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HomeMy WebLinkAbout1000-35.-6-2 TOWN OF SOUTHOLD *F z 3 Rental Permit 4 §s 0279 Owner Scott VanDuyne Occupied as Single Family Dwelling Located at 1310 Maple Lane Greenport 35-6-2 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. 3/24/2022 g Code Efo ent Official This Notice must be posted by the main entrance at all times SOUTHOLD TOWN Town Hall Annex , 54375 Main Road PO Box 1179 Southold, Rental Inspection µ NY 11971-1179 Tel: 631-765-1802 Fax 631-765-9502 SCTM # -- Date 3 .wa. / Z-Z Owner a n 6Uy4 Phone _ Z� Addressjp A Zip 0 7YC Hamlet rt Inspector Address visible from street? LEVELS SUB 1 2 3 Smoke Detectors (#- bedroom detectors excluded) 601*1, Carbon Monoxide Detectors (#) --"— U f �� Fire Extinguishers(#) Exits(#) ` BEDROOMS1 2 '' 3 �� `� 5 Smoke Detector Alarms (#) V. L.--17 Carbon Monoxide Alarms (#) Egress (windows) (Y/N) BUILDING SYSTEMS mY N CONDITION OF PROPERTY (Y)N Heating system maintained/operational J 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 `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: o�os�FFoc��o TOWN OF SOUT-HOLD Gym y Rental Permit Permit No. 0279 Owner Scott VanDuyne Occupied as Single Family Dwelling Located at 1310 Maple Ln Greenport 35-6-2 Address S/13/1- Maximum /B/LMaximum 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. 1/22/2020 John Jarski Date of Issue Code Enforcement Officer This Notice must be posted by the main entrance at all times jf �1Qf S1 Town Hall Annex Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1179 M Southold NY 11971-0959 BUILDING DEPARTMENT 20 TOWN OF SOUTHOLD i9 RENTAL PERMIT APPLICATION Rental Permit Fee$200(Application must be renewed every two years) Section A. Property Information: Rental Property Address: Tax Map Number: 1000 SECTION -BLOCK 5� -LOT - Z— SECTION B. OWNER INFORMATION: Property Owner Name: Property Owner Legal Address: Property Owner Mailing Address: Telephone Number(s): Daytime Evening Emergency 31 Property Owner Email Address: �_o /G�� Page 105 � � oo • ���,o� soUry��`� Town Hall Annex Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1 179 Southold,NY 11971-0959 BUILDING DEPARTMENT TOWN OF SOUTHOLD Mailing Address of Managing Agent: ( (�✓� Telephone Number(s): Daytime aEmvening Emergency Email Address: C (/��� �Z7�! 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: �� 1-74 A00'% Requested Maximum number of persons allowed to occupy Dwelling Unit: �l Number sin Rental Dwellin se and D4mensions,of each room in Rental Dwelling Unit: Z a Page 3 of 5 Town Hall Annex Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1179 Southold,NY 11971-0959 c®U 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 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 -5e'pIf 4-n ��r r , 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 1179 d Southold,NY 11971-0959 447 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: Property Owner's Signature: Sworn to before me this � I y of—0 L �� 20 MI tAKA LUNDSTRUM NdarY Public lic Stmt.-01 New Yofk Official Notary Public ignature and Original Notary Stamp tx� °ruilified�; k ,u�a l Page 5 of 5 - a souryo� # # TOWN- OF-SOUTHOLD BUILDING DEPT. `ycourm,� 765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ - ] FOUNDATION-21SID [ ] INSULATION/CAULKING [ ] FRAMING /STRAPPING [ ] INAL 441 [ ] Aiw� FIREPLACE & CHIMNEY [ FIRE SAFETY`INSPECTION [ . ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ]" ELECTRICAL (ROUGH) [ ] "ELECTRICAL (FINAL) [ ] CODE VIOLATION [ ] PRE C/O REMARKS: DATE INSPECTOR a, a o�Dr- 0 o"z '{2 I j)IItop'is—� /Plo 9z I � `Wmk° � d 1 ♦� TOWN OF SOUTHOLD PROPERTY RECORD I _ . OWNER STREET VILLAGE DIST.; SUB. LOT �-Al FORMER OWNE jS - I:C� F','tri ", E ACR. S W TYPE OF BUILDING RES. SEAS. VL. iFARM COMM. CB. MISC. Mkt. Value i LAND IMP, TOTAL DATE REMARKSpf ° ot w ' l.�J I _u � # '4?� .�«!Gd t C�� �" jbam.��-'+J�....5�.�` A�F""'.� s£f t�../ � 1....e �Wi'+"e�k'�aa �.�.- e�.�e"F �"" �� �nn. 4 d+�^....➢ _� --- 1� �t- �✓ ... �� � l�i?-''+ �'�/�.6 da`+� �;� F� �cA. �" f��+i^�Y�, ,��.�,s r'� "' r"��e'^R!�'i`� � ''�"�� ,�e`-,3 i '" � !C� �� `a"= - FARM Acre Value Per V lue Tillable 1 VINpL 5 f t` Tillable 2 z �5 l Tillable 3 Woodland Swampland � � FRONTAGE ON WATER —-_-�---- - ------ —�-_- _-- J Brushland FRONTAGE ON ROAD , House Plot DEPTH BULKHEAD Total IDOCK I g,< 1 Y e� VNq MOM 9 1111111151111111111 'MR INN a ME ONE 4 - 0 M MENEM MEMO ■�oNo� ■ l �� �n■n µCQ ioloommo ■ ■ N NOLEN M INN 50 Foundation • . Dine • Basement •• Ext. Walls Interior Finish _ Type RoofRooms Ist Floor '• ® Recreation Roorr. Rooms 2nd Floor Dormer Driveway • • II FORM NO.4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold,N.Y. Certificate Of Occupancy No. 213102. . . . . . . . . . Date . . . . . .49LPPar'Y. 3. . . . . . . . . . . . . . . .. 19$5. THIS CERTIFIES that the building . . . . . .0 n e ,f a m i 1 y, d w e 11 i n g, , , , , , , , , , , , , , , , , , Location of Property 1310 Maple Lane . _ Greenport . . House lUo. Street Hamlet County Tax Map No. 1000 Section . . . .3?. . . . . .Block . . . . . . . . .6 . . . . .Lot . . . . . ?. . . . . . . . . . . Subdivision . Two C.1 e a v e s P t . . . _ . . . , .Filed Map No. 3 5 21 . . , ,Lot No. , 41, _ . , . .. . . . conforms substantially to the Application for Building Permit heretofore filed in this office dated . . ,N o v 16 . , , , 19 83 pursuant to which Building Permit No. .12 7.7.0 Z . . . . . . . . , . . dated Nov:. 2.9 . . . . . . . . . . . . . . . . . . . . 19 8 3. ,was issued,and conforms to all of the requirements of the applicable provisions of the taw. The occupancy for which this certificate is issued is . . . . . . . . . . . . One ,family, dwelling:. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . The certificate is issued to . . . .G E 0 R G E &, RUTH FRIES .. . . ... . . . . . . . . . . . . (owner,11f�8�bK� �XXX� of the aforesaid building. Suffolk County Department of Health Approval . . . . . . 3.-.S 0-.2.0.5 , , , , , , , , , , , , , , , , , , , , , , ,, UNDERWRITERS CERTIFICATE NO. . . . . . . . . . . . . .N 6.6.2 13.1 Building Inspector r Rev.1/81 FORM NO. E TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N® 12770 Z Date v-� -,�S-R-t ..`......... 9 g. Permission is hereby granted to: .Qa.. :�.. ....1�.�..,s�. ... :: .... .............. D: ... : ..�...�s......�.:... ....... . .91`.x......m�g�A Cc....k) .....1.!. to .... :� t........Q�...(Y.�.4:t� .... ......... . ..... . ... .. .... .i r.�:L-L .......... . .. ..... ... ....... .. .�.. ......... .. . ...M.:... ......... ..... ........... ... .... ........ ......... . ..... .. .... at premises located ....... .......... ....................... ................................................................................................................................................................. County Tax Map No. 1000 Section .G.��........... Block .......... ........— Lot No. .....�.............. pursuant to application dated ... ' 't •... •.�O•.•...•••..•.. 191r-�, and approved by the Building Inspector. Fee $....I. ..�.�...... CL Building ..............................$wilding d(nspector......................... Rev. 6/30/80 FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-20737 Date. MAY 19, 1992 THIS CERTIFIES that the building ADDITIONS Location of Property 1310 MAPLE LANE FAST MARION, N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 35 Block 6 Lot 2 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated MARCH 4, 1992 pursuant to which Building Permit No. 20469-Z dated MARCH 6, 1992 was issued, and conforms to all of the requirement-, of the applicable provisions of the law. The occupancy for which this certificate is issued is ADDITION & DECK ADDITION TO EXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to GEORGE & RUTH FRIES (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. PENDING - MAY 7, 1992 PLU14BERS CERTIFICATION DATED N/A Building Inspector Rev. 1/81 J � x HEA J. IF?U T i-� GE02G �,.; :. .: 1 > SU"Mg Mg G DSPAxf3 n t de r,'6" �a ,a 'r� i3. rbe sevage di$;io-egZ $ W.Ler supply , � / facilities tar this la,,r�ticn have been Z- '� Z Wspected by this.jdepz�itmerit and found ."h,�jf'` 'T'i "� to be satisfactoryy-� chief nt 8eneral 3�n�tneerf.� i GJARAN►EED TU T14F, AMEQICANI ��JF?L-EY'ED _ _�.._ -- _ �� ����.. `--.`_ ..�L: ►. t„• `aC'�,P���� T:��t��i� .��_ ��; ''t;��;; , _ti'��-:�E",J�_a� _ �` ` E _ �.;•ns. j � $__. 7_Di h�LL..E t �N MIUCL�•L ~�r' �I _r OFFICE Aj MAS !11-40-352" SJFF.CO.TAX MAPEIr1G►�1.�T_;;, D!!5r '-_p� I 035. 5LO,:14 6 LOT LICENSED LAND'-:t-,11.RVF��}!Zg -- GSE~Qr 1+I.Y. � -3,.-C6NraugS R'EFEZ 70 MEAN � t -- — - Erb E ! !. L . ��o��gllfFOl,�CpG� Town of Southold 10/12/2018 o - P.O.Box 1179 j91 , 53095 Main Rd Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 39967 Date: 10/12/2018 THIS CERTIFIES that the building SOLAR PANEL Location of Property: 1310 Maple Ln, Greenport SCTM#: 473889 Sec/Block/Lot: 35.-6-2 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 8/30/2018 pursuant to which Building Permit No. 43027 dated 9/11/2018 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: roof-mounted solar panels on existing one family dwelling as applied for. The certificate is issued to VanDuyne,Scott&Marianne of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 43027 10/4/2018 PLUMBERS CERTIFICATION DATED Authorized Signature i SO(/T�,olo . Town Hall Annex Telephone(631)765-1802 54375 Main Road N Fax(631)765-9502 P.O.Box 1179 roger.richertCaD_town.South old.ny.us Southold,NY 11971-0959 BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATE OF ELECTRICIAL COMPLIANCE SITE LOCATION Issued To Scott VanDuyne Address- 1310 Maple Ln City: Greenport St: New York Zip: 11944 Building Permit#: 43027 Section 35 Block. 6 Lot. 2 WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE !Contractor: DBA. Catizone Electric License No: 36178-ME SITE DETAILS 'Office Use Only Residential X Indoor X Basement Service Only Commerical Outdoor X 1st Floor Pool New Renovation 2nd Floor Hot Tub Addition Survey Attic Garage INVENTORY Service 1 ph Heat Duplec Recpt Ceiling Fixtures HID Fixtures Service 3 ph Hot Water GFCI Recpt Wall Fixtures Smoke Detectors Main Panel A/C Condenser Single Recpt Recessed Fixtures CO Detectors Sub Panel A/C Blower Range Recpt Fluorescent Fixture Pumps Transformer Appliances Dryer Recpt Emergency FixturesTime Clocks Disconnect Ed Switches Twist Lock Exit Fixtures TVSS Other Equipment: 4.620 W roof mounted photovoltaic system to include, 15-Panasonic 330W panel; with enphase micro inverters,AC disconnect Nates: Inspector Signature: �7 Date: October 4 2018 81-Cert Electrical Compliance Form.xls