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HomeMy WebLinkAbout1000-126.-8-7 { � T WA F SOUTHOLD Rental Permit _a 0413 Owner Deirdre Clay Occupied as Single Family Dwelling Located at 1435 Bray Avenue Laurel 126.-8-7 Maximum 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. 3/20/2024 Code nfo rent Vial This Notice must be posted by the main entrance at all times so * TOWN OF SOUTHOLD BUILDING DI 631 76T 1 8C12 INSPECTIOIN [ ] FOUNDATION 1ST [ ] ROUGH PL13G. [ ] FOUNDATION END [ ] INSULATION/CAl [ ] FRAMING / STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY IN! [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PE [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FII [ ] CODE VIOLATION [ ] PRE C/O [ qI REMARKS: VIL DATE INSPECTOR Town Hall Annex Town Of Southold 54375 Main Road jq Rental Inspection Report PO Box 1179 Southold, NY 11971-1179 Tel: 631-765-1802 SCTM # Date .a,...�... ..... ._. w.... .. . _.... _,,, .w. ... Owner bow Phone Address �7 /j2 Visible Hamlet Inspector ( _. . Floor Level Quantities Sub 1 2 3 ..., w... �. .�.�.�. �.� . aeeee.e. ..... a e .. .. .��.d. � _ e . ._. ... Smoke Detectors (not located in bedrooms Carbon Monoxide Detectors Fire Extinguishers �.. ...�.�_....._�..� Exits ....�.��. . . .�.. . �_ ......�.......�. _..... ., Bedrooms ®.. , .,..... �,. ...._�?. .... ,.. - 3. . .. ®.4 ..n.� 5 ... h. ® ... 6 I r Smoke Detectors ) I Egress ✓ i J ...... .. �. �._�. �� ,,,.m,. . .,, ... ._. . Occupant Count .. I !Building Systems Maintained &Operational Condition of Property '6-1.1 ....... ... . ..o ... ., Heating Building interior Hot water Building exterior pElectrical Property clean, maintained &safe i Mechanical Handrails&guards installed & secure iirm�ria, J Pool Safety Pool on Site Surface water alarm Date of CO issuance ..... ..,R..R..��.,..R� e. ,....... .......... . . . FDoor alarms Pool completely enclosed S .„ .. .... Self closing/latching gates Pool fence to code requirements m. �.... . j Prior Rental CO�� 's for all items present . . �. ............. _. ".,_.... . ........ .. .........�. ............ . ...._........ ... ,,._.......�... .. ....-... .....a. .. ..rv..... ........,. ........... .. Comments: i I ...._...... s.._. ..._. ...... ... . F91'r TOWN OF SOUTHOLD 2 ' Rental Permit Permit No. 0413 Owner Deirdre Clay Occupied as Single Family Dwelling Located at 1435 Bray Avenue Laurel 126-8-7 Village Maximum 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. 4/9/2021 Code Enforcement Officer This Notice must be posted by the main entrance at all times � q so Town Hall Annex ��, Telephone(631)765-1802 54375 Main Road csy Fax(631)765-9502 P.O.Box 1179 Southold,NY 11971-0959 BUILDING DEPARTMENT ! _, TOWN OF SOUTHOLD - -V RENTAL PERMIT APPLICATION MAY -5) 2020 Rental Permit Fee$200(Application must be renewed every two years) (tib 7ou Section A. :J! Property Information: I Rental Property Address: 135 U- L-Q Uref. NY 1161'f? Tax Map Number: 1000 SECTION O61 --BLOCK.- __ ILOT = 77 _ SECTION R. OWNER INFORMATION: Property Owner Name:- -b-el rare (� • G[G �� Property Owner Legal Address: Property Owner Mailing Address: Vf )5 13ra A- -enu-e. ao Avelw,v --- I,Ct,l l &AVS. NY Telephone Number(s): Daytime%-103 d�ULI - Evening a3-a�l¢Emergency S/b-Gjy3 aNa4 Property Owner Email Address: dcky(.,,2Efr�nJim,tie�° Page 1 of 5 of on Town Mall Annex Telephone Telephone(631)765-1802 54375 Main Road '' ' �rc'' Fax(631)765-9502 P.O.Box 1179 Southold,NY 11971-0959 COO BUILDING DING DEPARTMENT TOWN OF SOUMOLD Section Co . Authorized Agent Information: Blame of Authorized Agent of dwelling unit, if any: M,63QGf L.0�I Address of Authorized Agent(no P.O. Boxes):do Lo&te- ttf liYl DiQLI Mailing Address of Authorized Agent: Sfb~ Sfb- s�b- Telephone number(s): Daytime 3)57-9'700 Evening 3 5- lO Emergency 3J5- PbT Email Address: Im616410 horh'aLl- f�lhDVlzor\/S. aim Section Da Managing Agent Information: Name of Authorized Agent of dwelling unit, if any: b�'j�re A . cta q Address of Authorized Agent(no P.O. Boxes):aQ &h k- La-Me f-ta f'71047�M ptrSf fV 11qq& Mailing Address of Authorized Agen t: Number(s):Daytime0 Evening Emergency 22-1u3--a y�L/ Email Address: � }�D WJVQ1 il-w.IV•- SECTION Eo �Jjh 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 I� SO Town Hail Annex Telephone(631)765-1802 54375 Main Road - r Fax(631)765-9502 P.O.Box 1 179 _ Southold,NY 11971-0959 - BUILDING DEPARTMENT TOWN OF SOUTHOLD Mailing Address of Managing Agent: ���r �P A4 . 5,* S16 Telephone Number(s): Daytime D v — -L Evening 0 a Emergency 51k)"703-1=NolL! Email Address: d6laYo offon line :/Lef 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: 35 1' em Requested Maximum number of persons allowed to occupy Dwelling Unit: 6> Number of rooms in Rental Dwelling Unit: . � - - - - f Use and Dimensions of each room in Rental Dwelling Unit; MCAS-16</80�#Oona R,fdr&5�n 2 VOILA 04th g� -- Ki fG6wn L V( N4 room 157`/7 Page 3 of 5 Den Town Hall Annex ` ''; Telephone(631)765-1802 54375 Main Road t Fax(631)765-9502 P.O.Box 1179 � � 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. 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 ( ���� °OC 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 f Town Hall Annex ', Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 CA P.O.Box 1179 S ; 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:_ Property Owner's Signature: vcul Sworn t before me this day of y Official Notary Public Signature and Original Notary Stamp Deborah A.Curcio Notary Public,State of New York No.OiCU0106084 Qualified in Suffolk County Commis®ion Lgspiires March 1b,20 ,0 Page 5 of 5 SOUTHOLD TOWN Town Hall Annex 54375 Main Road PO Box 1179 Southold, z Rental Inspection NY 11971-1179 �a Tel: 631-765-1802 Fax 631-765-9502 SCTM# Date 4 2 OwnerLA Phone 5/&- 90 3- ZA Z+ Address 1435 B>,Aq AVP, Zip k`gA-g City Inspector -7F=.L,00U4A LEVELS SUB 1 2 3 Smoke Detectors(#-bedroom detectors excluded) Carbon Monoxide Detectors (#) Fire Extinguishers(#) Exits(#) BEDROOMS 1 2_ 3 4 5 Smoke Detector Alarms Carbon Monoxide Alarms Egress(windows) (Y/N) BUILDING SYSTEMS Y/N CONDITION OF PROPERTY Y/N Heating system maintained/operational Building Interior is clean/maintained Ily Hot waters stem maintained/operational Y Building Exterior is clean/maintained y Electricals stem maintained/operational Property is clean/safe/maintained Mechanical system maintained/operational Handrails&guards present COMMENTS: I Rental Inspection Form 4/7/2021 Gloi�r _ )`f35 r ieru � Yc - - - - Cc j�: ����'� - j TWA- _110how F WAS P , ' ,s,- .if pan -w A a: > 11 it, r gampillfir 11,41 - ? POISON .,� _ ` gyp,• ,a``° � � - -. _ OOL lot. w ­,_,011t7� Qy,r;s`� "`bac• ".`• iw'.�" ti . ',s, °-�'t o .:'7'.'P "_ „`"rte i° , ..'i''w ,*' m" '• Via , zs`a.` '£ iia y�?a,•o-.r =, .,tk `. �x, a ms. b;e` ,. ,,- -- •�„;.� .�"� r�*> '?�- .� �� ' °����-° '- ,..'� ,���-' �_ ^�v, .., res.. �• �, �.;�,." .��`f� a°'�u; �,�, ' , � s,• tee` - la+,"�a`��c'� >a�'�'„ ^�°,� � Via., , '_�;;� `�_< �a`�•, -r a ,���,„ ��:�,., TOWN OF SOUTHOLD PROPERTY RECORD, OWN�E_R ISTREET VILLAGE DIST.I SUB. LOT (A FORMER OWNER N E ACR. 19 ta 0 W 1 TYPE OF BUILDING ri Le RES. SEAS. VL. FARM i COMM. CB. MICS. Mkt. Value LAND IMP. TOTAL DATE REMARKS P 2a aj 30f_c� v/ A,7 LZ 2 9/6 eA 100 A A -S -0,0, S-/x 're 4�_/-j-/.*, L)C., -47 CYL� D 0 C7t cttc� _'v S'L_ CS Z'j, , C) ------- L� SO T "(W 03 AGE BUILDING CONDITION - NEW NORMAL BELOW ABOVE FARM Acre Value Per Volue Acre Tillable FRONTAGE ON WATER Woodland FRONTAGE ON ROAD I _21f. Meadowland DEPTH House Plot BULKHEAD Total DOCK i- -- A. i' # )LOR Sl TRIM i ;La t( V ---- 126.-8-7 3/13 M. Bldg. Extension Extension Extension Fgwndotion _ Bath v I/ 'Dinette j ,�-_ J r asement U Floors r K. K. }�4 I }- a a t o /, Walls ,� Interior Finish ,i 4-- LR. Bree,�e l„ x Z l 6C, Fire Place Heat _ DR. i Garog (j/o 'Y', `• b , .; / �; Type Roof Rooms l st Floor BR. Patio « G ' € l Jo Recreation Room Rooms 2nd Floor FIN. B O. B. IDormer Driveway i Tctal � 47.36 F011M NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. CERTIFICATE OF OCCUPANCY No ...27.3.3...... ....... Date .. ... .. .................; .... ...... 19 AT. THIS CERTIFIES that the building located at . . g . Argy...'!#............. .. .. ........ ... Street Map NO. ...X►............. Block No ....... ...= ... Lot No XXX.......L%Uftlt. I.SX&...... . ............. . conforms substantially to the Application for Building Permit heretofore filed in this office,dated . ................................. .......�Z}.. . ..., 19..61 :. pursuant to which Building Permit No �.. dated . ........... ................Do*.*,. . ,�1 , 19 .616, was issued, and conforms to all of the requirements of the applicable provisions of the low The occupancy for which this certificate is issued is ........ ............. . ....... .:. .............................I............................. ...... The certificate is issued to Ut'ki;)il1S`}L..}uild1mg. Carpo .........MMOX....... ............. .......... ... (owner, lessee or tenant) of the aforesaid building 2*D*ApPT0Va1 Saha 19, 1967 by R* V x.111 . . : ... .............. .............. Building Inspector DO Ter.'I WN.", OFIN S I ggTo w M V. .61V V Y A— Ij Q iNXY All Vs. A is 'C" lc I f a W."0 f 0�cu a ui),.,,j Q nk . A ss 6 MiSMS'.1 1' 7 V une,,,!e- A%I fail!4 .;-,Dal 9 �e` VAN I • Lv t,,the btilldbag located 6 A A.i p at-;-'stl 37 -vi.AI it y 0 1A L t No r�,,!L-;}ji.-,qjjgQUIREKENTS POR', STRUCTURES 7r,1K I UbAgatiall. oAhe'! m B9MjdbBw-1dtx �,Occm' Is • P.TIFICATP 19 Iran I0. "'Op plirsuant,to.'m 6 l�*d;,."i"i��d.,,6bidotimd"tb,.,ffiw-- th- pwas USSI b dr,,wiuchilms cert. L mj� t At. A RUM 1jptbvW6GisP&;1L I rf t • - r.,�. g M Ma I'L- "T" "M" k 4,Pbh . . t, Its, PST.", L T;4; ado X 0 FRI, yj Aov Ali, It's, V bwAL ;sa u— 'Aso , ;'I 1,.1� ki.,J L le d La t t at EIR TS ehl 5 1 a 0 ut: 10, A�wj IA ICA d 1k, ire" sun,0c. 'TephdWent"'of-H69th, Jprowl Lo it!Gotmty, .%A. A. --V X Mr SO, M. 4Ae'.".. Pr 5j."�P 81- 1IRTIr,IC!ArM1 6. Yk I -apt (Ave,V� ,4 �I 1.011 Vino, I' I a,I,,I:,$ eet :; .`%. a ,,, Wouslo NVUB39R, .1 .1. 1 �-. . 'I" J.- -I,* f? V 6, W, its V..,-R, ImLa ;.`t,`.New 10. 04 f.1 4 4-3 A a Is kPi.11-6-11,11 .6 AAA •wh 1-044 a A"11T. It to i M.` 14 11w p. 'T is 7 -.4t, '1'11�MIMR . ,ctrl, ii t - *, ,.,, S "13�11dlng X,. in4iepfor:I` z",1A "I p M.-• �k 4 r';"p?WX A C _04". I'V i P -W& IV,rG 1g. Na "W;4 NN'T'r L� M'� � 6 , E ON A� "Zoo. Oltis .9 'j, .ff, v.I A4 tA' 21 FORM NO.4 ` TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold,N.Y. f Certificate Of Occupancy No. ... .. .214415. .. Date .. . .. .May.9 g. . ., ,..... . .. ... ., 1986. TRIS CERTIFIES dost the building .. . .. . .. add.1 t i o n : . . ,. , . .. ... ... Location ofproperty 1375 .. .. .Bray Ave. ., Mattit:uck .. ... .. .. . N®use No. Strse¢ �HaiHle¢ County Tax Map No.1000,Section . .. 12 S . . . ..Block . .. . . . ... . ....Lot . .. . .7 . .. . . . ... . Subdivision. ... ...... . ... .. . . .. . .. . . . .. ..Filed Map No. . . .X.., .Lot No. .... .. ... .. . . conforms substantially to the ApplicAtion for Building Permit'heretofore filed in this office dated 1 1 .. , 198 5 pursuant to which Building Permit No. . ... 1,3 9 0 6 Z .. .... . . .... o. , . . .., .. . dated . . .. May. .. ... .. ..•.. .. . . .. 119"8.5,was issued,and conforms to all of the requirements of theapplicableprovisions oft :helaw.The occupancy for which this certificate is issued is . ... .. ... .<.• •.!Q'44 P.;q i... ... o .• . o.,.,. o• . •..o,.. .. .•i• •• •. .o. •. •.. . . So. $ .. . . .. . . .. . . ... •o.. . The certificate is issued to . . .. .. ... ... . ..PAUL.J. '& SUSAN M. MAJESKS. ... ., .. ,... . - of-the-aforesaid building. Suffolk,County,Department of Health Approval .. .. ... . . . .. .. ... ..N A,. . ... ...... . . ,.... UNDERWRITERS CERTIIFICATE NO.... .. . ... ' ... . . N706567 ., .. I .... . .Bu .... .... ..... Building Inspector Rev.1161 FORM NO 4 MEW ; TOWN OF•SOUTHOLD BUILDING DEPARMUM :fjs.'` , !Ui':'•:�;tf� office of the Bui1d3ng Inspector :�,_�;i +:;;;,i'=•,�; :';' Towh Hall ` •,.,;;,;� ;,;• �•, '� ' Southold, N.Y. CERTIrl CAN or OCCUPANCY No 2119292 Date Auaust 14, 1990 ' ,. THIS CERTIFIES that the .building ACC69SORY :r• Location of,Property 1315 WAY A4ENUE LAURELS HEW YORK .i House No. Street Hamlet County•Tax;X No. 1000 Section 126 Block B a+ot__,? Sub d>vigton Filed Map No. Lot No.' ' conforms;'substantially to the Application -for Building Permat heretofore' filed in this office dated APRIL 10, 1989 pursuant to which Building Pbxmit No, 18027-Z dated APRIL 32. 1989 was• sss116di and conforms to all of the requirements of the applicable provssione,of the laud. The occupancy for whack Wo certafYcate �s issued is ACCESSORY ABOVE GROUND SWIMaNG POOL FENCE & DECK The cettxfate is %ssued to PAUL J. & BUSAN M. MAJESKS (ownersI . of the aforesaid bui•ldiag. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPRO�TAL N/A UNDERWRITERS CERTIFICATE N04 H-017345 - AUGUST 11 1990 PT,U srm cERTIFICATION DATED, N/A " - ldang Inspector ' . Etev, i/ei . V. ...... "rfc. s��'j°.�^�f• j%":,�'•:c !r tir: +,' Tom OF SOUTHOLD' }i, .fi '� ;;L ,nr.«. BUILDINa DMPARTMBHT �< }a� •? f,{;. ' oP�l.o® of � g Inspector he•Bul.ldin I sp t .Southold, my, t CaUTIFICATH OF OCCUPANCY 8-2"7S Dat® JUNE 28. 1996 THI$ dEATIVIES that the building ADDxxxO ''' Lodation•of+phopelcty 11315 ABAY An. LAA1lRBLj,,M.Y. House Has street hamlet Cou4ty Tau Map No. 1000 section 126 Black B Lot, 7. t ttbdivisioA' Filed May No. Lot NO& donforme oUbitantially to the Application for 11dilding Permit heretofore filed in this office slated APPAL 17. 1996 pursuant to which Building Permit No& 23398-S dated - MU 1. 1996 wad ieaued,•'and conforms to all of the requirements of the applicable provisions of the Inob The occupancy for which this certificate is ' iAatt�d.i.g DBt�ADDITIANaTOL18'SZB'lIF7i3 ONE P'AMn-T D�+78L ZHG AS,APPLIBD FOR ; The certificate- ie issued to PAUL J.. S SUM He AMBRI Tt ' townera`) - of the aforesaid building, 3Clt'POLR COUNTY bgPARTMBNT OF HEALTH APPROVAL ld/A C ' UADERWRITARS OBRTIFICATS 140. PLtTMBERB CERTIFICATION DA'Z'ED M/A PI - u ding inspector Revs 1