HomeMy WebLinkAbout1000-38.2-1-22 Lit
IOMWWN OF SOUTHOLD
s
Rental Permit
0311
Owner Gillian Francis (Unit 2-D2)
Occupied as Single Family Dwelling
Located at 2820 Shipyard Lane East Marion 38.2-1-22
Maximum Permitted Occupancy 2
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.
5/18/2022
Code Eno-re6rxient Official
This Notice must be posted by the main entrance at all times `
let ' SOUTHOLD TOWN Town Hall Annex
� tA' 54375 Main Road
PO Box 1179 Southold,
Rental Inspection NY 11971-1179
Tel: 631-765-1802
Fax 631-765-9502
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LEVELSSUB ,r 1,,,,, Ali , /i ,
Smoke Detectors (#- bedroom detectors excluded) "y
Carbon Monoxide Detectors,(#)
<-Fire Extinguishers (#)
Exits (#)
BEDROOMS
Smoke Detector Alarms (#)
Carbon Monoxide Alarms (#)
Egress (windows) '(Y/N)
BUILDING'SYSTEMS CONDITION OF PROPERTY
Heating system maintained/operational Building Interior is clean / maintained
Hot water system maintained/operational Building Exteriorisclean / maintained
Electrical systemmaintained/operational Property is clean/safe/maintained
Mechanical system maint i d/operational Handrails &guards'present
YIN POOL BARRIERS YIN
Pool present Pool is completely enclosed
Pool°surface alarm and/or door alarm
resent Barrier is a min. 48" high
POOL GATES YIN 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 of being locked & child-
requirements proof when unattended
COMMENTS:` `
e
TOWN OF SOUTHO .D
kE
18 k
Rental Permit
�. Permit No. 0311
Owner Gillian Francis (Unit 2-D2)
Occupied as Single Family Dwelling
Located at 2820 Shipyard Lane East Marion 38.2-1-22
Address Village S/B/L
Maximum Permitted Occupancy 2
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.
6/16/2020 John Jarski
Date of Issue Code Enforcement Officer
This Notice must be posted by the main entrance at all times
FWD ftT NIWoA/
"TOWN OF SOUTHOLD BUILDING DEPT.
75182 �
�q,' - -, 2
I m N 0 A bas k P Em(C T 10 1 No
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INSULATION/CAULKING
[ ] FRAMING /STRAPPING [ FINALga,,j,
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL)
[ ] CODE VIOLATION [ ] PRE C/O
REMARKS: M�
c,o�k•vrn�
to o✓kJ
I �
DATE 001D INSPECTOR*%Oz
u (j
j�
� Mw
Town Hall Annex �:� � �,
Telephone(631)765-1802
1
54375 Main Road g Fax( 31)765N"95'02
P9W" '3 ^ .�
P.O.Box 1179 a
a
Southold,NY 11971-0959
b ,
JAN 2 4 2020
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
RENTAL PERMIT APPLICATION
Rental Permit Fee$200(Application must be renewed every two years)
Section A.
Property Information:
Rental Property Address:
2820 Shipyard Lane,2D2, East Marion, NY 11939
Tax Map Number: 1000 SECTION 3802 -BLOC 01.00 -LOT 022 _ 000
SECTION B.
OWNER INFORMATION:
Property Owner Name: Gillian Francis,Alice K.Jump, Sarah Salm.Sandra Coetzee
Property Owner Legal Address: Property Owner Mailing Address:
c/o Gillian Francis c/o Gillian Francis
510 East 84 Street #2B
_-- C ew—Yodt,New.Y.ocls.AD028—
Telephone Number(s): Daytime 212-228.3831 _Evening 212-2283831 Emergency 212-228-3831
Property Owner Email Address:, sillianfra@aol.com ��
G q�� �1
Page 1 of 5
„ 'i p .,
Town Hall Annex Telephone(631)765-1802
54375 Main Road a � Fax(631)765-9502
P.O,Box 11791
Southold,NY 11971-0959
N .
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
Section C.
Authorized Agent Information:
Name of Authorized Agent of dwelling unit, if any: �....N.A. .._,,,,,.._
Address of Authorized Agent (no P.O. Boxes): ........,._ . ..._... __
Mailing Address of Authorized Agent:
Telephone Number(s): Daytime, ,_ Evening -Emergency-,..
Email Address:
Section D.
Managing Agent Information:
Name of Authorized Agent of dwelling unit, if any: K,k
Address of Authorized Agent(no P.O. Boxes).__.,.__._
Mailing Address of Authorized Agent:
Telephone Number(s): Daytime Evening Emergency
Email Address _a_aa..__... _....... .__. �.
SECTION E.
SITE MANAGER INFORMATION: (required for rental properties containing 8 or more rental units)
Name of Managing Agent of dwelling unit, if any: sue Andrejack
Address of Managing Agent (no P.O. Boxes): Chaves Point Club&Marina,2820 Shipyard Lane, Manager's Office,
Page 2 of 5
Town Hall Annex �^ Telephone(631)765-1802
54375 Main RoadFax(631)765-9502
p m ?
P.O. Box 1179
Southold,NY 11971-0959 �g1
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
Mailing Address of Man
�gir�g-Agent: East Marion, NY 11939
Telephone Number(s): Daytime (212)477-8657 Evening 631-765-1701 Emergency 1@&
Email Address: p @ p net
cleaves oint o ton me. � ......
SECTION F.
PROPERTY DESCRIPTION:
Number of Rental Dwelling Units on property: 1
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: 2D2
,.,.,4Requested Maximum number of persons allowed to occupy, w 1t-ing,
Number of rooms in Rental Dwelling Unit:6_......
Use and Dimensions of each room in Rental Dwelling U i 2 bedrooms,2 tips, kitchen, Living/Dining
Master bedroom-14 feet X 12 feet, Loft bedroom 15"7inches by 12"6 rhes
Living/dining: 19 feet x 16 feet , Master bath-5"x 7"(approx).,guest bath-4"x 6,(approx)
kitchen: 8.5 feet x 7.5 feet
Page 3 of 5
� w M
Town Hall Annex ' Telephone(631)765-1802
54375 Main Road Fax(63 l)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.
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)
I Gillian Francis 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 j Fax(631)765-9502
P.O.Box 1179 ds
Southold,NY 11971-0959 ' ,
BUILDING DEPARTMENT
TOWN OF SOUT;ICOLD
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.
1 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: Gillian Francis on behalf of joint owners listed_in this application
Property Owner's Signature:
Sworn fore me this �� of, J ( 20_' V
4A r
Official Notary Public Signature and Original Notary Stamp
cii.rr.1 Ci1i.iYUS111
N011,,R"d b`El i lk-.moi:% W OF NEW YORK
h!n. O"I'C ClG59105
cuaimod inlzuoens County
P!'/ Comml cion °,,jpj( ° May 21. ..L
Page 5 of 5
Building Sketch
........._
Firs,t Floor
[820 Sq ft
Living
Second Floor
[300 S
20,
Bath Loft
Bad
Bedroom
Ff
*140Do IN �m I
M7�i�gOP lmiroiu WAdo ap„ JOIN
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FORM NO. 4
ZUti
TOWN OF SOUTHOLD
9
r BUILDING DEPARTMENT
Office of the Building Inspector
" Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No: Z-34571 Date: q5/07/10
THIS CERTIFIES that 'the building DECK & STAIRS
Location of Property: 2820 22 SHIPYARD LA E TI��:G�I.ON
(HOUSE NO.) (STREET} (HAMLET)
County Tax Map No_ 473889 Section 38 .2 Block 1 Lot 22
Subdivision Filed Map No- —.—_.... Lot No_
conforms substantially to the Application for Building Permit heretofore
filed in this office dated JANUARY 14, 2009 pursuant to which
Building Permit No_ 34571-Z dated �wggqqAPRIL1,2009
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 DECK AND STAIR REPLACEMENT FOR AN EXISTING CONDO IUNIT 2D2) AS APPLIED
FOR. ._ _w.�.._...
The certificate is issued to WILLIAM C & MURIEL H FISCHOFER
ww..... (OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL .. N/A
ELECTRICAL CERTIFICATE NO.
PIAMERS CERTIFICATION DATED ........
/J/S '.ature -
Rev. 1/81
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l Town of Southold Annex 3/31/2014
P.O.Box 1179
54375 Main Road
Southold,New York 11971
CERTIFICATE OF OCCUPANCY
No: 36832 Date: 3/31/2014
THIS CERTIFIES that the building ALTERATION
Location of Property: 2820 Shipyard Ln, East Marion,
SCTM#: 473889 Sec/Block/Lot: 38.2-1-22
Subdivision: FIled Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this officed dated
10/28/2013 pursuant to which Building Permit No. 38521 dated 11/25/2013
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:
BAITIROM d_ ,L,1 l „ 1I( 1 ,.TO._f,lel,EIS" .. "?C NDOMINIU US`v➢.I,.,.AS APPlw EJ)IfC
The certificate is issued to Gillian,Francis& Urs
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO.
PLUMBERS C)JRTITICATION DATED 03-27-2014 Joe Whitecavage
m A io ��:��k ��tt.�
l a' r`
aA-.*
oe",
-Ab
P
UPPER PART OF ULIVWj,/D#QNC, ffoom
LIVING/DINING ROOM
C�l
KFTCHEN
LOFT
STORAOE BAT
I 4'-3'x 12'-0'
FORM NO.4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold,N.Y.
Certificate Of Occupancy
No. 211899. . . . . . . . . . Date . . . . . pp.p ember.. . » . . . . . . » . .. », 1983.
THIS CERTIFIES that the building . . . Building 2 ,Unit. 2D2» » > » » » » » » » » » » » » » » » » » .
Location of Property 2820. . . . . . . , , , , , Shipyard Lane East Marion»
Mouse Ilio. a�tret1 1 Ham%et
County Tax Map No. 1000 Section . .0.3.8 . 0 2. . . .Block . . a.1. . . . . . . . . . .Lot . .
Subdivision . . . .X . . . . . . . . . . . . . . . . . . . . . . . . . .Filed Map No. . X. . . . . .Lot No. . . . . . . . . . . . . .
conforms substantially to the Application for Building Permit heretofore filed in this office dated
, , , 0 c,t o b e r, . , , , , . . . , 19 PA pursuant to which Building Permit No. . . . . » . . . . . .
dated . . .p p A o b e r, 2 0 19 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 . . . . . . . . .
living unit within multiple dwelling.*
The certificate is issued to . . . . . . . . . .FMANgI La KONTOKOSTA » » » » » » » » » » »
of the aforesaid building.
Suffolk County Department of Health Approval . E.M8R. . . . . . . . . . . . . . » . . .. . .. . . . . » . . . . . . . .
UNDERWRITERS CERTIFICATE NO. . . . . . . . , .N .6 141.7 4 » » » » » » » » » . » . . . » . . . .
*THE LOFT IS NON—HABITABLE .
Building Inspector
k
Rev.1/81
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LAND \14 IMP. TOTAL I DATE REMARKS
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Tillable FRONTAGE ON WATER
Woodland FRONTAGE ON ROAD
Meadowland DEPTH
House Plot BULKHEAD
Total
1
TV-
_LF
38.2-1-22 9/10
M. Bldg, Foundation Bath
Extension I Basement
Floors
Extension Fxt. Walls Interior Finish
Extension Fire Place i Heat
I
Porch Pool
—L—Lt-
Attic
Deck Patio I Rooms 1st Floor
Breezeway Driveway Rooms 2nd Floor
Garage
O. B.
Building Department
Town of Southold
Town Hall Annex
P.O. Box 1179
Southold, NY 11971-0959
March 15, 2022
Dear Sir/Madam,
Re: 2820 Shipyard Lane, 2D2, East Marion, NY 11939
1 am writing to request a renewal of the rental permit No.0311 for the above address which was issued
on June 16, 2020. Attached is a check for$200 for the application fee for renewal of this permit(copy
attached).
I can arrange for an inspection at your earliest convenience, either by being present myself or with the
help of the condo manager. My number is 212-228-3831, and my mailing address is: 510 East 84 Street,
2B, New York, NY 10028.
Thank you for your assistance. rr lC(( F.I.. ) k
Best,
MAR
BUR.MNG DEPT
TOWN OF SOUTHOLD
Gillian Francis