The URL can be used to link to this page

Home My WebLink About1000-15.-1-16 TOWN OF SOUTHOLD Rental Permit 0208 Owner Joe Gemma & Ors. Occupied as Single Family Dwelling Located at 80 Greenway West Orient 15.4-16 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. 12/21/2023 Code nf ince Official This Notice must be posted by the main entrance at all times so TOWN OF SOUTHOLD BUILDING D 631 -765-1802 INSPEC ION [ ] FOUNDATION 1ST [ ] ROUGH PLIC. [ ] FOUNDATION 2ND [ ] INSULATION/CAI [ ] FRAMING / STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] EIRE SAFETY IN! [ ] FIRE RESISTANT CONSTRUCTION [ FIRE RESISTANT PE [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL {FI [ ] CODE VIOLATION [ ] PRE C/O REMARKS: OIL oo.c V r -m, Town Hall Annex ,5S ' Town of Southold 54375 Main Road Rental Inspection Report PO Box 1179 CO* a= Southold, NY 11971-1179 4 , Tel: 631-765-1802 SUM# .. Date " v�-3 Phone Owner vl s .. _ —. es _Sable GRo HamletAddress In pector t Floor Level Quantities 1 2 Smoke Detectors (not located in bedrooms) r Carbon Mono xideDetectors . ,. . _ .. Fire Extinguishers Exits Bedrooms 1 3 5 _.. .w Smoke Detectors Egress Occupant Count a� Building Systems I\Aaintained & Operational Condition of Property Heating Building interior _. Hot water Building exterior Property clean, maintained &safe Electrical a _. Mechanical Handrails &guards installed & secure Pool Safety Pool on Site _ .. Surface water alarm Date of CO issuance Door._. e . ._ e _._ .. .. . _. ala�rmsPool com letel enclosed Self closing/ latchrying gates Pool fence to code requirements Prior Renta! CO's for all items present _ Comments: _� r:�� N � � � �� OF SOUTHOLD Rental Permit 0208 Owner Jon Gemma & Ors. Occupied as Single Family Dwelling Located at 80 Greenway W Orient 15-1-16 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 ins ecf T 10/27/2021 6ode rpt �i�al This Notice must be posted by the main entrance at all times SU f DEPT.TOWN OF: SOITHOLD BUILDING 765-1802 �f INS1111,11) ° iiiiiiiiii 11u111 N [ ] FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION 2ND [ ] INSULATIOWCAULKING FRAMING/STRAPPING AL I, FIRE SAFETY ETA' INSP TION FIRE RESISTANTZONSTRUCTION [ ] FIRE RESISTANT PENETRATION ELECTRICAL [ ] ELECTRICAL (FINAL) CODE VIOLATION [ ] PRE C/O • DATE 0 -14 INSPECTOR#Isi r TOWN OF SOUTHOLD Rental Permit Permit No. 0208 Owner Jon Gemma & ors Occupied as Single Family Dwelling Located at 80 Greenway W Orient 15-1-16 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. 10/28/2019 John Jarski Date of Issue Code Enforcement Officer This Notice must be posted by the main entrance at all times Telephone(631)765-1802 Town Hall Annexbite Fax(63 d)705,' 54375 Main Road P.O.Box 1179 Southold,NY 11971-0959 }L j, L 31 201 BUILDING DEPARTMENT TOWN OF SOUTHOLD $l RENTAL PERMIT API!LV+EATION Rental Permit Fee $200 (Application must be renewed every two years) Section A. Property Information: Rental Property Address: Tax Map Number: 1000 SECTION ) 5 BLOCK ) LOT—/ SECTION B. OWNER INFORMATION: Property Owner Name: JOA G- Property Owner Legal Address: Property Owner Mailing Address: (Cannot be the same as Rental Property Address) # V V &w �� ./ ,am �: A P — m. Telephone Number(s): g q 7I ' 3 � y et"" ioo p5 MN'I•CO•Y1 Property Owner Email Address: KK. rl 1 Page 1 of 4 Section C. Authorized Agent lnfrrnation: Name of Authorized Agent of dwelling unit, if any: kti ri,,-i Address of Authorized Agent (no P.O. Boxes): " ' r rd + tvy Mailing Address of Authorized Agent: Telephone Number (s): 6 3 1 " r 2 37 11 Email Address: Section D. Managing Agent Information: Name of Authorized Agent of dwelling unit, if any: N Address of Authorized Agent (no P.O. Boxes): Mailing Address of Authorized Agent: Telephone Number(s): Email Address:: SECTION E. \ SITE MANAGER INFORMATION: (required for rental properties containing 8 or more rental units) Name of Managing Agent of dwelling unit, if any: N Address of Managing Agent (no P.O. Boxes): Mailing Address of Managing Agent'?— Telephone gentsTelephone Number(s): Email Address: Page 2 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: ,I 14 11157 F 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: � ta LL V 6, !O 15 X 0 1. 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 flaws adopted by the New York State Fire Prevention and Building Code Council. Cil' I am requesting a fire safety inspection to be performed by a Code Enforcement Official from the Town of Southold. �P �, 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 NEW YORK) COUNTY OF SUFFOLK) i certify under 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 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: J trl 6144 isi; Property Owner's Signature: Sworn to before 'e t s Md 'y o 20 r )J Official N ar ul JiSignature and Original Notary Stamp I KUMBATOW, �N44, Site,state of Newyork Page 4 of 4 02KU5f3tS6342 ilrW in f P issiQn Exires c Ire !- / TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION FOUNDATION I STROUGH PL13G. [ ] FOUNDATION [ INSULATIOWCAULKING L RAMING /STRAPPING [ I L IREPL CE CHIMNEY' = I SAFETY INSPECTION FIRE RESISTANT-CONSTRUCTION FIRE RESISTANT PENETRATION ELECTRICAL (ROUGH) ] ELECTRICAL (FINAL) [ CODE VIOLATION [ ] PRE C/O R MA KS 1 DATE INSPECTOR ,. ' & 10 11-Z ac�7 "� 8 6 7 q91 i# OIL AIL a °a _ SDI w I� 22. 2--27"0 � a 7 � a in �I mw. E o 1 wC s . $ wco a " 40N r a u:.. N � 5 �N a N a 9 d 11 11 Io 16, p 1 u o to .44 7 mil off _ IP I 01 I .0 W6 0 88 '"xZ fir M' .A Y qi[0 I J TZ � ry It w .7NWr IM w' MG oO.07M ..v w (D D 1,14 o a a G1 m Ln JCI 3 >w J w 9 r � u CD I .. N f � ,4 p0 m --A an EP 7u W < mow. c S u m m m cl x p C p (7 f m 7C -1 D G) 5 < rn O0 l µ W ZLn O � _ m � �pA w � r ll � y a i O r` i w. rw. N " a ,, � 0 X m Xm D co " m co 3 3 m 1y L m m t V1M. 0 (a 1� O lip oar 1 9 R R PP a PP 1 1 IR „� R N VI .$ l o CID rt <' v co m *CD RD E- 0 0 0 C roCL O D o 3 O fD m D gil n 3 o O N ur cn O N � 21 o S CL -n ... ® o Me, + �. w � 1 i � f FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-29470 Bate: 05/27/03 THIS CERTIFIES that the building NEW. DWELLING Location of Property: 80 GREENWAY WEST ORIENT (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 15 Block 1 Lot .16 Subdivision Filed flap No. Lot Na. conforms substantially to the Application for Building Permit heretofore filed in this office dated DECEMBER 10, 2002pursuant to which Building Permit No. 29007-Z dated DSCEMBER .164 300; 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 COVERED FRONT PORCH AND ATTACHED ONE CAR GARAGE AS APPLIED FOR. The certificate is issued to MATTHEW & ALICE ALBINO (OWNER) of the aforesaid building. SUFFOLIC C10MUY DEPARTKKNT OF MKALTJK APPROVAL R10-01-0136 0a' 27 0;3 SLBCMICAL CERTIFICATE NO. 73503C OS 09 '03 PLUMBERS CERTIFICATION DATED 04 1S 03 141-TECH PLUMBING w. AutXored Signat Rev. 1/81 F FORM NO, 4 TOWN OF SOUTHOLD BUYIING DEPARTMENT Office of the Building Inspector -Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-29687 Date: 09' 04 03 THIS CERTIFIES that the building ADDITION Location of Property: 80 GRSEMA"Y "B'ES'T ORIENT (HOUSE NO.) (STREET) (HAMLET) County Tax Map No_ 473889 Section 15 Block I Lot 16 Subdivision Filed Nap No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated AUGUST 18, 2003pursuant to which Building Permit-No. 696- ted AUGUST 25, 2003 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 ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued t0 MATTHEW & ALICE ALBINO (OWNER) of the aforesaid building. 6 FOLK COUNTY s DEPAWJ74FIWT OF MUILLTH APPROVAL N A ELECTRICAL CERTIFICATE NO. N/A pLUmaKRS CERTIFICATION DATED N ........ Authorized Sig Ur Rev. 1/81