HomeMy WebLinkAbout1000-38.2-1-28 TOWN F SOUTHOLD
Rental Permit
0355
Owner SEEORIENT LLC
Occupied as Single Family Dwelling - Unit 2G2
Located at 2820 Shipyard Lane East Marion 38.2-1-28
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.
'b "/" .
j�Code Enf ent Official
This Notice must be posted by the main entrance at all times
` SOUTHO�® TOWN iown hailHnnex
54375 Main Road
Rental Ins c io PO Box 1179 Southold,
NY 11971-1179
Tel: 631-765-1802
,# x,> Fax 631-765-9502
SCTM # Date ,.
Owner 57 GQ I e G Phone
Address '.. Zip
Hamle' t Inspector
Address visible from strut
LEVELS SOB"� � ���- � ' ������� �� � ��� � 3.
Smoke Detectors (#- bedroom detectors excluded)
Carbon Monoxide Detectors (#) d
Fire Extinguishers (#)
Exits (#)
BEDROOMS 1 Z " , ? 4 5
Smoke Detector Alarms (#) 7
Carbon Monoxide Alarms (#) V --U77-
Egress
Egress (windows) (Y/N)
BUILDING SYSTEMS CONDITION OF PROPERTY
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 Y/N POOL BARRIERS /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:
' ',
TOWN OF SOUTHOLD
CM Rental Permit
Permit No. 0355
Owner SEEOIZIENT LLC
Occupied as Single Family Dwelling
Located at 2820 Shipyard Ln. Unit 2G2 East Marion 38.2-1-28
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.
10/21/2020 John Jarski
Date of Issue Code Enforcement Officer
This Notice must be posted by the main entrance at all times
Town Hall AnnexTelephone(631)765-1802
54375 Main Road Fax(631)765-9502
P.O.Box 1 179
Southold,NY 11971-0959
x _
BUILDING DEPARTMENT, f
TOWN OF SOUTHOLD ',.
1VOV 15 2019 - •
RENTAL PERMIT APPLICATION_
7,4
Rental Permit Fee$200 (Application must be renewed every two years) a
Section A.
Property Information: '
Rental Property Address: 4
't✓� t 1 3g
Tax Map Number: 1000 SECTION:— -LOTS
SECTI
OWNER INFORMATION:
�o� CDn0,VO
Property Owner Name: , �� — -
Property Owner Legal Address: _Property Owner Mailing Address:
S !
-- --------- - -- -- -- -- ----
- 1 1`135 A�-i_ -- j ��1 �2)
Telephone Number (s): Daytime � Evening_ _✓_ Emergency i✓
Property Owner Email Address: V1 o\ra . C-Oy\(:�,)+ gVV\C0 cov-^ -
Page 1 of 5
Town Hall Annex Telephone(631)765-1802
54375 Main Road _ , Pax(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 _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:
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:, j
i
10 4r
Page 3 of 5
Town Hall Annex Telephone(631)765-1802
54375 Main Road Fax(631)765-9502
Y.O.Box 1 179
Southold,NY 11971-0959 ,
CQ�;
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 z
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.'
❑Y I 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.
r
SECTION H.
DECLARATION: Signature must be notarized and MUST be the owner of the dwelling unit.
STATE OF NEW YORK) '
)
COUNTY OF SUFFOLK)
I N OfT, C-Z f4 a, ;certify under penalty of perjury,the following:
1. 1 am the owner of theP roperty identified in "Section A" of this application.
2. Thero ert owner's legal address set forth in "Section B" of this application is my legal
P P Y
address and I understand the Town will use the address for service pursuant to all i
I
Page 4 of 5
r
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. 1 further acknowledge that I will notify the Town of Southold
b6ilding .p De artment of any changes of address within five (5)-days of any changes
i
thereto. I
i
1
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 bwner's Name:: ____!"�v?a ` -e�.V� A V\I
Nj
Property Owners Signature:
Sworn to before me this�day of N-brCrn6_ --20j_9
!ti-p
Official Notary Public Signature and Original Notary Stamp
CON WD"
i
Page 5 of 5
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pf SOUIy� vg� �n i j , gArA ono
# # TOWN O SOUTHOLD BUILDING DEPT.
courm, 765-1802 %.y .- I - n
INSPECTION ' -.
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INSULATION/CAULKING
[ ] FRAMING /STRAPPING [ ] FINAL
[ ] =FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL)
[ ] CODE VIOLATION [ ] PRE C/O
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REMARKS:
TOw
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DATE INSPECTOR
ol OV
Of S Ulyo<o u V 4 2-6;z—
TOWN
— z—
TOWN OF SOUTHOLD BUILDING-DEPT.
��courme�' 765-1802
:
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
-[ ] FOUNDATION 2ND : [ ] INSULATION/CAULKING-
[ ] FRAMING /STRAPPING [ ] FI AL eew4, Q
[ ] FIREPLACE &CHIMNEY [ FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] ,FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) = [ ] ELECTRICAL (FINAL)
[ ] CODE VIOLATION [ ] PRE C/O
REMARKS: _
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250 Mercer St. Suite-R 806 Title scale
New York, NY 212-6,'1'4=7180
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TOWN: "OF SOUTHOLD PROPERTY RECORD CAR®
OWNER STREET '� ;�' VILLAGE DIST. SUB. LOT
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RES. F SEAS. VL. FARM COMM. CB. MICS. Mkt. Value
LAN D IMP. TOTAL DATE REMARKS
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A 56E
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Tillable FRONTAGE ON WATER
Woodland FRONTAGE ON ROAD
Meadowland DEPTH
House Plot BULKHEAD
Total
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38.2-1-28 9/111
M. Bldg. Foundation Bath J
Extension Basement Floors
Extension F_xt. Walls Interior Finish
Extension Fire Place Heat J
Porch Pool Attic
Deck Patio Rooms 1st Floor
Breezeway Driveway Rooms 2nd Floor
Garage
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' 'I
FORM NO.4
TOWN OF SOUTHOLD
BUILDING-DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
Certificate Of Occupancy
No. . Z.1.2166. . . . . . . . . Date . . . . . . . . .December 28
. . . . . . . . . . ., 19 83
THIS CERTIFIES that the building . . . Building, 2 ,. .Unit ?G? . . . . . . . . . . . . . . . . . . . .
Location of Property2820 Shipyard Lane East: Marion
House Ilio. Street Hemlet
County Tax Map No. 1000 Section . 0 3$ ,0?. . . .Block . . A.l . . . . ._. . . . .Lot . .Q?8. . . . . . . .. . .--
Subdivision . . . X . . . . . . . . . . . . . . . . . . . . . . . . . .Filed Map No. . ?{. . . . . .Lot No. . .x. . . . . . . . . .
conforms substantially to the Application for Building Permit heretofore filed in this office dated
. . . .October . , . . , 19 8 9.pursuant to which Building Permit No. . A 21 19 .Z. . . . . . . . . . .
dated . . . .October 2 0_ _ . . . . . . 19 8 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 . . . . . . . . .
. . _ . . . living .unit .within. multip,le_ dwelling: * . . . . . . . . . . . . . . . . . . . . . . . . . . .
The certificate is issued to . . . . . . . . . . .EMANUEL. KONTOKOSTA
(owner,fesseevr
of the aforesaid building.
Suffolk County Department of Health Approval . . . EMR. . . . . . . . . . . . . . . . . . . . _ . . , . ..
U ERWRI ERTIFICATE N0. . . . . . . . . N617254 .
* E LOFT IS NON-HABITABLE .
Building Inspector
i
Rev.1181
Town of Southold 1-1/18/2019
P.O.Box 1179
o 53095 Main Rd
y o� Southold,New York 11971
CERTIFICATE OF OCCUPANCY
No: 40867 Date: 1.1/18/2019
THIS CERTIFIES that the building ALTERATION
Location of Property: 2820 Shipyard Lane Unit 2G2,East Marion
SCTM#: 473889 Sec/Block/Lot: 38.2-1-28
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this,office dated
3/12/2009 pursuant to which Building Permit No. 34500 dated 11/28/2005
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:
interior alterations to an existing condo(Unit 2G2)as applied for per New York State Petition#2006-0001.
The certificate is issued to SEEORIENT LLC
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
'ELECTRICAL CERTIFICATE NO. 106841C 9/25/2006
PLUMBERS CERTIFICATION DATED 11/15/2019 No onant
Au ze Si ature-
FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
NO: Z-34320 Date: 05/07/10
THIS CERTIFIES that the building DECK & STAIRS
Location of Property: 2820 28 SHIPYARD LA EAST MARION
(HOUSE NO.) (STREET) (HAMLET)
County Tax Map No. 473889 Section 38 .2 Block 1 Lot 28
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. 34578-Z dated APRIL 1, 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 2G2) AS APPLIED
FOR.
The certificate is issued to BRIAN H & ELIZABETH A MADDEN
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A.
ELECTRICAL CERTIFICATE NO_ N/A
PLUMBERS CERTIFICATION DATED N/A
tho zed S gnature
Rev. 1/81