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Home My WebLink About1000-128.-3-8 OFF P TOWN OF SOUTHOLD x. Rental Permit 0262 Owner Harold & Sharon Serven Occupied as Single Family Dwelling Located at 155 Delmar Drive Laurel 128.-3-8 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. 6/27/2024 Code E4rckn,4ent off-iciaV This Notice must be posted by the main entrance at all times z� of 80C11,S+�,�w�a ` TOWN OF SOUTHOLD BUILDING DEPT. 631-765-1802 1 N SAE(CT 10 N [ ] 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 (FINAL) [ ] CODE VIOLATION [ ] PRE C/O [ 4RENTAL �y /O V Ae- 6 kfi y op ptesal oeCs� ..... � . Town Hall Annex ell Town Of Southold 54375 Main Road Rental Inspection Report PO Box 1179 ' b' Southold, NY 11971-1179 Tel: 631-765-1802 SUM # �! 3► Date (p.o? .v� ..... . m„ Owner Phone Address . .�.,. , fie. /). Visible j . . ,,a®.. ... ,� Hamlet Inspector ............m ®. _............ _ . ,. _. ,® Floor Level Quantities Sub 1 2 3 . Smoke Detectors (not located in bedrooms) Carbon Monoxide Detectors Fire Extinguishers Exits _ .._. .. _ _ .. _ ,�e, _. , Bedrooms 1 2 _ �3 4 5 6 Smoke Detectors 01-1 Egress _ .... .. . ... _. e, .. .._,, ..... _ , Occupant Count Building Systems Maintained &Operational Condition of Property Heating Building interior Hot water Building exterior Electrical Property clean, maintained &safe , Mechanical _, _� Handrails & _ ,. _. .. a guards installed &secure Pool Safety Pool on Site _ Surface water alarm Date of CO issua ....... Door alarms Pool completely enclosed Self closing/ latching gates Pool fence to code requirements _. _ _ __ ...... _ . ,.e _ _ e, .. .m CO's for all items present Prior Rental Comments: .,...... TOWN OF SOUTHOLDPermit Rental 0262 Owner Harold & Sharon Serven Occupied as Single Family Dwelling Located at 155 Delmar Drive Laurel 128-3-8 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. 12/13/2021 Code Eno 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, a Rental Inspection �ry NY 11971-1179 Tel: 631-765-1802 - Fax 631-765-9502 Lz a' µ SCTM # ," _ Date Owner ' < Phone 7/I -yZ � Addressp Hamlet R Inspector Address visible from street? LEVELS SUB 1 2 3 Smoke Detectors (# bedroom detectors excluded) Carbon Monoxide Detectors (#) Fire Extinguishers (#) Exits (#) BEDROOMS 1 2 3 4 5 Smoke Detector Alarms (#) r Carbon Monoxide Alarms (#) Egress(windows) ( /N) I BUILDING SYSTEMS J' CONDITION OF PROPERTY I 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` POOL BARRIERS Y/N Pool present 6ZO 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: 11 ....... , „, �.,E ......... �"��.....�� _. .,,,, .. .... ....._... .., �..... .... u /Ille 14- ....... .� .m. ................... �..... ..,.,. .. „��,.... ... . ,.w„ �.... . . ..... ... .... ,.m, m .. „ .. �,�.. m.., �...... ,. .� 1. m ',, , ,.. ................. .........V'71/-” Ff yd 1j P ... ,,,.P �., rm.,.,,.,..... . e,, fff ..........k- -" ..,. n.,,r ...fie. .. ...,,.. ..... .... ........... .. „,„ ,.....� ..... .,.er........ ,.f,Y m. .,.,, ,., ........ ,. ,..,.. ,,,, ........,,............................ .... ... ...... .,, ...... ®,,,,... �.1 ......_, .. ...... ..�,�.,, I Tu"WN OF SOUTHOLD Rental Permit � E 0262 Owner Harold & Sharon Serven Occupied as Single Family Dwelling Located at 155 Delmar Drive Laurel 128-3-8 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. 12/30/2019 John Jarski Code Enforcement Official This Notice must be posted by the main entrance at all times Town Hall Annex 4 Telephone(631)765-1802 54375 Main RoadFax(631)765-9502 P.O.Box 1179 cutaMa1 1�0 '119 11959 w a; d i It w BUILDING DEPARTMENT TOWN OF SO HOLD µ,2, RENTAL PERMIT APPLICATION Rental Permit Fee $200(Application must be renewed every two years) Section A. Property Information: Address: ,/ �/ Renta PropertyA� L l2 11/c'® t re L ,(V 1 Tax Map Number. 1000 SECTION , ,'f BLOCK = _LO" SECTION B. OWNER INFORMATION: c Property Owner Name, ,�1' OLD ,J H A RGIN S &-AV,5-Nl Property Owner Legal Address: Property Owner Mailing Address: (Cannot be the same as Rental Property Address) ry Telephone Number(s): i 9- yQ`' - 60 0- Property Property Owner Email Address: 5 F-1'V (�`�_ M S A I MAY - 6 2019 1.,_ Page 1 of 4 T. IP SECTION F. PROPERTY DESCRIPTION: Number of Rental Dwelling Units on property: 1 For each Rental Dwelling Unit set forth the Rental Dwelling 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 Roomy and the dimensions of each room. For properties with multiple Rental Dwelling Units use "Rental Permit Application Addendum." Rental Dwelling Unit Identifier: d _ - / /� / ( ` �V. Requested Maximum number of persons allowed to occupy Dwelling nit: Number of rooms in Rental Dwelling Unit: 7 Use and Dimensions of each room in Rental Dwelling Unit: "m i ' a LZLI , r p l �Q. 7 11— S i VLAIC X � a � 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 laws adopted by the New York State Fire Prevention and Building Code Council. X'I am requesting a fire safety inspection to be performed by a Code Enforcement Official from the Town of Southold. 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 F SUFFOLK A 5ef"I'VIell 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 bf 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 Owners Name: Property Owner's Signature`. a. Sworn ethis&lay of 20L w EVE L.GA1'2-SCHWAMBORN Official No y ab c Signature and Original Notary Stamp VOTARY PUBLIC,STATE OF NEW YORK Registration No.01GA6274028 Qualified in Suffolk County Page 4 of 4 Commission Expires Dec.24,20BD i FORA[ N0. 4 TOWN OF SOUTHOLD BIJIMINGr D T Town ClerVa Office Southold, N. Y. Certificate Of Occupancy No. 2453} . . . . . Date . . , . , . . . . . . . . . . 31 . . . . . .. 19. . .. THIS CERTIFIES that the building located at Dalma Dr. . . . . . . . . . Street Map No.tAUr6l-Ck)Aj4k"-teS. . . . . .Lot No. . . . 19. N.Y.. . conforms substantially to the Application for Building Permit heretofore filed in this office dated.. . . . . . . . .Sept- . .21 . . ., 19-71. pursuant to which Building Permit No. .5522 . dated . . . . . . , , . , SeFb , ,��, , ., 19.7.1., was issued, and conforms to all of the require- ments of the eppEcable provisions of the law. The occupancy for which this certificate is issued is . The certificate is issued to . .Gerard- F: -Gcmhr ge . fuer. . . • . . . • . . . owne of the aforesaid building. r, lessee or tenant) - Suffolk County Department of Health Approval . .21. . . .1 .p House # 153 61 . ` Building Inspector NOTES Sub3ect to completion of deck by owner Dd vee DEPT.TOWN OF SOUTHOLD BUILDING �Volr, 765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING STRAPPING [ ] INAL /M41 4w;-� [ ] FIREPLACE & CHIMNEY ["FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) [ ] CODE VIOLATION [ ] C I IN REMARKS: u Lit U& erre 4- P6, ........... V a &40 �✓ A- M DATE INSPECTOR i s6 4 S TOWN OF OUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING /STRAPPING FINAL&,�Xt [ ] FIREPLACE & CHIMNEY ( ] FIRE SAFETY INSPECTION j [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ],/ELECTRICAL ( UGH) [ ] ELECTRICAL (FINAL) [V4 CODE VIOLATION [ ] CAUL IN n). I I/Lt IDIN/ s_vw_iz_ Of\t p1w -flow flev 5 Avio, DATE DAM INSPECTOR 7`'J � Kcs rz TA -,T41 , N Cu ` lb NZd� In ?r b � r -1 ,�[�✓Ec"t um Ca- CNJ tz n � m y 73 o ty 1 rel •,�,�, .�, � `�' � �� k^v� ,r y p I m �' �� 1 r oil w A �. PPP z rn 0 r �lco Z Z � �� ... r w VON� ,F pryryry pp u 1 l ? I., I , cm 0 Elf SAO I �h d 7 P I I I � w Oil r- 3 IW^I r +J p� I 1 v pq h µµ i. rvl�P 1 O —1,/1A f P-Nt � �V �� r .n I '�II�I✓ ��J� f�, I pp��uu I I O O ..� ��. .. s _.. .._...... .... . .... _ . .... w e . _. �I �. 0 m a 3 T j rn T T N " ;13 C n s .�. m _ IM to i POWs X& TOWN OF SOUTHOLD RUIMING DEPARThMM kis Offite S N Y. Certificate cy No. Date . .. .. .. .. . i].. . ..jk... ., 19..75 THIS CERTBUS that the buflding located at . . .De r. D .. . Street Map No. ,91. CtyAS& No. . .. .. ... ..Lot No. . .I . . Laurel . .p ex*.%. . ._4 ... . ..2i . conforms substantially to the Applicatim for Building Permit heretofore filed in this office dated - . •w . . . . .Deo - .26 , 19.7a pursuant to which Building Permit No. .? ., . dated . . . . . . . . . Dee.. .26. . .. .. 19,V3 ., was issued, and conforms to all of the require. meats of the applicable provisions of the law.The occupancy for which this certificate is issued is -pri -family-d 11- ► .with, an-aodditlon .. ...... .. ... . . . . The certificate is issued-to rr A. b -AoshrInger.. -.-Ounera . . .. .. . .. (owner, lessee or tenant) of the aforesaid building. Suffolk County Department of Health Approval . .Iq: lt .-... .. ..... . ._. .. . . . . . . ... .. UNDERWRITERS CERTIFICATE No. .pendjug, .. .. .. . . .. -o... .. . .... HOUSE NI,JMBER . . . .3.55... . . . Street . . ..De er.drive._ . . . . .. . . . . .. . . . .. .. . TOWN OF SOUTHOID BURDING DEPARTMEW Town QeWe Office soudt*K W. Y. Certfficate Occupancy THIS CERTHTES that the ' r. *.Unrol . . Street Map No. UtA . . . Block No. . . . . . . .Lot No. . . . . . _ .. .. ... . . conforms substantially to the Applicatim for Building Perndt heretotare fded in this oMm . . .. .. . . .. Building Permft No. . A81 IX dated —August. 19.73., was issued, and conforms to all of the require- ments a applicable provisions ... . (owner, ) aforesaidof the building. Suffolk County Department ent a A. oval . . . . . . ., . . . . .HOUSE NUMBIM . _ .. . Street . ...' .. r . P . . ri. .`. . . . .. .. A . . . . . . . Building FORM NO.4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the BuNdins Inivector Town Hail Southold,N.Y. Cerifficate Of Occupancy No. .Z?3410. .._. . Date ... .�la�.3 19 e5 TSS CERTMES that the building . . . . Deck . ..... : ...... ... ...... ..... . ... . .. . Location ofPrope:tyDelmar .Drive .. . ....Laur;el. . . .. .. County Tax Map No. 1000 Section . .. . .128,:0 . ...03 00....Lot .. 008.000 ...... Subdividon:..._.. . .. .. ... .. . . . . ... . .. .Fged Map No. . . .. ..Lot No. ...... . ... ... cmrfarms substantially to the Application for Buddiug Permit heretofore wed is this office dated . .. .. S e P.t,.21 .. .. .. . 197).pursuant to which Budding Permit No. dated .AQ D t.a. 23... ....... . . . .... 19?1. ,wan issued.and conforms to all of the requirements of the applicable provisions of the law.The occupancy for which this certificate is issued is ... The cwtificatais issued to . . . James-.E Rychw lsk . and ar"bara.A.. Rychwalski . . . ..... . . ... .. . ... . . . . - a . ., ... .... * � " µ" .(GERARD GOSH$INGSR 1 of the aforesaid budding. y��1 ',V{ A Suffolk County n 't of Health Approval .a _ .• 1 11��/.i 4 i. .i • i.i. . ..• .. . . ... . .. . y, UNDERWRITERS CERTIFICATE NO.... .... . . . . .. A44. .. . . .. . .. .. .. ... .. . . . . . . . . . . . . . . .... . .. . . Building lnspector RM rlar s � MRM NO.4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Ofte of the Building Inspector Town Hall Southold,N.Y. Certificate Of Occupancy No. . . .Z—16057.. . . . . Date . . . .August. 14 , . 1987 THIS CERTIFIF,S that the building .. .DECK...ADDITION , . . . . . .. . . . . . . . Location of Property 155 .Delmar. Drive. • , . Laurel, New.York o , No. • . . S&Wt �Harnlmr County Tax Map No. 1000 Section . .12 8. . . . . . .Block , . , , 3. . . . . Xot .. . . . . . . . . .. . . Subdivision.M/o.Laurel.Country.Ests.. . . . .Filed Map No. 5486 . . I. .. _ . Yoxxras substantially to the Application for Budding Permit heretofore filed in this office dated July 7 , 1987 16218 Z . .. . . . . . . . . . . . . . . . . . .. pursuant to which Building Permit No. , . . . . . . . . . . . . . . . . . . . . dated , . .Ju l .. .I 3. 19 8 7 . . . . . .. . 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 EXISTING ONE FAMILY DWELLING The certificate is issued to , . ,JOHN .SCHAEFER ,& MARY SERVEN . . . . .. .( .r,�Pyr of the aforesaid building. Suffolk County Department of Health Approval .. . . . .N.A . . . .. 6 . . . . .. . UNDERWRITERS CERTIFICATE NO. . . . . . .. . ... . .N/A . . . .. . . . . . . . . . . . . . . .. PLUMBERS CERTIFICATION DATED: N/A .. '" ... . . . . . Buil Inspector Rev.1181