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HomeMy WebLinkAbout1000-80.-4-17.2 a TOWN OF SOUTHOLD Rental Permit 0400 Owner Aloha Southold LLC Occupied as Single Family Dwelling Located at 130 Grove Drive Southold 80.4-17.2 Maximum Permitted Occupancy 5 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. 4/24/2023 Yt kl'tN "V1 Code Envicenneot off pial This Notice must be posted by the main entrance at all times TOWN OF SOUTHOLD BUILDING DEPT. �L631-765-1802 y INSPECTION , FOUNDATION 1ST ROUGH PLEIG. TION 2ND INSULATION/CAULKI [ FRAMING l STRAPPING FINAL [ FIREPLACE I FIRE SAFETYINSPECTION ] FIRE RESISTANT CONSTRUCTION FIRE RESISTANT PENETRATION IELECTRICAL ) ELECTRICALFI, L) CODE VIOLATION PRE C/O -RENTAL l} V\ !s ov,2�A-z- �9_5� Aole_ 3 DATEo - I �� ll�u�ii�lllli�� � �� illlu � � kti �` ���� �i� rii4� ., . TOWN OF SOUTHOLD co - Rental Permit Permit No. 0400 Owner Aloha Southold LLC Occupied as Single Family Dwelling Located at 130 Grove Drive Southold 80-4-17.2 Village Maximum Permitted Occupancy 5 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. 3/15/2021 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 Q & BUILDING DEPARTMENT TOWN OF SOUTHOLD RENTAL PERMIT APPLICATION JUN 1 6 2020 Rental Permit Fee$200 (Application must be renewed every two years)' ' Section A. Property Information: Rental ProperW Address: Tax Map Number: 1000 SECTION &d#06 _-BLOCk0 0-9 -LO _ SECTION B. OWNER INFORMATION: Property Owner Name:- LL 0 - Property Owner Legal Address: Property Owner Mailing Address: AI&I Telephone Number(s): Daytime91 -7' S- WEvenin 3A -a mergency. l -2d- -?72q Property Owner Email Address: �� p �eC�ll� Page 1 of 5 so�Ty® . Town Hall Annexe, Telephone(631)765-1802 54375 Main Road `' Fax(631)765-9502 P.O.Box 1179 ® ® , O Southold,NY 11971-0959 a BUILDING DEPARTMENT TOWN OF SOUTHOLD Section C. Authorized Agent Information: Name of Authorized Agent of dwelling unit, if any: 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: ✓� 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: - Address of Managing Agent (no P.O. Boxes): Page 2 of 5 Town Hall Annex Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1 179 ® O Southold,NY 11971-0959 Q �� WN BUILDING 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 Dime ions of each room in Rent I Dwell' g Unit: Page 3 of 5 sot111 � Town Hall Annex s W. Telephone(631)765-1802 54375 Main Road `i Fax(631)765-9502 P.O.Box 1 179 Southold,NY 11971-0959 Q 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. ❑ 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) I 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 soUyy®� . Town Hall Annex Z Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1179 Southold,NY 11971-0959 } cauff N,<,,1 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:_ �1 7 -5 Property Owner's Signature: S r to halore me this O'day of Jy h2 , 20'ZA� I Notary Public Signature and Original Notary Stamp a�.'9�4o;�yy;segdic3;uolsslu�ulo;�: , -' unoa ieiseOis6/N ul P"0100 - ':t98LEZ9dH 10�volleusi6ed ' '; �l�oX-.Mqk;o iR1R1S'*llgnd Ajg;gN S1U!ldH53VH0IW-1WWd01Sj1jH3`; Page 5 of 5 1 r� s May 9, 2020 Town Hall Annex Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1179 G, Southold,NY 11971-0959 /, f�c®Ul t D L��i�D~ L 3 D BUILDING DEPARTMENT JUL ® 2 2020 TOWN OF SOUTHOLD RENTAL PROPERTY CERTIFICATION BU11,I)INGDEPT. 70V711 03 00'7MOLD Form is to be completed by a license architect, licensed engineer or licensed home inspector Separate form is required for each individual Rental Dwelling Unit A afessional seed required for Architect or Engineer.licensed Home Inspector must provide copy of valid current certification Rental Property SCTM Number: 5� 1�!-� �o�t� �oS- 11•Z-- Rental Property Address,130 Grove Dr., Southold 11971 Owner/Name: James Beirne Rental Dwell ing,Unit-Identifier: Number&Square footage of each bedroom as depicted in the attached floor plan: (i.e. Bedroom#1 -100 sq., Bedroom#2-90 sq., etc.) Property Description (Include all improvements indicated on survey) &DE" 'ter 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 New York 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. Victor Cornelius III CEO Inspector Print Name and Title ceo# 1216-0283 Origina Sig e Please place professional seal: ' STATE OF NEWYORK S`I ee a known that - !� Victor Cornelius has successfully completed the requirements of a Basic Code Enforcement Tralning Program 1{ ' established by the Minimum`Standards for Code Enforcement Personnel(19 NYCRR Part 1208)In ' the State of New York as a. I CODE ENFORCEMENT OFFICIAL ,i r' �� DEOFSfAM�ENT I, John a lmea.lo,Pf.uvsstm l \ �� oahwnnruyaemesmwam.amrma a r cerulxatw+ra.l:iri4]a3 \ (, f Issued Uase'Oe¢nd¢r 1%101b \ !f 1 T..-taw this mvgcaftS vxh Ps s—st iawfyamnrah Io- lAcetrann8repuvem¢atsaM advaMWlmse+Nse VNNnanqun¢mentt ti ._- o�aOF SOGIyO I�,O4we, �ri\jt, , ��✓-t'IfW1V * TOWN OF SOUTHOLD BUILDING DEPT. couto, 765-1802 ' INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PL13G. [ ] FOUNDATION 2ND [ ] INSULATION/CAULKING [ ] FRAMING /STRAPPING [ ] INAL [ ] FIREPLACE & CHIMNEY [ FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION- [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) [ ] CODE VIOLATION [ ] PRE C/O REMARKS: DATE ),4v3lwm INSPECTOR SKETCH ADDENDUM File# 1053626 Borrower/Client James&Rosemary Beirne Property Address 130 Grove Drive City Southold County Suffolk State NY Zip Code 11971 Lender JP Morgan Chase 20' 2 CAP,GARAGE 17' L1PIRtitt =+ 20' 17' 28, 3- 3' BASH BATH mTC"i=N BEDROOM x -C E- r7l - x x C,' BEDROOM BEDROOM DINING ROOM uviNGRootl C . C. IST LFEVEL 2ND LEVEL 34' NOTDRAWN TO SCALE ALL MEASUREMENTS APPROXIMATE A e t 4 A /RrATIOU Root,* yob $1,0tVj Age.S.Uh4s(- 4- 3\' BASEMENT Comments: ky- " V,- N' bkk66w, 7 Mai Fust F.10or 1020.00 1020.00 rizat t1oor GM2 second Floor -780.60- '780.00 34.0 x 24�.O 816.00, SS14T Basement- - 816.00 816.00 12.0 x -17.0 204.00, GAR cmiage 720.00' 720.00 second '016or - 3.0 x 26'.0 84.00, - I -%A A — -1A�r%' gz-vo Ari TOWN, OF SOUTHOLD PROPERTY �#'^n" - "^ ^ _ OWNE Itc STREET VILLAGE DIST. COUNTY TAX MAP NO. i y (t Ci Z2/0 #- ,c''r v _ 2d— LAND fid—LAND IMP. TOTAL DATE REMARKS: y� 3 a • - - t �•I (�. �P-�a l� cera�a� i r c�t�� - �y-, J 6ol COD Qo-1,_1 I Lia k �\ , -IS -- 1 1 1 _TOWN OF -SOUTHOLD PKOPERTY RECORD CARD OWNER STREET VILLAGE DISTRICT SUB. � �LOT i ------- — - - -- -- --_� �! �. FORMER OWNER N t E ACREAGE r�^ S W TYPE OF BUILDING } �%t.tJ�-��.l�.fL�'-3 tit-c.-t✓ ES. SEAS. VL. FARM COMM. ( IND. I CB. MISC. I Est. Mkt. Value LAND IMP. TOTAL DATE REMARKS i - 7oa S 46o0 4116 o u �! o o a '/, r 3 �F ���-L73 . c3/i s/�2-1 AGE-� S Q'b B I LBIKGQ CONDI O 5J NEW NORMAL BELOW ABOVE FRONTAGE ON WATER 2 Farm Acre Value Per Acre Value FRONTAGE ON ROAD 7D * 7D0 Tillable 1 BULKHEAD Tillable 2 i DOCK Tillable 3 Woodland -- ------- ---------- E Swampland Brushland House Plot Total I ' 7r I ral I IL A 804-17.2 3/03 i M. Bldg. K3 / _ Foundation 1 Bath 1 Extension ' ; Basement -r U L L lours r0�1 jj lip Extension Ext. Walls VIA j L Interior Finish ,� K Extension Fire Place /�Q `Heat Z X/7 Porch i c �� Roof Type _Y�O C Y ;-e) Y(m —1� Porch _—' Rooms I st Floor -- Breeze � do Rooms 2nd Floor _ Garage j p 3 �. I Driveway Dormer "�� o. B. t '�, 2 a ' 1 FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. PRE EXISTING CERTIFICATE OF OCCUPANCY No: Z- 28840 Date: 09/04/02 TRIS CERTIFIES that the building DWELLING & ACCESSORIES Location of Property 130 GROVE DR SOUTHOLD (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473689 Section 080 Block 0004 Lot 017.002 Subdivision Filed Map No. Lot No. conforms substantially to the Requirements for a ONE FAMILY DWELLING built prior to APRIL 9, 1957 pursuant to which CERTIFICATE OF OCCUPANCY NUMBER Z- 28840 dated SEPTEMBER 4, 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 ONE FAMILY DWELLING WITH ACCESSORY TWO CAR GARAGE WITH STORAGE AND METAL SHED.* The certificate is issued to JOSEPHINE VRBINAR (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A *PLEASE SEE ATTACHED INSPECTION R OR . Authorized Si tune Rev. 1/81 BUILDING DEPARTMENT TOWN OF SOUTHOLD HOUSING CODE INSPECTION REPORT LOCATION: 130 GROVE DR SOUTHOLD SUBDIVISION: MAP NO.: LOT (S) NAME OF OWNER (S) : JOSEPHINE VRBINAR OCCUPANCY: SINGLE FAMILY JOSEPHINE VRBINAR ADMITTED BY: GEORGE CAMILLERI ACCOMPANIED BY: SAME KEY AVAILABLE: SUFF. CO- TAX MAP NO.. 80.-4-17.2 SOURCE OF REQUEST: GEORGE CAMILLERI DATE: 09/04102 DWELLING: TYPE OF CONSTRUCTION: WOOD FRAME # STORIES 1.5 # EXITS: 2 FOUNDATION: CEMENT CEL•T_AA: CRAWL SPACE: TOTAL ROOMS. IST FLR.: 4 2ND FLR.: 2 3RD FLR.: 0 BATHROOM(S): 2.0 TOILET ROOM(S): 0 0 UTILITY ROOM(S): PORCH TYPE: DECK TYPE: PATIO TYPE: BREEZEWAY: FIREPLACE: - D014ESTIC HOTWATER: YES TYPE HEATER: ELECTRIC AIRCONDITIONING: YES* TYPE HEAT: OIL WARM AIR: X HOTWATER: OTHER: BILCO, SEE BELOW* ACCESSORY STRUCTURES: GARAGE, TYPE OF CONST-: 2 CAR W/STORAGE STORAGE, TYPE CONST.: METAL SHED SWIMMING POOL: GUEST, TYPE CONST.: OTHER: CONCRETE PATIO BY GARAGE VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE LOCATION DESCRIPTION I ART. I SEC. I I I I I I I I I I I I 1 I I I I I I I I I I I I I I I I I I I I I I I I I I I I I REMARKS: BP#123 COZ720, BP#28719 CENTRAL AIR COZ28839 INSPECTED BY: - DATE ON INSPECTION: 08/19/02 J M BOUFIS TIME START: 10:10AM END: 10 45AM FORM NO. 4 TOWN OF SOUTHOLD- BUILDING DEPARTMENT 'OWN CLERK'S OFFICE SOUTHOLD. N. Y. I'A Ck d,64 CERTIFICATE OF OCCUPANCY No. .... ..7D.... .. Date .... ... ...................... ........6919...... THIS CERTIFIES that the building located a1 .S18..GVOV.P-..Dr;Lv.e, . S uthold..... Street Map NoR9YA X .A4qg fie`c No. ........dF !....Lot No. ... .....14-22. ........................................................ conforms substantially to the Application for Building Pormit heretofore filed in this office dated .... ...$!TA ?�.. �.. 1951... pursuant to which Building Permit No. ...... +...���..... dated ............ •••, 19•••57, 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 PRXVAT,E ONB kIANnY MMa1NO ........................................................................................................................................... .....................I.............. Runt O. Gronaus OW403: Thiscertifzcai a is issued to .......................................................................................................................... (owner, lessee or tenant) of the aforesaid building. Building Inspector FORM NO. 2 TOWN! OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. V. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISESITW4Nf4,SU*(W /3tW0�1/,FPUNTIL FULL COMPLETION OF THE WORK AUTHORIZED) No. ....7...:L2.3........ Date ..........Sep:tem.'der.....28.................19.5.7... Permission is hereby granted to: Kurt..Q...Alronaa................................................ .......I.........Grove• Drivg.................................... ...........I.......... outhom, :3'aa. ..................... to .........build-an...add tion...to...existion--dWel -.ng........................................................ ...................................................................................................................................I............................ at premises located at ....S/8.....Grove-drd—voy..Reyrdon.-Shores.............................................. ................................................................Southol 'TO. Y.............................................I...I............. ................................................................................................................................................................ pursuant to application dated ....••••••••••••S.eptoull7er..••.28................. and approved by the Building Inspector. Fee $...5, 00............ I ........................•Bu 4ding...4 nspector...................�... FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-28839 Date: 09/04/02 THIS CERTIFIES that the building CENTRAL AIR CONDITIONING Location of Property: 130 GROVE DR SOUTHOLD (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 80 Block 4 Lot 17.2 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated SEPTEMBER 4, 2002 pursuant to which Building Permit No. 28719-Z dated SEPTEMBER 4, 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 CENTRAL AIR CONDITIONING INSTALLED IN AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR. "AS BUILT" The certificate is issued to JOSEPHINE VRBINAR (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. PENDING 08/03/02 PLUMBERS CERTIFICATION DATED N/A Authorized Signa re Rev. 1/81