HomeMy WebLinkAbout1000-51.-1-10 TOWN OF SOUTHOLD
CT
Rental Permit
0130
Owner 18305 SVA LLC
Occupied as Single Family Dwelling
Located at 18305 Soundview Ave Southold 51 .-1-10
Maximum Permitted Occupancy 8
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.
8/7/2023
Codefnfor&nent Official
This Notice must be posted by the main entrance at all times
w
TOWN OF SOUTHOLD BUILDING DEPT.
631-765-1802
1140 S P E%C'T 1Pi
[ ] 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 (FINAL)
[ ] CODE VIOLATION ( ] PRE C/O [ 1,4/RENTAL
REMARKS: 3 ,
DATE -3/-a3INSPECTOR
04 Town Hall Annex
Town of Southold 54375 Main Road
Rental Inspection Report PO Box 1179
n e' Southold, NY 11971-1179
" w Tel: 631-765-1802
a
SCTIVI
5.'
�... #. .. . ...... .... .. . ._ 5�.�.� ... .�0... _... ..._.... _. _.. ...._ _ Date ._. .,.ww "".. .�,. ....
caner
Phone �
Address. ... ....... . ._..._ .� .L/S_,m. .�,... ._ ...._.M ........�_.. _. . ..... e.... � . _.... . ..
/ t/�6� Visible
I
Hamlet ..... _.. ..w._.,._.. . .... _._ p
ns ector
—71
Floor Level Quantities
Sub 1 2 3
Smoke Detectors not located in bedrooms
Carbon Monoxide Detectors
Fire Extinguishers
Exits
Bedrooms 1 2 3 i 4 5 6
Smoke Detectors
_Egress _ If
Occupant Count
Building Systems Maintained &Operational Condition of Property ,,,,,,,
Heating ;Building interior
Hot water Building exterior
installed &sec
� acal Handrails &guards maintained &safe Electric Pro ert clean ma!...... _ _...... ... .. .. ..
Mechan'
Pool Safety [pool on Site
Surface water alarm Date of CO issuance
Door alarms
._ . _�._�..µ ...._..�_.w... ........_..�..........�..__..... . ,, m..... �...�.�_. ���.._�......�.. _
ol completely Poom lelose
Self closin,..� latchin....� ates...� ....._ ....�.....�.�.._�: . ._,.. . w, .....� __..._.. P ..�_`�encd
.. .� .. .. . .�
o code re uir
g
gg
Pool fence t...._ ., q ements
CO's for all items present _�_... . ... [Prior Rental
Comments:
IO'WN OF SOUTHOLD
cam m
0130
Owner 18305 SVA LLC
Occupied as Single Family Dwelling
Located at 18305 Soundview Av Southold 51-1-10
Maximum Permitted Occupancy 8
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.
7/28/2021 - £
z
Code Enforce rpt 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,
Rental Inspection
NY 11971-1179
.r Tel: 631-765-1802
Fax 631-765-9502
r,d
SCTM # J I . — ( `_ ( p Date 7 Z 2r12-1
Owner -I r� e �� d �f Phone
AddressZip
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 3
Smoke Detector Alarms (#)
Carbon Monoxide Alarms (#)
Egress(windows) (Y/N)
BUILDING SYSTEMS 1f/ 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/opera icnal Handrails&guards present
POOLS Y 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 SOUTHOLDRental Permit
� - Permit No. 0130
Owner 18305 SVA LLC
Occupied as Single Family Dwelling
Located at 18305 Soundview Ave. Southold 51-1-10
Village S/B/L
Maximum Permitted Occupancy 8
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.
7/29/2019 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 C
Southold,NY 11971-0959 „ Y
ujg
BUILDING DEPARTMENT o
TOWN OF SOUTHOLD
D °
A
RENTAL PERMIT APPLICATION
i � 7 '2019
Rental Permit Fee$200(Application must be renewed every two years)
.
'D
Section A.
Property Information:
Rental Property Address:
[ '9309 S0VV"%JvI'eW 1
Tax Map Number: 1000 SECTION 051 -BLOCK,_ -LOT
SECTION B.
OWNER INFORMATION:
t
Property Owner Name:
Property Owner Legal Address: Property Owner Mailing Address:
Telephone Number s : Daytime
p O y � Evening Emergency,_, '" 0,
Property Owner Email Address: EE�Fe LJ
'.. `;
Page 1 of 5
�'
1 �
Town Hall Annexyr` rI ur Telephone(631)765-1802
54375 Main Road
Fax(631)765-9502
P.O.Box 1179 rr
Southold,NY 11971-0959
N
BUILDING DEPARTMENT
TOWN OF SO OLD
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): 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:
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 " ti
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
Mailing Address of Managing Agent:
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: '°°^°
P
Requested Maximum number of persons allowed to occupy Dwelling Unit: �l
oii� � o
Number of rooms in Rental Dwelling Unit:
Use and Pimensions of each room in Rental Dwelling Unit:
`4 �t '11, 't
Page 3 of 5
Town Halt Annex Telephone(631)765-1802
54375 Main Road
Pax(631)765-9502
P.O.Box 1179
Soulhald,NY 11971-0959
r
BUILDING DEPARTMENT
TONM F SOLrMOLD
Mailing Address of ManagingAgent: 5+300' Ery 1 `� L
Telephone Number(s):Daytime V0 (=1/v'z--/5 „Evening S�l'�E Emergency (�[- '-4� �5 96
Email Address: ?. c
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,C);the use of each room in the Rental Dwelling Unit
(for example,latchen, Bedroom1, 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:
Number of rooms in Rental Dwelling Unit:
Use and Dimensions of each room in Rental Dwelling Unit:
Page 3 of 5
a
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 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.
❑ 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)
1 E-Wt("t e- -Fek
, 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
r�
Town Hall Annex " Telephone(631)765-1802
54375 Main Road ' Fax(631)765-9502
P.O.Box 1179 " �x ��� °Y
Southold,NY 11971-0959 <<
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 Site Manager.
Property Owner's Name: Ea I eelr1d "
Property Owners Signature:
Sw rn to before me this day of ne— 2019
i
Official NoV Public Signatureo"Pi Original Notary Stamp
TRACEY I_, DYER
NOTARY PUBLIC,STATE OF NEW YORK
NO.01 D'k,''U' 3O g00
QUALIFIED IN SUFFOLK COUNTY
COMMISSION EXPIRES JUNE 30,2(4-19
Page 5 of 5
........
/ .
0 5004 �
TOWN OF SOUTHOLD BUILDING
�n 765-1802
INSPECTION
] FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INSULATION
[ ] FRAMING /STRAPPING
[ ] DIAL b,�,f
[ ] FIREPLACE & CHIMNEY [ RIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL)
i d
i
[ ] CODE VIOLATION [ ] CAULKING
REMARKS:
�Yd w vY
` Telephone(631)765-1802
Town Hall Annex
54375 Main Roads Fax(631)765-9502
P.O.Box 1179
Southold,NY 11971-0959
BUILDING DEPARTMENT
TOVM OF SOUTHOLD1 JUN 7 2019
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
l�ro essianol'seal re aired r�irchltect or Fn !reser ilcense Nome^ios actor �tst rovld
con ovalld current certi cation
Rental Property SCTM Number:
d
Rental Property Address: V I
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 C sq., etc.)
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g �► F' 2)
Property Description In
De= � 1 �° 6E
p,
rty (include all improvements Indicated on survey)
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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 Plum " g Code of New York State,
the Fuel Gas Code of New York State, and the Energy Conservation rutl n Code of New
York State. `
Print Name and Title
{ Origin Ignatu
Please place professional seal:
too
soTOWN OF SOUTHOLD BUILDING����.
DEPT.
75182
INSPECTION
FOUNDATION 1ST [ ROUGH PLBG.
FOUNDATION 2ND [ ] INSULATION
� FRAMING /STRAPPING [ INAL PW*4
FIREPLACE & CHIMNEY [ ] RE SAFETY I SP TION
FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL)
CODE VIOLATION [ ] CAULKING
REMARKS:
clua `
ok
DATE 1")Ml — INSPECTOR
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Town of Southold...... ..._��.�.� .
` 53095 Main Rd 7/28/2019
Southold,New York 11971
Phi
PRE EXISTING
CERTIFICATE OF OCCUPANCY
No: 40553 Date: 7/29/2019
THIS CERTIFIES that the structure(s)located at: 18305 Soundview Ave, Southold
SCTM#: 473889 Sec/Block(Lot: 51.-1-10
Subdivision: Filed Map No. Lot No.
y � ..... built �._ ......�
conforms substantially to the requirements for prior to
APRIL 9, 1957 pursuant to which CERTIFICATE OF OCCUPANCY NUMBER Z- 40553
dated 7/29/2019 was issued and conforms to all the requriements of the applicable provisions of the law.
W�
The occupancy for which this certificate is issued is:
world 1"'ragtq orae fain l r dwei_ lire end aggpsi sheV`
Notes: 1 1) 10466 additions QQ -10073]131 18733 donne addition_overkitchen and attache�l.-ga"age(;(�;,1 24
The certificate is issued to Feldis,Elaine
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
*PLEASE SEE ATTACHED INSPECTION REPORT.
h I=
� w `gnature
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
HOUSING CODE INSPECTION REPORT
LOCATION: 18305 Soundview Ave,Southold
SUFF.CO.TAX MAP NO.: 51.-1-10 SUBDIVISION:
NAME OF OWNER(S): Feldis,Elaine
OCCUPANCY:
ADMITTED BY:
..
SOURCE OF REQUES...e
T: Fe is,Elaine DATE: 7/29/2019
DWELLING:
#STORIES: 1 #EXITS: 2
FOUNDATION: cement block CELLAR: partial CRAWL SPACE:
. ..._
BATHROO E. 1 � TOILET ROOS UTILITY ROOM(S):
PORCH
DECK TYPE: ... wood frai� P �
me PATIO TYPE:
BREEZEWAY: FIREPLACE: Il GARAGE:
DOMESTIC HOTWAT
ER .. yes __�... � ,� .. ._.
TYPE HEATER: oil AIR-C
TYPE HEAT: oil WARM AIR: forced hot air HOT WATER:
#BEDROOMS: 2 #KITCHENS: 1 BASEMENT TYPE: unfinished
OTHER:
ACCESSORY STRUCT ES:
GARAGE,TYPE OF CONST: STORAGE,TYPE OF CONST:
SWIMMING POOL: GUEST,TYPE OF CONST:
OTHER:
VIOLATIONS:
REMARKS;
INSPECTED BY: JOHNJ DATE OF INSPECTION: 7/1/2019
TIME START: 11:28am END: 12:00pm
FORM NO.4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Town Clerk's Office
Southold, N.Y.
Certificate Of Occupancy
No. . .710073. . . , , , . . Date . . . . . . August, .12'. . . . . . . . . . . . . .. 19 . 80
THIS CERTIFIES that the building . . . . . . . . " . . . . . . . r
18305Soundview Avenue, Southold, New York
Location of Property . , . " . .
House IVo ,Street Hamlet
County Tax Map No. 1000 Section . . . . .Block . . . . Ol . . . . . . .Lot . . . 9. .&.10 1 . , 1 . ,
Subdivision . . , W . . . . . . . . . . . . . . . . . . . . . . . . . .Filed Map No. . . . , . . . .Lot No, . . . . . . , m . . , . ,
conforms substantially to the Application for Building Permit heretofore filed in this office dated
October 30, 79 10466 z
. . . . . . . . . . . . . . . . . . . l9 . . pursuant to which Building Permit No.
• a
dated . . . . ... ember 1 , . . . , , . . 19 .79,was issued, and conforms to all of the requirements
k
of the applicable provisions of the law. The occupancy for which this certificate is issued is . . . . . . . . .
fi
Potvate One Family Dwelling with addition.
{ . . . . . . . I . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
. . . . . . . . . . . . . . . " . . . , . . . . , . . , , . . . . . . . . .
The certificate is issued to . . . . . .John Feldis
(owner,� . . , . . . . . . . . . . . .
of the aforesaid building.
Suffolk County Department of Health Approval . . . . . . . . . . . . . . . . . .
UNDERWRITERS CERTIFICATE NO. , , . . . . . . . , . .473218. . . . . .
Building"Inspector
Rev 4179
,
FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.X.
CERTIFICATE OF OCCUPANCY
No 7,19249 Date JULY 27 1990
THIS CERTIFIES that the building ADDITION
Location of Property 18305 SOUNDVIEW AVE. SOUTHOLD
House No. Street Hamlet
County Tax Map No. 1000 Section 051 Block 09 Lot 10
Subdivision Filed Map No. Loot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated. JAN. 12, 1990 pursuant to which
BuildingPermit No.
137332 dated JAN. 17, 1990
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 DORMER ADDITION OVER KITCHEN & ATTACHED GARAGE.
The certificate is issued to JOHN & DOROTHY F%LDI'
(owners)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL A
UNDERWRITERS CERTIFICATE NO. N132360 JUNE 1 1990
PLUMBERS CERTIFICATION DATED HENRY J. STH & SON INC. 6 22 90
Luilding Inspector
Rev_ 1/81