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HomeMy WebLinkAbout1000-14.-2-3.33 TOWN OF SOUTHOLD Rental Permit t 0473 Owner Jozef& Mon Koppelman Occupied as Single Family Dwelling Located at 560 Grand View Dr Orient 14.-2-3.33 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. 7/7/2023 r% 4 cede E o e e Official This Notice must be posted by the main entrance at all times TOWN OF SOUTHOLD BUILDING DEPT. 631.765-1802 �� ,rL� 3•Zl�l 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 (F AL) [ ] CODE VIOLATION [ ] PRE C/O [ ) RENTAL REMARKS: $Zli TOWN OF SOUTHOLD k Rental Permit 0473 Owner Jozef& Mon Wong Koppelman Occupied as Single Family Dwelling Located at 560 Grand View Dr Orient 14-2-3.33 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. 6/16/2021 Code Enforc nt Official This Notice must be posted by the main entrance at all times i r Town Hall Annex f SOUTHOLD TOWN 54375 Main Road PO Box 1179 Southold, l` Rental Inspection NY 11971-1179 w M1 Tel: 631-765-1802 Fax 631-765-9502 .c SCTM # ! 1-3,33 Date 611 O/z, Owner ko dm Phone 63 -g3 09?� Address 'c O (y BVI d V l'c C)r Zip City ©r t•e Inspector LEVELS SUB j 1 2 j 3 Smoke Detectors(#-bedroom detectors excluded) Carbon Monoxide Detectors (#) Fire Extinguishers(#) Exits(#) BEDROOMS 1 2 3. 4 5 Smoke Detector Alarms(#) Carbon Monoxide Alarms(#) Egress(windows) (Y/N) BUILDING SYSTEMS 1 CONDITION OF PROPERTY Heating system maintained/operational Building Interior is clean/maintained Hot water system maintained/operational Building Exterior is clean/maintained Electricals stem maintained/operational Property is clean/safe/maintained Mechanical system maintained/operational Handrails&guards present COMMENTS: C'� G��S Rental Inspection Form 4/7/2021 Town Hall Annex Telephone(631)7.65-1802 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) D Section A. AUG 3 1 2020 Property Information: PING DEPT. Rental Property Address: -- TO ; C: k -iT1' HOLD , .5..60..Grandview Dr.. ,Orient,..NY. 11975.. Tax Map Number: 1000 SECTION 0.14.:.: .. . OLO:Ck< ..0.002...- -LOT_.. 003 ,_033 No. 473889 SECTION B. OWNER INFORMATION: Property Owner Name:.....jozef..Koppel man _ Property Owner Legal Address: Property Owner Mailing Address: 2024 East 26 st 460,Baltic st . Brooklyn, NY 11229.. Brooklyn, NY 11217 917 804 5583 917 804 5583 Telephone Number(s): Daytime 7.18 923.0555 Evening Emergency. Property Owner Email Address: jkcabinetry460@amail.com Page 1&5 Town Hall Annex Telephone(63-1)'7654 802 54375 Main Road Fax(631)765-9502 .. :.... P.O.Box 1179 Southold,NY 11971=0959 BUILDING DEPARTMENT TOWN OF SOUTHOLD Section C. Authorized Agent Information: Name of Authorized Agent of dwelling unit,if any: Lori Feilen Address of Authorized Agent (no P.O. Boxes):', 20875 Main Rd Orient, NY 11957 Mailing Address of Authorized Agent: P. 0. Box 33, Orient, NY 11957 Telephone Number(s): Daytime_631 834 0876 Evening; Emergency _ .. . ... Email Address: ..:: Lmfeilen@hotmail.com Section D. Managing Agent Information: Name of Authorized Agent of dwelling unit, if a.ny:.. 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 ManagingAgent of dwelling unit, if any:.. ..:...,. Address of Managing Agent (no P:O.Boxes)::....... . .. .. .. Page 2 of5 Town Hall Annex Telephone(631)765-1802 54375 Main Road Fax(631)7659502 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: . 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, 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: one Family Home Requested Maximum number of persons allowed to occupy Dwelling Unit:,.,_:.8 + children Number of rooms in Rental Dwelling Unit:. 7 Use and Dimensions of each room in Rental Dwelling Unit:; Living room 558 s.f; .. kitchen 225 s.f.; Dining& foyer 276 s.f.; family/guest room 110 s.f. bedroom one: 477.75 s.f ; bedroom two: 331.50 s.f.;bedroom three: 120.75 s.f. Page 3 of 5 Town Hall Annex Telephone-(631.)7.65-1802 54375 Main Road ` ' .. Fax(631)765=9502 P.O.Box 7179 Southold,NY 11971-0959; ... 7. 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. W I am requesting a fire safety inspection to be performed by a Code Enforcement Official from the Town of Southold ❑ lam 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..unt: STATE OF NEW YORK) ) COUNTY OF SUFFOLK) I Jozef Koppelman 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 r of this applicationis my legal address and I understand the Town will use the address for service pursuant to all Page4 of 5 SO . Town Hall Annexe Y.. Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1179 Southold,NY 11971=0959 ! BUILDING DEPARTMENT Towle OF SOUTHOLD applicable laws and rules. I further acknowledge that I will notifythe 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, Man ing.Agent,.or Si. a Manager. Property Owner's Name:_ loze K pelma -) V Property Owner's Signature: ... ._N ... _.... ... ._ .._. .. �� Sworn to before me thi.41 day of^ v 20 1-0 Official Notary Pu c Si nature and Original Notary Stamp 04 N MAY M.PATEL t 9r NOTARY PUBLIC,STATE OF NEW YO RK No.01PA4931811 Qualified in Kings County *•,.„d 5'° My Comm,Expites May 31,2022 Page 5 of 5 �PW 0 w Z vutLu ¢ pwPa.� i�§§ mt ala oo TRUSS _NOTES RITCHNN mm BOLO Root TRUSBRS TO RE w9TAlJER O —Or,.e.RR AR 1NRI7ATEB ON PLAN. NANUF—BEER OR=SUE—CLR'fIPfCAT1ON y� 6 REARING AN RNGINRSR'S REAL TO TRE Av ya BURRING BEPARTNBNT.THAT ALL TRUSSES 4 Y A $ GARAGE ry s , 3 ABESUPP GB1E OPRS—RR'uNNE0 FOR AN. Y 9� i. OE elm y u mi e v a u.u.� GREAT ROOM v a r r unv vvx g B PLUBOP LOAp OF 80 LBS.PER 9G.PT. i Ci �F B A CEILING IRAB 0T 10 LBS.PER sq.R. w G M1 R`� m —` b ALL HEICHT9 ANB OVERHANGS w NATCII E ux r wu r.0 vmv rwc uomv RN. mcx FR-ED mop ARRAS W s F m o ,t"moi a „�„ rr e � _rL —=- 'H 0/v/ / e>I e• \ 3 B� m a YQURd � t§ a FF I QI x A MUM nye �$p dggA � •e�P � �g e@ o �' ,a.etx pox 9$��������} E; 'E b H °7�'][� � rr ]E']CL® ® � � �A NSC.A L.E c 14— = IL•—C)•• 4' �e --. 11,e•I 1 p 1,:• :• F4T ..,.,. NOTES .LL Gn tO fF L¢ArFv � Rti OVIeE v vm vAwv cn � T:1'A_..S� PLUMBING RISER DIAGRAM YSYSrp Goof 5 N. T_ S- BEDROD 6-' 9 12 3-6 Ill- s IE c C)I,,..T IL C) a IP, IP]L-A� -=3C -- I TY BEDROOM np.cv H 11 11 11 PLI L11 11 1 11.ji 11 11 11 11 11 11 nR UM— wo--. . KITCHEN lo 19 vrtn GRADE RG Ed CRAWL SPACE sEcrriol"-T B-13 n5of5 ENERGY NOTES O_ o ---- E w -i a wr W z a i I ri � E=% z ir-x — ------ ------ .0 wawa=a.sorooxra p rao—MUMa,aPrrp Q a Z FS` TJ .•n ____ r_______ _ ------------ I• r I w T-.r,.v a,.ar xw i x $ -e• I ,m e. 1 p m mo- 01x § ' I e Icuau:v` '�smu k 'm' ` n _ I S: wm w • ;; e.u tma nn I�fJ I p - SUMMARY O TOTAL TNERMaL RATING p / � lO �EI.I,AB y l DNE%CAYATED v am m m ocx a n<,mmm /. I vrwm.wem 9 d ul J w a RAR,^ML SuPA r� — e x e,.n.vv ..2 q I 4.. 5 w n f .v -136 .si . . o I / ' e.,e oux .x=.00r.m"s I '•I ;, I r.„ww .-, }m I I I ���rn rn.a. F ��JS S N I I r--- _____ I � I .m..,d..• y,g�_ Y s 0 u•-I I. .e' U.I. .v-.• R —_p-- _ ww.,¢''.eis•.� T IG I L_ ___________________J 98 / ws0.AT,aN L �ru�-2 ------ Y o FDR FDUNOATIl 9 OM DN FRONT POINFORMATIONa V PDRCHSEESEE SHEET 2oi5 e u v,w.[ ¢.e e,.ae•e< IIU�i 1E1 O TJ N D A Ir I O N IP LA N I,m p �� SCALE 1/4,• = 1'—O" me. 11e.14v Ere. nw.asu nmv-n naur,m, U Na w F NIA A HATE GENERAL NOTES I .� me....�¢ MOM ¢.,..N P.:4w ouzouc un¢..m morn n.xvmx.xo cmn cunammx ,•m n,a FOYER _ a W. ,rcuq'I,e,wea oae,c.X H .0 va=T=exo vAR U .me„a I ➢ININC AM. .ren r.m.wv a 00a 1. a Ov1.nY,W.m •,¢Co•=xme M caws rw ax rtR.x GRADE m e T.1 VIA n m I- TMAPA s m .e wnwem a vax.we rcwi[ix.nr " LJ aw awr c..m xm �'c 11 a.: . W. YH px�x,s;WKn,W s E C Tg®N A—A SCALE 1/4•' � �1�*D, .. 1• I - .• � � , !` i .. Vit! ' � ..ST i! T011VN OF--SOUTHOLD' PROPS 0 N ` oo STREET VILLAGE DIST. SUB. LOTG3 _ P. n°Q '=� L.J 'Cs" � " ">,..� 4"{ 1 �'J I t' F11� J iez+e FORMER MEg-,, N E ACR. %e)rS W TYPE OF BUILDING RES."p t t SEAS. VL. FARM COMM. CB. MICS. Mkt. Value LAND ,` IMP. TOTAL DATE REMARKS adit .l lJ �a:Su/�3Z ' IIbF!Yt3 C PR- �53e?a 1/ 14 -L.-)1- -4 ag31 t�o`� yi raCA 11 min > 1a I zoo 1011 JU4 l3 �b67 tK v N�G_ $ 5n . Z zI 3 2y % ass 'i Tillable FRONTAGE ON WATER Woodland FRONTAGE ON ROAD �p Meadowland DEPTH House Plot C (�o c7 1 1 6 ,,;,BULKHEAD Total ..�,, •"„. .�. -Y.Y. 1U � �:?�. �a'{;:fsr, . iss 7 33 IN - Lip JA Lp 2 w 14-2-3.33 02/02-1-1--.1--„ ___ M. Bldg: €� - _ s (, 2� 2 ( _ Foundation Bath — --__ Extensiona Basement ' Floors 3 2- e- o 4- b r: s€ E C�Odwt t Z T! lEv SV C�{SN' ra Extension Fxt, Walls Interior Finish Extension Fire Place �e� � Heat - �, 5 x �D to Porch ���t= 'A'r '.' 21av Pool Attic -? .&..e,:, Deck l - — Patio Rooms 1st Poorrn,r 0Y tb� ''� Drivewa Rooms 2nd Floo 47 5 Garage -1b. : :. .� i2S 55 e O. B. SGr oe�w. FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-28377 Date: 04/30/02 THIS CERTIFIES that the building NEW DWELLING Location of Property: 560 GRANDVIEW DR ORIENT (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 14 Block 2 Lot 3.33 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated NOVEMBER 7, 2001 pursuant to which Building Permit No. 27875-Z dated NOVEMBER 7, 2001 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 ATTACHED GARAGE, COVERED FRONT PORCH, TWO SECOND STORY WOOD DECKS & FIRST FLOOR WOOD LANDING AS APPLIED FOR & AS PER STATE VARIANCE PETITION NO. 2002-0158. The certificate is issued to ROBERT L & PATRICIA A. GASKA (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL R10-98-0141 12/24/01 ELECTRICAL CERTIFICATE NO. N-544425 12/05/00 PLUMBERS CERTIFICATION DATED 11/14/01 K&K PLUMBING & HEATING S Au orize ignature 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-31372 Date: 01/03/06 THIS CERTIFIES that the building ADDITION Location of Property: 560 GRANDVIEW DR ORIENT (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 14 Block 2 Lot 3.33 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated SEPTEMBER 29, 2004 pursuant to which Building Permit No. 30678-Z dated OCTOBER 1, 2004 wes 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 ADDITION TO AN EXISTING SINGLE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to ROBERT L & PATRICIA A. GASKA, JR. (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A A h iZ76 Sig ature Rev. 1/81 r