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
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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:
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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
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