HomeMy WebLinkAbout1000-80.-1-21 TOWN OF SOUTHOLD
Rental Permit
0467
Owner Gleeson Family Living Trust
Occupied as Single Family Dwelling
Located at 1520 Paradise Shore Rd Southold 80.-1-21
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.
3/13/2023
Code End neo Official
This Notice must be posted by the main entrance at all times
"tf so
TOWN OF SOUTHOLD BUILDING IDEPT.
.
1 1
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PL13G.
[ ] FOUNDATION 2ND [ ] INSULATIOWCAULKING
[ ] FRAMING /STRAPPING [ ] FINAL
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL)
[ ] CODE VI _ L ION [ ] PRE C/O NTAL
/ o ��
DATE INSPECTOR
46520 COUNTY ROAD 48
SOUTHOLD, NY 119713 , - Z
kATTENMO
JOBNO.
(631) 765-5815 FAX (631) 76 5816 _ ....._.�.
TO RE7
WE ARE SENDING YOU ❑ Attached ❑ Under separate cover via the following items:
❑ Shop drawings ❑ Prints ❑ Plans ❑ Samples ❑ Specifications
❑ Copy of letter ❑ Change order
THESE ARE TRANSMITTED as checked below:
❑ For approval ❑ Approved as submitted ❑ Resubmit copies for approval
❑ For your use ❑ Approved as noted ❑ Submit _ copies for distribution
❑ As requested ❑ Returned for corrections ❑ Return ...corrected prints
❑ For review and comment ':] _ ... ._.. _........ _____ _•.
❑ FORBIDS DUE _ ---..� ❑ PRINTS RETURNED AFTER LOAN TO US
._._.
REMARKS !
COPY TO _....._.
SIGNED:,.
If enclosures are not as noted,kindly noty us at once.
TOWN OF SOUTHOLD
y Rental Permit
0467
Owner Gleeson Family Living Trust
Occupied as Single Family Dwelling
Located at 1520 Paradise Shore Rd Southold 80-1-21
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.
6/15/2021 01
ode EnUTt
fficial
This Notice must be posted by the main entrance at all times
sot
Town Hall Annex ~ ris
i}�`, Telephone(631)765-1802
54375 Main Road F' Fax(631)765-9502
P.O.Box 1179 {
Southold,NY 11971-0959 ' 1� �',L r� _ _ •{
BUILDING DEPARTMENT APR 1 9 2021
TOWN OF SOUTHOLD
RENTAL PERMIT APPLICATION
Rental Permit Fee$200(Application must be renewed every two years)
Section A.
Property Information:
Rental Property :Addrss:
1440 ?0_ZIXit6 'DYAD t
Tax Map Number: 1000 SECTION �6Q -BLOCK 1 -LOT
SECTION R.
OWNER INFORMATION: p�
Property Owner Name: G ei°50 In \--t\j ►�a 1�G1,5{ -&r o1. wAem
Property Owner Legal Address: Property Owner Mailing Address:
1 -3-3 CU(--_LS Tl � C
Telephone Number(s): Daytime 0!?' U_Evening Emergency
Property Owner Email Address:
Page 1 of 5
Section C.
Authorized Agent Information:
Name of Authorized Agent of dwelling unit,if any. Ln0=,j
Address of Authorized Agent (no P.O. Boxes): `7�6 �� CWf'vv AY
Mailing Address of Authorized Agent: � �/
Telephone Number (s): tc� 711J5 ��l �
r c� ��j'�Wa S j ale
Email Address: ���! /s
Section D.
Managing Agent Information:
Name of Authorized Agent of dwelling unit, if any:
Address of Authorized Agent(no B es):
Mailing Address of Authorize P.O'gent:
Telephone Number
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 a
Address of Managing Agen/(n xes):
Mailing Address of Mana '
Telephone Number s):
Email Address:
Page 2 of 4
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:
J
Requested Maximum number of persons allowed to occupy Dwelling U i
s
Number of rooms in Rental Dwelling Unit:
To-
Use and Dimensions of each room in Rental Dwelling Unit:
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 NYS licensed architect, a NYS 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.
R-11"�am requesting a fire safety inspection to be performed by a Code Enforcement Official
from the Town of Southold.
Page 3 of 4
❑ 1 am submitting a completed Town of Southold certification form from a licensed
architect, a licensed professional engineer, or a licensed home inspector who has a valid
New York State Uniform Fire Prevention Building code Certification.
SECTION H.
DECLARATION: Signature must be notarized and MUST be the owner of the dwelling unit.
STATE OF NEW YORK)
COUNTY OF SUFFOLK) 1 r
lyu/v"e f
i �Ve-cestw 41yl Ud lk(t5t , 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
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 s to any change to the information
regarding Authorized Agent, Managing Agent, or Site Manager.
a H L4 W &?s /�QVs/r-e, CqF
Property Owner's Name: / ✓,&)
Property Owner's Signatu ,
c�
Sworn to before this day of 2d1
Official Notary Publi ature and Orig nal Notary Stamp
THOMAS J.McCARTFIY
Notary Public,State of New York Page 4 of 4
Suffolk County-No.5004780
Comm'ssion Expires November 23,1
40
OF SOUIyO l `7C gov!_,�, A�, --
o
# # TOWN OF SOUTHOLD BUILDING DEPT.
765-1802
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND _ [ ] INSULATION/CAU ING
[ ] FRAMING/STRAPPING
I ] F AL � �.
[ ] FIREPLACE &-CHIMNEY [ FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE,RESISTANT-PENETRATION
[ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL)
[ ] CODE VIOLATION [ ] PRE C/O
REMARKS:
N*M.,/ vow O
DATE INSPECTOR
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" SECOND FLOOR.PLAN , t s
FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN CLERK'S OFFICE
SOUTHOLD, N. Y.
CERTIFICATE OF OCCUPANCY
No. .......... Date ............................... �...... ......... 19.59...
THIS CERTIFIES that the building located at..p"v.g.ftd....p& j;ft..8hopes.,Rdy,,,,, Street
Map No. ....3tjX. ............ Block No. ...i=x.............Lot No I - ic, F......& tholds....Ni %&.......................
conforms substantially to the Application for Building Permit heretofore filed in this office dated
.......................................,� ....,d�.., 194.9...,pursuant to which Building Permit No. ...Z..7AT...............
dated ......................dam•••.•;................ 1959....,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..............
...............I.... .ft1v4•t*•,w*.,f=11.y..dw9n ing. .................................................................................
This certificate is issued to .doeaph..d&..Glaano3t....Omn4kr.... ...................
. ... ..... .....
(owner, lessee or tenant)
of the aforesaid building.
Building Inspector
FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN CLERK'S OFFICE
SOUTHOLD, N. Y.
CERTIIFICATE OF OCCUPANCY
No. .$..2I.?.1............ Date ................................ ttl��a.... .4... ., 19..65.
THIS CERTIFIES that the building located at .Pazarlise..,Shorez..I 4...(INT.M).... Street
Map No. ........XX......... Block No. ......XX........... Lot No. .X=.......S aU$hold.). ...N.Y................
conforms substantially to the Application for Building Permit heretofore filed in this office dated
...................................may.......1)............1 19.65.. pursuant to which Building Permit No, ...,274.6...2
dated ............................May......14......... 19..65.,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 ........
....Private ono. fame 1�X..�wel1 l aa�.............................................................................................
The certificate is issued to ...4TA.aB.PI1...G1AAAIon...................Mmex.................................................
(owner, lessee or tenant)
of the aforesaid building.
.... .................................................j....................
Building Inspector tt
FORM NO. 4
TOWN O-ROUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.X.
CERTIFICATE OF OCCUPANCY
No: Z-31351 Date: 12/23/05
THIS CERTIFIES that the building ADDITION
Location of Property: 1520 PARADISE SHORES RD SOUTHOLD
(HOUSE NO.) (STREET) (HAMLET)
County Tax Map No. 473889 Section 80 Block 1 Lot 21
Subdivision Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated FEBRUARY 24, 2004 pursuant to which
Building Permit No. 30109-Z dated FEBRUARY 24, 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 2ND STORY ADDITION TO AN EXISTING SINGLE FAMILY DWELLING AS APPLIED
FOR.
The certificate is issued to JOSEPH G GLEESON
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A
ELECTRICAL CERTIFICATE NO. 2057076 06/16/05
PLUF1BERS CERTIFICATION DATED 12/22/05 PECONIC PLUMB.& HEATING
-"-4�' 1,44W
tho zed eignature
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-31702 Date: 07/21/0
THIS CERTIFIES that the building ACCSSORY HOT TUB
Location of Property: 1520 PARADISE SHORES RD SOUTHOLD
(HOUSE NO.) (STREET) (HAMLET)
County Tax Map No. 473889 Section 80 Block 1 Lot 21
Subdivision Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated DECEMBER 23, 2003 pursuant to which
Building Permit No. 29968-Z dated DECEMBER 23, 2003
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" ACCESSORY HOT TUB AS APPLIED FOR.
The certificate is issued to GLEESON LIVING TRUST
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A
ELECTRICAL CERTIFICATE NO. 2057076 08/02/05
PLUMBERS CERTIFICATION DATED N/A
r
Authorized Signature
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-31703 Date: 07 21 06
THIS CERTIFIES that the building DECK ADDITION
Location of Property: 1520 PARADISE SHORES RD SOUTHOLD
(HOUSE NO.) (STREET) (HAMLET)
County Tax Map No. 473889 Section 80 Block 1 Lot 21
Subdivision Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated DECEMBER 23, 2003 pursuant to which
Building Permit No. 29969-Z dated DECEMBER 23, 2003
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" DECK ADDITION TO AN EXISTING SINGLE FAMILY DWELLING AS
APPLIED FOR.
The certificate is issued to GLEESON LIVING TRUST
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A
ELECTRICAL CERTIFICATE NO. 2057076 06/16/05
PLUMBERS CERTIFICATION DATED N/A
Au horized Signature
Rev. 1/81
Town of Southold Annex 5/14/2014
P.O.Box 1179
54375 Main Road
Southold,New York 11971
A'v
CERTIFICATE OF OCCUPANCY
No: 36921 Date: 5/14/2014
THIS CERTIFIES that the building GENERATOR
Location of Property: 1520 Paradise Shores Rd, Southold,
SCTM#: 473889 Sec/Block/Lot: 80.-1-21
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this officed dated
8/30/2013 pursuant to which Building Permit No. 38317 dated 9/13/2013
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:
accessory generator as applied for.
The certificate is issued to Gleeson Family Lvng Th&Gleeson Survivor
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 38317 10/28/13
PLUMBERS CERTIFICATION DATED
Authorized Signature