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HomeMy WebLinkAbout1000-70.-9-62 TOWN OF SOUTHOLD Rental Perm 0418 Owner Joseph & Elizabeth Gentry Occupied as Single Family Dwelling Located at 630 Clearview Avenue Southold 70.-9-62 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. 7/19/2023 Code E for,egent Officia This Notice must be posted by the main entrance at all times ifif SO * TOWN OF SO THOLD BUILDING DEPT. 631-765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] 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 [ RENTAL REMARKS: �2ern e Ur 1c j k, (a feVZ,50n G u a/KG Im a-�-a3 4 -,,- Pi-:;P--MI CC'S iscLs,66 DATE J-/ 9 3INSPECTOR ,,f4f trr TOWN OF SO THOL.D BUILDING DEPT. 631-7651802 INSP CTION [ ] FOUNDATION 1ST [ ] 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 [ RENTAL REMARKS: g y 17 DATE INSPECTOR TOWN OF SOUTHOLD aff Rental Permit a Permit No. 0418 Owner Joseph & Elizabeth Gentry Occupied as Single Family Dwelling Located at 630 Clearview Avenue Southold 70-9-62 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 ins ection. 4/21/2021 C de En or em nt Official 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 BUILDING DEPARTMENT TOWN OF SOUTHOLD RENTAL PERMIT APPLICATION Rental Permit Fee$200(Application must be renewed every two.�'ears)j,' :- ., i JAN 1 5 2021 Section A. Property Information: r,' \ Rental Property Address: 63(J .IParyopw AvPRniitholrirNY 11971-- Tax Map Number: 1000 SECTION .70 - 610CK. 9 -LOT 062 00 ._ SECTION B. OWNER INFORMATION: Property Owner Name:, Elizabeth-Gentry Property lizabeth-GentrvProperty Owner Legal Address: Property Owner Mailing Address: i 26 Fichermans nr 26 Fishermans Dr. Port Washington_ NY 11050 Port Washington, NY 11050 Telephone Number(s): Daytime 5164233629 Even ing51642336291imergency. 5169839300 Property Owner Email Address:. liz21676@aol.com - - Page 1 of 5 ,r Tr SE7o�,��. :A-� Town Hall Annex ( « Telephone(631)765-1802 54375 Main Road ! Fax(631)765-9502 P.O.Box 1 179 Southold,NY 11971-0959 ? BUILDING DEPARTMENT TOWN OF SOUTHOLD Mailing Address of Managing Agent: Telephone Number(s): Daytime Evening Emergency Email Address: . 7-2 .f, APR 1 9 2021 --- SECTION F. PROPERTY DESCRIPTION: Number of Rental Dwelling Units on property: b 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: l VYLI f G���l I� Requested Maximum number of persons allowed to occupy Dwelling Unit Number of rooms in Rental Dwelling Unit: Use and Dimensions of each room in Rental Dwelling Unit: suI-L -go Dvin 17 I U J 01T' x 4-11) 2 D- 0 n6 Roam (T1» X 7R6om 17' r l q '2- Be-d roD m2- /7 14- 1 19 '� &eU o0»'1 3 ' vz-�� K �2)� J1) P�dY'oom "T � / '5 x 12-)V, 1 , ro6m ,Z 5 '9 '' X 7 ' /D Page 3 of 5 Town Hall Annex , Telephone(631)765-1802 54375 Main Road ' c Fax(631)765-9502 P.O.Box 1179 G Southold,NY 11971-0959 C® UN1`1, 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. '54VI 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) 1 . ���- `� e � h�z 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 11, Q� a Town Hall Annex Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1179 (AIL Southold,NY 11971-0959 Q UNT 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:_-Z f' ��� 4 �"] Property Owner's Signature: Sworn to before me this day of 201=t , SHAM17A A BANSIE Notary Public-State of New York nd Original Notary Stamp NO.OIBA6236697 Qualified in Nassau county P.1y Commission Expires Mar 7,2023 Page 5 of 5 lf SOUTyO l�l-Cly�►KMJ #Val # # TOWN OF SOUTHOLD BUILDING DEPT. �ycourm ' 765-1802D —q INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ - ] FOUNDATION 2ND [ ] INSULATION/CAULKING [ ] FRAMING /STRAPPING [ ] FIREPLACE & CHIMNEY [- ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE'RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) [ ] CODE VIOLATION [ ] PRE C/O REMARKS: r Gli vAA • DATE J-D 2U INSPECTOR V'0 KIZ t • , . r �: H , .'r c.ut'cace• ,��.�9 eat ru���+u. s:��$� ! cgi�G.aS.iy �.ld �j �� : 8 d -! ��. 1'+d :xr.,,li'�. 'I• MaN. 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"'Aa- BELOW r - r-d i a�f E WN, } , ol IN - x: i gra ; , �s � Ra&tRT -H wHELAN,P".E ?s f PROP NEW FrC?A c)R: htR ANN iVIRS ` -K F TOWN OF SOUTHOLD PROPERTY R OWNER STREET VILLAGE DIST. SUB. LOT e ar,e'�f� %r 1�„f�4.--i� �!�I' �� �� 2./✓'�-1.-f�rL-f.�` —.�!A'�F- �,��„"�.� f,.t.,. . \} �G�,.>`[.n^-�,9_�e�.J' �ti. � FORMERWNER N E ACR. ! S W TYPE OF BUILDING ! i C�"���-��"�'z l 1 ISn)i`I'LL/'�j o h r) �m�'� 1 r RES. 1 SEAS` VL. FARM COMM. CB. MISC. Mkt. Value LAND IMP. TOTAL DATE REMARKS I � f j r �. i //! /i'3 iia�� f,� - ,. 74-4-1 a f_'.� i I G+ L�`r� �,�- � r r �: _J• )�, �,.�?�."'c:.�,'-�, �=� 1�..� C]�1�t J�Mt —i<'� 1..��i,�'1.:4-f 1�..,. r' '.Z: !3 Zoo /!I it I q0 61 f)::'C)1/ �(./ 7rr")t/�Jl?Gl, l� i 1P 00 70 CLQc � O�L7 J 1 1 �1 1 �e .C1 f �+` , 1"r.�r�/� t - J rC�b r^,}F � '. ae Cli�i�? lJ: I r r �Ini%!c`.'•r' fC �' CL 1�c� G"C- i f�• r ?f�� .� c�o� � �c�- � �z;` ' fL' (,l�" ��1� � l I�'� — s�r) ;D >LlG 1/ log I/.:z!�' 't Tillable 1 J d0f / � a j 7 `'1 _ .} r�C� D,�U0`I �i i r , ' Tillable 2 Tillable 3 �j 3t t cZ — I 1 13 Woodland. . VZO 01 r� Swampland - R( Brushland FRONTAGE ON ROAD � I � c House Plot DEPTH i BULKHEAD Total, DOCK i t' .w ' a ■■■■■■■■■■■■■MEMO!■■■ONE ■■ F ■■�■■■ ■■■■■■■■■■■■■■■M■■ ■ M f ■■■ EM■■■E■NINN■■MEM■■ ■M ONE ■■■r -� .ER■M■■E M ii�� - = = i ■■■■ ■ESI■■■■■■EMMME■.■ M■moos I■MENNE■EM■■■MEMO . M.M■■■ ■■■MSI■■Mi�'i�iE■■MM■M..M No EMENNIMMENEMEMESSM Rooms 2nd Floorl a . GIB- _ i J i r'Zrar. ' t FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-19626 Date DECEMBER 31, 1990 THIS CERTIFIES that the building NEW DWELLING Location of Property 630 CLEARVIEW AVENUE SOUTHOLD, NEW YORK House No. Street Hamlet County Tax Map No. 1000 Section 70 Block 9 Lot 62 Subdivision FAIRVIEW PARK SRC 1Fi.1ed Map No. 3388 Lot No. 28 conforms substantially to the Application for Building Permit heretofore filed in this office dated AUGUST 18, 1989 Pursuant to which Building Permit No. 18444-Z dated AUGUST 30, 1989 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 ATTACHED GARAGE & PORCH The certificate is issued to . JAMES A. & DEBORA L. GINAS (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL 88-SO-75-DEC. 17, 1990 UNDERWRITERS CERTIFICATE NO. N-161.632 - NOVEMBER 20, 1990 PLUMBERS CERTIFICATION DATED DEC. 31, 1990 - JAMES A. GINAS ' Bifilding Inspector Rev. 1/81 FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-26017 Date: 10/09/98 THIS CERTIFIES that the building ACCESSORY Location of Property: 630 CLEARVIEW AVE SOUTHOLD (HOUSE NO. ) (STREET) (HAMLET) County Tax Map No. 473889 Section 70 Block 9 Lot 62 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated MARCH 13, 1998 pursuant to which Building Permit No. 24777-Z dated MARCH 18, 1998 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 ACCESSORY INGROUND SWIMMING POOL WITH FENCE TO CODE AS APPLIED FOR. The certificate is issued to RICHARD & ELLEN HALL (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. 21000 04/22/98 PLUMBERS CERTIFICATION DATED N/A Building Inspec r Rev. 1/81 ��o�gUFFO(k�or` Town of Southold 9/17/2020 P.O.Box 1179 C3 53095 Main Rd qy� ao��Sf4y Southold,New York 11971 , 41 * *$4 CERTIFICATE OF OCCUPANCY No: 41455 Date: 9/17/2020 THIS CERTIFIES that the building AS BUILT ALTERATION Location of Property: 630 Clearview Ave, Southold SCTM#: 473889 Sec/Block/Lot: 70.-9-62 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated, 8/11/2020 pursuant to which Building Permit No. 45116 dated 8/17/2020 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: "as built"alterations above existing garage in an existing one family dwelling as applied for (3 bedrooms total The certificate is issued to Hall,Richard&Maria of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 45116 9/1/2020 PLUMBERS CERTIFICATION DATED A e Si ature CONSULT YOUR LAWYER BEFORE SIGNING.THIS INSTRUMENT-THIS INSTRUMENT SHOULD BE USED I3Y LAWYERS ONLY THIS INDENTURE, made the 0 day of December,2020 BETWEEN RICHARD HALL-and ELLEN HALL, his wife, both, residing at.630 Clearview Avenue, Southold, NY 11971 party of the first part, and JOSEPH GENTRY and ELIZABETH GENTRY, husband and wife, both residing at 26 Fishermans Drive, Fort Washington, NY 11050 Party of the second part, WITNESSETH, that the party of the first part, in consideration of TEN and no1100ths ($10.00) dollars-paid by the party of the second part, does hereby grant and release unto the party of the second partthe heirs or successors and assigns of the.party of the second part forever, , SEE SCHEDULE"A"AN HERETO AND MADE APART HEREOF BEING AND INTENDED TO BE the same.premises conveyed to the parties of the first part by deed made by James Ginas and Debora L. Ginas, his wife dated June 21, 1996-and recorded in the Suffolk County Clerk's Office on June 27, 1996 in Liber'11786 Page 174. Premises described in Schedule "A" are known as: 630 Cleaview Avenue, Southold, NY 11971 and bear SCTM#1000-070.00-09.00-062.000 TOGETHER with all right, title and interest;if any, of the party,of the first part in and to.any streets and roads abutting the above described premises to the center lines thereof;TOGETHER with the appurtenances and all the estate and rights-of the party of the first part in and to said premises; TO HAVE AND TO HQL,D the premises'herein-chanted unto the party of the second part, the heirs or successors and assigns of the party of the second part forever: AND the party of the first part covenants that the party of the first part has not done or suffered anything whereby the said premises have..beeh encumbered in any way whatever,except as aforesaid. AND the party of the first part, in compliance with Section 13 of the Lien Law, covenants that the party of the first.part will receive the consideration for this conveyance and will hold the right to receive such consideration as a trust fund to be applied first for the purpose of paying the cost of the improvement and will apply the same first to the payment of the cast of the improvement before using any part of the total of the same for any other purpose. The word "party" shall be construed as if it read "parties" whenever the sense of this indenture so requires. IN WITNESS-WHEREOF, the party of the first part has duly executed this deed tate day and year first above written. 7O BE USED ONLY WHEN THE ACKNtDWLEDGMENT 15 MADE IN NEW YORK STATE State of Netiv York,County_of Suffolk ss: State of New York,County of ss: On the day of December in the year 2020 On the day of in the before me, the undersigned, personally appeared RICHARD Before me,the undersigned,personally appeared r HALL and ELLEN.HALL personally known to me or proved to me on the basis of personally known to me or proved to me on the basis of satisfactory evidence to be the'individuals) whose names) is satisfaotory evidence to be the individuals),whose name(s) is (are) subscribed to the within instrument and acknowledged to (are) subscribed to the within instrument and acknowledgecr to me that helsheAhey executed the same in hfslhcrltheir me that he/she/they executed the same in his/herltheir capacity{ies), and that by hislher/their signature(s) on the capacity(ies), and that by hisMerlfheir signatures) on the instrument,the indivtdual(s),or the person upon behalf of which instrument,the ind'avidtiai(s},or#ho.person upon behalf of which the individual(s)acted,executed the instrument. the indiUidual(s}'acted,executed.the. instrument. (slgnatura and office of indl .Idual i c owledgmonl) {signature and office of Individual taking acknowledgment} NOTARY PUBLIC RO RT Fi14N Notary publ ,St8t0of NewYbrk Qualifie in Suffolk County ft-01F14781022. COMMisslon Expires Jan.3t,2022 TO BE USED ONLY WHEN THE ACICNO11M r-DGMENT iS MADE'OUTSIDE NEW YORK STATE State(or District'of Columbia,Territory,or Foreign Country)of ss: On the day of in theear Y before me,the undersigned,personally appeared personally known to me ar proved to me on the basis of satisfactory evidence to be the Individual(s) whose name(s) is (are) subscribed to the withininstrument and acknowledged to me that helsheltheyexecuted the same in.his?her/their capacity(ies), and that by hisihodtheir signaturethen s}'on instrument, the individual(s), or.the person upon behalf of which the ind executed the instrument,and that such individual made such appearance before the undersigned in the ividuals) acted, in (insert the City or otheliti r poca;subdvision 1 (and insert the State or Country or Otherplace the acknowledgment was taken) (signature and office of individual taking acknowledgment) BARGAIN AND SALE DEED DISTRICT 1000 WITH COVENANT AGAINST GRANTOR'S ACTS SECTION 070.00 BLOCK 09.00 Title No. LOT 062.000 COUNTY OR TOWN RICHARD HALL &ELLEN HALL STREET ADDRESS TO JOSEPH GENTRY&ELIZABETH GENTRY Recorded at Request of COMMONWEALTH LAND TITLE INSURANCE COMPANY STANDARD FORM OF NEW YORK BOARD OF TITLE UNDERWRITERSR BY f T Distributed by RICHARD M_ UCKE ESO. 37-06 82"d reef, Su 200 Commonwealth Jackson eights, 11372 .t I.htV:tlL9111Ch QO�II'A1Y CON'LVoN1-+'F:Ar TH LANT TITLF.TW.1rUNCU COMPANY LU U' I.L O L7