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Home My WebLink About1000-66.-1-31 (2) -41 OF SOUTHOLD z",C*1 aw- Rental Permit 0186 Owner Halpert Article Sixth Trt Occupied as Accessory Guest Cottage Located at 2125 Town Harbor Ln Southold 66-1-31 Maximum Permitted Occupancy 5 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. 9/1/2021 3 Code EnforceOfficial This Notice must be posted by the main entrance at all times m w� SOUTHOLD TOWN Town Hall Annex 54375 Main Road PO Box 1179 Southold, PW Rental Inspection " *� NY 11971-1179 Tel: 631-765-1802 Fax 631-765-9502 r�.rou ve5� Co �� cool ( SCTM # Date / Owner GL I loe- CTI,L e S� ` Phone Address / ,2 � ` Zip t* 1 Hamlet soo ( � Inspector Address visible from street? LEVELS SUB 1 3 Smoke Detectors (#- bedroom detectors excluded) Carbon Monoxide Detectors(#) Fire Extinguishers (#) LX Exits BEDROOMS 1 3 4 5 Smoke Detector Alarms (#) IZ Carbon Monoxide Alarms (#) Egress(windows) (YIN) BUILDING SYSTEMS YN 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 NO 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: TOWN OF SO T OL � e 3 ME Rental Permit Permit No. 0186 Owner Halpert Article Sixth Trt Occupied as Single Family Dwelling (Guest Cottage) Located at 2125 Town Harbor Ln Southold 66-1-31 Address Village S/13/1- Maximum /B/LMaximum Permitted Occupancy 5 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 Town Hall Annex l Telephone(631)765-1802 54375 Main Road �r Fax(631)765-9502 P.O.Box 1179 � Southold,NY 11971-0959 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: i ,� � M Tax Map Number: 1000 SECTION h C ROCK LOT 31 SECTION B. OWNER INFORMATION: Property Owner Name: , � i Owner LegalAddress: (Cannot ybe he same as Rental Property Address) y ner Mixing 4_7 ,, � ti „ 144", �. viz l .. ,..w, a c a F Telephone Number (s): ('J" k 15 0 ` oma ,. �� Property Owner Email Address:. �� j' 01m Boyk, C a -fir inn � 431 q6 � 7H.5Aie Page 1 of 4 A 001 u Town Hall Annex r; r Telephone(631)765-1802 54375 Main Road ° i" Fax(631)765-9502 P.O.Box 1179 Southold,NY 11971-0959w �" , BUILDING DEPARTMENT TOWN OF SO OLD RENTAL PERMIT APPLICATION ADDENDUM Rental Dwelling Unit Identifier: allowed t� Requested maximum number f persons o p occupy each dwelling uni : � ' Number of Rooms in Rental Dwelling Unit: 10 d h room: Si Use andDimension o each ,r' 7 4 4, r .. ,Y ✓'� � m ri w a . ..a,, v.:F° <<' Rental Dwelling Unit Identifier: p t ", � ,•� � �`. °� " Requested maximum number of persons allowed to oc upy each dwelling unit; Number of Rooms in Rental Dwelling Unit: Use and Dimension of each room: 6 �,P � " rd a r...� 9 O ,. r P k w„ P w / �" rr N„ w.a OVAd oW,^� 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: 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:w_ 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 ' 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) 0 1 ')h-1t---? certify under penalty of perjury,the following: he 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 notify the Town within five (5)business days s to any change to the information regarding Authorized Agent, Managing Agent,or Site Manager. Property Ownees Name: Propertv Owner's Signature., S car n to before rare leis day of 'T Ix 201 J )Ukkik, Official ary Public SlIgnato and Original Notary Stamp rRACEY L. DMIYER Page 4 of 4 NOTARY PUBLIC,STAI-E OPNEW YOHK NO,0 1 DW63,o6q()O QUALI FIED IN SUFFOLK COUNTY CC)MMISSION EXPIRES JUNE 30,g03,L�4r_ 00 'af so TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTIONi [ ] FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING /STRAPPING ] INAL L [ t v 7 [ ] FIREPLACE & CHIMNEY ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) [ ] CODE VIOLATION [ ] CAULKING 0#4n m SA ova, �` ? INSPECTORDATE �Y4;� w rr m m X X oZ ........... OL 1 Z 0 En1\Z, QM ..... ------- M,o 0 m ......... i� r D m vo X o0 — m ;o o — corn N co— 10 J _.. W ._ ... d o CD o ca m o �' = o C.) Z •"^ z w a� gra ........ .......... . ............... ..................... L co 144, CDSlo' 371 CD ........ pvj, n IVAN rrw > - --------- ......... 'xJ Ly Tit 0 ......... n> 0 Ax ES 1-71 M mi x x00 �� rD a q I I i d nI /� r �..,.�...... ......,... �_ (rte ✓ r„� I rU� `a I �—� � � � i; � ��ji c lg� I d �• M 0fl CL t O _ .. r � _ i r [t I ; r Y 1 � O O CD o _ z ry I � � i l O cn „ 0 O E n -- i 1 G-,; I 1 l r Y. d � I Al" I i 6 ll 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 Propert 2125 TOWN HARBOR LITE 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 9,, 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 1'AMI:LY DWELLING WITH ACCESSORY 2 STORY GARAGE WITH GUEST ROOM ABOVE GARAGE BATHHOUSE ON $EACH BRICK k'3B The certificate is issued to STUART B.GLOVER & MARTIN ZELNER, SURVIVING TRUSTEES OF MARGARET S. KATIENBERG (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N A UNDERWRITERS CERTIFICATE NO. N A PLUMBERS CERTIFICATION DATED N/A *PLEASE SEE ATTACHED INSPECTION REPO - wilding Inzet for Rev. 1/81 BU L L' .,. e.. TO'.',-t1 OF SCUT:iOLD, N. Y. FOU-TI::G COG: IiiSP.TCTIOi1 REPORT Location 2125 TOWN HARBOR LANE SOUTHOLD, N.Y. `rumocr a J,reet l`aL a�cipatLc Subdivision j,2Lj Ifo. Lot(a) Nasse of cwner(s) STUART B. GLOVER & MARTIN ZELNER, TRUSTEES OF MARGARET KATZENBERG Occupancy_ A-1 RES- (�'j—P--) ES.ltyPeJ Coi her-Lenancj _ Adziitted by: EDWIN DONLIN Accompanied by: SAM Key available Suffolk Co. Tax 'No. 66-1-31 Source of request STUART B. GLOVER Date 2/14/92 D's'�LLhiG: ,Type of construction WOOD FRAME 1stories 2 STORY „ Foundation CEMENT -..Cellar Cellar FULL Crawl space Total rooms, lst. F1 3 2nd. F1 6 3rd. F1 Bathroom(s) 2 FULL BATHS Toilet room(s) ONE Porch, type ENCLOSED Deck, type Patio, type_ BreeZet�iay Garage 11 Utility room Type Heat LILCO GAS Warm Air Hotwater %% Fireplace(s) ONE No. Exits 3Aircor_ditioning Domestic hotwater YES Tvoe heater Other ACCO zS'ORY STRUC 1"1 cS ''S Garage, type const. 2 STORY- 2 CAR Stora-e, type const. ATTACHED TO GARAGE ME Swi„mWOOD FRA ing pool Guest, type const. ABOVE GARAGE - 1 ROOM WITH BATH. Other BATH HOUSE (CABANA) ON BEACH, BRICK BBQ, S BRICK PATIO NEXT TO VIOLATIONS: CHAPTER 45--N.Y. STATE UNIFORM FIRE PREVENTION 6 BUILDING CODE Lnrnation Descrint an Art. Sec. ... yy N . R ema ra(s , Inspected by _µ: Daze of InJp. MARCH 4, 1992 CAR 1 FISH 'Time start 9:30 Amend 10:15 AM FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Clerk's Office Southold, N. Y. Certificate Of Occupancy No. Z 5.1.93, . . Date . . . . . . . . . . . . .dune. . .13. . . . . ., 1973 , THIS CERTIFIES that the building located at . VS .Towm ,Harbor .La. . . . . Street Map No. ?x. , . . . , . , . Block No. . . XX . . . . .Lot No. zz• • • Southold. . N.Y._, , , , . . . . conforms substantially to the Application for Building Permit heretofore filed in this office dated . . . . . . . . . . .X&y . .y. . . ., 1973. . pursuant to which Building Permit No. .65417, dated . . . . . . . . . . .Kay. . . 4 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 . . Yriv►a►te. accesaory. building xith addltibn. . . . . . . . . . . . . . . . . . . . . . The certificate is issued to .H. Xa nberg. . . . . . . . . . . . . . . . . . . . . . (owner, lessee or tenant) of the aforesaid building. Suffolk County Department of health Approval p..R., . . UNDERWRITERS CERTIFICATE No. . 11*R.*. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . HOUSE NUMBER. . .212.5 . . . . .Street. . . . .Tovn• Harbor. .Lane Building Inspector 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.X. 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 din6 Inspec ear 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 - Hamlet i County Tax Map No. 1000 Section 66 Block 1 Loi 31 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated APRIL 18, 1997 aursuant 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 ILY 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 a Buil�„�ia� Ins mac.. �._....-®._.........-. g for 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 I THIS CERTIFIES that the building., ADDITION & ALTERATION Location of Property 2125 TOWN HARBOR IA._ 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 R PEZBA #4453 DATED 3/19/97 AS APPLIED FOR. The certificate is issued to EDWARD HALPERT mm (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 el `e}1GEdt Town of Southold 9/17/2019 P.O.Box 1179 53095 Main Rd r� " + Southold,New York 11971 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: 66.4-31 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 y ..................... .. .. ..... -._ _..� Authorized Signature