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Home My WebLink About1000-75.-4-23 FDJ� TOWN OF SOUT OL Rental Permit Permit No. 0141 Owner Patricia Baker Faro Trust Occupied as Single Family Dwelling Located at 2235 S.. Harbor Rd Southold 75-4-23 Address Village S/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. 8/5/2019 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 p Southold,NY 11971-0959 wx 6,00N BUILDING DEPAR'T'MENT JUN 1 4 2019 ` TOWN OF 8O°iJTHOLD RENTAL PERMIT APPLICATION WWN enkal�Permit Fee$200(Application must be renewed every two years) Section A. Property Information: Rental Property Address: Tax Map Number: 1000 SECTION D � -BLOCK � .-LOT SECTION B. OWNER INFORMATION: Property Owner Name: &jc. Property Owner Legal Address: Property Owner Mailing Address: J MA 1"Z 7g� Telephone Number (s): Daytime f . vening Emergency Property Owner Email Address:--t215 �" Page 1 of 5 Town Hall AnnexTelephone(631)765-1802 54375 Main Road �`� d Fax(631)765-9502 w P.U.Box 1 179 Southold,NY 11971-0959 BUILDING DEPARTMENT TOWN OF SO HOLD Section C. Authorized Agent Information: Name of Authorized Agent of dwelling unit, if any: _ e Address of Authorized Agent (no P.O. Boxes): 0 [ A f Authorized A rJ Mailing Address • A gent: - Telephone Number(s): Daytime Evening . Emergency ' Email Address: h�- 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:* , SITIEWA .A '�, 1'esp� lam ' c t rrlc g re, ta.� nits . d X a . I 1 oh dame orf"Mad girt d1lt of` w�l +r L11lit,r°Nf an1 Address of Managil� g !?� o .-S xes):� m IT _ , Page 2 of 5 Town Hall Annex ` Telephone(631)765-1802 54 i75,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 Evening Emergency Email Address: SECTION F. PROPERTY D SthIPTION: � � ..�_ �.c:'w Number of Rental DwellindUnits on property "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,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." r Rental Dwelling Unit Identifier: Requested Maximum number of persons allowed to occupy DwellingUni ��i .4 Number of rooms in Rental Dwelling Unit: es I "+a ; 4 I'll Use and Dimensions of each room In Rental Dwelling Unit: t" ISI` IVI Baa° LI --Page 3 of 5 r Town Hall Annex 'Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1179z Southold,NY 11971-0959 BUILDING DEPARTMENT TOV IN 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. ❑ 1 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) l I n �� , 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 Road1 Fax(631)765-9.502 P.O.Box 1 179 Southold,NY 11971-0959 10 pia BUILDING DEPARTMENT TOWN OF SO OLD 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: Property Owner's Sign ature: a j q Sworn to before me this day of , 20 Official Notary Public Signature and Original Notary Stamp Page 5 of 5 TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING /STRAPPING [ ] FINAL PAM��l [ ] FIREPLACE & CHIMNEY [ FIRE SAFE TY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) [ ] CODE VIOLATION [ ] CAULKING Yh ( � b 0 Y\ DATE INSPECTORIX V� ,. � k pkv T y� � A�F".w.,✓�.._.. ( �� rc'.V b � ��y��V �A 1 I i Vol r y �1 M w � x I . d „ „ a Ci, 33 ::�21 P� 4— VI o A � h e n r a 1 � � m0 -n Z tl 0 u U, 11 1, � G � q 1 m n > u v• I m O Z v' CD p Z m y �I O m ((IIm too u y R �n2 i II m m m INJ �a n u z O l Gl i � m O v m u � " � n �.. Q ° I 1 � t -o CD m :U -i 77 mt to 0%l Ln 1 s�. l I G) co - - m fD n n fop I N m o W o o m �r CD 4J V1 N IIN III �,G 'hN•+� ��r�,,�o a'r v 4 Poi v 'rr,t rt oW _aa ri w q w NIP CD :3 f CD N •+ O ...,.. t 3 � � � e r 3 0 o CD rt S a 3 f umm WW. ....... ....... ,. m CD d w tttt Town of Southold 8/5/2019 SW 53095 Main Rd Southold,New York 11971. PRE EXISTING CERTIFICATE OF OCCUPANCY No: 40588 Date: 8/5/2019 THIS CERTIFIES that the structure(s)located at: 2235 S Harbor Rd, Southold SCTM#: 473889 Sec/Block/Lot: 75.4-23 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- 40588 dated 8/5/2019 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 frame one tanabowelling and accessory wood frame garage.* Notes- BP acct'. shc:d COZ-16060LBP 44QZ2electric Ior basemen Washer/dnq and, a wiring CIO-Z--401587. The certificate is issued to Faro Patricia Baker Trust (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED 7/11/2019 *PLEASE SEE ATTACHED INSPECTION REPORT. d Signature BUILDING DEPARTMENT TOWN OF SOUTHOLD HOUSING CODE INSPECTION REPORT LOCATION: 2235 S Harbor Rd, Southold SUFF.CO TAX MAP NO.: 75.-4-23 SUBDIVISION: �� NAME OF OWNER(S): Faro Patricia Baker Trust OCCUPANCY: ADMITTED BY: SOURCE OF REQUEST: Faro Patricia Baker Trust DATE: 8/5/2019 DWELLING: #STORIES: 2 #EXITS: 2 FOUNDATION: cement block CELLAR: full CRAWL SPACE: BATHROOM(S): 1 TOILET ROOM(S): 1 UTILITY ROOM(S): PORCH TYPE: DECK TYPE: PATIO TYPE: BREEZEWAY:�...........................................................�......................................... ._.__....�. w........................ FIREPLACE: 9. GARAGE: ..... .�...._ .._. �... DOMESTIC HOTWATER: yes TYPE HEATER: electric AIR CONDITIONING: TYPE HEAT: oil WARM AIR: HOT WATER: steam #BEDROOMS: 3 #KITCHENS: 1 BASEMENT TYPE. mm unfinished OTHER: ACCESSORY STRUCTURES: GARAGE,TYPE OF CONST: wood frame STORAGE,TYPE OF CONST: SWIMMING POOL: GUEST TYPE OF CONST: OTHER: m ........_ .mm._�....._. _ . ._.. .................. e..... VIOLATIONS: REMARKS: INSPECTED BY: JOHNJ DATE OF INSPECTION: 7/10/2019 TIME START: 10:54am END: 11:12am �t1tFCtt q Town of Southold 8/5/2019 . P.O.Box 1179 e 53095 Main Rd Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 40587 Date: 8/5/2019 THIS CERTIFIES that the building ELECTRICAL Location of Property: 2235 S Harbor Rd., Southold SCTM#: 473889 Sec/Block/Lot: 75.4-23 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 7/12/2019 pursuant to which Building Permit No. 44029 dated 7/12/2019 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: Electric for basenient basement masher/dryer and romex wiri:ug. The certificate is issued to Faro Patricia Baker Trust of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 44029 8/5/2019 PLUMBERS CERTIFICATION DATED Authorized Signature FORM NO.4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy No. .Z 1606.0 k Date August 17, 1987 THIS CERTIFIES that the building . , , ACCESSORY . „ . Location of Property35 ,SOUTH HARBOR ROAD SOUTHOLD House/Voa Street Hamlet County Tax Map No. 1000 Section .75 . , , Block . . .4 . . . . . . . . . . .Lot . . .23 . . . » „ Subdivision . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Filed Map No. . . . . . . . .Lot No. . . . conforms substantially to the Application for Building Permit heretofore filed in this office dated Aug; 4, 1987 pursuant to which Building Permit No. . 163 17Z dated . ,August 5, 1987 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 . . . . . Accessory shed as applied for. The certificate is issued to . . .NADELYN M; BAKER . . (0 wfr e?I,. 4X UAW XXX" . . . . . . , , . . of the aforesaid building. Suffolk County Department of Health Approval . . . . . . N/A , „ . . . , w . , . » , . . . » . , . , , UNDERWRITERS CERTIFICATE NO. . . . . . . . N/A n , . . . . . . . . . . . . PLUMBERS CERTIFICATION DATED: N/A Ix ', . . . „ . . . , . T . n , . . . . , . . Building Inspector Rev.1/81