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Home My WebLink About1000-66.-1-31 TOWN OF SOUTHOLD Rental Permit Permit No. 0185 Owner Halpert Article Sixth Trt Occupied as Single Family Dwelling (Main House) Located at 2125 Town Harbor Ln Southold 66-1-31 Address Village S/13/1- Maximum /B/LMaximum Permitted Occupancy 10 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. 9/17/2019 John Jarski Date of Issue Code Enforcement Officer This Notice must be posted by the main entrance at all times 14 Town Hall Annex 1 '; Telephone(631)765-1802 54375 Main Road �tiF Fax(631)765-9502 P.O.Box 1179 w Southold,NY 11971-0959 ' BUILDING DEPARTMENT TOWN OF SO SOLD RENTAL PERMIT APPLICATION Rental Permit Fee$200 (Application must be renewed every two years) Section A. Property Information: Rental Property Address: Tax Map Number: 1000 SECTION'" 1 G —BLOCK— LOT - �� 31 SECTION B. OWNER INFORMATION: I Property Owner Name: � �• � °� i Property Owner Legal Address: Property Owner Mailing Address: (Cannot be the same as Rental Property Address) w, . �d a - e" �„ m , . ro� 11 _51 Vb Telephone Number (s): A Property Owner Email Address: q �`�hllkl� A �N � BoyCcmcacf -6r 1n� ( q6 � 771-5 Page 1 of 4 Town Hall Annex Telephone(631)765-1802 54375 Main Road � �J Fax(631)765-9502 r . 11� mill u P P.O.Box 1179 Southold,NY 11971-0959 ` BUILDING DEPARTMENT TOWN OF S9 OLD RENTAL PERMIT APPLICATION ADDENDUM Rental Dwelling Unit Identifier: Requested maximum number of persons allowed to occupy each dwelling uni Number of Rooms in Rental Dwelling Unit: ��'1 Use and Dimension of each room: , ' oLLL " X, , �� Rental Dwelling Unit Identifier: �� .e°°� �� rw"' � Requested maximum number of persons allowed to occupy each dwelling unit:l Number of Rooms in Rental Dwelling Unit: Use and Dimension of each room: � ry511 a M , R g F ri 'k- .. ll � d n, Rental Dwelling Unit Identifier: Requested maximum number of persons allowed to occupy each dwelling unit: Number of Rooms in Rental Dwelling Unit: Use and Dimension of each room: SECTION F. PROPERTY DESCRIPTION: Number of Rental Dwelling Units on property: w�IT 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: 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: 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 0 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) cert fyun der 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 notifV 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 not the Town within five (5) business days s to any change to the information regarding Authorized Agent, Managing-Agent,or Site Manager. Property Owner's hlame-:�,ef-f Property Owner's Signature. k" ''° At 7 S orn to before me Ibis day of 2019 Official ary Public Slgnat� and Original Notary Stamp Ti ACEY L. DWY12H Page 4 of 4 BYOTAny PUBLIC,STATE OF NEW YORK N0-01 DW(:k'3N',�900 QUALIFIED 8N SUFFOLK COUNTY CMMISMN EXPIAES JUNE 3020a, -� —rWvl OV4eD TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING /STRAPPING [ ] INAL [ ] FIREPLACE & CHIMNEY ] FIRE SAFETY INSPECTION V [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) [ ] CODE VIOLATION [ ] CAULKING REMARKS: r r ' (0,ttb+ Gw DATE Wlllll&l,9 SC "+"� �a :m .;'1 Z 2 Y :' � Z O O .. .....� w CLOSET Flo 10 oLq �I T V O - www........ M r z m ... O c CA O CLOSEI f O � w � r ry� i� ' —,mrrr iiKKP rrrtrr +�'/9C' '6Y'I—K" lir i�=�i nu —3J 4'n. � �la"iX—..r vrv—IC4 n N�iM—ivmm u. fA. ii SUN ROOM I2, —�. _... � t DINING ROOM LIVING ROOM CLADS cc KITCHEN _ PANTRY 6 I�� FOYER WDR /01 s 70 _ g 1 o _ m 3 m c cT QrD m k o a Z 0 (s r� 0 j a s to I � f1 �. r� � I y�w 4 1 I wJ �.. II ;�,d r 1 r I I IZZIN CD p i N r ' r r so V,J) I L CD m �� ,r O s 'wap' �3 dk NJ ^ j Q 1 w �LI 1 M I G"S" In m I - �, f � m O� \ti m ,< r co a � r f 1 a fil f7l � H`v u� ':'� ,s.w^'�„„,.�.'� .,..r,.,,w,,,,,,^,,r-,.,..�^-,,.�--....°•.,.+.�^^,.,,r, r^.,..r�,»+— '^�.....r,w.�€ lain IF.. w KPd p v p F I 1 i i _ o k y n I 0 lia r .. Irl Yi p -- m M -11 p @ EA O s I p 6 wq 1 ... ....... I �w0 co 05- � -*. i � � rt - �. ., ._ 1.. r 1� m.. I r I w� ( 8 girde 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-20606 Date MARCH 23, 1992 THIS CERTIFIES that the building ONE FAMILY DWELLING Location of Property 2125 TOWN HARBOR LANE SOUTHOLD N.Y. House No. Street Hamlet County Tax Map No.. 1000 Section 66 Block 1 Lot 31 Subdivision_. Filed Map No. Lot No. conforms substantially to the Requirements for a One Family Dwelling built Prior to: APRIL 9f 1957 pursuant to which CERTIFICATE OF OCCUPANCY NUMBER Z-20606 dated MARCH 23, 1992 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 ACCESSORY 2 STORY GARAGE WITH GUEST ROOM ABOVE GARAGE BATHHOUSE ON BEACH BRICK BB * The certificate is issued to STUART B.GLOVER & MARTIN ZELNER SURVIVING TRUSTEES OF MARGARET S. KAT°ZENBERG (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL NIA UNDERWRITERS CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A *PLEASE SEE ATTACHED INSPECTION REPO - biilding Inspector Rev. 1/81 BU=-7-:-- TO'-',-if OF 30UT:iOLD, ,d. Y. HOUSI= CODS INSPECTION iZEFORT Location 2125 TOWN HARBOR LANE SOUTHOLD, N.Y, (nunocr 6c vzreec) t lu c.i allry) Subdivision Mav No. Lot(7,) Name of owner(z) STUART B- GLOVER 6 MARTIN ZELNER, TRUSTEES OF MARGARET KATZENBERG Occupancy A-I RES. (type) OWner-eenant) Admitted by: EDWIN DONLIN Accompanied by: SAME Key available Suffolk Co. Tax Dfo. 66-1-31 Source of request STUART B. GLOVER DatO 2/14/92 D?!�LING• Type of construction WOOD FRAME 4stories 2 STORY Foundation CEMENT Cellar FULL Crawl space Total rooms, 1st. F1 3 2nd. F1 6 3rd. Fl Ba throom(s) 2 FULL BATHS Toilet room(s) ONE Porch, type ENCLOSED Deck, type Patio, type Breeze';Iay GaragFw Utility room Type Heat LILCO GAS Warm Air Votwater xx Fireplace(s) ONE No. Rcits 3 _ Aircor_ditioning Domestic hotwater YES Type heater-.-- Other eater _Other ACC-SSOR`fSTRUCTURES: Garage, type const. 2 STORY 2 CAR Storage, type const. ATTACHED TO GARAGE Swim-min- pool Guest, type const. ABOVE GARAGE - 1 ROOM ITH BATA. Other BATH HOUSE (CABANA) ON BEACH, BRICK BBQ, S BRICK PATIO NEXT TO GARAGE. OLATIO : CHAPTER 45--N.Y. STATE UNIFORM FIRE V-' �'NSPREVENTION V 6 ISUILDLNG CODE T nr.a,tion DeEcrintion Art. Sec I , ----�:�IL= I� Remar!cs: _ r _ Insuccted by: " c Date of Insp. MARCH 4, 1992 CAR .1"" FISH Time start 9:30 AM end 10:15 AM FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Clerk's Office Southold, N. Y. Certificate Of Occupancy No. x 51.93. . . . . . Date . . . . . . . . . . . . .June- - .13. . . . . ., 197-3 . THIS CERTIFIES that the building located at . .E/S- .Tower. Harbor .La. . . . . Street Map No. ?x. . . . . . . . . Block No. . . XX . . . . .Lot No. .3m. . . S(MU01d. . X.Y.. . . . . . . . . . conforms substantially to the Application for Building Permit heretofore filed in this office dated . . . . . . . . . . .fty. . .l+ . . ., 1973. . pursuant to which Building Permit No. .6 54-17, dated . . . . . . . . . . .Mayr. . . !+ . . ., 19!7.3 ., was issued, and conforms to all of the require- ments of the applicable provisions of the law. The occupancy for which this certificate is issued is . . .Private. accessory. building with -addition. . . . . . . . . . . . . . . . e . . . , . The certificate is issued to .H. .Kat enberg. . . . . . (owner, lessee or tenant) of the aforesaid building. Suffolk County Department of Health Approval R..R.. , . , . . . . . .. . , , . . , , , UNDERWRITERS CERTIFICATE No. . 21.R.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . a . . , , „ , , HOUSE NUMBER. . .212.5 . . . . .Street. . . . .Town. Harbor Jane . . . . . . . . . . . . . . . . . Building hivector FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-23741 Date JUNE 29, 1995 THIS CERTIFIES that the building ACCESSORY Location of Property 2125 TOWN HARBOR LANE SOUTHOLD, N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 66 Block 1 Lot 31 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated OCTOBER 25, 1993 pursuant to which Building Permit No. 22374-2 dated OCTOBER 12, 1994 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 TENNIS COURT WITH FENCE AS PER ZBA #4268. The certificate is issued to . EDWARD & EVELYN HALPERT (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A ui ding Inspec err 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-25437 Date DECEMBER 16, 1997 THIS CERTIFIES that the building ACCESSORY Location of Property-2125 TOWN HARBOR LA. SOUTHOLD, N.Y House No. Street Ham let County Tax Map No. 1000 Section 66 Block 1 Lott 31 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in thin office dated APRIL 18, 1997 pursuant to which Building Permit No. 24099--2 dated MAY 5, 1997 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 GARAGE WITH STORAGE FOR AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to EDWARD HALPERT (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL _ N/A UNDERWRITERS CERTIFICATE NO. N-435762 - OCTOBER 24, 1997 PLUMBERS CERTIFICATION DATED- N/A Building Ins ector 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-25436 Date DECEMBER 16, 1997 THIS CERTIFIES that the building ADDITION & ALTERATION Location of Property 2125 TOWN HARBOR LA. SOUTHOLD, N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 66 Block 1 Lot 31 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated APRIL 18, 1997 pursuant to which Building Permit No.-24099-Z dated MAY 5, 1997 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 ADDITION & ALTERATION TO EXISTING ACCESSORY GUEST UNIT AS mm PER ZBA #4453 DATED 3/19/97 AS APPLIED FOR. The certificate is issued to EDWARD HALPERT (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N-435762 — OCTOBER 24, 1997 PLUMBERS CERTIFICATION DATED OCTOBER 28, 1997-JOHN HOUSTON Building Inspector Rev. 1/81 MIA, Town of Southold 9/17/2019 'v: P.O.Box 1179 53095 Main Rd , f4 Southold,New York 11971 tP CERTIFICATE OF OCCUPANCY No: 40700 Date: 9/17/2019 THIS CERTIFIES that the building HVAC Location of Property: 2125 Town Harbor Ln, Southold SCTM#: 473889 Sec/Block/Lot: 66.-1-31 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 8/20/2019 pursuant to which Building Permit No. 44111 dated 8/29/2019 was issued, and conforms to all of the requirements of the applicable provisions of the Iaw. The occupancy for which this certificate is issued is: "AS BUILT:"AC UNIT AS APPLIED FOR The certificate is issued to Halpert Article Sixth Trust of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 44111 09-13-2019 PLUMBERS CERTIFICATION DATED _ ... ....m......_ _.. _.._ Au ...... . .. thorized Signature