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HomeMy WebLinkAbout1000-117.-10-20.4 TOWN OF SOUTHOLD Rental Permit 0468 Owner Maria Arias Occupied as Single Family Dwelling Located at 35 Second St New Suffolk 117.40-20.4 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. ly4et'�', 7/10/2023 a Code Era circ �J-al This Notice must be posted by the main entrance at all times irl so VTO N OF SOUT OLD BUILDING DEPT. 631-765- 1802 l/ -7 _ /0,o?O• INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION/CAULKING [ ] FRAMING /STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (TINA ) [ ] CODE VIOLATION [ ] PRE CO [ ENTAL REMARKS: o�ce�alc le= 67 _ /n ��s 0 n veo( sore DATE — INSPECTOR �.. Town Hal!,Annex SOUTHOLD TOWN 54375 Main Road FC Box 1179 Southold, Rental Inspection NY 11971-1179 _ Tel 631-755-1802 4_ Fax 631-765-9502 J — Q— o?l22. Date } Phone Owner ,address �✓ �, !Zip O ;Inspector LEVELS SUB ' 2 3 Smoke Detectors ,#a bedroom de'tec'tors excluded; I Carbon Monoxide Detectors (# Fire Extinguishers (#1 - i 1 ------_Exit:s � } 3 5 1BEDROOMS 2 3 Smoke Detector Alarms ` t G on Mo :-e AEarMS Egress uindotvs a` 4 _- ~,z -- BUILDING SYSTEMS 'CONDITION OF PROPERTY ` 'N sysrPma,ntane operatiorat e.- c !Hot Ot Water S s µ F �p -',.> '� :.£'aSate ;Tlalrl- €�fleehanical stem rr;aint��n�� �e•� � �_ ;Handrails & guards present - € r ,e ..: nevi on 0p���al� � TOWN OF SOUTHOLD co Rental Permit 0468 Owner Maria Arias Occupied as Single Family Dwelling Located at 35 Second Street New Suffolk 117-10-20.4 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. 6/15/2021 1 WA ri Enf ce e t O ficial This Notice must be posted by the main entrance at all times sou��o� Town Hall Annex Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1179 Southold,NY 11971-0959 OlC� �ayoCl� p1,a b,a I 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: � �n C, Tax Map Number: 1000 SECTION 11-7 -BLOCK /0 -LOT—a-0--Y SECTION B. OWNER INFORMATION: Property Owner Name: Property Owner Legal Address: Property Owner Mailing Address: -'Io' 3',1uv1c41cn 1 01 4/0- 3 7 J tJ4, /3 lv c� C u Telephone Number (s): Daytime 5 dP- ` q-Q Evening Emergency Property Owner Email Address: Page 1 of 5 oF saoTyQf Town Hall Annex Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1179 G` Southold,NY 11971-0959 Q 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): "/0" 7t*tA, Mailing Address of Authorized Agent: Telephone Number (s): Daytime 3qc,S Evening Emergency Email Address: �0 h y'`'✓` �/ (/ A, 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 tio`��.4F SQU,r�Of Town Hall Annex _ Telephone(631)765-1802 54375 Main Road Fax (631)765-9502 P.O.Box 1 179 G ® O Southold,NY 11971-0959IOU Q �� ly BUILDING DEPARTMENT TOWN OF SOUTHOLD Mailing Address of Managing Agent: Telephone Number(s): Daytime Evening Emergency Email Address: SECTION F. PROPERTY DESCRIPTION: Number of Rental Dwelling Units on property: Uflj 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: VN�� Requested Maximum number of persons allowed to occupy Dwelling Unit: J` Number of rooms in Rental Dwelling Unit: S Use and Dimensions of each room in Rental Dwelling Unit: S4 Page 3 of 5 aF sor,T�� Town Hall Annex Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1 179 G` 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 aws and sanitary and housing regulations of the County of Suffolk and by the laws ado d by the New York State Fire Prevention and Building Code Council. 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: i 1. 1 am the owner of the property identified in "Section A" of this application. I R 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 I Page 4 of 5 I. i, 1 401 W MAR - 2 2021 sliiryo Town Hall Annex Telephone(631)765-1802 54375 Main Road _ 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:. PV\6/ , _ — A k m> Property Owner's Signature: Sworn t e me is day of A2 n<JC� 20_Z/ Offic, Public Signature and Original Notary Stamp _ v, kgada A. Sanabpa. Notary Public, State of New York' No.01SA6075587 Qualified in Queens County? Commission Expires June 10, 20 23 i; Page 5 of 5 ;3, pF SOUtyo �o � � 5 : # # TOWN OF SOUTHOLD BUILDING DEPT. co 765-1602 INSPECTION [ ] FOUNDATION 1 ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION/CAplav�rz__� [ ] FRAMING /STRAPPING [ ] INAL [ ] FIREPLACE-& CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) [ ] CODE VIOLATION [ ] PRE C/O REMARKS: DATE 1i INSPECTOR Smoke Detector: Carbon Monoxide:A 104 h q I CLLS. <L45 LLJ LZ '� b' :o". ./' F'. Zv It' Jaa• � I I c.-}' L-�r�/A'� t� r 5_io' _— w z'L�-.�r�,a' vno r 'eI. j � I Irv-srL.✓6 QI ZdfZ•z IbK-r � I————_ EY1+r O _ p�•i( \lJ I � -JG✓J Ar¢E^J��� I �_j• .__qSC---__-_--'I•-�..6:�. 9.G.. /=5 � — � ZkJ'C•,.:�'id'a[? � i�.� i'\ . .`+� �f •;� ,.� --- a4YE�3oPr�' ANN RZ ' �-'G �u'Lf-sLl2'd✓S N •.'�/.Y �'V G( E!:YC• ��CC\\ _£:. . vtax: . .o..-CdJrara'«�gr.Lvr - _ /✓E!%J.�_EC'GNU 'GO rl/ :�.ENIf�/�7.t�}��i�Si`ELGYi,�f<i�Lc� ::.��B�ay----- ..' n.fL ,y , _ .. a - _..`o,� +.S,b a � t ,e .3� P+ �t� fBAn"�"¢"��'�f^L .Y$'+}E+.xy'•' e '' ti M .A AA@,. a4N AM' .3."�^xti *�^�'-.d.$ ^L't a,+.>`'���:$M xy'gy^s`wg"`C,�.'�.; "'i;�•.;,fp v .` w:`;nt"�� 'a,.v je 4^i��. `.�-:s*, '""""�'e .:'t:ra`..,i�h::»,ya�K ..�F`T''h %er'$.:.>_'�a.•. gni,-�^,`�°...i..v'.�,�e;;`.Y��`R �..me r.,-»N i <.°5... w:Y�x,. .r�F:,` - ax �• '>i}"•:. a .}rEC 117-10-24.1 •2/01 ? 4+ M. Bldg. oa Foundation �CBath Dinette 'ern ` tt4b FULL Exte�.nsion _ - Basement R^ Floors Kit. Extension Ext. Walls interior Finish L.R. V Extension Fire Place Heat cJ D.R. t Patio -/ Y -14 1 7 A-W7 ,.�5 Woodstove _ BR. ` Porch ell. Y� 7 0 ,p t Dormer Fin. B. Deck Attic '.a._. --- - - Breezeway �� �+ /F' t ;.. Rooms 1st Floor Garage f�� 2 1 Y 2> C�, X0.1 �k.. Driveway Rooms 2nd Floor 0.B.. Pool FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-28057 Date: 11/09/01 THIS CERTIFIES that the building ALTERATION & ADDITION Location of Property: 35 SECOND ST NEW SUFFOLK (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 117 -Block 10 Lot 20'.4 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated JANUARY 13, 2000 pursuant to which Building Permit No. 26434-Z dated APRIL 5, 2000 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 ALTER AN EXISTING SEASONAL ONE FAMILY DWELLING TO YEAR ROUND ONE FAMILY DWELLING WITH ADDITION AS APPLIED FOR. The certificate -is issued to EDWARD'V WETZEL & WF (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO_ N 567602 08/22/01 PLUMBERS CERTIFICATION DATED 10/30/01 EDWARD V WETZEL c u or'zed S gnature Rev. 1/81