HomeMy WebLinkAbout1000-93.-1-6.2 � Hot TOWN OF SOUTHOLD
`51-
ental Permit
0428
12,
Owner Heather Romanelli
Occupied as Single Family Dwelling
Located at 3536 Cedar Beach Rd Southold 93.-1-6.2
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.
8/14/2023
Code Er#orcednt Official
This Notice must be posted by the main entrance at all times
ZI
so
TOWN OF SOUTHOLD BUILDING 4
631 ,#765-1802 .
INSPEC ION
[ ] FOUNDATION 1ST [ ] ROUGH PL13G.
C l FOUNDATION 2ND [ ] INSULATION/CAt
[ ] FRAMING / STRAPPING j ] FINAL
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY IN!
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PE
[ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FII
[ ] CGDE VIOLATION j ] PRE C/O [
REMARKS: +�
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Town Hall Annex
ell
Town of Southold 54375 Main Road
- Rental Inspection Report PO Box 1179
" n=, Southold, NY 11971-1179
Tel: 631-765-1802
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.........
SCTM # .w�.m.. . iZ _. .. __. Date ........ .. �_,_ . ...
Owner Phone
_ ...- ..., . _... .w. . �_�.. �.
Address Visible
..... ` ��� �- �Jeic-f.� �p�— �
_ ....._._ _
Hamlet inspector l
Floor Level Quantities Sub 1 2 3
Smoke Detectors not located in bedrooms)
Carbon Monoxide Detectors
Fire a r
Extinguishers
Exits
:Bedrooms 1 2 3 4 5 6
Smoke Detectors
Egress
Occupant Count _
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
Comments:
TOWN OF SOUTHOLD
Rental Permit
Permit No. 0428
Owner Heather Romanelli
Occupied as Single Family Dwelling
Located at 3536 Cedar Beach Rd Southold 93-1-6.2
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.
L
5/1/2021
t Official
This Notice must be posted by the main entrance at all times Codr10 rce
p�"Soar :
Town Hall Annex Telephone(631)7 5-18
54375 Main Road Fax(631)765-9502
P.O.Box 1179sfl
Southold,NY 1 197 1-0959
.�r•C�tilY t-�t��
BUILDING DEPARTMENT ! � v
5 D �� a
UTHOLD
TOWN OF O
2020
RENTAL PERMIT APPLICATION.
Rental Permit Fee$200 (Application must be renewed every two years) B �f --
Gx Dr-'PT
T OT
Section A.
Property Information:
Rental Property Address:
.95 36
Tax Map Number: 1000 SECTION. , _.q3-- ___ -BLOCK..... --LOT . �n 72—
SECTION
2•SECTION B.
OWNER INFORMATION: // ko
/TeCZAer �a.Ae.Property Owner Name::_.....
Property Owner Legal Address: Property Owner Mailing Address:
3�3Jru,2
y7hO lL A/ / /Ic'7 .1
Telephone Number(s): Daytime .... Evening Emergency.
Property Owner Email Address: hero ��G �►"'la��, D1''� _
�J Page 1 of 5
t�3(/j _
Town Hall Annex Telephone(631)765-1802
54375 Main Road Fax(631)765-9502
P.O.Box 1179 ell-
Southold,
Southold,NY 11971-0959 �tf
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
Section C.
Authorized Agent Information:
Name of Authorized Agent of dwelling unit, if any:
Address of Authorized Agent (no P.O. Boxes) 3535 e dLA 6 e ach R�. S(�v�'�o i C�
Mailing Address of Authorized Agent:
63/ - 7&q- ql
Telephone Number(s): Daytime EroetIfrrg Emergency
Email Address: �p ---e��yio - aon cvr✓►
Section D.
Managing Agent Information:
Name of Authorized Agent of dwelling unit, if any: r'
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: --- - .
Address of Managing Agent (no P.O. Boxes):...
Page 2 of 5
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
Mailing Address of Managing Agent:, ✓?�3� GeGa� ��a�� ��' S��vlcr
7&q— 9`f 9
Telephone Number(s): Daytime __ Egg _ _ Ena@ge;i}W
Email Address:
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: Q( _
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:;. •se;t-
Page 3 of 5
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
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.
❑ 1 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) /
e f �\n n)�1 d l 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
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
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:_. _ 1.2�c 1 j" O/37aIX I
Property Owner's Signature:
Sworn to b ore me this Z� day of � T�%✓1��?2 ,:20CAROLINE M MACARTHUR
NOTARY PUBLIC-STATE OF NEW YORK
No.01 MA6384635
Qualified in Suffolk County
Official Notary Public Signature and Original Notary Stamp My Commission Expires 12-17-2022
Page 5 of 5
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TOWN OF. SOUTHOLDBUILDING DEPT.`
765-1802 a `-- ( �• �p .1�
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INSPECTION
[ ] FOUNDATION IST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INSULATION/CAULKING
[ ] FRAMING/STRAPPINGWFIRE
INAI�&�/°l/FIREPLACE & CHIMNEY SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION, [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL)
[ ] CODE VIOLATION [ ] PRE C/O
REMARKS:
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TOWN OF SOUTHOLD PR CARD :-- ----
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FORMER OWNER N E ACR.
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RES. SEAS. VL. FARM COMM. CB. MISC. Mkt. Value
LAND IMP. TOTAL DATE REMARKS ` JJ 4 4 61 J4
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FARM Acre Value Per Value
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Tillable 2
Tillable 3
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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-29335 Date: 03/27/03
THIS CERTIFIES that the building ADDITION
Location of Property: 3536 CEDAR BEACH RD SOUTHOLD
(HOUSE NO.) (STREET) (HAMLET)
County Tax Map No. 473889 Section 93 Block 1 Lot 6.2
Subdivision Filed Map No. Lot No_
conforms substantially to the Application for Building Permit heretofore
filed in this office dated MAY 31, 2002 pursuant to which
Building Permit No. 28433-Z dated MAY 31, 2002
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 ADDITION AND COVERED PORCH ADDITION TO AN EXISTING ONE FAMILY DWELLING
AS APPLIED FOR PER ZBA #5083 DATED 3/28/02.
The certificate is issued to ANTHONY CARNESI
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A
ELECTRICAL CERTIFICATE NO. 1091287 02/21/03
PLUMBERS CERTIFICATION DATED 09/18/02 BURTS RELIABLE
hori ed Si nature
Rev. 1/81
FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
PRE EXISTING
CERTIFICATE OF OCCUPANCY
No Z-26370 Date APRIL 12, 1999
THIS CERTIFIES that the building ONE FAMILY DWELLING
Location of Property 3536 CEDAR BEACH RD. SOUTHOLD, N.Y.
House No. Street Hamlet
County Tax Map No. 1000 Section 93 Block 1 Lot 6.2
Subdivision Filed Map No. Lot No.
conforms substantially to the Requirements for a One Family Dwelling built
Prior to: APRIL 9, 1957 pursuant to which CERTIFICATE OF
OCCUPANCY NUMBER Z-26370 dated APRIL 12, 1999
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 ACCESSORY GARAGE
The certificate is issued to EUGENE F. HEACOCK
(owner)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A
UNDERWRITERS CERTIFICATE NO. H-063458 - LARCH 11, 1999
PLUMBERS CERTIFICATION DATED N/A
*PLEASE SEE ATTACHED INSPECTION T.
Building 71
Rev. 1/81
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
HOUSING CODE INSPECTION REPORT
LOCATION: 3536 CEDAR BEACH RD. SOUTHOLD, N.Y.
number 8 street municipality
SUBDIVISION HAP NO. LOT (a)
NAME OF OWNER (s) KEVIN HEACOCK
OCCUPANCY SINGLE FAMILY
type owner-tenant '
ADMITTED BY: JOHN RONAMLI ACCOMPANIED BY: SANE
KEY AVAILABLE SUFF. CO. TAX MAP NO. 1000-93-1-6.2
SOURCE OF REQUEST: PAUL CAMINITI, ATTY DATE: 12/8/1998
DWELLING:
TYPE OF CONSTRUCTION WOOD FRANK STORIES 2 # EXITS 3
FOUNDATION CEMENT BLOCK CELLAR FULL CRAWL SPACE
TOTAL ROOMS: IST FLR. 3 2ND FLR. 1 3RD FLR.
BATHROOM (s) ONE TOILET ROOM (s) UTILITY ROOM
PORCH TYPE FRONT & REAR DECK, TYPE PATIO, TYPE
BREEZEWAY FIREPLACE TWO GARAGE
DOMESTIC HOTWATER XX TYPE HEATER LP GAS AIRCONDITIONING
TYPE HEAT OIL WARM AIR XX HOTWATER
OTHER:
ACCESSORY STRUCTURES:
GARAGE, TYPE OF CONST. WOOD STORAGE STORAGE, TYPE CONST.
SWIMMING POOL GUEST, TYPE CONST.
OTHER:
VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION S BUILDING CODE
LOCATION DESCRIPTION ART. SEC.
REMARKS: BP #2 - CO Z-26369 (ADDITION TO ACCY)
INSPECTED DATE ON INSPECTION MARCH 15, 1999
JOHN M. BOUFIS TIME START 10:00 AND 11:30 AM
FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No Z-26369 Date APRIL 12, 1999
THIS CERTIFIES that the building ADDITION
Location of Property 3536 CEDAR BEACH RD. SOUTHOLD
House No. Street Hamlet
County Tax Map No. 1000 Section 93 Block 1 Lot 6.2
Subdivision Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated MARCH 15, 1999 pursuant to which
Building Permit No. 25621-Z dated MARCH 18, 1999
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 SCREENED IN ADDITION TO EXISTING ACCESSORY BUILDING
"AS BUILT" AS APPLIED FOR.
The certificate is issued to EUGENE HEACOCK
(owner)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A
UNDERWRITERS CERTIFICATE NO. H-063459 - MARCH 11, 1999
PLUMBERS CERTIFICATION DATED N/A
Building nspector
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-32365 Date: 05/22/07
THIS CERTIFIES that the building ACCESSORY BUILDING
Location of Property: 3536 CEDAR BEACH RD SOUTHOLD
(HOUSE NO.) (STREET) (HAMLET)
County Tax Map No. 473889 Section 93 Block 1 Lot 6.2
Subdivision Filed Map No_ Lot No_
conforms substantially to the Application for Building Permit heretofore
filed in this office dated AUGUST 18, 2004 pursuant to which
Building Permit No_ 30572-Z dated AUGUST 18, 2004
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 NON-HABITABLE ACCESSORY BUILDING AS APPLIED FOR & AS PER CONDITIONS
OF ZBA #5559 DATED 8/2/04.
The certificate is issued to ANTHONY CARNESI
(OWNER)
of the aforesaid building.
SUFFOLK COM= DEPARTMNsNT OF BBAT,TH APPROVAL N/A
ELECTRICAL CERTIFICATE NO. 3016406 05/17/07
PLUMBERS CERTIFICATION DATED N/A
C
th iz Sign ture
Rev. 1/81
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