HomeMy WebLinkAbout1000-87.1-1-31 a TOWN OF SOUTHOLD
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£ Rental Permit
0194
4y
Owner Andrew T LaGrega Living Trust
Occupied as Single Family Dwelling
Located at 400 Meadow Ct #H31 Southold 87.1-1-31
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.
1/2/2024
Code Eryree Official
This Notice must be posted by the main entrance at all times
TOWN OF S
631 -76S-1 802 7
INSPEC ION
[ ] FOUNDATION 1ST [ ] ROUGH PL13G.
[ ] FOUNDATION 2ND [ ] INSULATION/CAl
[ ] FRAMING / STRAPPING [ ] FINAL
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY W
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PE
[ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FI
[ ] CODE VIOLATION [ ] PRE C/O [
REMARKS:
I Lca,
u R A 1,%A4
DATE /0-e;Q.3 -..23 INSPECTOR
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Town Hall Annex
Town Of Southold 54375 Main Road
Rental Inspection Report PO Box 1179
u' Southold, NY 11971-1179
Tel: 631-765-1802
0
Date
Owner Phone J
_...
W �Address Visible
.. ✓moi �. .._. . .._....
Inspector
Hamlet . .µ . ........_... . ... ...... ..._,_,._ ...4 _..� , ........ ...... ..........�.m ._._M. ... ..
Floor Level Quantities ' 3
. Sub � 1
Smoke Detectors (not
located mbedrooms)„-
Carbon MonoxideDetectors
Fire Extinguishers
Exits
2 3 5 6
Bedrooms 1 4
Smoke Detectors
Egress
Occupant Count y
Building Systems Maintained & Operational Condition of Property
Heating Building interior
Hot water Building exterior
®..... ..._....
Electrical .... _ _ .. Property clean, maintained
_ .
Handrails.� ,
Mechanical &g installed &secure
Pool Safety C Pool on Site
:Surface water alarm
Date of CO issuance
Pool complete) enclosed
Self closing Door alarms Y .._... .m ,.._ .
sin /rylatchin
cto code requirements
Pool fence ore �
o g g gates .., _... .. _... q _.----- __
CO's for ..
' r all items resent jPrior Rental . . m...J
Comments
TOWN OF SOUTHOLD
Rental Permit
0194
Owner Andrew LaGrega
Occupied as Single Family Dwelling
Located at 400 Meadow Ct #H31 Southold 87.1-1-31
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.
10/29/2021
C0de'66rceiTfent Official
r
This Notice must be posted by the main entrance at all times
Town Hall Annex
SOUTHOLD TOWN 54375 Main Road
PO Box 1179 Southold,
r! Rental Inspection
,n NY 11971-1179
Tel: 631-765-1802
Fax 631-765-9502
SCTM # 7 -3 1 Date Z—)- g
Owner Lo,&T092SPhone
Address C2 / Zlp I
Hamlet �1 Inspector
Address visible from street?
LEVELS SUB 3
Smoke Detectors (#- bedroom detectors excluded)
Carbon Monoxide Detectors (#)
Fire Extinguishers (#)
Exits (#)
BEDROOMS 1 2 3 5
Smoke Detector Alarms(#) ""
Carbon Monoxide Alarms
Egress (windows) ( ./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 N Y/N POOL BARRIERS YIN
Pool present (Pool is completely enclosed
Pool surface alarm and/or door alarm Barrier is a min.48" high
present
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:
-it--
TOWN OF SOUTHOLD
jl
Rental Permit
Permit No. 0194
Owner Andrew LaGrega
Occupied as Single Family Dwelling
Located at 400 Meadow Ct #H31 Southold 87.1-1-31
Address Village S/B/L
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.
10/16/2019 John Jarski
Date of Issue Code Enforcement Officer
This Notice must be posted by the main entrance at all times
lC� y-l9
Town Hall Annex 'µ Telephone(631)765-1802
54375 Main Road „ ,? Fax(631)765-9502
P.O.Box 1179 ,
Southold,NY 11971-0959
a
BUILDING:DEPARTMENT
TOWN OF SOUTHOLD _......._
RENTAL,PERMIT APPLICATION
AUG
Ned
Rental Permit Fee$200 (Application must be renewed every two years)
Section A.
Property Information:
Rental Property Address:
406 1) dCC (+ � �� C
r a+ -TheC,,vKc ,
Tax Number: 1000 SECTION BLOOD �LOT . 1.
SECTION B.
OWNER INFORMATION: 44)
Property Owner Name: 44o� uae LA 6;vt, L
cw�
Property Owner Legal Address: Property Owner Mailing Address:
(Cannot be the same as Rental Property Address)
Telephone Number(s):
PropertyEmail
Address:
Page 1 of 4I R_.(
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."
on
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:
((ll{ d
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 11censed 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.
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 -"OR-K)
)
COUNTY OF SUFFOLK)
l or certify under penalty of perjury,the following:
1: I 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 Owner's Name: A-A LA
11--)L- T
Property Owner's Signature:—L 2
Sworn to before me this day of. `SQRI- , 2019
LIS=CAEESAR
A.U 02
Official Notary Public Signature and Original Notary Stamp re
Page 4 of 4
TOWN OF S LBUILDING
765-1802
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INSULATION/CAULKING
[ ] FRAMING /STRAPPING [/] I NAL/"J,pgj,�-FIREPLACE & CHIMNEY IRE SAFETY INSPECTION
[ ] .FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL)
[ ] CODE VIOLATION [ ] PRE C/O
REMARKS:
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FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No Z18665 Date DECEMBER 21, 1989
THIS CERTIFIES that the building MULTIPLE RESIDENCE UNIT
Location of Property 400 H31B MEADOW COURT PVT. RD. #24 SOUTHOLD
House No. Street Hamlet
County Tax Map No. 1000 Section 87 Block 05 Lot 20
Subdivision Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated AUGUST 21 1987 �jrsuant to which
Building Permit No. 16379Z dated AUGUST 25 1987
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 UNIT H31B MULTIPLE DWELLING-THE COVE AT SOUTHOLD INC_
The certificate is issued to THE COVE AT SOUTHOLD INC.
(owner, xxxxxxxxxxxxxxxx)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL S-69 MAY 25t 1989
UNDERWRITERS CERTIFICATE NO. PENDING SLIP 11 29 89
PLUMBERS CERTIFICATION DATED BERTSAND PLUMBING & HEATING 11 17 89
Building inspector
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-27882 Date: 08/21/01
THIS CERTIFIES that the building ADDITION
Location of Property: 40OH31 MEADOW CT SOUTHOLD
(HOUSE NO.) (STREET) (HAMLET)
County Tax Map No. 473889 Section 87 .1 Block 1 Lot 31
Subdivision Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated SEPTEMBER 26, 2000 pursuant to which
Building Permit No. 27114-Z dated MARCH 7 2001
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 AN EXISTING CONDOMINIUM UNIT #31 AS APPLIED FOR.
The certificate is issued to ANDREW T & ROBERTA A LAGREGA
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A
ELECTRICAL CERTIFICATE NO. _____N/A _.
PLUMBERS CERTIFICATION DATED N/A
Au c JZe�Y' Signattiare
Rev. 1/81