HomeMy WebLinkAbout1000-70.-12-37 Rental Permit
T OWN OF SOUTHOLD
0
0162
Owner 1690 Bayview Associates
Occupied as Single Family Dwelling
Located at 1690 N Bayview Rd Southold 70-12-37
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 _
Code Enforc t Official
This Notice must be posted by the main entrance at all times
Town Hall Annex
SOUTHOLD TOWN
54375 Main Road
` ,t PO Box 1179 Southold,
�� Rental Inspection
t NY 11971-1179
Tel: 631-765-1802
Fax 631-765-9502
SCTM # 7D Z J -7. Date �7 2
Owner kV 6� �D G Phone At 2 6 - 33Q
Address 16D (. W Zip 011-?,;?
HamletpU ( Inspector
Address visible from street?
LEVELS SUB 1 2 3
Smoke Detectors (#-bedroom detectors excluded)
Carbon Monoxide Detectors (#)
Fire Extinguishers (#) i
Exits(#)
BEDROOMS 1 2 - 3 4 5
Smoke Detector Alarms(#) i
Carbon Monoxide Alarms (#)
Egress (windows) (Y/N)
BUILDING SYSTEMS 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 POOL BARRIERS
Pool present Pool is completely enclosed
Pool surface alarm and/or door alarm .
Barnm.Barrier is a m 48„ high
resent g
POOL GATES 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:
Building Department
Town of Southold
To Whom It May Concern:
I would like to renew the existing rental permit (Permit No. 162) for
1690 N Bayview Road in Southold. There has been no change in the
property or application.
To schedule an inspection (if required), please contact the authorized
agent for the house, Henry Santacroce, at 631-236-3399.
— /
Thank you, '.mm'`s° :�:
JUI 2021
Lauren Gordon
1690 Bayview Associates
TOWN OF SOUTHOLD
g
Rental Permit
Permit No. 0162
Owner 1690 Bayview Associates
Occupied as Single Family Dwelling
Located at 1690 N Bayview Rd Southold 70-12-37
Village
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.
8/21/2019 John Jarski
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 ;J1
Southold,NY 11971-0959 , t
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
RENTAL PERMIT APPLICATION
Rental Permit Fee $200(Application must be renewed every two years)
Section A.
Property Information:
Rental Property Address:
���. ��e.v� �vaa� S,,✓�d�°� PI��' �
Tax Map Number: 1000 SECTION q® BLOCK 12— LOT 3
SECTION B.
OWNER INFORMATION:' I
Property Owner Name: 1 b C1 0 8 jA V je-d k�oc, �ctTe__,g�
Property Owner Legal Address: Property Owner Mailing Address:
(Cannot be the same as Rental Property Address)
v
fjw" v 1 x_1?1 Ow o 1 g'
Telephone Number(s): 912-
Property
12sProperty Owner Email Address:4�LG� � �'�'� a0( . GON'►
Page 1 of 4
Section C.
Authorized Agent Information:
Name of Authorized Agent of dwelling unit, if any:
m. �
Address of Authorized Agent (no P.O. Boxes):
Mailing Address of Authorized Agent:
Telephone Number (s): 6 :
Email Address: „���T vv gym. "CW"C' 0 (1.(A ,,
Section D.
Managing Agent Information:
Name of Authorized Agent of dwelling unit, if any: .m..
Address of Authorized Agent(no P.O. Boxes): „ � r
.gym. .
Mailing Address of Authorized Agent:
Telephone Number(s): ' 3, m wD3 el.
Email Address: „� ;„' -(--0 v° ,
SECTION E.
SITE MANAGER INFORMATION: (required for rental properti ,, i~ wining 8 or more rental units)
Name of Managing Agent of dwelling unit, if any:
Address of Managing Agent (no P.O. Boxes
Mailing Address of Managing�A, nt:
Telephone Number )°ti'
Email Addr ,�-s.
Page 2 of 4
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, 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:
ee
Requested Maximum number of persons allowed to occupy Dwelling Unit'
Number of rooms in Rental Dwelling Unit19
:
Use and Dimensions ofe� � room Rental Dwellinfi,Unit: r ' �� �� ofu
ach m
'019,
if 21
W—Vlcly Fell 'y' " 13 13r a `
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 NYS licensed architect, a NYS 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 lays 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.
Page 3 of 4
❑ 1 am submitting a completed Town of Southold certification form from a licensed
architect, a licensed professional engineer, or a licensed home inspector who has a valid
New York State Uniform Fire Prevention Building code Certification.
SECTION H.
DECLARATION: Signature must be notarized and MUST be the owner of the dwelling unit.
STATE OF NEW YORK)
}
COUNTY OF SUFFOLK)
1 �s k/ e ,,� V V`4 w 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
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 s to any change to the information
regarding Authorized Agent, Managing Agent, or Site Manager.
Property Owners Name: v,e / ' "a 0 V
Property Owners Signature:
Sworn to before me 1 day of , 201q
Official NoOiy Public Signat g and Original Notary Stamp
TRACYn... DWYER Page 4 of 4
NOIARY PUBUC,STATE OF NEW YORK
NO01 DW6306900
QUALR EI)IIN SUFFOLK COU ITY
��vlt44) AOWATOWN OF SOUTHOLD BUILDING
DEPT.
N � 765-1802
INSPECTION '
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INSULATION
[ ] FRAMING /STRAPPING [ FINAL
] FIREPLACE & CHIMNEY [ ] FIRESAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL)
[ ] CODE VIOLATION [ ] CAULKING
REMARKS:
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INSPECTOR
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FORM NO.4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Town Clerk's Office
.Southold,N.Y.
Cerfi6mte
Y
No. . . . .965.' . . . . . . . . Date . . . . . . .Asst. 31 . . . . . . . . . . . . . .. 19 . .79
THIS CERTIFIES that the building . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Location of Property . !A99.NQ AW
0,4N.A0,4N. 4 . . . . . . . . . . . . . . .
H .o No. xr
County Tax Map No. 1000 Section . . . .0'10. . . .Block . . . . . . .1.2 . . . . . .Lot . . . . .3.7.. . . . . . . . .
Subdivision . . . . . . XXXXXXXX . . . . . . . . . . . . . .Filed Map No. : . .mot No. . . , : . . .
conforms substantially to the Application for Building Permit heretofore filed in this office dated
. . . . April .17. . . . . . . , 19 '7.9 pursuant to which Building Permit No. . . . . . .1.0175. . . . . . . . . .
dated . . . .April. 16. . . . . . . . . . . . . . 19. '79 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 . . . . , . .. .
. . . . . . . . . . . . .rPV0e. one.F Mily. Dwel].ing. . . . . . . . . . . . . . . . . . . . . . . . . .. . . . .
The certificate is issued to . . Rgger. .W.. amd.
of the aforesaid building.
Suffolk County Department of Health Approval . .9-SO-3- 0 . -8/30/79, — .
UNDERWRITERS CERTIFICATE NO. . .44.7A99. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. .
r47, r,
Building»Inspector
Rw 4M
FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No: Z-33934 Date: 09/02/09
? _ GARAGE
THIS CERTIFIES that the buildingACCESSORY
Location of Property: _ 1690 NORTH BAYVIEW RD SOUTHOLD
(HOUSE NO.) (STREET) (HAMLET)
County Tax Map No. 473889 Section 70 Block 12 Lot 37
Subdivision Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated MARCH 27, 2008 pursuant to which
Building Permit No. 33824-Z dated APRIL 15, 2008
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 ONE CAR GARAGE AS APPLIED FOR.
The certificate is issued to 1690 BAYVIEW ASSOCIATES
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 4003448 07/16/09
PLUMB "PLUMBZRS CERTIFICATION DATED N/A
Au t h r _..
. ized Signature
Rev. 1/81
FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
NO: Z-33935 Date: 09/03/09
THIS CERTIFIES that the building ADDITIONS/ALTERATIONS
p y BAYVIEW RD
Location of Property: 1690 NORTHSOUTHOLDmmmm _._. -.
(HOUSE NO. ) (STREET) (HAMLET)
County Tax Map No. 47„3,889 Section 70 Block 12 Lot 37
Subdivision Filed Map No- Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dat MARCH 25, 2008 pursuant to which
Building Permit No 3823-Z ted APRIL 15, 2008
was issued, and confo, o all of the requirements of the applicable
provisions of the law. The occupancy for which this certificate is issued
ADDITIONS, INCLUDING WOOD TRELLIS AND ON GRADE PATIO, TO
is ALTERATIONS AND AD .,..,,..._ ...................._��
W _..._._
AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR ,PER ZBA #6117 DATED 2/7/9.
The certificate is issued to 1690 BAYVIEW ASSOCIATES LLC ... .
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A
ELECTRICAL CERTIFICATE NO. 4003448 07/16f09
PLUMBERS CERTIFICATION DATED 07/23/ ZEE'S PLUMBING & HEAT
r'
Autllj rized Signature
Rev. 1/81