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HomeMy WebLinkAbout1000-70.-7-9 Tu"IN OF SOUTHOLD Rental Permit �g 0257 Owner Anthony Portillo Occupied as Single Family Dwelling Located at 48920 Route 25 Southold 70.-7-9 Maximum Permitted Occupancy 4 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 ---1 ')P4 3/6/2024 oz4x 44, Code Enforfemo Official This Notice must be posted by the main entrance at all times TOWN OF SOUTHOLD BUILDING N 6 -765-1802 31 �U INSPECTION [ ] FOUNDATION 1 ST [ ] ROUGH PTBG. [ ] FOUNDATION 2ND [ ] INSULATION/CAt [ ] FRAMING / STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY IN! [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PE [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FII [ ] CODE VIOLATION [ ] PRE C/OREMARKS: [ I T" To DATE INSPECTOR Town Hall Annex Town of Southold 54375 Main Road { = a Rental Inspection Report PO Box 1179 r= Southold, NY 11971-1179 ► �a Tel: 631-765-1802 Date .� Owner w _._. __,,,_a_�, Phone u.. 4Address �fs f�0 ll�/lA•l�l� _.. ... . ....... 1m 1 4 Visible Hamlet Inspector ` . s.. iFloor Level Quant�tles Sub 1 � 1 a... 2 SmokeDetectors;(not located in bedrooms r _...... .._ � W .. ..._W'... ,. .....,... ���.._ .a�,...�� , �... ....,o.. ..� �.. �. �. Carbon Monoxide Detectors _._ .. .,,..._ � � I Fire.Extin Extinguishers 1 Exits Bedrooms _ .. . B . .... L i Smoke Detectors Egress _.. .. , �.�. g .4_. . Occupant Count .,. Building Systems Maintained & Operational Condition of Property Heating IBuilding interior Hot water r, Building exterior 1-1-11-1.-.M-. .. . .. Electrical Property clean, m aintamed &safe Mechanical -Handrails&guards installed &secure Pool Safety i Pool on Site Surface water alarm Date of CO issuance Door alarmsPool completely enclosed �...w. ��.��...,�. ..�a.,a�.�..,.�...... �ta.._�.... .... .o, �..N... .�.�_ _ .�_. Self closing/latching gates Pool fence to code requirements :O fC0'sfor all items present Prior Rental�. mm�.�- ..._..... ... w..,.... ,., ;Comments .. 4 't--- T 0 N U bUU HU Us `W& 0 #v%F Oft Aw' s ETR " " Lr% Permit 0257 Owner Anthony Portillo Occupied as Single Family Dwelling Located at 48920 Route 25 Southold 70-7-9 Maximum Permitted Occupancy 4 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. 2/2/2022 Code>=nforc V nt 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, Rental Inspection �,i all NY 11971-1179 Tel: 631-765-1802 Fax 631-765-9502 ° Z SCT �0 . �— ? -- Date /13 Owners Phone Address - �� " i ° Hamlet Inspector ° Address visible from street? LEVELS S, 1 2 3 Smoke Detectors (#-bedroom detectors excluded) Carbon Monoxide Detectors (#) Fire Extinguishers(#) Exits (#) BEDROOMS ' 4 5 Smoke Detector Alarms (#) * f Carbon Monoxide Alarms (#) Egress (windows) (Y/N) BUILDING SYSTEMSYCONDITION OF PROPERTY Y Heating system maintained/operational Building Interior is clean/maintained . Hot water system maintained/operational Building Exterior is clean/maintained Electrical system maintained/operational V1 Property is clean/safe/maintained Mechanical system maintained/operational Handrails&guards present POOLS " Y ,,, POOL BARRIERS / 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 ® I tu AA PeJ Q UTa� I .e ' r° TOWN OF SOUTHOLD Rental Permit `x Permit No. 0257 Owner Anthony Portillo Occupied as Single Family Dwelling Located at 48920 Rt 25 Southold 70-7-9 Address 5/B/L Maximum Permitted Occupancy 4 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. 12/23/2019 John Jarski Date of Issue Code Enforcement Officer This Notice must be posted by the main entrance at all times 1 Town Hall Annex ,� Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1179 `t dap Southold,NY 11971-0959 BUILDING DEPARTMENT TOWN OF SOUTHOLD NOV 20f9 RENTAL PERMIT APPLICATION Rental e i ee (Application us renewed every two years) . d` Section A. Property Information: Rental Property Address: Tax Map Number: 1000 SECTION -BLOC SLOT q - SECTION B. OWNER INFORMATION: Property Owner Name: Property Owner Legal Address: Property Owner Mailing Address: tei .mm Telephone Number (s): Daytime ( `' Ila' '%ening l a " )�mergency y��l� Property Owner Email Address: (- Page 1 of 5 Town Hall Annex Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1179 Southold,NY 11971-0959 1" com .�: 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: Requested Maximum number of persons allowed to occupy Dwelling U °t: Number of rooms in Rental Dwelling Unit: Use and Dimensions of each room in Rental Dwelling Unit: - '` ( _ �Page 3 of 5 4 Town Hall Annex Telephone(631)765-1802 54375 Main Road f Fax(631)765-9502 �{ may„ P.O.Box 1179 �� sS, Southold,NY 11971-0959 ,z r,'M 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. ;W 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) ` � .A 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 x Fax(631)765-9502 P.O.Box 1179 Southold,NY 11971-0959 ` COW BUILDING DEPARTMENT TOWN OF SOFT. 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: N*a r 6 Property Owner's Signature: Sworn to before me this_day of 020— Official 20Official Notary Public Signature and Original Notary Stamp Page 5 of 5 .... 7 d I C7 e a n 5 o �p w ri 'kir H/A H II1 6 I C L bRA tl I t SPR✓I Y/tl ",11L y"i— ....................... fP1. r. ,sexy Ji r : ~ gin--- . — Ia A �.. �. STI111 REPAIRS House , , P"TD � Jt�� �u A�e FLOORPr�;�3 a,NY 0 o Z I rn rn p fl c oco ° o m� rn ;mo r. co w Fig I a m f < C �. W 1 ! f o ao r p 0 Ln rD � r � .Ul `:..0 CU F y ,`V*•..D p p Z Z r 1' re +� to c ao �J:�n. r e �a,u - u O o 0 qOJ 0 4 N 9 6 hl CDD fCDD ED s 1 H - (A' a. k 6 w, o w , f c p . .. { � 6 ly �/ ,- I "#�.,�._.4 .,....�............ .....� ....,,_-u:,-........._...� ,...-y;�........ �,........ ..,. ....« ,,,..., ..... .,,.r_.-.., �'1 it u I H . . , N CL ci 3 = p O . . 0 1-41 G o -0 0 o eb 3 _. f s � o a" 7 Y r �,.' �.� �. .. .... Vl, f � O Z 7� • I 1 ,, FORM NO. TOWN OF L BUILDING Town Clerk's Office Southold, N.Y. Certificate No. . . . 6 , I . . . . Date . . .A . .St. 9. . . . . . . . . . . . . . . . . . 19 .7 THIS CERTIFIESthat the build' . . . . . . . . . . . . . . . . .. . . . . . . . ., . . . . , Location o e . 4. 20. . . . . . . . . 9 h//,V/ fSouthold Houm No. . : . . . . . . . . -Hamlet County Tax Map No. 1 ion . . . .M . . . . lock . . ..?. . . . . . . . ..Lot . . . . . . . . . . . .. .. . . Subdivision , . . . . . . . . . . . . . . . . .. . . . . . . . . .Filed Map No. . . . . .. . .Lot No. . . . . . . . . .. . . . Requirements for a one family dwelling builtfor to conforms substantially to the Certificate of Ocoupancy 1 .7. .pursuant to whit No. . . . . . . . . . . . . . . . . . . . . . dated . ,August, . . . . 1 . . . . . . . . . „ . . . 1 was issued,and conforms to an of the requirements of the applicable provisions of the law.The occupancy for which this certificate is issued is . . . . . . .. . . . . . . . . . . . . .e.F. . 1y. Dwelling. . . oce . . . . . � . . . . . . . . . . . . . . . . . . . . . . . . Th rry e certificateto . , . . . . . . . .. . . . Lillian A L ori . . . . . . . . . . . . .. oft the aforesaid building. Suffolk County Departmento a pro . . . . . . . . . .. . . . . . N/ . . . .. . .. . . . . . . . . . . . . . . UNDERWRITERS CERTIFICATE . . . . . . . . . . . . . . . . . . . . . . . . IR. .. . . . . . . . . . . . . . . . . .. . Building Inspector Raw 4/79 FORM NO.4 TOWN OF SOUTHOLD BUILDING tce of the BuildingInspector Town Hall Southold,N.Y. Certificate No. .. . .. :.155 . . .. Date . . . ....December 23 .... .. ... . .... 19.. 6 THIS CERTIFIES thatthe building . ® Addition to exist ing dwell in Location r 4892.0 ® ®ai ®Road Southold, N.Y. H® . t ,t . ®. . . . . . ... County Tax Map �lei . 1000 Section . ..070. ..... 1 . .. . ?.. .. . . . .. t .. ...009.. ... . .. Subdivision.. . . .... . . . . .. . . . . . . .. ... . . . . . .Filed Map No. . . ......Lot No. . . . . ... ... . . . conforms substantially to the Application for Building Permitheretofore fed in office dated November µ . . . .. .. .. . 85 ursuantt is Permit . J .4 n6Z . , ate . . .December ®11 .. ... . .. .. .. 19 . ? issued,and conforms to aft oft the requirements oft the applicable provisionsoft the law.The occupancyfor which this certificate Is issued is ... ... ... Addition tao existing one® ` ® familydwelling. . .®®®`® ®`Y ® ® ® ® ® ® ® ® SHL The certificate is issued t . . . XX.... .. .. . . . .. . . . . . . ® + ars of the aforesaid '1 i . Suffolk nt Department of HealthApproval . . . , . . . .�.N .A„ . . . . .. . .... . CERTIFICATELfNDERwRrrERS . . . . . . . .. . ... . . . N763045. . . . . . . . . . . .. .. . . .. .. .... . Plumbers Certification dated August 2 , 1986 , . . . . . .. . .� il i cr Rev. FORK . BUILDINGTOWN OF SOUTHOLD office Building Inspector Town Hall Southold, N.Y. CERTIFICATE : 2-26273 : 09/22/97 THIS CERTIFIES that the building ITIONS Location of Property: 45.920 MAIN SOUTHOLD ("mm NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 70 Block 7 Lot 9 Subdivision it Lot conforms substantiallyo the Application for BuildingPermit filed in thisi SEPTEMBER-221_1997 pursuant to which Building Pei . 24452-Z 30 1997 was issued, and conforms to all of the requirementsf the applicable provisions the law. The occupancy for which s in POUNDATION UNDER EXISTINGONE rAMILY DWELLING & TWO 'NEW CHIMNEYS AS APPLIED FOR. The certificate is issued to SHIRLEY c DARLING (OWNER) of the aforesaid building. ELECTRICALSUFFOLK couNTY DEPARTMENT OF HEALTH APPROVAL NA T . B-062824 I./'14/59 PLUMBERSTI I TI T / Building 'In ector 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-29401 Date: 04 '29 f-3 THIS CERTIFIES that the building ACCESSORY_ Location of Property: 48920 MAIN RD SOUTHOLD (HOUSE NO (STREET) (HAMLET) County Tax Map No. 473889 Section 70 Block 7 Lot 9 Subdivision ..-, Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated JUNE 15 2001 pursuant to which Building Permit No. 27923-Z dated NOVEMBER, 20, 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 CCE SOR'Y G• GE AS APPLIED FOR PER ZSA X5'015 DATLO+ 10 25/01, The certificate is issued to SHIRLEY G DARLING of the aforesaid building. (OWNER) SUFFOLK COUNTy DEpARTMEW OFEogALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. 1037982 d) f08/ ' PLUMBERS CERTIFICATION DATED N/A .. Aut prized Signature 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-33929Date: 09/01/09 .�,.. ... IS CERTIFIES that building ling AL""�""ERATIONS FIRE 1?EPAI' Location of 48924 MAIN RD SOUTHOLD (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473.889 Section 70 Block. 7 Lot 9 Subdivision Piled p No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated APRIL 3, 2009 pursuant to which Building Permit No. 34594-Z dated APRIL 9 2009 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 ALTERATIONS AND 'FIRE 'REPAIRS TO AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to SHIRLEY G DARLING (OWNER) of the aforesaid building. sUFMLIK COUNTY DEPARTMENT OF HEALTH APPROVALN/A MLgCTRIrsr• CERTIFICATE NO- 09-3290 06/04/09 PLUMBERS CERTIFICATION DATED --. .N/A _. "L.hrz,.d ,ttare Rev. 1/81