HomeMy WebLinkAbout1000-77.-1-7 TOWN OF SOUTHOLD
Rental Permit
E
0229
Owner Daniel & Maria McGoey
Occupied as Single Family Dwelling
Located at 1050 Oak Avenue Southold 77.-1-7
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.
8/9/2024 3
Code Eh fo ce eat oft
This Notice must be posted by the main entrance at all times
TOWN OF SOUTHOLD BUILDING DEPT.
631-765-1802
INSPECTION
[ ] ,FOUNDATION 1ST/ REBAR [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INSULATION/CAULKING
[ ] FRAMING /STRAPPING [ ] FINAL
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FIN L)
[ ] CODE VIOLATION [ ] PRE C/O [ RENTAL
REMARKS:
0
DATE INSPECTOR
a-a
.� Town Hall Annex
ell
Town of Southold 54375 Main Road
Cz Rental Inspection Report PO Box 1179
Southold, NY 11971-1179
Tel: 631-765-1802
_.... ............... _ ,... ...... ..........
...,
SCTM # Date -v2
.._
Owner Phone
Address /0 Visible
Hamlet ,, „!� Inspector
.e .. a,... w.... _ ....�. ,_. e, �, ,_... ..e� w _
........... ... _._. .,....®.._...
Floor Level Quantities Sub 1 1 1 2 3
.....
Smoke Detectors (not located in bedrooms)
Carbon Monoxide Detectors f
Fire Extinguishers
Exits", t / . .._ .
m. ........ _ , . _ me,... ..,,.......a.. _............. .
Bedrooms 1 � 2 J 3� 4 _ ..5 _ 6
'
Smoke Detectors
Egress _ _ ✓
a...,........ , ee
Occupant Count
Building Systems Maintained &Operational Condition of Property
Heating Building interior
Hot water Building exterior
_e _ _..... _ _ .... ..
Electrical Propertyclean, maintained &safe
Mechanical Handrails&guards installed &secure
... ............. .. ..... ................
Pool Safety Pool on Site
._ . _ ..........., ............ . e. a.z
Surface water alarm i Date of CO issuance
Door alarms Pool completely enclosed
.......... .
Self closing/ latching gates Pool fence to code requirements
_r .. „, ._ „e .. �..
CO's for all items present Prior Rental
Comments:
_ � � -_----------_........m
TOWN OF SOUTHOLD
=2�
:g Rental Permit
a
# 0229
Owner Daniel & Maria McGoey
Occupied as Single Family Dwelling
Located at 1050 Oak Avenue Southold 77-1-7
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.
8/11/2022
Code Enfo ent Official
This Notice must be posted by the main entrance at all times
Town Hall Annex
SOUTHOLD TOWN 54375 Main Road
PO Box 1179 Southold,
f2@Iltal Inspection NY 11971-1179
Tel: 631-765-1802
Fax 631-765-9502
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LEVELS f/fo,,SUB//�,�
Smoke Detectors'(#- bedroom detectors excluded) '
Carbon Monoxide Detectors,(#)
Fire Extinguishers,(#)
Exits (#)
i�/ / �/, �%rri/� % l� s. //r/i!
BEDROOMS ,< r %i%/„l i ,,,, c
Smoke Detector Alarms(#)
Carbon Monoxide Alarms(#)
Egress wins ;_(Y/N)
BUILDING SYSTEMS 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 Y/N POOL. BARRIERS IN
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 than4"
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:
K_
r TOWN OF SO T O D
Rental Permit
sk MA
la
Permit No. 0229
Owner Daniel & Maria McGoey
Occupied as Single Family Dwelling
Located at 1050 Oak Ave Southold 77-1-7
Address 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.
11/20/2019 John Jarski
Date of Issue Code Enforcement Officer
This Notice must be posted by the main entrance at all times
Town Hall Annex °�' n"w Telephone(631)765-1802
54375 Main Road Fax(631)765-9502
P.O.Box 1179 ' " "'j
Southold,NY 11971-0959
`
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
RENTAL PERMIT APPLICATION � . . .....
Rental IPermit Fee$200 (Application must be renewed every two ye r.5)
AUG 2 2 201
Section A.
Property Information:
Rental Property Address:
T ) r'J q T
Tax Map Number: 1000 SECTION -BLOCK -LOT -
SECTION B.
OWNER INFORMATION:
Property Owner Name: -oGnie I T. apI t �`� 6"-b `" 1Ot
Property Owner Legal Address: Property Owner Mailing Address:
e `+
19 � r� .
aos'�p���9
Telephone Number (s): Daytim 3 Evening Emergency
Property Owner Email Address: Ck0.11\ C_ 10 CY�ome
Page 1 of S
z.
Town Hall Annex Telephone(631)765-1802
54375 Main Road Fax a, Fax (631)765-9502
P.O.Box 1179
Southold,NY 1 1 971-0959
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
Mailing Address of Managing Agent:
Telephone Number(s): Daytime Evening__ Emergency
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 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: t , LLtk 0
Requested Maximum number of persons allowed to occupy Dwelling Unit: ..
Number of rooms in Rental Dwelling Unit: l
F
Use and Dimensions of each room in Rental Dwellin=g Unit: e 1)_. F
p
Page 3 of 5
Telephone(631)765-1802
Town Hall Annex
54375 Main Road ,ti Fax(631)765-9502
P.O.Box 1179
Southold,NY 11971-0959 la"
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.
❑ 1 am requesting a fire safety inspection to be performed by a Code Enforcement Official
from the Town of Southold
1 1 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 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
Soo), .
Town Hall Annex G Telephone(631)765-1802
54375 Main Road Fax 631 765-9502
i� � r' ( )
P.O.Box 1179
Southold,NY 11971-0959 G
UN
BUILDING DEPARTMENT
TOWN OF SO OLD
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: /1-7c o
Property Owner's Signature:
Sworn to before me thf?
'_day of.�.,�;; ° .�+ ,�'�- � 20
Official Notary Public Signature and Original Notary Stamp
CuNNIE D.BUNCH
Notary Public,State of New York
No.01BU6185050
Qualified in Suffolk.County
Commission Expires Andl 14.,
Page 5 of 5
Town Hall Annex Telephone(631)765-1802
54375 Main Road Fax(631)765-9502
P.O.Box 1179 s "
Southold,NY 11971-0959
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
Pro essiorlaP seal're ulred or r4rchfltect or n !neer tcensed borne lls actor rrl+ust rovide
coDv of valid current certification
Rental Property SCTM Number: k000
Rental Property Address: 1969 , ot& WAVES,OENS& Ka �
Owner/Name: 'hMJ Arra y
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.)
NEQ 4 v sr - 258 SF
SF
mb i uPsnr — 13 G s'F
Property Description (Include all improvements indicated on survey)
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2
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.
Print Name and Title Original ignature
Please place professional seal: ��� ��'
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SECOND FLOOK PLAN
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McGOEY RESIDENCE ROBERT I.BROWN ARCHITECT,P.C. J
1050 OAK DRIVE zosEnYaveNUE ✓�
CREENPORT,N.Y.u944
C ) 3 477-973 '
SOUTHOLD,NY n9� 631-477-9752 Pax s t- o
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CJ GREENPORT,N.Y.11944 ,
SOUTHOLD,NY 11971 631-477-9752(Fax)631-477-0973
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765-1802
INSPECTION
[ ] FOUNDATION ISTROUGH PL13G.
[ - I FOUNDATION 2ND I I / ISI
FRAMING /STRAPPING ] NAL * I% M
e.]- FIREPLACE I = FIRE FT' I
[ ] FIRERESISTANT CONSTRUCTIONI IPENETRATION
[ ]
ELECTRICAL ( ) [ ] ELECTRICAL I
CODE VIOLATION [ ] PRE C/O
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Town of Southold 1/27/2016
1 53095 Main Rd
" Southold, New York 11971
'0 ,
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PRIE EXISTING
CERTIFICATE OF OCCUPANCY
No: 38063 Date: 1/27/2016
THIS CERTIFIES that the structures)located at: 1050 Oak Ave, Southold
SCTM #: 473889 Sec/Block/Lot: 77.-1-7
Subdivision: Filed Map No. Lot No.
conforms substantially to the requirements for a built prior to
APRIL 9, 1957 pursuant to which CERTIFICATE OF OCCUPANCY NUMBER Z- 38063
dated 1/27/2016 was issued and conforms to all the requriements of the applicable provisions of the law.
The occupancy for which this certificate is issued is:
wood fta ne one larnll, ,.dwcllin ry wt i accessory wood frame 1 car_Raragp!
Notes;Ill' 25579 addition&mITalteration COZ-26751 IIP 39165 alterations/additions_C OZ-311048 and alterations to
accessory garage COZ-38049.
The certificate is issued to McGoey,Daniel McGoey, Maria
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
*PLEASE SEE ATTACHED INSPECTION REPORT. 7
Aut:ho Signature
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
IIOtJSING CODE INSPECTION REPORT
LOCATION: 1050 Oak Ave, Southold
:....—_. .......
UFF.CO.TAX MAP NO.: 77.-1-7 SUBDIVISION - .
NAME OF OWNER(S): McGoey,Daniel&Maria
OCCUPANCY:
........ADM . .
_.m ._.... - .
ITTED BY: Rose Siviglia
_..... e
SOURCE OF REQUEST. Basile Salvatore lry Trt DATE: 1/27/2016
_ ...
DWELLING:
#STORIES: 1 #EXITS: 3
FOUNDATION: Cement
Bock
..LEROOM(S):
(....)._ CELLAR: 1/2 CRAWL SPACE: 1/2
BATHROOM(S): 1
TOILET ROOMS : 1 UTELITY ROOM(S):
PORCH TYPE: Front Covered DECK TYPE: .......
PATIO TYPE:
BREEZEWAY:
FIREPLACE: N GARAGE:
DOMESTIC HO
TWATER Yes TYPE HEATER: OffBoiler AIR CONDITIONING:
TYPE HEAT: Oil WARM AIR: HOTWATE -
... R X
#BEDROOMS:_ 3 #KITCHENS. ----'-]'--'"--"BASEMENT
_..._. _
BASEMENT TYPE. Unfinished
HER:
ACCESSORY STRIJCTURFS:
GARAGE,TYPE OF CONST: Wood Frame 1 car STORAGE,TYPE OF CONST:
_.._ .........._.
SWIMMING POOL: GUEST,TYPE OF CONST:
m.
OTHER:
VIOLATIONS:
REMARKS:
INSPECTED BY: GARYF DATE OF INSPECTION: 8/22/2013
_ .....
TIME START: 9:45am END: 10:15
FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No: 1-26751 Date: 10/21/99
THIS CERTIFIES that the building ADDITION & ALTERATIONS
Location of Property: 1050 OAK AVE SOUTHOLD
(HOUSE NO. ) (STREET)
(HAMLET)
County Tax Map No. 473889 Section 77 Block 1 Lot 7
Subdivision Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated DECEMBER 14, 1998 pursuant to which
Building Permit No. 25579-Z dated MARCH 4, 1999
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 ENTRY ADDITION AND ALTERATIONS TO AN EXISTING ONE FAMILY DWELLING AS
APPLIED FOR.
The certificate is issued to FRANCA BASILE
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A
ELECTRICAL CERTIFICATE NO. 28916 06/30/99
PLUMBERS CERTIFICATION DATED N/A
c
i digiti Insp ector
Rev. 1/81
Town of Southold
wy P.O.Box 1179 1/27/2016
53095 Main Rd
b Southold,New York 11971
CERTIFICATE OF OCCUPANCY
No: 38
048 Date: 1/27/2016
_ . _
. .. .... ..................—
THIS CERTIFIES that the building ADDITION/ALTERATION
Location of Property: 1050 Oak Ave, Southold
..... . ...... .... ... ...._
CTM#: 47Sec/Block/Lot:k/Lot: 77.-1-7
Subdivision: — Filed Map No. Lot No.
conforms substantial) to the Application for Building Permit heretofore filed
y pp g in this office dated
84 pursuant to which Building Permit No. 39176 dated 9/12/2014
..... .13/201.m...—.
, e requirements of the applicable provisions
was issuedand conforms to all of the of the law. The occupancy for
which this certificate is issued is:
4er ti abs ac_dditipp- ij pl din ve l r try,, r deck qnd;s and 11 a°� ��l caz� to a� existi a c a f��rtii1' l e@din
as s,dl Esc, t:�er.�I�A X672� dated 2r'2 /1�4 m
The certificate is issued to McGoey,Daniel&McGoey,Maria
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL R10-14-0002 12/10/2015
ELECTRICAL CERTIFICATE NO. 39176 1/14/2016
LUMBERS CERTIFICATION DATED 7/12/2015 JOHN SWEENEY
i great re
Town of Southold 1/27/2016
P.O.Box 1179
53095 Main Rd
Southold, New York 11971
,y
CERTIFICATE, OF OCCUPANCY
No: 38049 Date: 1/27/2016
THIS CERTIFIES that the building ACCESSORY ALTERATION
Location of Property: 1050 Oak Ave, Southold
SCTM#: 473889 Sec/Block/Lot: 77.-1-7
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
8/13/2014 pursuant to which Building Permit No. 39176 dated 9/12/2014
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:
a1lrt.aas to an et:n ag_cscry gaxagIppilo�°petf # 7 1,dtl1 (Dl2fl 14.
The certificate is issued to McGoey,Daniel&McGoey,Maria
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
......
ELECTRICAL CERTIFICATE NO.
39176 1/14/2016 ....
PLUMBERS CERTIFICATION DATED
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