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Home My WebLink About1000-38.-7-10.9 -r� � TOWN OF SOUTHOLD g E Rental Permit 0175 Owner Stephanie Ishan Occupied as Single Family Dwelling Located at 1050 Shipyard Lane East Marion 38.-7-10.9 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. J 4/1/2024 Codejr e e Official This Notice must be posted by the main entrance at all times C1i SIU y` TOWN OF S UTHOLD BUILDING DEPT. 0�(C) tAylt 631-765-1802 -- �, 1 N%6`117-9m v to c T 0 N [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION/CAULKING [ ] FRAMING / STRAPPING [ ] F AL [ ] FIREPLACE & CHIMNEY [ FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FI ) [ ] CODE VIOLATION [ ] PRE C/O [ RENTAL oe alto 4-,d REMARK qkAw zqAki- DATE INSPECTOR T `WN OF SOUTHOLD 0 IRDIA, � 3 Rental Permit 0175 Owner Stephanie Ishan Occupied as Single Family Dwelling Located at 1050 Shipyard Lane East Marion 38-7-10.9 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. 8/31/2021 ` ode En r M , t ficial This Notice must be posted by the main entrance at all times SOUTHOLD TOWN Town Hall Annex 54375 Main Road PO Box 1179 Southold, amw Rental Inspection NY 11971-1179 * Tel: 631-765-1802 Fax 631-765-9502 F 4.. SCTM # Date 3 Z Owner S Phone 5 j C �� o 2fl Address t Zip Hamlett n�„f� Inspector Address visible from street? LEVELS SUB Smoke Detectors (#- bedroom detectors excluded) Carbon Monoxide Detectors (#) Fire Extinguishers (#) Exits(#) BEDROOMS 1 2 3 5 Smoke Detector Alarms(#) �_ L"oo_ Carbon Monoxide Alarms (#) Egress(windows) (Y/N) L-o BUILDING SYSTEMS C/o CONDITION OF PROPERTY N 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 p0 Y POOL BARRIERS Y Pool present Pool is completely enclosed Pool surface alarm and/or door alarm Barrier is a min.48" high resent POOL GATES Wit 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: J,2 v u e r,4- 14 S7L( 2344 Z,0-0 TOWN OF SOUTHOLD A IFfOR,* Rental Permit U kA Permit No. 0175 Owner Stephanie Ishan Occupied as Single Family Dwelling Located at 1050 Shipyard Lane East Marion 38-7-10.9 Village S/13/1- Maximum /l3/LMaximum 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. 9/9/2019 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 1 179 a '� ou 1q]d,,N'r' 11971-0959, . ., OUR BUILDING DEPARTMENT TOWN OF SOUTHOLD RENTAL PERMIT APPLICATION APR ?nlg Rental Permit Fee (Application must be renewed every two years) Section A. Property Information: RentaZP arty Address:oS __ p— Tax Map Number: 1000 SECTION � '�� B;LOCI I wLOT: SECTION B. OWNER INFORMATION: Property Owner Name: Property Owner Legal Address: Property Owner Mailing Address: ��' Telephone Number(s): Daytime I v7 43-74 Evening Emergency Property Owner Email Address: `" ' � U� " Page 1 of 5 441- Telephone(631)765-1802 HaII Annex Fax(631)765-9502 Main Road 0.Box 1 179 11971-0959 the Et)'tLEaaPNGDEPARTMENT' �TENT TOWN OFSOUTHOLD in Agent:. , dress of Managing g f` Da 1m Evening, Emergency. bp 'Number(s): Daytime ll/ ress: /Jf� a, "I"F. L'each y�ber of RentalDwelling Units on propertRer�talUwelNing Unit set forth the Rental Dwelling Unit identifier(for example, Unit 2, Unit car Apt B, C);the use of each room in the Rental Dwelling Unit ampie, kitchen, Bedroom 1, Bedroom 2, Living Room) and the dimensions of each a�. h.MVftiple Rental Dwelling Units use "Rental Permit Application �„�x�erlilfie r: „ ber of persons e copy Dwelling Unit: � l Dw+ellng U 15 � h on in Renta g ni . t �r Page 3 of 5 Town Hall Annexa Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 Y.O.Box 1 179 Southold,NY 11971-0959 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 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. I am requesting a fire safety inspection to be performed by a Code Enforcement Official q 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) Ilv zo . AAO 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 applicptiion 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 �J 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 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: w Property Owner's Signature: Sworn to before me this OdaY of � 1�' 20 r � �� Official Notary Public Signature and Original Notary Stamp DIANE DISALVO NOTARY PUBLIC-STATE OF NEW YORK No. O1 D1475593 Qualified In Suffolk County My Commission Expires April 30, 20??' Page 5 of 5 00 Shy � ��I�i 1Y1�9✓co� �� —� . �o,� TOWN OF SOUTHOLD BUILDING 7651-1802 INSPECTION ] FOUNDATION 1ST ] ROUGH PLBG. ] FOUNDATION 2ND ] INSULATION j ( ] FRAMING /STRAPPING ] FINALW4 r / 1 ] FIREPLACE & CHIMNEY 14 FIRE SAFETY INSPECTION ] FIRE RESISTANT CONSTRUCTION ] FIRE RESISTANT PENETRATION ] ELECTRICAL (ROUGH) ] ELECTRICAL (FINAL) ] CODE VIOLATION ] CAULKING a .4� V-v— liosww mes �vj P DATE INSPECTOR 0� TOWN OF SOUTHOLDBUILDING s 765-1802 INSPECTION [ ] FOUNDATION 1ST L ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING / STRAPPING [ ] FINALVV� " ,4 [ ] FIREPLACE & CHIMNEY [�J FIRE ff ETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) CODE VIOLATION [ ] CAULKING L REMARKS: i INSPECTORDATE ; $ Imo_ Union 1 w v "WITUMN 4 s l f ST f y 1 a LASWfU51 pollW rww M-1.0 r , r oilp 5 d d 1P5 W 6=' i5 iYi k� y a l . —r vr a"e vv "" y p rxM r.;e it Hall o- 1 If I r S ly t n, _ 77 gag 1 ' � P 1, Am 7 y. a 71 ,r !I I i WHO `x I� x l 1 r rI n i q' F w =i e 0 x olm N�N Y a b F A' L f 23 gr4 — a M1, 4 Y W �y Or yqY lv9 (� 6 Al14111 4 ID a,.,aLu�r fc a �h^mr�� r;' iE- sb^ 0 a l�x — C v<i.°-Lf g z � ti �. L �flNc yc ocft( n s xn}}x g 1n Z 3oi9 y tl R m z Et x " q 6, g � •u w � i--. t . o / W �T . l - } y�1R �7 a 0 I! u ' v rW C Y �C � w. 2 � a`� ro L t WNJ p � 2 f a tt � II I m y pp Vi' L C a , v p � o x• __. _._.i�'�i r~n1.jlf L�{L—� � �� yrg I _ _—:tom`„— J- ,I 1' f cl--r s n5 y ( r � a 4 � { 4 I _ 1" oOI 75 '777 f " m 1 M 2 ...v O M mv0 ,4 D7� al Z D Cf) r D O o m . � 4 m Z z 11 O D n o m „ . � 1 m �L n0 r �r� O �r cz m r " O O k C D D U) 0 D � O r m O co m O 0 �° rr � y s.4 yl D 6 o o C7 I o mCD m ;r1 y S6 min 77N G• 4 s �,' i �� ti 00 „« 7 7 1 rn�� tr- bd W 1 CD gn w ? 0 ® f CDo vz c 6 � O a co X aha 1�nY 4 1 � i ® n � I ID Y l ID r FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y_ CERTIFICATE OF OCCUPANCY : Z-30268 Date: 06/28104 THIS CERTIFIES that the building NEIN DyJELLING Location of Property: 1050 SHIPYARD L-A EAST MARION (HOUSE NO.) (STREET) (HAMLET) County Tax 'Mar „14o. 4"73989 Section 38 Block 7 Lot 10.9 Subdivision Filed Map No_ Lot NO conforms substantially to the Application for Building Permit heretofore filed in this office dated OCTOBER 11, 2002 pursuant to which • OCTOBER,. 002 Building Permit No. 28832-Z dated 16, 2 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 COVERED FRONT PORCB REAR DECK AID AT ACS D TWO CAR GARAGE AS APPLIED FOR. _ The certificate is issued to GUSMAR REALTY CORP (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL RIO-02-1048 06/1.8/04 Rr.RCTRICAL CERTIFICATE NO. 4038 05/06/04 PLUMBERS CERTIFICATION DATED 03/24/04 BRIAN PLATT 7rL.: a zed Signa re Rev. 1/81