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HomeMy WebLinkAbout1000-128.-2-19 '6WN OF SOUTHOLD T 0 � Rental Permit 0475 r. -0 N" .7P Owner Jack & Muriel DiGiorgio Occupied as Single Family Dwelling Located at 5182 Gt Peconic Bay Blvd. Laurel 128.-2-19 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. 6/29/2023 Code E rcement icial This Notice must be posted by the main entrance at all times TOWN OF SOUTHOLD BUILDINGPT 631-765=1802 a_1 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 (FINAL) [ ] CODE VIOLATION [ ] PRE C/O [y]4ENTAL REMARKS: "Ytv DATE INSPECTOR Town Hall Annex g UTHOLD TOWN_ 54375 Main Road _ PO Box 1179 Southold, �- Rental Inspection NY 11971-1179 Tel 631-765-1802 _ Fax 631-765-9502 J - SCTM # Date - i =Phone Owner - !Zip Address I :Inspector city .. _ SUB 3 LEVELS 2 t Smoke Detectors ,# bedroom detectors excluded) f Carbon Monoxide Detectors Fire Extinguishers (#) I t Exits (#) ME - 5 BEDROOMS ` 3 Smoke Detector Alarms Carbon Monoxide Alarms (#) I Egress (windows) (Y/N) fN BUILDING SYSTEMS Y/N `--ONDITION OF PROPERTY - Building Interior is clean maintained Heatin sys e� maintained/oce ationa -- �� building Exterior is c ear .ma nta ned ;Hot water sus em mainta+ned/o ationai - - !Electrical system -maintained e-stional ;Property is clean / safe / maintained 'H Mechanical system maintained/o Perational andrails & guards present MR COMIMENTS - I _ , I i — - — Rentai 1,1spect on Form 4,'7/2021 TOWN OF SOUTHOLD Rental Permit 0475 Owner Jack & Muriel DiGiorgio Occupied as Single Family Dwelling Located at 5182 Gt Peconic Bay Blvd. Laurel 128-2-19 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. S'� "� 6/17/2021 in A VA ode n r Tent fficial This Notice must be posted by the main entrance at all times SO , Town Hall Annex 54375 Main Road ` P.O.Box 1179 • �Q ✓ Southold,NY 11971-0959 , % 1 ;CQ FEB 2 6 2021 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: / Tax Map Number: 1000 SECTION -BLOCK 12g -LOT - SECTION B. OWNER INFORMATIOW^— Property Owner Name: ©Pr e7�i1(1� osx- L rertywner Legal Address: Property Owner Mailing Address: �0 20l Ladaf v fe tv a� N Ce a1 is-l S" elephone Number(s): Daytime Evening_c-,A-M6 Emergency P erty Ow mail Address V e o� lc�2cA \ •��� V 3' S�wo Page 1 of S f: Town Hall Annex 1 J� Telephone(631)765-1802 54375 Main Road '" Fax(631)765-9502 P.O.Box 1179 Y ' Southold,NY 11971-0959 - �MUM� BUILDING DEPARTMENT TOWN OF SOUTHOLD Section C. Authorized Agent Information: _ Name of Authorized Agent of dwelling unit, if any: �1 � Address of Authorized Agent(no P.O. Boxes): s, e a � Mailing Address of Authorized Agent: \gcu Telephone Number(s): Daytime 5l Evening, Em gency 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: Telephone Number(s): Daytime Evening Emergency Email Address: 5 i 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 Town Hall Annex l�t Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1 179 tC 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: eSY1 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: Requested Maximum number of persons allowed to occupy Dwelling Unit: Number of rooms in Rental Dwelling Unit: l0 Use and Dimensions of each room in Rental Dwelling Unit: i Page 3 of 5 �r q SOUT�o Town Hall Annex[ Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1179 Southold,NY 11971-0959O� ' 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 flaws adopted by the New York State Fire Prevention and Building Code Council. ell am requesting a fire safety inspection to be performed by a Code Enforcement Official from the Town of Southold ❑ 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) l 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 i i Town Hall Annex 1 [ Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1179 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. f Property Owner's Name:. (� i Property Owner's Signature: Sworn to b fore me this day of 66-/76646 R `I , 20_2/ Official Notary Public Signature and Orig al Notary Stamp THOMAS E.McCREADY Notary Public,State of New York No.4931630-Suffolk County Commission Expires lune 20, .10 ol a Page 5 of 5 � E - -------- - --- -- SOUIyo # # TOWN OF SOUTHOLD BU LDING DEPT. `ycourm,N�'' 765-1802 4 INSPECTION [ ] FOUNDATION1ST [ ] ROUGH PLBG. '] FOUNDATION 2ND [ ] INSULATIOWCAULKING [ ] FRAMING /STRAPPING [ ] INAL Aavv" R&mA--- [ ] FIREPLACE & CHIMNEY [ FIRE SAFETYINSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] 'ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) [ ] CODE VIOLATION [ ] PRE C/O REMARKS: V& l� DATE INSPECTO Property of Muriel DiGirorgio 5182 Peconic Bay Blvd. Laurel, NY 11948 12'9 79 3'5 10'6 Living Area 1287 sqft T M Pantry S'6 7'1 x 4 5 5632 2768 5' 2'9 3'1 N M N N O W N 00 00 %0 00 O N O M � 00 N O M �0 00 N 00 00 N M LIVING 23'3 x 30'2 k 1'7 00 M Smoke Detector N M * Inclosed ORCH ❑ 10'2x31' 0 M ON M V M O o O N O O N0 BEDROOM °° BATH N 8'10 x 7'6 0 9' x 10' kDetector � CAR :2668 100 o 86 6068 Smoke RO N M 8' 0x9' O N N PORCH BEDROO 9'2 10'2 x 8'9 � -. 00 12'6x9'7 2832 2832 9768 12'10 9'6 10'6 32'10 ............ _.m...__.,........ __ .__ _ _. ..._. -.. . ....... _.,. ._._ _. ...... .. '.' TOWN OF SOUTHOLD : PROPERTY-RECO OWNER • STREET °r VILLAGE` DIST: SUB'. LOT,.. i y) j) V f ., i.a/ ,:G••+ Yry '�� r Y ~� .pF d 8� � &F FORMER OWNER N ( E r: ;. -'°' . :... ACR. r.0 S .� W INS > ;� . TYPE OF BUILD q : ' 1' .�� RES. , __._... SEAS, VL. FARM COMM. ., CB. MISC. Mkt. Value LAND IMP. TOTAL DATE REMARKS � �.N-^°' #' ------^-'• ��� � E .�'r;+l�,r��(f .!"�? !r r,'3*• c°.`-' _�'s+'�J�, €,.,u'T��&rto.�:T„e` 'i -- �'.�� '`✓•�'�s"' „�r�, ,";t °r;e>.r;' �;s`. ',. :3�y "x 4 (.�' .. i•3 Y<! i/�w t'"�s:`fr P La ,.� ,}, r�i (. r.W.'� lny�, f F t�6✓ ��� � v /� w%� � �, ^� �Q"' ''f f �"d£i� � F i�r'" Ptd ,:�� A+; �'yw ���$ a .. .. .� I a �} / +- � V � a�di BU. LDING CONDITI N NEW NORMAL B LO BOV ,. _m� a ra FARM Acre Value Per f Val"ue Acre _T " Tillable 1 Tillable 2 / ~. % f jo ,,Tillable 3 ' Woodland � � " �'`; V�"" ;• ';�, .� .". __ %z Swampland. FRONTIAGE'ON WATER, - f` Brushland FRONTAGE ON ROAD' House Plot DEPTH' f�. BULKHEAD Total J,DOCK I77 .` ,.\• �''`� 'r,. +-. ,;t�„ fir' _�'= a � — -- COLOR WIN TRIM iOf '-"•':•A-...: _ ice.•. - .• __ �>3�s'��-.��`�_- --_ --�--�• �`,�.....:-. res: Y`, ..�.,_�=c;� � d. 1 Y ice.,' X,'f✓ 1Y _ �::1-�;��:''%}�s%iyy'.•- ?r`: �.:r'•�i-� '�r- �.'+r�C ,`T�..';�;-a-�:-:";._.-. � fl ,•`�...r,�:�.4--`-..:cs:r-d" �',::= 'i°z .^,T1:.cJc -'r t�=<."ssia3^'C: :i�--•�`- - ` rte.'.-'':r�a�r.�. I � � I M. Bldg., ` 'P �� �' � �z J,Toundation Bath D Dinette 2 -- 'Eztensi,on ' r r r /✓� Basement / Floors I<. i ,T�.e° b�`A'� r r Interior Finish LR. "extension 1 t� ✓ (� 'E Walls t3o��Ja ok ied S 'Fire Place Heat !' DR. XA> Org00119KwType Roof C,� 6 f� Rooms 1st Floor -O BR. fPo'r'ch Recreation Room Rooms 2nd Floor FIN- B. {, 7. Porch Dormer Breezeway Driveway Garage' -� Patio — Tota I FORM NO. 4 r� a TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Clerk's Office Southold, N. Y. TEXPORARY Certificate Of Occupancy No.Z41?7 . . . . . . Date . . . . . . . . . . . . . . .JMareh -26. ., 19.71 . THIS CERTIFIES that the building located at R.O..W. •S/S •Peaf•Bays .B3.Vktreet Map No. . . xx. . . . . . . Block No. . . xx . . . . .Lot No. . . . . xx . . . Laurel . . . h...X.. . . _ . . . conforms substantially to the Application for Building Permit heretofore filed in this office dated . . . . . . . . . . . . N..,Vv. . 6. . ., 19. $a pursuant to which Building Permit No. . . 44202 was issued and conforms to all of the require- ments . . . . . . . . . . . . Nom. . . .8. ., 19� � q ments of the applicable provisions of the law. The occupancy for which this certificate is issued is . 1?rivate•one •faaily• dwell Ing . . . . . . . . . . • . . . . . . . . . . . . . . . . . . . . . . . . . . . The certificate is issued to . . J•ack• & -Muriel- DiGiorgi• • . . • . •Owners. • • • • . • • • • • • (owner, lessee or tenant) of the aforesaid building. Suffolk County Department of Health Approval . Jul 17•.• •196 . • • • • • H®ue s 5180 Blvd Building Inspecto FORM x0 t TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Clerk's Office Southold, N. Y. Certificate Of Occupancy No. .�.0 �, .v Date . .b°`'� c. .6. . . . . . . . . . 197 7 f�(� . THIS CERTIFIES that the building located a®r� "�'. , `.. �'�'�"`' Street Map No. . . . . . . . Block No. .. . . . .Lot No. , conforms substantially to the Application for Building Permit heretofore filed in this office dated . . . . . . . . . . . 19 G pursuant to which Building Permit No.1 r J- Z- dated . . . . . . . .. 19K, was issued, and conforms to all of the require. roents of the applicable provisions of the law. The occupancy for which this certificate is issued is . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . The certificate is issued to ....�. . . . . . . . . . . . . . . . . . . . . . . , , , , , , , , , , , , (owner, lessee or tenant) of the aforesaid building. Suffolk County Department of Health Approval . . . . o_ . . .a G.`/. . . UNDERWRITERS CERTIFICATE No. . N. . 7 . . .*( :. 0G . HOUSE NUMBER . . . S I .Q Street . . �4c .�-. . 1A V. . . . Aj� Buildin Inspector ' g P FORM NO.4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy Z-15132 December 29,, 86 No. . . . . . . .. . . .. . . . . . Date . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ., 19 . . . THIS CERTIFIES that the building . . . . .Patio.enclosure. . . . . . . . . . . . . . . . . . . . . . . . Location of Property . ,5180.PAconic:BaX.Blvd% . . . . . . . . .Laurel, New York. . . . . . _Nouselllo. • • . . . . . . . . . . . Street . . . . . . . . . . • • 'Hamlet County Tax Map No. 1000 Section . , , 128. ... . , ,Block . . . .02.. . . ' . . . .Lot . , ,019. . . . . . , . . ... Subdivision . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Filed Map No. . . . . . . . .Lot No. . . . . . . . . . . . . . conforms substantially to the Application for Building Permit heretofore filed in this office dated Apr j- . a 9.. . . . . . . . . . . . . .. 19 85 pursuant to which Building Permit No. . , 13882, ,Z, , ., , ,, , . , dated . , ,April. . . . . . . . . . . . . . . . 19 85 ,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 . . . . . . . . . Encloseexisting.patio (unheatedenclosure) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ... . . . . . . . . MURIE The certificate is issued to . , .. JACK &. . . .. . . . ... . . . . .. . . .GI0 • , . . . . . . . . . . . (owner,/ ikXtaYa . . of the aforesaid building. Suffolk County Department of health Approval . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . UNDERWRITERS CERTIFICATE NO. . . . . . . . . . . . . . .x. . . . . . . . , , . . , . . . . . . . . . Building Inspector Rev.1181