HomeMy WebLinkAbout1000-14.-2-3.20 Ax TOWN OF SOUTHOLD
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Rental Permit
0441
Owner 2055 Grandview Inc
Occupied as Single Family Dwelling
Located at 2055 Grandview Dr. Orient 14.-2-3.20
Maximum Permitted Occupancy 10
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.
5/12/2023
Code Enfo me t offi I
This Notice must be posted by the main entrance at all times
TOWN OF SOUTHOLD BUILDING DEPT.
1064
INSPECTION ' ',
] 631-765-1802
FOUNDATION 1STROUGH PLBG.
[ FOUNDATION 2ND INSULATIOWCAULKING
FRAMING ®STRAPPINGFINAL
[ ] FIREPLACE & CHIMNEY ] FIRE SAFETY INSPECTION
FIRE RESISTANTI IRE RESISTANT PENETRATION
ELECTRICAL (ROUGH) L T I I
CODE VIOLATION PRE.
REMARKS:
DATE INSPECTOR
Town Hall Annex
S UTHOLD TOWN 54375 Main Road
1, ��� ° Po Box 1179 Southold,
��01
S eotion NY 11971-1179
Tel: 631-765-1802
, Fax 631-765-9502
SCTM # 3.o� 119
�q Date �.�.
Phone
Owner _.._. . Pho _. �M..._ w . .._.........
Address '055 �' _.._ w Zip
Cityw'Inspector
LEVELS SUB 2
�.
Smoke Detectors (#- bedroom detectors excluded) ' w
Carbon Monoxide Detectors
w.
Fire Extinguishers (#) �— - -----
Exits (#) _._.�.._.._..._.�...�_.�.....�.� ... ....�..... ... � w... r l ...
BEDROOMS .. _. 3 --4
Smoke Detector Alarms (#)
Carbon Monoxide Alarms (#) ...
Egress (windows) (Y/N) ✓
BUILDING SYSTEMSF PROPERTY Y/N
Y/N CONDITION O
Building Interior is clean / maintained
Heatir�cj s1tem maintainedioperational
Hot waters s
Property is clean
ter,n maintains-gid/operational Building Exterior is clean /maintained � m_
. .� �. �
/ ,
_Electricals t�rs maintained/catematsocal safe/maintained
HandraJs & guards present
Mechanical s ster'n maintainecot�erational
Rental Inspection Form 4/7/2021
TOWN OF SOUTHOLD
� x Rental Permit
Alp
Permit No. 0441
z
Owner 2055 Grandview Inc
Occupied as Single Family Dwelling
Located at 2055 Grandview Dr Orient 14-2-3.20
Village
Maximum Permitted Occupancy 8
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.
5/12/2021
deEn! ce e O ficial
This Notice must be posted by the main entrance at all times
ris
UTy
Town Hall Annex jog i Telephone(631)765-1802
54375 Main Road Fax(631)765-9502
P.O.Box 1179
Southold,NY 11971-0959
� . ..
BUILDING DEPARTMENT MAR 2 2021
TO'VN OF SO1' THOLD
RENTAL PERMIT APPLICATION
Rental Permit Fee$200 (Application must be renewed every two years)
Section A.
Property Information:
Rental Property Address:
Tax Map Number: 1000 SECTION -BLOCK 7_ -LOT 3 - o
SECTION Bo
OWNER INFORMATION:
Property Owner Name:
Property Owner Legal Address: Property Owner Mailing Address:
0`1 SfV'4 d Ave 101 S t'(4(a A-0111,
aj c�,� eve y i 3 0 0 a.fAJ� /V-1 116-3-0
V C316j) (�F t 6)
Telephone Number (s): Daytime 2t4-6—iN TS Evening9,94- 6319 Emergency 31 iK- 56- .
Property Owner Email Address:�Gt�✓i c1��irewtio✓ yoo(�� �ro� c
j ox��i ivy�P���o•�� �a-�ito o t��
Page 1 of 5
S
F®
Town Halt Annex Telephone(631)765-1802
54375 Main Road Fax(631)765-9502
P.O.Box 1179
Southold,NY 11971-0959 Q �{
COUNTV,t�
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
Section C.
Authorized Agent Information:
Name of Authorized Agent of dwelling unit, if any: E± C f\- �V'-eA"�-°' a-vel ^��^P `HeALA40
Address of Authorized Agent (no P.O. Boxes): 109 c-f"fe✓cP Ayt-
Mailing Address of Authorized Ant:CctJd�� � dU 1 i 530
r,6) (5id� 516)
Telephone Number (s): Daytime2-q%-I'-+55 Evening 21-7-6385 Emergency 718-5q z6
Email Address:�u�Pp���nPl✓e«evo�(r�,�cA-�o� �o �a{'✓�c{� �re�w�� 9.no��?y �� coffin
Section Do
Managing Agent Information:
Name of Authorized Agent of dwelling unit, if any: Ta-f,/,�V\ I✓eA 1&0,/ a V'd TO-)CP 'A Pvivt�i(
Address of Authorized Agent(no P.O. Boxes): 109 S�ve-t�o'd Auf,
Mailing Address of Authorized Agent: gcwjev�, C i r-j /V j 11.5`30
(vo V S I 51
Telephone Number(s): Daytime��/�'IySS~ Evening2-2� 65,75-Emergency,31 '2 - 5-526 .
Email Address: �u-)PIlnioftle'a'A0 �cJnoy ca,,� J Pa�✓ c +�e�t���2000 ��a��u c�w�
SECTION Eo
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
00UNN,t
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
Mailing Address of Managing Agent: �e"✓\o,� �"�� `�uJQ�� !,�e -)'�e�s�
(, 16) 5-16
Telephone Number (s): Daytime 2.U8lL4S-S Evening�-0/�-638 Emergency 318- �5Z
Email Address:iOXP�[�e4"�e6LL.ofe ,�6JAO0 cvvA AL� fallILk—ter'-a LAO-f2- �vc����o� ���
SECTION F.
PROPERTY DESCRIPTION:
Number of Rental Dwelling Units on property: �- L,l�v�
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: 05 `� V P L( • LA V\'t
Requested Maximum number of persons allowed to occupy Dwelling Unit:
Number of rooms in Rental Dwelling Unit: -I' 90--Uq
Use and Dimensions of each room in Rental Dwelling Unit: Yo��oywt
�d�oy«n��/go 5 q �t Bidgoo .3 2Z �� ��cP✓oy �f I Sy s �� f
11 Jot-e,� 2 88 sclviraom 25 lrsrk '[vow+ 239 S
kv-JH V-4CV Z,2-q DS - C(,L� 0A 5S .sem,
ft 6,3 .s.10 $644`"o ow .#t-2- �y s�, �Gf ���'-°v 0 It
Page 3 of 5
fif SOTown Hall Annex jog 4 Telephone(631)765-1802
54375 Main Road Fax(631)765-9502
P.O.Box 1179 G�
Southold,NY 11971-0959
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
SECTION C.
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
p' 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)
�',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 Anncx Telephone(631)765-1802
5437.5 Main Road jig Fax(631)765-9502
P.O.Box 1179
Southold,NY 11971-0959 Q `
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: `C+
Property Owner's Signature:
Sworn to before me thisl�day of , 20—�-)
Official Notary ublic Signature and Original Notary Stamp -
WAYNE ULRICH
Notary Public,State of Now York
No.01 UL9411880
Qualified in Nassau County
Commission Expires Sept.30,2022
Page 5 of 5
af`SO(/ Jan 17, 2021
Town Hall Annex TelOphone(631)765-1802
54375 Main Road Fax(631)765-9502
P.O.Box 1179 A Q
Southold,NY 11971-0959 ►ol�� ��
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
RENTAL PROPERTY CERTIFICATION
Form is to be completed by a license architect, licensed engineer or licensed home inspector
Separate form is required for each individual Rental Dwelling Unit
Professional seal required for Architect or Enaineer, licensed Nome Inspectormust provide
copy of valid current certification
Rental Property SCTM Number:
Rental Property Address: 2055 Grandview br. Orient NY
Owner/Name: Jody & Patrick Treanor,
Rental Dwelling Unit Identifier:
Number&Square footage of each bedroom as depicted in the attached floor plan:
(i.e. Bedroom#1 -100 sq.,,Bedroom#2-90 sq., etc.)
Bedroom #1 300 snft Bedroom#3 225
r
Bedroom #2 180 sqft Bedroom #4 180
Property Description (Include all improvements indicated on survey)
single family home
I certify that I have done a physical inspection of the subject rental dwelling unit and find that it
fully complies with all the provisions of the Code of the Town of Southold, the Residential Code
of New York State,the Building.Code of New York State,the Plumbing Code of New York State,
the Fuel Gas Code of New York State, and the Energy Conservation Construction Code of New
York State,
Victor Cornelius III CEO Inspector
UZ Print Name and Title ceo�# 1216-0283 0 final Signature
re
Please place'professioal:seal: .
SOUTHp GY4jeot4j DV Ori
* # TOWN OF SOUTHOLD BUILDING DEPT.
765-1802
1 NSPECTION
[ ] FOUNDATION 1ST- :" [ ] -ROUGH PLBG.
[ ] FOUNDATION 2ND- - [ ]ANSULATION/CAU KING
[ ] FRAMING/STRAPPING [ ] FINAL
] "FIREPLACE & CHIMNEY [ ]` FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL)
[ ] CODE VIOLATION [ ] PRE C/O
REMARKS:
Aft
DIS-✓
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DATE INSPECTOR
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5UFFOLK COUNTY,NEW YORK ! •ic•
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Woodland FRONTAGE ON ROAD
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House Plot BULKHEAD
Total
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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-31747 Date: 08/10/06
THIS CERTIFIES that the building NEW DWELLING
Location of Property: 2055 GRANDVIEW DR ORIENT
(HOUSE NO.) (STREET) (HAMLET)
County Tax Map No. 473889 Section 14 Block 2 Lot 3.20
Subdivision Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated AUGUST 16, 2004 pursuant to which
Building Permit No. 30614-Z dated SEPTEMBER 2, 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 SINGLE FAMILY DWELLING WITH GARAGE UNDER, COVERED FRONT & REAR PORCHES
AS APPLIED FOR.
The certificate is issued to GOLD CREEK CONSTRUCTION
(OWNER)
of the aforesaid building.
SUFFOLK COU= DEPARTMENT OF HEALTH .APPROVAL R10-90-0185 06/23/05
ELECTRICAL CERTIFICATE NO. 5060 02/15/06
PLUMBERS CERTIFICATION DATED 01/31/06 THREE B'S PLUMB.&HEATING
a
uth rize Signature
Rev. 1/81
asrF"g�Ff®tq� Town of Southold Annex
P.O.Box 1179 6/3/2013
o �E
$N 54375 Main Road
Southold,New York 11971
CERTIFICATE OF OCCUPANCY
No: 36273 Date: 6/3/2013
THIS CERTIFIES that the building ADDITION/ALTERATION
Location of Property: 2055 Grandview Dr, Orient,
SCTM#: 473889 Sec/Block/Lot: 14.-2-3.20
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this officed dated
1/1/1900 pursuant to which Building Permit No. ' 38017 slated 5/13/2013
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 and additions including covered Porch, covered ppta and balconies to an existing one family
dwelling as applied for per ZBA#6512 (see conditions 1 & 2 of ZBA decision)dated 11/17/11
The certificate is issued to Treanor,Patrick&Hennelly, Josephine
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 36300 5/30/13
PLUMBERS CERTIFICATION DATED 5/21/13
Mike Jac Plumbing&Heating
Authori d ign ro -
�o`pSUFEnt�-rpGy Town of Southold 9/19/2021
P.O.Box 1179
H 53095 Main Rd
Southold,New York 11971
CERTIFICATE OF OCCUPANCY
No: 42342 Date: 9/19/2021
THIS CERTIFIES that the building IN GROUND POOL
Location of Property: 2055 Grandview Dr,Orient
SCTM#: 473889 Sec/Block/Lot: 14.-2-3.20
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
1/12/2021 pursuant to which Building Permit No. 45743 dated 1/27/2021
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 in g-ound swimming pool fenced to code as applied for.
The certificate is issued to 2055 Grandview Inc
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 45743 8/26/2021
PLUMBERS CERTIFICATION DATED �\ #
•
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Au o ze i ature