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Home My WebLink About1000-61.-4-21 (2) sz $ TOWN OF SOUTHOLD E Rental Permit 0202 Owner Einstein Square LLC Occupied as Commerical Building with 2 Apts. Located at 54180 Route 25 Southold 61.4-21 Maximum Permitted Occupancy 6 (Unit 1) 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. 11/20/2023 Code difooent OfficiaVl This Notice must be posted by the main entrance at all times TOWN OF SOUTHOLD , n Rental Permit Al 0203 Owner Einstein Square LLC Occupied as Commerical Building with 2 Apts. Located at 54180 Route 25 Southold 61.4-21 Maximum Permitted Occupancy 8 (Unit 2) 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. 11/20/2023 Code E once t Official This Notice must be posted by the main entrance at all times TOWN OF SOUTHOLD BUILDING D 831 -765-1802 (�/ INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PL13G. [ ] FOUNDATION 2ND [ ] INSULATION/CAI [ ] FRAMING / STRAPPING [ ] FINAL j ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY IN! [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PE [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (EII [ ] CODE VIOLATION [ ] PRE C/O [vl'l REMARKS: pea o Ae, AEE - .3 INSPECTOR Vj Town Hall Annex Town Of Southold 54375 Main Road w Rental Inspection Report PO Box 1179 � °- Southold, NY 11971-1179 �„ '! ► �„ Tel: 631-765-1802 SUM�.,. .# " ". 'a�.,w _ ..._..� .._......_. ........� W. .,. ...,Date Owner .�.. ,. / ........ Phone ; Address 'Visible 'Inspector Hamlet �.. .. SU._. ...... _..... 3 oevun �. . ®... ._ ...... _.. _w.w..... .... .. ........ _....._.._ .. b m �. . �. 1 2 Floor Lel Quantities Smoke Detectors not located in bedrooms Carbon Monoxide Detectors Fire Extinguishers Exits Bedrooms 1 1 2 8 4 5 '... Smoke Detectors Egress � Occupant Count , Building Systems Maintained & Operational Condition of Property Heating Building interior Hot water Building exterior Electrical Property �.. d &sa e .,. ' clean, mamtame f c s Mechanical Handrails&guards installed &sed Pool Safety Pool on Site :Surface water alarm ;Date of CO issuance ,..Door alarms.__., ......_., ..... ....�,.. ...... ..... .Pool comple�tely...�..� .._ ........... enclosed Self sin /latching gates � Pool fence to code requirements CO's for all items present Prior Rental . _ . Comments�........ . �._ . ". . ��_ .. -. �„ .... . Town Hall Annex Town of Southold 54375 Main Road Rental Inspection Report PO Box 1179 a Southold, NY 11971-1179 ` ft �� Tel: 631-765-1802 j ,SCTM# _. .. � ... Date jOwner ;r . � Phone Visible :Address . ..� .. . ..... .2 e ;'Hamlet .. .._. . ._ ......_ ... �... ... .._ .. . ._... ,_.. . ......�. _..._... P �. _... _.._.. .... ... . ..._...w. .,._w._. ..,,_ .. .. _.....-._..,. In.�...ector.._ 2 _. ... .. ...._ry.. . ..7 Floor Level Quantities ... .. ..... ,,. ._�. ..... .......... { Sub 1 2 3 Smoke Detectors(not located in bedrooms Carbon Monoxide Detectors Fire Extinguishers Exits �.. Bedrooms 1 2 3 4 5 6 Smoke Detectors Egress Occupant Countµ g y Operational Condition of Property Building Systems Maintained & Heating ng interior Hot water Building exterior rt Electrical Property clean, maintained &safe Mechanical .. .,.�._.�_ _... .�.._..�m.�. .,.�... ._.� __W. ...e. _ �.,�.�.._ Handrails&guards installed secure Pool ......�.� .._. _ Pool Safe Pool on Site Door surface water alarm Date o Pool complete! CO issuance rms y enclosed i Self closing/ latching gates ool fence o q Ptcode requirements,"-,,,,,.., � COs for all items present Prior Rental Comments TOWN OF SOUTHOLD Rental Permit 0203 i- Owner Einstein Square LLC Occupied as Commercial Building with 2 Apts. Located at 54180 Route 25 Southold 61-4-21 Maximum Permitted Occupancy 8 (Unit 2) 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. 11/15/2021 Code Enforc ent Official This Notice must be posted by the main entrance at all times F 1115 Town Town Flab Annex � ��ti 'Telephone(631)765-1802 54375 Main Road ; Fax(631)765-9502 P.O.Box 1179 »� Southold.NY 11,971-0959 10 17 BUILDING DEPARTMENT TOWN OF SOUTHOLD RENTAL PROPERTY CERTIFICATION Form is to be completed by a license architect, licensed engineer or licensed home inspector Separate form Is required for each Individual Rental Dwelling Unit Pr- fessional seat reauirelhr& hltect or Engineer,licensed Ifo le Ins ator myst raalde co a valid current ce cavon Rental ProertySCf Number: : ' t'" Rental Property Address: s- r Owner/Name: E�n JH-vry <2a ' . Rental Dwelling Unit identifier: U 1 Number& Square footage of each bedroom as depicted in the attached floor plan: q., Bedroom -90 s ., etc.) !d e. Bedroom oo #1-1300 s .�, 4 ,� �• �c G a� v,'r C�ick Cj t I '1 5 t= om I& { Property Description (Include all improvements indicated on survey) I certify that I have done a physical inspection of the subject rental dwelling unit and find that it fully complies with all the provisions of the Code of the Town of Southold,the Residential Code of New York State,the Building Code of New York State,the Plumbing Code of New York State, the Fuel Gas Code of New York State, and the Energy Conservation Construction Code of New York State. —214 Print Name and Title _ Original Signature Please place professional seal: 013 Town Hall Annex SOUTHOLD TOWN 54375 Main Road Rental Inspection PO Box 1179 Southold, NY 11971-1179 Tel: 631-765-1802 1 01 Fax 631-765-9502 „'' ,ron„rr,fJ'rt,��J�% i/✓r".>��"NJ��I��;/��%r D�A 'Sen l%inr��fi%/ � .. CEJ 1/4C) ,+� �. LEVELSii/ f f ar/r U i Ul�r Smoke Detectors (#-bedroom detectors excluded) I Carbon Monoxide Detectors (#) Fire Extinguishers (#) Exits(#) t BEDROOMS i✓/t j,�il�//O //��%/r iliF v/'�f f/r r l"MAP '� Smoke Detector Alarms (#) Carbon Monoxide Alarms (#) LIZ Egress(windows) (YIN) BUILDING SYSTEMS Y N CONDITION OF PROPERTY N 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 YIN 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: d w 001 TOWN' OF SOUTHOLD tA Rental Permit aPermit No. 0203 � 7 Owner Einstein Square LLC Occupied as Commercial Building with 2 Apts. Located at 54180 Route 25 Southold 61-4-21 Village S/B/1- Maximum Permitted Occupancy 8 (Unit 2) 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. 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Located at 54180 Route 25 Southold 61-4-21 Maximum Permitted Occupancy 6 (Unit 1) 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. f 4-1 11/15/2021 i � Code Ensor nt Official This Notice must be posted by the main entrance at all times +r Town Hall Annex Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1179 Southold,NY 11971-0959 � F1- t� I BUILDING DEPARTMENT Cffl TOWN OF SOUTHOLD euLuoNG DEPT TOWN OF SOUTHOLD RENTAL PROPERTY CERTIFICATION Form is to be completed by a license architect, licensed engineer or licensed home inspector Separate form Is required for each Individual Rental Dwelling Unit EM&UIMI 1,Ml rea a e r h e or En lneer need a l' u d o vo' d e t e f la Rental Property SCTM Number: — Rental Property Address: p Owner/Name: C Rental Dwelling Unit Identifier: U el 'Z Number&Square footage of each bedroom as depicted in the attached floor plan: (i.e. Bedroom#1 —100 sq., Bedroom#2-90 sq., etc.) VLAO- Property Description (Include all improvements indicated on survey) ` ' I certify that I have done a physical inspection of the subject rental dwelling unit and find that it fully complies with all the provisions of the Code of the Town of Southold,the Residential Code of New York State,the Building Code of New York State, the Plumbing Code of New York State, the Fuel Gas Code of New York State, and the Energy Conservation Construction Code of New York State. C4. Print Name and Title Original Signature Please place professional seal: ".d �ilY iN#utt PoSP 7, P SOUTHOLD TOWN Town Hall Annex 54375 Main Road PO Box 1179 Southold, Rental Inspection NY 11971-1179 Tel: 631-765-1802 Fax 631-765-9502 SCTM # �,� -. ,� Date Owner , L Phone Address Zip Hamlet Inspector Address visible from street? LEVELS SUB , 1 3 Smoke Detectors(#-bedroom detectors excluded) AW X E/z Carbon Monoxide Detectors (#) Fire Extinguishers (#) Exits(#) BEDROOMS „� . 1 2 34 �r Smoke Detector Alarms (#) LXI Carbon Monoxide Alarms (#) Egress(windows) (Y/N) BUILDING SYSTEMS ISI CONDITION OF PROPERTY N 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 7 POOLS YIN POOL BARRIERS YIN 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: f TOWN OF SOUTHOLD Rental Permit 3 IV Permit No. 0202 Owner Einstein Square LLC Occupied as Commercial Building with 2 Apts. Located at 54180 Route 25 Southold 61-4-21 Village S/13/1- Maximum /B/LMaximum Permitted Occupancy 6 (Unit 1) 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. 10/24/2019 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 V � t P °r BUILDING DEPARTMENT '°!}' SEP TOWN OF SOUTHOLD r� 2019 RENTAL PERMIT APPLICATION � ��: ,D J Rental Permit Fee$200 (Application must be renewed every two years) Section A. Property Information: Rental Property Address: Tax Map Number: 1000 SECTION—61 -BLQCI -LOT SECTION B. OWNER INFORMATION: Property Owner Name: I .y-t' Property Owner Legal Address: Property Owner Mailing Address: ....... I SA 0 Telephone Number(s): Daytime aq'I g�vening , Emergency Property Owner Email Address: 00 Page 1 of 5 Town Hall Annex Telephone(631)765-1802 lot 54375 Main Road Fax(631)765-9502 P.O.Box 1179 Southold,NY 11971-0959 �� BUILDING DEPARTMENT TOWN OF SOUTHOLD Section C. Authorized Agent Information: Name of Authorized Agent of dwelling unit, if any: .........-w 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: jvk Name of Authorized Agent of dwelling unit, if any: .... Address of Authorized Agent (no P.O. Boxes), Mailing Address of Authorized Agent: wwww 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: „m �...... ..._ Address of Managing Agent (no P.O. Boxes): ....... ......mm ... _ .. _W. Page 2 of 5 Town Hall Annex Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1179 Southold NY 11971-0959 BUILDING DEPARTMENT TOWN OF SOUTHOLD ��// W� Mailing Address of Managing Agent: Telephone Number (s): Daytime __ Evening_,,,,_,,,..,._,Emergency_m_____ ,_ Email Address: SECTION F. PROPERTY DESCRIPTION: � � ° Number of Rental Dwelling Units on property: _ For each Rental Dwelling Unit set forth the RentalD�Iling Unit identifier(for example, Unit 1, 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 "RentWpf Pert^ ti Application Addendum." m, k Rental Dwelling Unit Identifier: Requested Maximum number of �son§,AHWwed to oc °��rel ing Unit: " � . Number of rooms in Rental Dwelling Unit: . 64 1` 4 6J r 114+1 Use and Dimensions of each room in Rental Dwelling it: GL Page 3 of 5 Town Hall Annex " 'Telephone(631)765-1802 54375 Main RoadS Fax(631)765-9502 P.O.Box 1 179 Southold,NY 11971-0959 44' 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. I am requesting a fire safety inspection to be performed by a Code Enforcement Official from the Town of Southold O 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) 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)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1 179 : Southold,NY 11971-0959a BUILDING DEPARTMENT TOWN OF SOUTHOLD 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 ww �..P .. :� mm...�.: _-...�a.... ....-. f Property Owner's Signature: Sworn to before me this LAday of ,� � _..e... _......., 20�- 1 `_ ...`" Official Notary Public Signature and Original Notary Stamp No a f Pubfic,State of 1qe )prod(. No01 BU6185050 Page 5 of 5 Town Hall Annex g Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1179 Southold,NY 1 197 1-0959a d � BUILDING DEPARTMENT TOWN OF SOUTHOLD RENTAL PROPERTY CERTIFICATION Form is to be completed by a license architect, licensed engineer or licensed home inspector Separate form is required for each individual Rental Dwelling Unit Friession l seal red ilre 'or r°chitect ar Fn a mmlr �l s l �i"om In cto rr a rovide c-op-y„o valld curreL7t� rtfi q,(qrl Rental Property SCTM Number: 2— Rental Property Address: t tb ® mmt� m b t „ Rental Dwelling Unit Identifier: Number&Square footage of each bedroom as depicted in the attached floor plan: (i.e. Bedroom #1 -100 sq., Bedroom #2-90 sq., etc.) g � 44- Property Description (Include all improvements indicated on survey) I certify that I have done a physical inspection of the subject rental dwelling unit and find that it fully complies with all the provisions of the Code of the Town of Southold, the Residential Code of New York State,the Building Code of New York State,the Plumbing Code of New York State, the Fuel Gas Code of New York State, and the Energy Conservation Construction Code of New York State.. 641� f ( — ) Print Name and Title Original Signature Please place professional seal: ��W w U pa LU U II e m IM w ,a U m I LL N x. r .. 1 l bfa��A w HI a Hq 9I :ip� nn kill .6 9 N f�I 6 f°Md ®, 0 J� � o r y ol 17� .. o t I I i I I I �✓ I I I I I I IIT T .1I r I _ k f I I f I I a I I I I ,y I ........ _ .._.____________.}___ .'r I I� A 1 I^ I •. w I TOWN OF SOUTHOLD BUILDING DEPT. a -1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLG. 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