HomeMy WebLinkAbout1000-17.-6-12 RentalTOWN OF SOUTHOLD
0156
Owner 230 Oysterponds LLC
Occupied as Single Family Dwelling
Located at 230 Oyster Ponds Lane Orient 17.-6-12
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.
s
8/10/2021
Code Enfo>=� Official
This Notice must be posted by the main entrance at all times
� a,� uuiommiiio �i
Town Hall Annex
OWN 54375 Main Road
PO Box 1179 Southold,
UTL
d
Rental I eetio
NY 11971-1179
"- � Tel: 631-765-1802
Fax 631-765-9502
SCTM# t� l Date Z
Owner Phone _ 73/
Address �j e✓ Zip q 5-7
City Inspectors
LEVELS SUB 1 2 3
Smoke Detectors(#-bedroom detectors excluded)
Carbon Monoxide Detectors (#)
Fire Extinguishers(#)
Exits(#)
BEDROOMS 11 2 3 4 5
Smoke Detector Alarms(#)
Carbon Monoxide Alarms(#)
Egress(windows) (Y/N)
BUILDING SYSTEMS IN CONDITION OF PROPERTY 1N
Heatin system maintained/operational Building Interior is clean/maintained
Hot water s stem maintained/operational Building Exterior is clean/maintained
Electrical system maintained/operational Property is clean/safe/maintained
Mechanical s stem rnalntained/o eca°tionsl Handrails&guards present
COMMENTS:
d K e
Rental Inspection Form 4/712021
From: mike.verityQtown.southold.ny.us (f
Subject: Rental Permit 0156 due for renewal
Date: July 17,2021 at 1:00 AM
To: Iwestvind @ gmai I.com
Cc: Mike.Verity@town.southold.ny.us, Connie.Bunch Qtown.southold.ny.us
To whom it may concern:
The following Town of Southold Rental Permit is due to expire soon:
Last Name:230 Oysterponds LLC
Tax Map Number:1000-17.-6-12
Permit Number:0156
Expiration Date:8/16/2021
email address on file:Iwestvind@gmail.com
A copy of the current permit is attached to this email for your reference.
If you wish to renew this permit you must submit the following:
1.updated Certification of Code Compliance form(attached to this email)or request for a Town inspection(respond to this message)
2.certification that the property information in the current permit has not changed or updated property information if it has
3.renewal payment of$200.
If you do not wish to renew this permit please respond to this email stating this and we will consider the permit invalid as of the
expration date.
Thank you for your prompt attention to this matter.
Building Department
Town of Southold [� � �-
54375 Main Rd ' \
PO Box 1179
`} 1 ��
Southold NY 11971-0959 d LA I� +' �j Cc)
(631)-765-1802
1000-17.-6-12.p 1 J l lP
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RENTAL P 'C)PEIR CETIHCATIO
Profresionnl sral rrquired for Arrhitrct or Fnginrer, /icrm d Nome Inspector mtist providr
ropy of valid currenr certification
nfal Pr,r,-'t,, S' 'M1r1 K.nr nrr
TOWN OF SOUTHOLD
Rental Permit
�§ Permit No. 0156
�a
Owner 230 Oysterponds LLC
Occupied as Single Family Dwelling
Located at 230 Oyster Ponds LZ Orient 17-6-12
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.
8/16/2019 John Jarski
Date of Issue Code Enforcement Officer
This Notice must be posted by the main entrance at all times
C)Town Hall Annex Telephone(631)765-1802
Ot
54375 Main Road 1 ( Fax(631)765-9502
P.O.Box 1 179 �
Southold,NY 11971-0959
BUIL,DINGDEPARTMENT
OIN 6,11+'`S O H ,
RENTAL PERMIT APPLICATION,
Rental Permit Fee$200 (Application must be renewed every two years)
Section A.
Property Information:
Rental Property Address.,,
3 -I
Tax Map Number: 1000 SECTION .- , owl LOI
SECTION B.
OWNER INFORMATION:
Property Owner Name. C)
Property
d
Property Owner LegaVAddress:,, Property Owner Mailing Address:
. - 2- "77- IN k
Telephone Number (s): Daytime ning Emergency
Property Owner Email Address: .: , ST V �� D, ( v ` C-0 , �
Page 1 of 5
Town Hall AnnexTelephone(631)765-1802
54375 Main Road Fax(631)765-9502
P.O.Box 1 179
Southold,NY 11971-0959
t
BUILDING DEPARTMENT
TOWN OF SOUTHO]l
Section
Authorized Information:
Name of Authorized Agent of dwelling unit, if any:
Address of Authorized Agent (no P.O. Boxes),-
Mailing Address of Authorized Agent:
Telephone Number(s): Daytime Evening Emergen
Email Address:
Section D.
Managing Agent iuirifo rmatk�m:
Name of Authorized A � .
gent of dwelling unit, if any:
Address of Authorised Agdnt (rio'P:O. Boxes)., 44 /)
Mailing Address of Authorized Agent: 6 Cxr� l"9s`'
— 2e> — 4FS'
Telephone Number(s): Daytime.. Evening Emergence
Email Address:
SECTION E.
SITE MANAGER INFORMATION: (required for.rental properties containing 8 or more rental units)
Name of Managing Agent of dwelling unit, if any:
Address of Managing Agent (no P.O. Boxes):
Page 2 of 5
Town Hall Annex Telephone(631)765-1802
54375 Main Road �' Fax(631)765-9502
P.O.Box 1 179
Southold,NY 11971-0959
BUILDING DEPARTMENT
TOWN OF OL
Mailing Address of Managing Agernt-
Felephone Number(,$): Daytiv nc> Evening_ Firrnergenc
rna ll 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="Re ntal,Perm it,Appl,ication
Addendum."
9
Dwelling
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 roorn In Rental Dwelling U
nit�
A.
<<
Page 3 of 5
S
N2
Town Hall Annex Telephone(631)765-1802
54375 Main Road Fax(631)765-9502
em
Y.O.Box 1 179
Southold,NY 11971-0959 co
BU[LDIPK; DEPARTMENT
SECTIONTOWN OPES'OUTHOLD
.
INSPECTIOW ;
Pursuant to,the-Town Code of the Town of Southold Chapter 207 (Rental Pr.,o:perta )iq,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 staging 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 regulationsrof 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 c ,
[V 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)
I s 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 Road Fax(631)765-9502
P.O.Box 1 179
Southold,NY 11971-0959
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
applicable laws and rules. I further acknowledge that I will notify the Town of Southold �
BuildingDeparkment of any changes-of address within five (5) days of any,changes: .
thereto.
3. 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 Name: lklto. G)"ll " G
� a.
Property Owner's Signature.
/ n� 9 DENISE A. NAVARRA
Sworn t0 before me this day Of _.�2Q� NOTARY PUBLIC-STATE OF NEW YORK
No. O1NA6191295,
O ficial NotaryPublic Signature 6�uallfied In Suffolk County
g e and Original Notary Stamp My eommisaran EKpir��
I Ld�2-
Page
Page 5 of 5
b�.
Town Hall Annex Telephone(631)765-1802
54375 Main Road Fax(631)765-9502
cot
P.O.Box 1179
Southold,NY 11971-0959
l�
BUILDING DEPARTMENT
TOWN OF SOIJTHOLD
RIEN"rAL PROPERTY E CERTIFICATION
Form is to be completed by a license architect, licensed engineer or licensed home inspector
Separdte forri7 is required for-each individual Rental Dwelling Unit
lira essl6naf setr irl er li eased"'` iarrle>lns elcl`ar`riFt1 � aid °
r e ied s a 'Aur cif tectr � ... -
capes^of vefidcurrent c'er�f �a��tcrrl
Rental Property SCTM Number:-.....4-13 6 a�G
Rental Property Address:.,, _ P JP _
Owner/Name..... eA)10r L 5 4-C
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 sq.,etc:)
a
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 Plumbing Code of New York State,
the Fuel Gas Code of New York State, and the Energy Conservation Construction Code of New
York State.
Print Name and Title F, G Original Signat e
Please place professional seg '
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FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
office of the Building Inspector
Town Hall
Southold, N.Y.
PRE EXISTING
CERTIFICATE OF OCCUPANCY
No: Z- 26474 Date: 05/24/99
THIS CERTIFIES that the building R DWELLING
Location of Property 230 OYSTER PONDS LA ORIENT
(HOUSE NO. ) (STREET) (HAMLET)
County Tax Map No. 473889 Section 017 Block 0006 Lot 012
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- 26474 dated MAY 24, 1999
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 FRONT PORCH AND ATTACHED ONE CAR GARAGE.
The certificate is issued to STEPHEN B ALLIEGRO
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A
ELECTRICAL CERTIFICATE NO. N/A
PLUMBERS CERTIFICATION DATED N/A
*PLEASE SEE ATTACHED INSPECTION REPORT.
alding In ector
Rev. 1/81
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
LOCATION: .._...................230 RTENT
SUBDIVISION: MAP NO.: LOT (S)
NAME OF OWNER (S) : RTFPHEN_B„_Ay,UE. ..............
OCCUPANCY: SINGLE FAM LY ........ STEPHEN S ALLIEGB4_.
ADMITTED BY: AL MOULD ACCOMPANIED BY: ,$
KEY AVAILABLE: SUFF. CO. TAX MAP NO. : 7;m6..:. . ....................
SOURCE OF REQUEST: JT,EV f $�J,SaE9LZN. ATTY. — _., DATE: 05/29/99
DWELLING:
TYPE OF CONSTRUCTION: # STORIES: 1.0 # EXITS: _2
FOUNDATION: _BLgQK_, _ CELLAR: FULL CRAWL SPACE:
TOTAL ROOMS: IST FLR.: 3 2ND FLR.: 0 3RD FLR. : _ Q
BATHROOM(S) : 1.0 TOILET ROOM(S) : 0.0 UTILITY ROOM(S) :
PORCH TYPE: WOOL (FRONT;") DECK TYPE: I PATIO TYPE:
BREEZEWAY: FIREPLACE: GARAGE: ..QNF—C#R
DOMESTIC HOTWATER: YES TYPE HEATER: aLQQ_., AIRCONDITIONING:
TYPE HEAT: OIL* WARM AIR: _..... .. HOTWATER:
OTHER:
GARAGE, TYPE OF CONST.: STORAGE, TYPE CONST.:
SWIMMING POOL: _ GUEST, TYPE CONST. :
OTHER: ....... _ .. ._ .......
VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE
ESCRIPTiON_ .,........................._,i W ... Md ..... ....,_,5
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REMARKS ,
INSPECTED BY: "� _ DATE ON INSPECTION: 00' f,q
MICHAEL J. VERITY TIME START: 10:30 AM END: 11:00 AM