HomeMy WebLinkAbout1000-64.-2-36 TOWN OF SOUTHOLD
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Rental Permit
10
0410
Owner Paul & June Molloy
Occupied as Single Family Dwelling
Located at 555 Founders Path Southold 64.-2-36
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.
4/28/2023
Code Enforcement Official
This Notice must be posted by the main entrance at all times
TOWN OF SOUTHOLD BUILDING DEPT.
6631-765-11,902
INSPECTION ,
FRAMING
I STRAPPING [ ] FINAL
RESISTANTFIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
FIRE RESISTANT CONSTRUCTION [ FIRE
ELECTRICAL (ROUGH) [ ELECTRICAL (FINAL)
CODE VIOLATION I ENTAL
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!NITOWN OF SOUTHOLD BUILD
ING DEPT.
11-765-1802
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1ROUGH PLEIG.
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INSULATION/CAULKING
3FINAL
FIRE SAFETY INSPECTION
FIRE RESISTANTPENETRATION
ELECTRICAL (FINAL)
CODE TIC/O 0 RENTAL
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INSULATION/CAULKINGTOWN OF SOUTHOLD BUILDING EPT.
631-765-1802
INSPECTION
I FOUNDATION 1ST ROUGH PLEIG.
FOUNDATION 2ND
FRAMING /STRAPPING FINAL,
FIREPLACE & CHIMNEY FIRE SAFETY INSPECTION
FIRE RESISTANT CONSTRUCTION FIRE RESISTANT PENETRATION
ELECTRICAL (ROUGH) ELECTRICAL (FINAL)
CODE VIOLATIO 7E C/9 RENTAL
DATE zINSPECTOR ����
TOWN OF SOUTHOLD
co ME co M Rental Permit
Permit No. 0410
Owner Paul & June Molloy
Occupied as Single Family Dwelling
Located at 555 Founders Path Southold 64-2-36
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.
3/26/2021 John Jarski
Code Enforcement Officer
This Notice must be posted by the main entrance at all times
If Ar�i
Town Hail Annex Telephone(631)765-1802
54375 Main Road Fax(6 1)765-9502
P.O.Box 1179 • �' `�
Southold,NY 11971-0959 �ll' �
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
RENTAL PERMIT APPLICATION r
(Application �v yntj�r;
�9- —Rental Permit Fee$200 A lication must be renewed eve two
S E P 2 8 2020
Section A. pUrjppTG D'- a
Property Information: TGG 7,';T
Rental Property Address:
_55 55 RAA
Tax Map Number: 1000 SECTION ( -BLOCK S_ -LOT 310 -
SECTION B.
OWNER INFORMATION:
Property Owner Name: 1T�-4�L ��v�
Property Owner Legal Address: Property Owner Mailing Address:
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Nc
M-h►�! S �L9.Pt i PtS QUA
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Telephone Number(s): Daytime Evening_Emergency--A-
Property
mergencyProperty Owner Email Address: ®� C� Y) -
Page 1 of 5
So
Town Hall Annex _ Telephone(631)765-1802
54375 Main Road Fax(631)765-9502
P.O.Box 1179
Southold,NY 11971-0959 p
BUILDING DEPARTMENT
TORN OF SOUTHOLD
Section C.
Authorized Agent Information:
Name of Authorized Agent of dwelling unit, if any: Iv
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: 1! 1
Address of Managing Agent(no P.O. Boxes):
Page 2 of 5
o sof)
'
Town Hall Annex Telephone(631)765-1802
54.375 Main Road Fax(631)765-9502
P.O.Box 1179
Southold,NY 11971-0959Q -
BUILDING DEPARTMENT
TOWN OF SOUTHOLI)
Mailing Address of Managing Agent: ,tl /P
Telephone Number(s): Daytime Evening Emergency
Email Address:
SECTION F.
PROPERTY DESCRIPTION:
Number of Rental Dwelling Units on property: syogi
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: 55.5 J—uU��� jUnit:
Requested Maximum number of persons allowed to occupy DwellinW'
Number of rooms in Rental Dwelling Unit:
Use and Dimensions of each room in Rental Dwelling Unit:
4NC �`ZM - V9,5 ' K 1� � �� a I B'x L3 I
�T-CH- `" 1 r x, p—� 1�e�
-BATR 'x to 1 '5
,
Page 3 of S
Town Hall Annex JaL Telephone(631)765-1802
54375 Main Road Fax(631)765-9502
P.O.Box 1179 ,
Southold,NY 11971-0959
BUILDING DEPARTMENT
TOWN OF SOUM01A)
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.
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�l-- H b LL6 � 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
C 1
II
Town Hall Annex Telephone(631)765-1802
54375 Main Road Fax(631)765-9502
P.O.Box 1179
Southold,NY 11971-0959
Y
BUILDING DEPARTMENT
TOWN OF S017MOLD
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. I 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.
Twc_
Property Owner's Name:
c��r✓,c� Ll
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Property Owner's Signature:
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Sworn to before me"his ZD day of 202-0
Official Notary Public Signature and Original Notary Stamp
CAROLINE M MACARTHUR
NOTARY PUBLIC-STATE OF NEW YORK
No.01 MA6384635
Qualified in Suffolk County
My Commission Expires 12-17-2022
Page 5 of 5
Of 50U1y�
f # TOWN OF-SOUTHOLD BUILDING DEPT.
Comm 765.1802 AV.,
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PL13G.
[ ] FOUNDATION 2ND : [ ] INSULATIOWCA -KING
[ ] FRAMING /STRAPPING [ FINALS ' `
] 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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DATE 3 yv INSPECTOR Idol
SCTM #
TOWN OF SOUTHOLD PROPERTY RE OR nJ
OWNER STREET �� VILLAGE DIST. SUB. LOT '', -
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ACR. / , REyARKS /
TYPE OF BLD.
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LAND IMP. TOTAL DATE
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OWNER STREET VILLAGE DISTRICT SUB. LOT `
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Visser III, Fredric
From: Verity, Mike
Sent: Monday,April 24, 2023 9:57 AM
To: Visser III, Fredric
Subject: FW: Rental Permit No. 0410 - 555 Founders Path
FYI
From: Paul Molloy<pmolloy1351@gmail.com>
Sent: Monday, April 24, 2023 9:50 AM
To:Verity, Mike<Mike.Verity@town.southold.ny.us>
Subject: Rental Permit No.0410-555 Founders Path
Good Morning,
Please note below photos we have taken to address the issues that were raised during our recent inspection to renew our rental
permit. Specifically you will see we have removed the third bed from the front bedroom. In addition you will see we have covered
the insulation on the basement ceiling. This covering is FSK paper which is fire resistant and meets ASTM-E-84 specifications.
We trusts this adequately addresses the concerns which were raised. Please let us know if you have any questions or comments and
we look forward to hearing from you.
Regards,
Paul and June Molloy
ATTENTION: This email came from an external source.Do not open attachments or click on links from unknown senders or
unexpected emails.
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