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Home My WebLink About1000-75.-8-3.1 0 EF 0 CD n n I--+ 00 0O e�'FrD 3 rD -0 rD NO Y O Cn CD G" W CD N CL O O 3 .. CD � CSD O CSD <. O- cnO X 3 N iZ � �• �' Z = -O O� CD FT CD CD O c O CCD cD CD N0) z 0 CCD e-FrD r-+ CL � sO O N �• .< CD Cn T. Q i..r r -p C-� AO Akmom m � a O CD tS cn O O O rD CD T C C7 O lu rr =3 = CD ni CQ. O. ~ CD 3 CQ Cn ~ rD Q.. =3 CDD cn L7Q � =3 Cc sv o c f7 � v 0 CD 0 -0 p C (-A CD Cn O10 �. co O1 00 0 — 1 m @ w x ccDO O a� W = Fn' O SOUTHOLD TOWN Town Hall Annex 54375 Main Road Ice> Rental Inspection PO Box 1179 Southold, NY 11971-1179 ,y,. �" � Tel: 631-765-1802 Fax 631-765-9502 V , ,, , . , �,,�al, �� S — �_ � « 'Z� 2 Al� ti M oke11"Detectors`(#--bedroom detectors excluded)°' Carbon MonoxideDetectors.(#) FireExtiraNlsbers( ")'` �t )s, t- r Smoke Detectorglarrris"(#) Carf; 01 ori�MonoxideAla�rris°(#) `" ` dcr� s � ua 77�77 F17 a BUIL` ►ANG„S 4� mEI �U �90,f,i j4OF.PROSE Neat�rig+,system maintaii�edeerativnal Building Interior is cleari/maintained; Ido#, tef ytem'rrRttiylpretio , l Bi TOWN OF SOUTHOLD Rental Permit _ Permit No. 0378 Owner Stanislao Pugliese Occupied as Single Family Dwelling Located at 3600 S. Harbor Road Southold 75-8-3.1 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. 1/26/2021 John Jarski Date of Issue Code Enforcement Officer This Notice must be posted by the main entrance at all times Town Hall Annex Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1179 Southold,NY 11971-0959 Vufm BUILDING DEPARTMENT /-TE TOWN OF SOUTHOLD D RENTAL PERMIT APPLICATION JUL m2 2020 Rental Permit Fee$200(Application must be renewed every two years) BUH,J)3NG DEFT. �3,','�17 779OLD Section A. Property Information: Rental Property Address: �600_ Sotfl-fl #&60k (Ro . SodT140LL1jt 1071 Tax Map Number: 1000 SECTION -BLOCK -LOT SECTION B. OWNER INFORMATION: Property Owner Narne:, S'rhidt-5I-A Td01-ifS-,r 7,Rd'f'9. f0dwi-1-1 tq Property Owner Legal Address: Property Owner Mailing Address: 3L cifocl4rtz -S7- 22. C,<o tl,(td -s r J/ 91 10 Telephone Number(s): Daytime71,Z!75 ZE.�V Evening_Emergenq � 18��-S e -_79-2-3 Property Owner Email Address: i0fmad 10m e4,7'r fe�.02 Ma t,do C7-?563 Page 1&S Town Hall Annex Telephone(631)765-1802 54375 Main Road xi Fax(631)765-9502 P.O.Box 1179 a Southold,NY 11971-0959ou ` BUILDING DEPARTMENT TOWN OF SOUTHOLD Section C. Authorized Agent Information: Name of Authorized Agent of dwelling unit, if any: aq 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: R Address of Authorized Agent(no P.O. Boxes)'.- Mailing oxes).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: Address of Managing Agent (no P.O. Boxes): Page 2 of 5 Town Hall Annex ' s , r Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1179 , � Southold,NY 11971-0959 BUILDING DEPARTMENT TOWN OF SOUTTHOLID Mailing Address of Managing Agent: Telephone Number(s): Daytime, Evenings Emergency Email Address: SECTION Fe 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: 3600 S° ' g HIN60 P- � So=►r 1{vL Requested Maximum number of persons allowed to occupy Dwelling Unit V Number of rooms in Rental Dwelling Unit: Use and Dimensions of each room in Rental Dwelling Unit: MQ _ 15` is C)�s�}� s S `y 11 2 s CF V ` 11` t- �p �l 2 Page 3 of 5 4 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 SECTION G. 1,NSPECTION: 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. Id 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 'T&r[SL&o ?Lf(TL 1 fs e 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 elf 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: Wal d'o, 'Fuer't f eVE Property Owner's Signature: Sworn to re me is day of\, 26b kficial Notary P li Signature and briginal Notary Stamp %Dawn jobnson NotarY pqblicy State off Newyork NOTARY , 1� — PUBUC '*FaNoojj0ed6�in49053 ires I 01J 20QuatifiSuffolk CountY1s:13 commission Exp IIIIIPage 5 of 5 %OF SOUIy�I OD J. # TOWN OF SOUTHOLD BUILDING DEPT. �o • �o `ycou765-1802 INSPECTI'6N [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION/CAULKING [ ] FRAMING /STRAPPING [ ] F AL [ ] FIREPLACE-4 CHIMNEY [ FIRE SAFETY INSPECTION [ ] 'FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [` ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) [ ] CODE VIOLATION [ ] PRE C/O REMARKS: DATE 1 W INSPECTOR Mgt E 4= 2020 jJ $ X k.3„..,f !CE �” 4...,..._„4....,w'a C Lo .�,1RA 4-A Ji If t 7-L FT ., ;'.. ..1.... � r�tm , f.. ,F�., J (,_ 3` rim_ a , ,� . } d �� VL �E'}�{L�. � •V�11''.'V,... . � 3_ ; .x � . ,„�,s _�_ £ '06.1'fTH04 S.t-w„p2%` Al J, .4 J AL J-4 - I J V-1 V, h 2-, q 1 fwf�j �47- -J, LA U V. J A 4w -fL ........«�.'�..,. w� ., ..,rb. r »�a...ror�. EV .,�..^^... _p 5 .....�...n-...�1�..,, € w,.m.... .-..� ...i. .. i ^ .}..«�-a-.:p...,._-r.{j....^_. - -V f 4.0 1401 Ij LL IL -4- J .0w, L 5VOTO, Ito 7— ,_.I... py , f 77 � --- ' - �-' ----' -- '- r'------ -'--- - -- '---'------��---- � 1 i 1000-75-8-3.11 ; o t � M. Bldg. 62 " _ �1 Foundation "`�''`� Bath Extension Basement j pot Floors ExtensionExt. Walls �' e ti� Interior Finish -, 1 S" 3 •o l d i Yoe Extension Fire Place / ' I Heat Porch Attic f: Porch Rooms 1 st Floor i Breezeway' Patio Rooms 2nd Floor Garage Driveway 0. B. yF81� Town of Southold 3/15/2017 c 53095 Main Rd $ a Southold,New York 11971 c PRE EXISTING CERTIFICATE OF OCCUPANCY No: 38858 Date: 3/15/2017 THIS CERTIFIES that the structure(s)located at: 3600 S Harbor Rd., Southold SCTM#: 473889 Sec/Block/Lot: 75.-8-3.1 Subdivision: Filed Map No. Lot No. conforms substantially to the requirements for a built prior to APRIL 9, 1957 pursuant to which CERTIFICATE OF OCCUPANCY NUMBER Z- 38858 dated 3/15/2017 was issued and conforms to all the requriements of the applicable provisions of the law. The occupancy for which this certificate is issued is: wood frame one family dwelling with unheated enclosed porch and accessory shed* Note:BP 2956 addition to dwelling COZ-2334: BP 23586 hot water heater COZ-24555• BP 41426 electrical hook up for portable generator COZ-38857 The certificate is issued to Clark, Judy Lee (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED *PLEASE SEE ATTACHED INSPECTION REPORT. th ed Signature BUILDING DEPARTMENT TOWN OF SOUTHOLD HOUSING CODE INSPECTION REPORT LOCATION: 3600 S Harbor Rd., Southold SUFF.CO.TAX MAP NO.: 75.-8-3.1 SUBDIVISION: NAME OF OWNER(S): Clark,Judy Lee OCCUPANCY: ADMITTED BY: Judy Clark SOURCE OF REQUEST: Clark,Judy Lee DATE: 3/15/2017 DWELLING: #STORIES: 1 #EXITS: 5 FOUNDATION: cement block CELLAR: partial CRAWL SPACE: partial BATHROOM(S): 1 TOILET ROOM(S): UTILITY ROOM(S): PORCH TYPE: enclosed unheated DECK TYPE: PATIO TYPE: BREEZEWAY: FIREPLACE: 1 GARAGE: DOMESTIC HOTWATER: baseboard TYPE HEATER: oil AIR CONDITIONING: TYPE HEAT: oil WARM AIR,: HOT WATER: #BEDROOMS: 3 #K[TCHENS:'IBASEMENT TYPE: unfinished OTHER: ACCESSORY STRUCTURES: GARAGE,TYPE OF CONST: STORAGE,TYPE OF CONST: wood frame SWIMMING POOL: GUEST,TYPE OF CONST: OTHER: VIOLATIONS: REMARKS: INSPECTED BY: JOHNJ DATE OF INSPECTION: 2/27/2017 TIME START: 11:26am END: 12:01pm t FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. CERTIFICATE OF OCCUPANCY No. ...Z..233.4........... Date ............................ATM*...7........... .. THIS CERTIFIES that the building located at ....W/8.....Sao-Uth..H l!boV..boad............ Street Map No. . . ........... Block No. 3=. ....... .... tot No. .;=.........Untlio.1.f.y.....jj.r:jr�. ............ conforms substantially to the Application for Building Permit heretofore filed in this office dated .........................................D.00eMbex...:L919-65, pursuant to which Building Permit No. 45,6.1. dated ...........................qLao.......1.0........... 19.6.5..,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 ........ .......VVIVate . .................................................... .................................. The certificate is issued to .M !O.Jeat-Thompson........................��....................................... (owner, lessee or tenant) of the aforesaid building. u� 'Building. tr%pector . FORM NO. 2 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N? 2956 Z Date ...........................Deoember..10.... 196 Permission is hereby granted to: ...Qo Jamith..Building-z....Gonstr...A/C..Jean Thompson ..................S authol.d......................................I.... ................................................................................ to .....au.4.1d..jm..A n...addition..,on..an..existing...der$ling........................................... .................................................................................................................................................................. at premises located at ......................................................................... Southold, N.Y•.......................................... ............ ..... ........ ............................................................., .................................................................................................................................................................. pursuant to application dated ......................................Decta.....M., 19165..., and approved by the Building Inspector Fee $...5.t 40........... ..:............................... ir ..... .......................... Building Inspe FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No 524555 Date August 6, 1996 THIS CERTIFIES that the building _ acceseory Location of Property 3600 South Harbor Road, Southold House No. Street Hamlet County Tax Map No. 1000 Section 75, Block 8 Lot 3.1 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated June 28, 1996 pursuant to which Building Permit No. 235865 dated July 16, 1996 was issued, and conforms to all of the requirements of the applicable provieicne of the law. The occupancy for which this certificate is issued is a hot water heater in an existing one family dwelling as applied for. The certificate is issued to Robert and Imogene Thomson p (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. 12083 dated June 19, 1996 PLUMBERS CERTIFICATION DATED May 7, 1996 Building Inspe or Rev. 1/81 1 Town of Southold 3/15/2017 �Yos y:�'' P.O.Box 1179 o • 53095 Main Rd Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 38857 Date: 3/15/2017 THIS CERTIFIES that the building ELECTRICAL Location of Property: 3600 S Harbor Rd, Southold SCTM#: 473889 Sec/Block/Lot: 75.-8-3.1 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 3/15/2017 pursuant to which Building Permit No. 41426 dated 3/15/2017 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: electrical hook up for portable generator. The certificate is issued to Clark,Judy Lee of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 41426 3/9/2017 PLUMBERS CERTIFICATION DATED A th5 Signature