HomeMy WebLinkAbout1000-21.-3-10 { TOWN OF SOUTHOLD
Rental Permit
0148
Owner Susan & Timothy Milano
Occupied as Single Family Dwelling
Located at 780 Aquaview Avenue East Marion 21.-3-10
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.
7/28/2023
de En rc n Official
This Notice must be posted by the main entrance at all times
QF ObTyo —N�vevl
* Cb'1PI/ SOUTHOLD BUILDINGDEPT.
631-765-1802
INSPLCTIO'go" N
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INSULATION/CAULKING
[ ] FRAMING /STRAPPING [ ] FINAL
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENET ION
[ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FI L)
[ ] CODE VIOLATION [ ] PRE C/O [ RENTAL
Town Hall Annex Telephone(631)765-1802
631( , 9502
54375 Main Road � , t`�� Fax ,„ )76, ...a
P.O.Box 1179 V
Southold,NY 11971-0959
"X`
JUL 2 4 2023
BUILDING DEPARTMENT
TOWN OF SOD OLD
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
bra es io acrl ea ree ecf or Irchitect car Ftt la eer t censed dome!qme! for m st rovld
Lo"�v iid"current cern kation
Rental Property SCTM Number: ( �
Rental Property Address:. v i Cau, AUE
Owner/Name:
Rental Dwelling Unit identifier: ge-)Z9 21=1A-" °
Number&Square footage of each bedroom as depicted in the attached floor plan:
(i.e. Bedroom#1 -100 sq., Bedroom#2-90 sq., etc.)
Property Description (Include all improvements indicated on survey)
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 Plu ing Code of New York State,
the Fuel Gas Code of New York State, and the Energy Conser*vaonsttruon Code of New
York State.
Print Name and Title O
.UAL
Please place professionals
TOWN OF SOUTHOLDAD
aRental Permit
0148
Owner Susan & Timothy Milano
Occupied as Single Family Dwelling
Located at 780 Aquaview Ave East Marion 21-3-10
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.
7/28/2021
cede fo c� e offcal
This Notice must be posted by the main entrance at all times
011,
,at soyV, m
* TOWN
W
OF S0UT' 110L0 BUILDING OT
765-1802 3 00
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG. _
[ ] FOUNDATIO 2ND [ ] INSULATIOWCAULKING
[ ]
FRAMING /STRAPPING [ ] FINAL AMWA.0 oe
[ ] FIREPLACE & CHI NEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL)
[ ] CODE VIOL TION [ ] PRE C/O
REMARKS:
o '{ L> ov-7
DATE
div
C
AM 11021 INSPECTOR
Town Hall Annex f �; Telephone(631)765-1802
54375 Main Road r�r` Fax(631)765-9502
P.O.Box 1179
Southold,NY 11971-0959 Ltno� es ,"
BUILDING DEPARTMENT
TOWN OF SOUMOLD
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
Pro ssional seal're uired orrchltect or Ftw h7eer licensed Horne ins ector rlaust rovide
cgpy o valid current certiication
Rental Property SCTM Number: "� L
Rental Property Address: 7 0,0 ZN6 0 ""
Owner/Name: l L
Rental Dwelling Unit Identifier:, tett L �JL tit`
Number&Square footage of each bedroom as depicted in the attached floor plan:
(i.e. Bedroom#1 -100 sq., Bedroom#2-90 sq., etc.)
:L 142-
Property Description (Include all improvements indicated on survey)
CU'-')V "F
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,th*jonnstm,e of New York State,
the Fuel Gas Code of New York State, and the Energy Conseryction Code of New
York State. ' 1,h � �t-1 'C�Gv t2R��lT
a
Print Name and Title re
u V�
JW
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TOWN OF SOUTHOLD
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ZZ
Rental P it
� Permit No. 0148
3
Owner Susan & Timothy Milano
Occupied as Single Family Dwelling
Located at 780 Aquaview Avenue East Marion 21-3-10
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.
8/13/2019 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
5437.5 Main Road »" Fax(631)755-9502
P.O.Box 1179
Southold,NY 11971-0959
Y
BUILDING DEPARTMENT
t
T OF° °0 "H0
,RENTAL PERMIT APPI ICATION.
Rental Permit Fee $200(Application must be renewed every if d ors)
Section A.
Property Information• "�, a°. �u �,�.�.� ,..f.
Rental Pro�ert4Adresp s:
Tax Map Number: 1000 SECTION
�', , -BI: I@ ' . LOT
SECTION B.
OWNER INFORMATION:
Property Owner Name:
Property Owner Legal Address:. Property Owner Mailing Address:
10' --541-q7- 5'
Telephone Number (s): Daytime Evening.. Emergency
Property Owner Email Address: �� �� 6 �..
Pagel of 5 '
Town Hall Annex ;. Telephone(631)765-1802
54375 Main Road m Fax(631)765-9502
P.O.Box 1 179
Southold,NY 1 197 1-0959
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
Section C.
Authorized Agent Information:
Name of Authorized Agent of dwelling unit, if
Address of Authorized Agent (no P.O. Boxes): -7 d
Mailing Address of Authorized Agent: +
Telephone Number(s): Daytime - ,Evening " "-- .. 'Emergency
Email r ss�—
Section D.
Managing Agent Information:
t
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 z of 5
if
Telephone(631)765-1802
Town Hall Annex Fax(631)765-9502
54375 Main Road
P.O.Box 1 179 "
Southold,NY 11971-0959
BUILDING DEP'AR.T TENT
TOWN OV SOUTOQ�,D
Mailing Address of Managing Agent: -
Telephone Number(s): Daytime..Evenin _ :EmergegcV,�-
Email Address:
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, 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:
, �upl � ww"W
Requested Maximum number of persons allowed to occupy Dwelling Un
Number of rooms in Rental Dwelling Unit:
Use and Dimensions of each room in Rental Dwelling Unit:
Page 3 of 5
rv
Telephone(631)765-1802
Town Hall Annex Fax(631)765-9502
54375 Main koad
P.O.Box 1179
1 r
Southold,NY 11971-0959
sI,F
131J1L.D11'G 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.
1 1 have read and received a copy of Chapter 207 ofthe 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 NatTme:
Property Owner's Sigcture:,
.�..
Sworn to before me this f day of_ �'20
Are
Official Lary Public 5j Mature and Original Notary Stamp
Jeanne Sweet Bartos
NOTARY PUBLIC,State of New York
No.01BA6210083
Qualified in Suffolk County
Commission Expires August 10,2011
Page 5 of 5
I
RvQ/ I 1� 1IO - /D
:, TOWN OF SOUTHOLD BUILDING DEPT.765-1802
INSPECTION
I [ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND
[ ] INSULATION
[ ] FRAMING /STRAPPING /IFIRE
INAL 64,W&olif
FIREPLACE & CHIMNEY [ SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL)
[ ] CODE VIOLATION [ ] CAULKING
REMARKS:
LillS
i
DATE l IN'SPECTO
v4Vt4AJ Ajecdlt� mo/tol
TOWN SOUTHOLD BUILDING
765-1802
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INSULATION
l [ ] FRAMING /STRAPPING [ ] FlfilAL le4w
[ ] FIREPLACE & CHIMNEY [ FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL)
[ ] CODE VIOLATION [ ] CAULKING
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. . Town of Southold
�� t ��x 8/12/2019
yd 53095 Main Rd
Southold,New York 11971
"o
F'RA: EXISTING
CERTIFICATE OF OCCUPANCY
No: 40611 Date: 8/12/2019
THIS CERTIFIES that the structure(s)located at: 780 Aquaview Ave,East Marion
SCTM#: 473889 See/Block/Lot: 21.-3-10
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- 40611
dated 8/12/2019 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 fi-ame one family dwelling with deck, :acal.,��an ara e and acmsoEy shed in disre° air.*
Note: BP 43984 electric COZ-40610
The certificate is issued to Milano, Susan&Timothy
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
*PLEASE SEE ATTACHED INSPECTION REPORT.
Au ho ;e Signature
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
HOUSING CODE INSPECTION REPORT
LOCATION: 780 Aquaview Ave,East Marion
_.._ ---
------
..__..............
...�.__ ...._..
SUFE.CO.TAX MAP NO.: 21.-3-10 SUBDIVISION:
NAME OF OWNER(S): Milano,Susan&Timothy
OCCUPANCY:
ADMITTED BY:
SOURCE OF REQUEST: Mil.no,Susan usan DATE: 8/12/2019
DWELLING:
#STORIES: 1 #EXITS: 2
FOUNDATION: cement block CELLAR: partial CRAWL SPACE:
BATHROOM(S): 1 TOILET ROOM(S): UTILITY ROOM(S):
PORCH TYPE: DECK TYPE: wood frame ...................PATIO TYPE: concrete
BREEZEWAY: FIREPLACE: 1 GARAGE:
DOMESTIC HOTWATER: yes TYPE HEATER. gas AIR CONDITIONING.
TYPE HEAT: oil WARM AIR: forced hot air HOT WATER:
---
#BEDROOMS: 2 #KITCHENS: 1 BASEMENT TYPE: unfinished
OTHER: storage&finished room in attic
ACCESSORY STRUCTURES:
GARAGE,TYPE OF CONST: accessory STORAGE,TYPE OF CONST: shed in disrepair
SWIMMING POOL: GUEST,TYPE OF CONST:
OTHER: � ......�..-_..�...
VIOLATIONS:
s
REMARKS:
INSPECTED BY: MIKEV DATE OF INSPECTION: 8/12/2019
_._....
TIME START: 2:31pm END: 3:00pm
tF ,t Town of Southold 8/12/2019
P.O.Box 1179
53095 Main Rd
Southold,New York 11971
CERTIFICATE OF OCCUPANCY
No: 40610 Date: 8/12/2019
THIS CERTIFIES that the building ELECTRICAL
Location of Property: 780 Aquaview Ave., East Marion
SCTM#: 473889 See/Block/Lot: 21.-3-10
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
7/18/2019 pursuant to which Building Permit No. 43984 dated 7/18/2019
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:
old gtpr&r a s cl,_Dl-eter nd anal,.
The certificate is issued to Milano,Susan&Timothy
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 43984 8/9/2019
PLUMBERS CERTIFICATION DATED -- mm
LL
Authorized Signature