HomeMy WebLinkAbout1000-126.-7-10 . OWN OF SOUTHOLD
{ Rental Permit
0135
Owner Thomas Tuffy & Ors.
Occupied as Single Family Dwelling
Located at 260 Third Street Laurel 126-7-10
Maximum Permitted Occupancy 6
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.
4/13/2022
Code Enforc&t Official
This Notice must be posted by the main entrance at all times
Town Hall Annex
SOUTHOLD TOWN 54375 Main Road
PO Box 1179 Southold,
`r Rental Inspection NY 11971-1179
Tel: 631-765-1802
Fax 631-765-9502
SCTM`# Date ` 1 Z
Owner ` ' ;3 0/' Phone S�� ��6 ��oS�
Address Zip'
Hamlet v.,re Inspector _ n
Address visible from street?
LEVELS SUB 1 2 3 _.
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) L„
BUILDING SYSTEMS CONDITION OF PROPERTYN
Heating system maintained/operational B Ming 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
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 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:
TOWN OF SOUT OL
Rental Permit
'it AT
sa
Permit No. 0135
Owner Thomas Tuffy & Ors
Occupied as Single Family Dwelling
Located at 260 Third St Laurel 126-7-10
Address Village 5/13/1-
Maximum
/B/LMaximum Permitted Occupancy 6
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.
7/30/2019 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 RS
iY
Southold,NY 11971-0959 �
BUILDING DEPARTMENT J U 2 f 20. 9
TOWN OF SO .THOLD
RENTAL PERMIT APPLICATION
Rental Permit Fee $200(Application must be renewed every two years)
Information:Section A.
Property
Rental Property Address:
f -f ( !
Tax Map Number: 1000 SECTION I ;L -BLOCK -7 -LOT 10
SECTION B.
OWNER INFORMATION:
Property r oma
Property r Legal ress: Property Owner Mailing Address:
q LA 4-"
!! ( !0
L -
Telephone Number(s): Daytime_1qu S— Evening,_ Emergency_
.
r r it r : - - 4-- ,
Page o
Town Hall Annex Telephone(631)765-1802
54375 Main Road Fax(631)765-9502
Box 1179
Southold,NY 11971-0959
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
Section C.
Information:Authorized Agent
Name of uthoh ed Agent of dwellingnit, i :
Address f Authorized Agent (no P.O. Boxes):
Mailing r Authorized :
Telephone Number( : Daytime Evening Emergency
Email Address:
Section D.
Managing Agent Information.
Name of Authorized n lli nit, i :
Address riz ):_
Mailing r riz :
Telephone Number(s): Daytime. Evening_ Emergency
Email s:
SECTION E.
SITE MANAGER INFORMATION- (required for rental properties containing r more rental units)
Name of Managing Ii nit, i any:.
Address n i ):_.___...�
Town Hall Annex �, Telephone(631)765-1802
54375 Main Road Fax(631)765-9502
P.O.Box 1179
Southold,NY 11971-0959 ^' � i
. l �
BUILDING DEPARTMENT
TOWN OF SO OLD
Mailing Address of Managing Agent:
� 0r
Telephone Number(s): Daytime , Evening_Emergency
Email Address:
SECTION F.
PROPERTY DESCRIPTION:
Number of Rental Dwelling Units on property:
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 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: IV
Number w
of rooms in Rental Dwelling Unit:
r i
1 in Rental Dwelling Unit: Ltvj4
/ � f each room
U�1ack Dimensions 4 � ° x 9
I
G ' , 14--La
DOWPage 3 of 5
Town Hall Annex Telephone(631)765-1802
54375 Main Road �' ' Fax(631)765-9502
c e� �,a.
P.O.Box 1 179
Southold,NY 11971-0959 "
' MUN,
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
SECTION G.
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 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
y the laws adopted by the New York State Fire Prevention and BuildingCode Council.
❑ 1 am requesting fire safety inspection to be performedy a Code Enforcement Official
from the Town of Southold
I am submitting completed Town of Southold certification form from licensed
architect r a licensed professional engineer.
SECTION H.
Signature u notarized r of the dwellingunit.
STATE OF )
� . 46 )
COUNTY O
, certify under penalty of perjury,the following:
1. 1 am the owner of the property identified in "Section " of this application.
. The property owner's legal address set forth i "Section " of this application is my legal
address and I understand the Town will use the address for service pursuant to all
Page 4 of
f
4
f
Town Hall Annex �� Telephone(631)765-1802
54375 Main Road ; Fax(631)765-9502
P.O.Box 1179
Southold,NY 11971-0959
h� vw ,a'
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
applicablelaws and rules. I further acknowledge that I will notify the Town of Southold
Buildinga any changes of address within five ( ) days of any changes
thereto.
. 1 have read and received a copy of Chapter 207 oft the Code of the Town of Southold
agreed to abidee same.
4. I will notifV the Town within five (5) business days as to any change tot the information
regarding Authoriz i , or Site Manager.
Property is :
Property is Signature: „mm
N
Sworn to beforethis day o 2
TUI A1110
Official
�,
Notary Public Signature an .,� riginal Notary Stamp �r
Page S of
* ,TOWN OF SOUTHOLD BUILDING DEPT.
co 765-1802
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INSULATION
w
[ ] FRAMING /STRAPPING [ NAL
[ ] FIREPLACE & CHIMNEY [ FIRE,S FET'Y INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT,PENETRATION
[ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL)
[ ] CODE VIOLATION [ ] CAULKING
ilww Dee
DATE INSPECTOR
' 'Whqq ,
x901 MRNt`XDn.L UVIN
Z
.LHMS CIHIHZ 09Z W g Z
��uHaisHx Adan 1
z (A W
U o` J W
�. d]_LD/T _LSNOJ SV c
w
...........
� M
in w
g� I9
a
It
KIS �i
i
m � I
nm
.......... Its
�_ :.
d g
Z
ao
L U
_.. — N
CO Ln
pc c p p p O
O O cD (D ID 'r1 Z
CL
w N 3 u v 0 �4,..e O
Ln
_ ➢ kk
_, . ._ _.�.�. .. .. _ .. � . . ...tm.. --
IN
p p o o v �
z Ln
� Iµ m
_ W
21
qq° D
I 0 wu
I
u .
m
„ II
D
Co .
I
< � � r
m —
„e
m "� �.....
I
��� O O �.„. m
Z Z
Z
Vlm, p Q amo
w;� O
r�
j v ��
A
�. _
in
I4
t m m
-n � n
G)
n
p M1�
pp ry m
uu
17
064
y � p:� �µ� �➢ V.� � ����I�4 �� �rr ���,� � w' �,.w,,.� = 4 �. .,�n� mow,„,„�. „,�,,.b
(o
............
rr� rn
CD M
m ro CL
-7,
I IFl� r f� I� auN✓, , I+�` i
IV
ar
j 21
ED
Cl n 0
0 c
mt
'77
F7
:5- 71
rip
or—f
..........
Fo"I NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Town Clerk's Office
Southold, N. Y.
Certificate Of Occupancy
No, . VX440 . . . Date . . . . . . .April. . . .15,. . . . . . . .. 1969. .
THIS CERTIFIES that the building located at .3rd. Street .W,, S, Bray. . . Street
Avenue
Map No.Q,.1.TuthillBlock No. . . . . . . . . . .Lot No. 73&74. Laurel., .Nem .York . . . . .
conforms substantially to the Application for Building Permit heretofore filed in this office
dated . . . . . . .0ctabor. . 7, . ,, 19.68 , pursuant to which Building Permit No. 2. .4073. .
dated . . . . . . .October. . .7, . . ,, 1968. ., was issued, and conforms to all of the require-
ments of the applicable provisions of the law. The occupancy for which this certificate is
issued is . .private. one. family .dwell ing. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
The certificate is issued to Edward•miller. . . . . . . . . . . . . .
(owner, lessee or tenant)
of the aforesaid building.
Suffolk County Department of Health Approval April. 14, . 1969,. Robert,Villa.
Building Islaector
°ttt f Town of Southold 7/25/2019
P.O.Box 1179
53095 Main Rd
Southold,New York 11971
CERTIFICATE OF OCCUPANCY
ANCY
No: 40545 Date: 7/25/2019
THIS CERTIFIES that the building ADDITION/ALTERATION
Location of Property: 260 Third St., Laurel
SCTM#: 473889 Sec/Block/Lot: 126.-7-10
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
10/26/2018 pursuant to which Building Permit No. 43197 dated 11/5/2018
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 AND GARAGE CONVERSION TO LIVING SPACE WITH ATTACHED TOOL
SHED TO AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR
The certificate is issued to Tuffy,Thomas&Ors
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 19-60506 07-03-2019
PLUMBERS CERTIMCATION DATED
T6A)tbor' e Signature