HomeMy WebLinkAbout1000-31.-9-11 4 TOWN OF SO T .OLD
Rental Permit
Permit No. 0198
Owner Rafe Totengco
Occupied as Single Family Dwelling
Located at 420 Lakeview Terrace East Marion 31-9-11
Address Village 5/13/1-
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.
10/17/2019 John Jarski
Date of Issue Code Enforcement Officer
This Notice must be posted by the main entrance at all times
Town Hall Annex Telephone(631)765-1802
54375 Main Road ' Fax(631)765-9502
P.O.Box 1179
Southold,NY 11971-0959
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BUILDING DEPARTMENTS
TOWN OF SOUTHOILD
RENTAL PERMIT APPLICATION
1
Rental Permit Fee $200(Application must be renewed every two years)
Section A.
Property Information:
Rental Property Address:
Tax Map Number: 1000 SECTION I BLOCK 9 —LOT—
SECTION
OTSECTION B.
OWNER INFORMATION:
Property Owner Name:
Property Owner Legal Address: Property Owner Mailing Address:
(Cannot be the same as Rental Property Address)
S �-EC— L ✓l S S
Telephone Number(s): 664
Property Owner Email Address: _IT o —C v
Page 1 of 4
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: 1
Use and Dimensions of each room in Rental Dwelling Unit:
i ,I ®P r 6
a
44411
I
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.
Wr I am requesting a fire safety inspection to be performed by a Code Enforcement Official
from the Town of Southold.
Page 3 of 4
Io I 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)
I " -0" "6-'--C. ,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 Owners Name: 4 � h
s
pp „MMS,a
Property Owner's Signature:
Sworn to before me this 2Q4�-day of2 0t
Official Notary Public Signature and Original Notary Stamp
Page 4 of 4 TAMMI a, GRATTAN
NOTARY PUBLIC STATE OF NEW YO
RK
SUFFOLK
IJC� 001 8614 ,111
Cow E R MARCH 13, 0 'u
123 Central Ave POB 316 Greenport, Y 11944 t: 631
Frank IArchitect
.... 477.8624 �e: frank@frankueliendahl.com....
October 9, 2019
Submitted t : Building Inspector's Office
Town of Southold
Project: As-Built non-habitable finished basement
t 420 Lakeview Terrace in East Marion
Owner: Rafe Totengco, 377, East Marion, NY 11939
pilil�fff�lllllllr�r�, x++miirlrrrr�g rarrimi�� f,D1� ,7 �rrr riulrU ra>'ur�,r'�mirriV;Itiirlir��»Il rrili�rtU rr lfrrr�uJl'I�ri�r,�ti,I����tIIIIIIIUII/vr�U�vrl�
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Permit - SCTM# _ 1000-31-09-11
The building Inspector passed a fire safety inspection based on the is rental permit
application on lune 1.4, 2019 for 6 person occupancy- pending approval of an as- built permit
for a garage conversion to habitable space. In addition DOB is asking in an earlier request
elated 05/12/2019 to legalize the, finished basement.
The findings of my research as it relates to a building r i issued i (BP# 27004) and
amended 04.30,20 resulted in the following facts:
The previous owner d,elayed the construction of the applied for attached one car garage but
decided, not to buildit at all (see plan documents attached, including a more recent survey
dated 12.17.2007).
The attached floor plan coincides with permit7 is s issued only for interior
alterations.
In regards to the finished basernent I inspected the premises as depicted on the attache
basement plan. The basement is used only for storage and laundry pum•poses in addition to
accommodate the mechanical systems, There are no egress windows. The As-guilt basement
even though finished and partially insulated in walls and ceiling CANNOT be considered
habitables ace and be used as such.
I hereby certify-to the best of my professional knowledge -that the above reference
building permit does not include a garage conversion to habitablespace and that the finished
basement cannot be used as habitables ace.
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once ely,
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-rank Uellendahl, RA
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TOWN OF SOUTHOLD BUILDING DEPT.
765-1802
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INSULATION
[ ] FRAMING /STRAPPING [ ] INAL,4ww
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[ ] FIREPLACE & CHIMNEY [ FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL)
[ ] CODE VIOLATION [ ] CAULKING
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TOWN OF SOUT O D BUILDING DEPT.
765-1802
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INSULATION
[ ] FRAMING /STRAPPING [XF
NALFIREPLACE & CHIMNEY [ RE S4AV41 1 SPLEC TI0N
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL)
[ ] CODE VIOLATION [ ] CAULKING
REMARKS:
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FORM Pio. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Town Clerk's Office
Southold, N. Y.
Certificate Of Occupancy
No. .�9326. . . . . Date . . _December 4 19 7S
THIS CERTIFIES that the building located at 420 Lake View Terrace
Map No. . . . . . . . . . . . . Block No. . . . . . . . . . .Lot No. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
REQUIREMENTS FOR ONE FAMILY DWELLING BUILT PRIOR TO
conforms substantially to the
dated APril. WI ATE OF OC
. . . . . . . . . ., 19.57. pursuant to
No. . .29.326
dated . Dec b r. . . . .4. . . . . .. 19. 7.8, 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 One Family Dwelling. . . . . . . . . . . . . .
The certificate is issued to , , , Ida Battle MacDonald . . . . . .
(owner,
of the aforesaid building.
Suffolk County Department of Health Approval , , . -. , , . 1 . Pre-Existing" . . . . . . . ,
UNDERWRITERS CERTIFICATE No. . . . . . . . . . . „ .Pre-Existing
HOUSE NUMBER . . .420 . . _ . , . _ Street . . . . . . . . . . . . . . .eery View ~Terrace*
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . East. Marione N.J. . . . . . . .
Building Inspector
County Tax Number
1000-031-9-11
BUILDING DEPARTMENT
TOWN OF SOUTHOLD, N. Y.
HOUSING CODE INSPECTION REPORT
Location 420 Lake View Terrace East Marion
' - number & street Municipality
Subdivision Map No. Lot(s)
Name of Owner(s) Ida Battle Mac. Donald
Occupancy R-1 Seasonal Summer
(type -
owner-
Admitted by: $elf Accompanied by: --------'---
Key available Ernest Radford Suffolk Co. Tax No. 1000-031-9-11
Source of request Irving L. Price Jr. Date 11-30-78
D1gELLING
Type of construction Wood framed #stories 1
Foundation wood posts Cellar Crawl space X
Total rooms, 1st. Fl 4 2nd. Fl 3rd. F1
Bathroom(s) 1 small Toilet room(s)
Porch, type screened Deck, type Patio, type
Breezeway Ga-r•age Utility room X
Type Heat Oil fired Warm Air Hotwater X
Fireplace(s) No. Exits 2 Airconditioning
Domestic hotwater X Type heater— gas
Other
ACCESSORY STRUCTURESS:
Garage, type const. 2 car/wood Storage, type const._
Swimming pool Guest, type const.
Other None
VIOLATIONS: Housing Code, Chapter 52
Location Description T Art. Sec.
Front porch Porch screens need repairs III 52-31 B
Bathroom Pipes poor condition, leaks ibath- '
..— - �._�
room V 52-51-1
Kitchen No shut off' .., as stove V 52- '2-B 2
Ca e Loaded with termites B
Remarks: ,_
Inspected by:e,4 � �_�Date of Insp. 12=1-78
CURTIS HORTON Time start 2:00 end 2:30 P.M.
l
FORM KO4
TOWN OF SOUTHOL
BUILDING DEPARTMENT
Office of the BuRding Inspector
Town halt
Southold,N.Y.
Certificate Of Occupancy
No. .. . . .. . ZX5�65e Date . .a. a� ��ic 18, 1987, ,. ,
new foundation to existing dwellinq
THIS CERTIFJES that the building . w . . . . . . . ... . . . . ..4 , . . . � „ , , , . . . . , , . , o , ., . , . . -
Location�f Property
e m ,� �. . . . . . . . . .. . .. .Lakeview Terrace. ., East ,Marion
House No, S�e� Haml or
County Tax Map No. 1000 Section A o, m o , �1 e ,,Block , ®, m . , . . .9, .Lot . . , W , 1.1— „ — , , .
Subdivision . , . .FiledMap No. ---Lot No. . , . , X . w . . . ,
conforms substantially to the Application for .Building Permit heretofore riled in this office dated
April I,1� 1981 111162 M
. ,� p sat t to which Building Permit No.
April 21, 1966
dated . . . . , . . . . . , a . , . . . was issued,and conforms to all of the requirements
of the applicable provisions of the laws T`hc occupancy for which this certificate is issued is . .. . .
New foundation to existing dwelling.
Tile certificate is issued to , , ,, . , ,> , , o SrL q:p. iA�DDLETO . ,
of the afore id building.
Suffolk County Department of Health Approval , , ,, , . . . . . . I VA , ,
TJNDERWRITERS CSRT'IFICATE NOt . , , w . . . . . . . . . . . m . ., , , VA . . - 11 —. 11. 11 - 1- -
PLUMBERS
1 1 , . , 1 1. . , . . . , . , . .
. .
/at
Building Inspector
Fie 1181
FORM NO. 4
TOWN 01' SOUTHOLD
BIZ" XNG DEPAR'NENT
office of the Building Inspector
Town Hall
sauthold, 9-Y,
cERT17ICATE OF OCCUPANCY
NO Z-17193 Date AUGUST 1.2, 1988
TBIS CERTIFIES that the bui-lding ......LLTKRATIOEA,
E'AST ILJ�IW�L
Location of Property_-�.2j) i, N_.Y. _
House No. Street Harlet
County Tax Map No- 1000 'an ctlM 031 Block 09 Lot all
",,Filed Map. No -Lot No.---
conforms sAlb8tantially to the Ap t heretafore
plication for R.iild.i.ng Permi
filed j.n th.1 j)ursuant to which
..s office dated ZjLLL?j, 1982.
Building Permit No. 11672--Z dated AUGUST 24 1982
was issued, and conforms to all of the requirements of the applicable
provisions of the 1.aw. The occupancy for which this certificate is
issued i& ALTERATION TO EXISTING ONE FAKILY DW'WIJ,IN(3'
The certificate is, issued to- _mmYARK rx SHARON MIDDLETON
(owner, XKXXX=XXM=)
of the aforesaid buildin.g.
SUFFOLK COUNTY DEPARTMENT OF HMT5
UNDERWRITERS CERTIFICArE NO. N808733 MAY 1987
PLIM.ERS CERTIFICATION DATED............... NIA
Building Inspector
'Rev.
FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
office of the Building Inspector
Town Hall
i
Southold, N_Y_
CERTIFICATE OF OCCUPANCY
No Z-17460 Date OCTOBER 26,__k!!88
THIS CERTIFIES that the building ADDITION
Location of 13roperty_g2o LAgv E j r&pjkCE EAST MARI'0T'4 N Y.
House No_ Street Hamlet
Count' Tax Map No. 1000 Section 031 Block 9 Lot 11
Subdivision Filed Map No. Lot No.
conforms substantially to the Application for Building Pe=Mit heretofore
filed in this office dated_ :,INE 12, 1984 „ _pursuant to which
Building Permit No. 13223-Z alated JUNE 14, 1984
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 AtOVE GROUNDS . G POOL ADDITION AS APE?'LIFi) FOR
The certificate is issued to k4ARK & SI-WON BIG r N
(owner, )
of the aforesaid building.
suFFOLX COUNTY DEPARTMT OF HFALTH
UNDERWRITERS CERTIFICATE N0. N 039274-OCTOB 13,_ 8
PLUMBERS CERTIFICATION DATED_
N A
Bullaing 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-22375 Date JUNE 7, 1993
THIS CERTIFIES that the building ADDITIONS
Location of 'Pr:operty 420aA?EV2 '" TERCE Street ESI" MARION, Hamlet
House No.
County Tax Map No. 1000 Section 31 Block 9 Lot 11
Subdivision Filed Map No. Lot No. _,
conforms substantially to the Application for Building Permit heretofore
filed in this office dated 'MARCH 20, 1984 ________pursuant to which
Building Permit No. 17340-Z dated AUGUST 22, 1988
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 BEDROOM & BATHROOM ADDITION & DECK ADDITION TO EXISTING
ONE FAMILY DWELLING AS APPLIED FOR.
The certificate is issued to CLARK & SHARON MIDDLETON
(owners)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A
UNDERWRITERS CERTIFICATE NO. N-808733 - MAY 11 1987
PLUMBERS CERTIFICATION DATED
A7;4u�ildjjinig 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-29030 Date %10/2'9
THIS CERTIFIES that the building ALTERATION
Location of Property: 420 LAKEVIEW TERRACE EAST MARION
(HOUSE NO.) (STREET) (HAMLET)
County Tax Map No. 473889 Section 31 Block 9 Lot 11
Subdivision Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated NOVEMBER 15, 2000 pursuant to which
Building Permit No. 27004-Z dated JANUARY 8, 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 INTERIOR AL E ;Z,pjJS";;VTI, A"`; M ', r �, ! T EXISTING ONE
FAMILY DWELLING AS APPLIED FOR. mm
The certificate is issued to ARIF & HINA A HUSSAIN
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A
ELECTRICAL CERTIFICATE NO. H 073684 12/14/01
PLUMBERS CERTIFICATION DATED 03/,0,6/02 ROBERT VAN ETTEN
Authorized Sigr Lure
Rev. 1/81
FDR.M NO 4,
Tow,§ OF SOUTTIOLD
BUILDING f)EPARTMFMr
Office of the Building Inspector
Town, Hall
Southold, N.Y.,
CERTIFICKIE OF OCCUPANCY
No: Z-29375 Data- D4 3
MIS CERVIFMq that thie buildiug
Location of :errs pertya 420 LAKEVIEW TFRRACE EAST MARiON
�HOUSE NO,) =RhET) i HAMLET)
Count�y Max Map No. 473889 Section 31. Block 9._._. Lot 11
..... .
Subdivision ........ Filed Map No. Lot Nay.
conforms substantially to the Application for Building PeT.Mit heretofore
filed in this office datedOCTOBER 3, 2002 pursuant to which
...... ...........
Wilding Permit No. 28R0S.-Z dated OCTOBER 3 2OD2
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 INGRUIND SKYNING POOL WITH PENCE TO CODE AS kPPLIED FOR.,
..........
The certificate in issued to AR4F & HINA A RUSSAIN
kOWNSR)
of the aforesaid building.
SUFFOLK COUNTY DEPARTKMFr OF HEALTH APPROVAh N/A
EUL-MICAL C'M=ICATE M_ 1118670
PIAMERS CERTIFICA-TION LAXM N/A
ce,
U orized 91 nature
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-33421 Date: 12/09/08
THIS CERTIFIES that the building ADDITION & ALTERATION
Location of y: 420 LAREVIEW„ TERRACE RXST..,.w. BION
(HOUSE NO_) (STREET) (HAMLET)
County Tax Map No_ 473889 Section 31 Block 9 Lot 11
Subdivision Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated JULY 27, 20D7 pursuant to which
g , 2007
Buildin Fermat No_ 33314-Z dated AUGUST 13 _ wr
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 SXYLI HT R PLACEMENT, REAR D CK ADDITION WITH PERGOLAAND SIDE COVERED
PORCH ADDITION (W31CH MUST mA N UNENCLOSED AS PF1161 3 �)ATED 5 8/08)
.._ 'R
TO AN EXISTING ONE FAMILY DWELLING AS APPLIED
FOR.
The certificate is issued to MICHAEL & RIM KENIN
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL _.,___NLA
ELECIIZICAL C33RTIFICATE NO. NIA........._.�
PLUMaIMS CERT=CATION DATED N/A
Ruth .~s,zed Signature
Rev. 1/81