HomeMy WebLinkAbout1000-38.2-1-15 TOWN OF SOUTHOLD
Rental Permit
0354
Owner SEEORIENT LLC
Occupied as Single Family Dwelling - Unit 2A1
Located at 2820 Shipyard Lane East Marion 38.2-1-15
Maximum Permitted Occupancy 4
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.
10/24/2024
de Et rc Official
This Notice must be posted by the main entrance at all times
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TOWN OF �9THOLD�BUILDING DEFT.
631-765-1802 _
INSPECTION
[ ] FOUNDATION 1ST/ REBAR [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INSULATION/CAULKING
[ ] FRAMING /STRAPPING [ ] F AL
[ ] FIREPLACE & CHIMNEY [ FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FI
[ ] CODE VIOLATION [ ] PRE C/O [ RENTAL
R IKS- Or\
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DATE 0 __ INSPECTOR
A- TOWN OF SOUTHOLD
Rental Permit
0354
Owner SEEORIENT LLC
Occupied as Single Family Dwelling - Unit 2A1
Located at 2820 Shipyard Lane East Marion 38.2-1-15
Maximum Permitted Occupancy 4
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.
10/17/2022 `` P
Code Enfo went ofc
This Notice must be posted by the main entrance at all times
OFFN
Town Hall Annex
aww SOUTHOLD TOWN 54375 Main Road
a M
Rental Inspection
Box 1179 Southold,
N ,W C�MONY 11971-1179
Tel: 631-765-1802
Fax 631-765-9502
SCTM # DateZ—
Owner' Phone
Address Zip I Cf
Hamlet Inspector
Address visible from street?
LEVELS SUB 1; 2 3°
Smoke Detectors (#- bedroom detectors excluded) V// -
Carbon Monoxide Detectors (#)
Fire Extinguishers (#)
Exits (#)
BEDROOMS1 ' 2 4 5
Smoke Detector Alarms (#)
Carbon Monoxide Alarms (#)
Egress(windows) (Y/N)
BUILDING SYSTEMS N CONDITION OF PROPERTY r/
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 lyL) 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:
k' . °,
TOWN OF SOUTHOLD
Rental Permit
Permit No. 0354
Owner SEEORIENT LLC
Occupied as Single Family Dwelling
Located at ' 2820 Shipyard Lane Unit 2A1 East Marion 38.2-1-15
Village S/B/L
Maximum Permitted Occupancy 4
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.
10/21/2020 John Jarski
Date of Issue Code Enforcement Officer
This Notice must be posted by the main entrance at all times
L
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
.LL NOV 1 5 2019
RENTAL PERMIT APPLICATION
Rental Permit Fee$200 (Application must be renewed every two years)
s
Section A.
Property Information:
Rental Property Address: nPO'kt kkaAAr3�
Lepe
Tax Map Number: 1000 SECTION `Z -BLOCK -LOT I -
SECTION R.
OWNER INFORMATION:
Property Owner Name: '' C v� Co%-aN`-�
Property Owner Legal Address: Property Owner Mailing Address:
Za
C=Ct"�.+ �`� 1 ly 35
Telephone Number(s): Daytime ti/ Evening_ -- Emergency l/"
Property Owner Email Address: 0 C4M) CZ V\ y CU1 at16M
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Page 1 of 5
ASUUrf®
Town Hall Annex Telephone(631)765-1802
54375 Main Road Fax(631)765-9502
11.0.Box 1 179
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, 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: 2 �f -�—
Requested Maximum number of persons allowed to occupy Dwelling Unit:
Number of rooms in Rental Dwelling Unit:
Use and Dimensions
sof each room in Rental Dwelling Unit:
�= � l l Y— 1 S 't 1
51 p'
Page 3 of 5
Sol/.
10
Town Hall Annex M4 _7, '; Telephone(631)765-1802
54375 Main Road '�y:, Fax(631)765-9502
CP
Y.O.Box 1179
Southold,NY 11971-0959 K Y
oulm
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.
C/ I 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 ertify 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
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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
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 5 tv of 1y�y�-lY� !l , 20)0)
Official Notary Public Signature and Original Notary Stamp
Page 5 of 5
oESOUTyo �/� �J
# TOWN OF SOUTHOLD BUILDING DEPT.
ouFm, 765-1802 7 �
INSPECTIO-N .- _[ ]-FOUNDATION 1ST [ ] ROUGH PL13G.
[ ' ] FOUNDATION 2ND [ ] INSULATION/CAULKING
[ ] FRAMING/STRAPPING [ ] F AL
[- ] -FIREPLACE &CHIMNEY [ FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL)
[ ]
CODEVIOLATION
[ ] PRE C/O
REMARKS:
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i
DATE 106-140>p_ INSPECTOR
;���w- (�c acyl l..c�e �. ��c�,o� 3 � • a — i —/�'
# TOWN OF SOUTHOLD BUILDING DEPT: =
765-1802 4 _ Wi �T
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INSULATION/CAULKING
[ ] FRAMING/STRAPPING [ ]PNAL
` [
]-FIREPLACE & CHIMNEY-. [ -FIRE"SAFETY ASHECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE-RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) f ;] ELECTRICAL (FINAL)
[ ] CODE VIOLATION [ ] PRE C/O
REMARKS:
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DATE INSPECTOR
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MIMMON NONE IMMEEMMONOMMOM
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Foundation
Basement 7
Pxt. Walls Interior
F ire P'l ace
Pool
Patio Rooms 1st Floor '
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FORM NO.4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold,N.Y.
Certificate Of Occupancy
No. 21.189?. . . . . . . . . ., Date . . . . . ..5ipptergber. .1 . . . . . . . . . . . . .. 19 ,83
THIS CERTIFIES that the building . . B u i 1 d i n g 2 , Unit .2 A 1. . . . , . . . . . . .
Location of Property 2820 ShipyardLane East Marion
Mouse V07 . Street . . . . . . . . . . . . Hamlet
County Tax Map No. 1000 Section 038. 02 . . , ,Block . . _01 . . . . . . . . . .Lot . . .015. . . . . . .: .
Subdivision . . . .X. . . . . . . . . . . . . . . . . . . . . . . . . .Filed Map No. X . . . . . .Lot No. . . . . . . . . . . . .
conforms substantially to the Application for Building Permit heretofore filed in this office dated
,0 c t o b e r, , , , , , . , , , 109.pursuant to which Building Permit No. . 1 A.9.?5, Z. .. , . .
dated . . . , 0ctober 20 80
• • • . . . . . . . . . . . . . 19 . . . ,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 . . . . . . . . .
, living unit within multiple dwelling.. . . . . . . .
The certificate is issued to . . , . , EMANUEL KONTOKOSTA
'(owner, rYer►arrtl . . . . . . . . . . . . .
of the aforesaid building.
Suffolk County Department of Health Approval , ,EM 8 R . , . . _ . . . . .
UNDERWRITERS CERTIFICATE NO. . . . . . . . . . N 6,1,018 0, , . , , , .
411
Building Inspector
now.1/81
FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
i
No: Z-34307 Date: 05/07/10
THIS CERTIFIES that the building DECK & STAIRS
Location of Property: 2820 15 SHIPYARD LA EAST MARION
(HOUSE NO. ) (STREET) (HAMLET)
County Tax Map No. 473889 Section 38 .2 Block.l Lot 15
Subdivision Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated JANUARY 14, 2009 pursuant to which
Building Permit No. 34563-Z dated MARCH 31, 2009
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 AND STAIR REPLACEMENT FOR AN EXISTING CONDO (UNIT 2A1) AS APPLIED
FOR.
The certificate is issued to ANNE M DINAPOLI
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A
ELECTRICAL CERTIFICATE NO. N/A
PLUMBERS CERTIFICATION DATED N/A
thor zed Sfgnature
Rev. 1/81