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HomeMy WebLinkAbout1000-31.-10-12 A" , TOWN OF SOUTHOLD R, Rental Permit 0209 Owner Nicholas Johnson & Samuel Hudson Occupied as Single Family Dwelling Located at 425 Bay Avenue East Marion 31.40-12 Maximum Permitted Occupancy 8 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. 1/27/2024 ocheor e _e Official Notice must be posted by the main entrance at all times , SOUTHOLD BUILDING DI la 631 -765-1802 INSPECTION ] FOUNDATION IST [ ] ROUGH PL13G. ] FOUNDATION 2ND [ ] INSULATION/CAU ] FRAMING / STRAPPING [ ] E L [ ] FIREPLACE & CHIMNEY [ FIRE SAFETY INS" [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PEI [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FI [ ] CODE VIOLATION [ ] PRE C/O [ F REMA a o Y0410� Ckt,4400Cn V/ /01 o T -4*WN OF SOUTHOLD Rental Permit 0209 Owner Nicholas Johnson & Samuel Hudson Occupied as Single Family Dwelling Located at 425 Bay Avenue East Marion 31-10-12 Maximum Permitted Occupancy 8 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. L 1/27/2022 c rpt Official This Notice must be posted by the main entrance at all times cede of I A-o Wx a-y) TOWN OF SOUTHOLD 765-1802 [ ] FOUNDATION 1ST [ ] ROUGH PL13G. [ ] FOUNDATION 2ND [ ] INSULATIOWCAULKING [ ] FRAMING /STRAPPING [ ] F AL�44 �mtw&tl� C ] FIREPLACE & CHIMNEY FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) [ ] CODE VIOLATION PRE CSO j r INSPECTOR DATE TOWN OF SO T OLD Rental Permit Permit No. 0209 �& _. Owner Nicholas Johnson & Samuel Hudson Occupied as Single Family Dwelling Located at 425 Bay Avenue East Marion 31-10-12 Address Village S/B/L Maximum Permitted Occupancy 8 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 ; j Town Hall Annex Telephone(631)765-1802 54375 Main Road Cr �� Fax(631)765-9502 P.O.Box 1179 ,% �' r Southold,NY 11971-0959` V � BUILDING DEPARTMENT TOWN OF SOUTHOLD G a RENTAL PERMIT APPLICATION Rental Permit Fee $200(Application must be renewed every two y a 4) y D Section A. Property Information: Rental Property Address: Tax Map Number: 1000 SECTION -,—;-BLOCK 1,6 -LOT—IAQ--- SECTION B. OWNER INFORMATION: Property Owner Name: Property Owner Legal Address: Property Owner Mailing Address: P'6. It yy A&ILI Ll Telephone Number(s): Daytime ✓ Evening ✓ Emergency le Property Owner Email Address: 11-C Pagel of S w Town Hall Annex l Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1179 Southold,NY 11971-0959 m " BUILDING DEPARTMENT TOWN OF SOUTHOLD Section C. Authorized Agent Information: Name of Authorized Agent of dwelling unit, ifs: Address of Authorized Agent(no P.O. Boxes): Mailing Address of Authorized Agent: Telephone Number(s): Daytime Evening Emergency Email Address: Section D. Managing Agent Information: Name of Authorized Agent of dwelling unit, if any: Address of Authorized Agent(no P.O. Boxes). Mailing Address of Authorized Agent: Telephone Number(s): Daytime Evening Emergency 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: Address of Managing Agent (no P.O. Boxes): Page 2 of 5 01 Town Hall Annex Telephone(631)765-1802 54375 Main Road �i Fax(631)765-9502 P.O.Box 1174 Southold,NY 11971-0959 , BUILDING DEPARTMENT TOWN OF SOUTHOLD Mailing Address of Managing _ m,mmm � y Agent. - Telephone Number(s): Daytime Evening Emergency-11 Al IG 1 5 2019 Email Address: 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 2, Unit 2,Unit 3 or Apt A, B, Q 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:, ke Requested Maximum number of persons allowed to occupy Dwelling Uni : Number of rooms in Rental Dwelling Uni•.. ' Use and Dimensions of each room in Rental Dwelling Unit: x oZY.l r•d l e•>`, 9 : i t +cAd ti 16.1 k J,2. 4ltoow, !o: ��t�.�a oy, 8. f 4 3. Page 3 of 5 Town Hall Annex Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1 179 a ,z Southold,NY 11971-0959 BUILDING DEPARTMENT TOWN OF SOUTHOLD 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 licensed architect, a 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. P/I am requesting a fire safety inspection to be performed by a Code Enforcement Official from the Town of Southold ❑ I am submitting a completed Town of Southold certification form from a licensed architect or a licensed professional engineer. 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 Page 4 of 5 Town Hall Annex Telephone(631)76.5-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1179 Southold,NY 11971-0959 UN BUILDING DEPARTMENT TOWN OF SO SOLD 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 as to any change to the information regarding Authorized Agent, Managing Agent, or Site Manager. Property Owner's Name:—&Ock SILJbAl &Lk Ap� Property Owner's Signature: Sworn to e this day of Official N Lary Public Signature and Original Notarrte Chorista oher 1'�U�;"a�p STATE WYO' K Rw&tralon VN4o 01 G AW52 X4046 00 alffie4 dna (""Oulity Page 5 of 5 < <. ..._ to qftT ._. TOWN OF SOUTHOLD BUILDING DEPT. 1 ] FOUNDATION 1-ST [ ] ROUGH PL13G. [ ] FOUNDATION 2ND INSULATION/CAULKING [ ] FRA I C/ STR PPINC [ ] AL [ ] FI EPLACE & CHIMNEY ! [ F'I RE,= FETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) [ ] CODE VIOLATION [ ] PRE C/O r DATE INSPECTOR w Jo Wii,MGso Co bow T u r. z� © �N lII1 � i, f 13,1 c4 4- � s i r atir l�ir►wws w o � � T 5-� Sl�a 1 J 7.01w, .Sih r( _CT LAZA $. , lo.Y ' ll rwt'e C,�►vn� . lq,q '1► QW �C 6Hw+f'c t Jowl �Jl (n r, 33 O m M m ED z cn 0 C/) Jz: co m X m > G7 r o m 13 0 m z > m mm C)o DO O 0 O LJ ro a- a- ro ° a ° W IQ 3 b ® i d a f r w a 46 y i �•• � � 1 ' � �D ie MN � o r ����o o ....���..m a v �._ on IA, -^ A r , i C 00 Go Q ' FO 70 0 r s a 1 �n u ryq �A n w F 1 ,. , jl c W e � ro I i i t � 4 bP o G) m 1 -M" -CD" � _. CD o a, e. .Va Ss ti I Q w „ m �D d u tVIA ti� oN Lu r ryµ W n kL f 6 v T 34 O 0 �• S I 'p ` ❑.. In t I O O m �. ,� Y —. o O m s :s Ln LL O O ` O O j , s 0 w Ell __. J FORM NO, 4 TOWN OF SOII'I`HOL D BUILDING EPARTMENT Town Clerk's Office Southold, N. Y. Certificate an No. . �.7. Date I'l . . 19. THIS CERTIFIES that the bE.hlding located. at . �°,`3. . :L 'y. A . , . Street Map No. . XX . . . . . . . . Block moo,. . . . XX. . . .loot leo. . = . . . .js .1° �� . . . . � "�. . cong de before conforms substantially to the � � � � .s Ba or April . . ,, 19. 57prsuarrt to Iaich dated .YAY , . . 1.7 , 19. , 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,w o. one .farily. dw 111 . e . . , . . . . . . . The certificate is issued to . . .ohn. S.. Na (owner, lessee or tenant) of the aforesaid. building, Suffolk County :Department of Health Approval Rre 1r1NDlnRWRlTE S CERTIFICATE No. Prue-r. existing , , . . . HOUSE NUMBER. . .42-5. . . - . . .Street. . . . . .Bay. .,Av . . . . . . . . . ZZQ OP tiOn-S 'to- housing j . . . . . . . . . . . . . . . . . . . , See 'reverse side lhiildhig hispector HOUSING CODE INSPECTION May 17, 1973 #425 Bay Avenue East Marion,N.Y. Tax Roll: John W. Vail Occupied: Cornelius & Doris A. Fiore Upon request of the Southold Town Building Department, I made inspection of this one story dwelling and found the following violations of Local Law #1, Housing Code, Town of Southold. I was admitted to the south entrance by Mr. Fiore who accompanied me during inspection which began at approximately 9: 00 A.M. First Floor: Kitchen- No light switch on entry. Sec. 529 b. Gas range- no shutoff at unit. Sec. 508 b. Sink- no water seal. Sec. 504 e. Bathroom- inside, no mechanical means of venting. Sec. 215 d. Second Floor: 10� Room, on southeast corner used as sleeping quarters, only access to bathroom. Sec. 209 b. Ceiling fixture- noswitch, pullchain broken. ec. 528 a. Room on northeast, used as sleeping quarters access to bathroom through this room./ Sec. 209 b. Plaster walls and ceiling cracked and loose. T.E-r Cdr$ d- . Cellar: Enclosed entrance; light fixture wired with lamp cord. Sec. 528 a. Hot water heater- flue connection at chimney not properly sealed. Sec. 523 a. Fuse box not mounted with lamp cord running to kitchen which refrigerator plugs into. Sec. 528 a & b. Fused switchbox not mounted - supply current to garage and barn. Sec. 528 a. Open electrical junction box on jeh a..girder over furnace ns across cellar floor in 'traffic area unprotected. Sec. 1 7 . Accessory Buildings: One utility shed and a one and one-half story barn with one car garage. No violations . Inspection completed at approximately 9:30 A.M. Res tfull y - u "itted, ward Hin e ann, 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-22895 Date MARCH 10, 1994 THIS CERTIFIES that the building ADDITION & ALTERATION Location of Property 425 BAY AVENUE EAST MARION, N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 31 Block 10 Lot 12 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated AUGUST' 1, 1990 pursuant to which Building Permit No. 192.98-Z dated AUGUST 6r, 1990 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 AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR The certificate is issued to DONALD TAUBE & JUNE CLIFTON (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. H039587 & H039588- FEB. 24, 1994 PLUMBERS CERTIFICATION DATED SEPT. 3, 1993 VANETTEN PLUMBING & HEATING Suild.ang Inspector Rev. 1/81 Town of Southold Annex 12/27/2011 54375 Main Road Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 35359 Date: 12/27/2011 THIS CERTIFIES that the building DECK Location of Property: 425 Bay Ave, East Marion, SCTM#: 473889 See/Block/Lot: 31.-10-12 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this ofiiced dated 8/10/2011 pursuant to which Building Permit No. 36647 dated 8/22/2011 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 to Huntington,Amy&Salerno,Douglas _ ......... ...... ........ .................A.............. (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED lped a ..