Loading...
HomeMy WebLinkAbout1000-38.2-1-14 TOWN OF SOUTHOLD Rental Permit Permit No. 0296 .f Owner Scott & Deena Walker Occupied as Single Family Dwelling (Unit 1G-2) Located at 2820 Shipyard Lane East Marion 38.2-1-14 Village S/13/1- Maximum /B/LMaximum Permitted Occupancy 2 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. 3/3/2020 John Jarski Date of Issue Code Enforcement Officer This Notice must be posted by them a in entrance at all times s 27% --1., -I - t q * *ITOWN OF SOUTHOLD BUILDINGDEPT. 765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION/CAULKING [ ] FRAMING /STRAPPING [ ] FINAL w4- pMP �I`� [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) [ ] CODE VIOLATION [ ] PRE C/O REMARK A 12V—V/ A, kurttvotAw DATE INSPECTOR' d TOWN OF SOUTHOLD " err Rental Permit a 0296 Owner Scott & Deena Walker Occupied as Single Family Dwelling (Unit 1G-2) Located at 2820 Shipyard Lane East Marion 38.2-1-14 Maximum Permitted Occupancy 2 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. 3/11/2022 tide Enfe rcW nt Official This Notice must be posted by the main entrance at all times Ak Town Hall Annex, , Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1179 Q Southold,NY 11971-0959 BUILDING DEPARTMENT FEB m 7 2020 ; TOWN OF SOUTHOLD RENTAL PERMIT APPLICATION ', :`';r„ Rental Permit Fee $200(Application must be renewed every two years) Section A. Property Information: Rental Property Address: Tax Map Number: 1000 SECTION �0 -B'LDCK -LOT SECTION B. OWNER INFORMATION: Property Owner Name: Property Owner Legal Address: Property Owner Mailing Address: e&--c.E©4 0 r N t/ /172 ^c Lr ?Z Telephone Number(s): Daytime (7-13&vening �� c Emergency, Property Owner Email Address: I uR f:�o lDA/y v0 Page 1 of 5 Town Hall Annex Y Telephone(631)765-1802 54375 Main Road Cn Fax(631)765-9502 P.O.Box 1179 G Southold,NY 11971-0959 E � BUILDING DEPARTMENT ` TOWN OF SOUTHOLD RENTAL PERMIT APPLICATION INSTRUCTIONS Rental Permit Fee $200 (Application must be reneged every two years) The items listed below are required to be,submitted with the completed application. ❑ Floor Plans: Floor plans of each Rental Dwelling Unit, please show location of all smoke &carbon monoxide detectors. ❑ Certificates of Occupancy and Pre-Certificates of Occupancy: Certificates of occupancy or Pre-Certificates of Occupancy for each rental dwelling unit. ❑ Certification of Code Compliance(form enclosed): Must be submitted by a license architect or engineer or license home inspector if an inspection by Town of Southold inspector is declined. ❑ Rental Permit Fee: $200.00 Town Hall Annex Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1179 Southold,NY 11971-0959 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, Q 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 Unit: Number of rooms in Rental Dwelling Unit: Use and Dimensions of each room in Rental Dwelling Unit:, kO A4 I G� 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 7 BUILDING DEPARTMENT TOWN OF SOUTHOLD Section C. Authorized Age Information: Name of Authorized Agent dwelling unit, if any: Address of Authorized Agent(no P. Boxes):, Mailing Address of Authorized Agent: Telephone Number(s): Daytime E ing Emergency Email Address: Sectio Managing nt Information: Name of Authorized Ag t of dwelling unit, if any: Address of Authorized Agent(n .0. Boxes): Mailing Address of Authorized Agent: Telephone Number(s): Daytime Hing Emergency Email Address: SECTION E. SITE MANAGER INFORTION: (required for rental properties containing 8 or more rental units) Name of Managing Agent of dwelling it, if any: Address of Managing Agent (no P.O. Boxes):, Page 2 of 5 $o(j�y®l® ' Town Hall Annex Telephone(631)765-1802 r 54375 Main Road Fax(631)765-9502 nblc P.O.Box 1179 Southold,NY 11971-0959 c®m4�� �� BUILDING DEPARTMENT TOS 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 V-1I am submitting a completed Town of Southold certification form from a licensed architect or a licensed professional engineer. SECTION W. DECLARATION: Signature must be notarized and MUST be the owner of the dwelling unit. STATE OF NEW YORK) COUNTY OF SUFFOLK) �2 certify under penaltVof 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 4 v S084® . Town Hall Annex Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1179 . r Southold,NY 11971-0959 'Q � 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: i LZIVL - T Property Owner's Signature: Sworn to before me this day of 20-d 0 LW -(-� V)1AACA, Official N ary Public Signa r and Original Notary Stamp TRACEY L. DWYER NOTARY PUBLIC,STATE OF NEW YORK NO.01 D W6306900 QUALIFIED IN SUFFOLK COUNTY COMMISSION EXPIRES JUNE 30,2a?-, Page 5 of 5 Town Hall Annex r Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1179 Southold,NY 11971-0959 U , ' . BUILDIN DEPARTMENT TOWN Off' SOUTHOLD RENTAL PROPERTY CERTIFICATION Form is to be completed by a license archit ct, licensed engineer or licensed home inspector Separate form is required for ach individual Rental Dwelling Unit Professional seal required fpr Architect or En ineer, licensed Home Inspector must provide copy of valid current certification Rental Property SCTM Number: Rental Property Address:Zszo YAAP'L4.-VG ✓ �1 Owner/Name: �Gv -d' I�-��Na Rental Dwelling Unit Identifier: 65, Z Number&Square footage of each bedroom as depicted in the attached floor plan: (i.e. Bedroom#1 -100 sq., Bedroom#2-90 sc'., etc.) Property Description (Include all improvements indicated on survey) 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 NewYork 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, vit �AAN Print Name and Title Origi tlr` ® �� Please place professional seal: �°9� ® 188 IAVJ p 50UT TOW OF SOUTHOLD B ILDING-DEPT. 765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION-21SID [ ] INSULATION/CAULKING [ ] FRAMING /STRAPPING [ ] FAL ] FIREPLACE & CHIMNEY [ FIRE SAFETY INSPECTION = [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ]—ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) [ ] CODE VIOLATION [ ] PRE C/O REMARKS: r- A,- DATE omaDATE c3 INSPECTO W a- 16'-3"16'-3" J H z W 0-1° LL w z Lu w N W coo DECK o z LINE OF WALL @ FIRST FLOOR IT IS A VIOLATION OF THE LAW FOR ANY PERSON TO ALTER ANY ITEM ON THIS DRAWING UNLESS AUTHORIZED BY THE ARCHITECT. ONLY COPIES OF THE ORIGINAL OF THIS DRAWING MARKED WITH THE ARCHITECT'S INKED SEAL OR HIS EMBOSSED SEAL SHALL BE CONSIDERED TO BE VALID TRUE COPIES. DRAWING COPYRIGHT 2018. o [__ cc CN o CD r U z ��MN }u LIVING ROOM BELOW I LIVING ROOM Q }z°. 4 Z co m F O J � _ W _wz 0 2 F--I 3 d J 33 W 00 16'-3" ( > <00 _ =LL rn ~Orn �W 00� 2 U)Q`" J LL p F-F �>BARTOP I BARTOP U In NNc------------------------ - ----------------------- NN Z 0`n� 2 ----------- ------------------------ ------------------------- m X O I o f0 0 O ac ,co co i m�> UNIT 1F2 STORAGE UNIT 1F2 12`11" ()� Q °°`°c ® KITCHEN a:a.0 ` N c i { W/D I I 001 I I o I I 00 H.W. I BATHROOM z - Z HVAC LINEN CLOSET N O [V QQ O I I U NM I J t— Y \ O BEDROOM = I I � z � Z Q w z ENTRY LANDING a- Z to cn >- W 0- II Q II > I < � „ o o �- 0 o� LINE OF WALL @ FIRST FLOOR00 Q Z —� LL, LL I a U c,, w LL 13'-5" a o II I �s DENOTES HARDWIRED SMOKE DETECTORj I s0 DENOTES HARDWIRED SMOKE DETECTOR Qc DENOTES HARDWIRED CARBON MONOXIDE DETECTORc0 DENOTES HARDWIRED CARBON MONOXIDE DETECTOR I LOFT PLAN SCALE:''/4"=1'-0" FLOOR PLAN SCALE:'/4"=1'-0" SCALE: AS-NOTED DATE: 1/30/20 DRAWN BY: GAO CHECKED BY: RV DWG NO. A- 1 . 0 TOWN OF SOUTHOLD PROPERTY RECORD CARD OWNER Sr"' STREET g VILLAGE DIST. SUB. LOT VI 151-�I AQ b L A'ii f-=- 1\/\A Zi FORMER OWNER:30Av, f: N E ACR. So 1arc ' S W TYPE OF BUILDING 'i-r=4, C�-, K"� U, L) ro I oj I I�0/,\ RES. SEAS. VL. FARM COMM.- CB. mics. Mkt. Value LAND IMP. TOTAL DATE REMARKS v C., z- 1 7 1/ 4 3q5l t 3. hy? �Pit 4-pr Tillable FRONTAGE ON WATER Woodland FFRONTAGE ON ROAD Meadowland DEPTH House Plot BULKHEAD Toto I 1� I q i i 38.2-1-14 9110 -- ---- - M. Bldg Foundation Bath Extension Basement 1 Floors Extension Ext. Walls Interior Finish Extension Fire Place Heat Porch Pool Attic Deck Patio Rooms 1st Floor Breezeway Driveway Rooms 2nd Floor Garage O. B. { f FORM Wd.4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. L Certificate Of Occupancy No. .Z132.Q8 . . . . . . . . . Date . . . . . . SApt0abLar. 2.1. . . . . . . . . . . .. 1982. THIS CERTIFIES that the building . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Location of Property2820. . . . . . . . . . . .3h1pyarA .Len,e . . . . . . . . . . . .$8at. .r'MOrl.cm. . . House No. Street Hamlet County Tax Map No. 1000 Section .039...02. . . .Block . .01. . . . . . . . . . .Lot . . 1.4. . . . . . . . . . . . . Subdivision . . . . Y . . . . . . . . . . . . . . . . . . . . . . . . .Filed Map No. .X. . . . . .Lot No. . .X . . . . . . . . . . conforms substantially to the Application for Building Permit heretofore filed in this office dated 1980.pursuant to which Building Permit No. . 1.09?4. .Z . . . . . . . . . . . dated . . Qo t o box .2 0. . . . . . . . . . . . . . 19 .$0,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 . . . . . . . . . .4. UV149. .Untt. *&thAn .*L. intiltl.RlB. S1Kgll1`Ag. . . . . . . . . . . . . . . . . . . . . . . . . . The certificate is issued to . .Cleaves. ,Point; ,Village, o Cndominium , . (owned/e�aao.or.tswar�t% . . . . . . . . . . . of the aforesaid building. Suffolk County Department of Health Approval UNDERWRITERS CERTIFICATE NO. . . . . . . . . .V. 5.7.154.7 Note: Unit G2, Bldg. #1 , loft non—habitable Building Inspector Rev.1/81 l -FORM NO.6 TOWN OF SOUTKOLD Building Department Town Hall Southold, N.Y. 11971 APPLICATION FOR CERTIFICATE OF OCCUPANCY instructions A. This application must be filled in typewriter OR ink, and submitted in duplicate to the Building Inspec- tor with the following;for new buildings or new use: 1. Final survey of property with accurate location of all buildings,•property lines, streets,and unusual natural or topographic features. 2. Final approval of Health Dept. of water supply and sewerage disposal—(S-9 form or equal). 3. Approval of electrical installation from Board of Fire Underwriters. 4. Commercial buildings, Industrial buildings, Multiple Residences and similar buildings and installa- tions, a certificate of Code compliance from the Architect or Engineer responsible for the building. 5. Submit Planning Board approval of completed site plan requirements where applicable. B. For existing buildings (prior to April 1957), Non-conforming uses, or buildings and "pre-existing" land uses: 1. Accurate survey of peoperty showing all property lines, streets, buildings and unusual natural or topographic features. 2. Sworn statement of owner or previous owner as to use, occupancy and condition of buildings. 3. Date of any housing code or safety inspection of buildings or premises,,or other pertinent informa- tion required to prepare a certificate. C. Fees: 1. Certificate of occupancy $5.00 2. Certificate of occupancy on pre-existing dwelling or land use $5.00, 3. Copy of certificate of occupancy $1.00 Date ,AUG. 31 , 1982 New Building . . .XX. . . . . . . . Old orPre-existing Building(X) . _. .,_. _ , 'Vacant Land . . . . . . ... . . . . . Location of Property UNIT. G2 , Bldg #1 ,Cleaves Point Village Condominium . House No. 2508. 97' south ofst?Wrth Road,Shipyard Lanegamler Owner orOwners of Property Cleaves Point Village Condominium . `County Tax Map No. 1000 Section 03.8. 02. . . . . . . . Block . .01. . . . . . . . . . . Lot,14 Subdivision . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Filed Map No. . . . . . . . .Lot No. . . . . . . . . . . . . . Permit No. 10924Z_ . , Date of Permit .10/20/80Applicant E. Kontokosta . Health Dept. Approval . .8/3Q�82. . . . . . . . . . . . . .Labor Dept. Approval . . .. . . . . . . . . . . . . . . . . . Underwriters Approval . . . .8/3,/82. . , . . . ; , , , , , • . .Planning Board Approval . . . . .8/31/82. . . . . . . . .XXXX ,. ` Request for Temporary Certificate . . . . . . . . . . . . . . . . . . . . .Final Certificate . . . . . . . _ l Fee Submitted $ .5: oo , . . , . . . . . , , . . Construction on above described building and permirmeet ab e Applicant . . . ... . . . . ROv.10.10-7s toy I Ct