HomeMy WebLinkAbout1000-31.-12-8 TOWN OF SOUTHOLD
Rental Permit
0474
Owner William & Catherine Fainglas
Occupied as Single Family Dwelling
Located at 1270 Trumans Path East Marion 31.-12-8
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.
6/12/2023
C e Enforcement Official
This Notice must be posted by the main entrance at all times
r4f sorry l Z ru
TOWN OF SOUTHOLD ti .
�
631-765-1802
INSPECTION
FOUNDATION 1ST [ ] ROUGH PLEI .
FOUNDATION 2ND [ ] INSULATION/CAULKING
FRAMING /STRAPPING FINAL
FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
ELECTRICAL (ROUGH) i ] ELECTRICAL (FINAL)
CODE VIOLATION [ PRE C/O
/[RENTAL
REMARKS:DATE INSPECTOR
�/t �
r� �. TOWN OF SOUTHOLD
=` Rental Permit
b 0474
Owner William & Catherine Fainglas
Occupied as Single Family Dwelling
Located at 1270 Trumans Path East Marion 31-12-8
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.
40
6/16/2021
rc m nr0i cial
This Notice must be posted by the main entrance at all times :toden
Town Hall Annex Telephone(631)765-1802
54375 Main Road Fax(631)765-9502
P.O.Box 1179
Southold,NY 11971-0959
BUILDING DEPARTMENT
TOWN OF SOUTHOXjD,`
-3 APR 1 3 2021
RENTAL PERMIT APPLICATION
Rental Permit Fee$200(Application must be
Section A.
Property Information:
Rental Property Address:
Tax Map Number: 1000 SECTION 3 0 .-BLOCK—/ Z -LOT
SECTION B.
OWNER INFORMATION:
Property Owner Name:
Property Owner Legal Address: Property Owner Mailing Address:
Azze.- rz4v� j-v_ 1' oirzac-on
Fee
Telephone Number(s): Daytime3' �� Ev�Pfing Emergency 9 7
Property Owner Email Address: -cm—
Page 1ofS
Town Hall Annex ' s Telephone(631)765-1802
54375 Main Road Fax(631)765-9502
P.O.Box 1179 �c
Southold,NY 11971-0959p� C �y � '
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):
Mailing Address of Authorized Agent:
Telephone Number(s): Daytime ening Emergency
Email Address:
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: 6r
Telephone Number(s): Daytime VeniEmergency
Email Address:
SECTION E.
SITE MANAGER INFORMATION: (required for rental properties contai ' g 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
..f S00
Town Hall Annex Telephone(631)765-1802
54375 Main Road Fax(631)765-9502
P.O.Box 1179 , •
Southold,NY If 971-0959
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
Mailing Address of Managing Agent:
Telephone Number(s): Daytime EvZing_ Emergency
Email Address:
SECTION F.
PROPERTY DESCRIPTION:
Number of Rental Dwelling Units on property: OD1G
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: /27® 7 F-V A A JS rQ,�T�( Ealy- d�Q�p 1.�� �, (�f_ /l V5.
Requested Maximum number of persons allowed to occupy Dwelling Unit: 0
Number of rooms in Rental Dwelling Unit: 6 Q.00 H 5 .
Use and Dimensions of each room in Rental Dwelling Unit: ki•rC,N��
L11d I A.]G /A W/eJry- y - 12-D%• x 21 -3 9z eaom - 12-0/8 /3-4
Page 3 of 5
Town Hall Annex tj Telephone(631)765-1802
54375 Main Road Fax(631)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.
❑ 1 am requesting a fire safety inspection to be performed by a Code Enforcement Official
from the Town of Southold
4A- I 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�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
� apF S_OU'y��t
Town Hall Annex AO�[t Telephone(631)765-1802
54375 Main Road p Fax(631)765-9502
P.O.Box 1179 Y
Southold,NY 11971-0959
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.
o
Property Owner's Name: ,e�;�s�//�1��5��
Property Owner's Signature:
to before me this k day of 20_
Official Notary Public Signa r and Original No ary Stamp
FNOTARy
D J.JANNUZZI
C,STATE OF NEWYORKn No.02JA60525a5 in Suffolk County
pires February 13,Z07/
Page 5 of 5
Town Hall Annex ti Telephone(631)765-1802
54375 Main Road Fax(631)765-9502
P.O.Box 1179 e
Southold,NY 11971-0959
'Co
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
RENTAL PROPERTY CERTIFICATION
Form is to be completed by a license architect, licensed engineer or licensed home inspector
Separate form is required for each individual Rental Dwelling Unit
Professional seal required for Architect or Engineer, licensed Home Inspector must provide
copy of valid current certification
Rental Property SCTM Number: 1000 - 2 -8
Rental Property Address: /2-70 TUtjdiO's r/�W—1y� L¢LS� Ai R3.Cl
Owner/Name: IrJ+�+-��►M Ct�—W E2i�1£ 1 �-1-+'�S
Rental Dwelling Unit Identifier: QiJE .
Number&Square footage of each bedroom as depicted in the attached floor plan:
(i.e. Bedroom#1 -100 sq., Bedroom#2-90 sq., etc.)
enD p-o a .-0-- 1 - /60o
ZCOIN if--'I — 1,571
Property Description (Include all improvements indicated on survey)
Sr LE Tama-!4 T; o Sry !..'1ELL ri `., n'�JC S E
�i c EZ DecS
I certify that I have done a physical Inspection of the subject rental dwelling uni an find that it
fully complies with all the provisions of the Code of the Town of Southold,the Re idKntial Code
of New York State,the Building Code of New York State,the Plumbing Code of Ne rk State,
the Fuel Gas Code of New York State, and the Energy Conservation Construction C f New
York State.
A/Cc4-- POMR-r
Print Name and Title Original Signatur
� r
Q � z
Please place professional seal: $P
Town Hall Annex Telephone(631)765-1802
54375 Main Road Fax(631)765-9502
P.O.Box 1179
Southold,NY 11971-0959Q
Ou5 '
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
RENTAL PERMIT APPLICATION ADDENDUM
Rental Dwelling Unit Identifier:
Requested maximum number of persons allowed to occu each dwelling unit:
Number of Rooms in Rental Dwelling Unit:
Use and Dimension of each room: 1
Rental Dwelling Unit Identifier:
Requested maximum number of persons allowed to occupy ch dwelling unit:
Number of Rooms in Rental Dwelling Unit:
Use and Dimension of each room:
Rental Dwelling Unit Identifier: ZZ
Requested maximum number of persons allowed to 7occpy each dwelling unit:
Number of Rooms in Rental Dwelling Unit:
Use and Dimension of each room:
souyo� I14-0 �VVA*Y�s Q4,
* # TOWN OF SOUTHOLD BUILDING DEPT.
co 765-1802 �I
(L
INSPECTION-
I
FOUNDATION 1 ST [ ] ROUGH PLBG.
[ - ] FOUNDATION 2ND [ ] INSULATIOWCAULKING
[ ] FRAMING /STRAPPING
[ ] FIREPLACE-&°CHIMNEY ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL)
[ ] CODE VIOLATION [ ] PRE C/O
REMARKS:
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Fa�nglas Residence
1270 Trumans Path �
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..-
FORK No. a
TORN OF SOUI'HOLD
BUILDING DEPARTMENT
Town Cleric's Office
Southold, N. Y.
Certificate Of Occupancy
NoK7.� O. . . . . . . Date . . . . . .Oct . .20. . . . . . . . . . . . . ., 19.76.
THIS CERTIFIES that the building located at . . .Txumam .Path. ... . . . . . . . . Street
Map No. .xx. . . . . . . . . Block No. . . .xx. . . . .Lot No. .xx . Aa. Marion.' . . . . . . . . . . . .
conforms substantially to the Application for Building Permit heretofore Bled in this office
dated . . . . . . . . . . . . .Sept . .2a 19. .74 pursuant to which Building Permit No. 7 t8Z. .
dated . . . . . . . . . . . . .Sept . .23., 19.74.; was issued, and conforms to all of the require-
ments of the applicable provisions of the-law. The occupancy for which this certificate b
issued is . . . . . . . . . .. .
The certificate is issued to . . OrAgl�. A . . . .O.wmer. . . . . . . . . . . . . .. . . . . . . . . . . .
(owner, lessee or tenant)
of the aforesaid building.
Suffolk County Department of Health Approval . As$j. . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
UNDERWRITERS CERTIFICATE No. . .pead3 r . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
HOUSE NUMBER . . . . .127CL . . . . Street . .Truman• Path• • • • •F.• Marion . . . . . . . . . . .
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ... . . . . . . . . . . . . . . . . . . . . . . .
Building Inspector.
FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No Z-20463 Date JANUARY 10, 1992
THIS CERTIFIES that the building ADDITIONS
Location of Property 1270 TRUMANS PATH EAST MARION, N.Y.
House No. Street Hamlet
County Tax Map No. 1000 Section 31 Block 12 Lot 8
Subdivision Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated AUGUST 29, 1989 pursuant to which
Building Permit No. 18449-Z dated AUGUST 31, 1989
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 ADDITIONS & DECK ADDITION TO EXISTING COTTAGE AS APPLIED FOR
The certificate is issued to PATRICK & ELIZABETH BRENNAN
(owners)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A
UNDERWRITERS CERTIFICATE NO. N-165934 - DEC. 19, 1990
PLUMBERS CERTIFICATION DATED NOV. 26, 1990 -BAYVIEW PLUMBING & HEAT.
ilding Inspector
Rev. 1/81
o�og�fFOt,�coG Town of Southold 6/16/2021
y� P.O.Box 1179
o -
o _ 53095 Main Rd
Southold,New York 11971
CERTIFICATE OF OCCUPANCY
No: 42094 Date: 6/16/2021
THIS CERTIFIES that the building HVAC
Location of Property: 1270 Trumans Path,East Marion
SCTM#: 473889 Sec/Block/Lot: 31.-12-8
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
4/22/2021 pursuant to which Building Permit No. 46217 dated 5/11/2021
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 HVAC to an existing single family dwelling as applied for.
The certificate is issued to Fainglas,William&Catherine
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 46217 6/3/2021
PLUMBERS CERTIFICATION DATED
A rize ignature