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Home My WebLink About1000-63.2-1-2 y TOWN OF SOUTHOLD -` Rental Permit 0159 Owner Richard & Karen King (Unit 5B) Occupied as Single Family Dwelling Located at 2555 Youngs Avenue Southold 63.2-1-2 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. 9/15/2022 Code meat 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, `4. Rental Inspection NY 11971-1179 Tel: 631-765-1802 Fax 631-765-9502 SCTM # Date Owner Phone 3'IL, 2-5' W -� Address W/ Zip Hamlet .o. Inspector �...... Address visible from street? LEVELS SUB 1 3 Smoke Detectors (#-bedroom detectors excluded) Carbon Monoxide Detectors (#) Fire Extinguishers(#) Exits(#) BEDROOMS 4 5 Smoke Detector Alarms (#) Carbon Monoxide Alarms (#) Egress(windows) (Y/N) BUILDING SYSTEMS (* N 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/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: X TOWN OF SOUTHOL F Rental Permit Permit No. 0159 Owner Richard & Karen King (unit- 5B) Occupied as Single Family Dwelling Located at 2555 Youngs Ave. Southold 63.2-1-2 Address 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. 8/16/2019 John Jarski Date of Issue Code Enforcement Officer This Notice must be posted by the main entrance at all times Wr Town Hall Annex Telephone(631)765-1802 54375 Main Road Fax (631)765-9502 P.O.Box 1 179 Southold,IVY l 1971-0959 BUILDING DEPARTMENT TOWN OF SOUTHOLD Mailing Address of Managing Agent: W. .. Telephone Number (s): Daytime Evenin 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: Number of rooms in Rental Dwelling Unit: Use and Dimensions of each room in Rental Dwelling Unit: f lei Page 3 of 5 s Telephone(631)765-1802 Town Hall Annex v Fax(631)765-9502 54375 Main Road P.O.Box 1 179a � Southold NY 11971-0959 u U � �.,r 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 professlonal 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 ❑ I 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 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„war la 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: ” 'j Property Owner's Signature: _ .. , Sworn to before me this day of ....,IT20,-10a -"4) L—e N, Official Notary Public Signature and Original Notary Stamp CONNE C.'i Ui CF' Notary Public,'Mate of Now York New.016 618550 Qualified in cuff lk Country Commis ls�n xoires Aoril t .— Page 5 of 5 TOWN OF S L BUILDING DEPT.765®1802 INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLEIG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING /STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY [✓j FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) IIS '; IIE VIOLATION [ ] CAULKING REMARKS: + Ile � Cq-)ot fiw :glel VdVe., jqlml INSPECTORDATE �I�I III � h hill �J, 1 (t 19 r I I JII � I jj� C C IO ftA zi .. " xrTI 0: X00 ,q .... A 0 corr CIO 3: Do co xTi 10 rTI 0 1700 z r Co Iz rmT Cl ,.. �° co9 ............ ------------ rn cn 112 Cl) z 71 71 ............ c CC) 0 -n m 0 x --i z Z m 0 m M 0 0 Z Z 0 > 0 m rn Di IF , 'U :u cn 0 0 m oo 0 0 _.....m.b .,.o.ow ® -o m m m m CD C o O o w x x b x O W + CD0 n CD @ IT CD w N x ::r a : _-j+a co En U CL CD 10 »a I ,ma � , IL r � MMWdN Jp f M"C IN f� w t� r a r � I� ® x N c m m IT m w (Ail 0 CD r 7 .. i .rr MUMm arm ir�awx�mremv��rsrs�-�a>v",url+'� i �� I r' 1 ff,rG.tiPYk�+.�,Id..:.,.t4�k„uF IG+Am,Nm,�"F.a�'�IA ➢I 4m W u � Q� n OVI m .w m. m �I`IMI�JW7( f � miVU��i�rVdM'F,G�r...Y"�"k'4��”�,41M Y,'o°"JYb�(1.4q..:IXJeIRt'4.-+.RikM,tl✓P7'fEMlri411Cr� NY�"�6�P�N^f1"MMIh$'W1✓;,��W.Mr ,Mq�kMM.. d�". py y \J { s � . d ' FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z17930 Date APRIL 6, 1989 THIS CERTIFIES that the building MULTIPLE DWELLING Location of Property 2555 YOUNGS AVENUE SOUTHOLD House No. Street Hamlet County Tax Map No. 1000 Section 063.2 Block 01 Lot 02 Subdivision FOUNDERS VILLAGE Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated APRIL 1 1987 -----Pursuant to which Building Permit No. 15839Z dated APRIL2, 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 BUILDING #5 UNIT B IN MULTIPLE DWELLING. The certificate is issued to LIZDA REALTY LTD. (owner, ) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL S-54 FEB. 1 1989 UNDERWRITERS CERTIFICATE NO. PENDING SLIP 4 6 89 PLUMBERS CERTIFICATION DATED MICHAEL, DUFF 153-P 1/30/89 VILLAGE OF GREENPORT WATER DEPT. APPROVAL 1/19/89 ti Building Inspector Rev. 1/81