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Home My WebLink About1000-30.-2-108 T U'WN OF SOUTHOLD WW Renta) Permit 0183 Owner 260 The Cross Way LLC Occupied as Single Family Dwelling Located at 260 The Cross Way East Marion 30-2-108 Maximum Permitted Occupancy 6 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. 10/13/2022 Code Enforcem fficial This Notice must be posted by the main entrance at all times OFF � OL,�' Town Hall Annex y, SOUTHOL.D TOWN 54375 Main Road PO Box 1179 Southold, Rental Inspection NY 11971-1179 Tel: 631-765-1802 Fax 631-765-9502 �'+ vp V ,'M ��f/i�l/ Owner Li/i Gr / /11 „� l o„c,✓, %` iry �� ✓airy%Fi�i�//j//!��%ljoify�,ln;. WowI r r „i;;,r V LEVELS / iii/r1 e' Smoke Detectors (#- bedroom detectors excluded) Carbon Monoxide Detectors (#) Fire Extinguishers{#) Exits (t) X BEDROOMS 5, Smoke,Detector Alarms (#) Carbon Monoxide Alarms (#) Egress (windows) ( `/N) BUILDING SYSTEMS CONDITION OF PROPERTY I 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 YIN 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: FULA- TOWN OF SOUT OLD Rental Permit Permit No. 0183 Owner 260 The Cross Way LLC Occupied as Single Family Dwelling Located at 260 The Cross Way East Marion 30-2-108 Address Village S/13/1- Maximum /B/LMaximum Permitted Occupancy 6 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. 9/13/2019 John Jarski Date of Issue Code Enforcement Officer This Notice must be posted by the main entrance at all times p re�� i tl � Vi Town Hall Annex I Telephone(631)765-1802 54375 Main Road µ ( ) 502 M P.O.Box 1179 Fax 631 765 9 Southold,NY 11971-0959 BUILDING DEPARTMENT 2019 TOWN OF SOUTHOLD :ili `i", RENTAL PERMIT APPLICATION Rental Permit Fee $200 (Application must be renewed every two years) Section A. Property Information: �p� ohne r� Rental Property Address: MY Tax Map Number: 1000 SECTION _j —BLOCK LOT , SECTION B. OWNERINFORMATION: Property Owner Name: b Property Owner Legal Address: Property Owner Mailing Address: (Cannot be the same as Rental Property Address) Q Q637 fW 7 .... _ __.. 6 3 7 Telephone Number (s): Property Owner Email Address: Page 1 of 4 Section C. Authorized Agent 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): Email Address: Section D. Managing Agent Information: Name of Authorized Agent of dwelling unit, if any IVMIP Address of Authorized Agent (no P.O. Boxes):__ Mailing Address of Authorized Agent: Telephone Number (s): Email Address: t ca 0, 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) Mailing Address of Managing Agent: ..... ...... Telephone Number (s): ._. Email Address: Page 2 of 4 SECTION F. PROPERTY DESCRIPTION: Number of Rental Dwelling Units on property: t 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: 10 Requested Maximum number of persons allowed to occupy Dwelling Uni : o Number of rooms in Rental Dwelling Unit: Dimensions of each room in Rental Dwelling Use and Dime g Unit: 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 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. Page 3 of 4 ❑ 1 am submitting a completed n of Southoldcertification 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. Signature tri r of the dwellingit. STATE ) COUNTY OF ) SUFFOLK) I _ „ b _' certify r penalty of perjury,the following: . 1 am the owner of the property identified i "Section " of this application. . The property owner's legal aress set forth i "Section " 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 BuildingDepartment of any changes of address within five ( ) days of any changes thereto. . 1 have read and received a copy of Chapter 207 of the Code of the Town of Southold n agreedto abide by the same. . 1 will notify the Town within five ( ) business days s to any change to the information regarding Authorized Agent, ManagingAgent, or Site Manager.. Property ners Property is Signature:wp "31 Sworn to before me this day Of _ ... _. __ µwww,,,, 20... „ DENISE A. NAVARRA NOTARY PUBLIC-STATE OF NEW YORK .m- •- No. O1 NA6191295 mm _ ..._._ ....`°° Qualified In Suffolk County Official Notary Public Signature and Original Notary Stamp My Commission Expires I Page 4 of 4 1 O CmsiCA) (Y\tt on 3ID. TOWN OF SOUTHOLD BUILDING DEPT. 765®1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING /STRAPPING [ eFIRE AL 44Q,FIREPLACE & CHIMNEY [ SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) [ ] CODE VIOLATION [ ] CAULKING i l , r w DATE INSPECTOR I J--- 5A 4 f u _4 F �. a, WO �0 v� m i r n 1 i { I ` i Ol cn a rn Ln on 1 f r t 0 i I � ., 1 x ^� e.�_ r z z 7C r O m m Z Z i ov C 0` I 4 y o " V 66 JYII Y nAb rt.. vM1 o W -i O tiN � N r I I y f� i i a I f , r 1 � N 1 co +. �^rc r � m q 6 k I w f 1 W c - 41— CD �° _ ... ..�.. . � l i � � I O fD _ f i C 1 i O -. O 4 � o i „ r -r i 3 0 i . I D I W , � f I I FORM NO.4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Clerk's Office Southold, N.Y. Certificate Of Occupancy No. . . .?10014 Date . . . . . . . . �?t4 . 2 . . . . . . . . . . . . . . . .. 1980. THIS CERTIFIES that the bu-ilding . . . . . . . . . . „ . . . . . . . . . . . . . . . . . . . . . . Location of Property 260 The Crossway , . . House IVo. Street Hamlet County Tax Map No. 1000 Section . . . . .Block . . . .2, - - -Lot . . . . . , 1OB Subdivision . Pebble Beach, Farms. . . . , , . .Filed Map No. . . . . . . . .Lot No. . . . .41. . . . . . . conforms substantially to the Application for Building Permit heretofore filed in this office dated August.291 _ . , , , , 19 .79 pursuant to which Building Permit No. . . . . . .!W,5,5 . . . • • • • dated . . . August 29„ , , „ „ . 19 79 ,was issued, and conforms to all of the requirements of the applicable provisions of the law. The occupancy for which tlus certificate is issued is . . . . . . . . Private,One Familyo.W44ng. . . . . . . . „ . . . . . . . . . . . . . . . . .. The certificate is issued to . . . . . Pebble Beach Farms* Inc. , . , , (oWner, of the aforesaid building. Suffolk County Department of Health Approval �Qt . 1984. . • 9-Sn• 77• . • . . UNDERWRITERS CERTIFICATE NO. . . . . . N„x#$17.0.4. . . . . . . . . . . . . . . . . . . „ . . . . . . . . . . . Building Inspector Rev 4/79 FORM NO.4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy No. Date . . . . . . . .August. 1.2 , » « . « . , . . , . . 19135 . THIS CERTIFIES that the building . . . . ,deck addition. . , , . ^ , Location of Property ? » . . . . . . . . , . . . . . , The Cxossway« . . . . , East Marion House No. Street Ham%et County Tax Map No. 1000 Section . . . . . 3Q . . . .Block . . . .2. » » . , . , . . «Lot . , , .108. , Subdivision . PebbJ-.e. . . . . . . . .Filed Map No. . .6266 .Lot No. .4:1. . . . . . . . . . conforms substantially to the Application for Building Permit heretofore filed in this office dated August 1 — , 19 .80 pursuant to which Building Permit No. . . . :825z. . . . . . . . . . . dated August 11 . . « . _ . . . , , , 19 8. ,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 Deck addition to existing dwelling. The certificate is issued to . . . . . . . ..TACQIIELIN.E . , `�JirkT . « . « . . . . . . . . » „ ... . . . . . . of the aforesaid building. Suffolk County Department of Health Approval . . . . . . . . . . . . . . . . . , , . , . . . . . .. UNDERWRITERS CERTIFICATE NO. . . . . . . . . . . . . . . . . . . . . . . N/A . .. . . . « Building Inspector. Rev.1/81