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Home My WebLink About1000-67.-6-14 e £ TOWN OF SOUTHOLD Rental Permit 0466 Owner Gerald & Melanie Doroski Occupied as Single Family Dwelling Located at 220 Miami Avenue Peconic 67.-6-14 Maximum Permitted Occupancy 4 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. 5/19/2023 14� W�� Code f`hforce&nt 141 This Notice must be posted by the main entrance at all times DEPT.TOWN OF SOUTHOLD BUILDING 631-765-1802 INSPECTION a I FOUNDATION 1ST ROUGH PL13G. FOUNDATION 2ND INSULATION/CAULKING /STRAPPINGFRAMING FIREPLACE & CHIMNEY FIRE SAFETY INSPECTION FIRE RESISTANT CONSTRUCTION [ FIRE RESISTANT ELECTRICAL (ROUGH) ELECTRICAL ) CODEVIOLATION r 'r Town Hall Annex OUTHOL D TOWN N � M 54375 Main Road �i,� po Box 1179 Southold, ReB� I Illi ��® NY 11971-1179 Tel: 631-765-1802 Fax 631-765-9502 _....�w_.._�.��_.�.._._... ..,, .....w_�.. ...____.. �...... Date _. � e Owner Phone Zip .._.... .... . _.._._. _w. w.w Address ��0 C Zi city Inspector :j 1110 i-mig LEVELS SUB ? 3.._ ._ __.....__...w.._ n _ .r..� _..._......._..�r�o....o_m�.. �. d...�et.. ct�o..rs e� xc.._l.u.�d...e.�d) Mnox�deecorsCarbon _...... re Extn uishers Exits .. .._.w�...ww.._..w_.�/�...,,.,. _. _ . (#') 3 _ww 5 2 BEDROOMS _ _ 4 ..,,..._ Smoke Detector Alarms (#) _... M ... Carbon_Monoxide Alarms Egress (windows) (Y/N)�rn.. BUILDING SYSTEMS Y/N CONDITION B ERTY Y/N Bu .._m..�__... � s i= PROP Heati�systr� maintained/r�prational g clean / maintained Building Int _ Building Exterior is clean /maintained sty rt' malntainedi oratlonal Bu EHot ecwatalrs 7 stem ma. .. Property is clean /safe / maintained ntained/oape� tiXlonal p Y Mechanical system maintained/operational Handrails & guards present G O MME N TS ......._... m w.. ..... ... .. .. .. ... ._. ..__. _..._,._ Rental Inspection Form 4/7/2021 TOWN OF SOUTHOLD Rental Permit ' a Permit No. 0446 Owner Gerald & Melanie Doroski Occupied as Single Family Dwelling Located at 220 Miami Avenue Peconic 67-6-14 Village Maximum Permitted Occupancy 4 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. 5/24/2021 Code Enfor a nt Official This Notice must be posted by the main entrance at all times a4 NY Town Hall Annex Telephone(631)765-1802 F 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 years) Section A. APP, - 8 2021 Property Information: Rental Property Address: r ' '� PEY, ~-`'` D . . A.v.Qn�.� �.Q . .. . Tax Map Number: 1000 SECTION -BLOCK LOT.. . { 3 SECTION B. ,3 OWNER INFORMATION: Property Owner Name:,.. .. n(L Property Owner Legal Address: Property Owner Mailing Address: <' GrQpnPC)r-1-Z QV I qy(l Telephone Number (s): Daytime 's 5'711 EveninEmergent- (o30 Property Owner Email Address: rne(ov►?Q W+'�S1U'� h•S��' l0(�1 �1��, us � ��q,�e ��, ? rn Q(a�tie c�oras x"7655 eu(. urm Oros A era d0, i yncc, cc3w .f Page 1 of S Town Hall Annex Telephone(631)765-1802 54375 Main Road c� Fax(631)765-9502 P.O.Box 1179 Southold,NY 11971-0959 c®uim � BUILDING DEPARTMENT TOWN OF SOUTHOLD Section C. Authorized Agent Information: f. Name of Authorized Agent of dwelling unit, if any: CrGtIP"Q� 1�al�S Address of Authorized Agent (no P.O. Boxes) (� l'Ot�(_s 0t Q�nnct?,F, 11�q e, } Mailing Address of Authorized Agent: Telephone Number(s): Daytime6 I-2'AOM Evening .-Emergency Email Address: ...... 1 L�f ��a lS st7 I i U �'�sti'r►...: ....._ _.;_.._. ...... .... _.... _. _ .i 3 Section D. Managing Agent Information: Name of Authorized Agent of dwelling unit, if any:. 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 q P.O.Box 1179 = ' Southold,NY 11971-0959 BUILDING DEPARTMENT TOWN OF SOUTHOLD Mailing Address of Managing Agent: Telephone Number (s): Daytime ,Evening :,Emergency Email Address: ' 31 z, SECTION F. PROPERTY DESCRIPTION: Number of Rental Dwelling Units on propertyy' 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 E room. For properties with multiple Rental Dwelling Units use "Rental Permit Application Addendum." '` �E Rental Dwelling Unit Identifier. Requested Maximum number of persons allowed to occupy Dwelling Unit: V Number of rooms in Rental Dwelling Unit: :. . Use and Dimensions of each room in Rental Dwelling Unit;. i'�CUIeIA - ��a fil)inQ r06M f3 X(S &f M-M 1� Page 3 of 5 al.SA j 3 Town Hall Annex '4 iTelephone(631)765-1802 54375 Main Road Fax(631)765-9502 P_O.Box 1 179 " Southold,NY 11971-0959 1� ou ,i BUILDING DEPARTMENT t f TOWN OF SOUTHOLD SECTION G. INSPECTION: Pursuant to the Town Code of the Town of Southold Chapter 207 (Rental Properties), a safety V` 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) ;,.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 11971-0959VV a 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 :: 3' s( 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:, Man yvs (L � l Property Owner's Signature: f "C- Sworn to before me this day•f.,_...__ _. ,20_ ... . .. ................ Official Notary Public Signature and Original Notary Stamp CONNIE D.BUNCH Notary Public,State of New York No.01BU6185050 Qualified in Suffolk County0a 1 r Commission Expires April 14, 2 `1 Page 5 of 5 Town Hall Annex SOUTHOLD TOWN 54375 Main Road PO Box 1179 Southold, Rental Inspection NY 11971-1179 Oy • Tel: 631-765-1802 Fax 631-765-9502 S`CTM # 6T— c�� Date 0 Owner: '" o!'psF I Phone 510 3Y( 265�f Address izo m i I/e Hamlef e Ccs A In's ector rC.., p Addres1 6i; °from street? .` LEVELS S'Ug .x -.. ... M _ . . Smoke Detectors,(#, bedroom,detectors.excluded), . Carbon'Monoxide Detectors'(#). Fire.Extinguishers (#) v' Exits:(#)-' -BEDROOMS 1 .: ;23 4, 5:, r Smoke Detector Alarms (#) Carbon Monoxide"Alarms (#) L/ Egress.,(Windo_ws), (YIN). BUILDING SYSTEMS N CONDITION OF PROPERTY Heating'system maintained/operational Building Interior'is clean%rriaintained' ' Hot water system maintained/operational°. Building Exterior is clean l maintained Electrical system'r n6intalnedXoper`.ational ' ` Propertyis clean/safe 7 maintained: Mechanical system,maintained/operational Handrails &guards-present' - POOLS: -Y# POOL BARRIERS Y, Fool present Pool is completely enclosed, Pool surface'alarm:and/or'dooralarm Barrier is a mm 48"'higfi resent." POOL GATES Y All openings in barrier less than 4" Self-closing',.self=latching Max ,2"clearance.@ bottom-of barrier-' ;Latch.on pool side of.gate, meets height . . Barrier capable.ofi being'locked&child requirements proof when unattended .'COMMENTS: j 0 f5 L)e 1AAVf L/ , �l 22a IUt i avvt i A-L) , Pe cu-v� ( C- 160 o - C0-7 ^ `( y T 6 \ i }k i / c b TOWN OF SOUTHOLD PROPERT1 OWNE � � a � STREET VILLAGE DIST.1 SUB. LOT r FORMER 0 NE vzAa i" � �'c l ts� N g E AC ev gvno S W TYPE OF BUILDING L7 ° ` . .__._ RES. SEAS. VL. FARM COMM. CB. MISC. Mkt. Value LAND IMP. TOTAL DATE REMARKS - — 'ate 3a G« - 4� aT V. t i ( 5 - r vl Z4�4-~ L 16 + tL`" Yt _ ._ T ?. (,'�.� -[ _� 9Li �'rk ie AGE BUILDING CONDITION NEW NORMAL BELOW ABOVE FARM Acre Value Per Value Ac re Tillable 1 Tillable 2 - Tillable 3 > Woodland Swampland FRONTAGE ON WATER Brushland I FRONTAGE ON ROAD House Plot DEPTH +Zz BULKHEAD - ------ — Total DOCK I a � - COLOR t TZ # ; TRIM _ - -- - — - i tr -4:11 I 1 MB9 Foundation ( ' Bath r* Dinette-- ----- � - Floor K. j Ernson >,, Basement _ - _---- t Extend ori ` Ext. Walls ° „' Interior Finish t - LR. Extension c ' ''' ? Fire Place (q,�,(f �t Heat" '4;;. DR. f { � B n i Type Roof, �,f 't Rooms 1st Floor _ B R. Porch Recreation Roorr Rooms 2nd Floor FIN B Porch vM_- tl ,� Dormer Driveway Garage T ' *, 1 Patio 1 _-.................__ -- --—.. Total 9tea' j i J Via, FIT " _, r Z FORM NO. TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Clerk's Office Southold, N. Y. Certificate Of Occupancy No. .374.07. . . . . Date . . . . . . . . . . . . . . . . . . . . ., 19.76. THIS CERTIFIES that the building located at . . . . . . . . Mani . .Ava . . . . . . . Street Map No. .XXX . . . . . . . Block No. . .uz . . . .Lot No. . Z=• • • ,Pec Mig• • R.Y.• • • • • • • • . r qu ,resents fo on farm y dvell conforms substantially to the build before APr 23 19 57 pursuant to which tNo cEa,�� a� dated . . . . . . . . . .Dee. . .?. . . . . .. 19. 7.6, was issued, and conforms to all of the require- ments of the applicable provisions of the law. The occupancy for which this certificate is issued is . . .9440. Pauly dvellin6. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . I . . . . . . . . The certificate is issued to . . -James.DeVito• • • • • • • . •owner• of•reoord• • • • • • • • • • • . (owner, lessee or tenant) of the aforesaid building. Suffolk County Department of Health Approval pro— -sxLsting. . . . . . . . . . . . . . . . . . . . . UNDERWRITERS CERTIFICATE No. pm—. .eziatlng. . . . . . . . . . . . . . . . . . . . . . . . . . . . . HOUSE NUMBER . . . 220. . . . . . . Street . . .148AW . .AVO. . . .POO-QUIC. . . . . . . . . . . . . . . Building Inspector HOUSING CODE INSPECTION December 3, 1976 220 Miami Avenue (Pvt. Rd. ) R-1 Peconic, N.Y. Tax Roll: James DeVito Occupied: Owner Upon request of Gary F. Olsen, Esq. , Mattituck, New York, for a Pre-existing Certificate of Occupancy, I made an inspection of this one-story, wood-framed dwelling and the accessory structure on the premises. Accompanied by Dan Clark, I began this inspection at approximately 10:30 A.M. The dwelling consists of an enclosed porch which provides front entry to building, a living room, kitchen, two bedrooms, full bathroom, and an enclosed porch at the rear of building. Heat is supplied to building from a warm air furnace which is located in the living room floor. This location is approximately centered in the building. The furnace is an oil-fired unit. The building is constructed on a cement block foundation and has a partial full cellar; the balance of the foundation is crawl space. The following violations of the Housing Code, Chapter 52, Town of Southold, New York, were found: Kitchen - gas cooking range, no shut off valve at unit, Article V, Section 52-52 B (2) . Kitchen sink, waste line runs directly to one of the cesspools on premises and it is not tied into the building's soil line system, Article V, Section 52-51 C (1) . Two-Car Garage - (accessory building) roof of lean-to section of garage which is located on the west side of building is rotted away. Building is subject to the elements, Article V, Section 52-31 C. Buildings and grounds in fair condition. Inspection completed at approximately 11: 00 A..M. i Re, pectfu ly submitted, dwa d Hindermann Building Inspector EH:med