HomeMy WebLinkAbout1000-35.-6-2 OW N F S UTH L
Rental Permit
e
0279
Owner: SCUD Hldgs LLC
Occupied as: Single Family Dwelling
Located at: 1310 Maple Ln 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.
Issued: 01/24/2025
Expiration: 01/24/2027 od E to em t official
This Notice must be posted by the main entrap0eall times
t3�C m
TOWN OF SOt THOLD BUILDI G DEPT.
631-765-1802
INSPECTION
[ ] FOUNDATION 1 ST/ REBAR [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INSULATION/CAULKING
[ ] FRAMING/STRAPPING [ AL
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FI L)
[ ] CODE VIOLATION [ ] PRE C/O [ RENTAL
REMARKS: ( w
o-vil
DATE I INSPECTOR
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
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TOWN OF SOUTHOLD PROPERTY RECORD I
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OWNER STREET VILLAGE DIST.; SUB. LOT
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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
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--- 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
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N NOLEN M INN
50 Foundation • . Dine
•
Basement
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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
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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
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��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