Loading...
HomeMy WebLinkAbout1000-38.-2-33 CA TOWN OF SOUTHOLD Rental Permit 0304 Owner Emily & John Sharko Occupied as Single Family Dwelling Located at 200 Cleaves Point Rd East Marion 38-2-33 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. 3/28/2022 / Code Enfor ent Official This Notice must be posted by the main entrance at all times Town Hall Annex SOUTHOLD TOWN 54375 Main Road w Vm Rental Inspection PO Box 1179 Southold, NY 11971-1179 YTel: 631-765-1802 m Fax 631-765-9502 n SCTM # Date �2 .. Owner A olk C2 Phone Address Zip Hamlet LA "t' cR /Odl In 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 (#) " Carbon Monoxide Alarms (#) Egress (windows) (Y/N) BUILDING SYSTEMS CONDITION OF PROPERTY Y 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 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 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 MM COMMENTS: .alkinTOWN OF SOUTHOLD Rental Permit Permit No.- 0304 Owner Emily & John Sharko Occupied as Single Family Dwelling Located at 200 Cleaves Point Rd East Marion 38-2-33 Village 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. 3/10/2020 John Jarski Date of Issue Code Enforcement Officer This Notice must be posted by the main entrance at all times saUr ." Town Hall Annex .' Telepho 1 31)x'65-1802 54375 Main Road tin, ?i Fax(631)765-9502 P.O.Box 1179 Southold,NY 11971-0959 CoUIU l o BUILDING DEPARTMENT TOWN OF SOUTHOLD RENTAL PERMIT APPLICATION Rental Permit Fee $200 (Application must be renewed every two years) Section A. Property Information: DEC ' 4 2019 Rental Property Address: �� GL�cyZ-s PO i>ti Tax Map Number: 1000 SECTION 3 -BLOCK -LOT ✓ - SECTION R. OWNER INFORMATION: Property Owner Name: G- ,Jr kic;> - Property Owner Legal Address: Property Owner Mailing Address: Ar S Telephone Number (s): Daytime Of 0 (46 Li?76LEvening_ Emergency. qt-7 656 'tW et Property Owner Email Address: QP- eco 0 ryl c) Page 1 of 5 Town Hall Annex , Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1179 G © 9Z Southold,NY 11971-0959 coy BUILDING DEPARTMENT TOWN OF SOUTHOLD Section C. Authorized Agent Information: Name of Authorized Agent of dwelling unit, if any: LP\I.ZA Address of Authorized Agent (no P.O. Boxes): Mailing Address of Authorized Agent: Telephone Number(s): Daytime Evening Emergency Email Address: Section D. Managing Agent Information: Name of Authorized Agent of dwelling unit, if any: A// A Address of Authorized Agent(no P.O. Boxes): Mailing Address of Authorized Agent: _ Telephone Number (s): Daytime_ _Evening Emergency Email Address: SECTION E. SITE MANAGER INFORMATION: (required for rental properties containing 8 or more rental units) Name of Managing Agent of dwelling unit, if any:— V ZA Address of Managing Agent (no P.O. Boxes): . Page 2 of 5 so; Town Hall Annex Telephone(631)765-1802 54375 Main Road Fax (631)76.5-9502 P.O.Box 1 179 Southold,NY 11971-0959 ®UW BUILDING DEPARTMENT TOWN OF SOUTHOLD Mailing Address of Managing Agent: I GIVI s klt.r k-n Telephone Number(s): Daytimes GS610Evening Emergency. Email Address: 7S(4ar-ko `` CT'l &&LC oyYl 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: o Se- 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:, S✓h. r-00!2I o i� 131`, I�eA )Z_✓flm F�eoGl`avurn � y- La ewhG—OtYIn /Ly 3 h�0Jm scoop vo �� [ o�r� Lan Page 3 of 5 �c t� so�rr�/� Town Hall Annex f Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1179 G Southold,NY 11971-0959 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. 71- 1 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) ( -Y,64 , 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 ,ov Sol Town Hall Annex +� �``t Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 CAI P.O.Box 1179 Southold,NY 11971-0959 Q� t 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:_ o h k-su-l<----, Property Owner's Signature: Sworn to before me this day of 20�% T" Official otary ubli ature and Original Notary Stamp SHARYN FEINBLOOM BERTISCH NOTARY PUBLIC,STATE OF NEW YORK Registration No.02BE6077449 Qualified in Westchester County, Commission Expires 8%281 ' Page 5 of 5 f / oF souTyolo * # TOWN OF SOUTHOLD BUILDING DEPT.` coulm, 7654 802 = INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] -INSULATION/CA KING - [ ] FRAMING /STRAPPING [ ] INAL��ti�, 1 [ ] FIREPLACE & CHIMNEY [ FIRE SAFETY INSPECTION [ ` ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL'(ROUGH) [ ] ELECTRICAL (FINAL) [ ] CODE VIOLATION [ ] PRE C/ REMARKS: -IN WOO& A1 I tJbW, _ ro 0 ,(,,c f � J o,�_ IV, . _47 �,r (o n _ DATE / 30?o - INSPECTOR so iv UTyOIo TOWN. OF SOUTHOLD:BUILDING DEPT. °`ycouxn e�` 765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PL13G. [ ] FOUNDATION 2ND [ ]` INSULATIO CAULKING- [ ] FRAMING/STRAPPING [/� FIRE INAL lt4_ I[ -] .FIREPLACE & .CHIMNEY [ SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION . [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) [ ] CODE VIOLATION [ ] PRE C/O REMARKS: a A _v/ &A"� Aoy ritl pr v� CIN a 1, DATE. = INSPECTOR ` A ' v W X `Q -r� o GLV D ,� �1--�- � �� .,� J • -- Ai ML I AT '10 f� o (Z4 D -SI DrNC� - GA� - Sr� 4 r6v cvx `o A, - �o00_ 3%. _ . a)� TOWN OF SOUTHOLD PROPERTY RECORD CARD I OWNER STREET a -� VILLAGE DIST SUB LOT ACR. - REMARKS TYPE OF BLD. PROP.CLASS LAND IMP. TOTAL DATE 0100 0C. lk 4<0) FRONTAGE ON WATER HOUSE/LOT BULKHEAD TOTAL TOWN OFl SOUTHOLD 1 ROPERTY RECORD OWNER STREET �l VILLAGE DISTRICT SUB. LAT { FO ER OnER N E ACREAGE at(AUs 01AO ed,-fir kr ' S W TYPE OF BUILDING RES. SEAS. VL. FARM COMM. I IND. ( CB. I MISC. I Est. Mkt. Value LAND IMP. TOTAL DATE REMARKS t y,- SAO 0 ?!1I d --� G - ---_ ____. �--�-U_(�✓ _ � _ � C Y w� / � mss-3 G,� 3 d e o Kin p / 0 000 AGE BUIL ING COyblT!PN NEW NORMALSOW I FRONTAGE ON WATER / G °° - Y Farm Acre alue c S V lue FRONTAGE ON ROAD i� yP - i abCe 1 Zc �`� BULKHEAD -- -- Til�o 2 (?— DOCK .. � 700 �+�, � }-� �- �3 F7 ( c- : ; . . - -t� r^�• a. /r �.�, Tillable 3 rj _ E /r, �+ Woodland ------ — --— _ /U _ L_ I % 7�- VSk Swampland 1j(0(A I,L,', Yt7 l ID-fie : Brushlcnda�C7Ve��— I_. y i f1?ooj Noise Plot ro -� 1 z J t--C , Total ( 27 l sum IV O ' 1 t G(no 1' I 38.-2-33 9/06 y _ -- - --- -- - M. Bldg. Foundotion ,,;j Bath �j- ----- - - _ Extension )4 Basement- 1�= !Floors Extension Ext. Walls Interior r Finish/ __O_1K i t Extension - - - -.. Fire Place Heat ! , D)9 it WTV-r- `�, y Y d ' r N Porch ! Roof T e ' o u F✓c r3 Porch �,, �,, Rooms 1 st Floor (� _ —-- -----� - -- - ^mac—'}— Ld patio -- ,� G'.1.E t k �� 2 J Rooms 2nd Floor GarageX ;Z s'S'� ' 1 Driveway Dormer - _ 7 .- t� per. G,r 2 t �� r1-jCD=� ^ ` FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. UPDATED CERTIFICATE OF OCCUPANCY No Z-23570 Date MARCH 29, 1995 THIS CERTIFIES that the building DWELLING Location of Property 200 CLEAVES POINT ROAD EAST MARION, N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 38 Block 2 Lot 33 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated AUGUST 8, 1961 pursuant to which Building Permit No. 1511-Z dated AUGUST 8, 1961 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 ONE FAMILY DWELLING WITH D19TACRED ACCESSORY GARAGE The certificate is issued to JOHN & MAGDA BAZOVSKY (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A *THIS UPDATES Co Z-1625 DATED JUNE 17, 1963. "// 1 j.1"4 t _ Bui ng Inspec or Rev. 1/81 J#- • FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. CERTIFICA'T'E OF OCCUPANCY No. ......Z.. �. . ........ Date ...................... ..... ,�7 ..... ,.. ... .. i 9�;L THIS CERTIFIES that the building located Stree rion MapNo. Maxion--MarRWk No. .........**........ Lot No. .....3.................... .......................................... conforms substantially to the Application for Building permit heretofore filed in this office dated .................... .............. 19.01. pursuant to which Building permit No. .z..11512, dated ................... ............. .. 190 . ., 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 ........ PRIVATE4 FMY DWELL ' Thecertificate is issued to ..... ..6;mex. ........ ...................... ........................... (owner, lessee or tenant) of the aforesaid building. . ..................... ......... ............... ....... .......................... Building Inspecto l t FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y_ CERTIFICATE OF OCCUPANCY No Z-18987 Date APRIL 25, 1990 THIS CERTIFIES that the building ADDITION Location of Property 200 CLEAVES POINT ROAD EAST MARION, N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 38 Block 2 Lot 33 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated APRIL 24, 1971 pursuant to which Building Permit No. 5368-Z dated_ JUNE 22, 1971 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 PORCH ADDITION TO EXISTING ONE FAMILY DWELLING The certificate is issued to MRS. JOHN BAZOVSKY (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A uilding Inspector Rev. 1/81 K 5 FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY ' No: Z-28212 D te: 02/14/02 THIS CERTIFIES that the building ADDITION Location of Property: 200 CLEAVES PT RD EAST MARION (HOUSE NO.) (STREET) (HAMLET) County Tax Map No_ 473889 Section 38 Block 2 Lot 33 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated JANUARY 22, 2002 pursuant to which Building Permit No. 28022-Z dated JANUARY 22, 2002 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 AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to ANTHONY & SUSAN NAPOLITANO (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A u or ed siinature //1011 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-32987 D te: 04/16/08 TRIS CERTIFIES that the building INGROUND SWIMMING POO Location of Property: 200 CLEAVES PT RD EAST MARION (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 38 Block 2 Lot 33 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated APRIL 13, 2006 pursuant to which Building Permit No_ 31910-Z dated APRIL 14, 2006 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 ACCESSORY INGROUND SWIMMING POOL WITH FENCE TO CODE AS APPLIED FOR & AS PER CONDITIONS OF ZBA #5835 DATED 3/9/06. The certificate is issued to ANTHONY & SUSAN NAPOLITANO (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. 2199-ME 07/08/06 PLUMBERS CERTIFICATION DATED N/A A thor zed Signature Rev. 1/81