cti�rn__ NY 11971-1179 Tel: 631-765-1802 Fax 631-765-9502 SCT M # — C Date ?� Owner , Phone G �� �2 Addr6ss LLJ �Zip City 4 C� lri p ptor: LEVELS SUB 3 Smoke Detectors(#-bedroom detectors excluded) ut,IT( Carbon Monoxide Detectors (#) Fire Extinguishers (#) Exits(#) BEDROO S 1 2 4' 5 Smoke Detector Alarms (#) Carbon Monoxide Alarms(#) Egress (windows) (Y/N) BUILDING SYSTEMS j'Y)/Kl CONDITION OF PROPERTY N, Heating system maintained/operational Building Interior is clean/maintained Hot waters stem maintained/operational Building Exterior is clean/maintained Electricals stem maintained/operational Property is clean/safe/maintained Mechanical s ;stem maintained/operational Handrails&guards present COMMENTS: CW I Rental Inspection Form 4/7/2021 Fj TOWN OF SOUT OL ff Me 4 4 Rental Permit Permit No. 0125 Owner Ellen McNeilly Occupied as Single Family Dwelling Located at 205 Willow St Orient 26-1-4 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. 7/26/2019 John Jarski Date of Issue Code Enforcement Officer This Notice must be posted by the main entrance at all times i y:° . Alr xq � ° y � Town k alt ono . T�l��a� ��§ 1)7651802 �4M3 Main gq Pax,(631)„765,9542 P.O.Box 1179 Southold,NY 11971-0 959 BUILDING P)3,,P .TriNT EJUN 2 6 2019TO OF�lOt '04D,,- R ntal Pe:irnl:, Pee 00(Application must be renewed Overy two years) a ° Section A., r Property Information: � Rental Propert, r0s;; , r . r Tak Map Num e : 105E6I N R -LOQ' n t i SECTION B. ya r > OWNER IN M "' wlw m I Property Owner Name �� °_�” Property 0wne `Iw�e al, ddres y Prbpe ^ ' l lllr ddr ssm'' ° µ C--A, ° Telephone Number (s): a+yr l 1ta_L? EvenlnR� __—Emergent" m x Property Owne,Email Address; NJI G i I 4 Page 1 of 5 j I �° r Town Hall Annex ' Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1179 Southold,NY 11971-0959 Bt.ICID1NC;bEPARA'' di N)" TOWNOF 80VTHOLD Authorized Agent Inforrhatimi: Name of Authorized Agent of dwell uni g g t, if any: Al 61A-1 Address of Authorized Agent (no P.O. Boxes): a Mailing Address of Authorized Agent: ..L.elephone Number(s): Daytime _Eveniing Ernergen ^ Email Address: a Section I . Managing ge Information: Narne of Authorized Agent of dwelling unit, if any: � ✓ W Address of Authorized Agent(ho,R.: ; oyes); Mailing Address of Authorized Agent:. Telephone Uumber(s): Daytime, .Evening Emergency- Email mer encyEmail Address: t SEC71ON E, SII'T]E! MANAGER IIIINi:::: II A T1 II ,:(reguured for rentAropertie.s containing 8 air more rent ll uniit.$) P Name of Managing Agent ofdwelling unit, if any: Address of Managing Agent (no P.O. Boxes): ©r2tGAJ Tj �7vril 11Q�$—c�3 /'�c Page 2 of 5 Town Hail Annex- Telephone(631)7.65-1802 r54375,Main RoadFax(631-)76579502 6*1 P.O.Box 1 179 Southold,NY 11971-0959 BUILDING EPAAT. ENT TOWN OY L Mailing Address of Managing Agent: - - � Tele hone Number(s): Daytime,, - ve :r Email Address: � n rw , SECTION F. PROPERTY DESCRIPTION: Number of Rental Dwelling Units on propertyi For each Rental Dwelling Unit set forth the Rental Dwelling Unit identifier(for example, Unit 1, Unit 2, Unit 3 or Apt A, B, Q the use of each room in tbp Rental Dwelling Unit (for example, Kitchen, Bedroom 1, Bedroom 2, Living Room) and the dimensions of each r .b. For propertiles with y-Iti le ental_-_welling Units usesf110htaf:perin it pplica io ; Addendum." 1 Rental Dwelling Unit Identifier: Requested Maximum number of persons allowed to occupy--Dwelling Unit Number of rooms in Rental Dwelling Unit: d0 t3 Use and Dimensions of each room in Rental Dwelling Unit: Page 3 of 5 Town Hall Annex Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 Y.O.Box I l79 Southold,NY 11971-0959 w BIJiLDiNO D'EP 41t'f'MENT TOWN SOF 'OLlTHOLD' SECTION G. INSPECTION Pursuant to theTown Code ofth'd Town:ofSouthold Chaptgr 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':CertifiGati_on`is-required stating that the:prq:p:erty which istbe 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;tbe;CQwnty:of Suffolk-and by the laws 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 D Lam sulrnittinga,colm own + f S uthold,c rt fir tion form from.a;licensed j. arc, ect'or.a licensed professional engineer: , SECTION H. DECLARATION: Signature must be notarized and MUST be the owner of the dwelling unit. STAN ( I NII° y(" Ii . u COIj�TY 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 so Town Hall Annex Telephone(63.1)765-1802 54375 MainRoadFax(631)765-9502 P.O.Box 1 179 Southold,NY 11971-0959 BUILDING D)EPARTMI N r TOWN,OF SOS , OLD applicable laws and rules. I further acknowledge that I will notifythe Town of SduthoId Lhflldi:iSbeparttoent of a6y c.1rainges ofaddii�mess wii'hiin,fiv m )m .) (Jays of any chair: des illh molo 3. i h� e read ariii''��ecgq!Ved a col)yof Ctiapll;er 57o tlhe;Cin e o: the i..cowii of S oii.it;i ld sums .rsred,to ab iih°o by thesa' iise,„` 4. 1 will notify the Town within five (5) business days as to any change to the information regarding Authorized Aga to Managing Agent, or Site Manager., " Property 4wner'sINaIn e.,, �" _ Property Owner's Signature: DENISE A. NAVARRA Sworn t0 before me thi526day Of NOTARY U LIC7STATE FN.E YORK r 2Q o. 01 NA6191295 Qualified ln,Suffolk County VR rridia l�ah Ear W6 ,�. Official Notary Public Signature an Criglnal Notary Stamp Page 5 of 5 ' -oow < v 'nt w ST. y(Q• ! — Ll so I- { * 'TOWN OF SOUTHOLD BUILDING DEPT. co 1 �u 765-1802 ,,- INSPECTION 65 1802 � I [ ] FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING /STRAPPING { AL fe?mf [< ] FIREPLACE & CHIMNEY [ FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) [ ] CODE VIOLATION [ ] CAULKING l � 9 PATE INSPECTOR ldq it i �d e m ��� � °'amu f !r awum'mmrvdWdYN •• 00 I a ®...... ., o e.,. n 1 All, � .. w_ ° n I �. 1 p. x r l � I ------------- vi o. ..__ ..._._........ �w ®{ } 0 1 m -� T Z m O ® c ° o 0 0 o D r s a � v D �j rp Z o a a m 70 a 9g pp M, T1 Ln t D r �Yre� C , C O � C: CIO Ir .I Ln LA .� onco 1 — O Z ro ,� fD m ". m O � O mT m 70 m �I Z Z G7 N Gl D m m W ICU O O Z Z r . Opp M q in r „ � II r* X 1 \X ow Y 1"= W n 1 I O 1z 1 I E' i A o ® n W o ° m m fi� ttri.Ce ,.,.�..........»�.. .- D fD _ _.. � ( CL ltO O 01, l0 p 7 :3 r< " far x r er 0 u t .b U f` 'b " N LAl �����µ :.� '" J N„j 0 „ 2. 0 N K .r m 3 m CD a O f (D 0 ,-o o O O O O N — –r O ` 70 J 7 u � 1 0 - „ '_ a M f 'fro .. Li 0 �7 m 8 O O IDD O I �� �... . dO T .. ...... ......... r r .w...,__ ..._ ......�... i N _, ....._.._. .i-- FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. PRE EXISTING C9RTIFICATE OF OCCUPANCY No Z-22909 Date MARCH 17 1994 THIS CERTIFIES that the building ONE FAMILY DWELLING Location of Property 205 WILLOW STREET ORIENT, N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 26 ®Block 1 Lot 4 Subdivision Filed 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-22909 dated MARCH 17 1994 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 ACCESSORY 2 CAR GARAGE & 2 WOOD ACCESSORY STORAGE SHEDS* The certificate is issued to JOHN STEWART & ANNE CAROL TUTHILL (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A *PLEASE SEE ATTACHED INSPECTION REPORT. r Building Inape4ftor Rev. 1/81 BIJILDITIG DEPARDIL•'NT TOWN OF SOUTTIOLD HOUSING CODE INSPECTION REPORT LOCATION: 205 WILLOW STREET ORIENT, NEW YORK �.u nu.tumusic i number A strCc[ P—.11� � ly SUBDIVISION MAI' NO. LOT (;) NAME OF OWNER (s) JOHN STEWART & ANNE CAROL TUTHILL OCCUPANCY SINGLE FAMILY DWELLING .�.,— ��—.._.. 1.tyP�' —K --rcn—aa p:p ADMITTED BY: ANNE TUTHILL ACCOMPANIED BY: ANNE TUTHILL KEY AVAILABLE _ SUFF CO _ TAX MAP NO_ 1000-26-1-4 SOUr,CZ OF REQUEST; TWOMEY, LATHAM,SHEA S KELLEY, ATTYS DATE: '® — DWELLING: TYPE OF CONSTRUCTION WOOD FRAME 0 STORIES 2 # E%ITS 2 —_ NONE FOUNDATION STONE CELLAR CRAWL SPACE TOTAL ROOMS: IST FLR. 4 2ND FLR. 2 3RD FLR. BATHROOM (s) ONE _ TOILET ROOM Cs) NONE UTILITY ROO:i REAR OUTSIDE ATTACHEI PORCU TYPE REAR COVERED DECK, TYPE PATIO, TYPE BREEZEWAY HEAD PLACE 0NE — GARAGE DOMESTIC II0T1JrtiI"ER GARAGE— YES S PE HEATER LILCO GAS AIRCONDTTIONTNG W 1, DIRECT VE ®. T°a7'E UEAT LILCO GAS WA1�1�1' AIR.— - xx HOTWATER OTHER: 1, ACCESSORY STRUCTURES: GARAGE, TYPE OF CONST. 2 CAR WOOD FRAME STORAGE, TYPE CONST. 2 OLD WOOD SHEDS SNL`lMTNG POOL GUEST, TYPE CONST. OTHER: VIOIJiTIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION 6 BUILDING CODE LOCATION DESCRIPTION ART. SEC. REMARKS: 17.1 REPl,ACU, BRICK INSIDE POOR CONDITION IIJSPLCTIiD uBY. — _y _" UA'I'1: ON INSPCC'fION MARCH 15, 1 �' —., 994 JOHN M. BOUT IS TIME START 9:30 AM 9:50 11M END FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. C MIFICATS OF OCCUPANCY No S-2 531 Date JULY 311, 1996 THIS RT"IF'I"ES that the buildin ADDITION ' Location of. Property 205 WILLOW STRSST ORIENT N.Y.. House No. Street Hamlet County Talc Map No. 1000 Section 26 Block 1 Lot 4 subdivis �Zn Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in thiw office dated OCTOBER 27, 1994 ___pursuant to which Building Permit No. 22445-8 dated NOVEMBER 3 1994 was issued, and conforms to all of the requirements of the applicable proviBio .a of the law. The occupancy for which this certificate is issued i DORMER ADDITIONa FOUNDATION MWDER EXISTING ONE FAMILY I)WELLING AS APPLIED R. The cert ficate is issued to ELLEN NCNEILLY (owner) of the a or'esaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL, ........ N/A UNDERWRITERS CERTIFICATE NO. N­37504 J Y 101 1996 PLUMBERS CERTIFICATION DATED—nARCH 12 1996- ETTEN, PLUMBING A HRAT'. .....Building Insp for LL Rev. 18 I