HomeMy WebLinkAbout1000-31.-17-8.1 g= TOWN OF SOUTHOLD
Rental Permit
0406
Owner Francis & Maureen Beaury
Occupied as Single Family Dwelling
Located at 35 Rabbit Lane East Marion 31.-17-8.1
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.
7/25/2024V44-�X )/�M
_
Code E oe nt Offici
This Notice must be posted by the main entrance at all times
TOWN OF SOUTHOLD BUILDING DEPT.
Coo 631-765-1802 31_ .9.
INSPECTION
[ ] FOUNDATION 1 ST/ REBAR [ ] 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 [ ,r RENTAL
REMARKS: —1'&WAA49
DATE 'o?�'� ` INSPECTOR �"
Town Hall Annex
Town of Southold 54375 Main Road
Rental Inspection Report PO Box 1179
cz
Southold, NY 11971-1179
ZIF
Tel: 631-765-1802
91
SCTM# 3 « . Date • oZ
Owner Phone
Address „ !� Visible
'Hamlet Inspector
Floor Level Quantities Sub 1 2 3
Smoke Detectors (not located in bedrooms)
Carbon Monoxide Detectors "
Fire Extinguishers
Exits
Bedrooms 1 2� 3 4 5 6
Smoke Detectors
- — I
Egress
Occupant Count 1
Building Systems Maintained &Operational Condition of Property
Heating Building interior
Hot water Building exterior
Electrical Property clean, maintained & safe
Mechanical Handrails &guards installed &secure
Pool Safety Pool on Site
Surface water alarm Date of CO issuance
Door alarms Pool completely enclosed
Self closing/ latching gates Pool fence to code requirements
CO's for all items present Prior Rental 0
Comments:
TOWN OF SOUTHOLD
Rental Permit
Permit No. 0406
Owner Francis & Maureen Beaury
Occupied as Single Family Dwelling
Located at 35 Rabbit Lane East Marion 31-17-8.1
Village
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.
3/22/2021 John Jarski
Date of Issue Code Enforcement Officer
This Notice must be posted by the main entrance at all times
1 ��so
Town Hall Annex Telephone(631)765-1802
54375 Main Road N? '` Fax(631)765-9502
P.O.Box 1179
Southold,NY 11971-0959
QU I �L
BUILDING DEPARTMENT
TOWN OF SOUTHOLD OCT
- 5 20��
RENTAL PERMIT APPLICATION
Rental Permit Fee$200(Application must be renewed every two years)
Section A.
Property Information:
Rental Property Address:
Gv.e 4
Tax Map Number: 1000 SECTION I -BLOCK -LOT -
31
SECTION B.
OWNER INFORMATION:
Property Owner Name: "���'�� eV�
Property Owner Legal Address: Property Owner Mailing Address:
Telephone Number(s): Daytime9y7Evening S Emergency
Property Owner Email Address: NN PlA I I l U lrj o 1 i yj N - tN
Page loft
Town Hall Annex ;r 1�2 Telephone(631)765-1802
54375 Main Road `7s' `amu' Fax(631)765-9502
P.O.Box 1179 W
Southold,NY 11971-0959
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
Section C.
Authorized Agent Information:
Name of Authorized Agent of dwelling unit, if any: 1� — —C)Uj
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: k� 1— ® t.�1 "N ��
Address of Managing Agent (no P.O. Boxes):
Page 2 of 5
p S0
ti c�
Town Hall Annex Telephone(631)765-1802
54375 Main Road Fax(631)76.5-9502
P.O.Box 1 179
Southold,NY 11971-0959
®0419
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
Mailing Address of Managing Agent:
J44—
Telephone Number(s): Daytime Evening Emergency
Email Address:
SECTION F.
PROPERTY DESCRIPTION:
Number of Rental Dwelling Units on property: 1
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:
Requested Maximum number of persons allowed to occupy Dwelling Unit:
Number of rooms in Rental Dwelling Unit: 2 - � i` dC�
Use and Dimensions of each room in Rental Dwelling Unit:
Page 3 of 5
AS
Town Hall Annex Telephone(631)765-1802
54375 Main Road Fax(631)765-9502
P.O.Box 1179 y r
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.
p' 1 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)
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 addres's for service pursuant to all
Page 4 of 5
psoU 4 .
Town Hall Annex Telephone(631)765-1802
54375 Main Road Fax(631)765-9502
P.O.Box 1179
Southold,NY 11971-0959 1,0UN�
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: . 'TAM/XAQ V--P-'fvn
Property Owner's Signature:
611
Sworn to before me this-L day of 1i I I Lf 20in
42-a,! d&-Ya- 41
Official Notary Public Signature and Original Notary Stamp
KAREN ROTAN,; ,
Notary Public,State of Ne�v,Yoik
No.011106066405
Qualified in Suffolk County.
Commission Expires NovembeK 13,20.4i,4,
Page 5 of 5
pFSOUlHp6 l�•1 �/ 4WAI
* TOWN OF SOUTHOLD BUILDING DEPT.
o`y%m 765-1802 70j.—
INSPECT-ION
0j. —INSPECT-ION
[ ] FOUNDATION 1ST [ ] ROUGH PLEIG.
[ ] FOUNDATION 2ND [ ] INSULATION/CAULKING
[ ] FRAMING/STRAPPING [ ]" INAL &W,
Pim
[ ] 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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SPA-
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DATE 3 INSPECTOR
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mckstlon
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Dec,
777"
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117T
t" 9
SYY-)o �e_ a�017
MAR 2 2021 n 5Ll 15
7 V%fN C;L3 SOUTHOLD PROPERTY RECO -CARD
OWNER !STREET VILLAGE DIST. SUB. —LOT
FORMER OWNER — N E v ACR `
r
S W TYPE OF BUILDING
RES. SEAS.- VL. FARM COMM. CB. MICS. Mkt. Value s -
- LAND IMP. TOTAL DATE REMARKS �
3 t '
d _ 4
vi - F_ -'---
-2-700
vvp
h' —
f
!
}
AGE ! BUILDING CONDITION
NEW NORMAL � BELOW ----ABOVE -- — -- --- - ' -`C` `- r-- ^�D
—FARM Acre Value Per Value
Ac re
Tillable FRONTAGE ON WATER 11
Woodland FRONTAGE ON ROAD
Meadowland ( DEPTH
House Piot BULKHEAD
Total } DOCK `. .
TOWN, OF SOUTHOLD PROPERTY RECORD CAR®
OWNER ��,�� " '� �:: ! STREET VILLAGE —� DIST. SUB. LOT
FORMER OWNER IN E ACR.
S W TYPE OF BUILDING
- _ ---- - _ - - - -
RES, SEAS VL. FARM Cot0m. CB. MISC. Mkt Value
LAND IMP. TOTAL i DATE REMARKS
i
> p
AGE ��, BUILDING CONDITION _
NEW NORMAL BELOW ABOVE '
r _ ,
FARM Acre Value Per Value
Acre _
Tillable 1
Tillable 2
Tillable 3
I
Woodland
Swampland FRONTAGE ON WATER
Brushland FRONTAGE ON ROAD j
House Plot l DEPTH
j
BULKHEAD
Total ;DOCK
ri �`.
3 r
a
— -
O�.OR I
j I
RIM
i1ji
s
g�
T .
—
_.w
� t
_
31-171-8.1 31'13 -
f
M. Bldg `cundclion ( Bath ' Dinette
Extension Easement Floors
K.
Extension .j ExtWalls
r ' Interior Finish � � I LR
Extension
re Place Heat DR.
,,pe Roof ��' Rooms 1st Floor B`��.
--
Porch Recreation Room Reoms 2nd Floor FiN. B.
Porch Dormer – ---_--
Breezeway Driveway
Gary
O. B. r
Total
Town of Southold Annex 3/29/2012
54375 Main Road
Southold,New York 11971
PRE EXISTING
CERTIFICATE OF OCCUPANCY
No: 35516 Date: 3/28/2012
THIS CERTIFIES that the structure(s)located at: 35 Rabbit Ln, East Marion
SCTM#: 473889 Sec/Block/Lot: 31.-17-8.1
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^ 35516
dated 3/28/2012 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 accessory deck and gazebo.*
BP 3581 addition COZ-3065
BP 19221 decks COZ-19262
The certificate is issued to Massaro,John&Massaro, Ors
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
*PLEASE SEE ATTACHED INSPECTION REPORT.
Auth rized Signature
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
HOUSING CODE INSPECTION REPORT
LOCATION: 35'Rabbit Ln,East Marion
SUFF.CO.TAX MAP NO.: 31,17-8.1 SUBDIVISION:
NAME OF OWNER(S): Massaro,John&Ors.
OCCUPANCY:
ADMITTED BY:,David Kapell
'SOURCE OF REQUEST: Massaro,John&Massaro,Ors DATE: 3/28/2012
DWELLING:
TYPE OF CONSTRUCTION: #STORIES: 1 #EXITS: 3
FOUNDATION: cement block CELLAR: CRAWL SPACE:
TOTAL ROOMS: IST FLR.: 2ND FLR.: 3RD FLR.:
BATHROOM(S): 1 TOILET ROOM(S): UTILITY ROOM(S):
PORCH TYPE: DECK TYPE: PATIO TYPE:
BREEZEWAY: FIREPLACE: GARAGE:
DOMESTIC HOTWATER: TYPE HEATER: electric baseboard AIR CONDITIONING:
TYPE HEAT: propane gas WARM AIR: HOT WATER: radiant
#BEDROOMS: 3 #KITCHENS: 1 BASEMENT TYPE: unfinished basement
OTHER:
ACCESSORY STRUCTURES:
GARAGE,TYPE OF CONST: STORAGE,TYPE OF CONST:
SWIMMING POOL: GUEST,TYPE OF CONST:
OTHER: deck with gazebo
VIOLATIONS:
REMARKS:
INSPECTED BY: DATE OF INSPECTION:
TIME START: END: