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HomeMy WebLinkAbout1000-70.-10-1 TOWN OF SOUTHOLD 0&0 Rental Permit 0502 Owner Donna & Glenn Paolantino Occupied as Single Family Dwelling Located at 2550 Pine Neck Road Southold 70.40-1 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. 5/19/2023 7cial This Notice must be posted by the main entrance at all times e � me qs rte- M,-So-4P TOWN OF SOUTHOLD BUILDING DEPT. 631-765.11802 INSPECTION FOUNDATION 1ST ROUGH PL13G. FOUNDATION 2ND INSULATIOWCAULKING FRAMING /STRAPPING FINAL FIREPLACE & CHIMNEY FIRE SAFETY INSPECTION FIRE RESISTANT CONSTRUCTION FIRE RESISTANT PENETRATION ELECTRICAL (ROUGH) ELECTRICALL) CODE VIOLATION PRE C/O [7RENTAL REM KS: .................... INSPECTOR DATE W 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 RENTAL PERMIT APPIwIAATION Rental Permit Fee$200(Application must be renewed every two years) Section A. Property Information: Rental Property Address: — 0 J, Tax Map Number: 1000SECTION q-73 ..BLOCK d -LOT f Q - f' SECTION B. OWNER INFORMATION: f Property Owner Name: oco Property Owner Legal Address: Property Owner Mailing Address: C. .. h - 303-733 - �57oU - 303 q!,S- Telephone Number(s): Daytime Evening Emergency Property Owner Email Address: Page 1&5i Q:-0 V/'e r-e° y t, p rl..A (- �. c �� �9 - 31a - C) SI ( Y g Town Hall Annexs Telephone(631)765-1802 54375 Maio 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 anti:"l c L e r �c Address of Authorized Agent no P.O. Boxes): .'. � ►� C� Mailing Address of Authorized Agent: 5 C-'A.VV--e- Vii-S a. I-�3Ly-) - Siler( - 0 -06 S-Sr� - 71r '&7 Telephone Number(s): Daytime Evening Emergency Email Address: QLL) ct-C C O a + r c r c° Section D. Managing Agent Information: Name of Authorized Agent of dwelling unit, if any: Saves f. C< . o 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 r Town Hall Annex Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1179 Southold,NY 11971-0959 az mk" a a BUILDING DEPARTMENT TOWN OF S UT OL Mailing Address of Managing Agent: Telephone Number(s): Daytime Evening Emergency Email Address: ---�- - SECTION F. PROPERTY DESCRIPTION: Number of Rental Dwelling Units on property: I 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 Unf: Number of rooms in Rental Dwelling Unit: -7 Use and Dimensions of each room in Rental Dwelling Unit: Page 3 of 5 25.0' Patio 14.0' o _ 19.0. °' Sun Room 1 Car Fuji Eat Garage O Bedroom Bath Enclosed In CV Breezeway _. NHallway Kitchen 8.0' Bedroom Living Room 0 14.0' C6 x- 36.0' �d. Subject Dwelling COMments: AREA CA. LCULATIONS SUMMARY Description Scale. 1 Size LIVING AREA SR GLAl Firat �_ Totals Floor " EAKtN GAR 1 Car Garage 1177.00 1177.00 First 19wr�tlkEfcVan 308.00 Floor Subtotals 308.00 24.0 x 36.0 9.0 x 17.0 864.00 8,0 x20.0 153.00 r-- 160.00 �w 7 TOTAL LIVARI N M1 Town Hall Annex � � � ; Telephone(631)765-1802 54375 Main Road Fax(63 l)765-9502 r P.O.Box 1179 ; Southold,NY 11971-0959 " 1 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. I 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) pD C>I C cIGi 13., 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 Town Hall Annex Telephone(631)765-1802 54375 Main Road "� Fax(631)765-9502 o „ P.O.Box 1179 ��o Southold,NY 11971-0959 '�n � 0 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: rv�,w� Property Owner's Signature. ` sr Swom-to b care me this day of eb 20')-� . ., ... � � ��� O#ici rrMY O- �P . � une and Orig ma Notary Stamp n�« ARI ig � Page 5 of 5 Donna Paolantonio 1868 S Clarkson StN Denver, CO 80210 February 21,2023 Town Hall Annex 54375 Main Road P.O. Box 1179 Southold, NY 11971-0959 Attention: Building Department Enclosed please find my application for a Rental Permit Renewal. I believe I have enclosed all the necessary paperwork. Please advise me if there is something missing. If you would kindly send me an acknowledgment of receiving this I would greatly appreciate it. Also, if possible would you be able to let me know as best as you can when the inspection might take place as I will have to make arrangements to be there. My email is : DBNY7@comcast.net. Thank you in advance. Sincerely, / Donna Paolantonio z TOWN OF SOUTHOLD �W Rental Permit 0502 Owner Donna & Glenn Paolantino Occupied as Single Family Dwelling Located at 2550 Pine Neck Rd Southold 70-10-1 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. t 7/19/2021 e Enrce ent ffi ial This Notice must be posted by the main entrance at all times TOWN OF SOUTHOLD y . Rental Permit �. � 0502 Owner Glenn & Donna Paolantonio Occupied as Single Family Dwelling Located at 2550 Pine Neck Road Southold 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. s 7/19/2021 CeEn ce e t icial This Notice must be posted by the main entrance at all times c d � S 00 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 SOUTHOI.D RENT" L PERMIT APPLICATION Rental Permit Fee$200(Application must be renewed every two years) Section A. Property Information: Rental Property Address: 008._...: .. .. .... Tax Map Number: 1000 SECTION �.3 $. .. B;LQCK . ....._ � _--LOT r I. SECTION B. OWNER INFORMATION: Property Owner Name: ©� aO.�CAl1�W�e°� a1��QC9lCAr��e�c o p Y Property Owner Legal Address: Property Owner Mailing Address: COa.ayo Telephone Number(s): Daytime Evening Emergency. 99 Property Owner Email Address:. 14", 1t. y p 13'7 Page 1 of 5 �* 3 , SCS oa- raP� L C 4aq n 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 SOUTHOLD FEB - 3 2021 RENTAL PERMIT APPLICATION,INSTRUCTIONS Rental Permit Fee $200 (Application must be renewed every two years) The items listed below are required to be submitted with the completed application. 51r Floor Plans: Floor plans of each Rental Dwelling Unit, please show location of all smoke&carbon monoxide detectors. ❑ Certificates of Occupancy and Pre-Certificates of Occupancy: Certificates of occupancy or Pre-Certificates of Occupancy for each rental dwelling unit. ❑ Certification.of'Code Compliance(form enclosed): Must be submitted by a license architect or engineer or license home inspector if an inspection by Town of Southold Inspector is declined. l/ Rental Permit Fee: $200.00 0. � Town Hall Annex t Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 CIP P.O.Box 1 179 Southold,NY 11971-0959 ? �n nr�Vk 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::. 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: Requested Maximum number of persons allowed to occupy Dwelling U Number of rooms in Rental Dwelling Unit: Use and Dimensions of each room in Rental Dwelling Unit: Page 3 of 5 r 4 P Town Hall Annex �a Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1179 - St� Southold,NY 11971-0959 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: 777 Telephone Number(s): Daytime Evening Emergency; Email Address:. Section D. Managing Agent Information: Name of Authorized Agent of dwelling unit, if any:. Address of Authorized Agent(no P.O. Boxesy_. 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 r Town Hall Annex Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1179 Southold,NY 11971-0959 COV�e 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 r°r 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. I/ I 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) r..tix„;cg,,,xy9..*���'s?•_ar?: K_ ?:+d*..:�`�-:.S:.:eX+'i.:tz• 25 , �o i Ori"'>.i1%' "' ;✓t'�-'ii ��,,,,u - • certify under penalty of perjury,the following: ;•a A!i' �•ai 1y r.')•;lt:isy �.'i1ol:lii ;`hS �S __.�1.;,,,I;.am.�tLie::owner_oftherproperty 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 f` i= r r y 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 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 4 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., f 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 Manag J i a AA4 �— °te �t©h/'o Property Owner's Name:, D1tTj--L&i Property Owner's Signature:(E��iarAwz,-:,,v42,�,.� Swornfor a thisday of.`1c+a ;202 1 _.. . _. ..... _....... CARL05 R ROMERO lal Not I Si nd Original Notary Stamp NOTARY PUBLIC-STATE OF COLORADO NOTARY ID 20044016258 MY COMMISSION EXPIRES JUN 4,.2024 Page 5 of 5 pF SOUTyo 5�,� V L��M �r/V�' RW6 - # # TOWN OF SOUTHOLD BUILDING DEPT. : 765-1802 INSPECTION [ ] FOUNDATION IST [ ] ROUGH PL13G. [ ] FOUNDATION 2ND .[ -] INSULATIOWC-AULKING L [ ] FRAMING/STRAPPING [/F INAL 2� v" I [ ] FIREPLACE &-CHIMNEY' [ FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ . ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL`(FINAL) -- [ ] CODE VIOLATION [ ] PRE C/O REMARKS: � pk V9-v--- DATE �� INSPECTOR 25.0' Patio _ _ 1g 0, °' Sun Room 9 Car o Fu11 Eat Bedroom Bath Enclosed Garage In Breezeway • N Hallway Kitchen ° — ° X Bedroom 8'0� Living Room o 94.0' ri 36.0' Subject ®welling Comments X C Ok b AREA CALCU _ code LATIONS SUNNI RA Y-_-.-.--. ___—_�cription ------ _ _ Scale � _ LiViNG AREA ^ First Floor- _ _---- size rotas BREAKDOWN GAR 1177.06--7---11-77 177. --- Breakdown 1 Car Garage 00 1177.00 n- `-"` First 1.r Subtotals 308.00 -- ---- __�_ 308.00 --------,—. 24.0 x 36.0 n 9.0, s 17.0 864.00 8.0 x 20.0 153.00 160.00 ��t)t 1PO)A► � 5moke E co TOTAL LIVdru c i T � F SOUTH BOLD ROP TY CCo�u �AkK _ OWNER --��-_-- STREET VILLAGE DISTRICT SUB. ( LOT 6-a t 3 t FORMER OWNER + IN i E � � - ACREAGE ! l , j S - W , # -. TYPE OF BUILDING RES SEAS. VL. FARM COr�hM. IND. CB. i MISC. ------ --- . .. ...- --' --- ---- -_i_. -_ LAND imp. TOTAL DATE REMARKS - _..__ ----............ ._............-_...._.............. _....__ .... _.. r� AGE BUILDING CONDITION -- .......... .....NEW I NORMAL _- BELOW ABOVE - - ----- __-_- - - _ - -- - ------------_r.- _ Farm Acre Value Per Acre Value . ........... .. _.... _- _._.. - - - �_�_.._�.�-- Tillable i 1 Tillable 2 .....G.........:.... .- ___._.._.__-- __._..._ j... .................- Tillable '3 Wcodland l -- --..0 _ _-.._._.............._: — Swampland E Brushlcl d House Plot i ................_... _ --- - ----- Tctal l -71 �• 1 F i •� � gtM1 r' � i i � i i z n•. x T7I y" — ......... I : .:; On, SNOWI _ Jff M. Bldg. �, '" Foundation Both , i Extension Basement f x. Floors 17 ---t ---- — —--- ....... Extension -- Ext Walls J Interior Finish Extension Fire Place Heat j � .-- ----- -- — -- - -----...._... - --- ----- ---- -..._ —_.._. ..... _._..—. l Porch ' " Attic _ r Porch Rooms 1st Floor Breezeway1 � +" Patio Rooms 2nd Floor Garage Driveway O. B. f --- -- - _. g11fFOt,fco Town of Southold 7/18/2021 0 53095 Main Rd ~ y$_ Southold,New York 11971 PRE EXISTING CERTIFICATE OF OCCUPANCY No: 42175 Date: 7/18/2021 THIS CERTIFIES that,the structure(s)located at: 2550 Pine Neck Rd., Southold SCTM#: 473889 Sec/Block/Lot: 70.40-1 Subdivision: Filed Map No. Lot No. conforms substantially to the requirements for a built prior to APRIL 9, 1957 pursuant to which CERTIFICATE OF OCCUPANCY NUMBER Z- 42175 dated 7/18/2021 was issued and conforms to all the requriements of the applicable provisions of the law. The occupancy for which this certificate is issued is: wood frame single family dwelling with accessory wood frame arg age.* The certificate is issued to Paolantino,Donna&Glenn (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED *PLEASE SEE ATTACHED INSPECTION REPORT. ` A ho i d Signature BUILDING DEPARTMENT TOWN OF SOUTHOLD HOUSING CODE INSPECTION REPORT LOCATION: 2550 Pine Neck Rd.,Southold SUFF.CO.TAX MAP NO.: 70.-10-1 SUBDIVISION: NAME OF OWNER(S): Paolantino,Donna&Glenn OCCUPANCY: ADMITTED BY: SOURCE OF REQUEST: Paolantino,Donna DATE: 7/18/2021 DWELLING: #STORIES: I #EXITS: 2 ______EOIJNDATION:__--____ cement b1Qck __ CYLLAR: full__. CRA_WI�SPA_CE: __--_ BATHROOM(S): I TOILET ROOM(S): UTILITY ROOM(S): PORCH TYPE: DECK TYPE: PATIO TYPE: BREEZEWAY: FIREPLACE: GARAGE: DOMESTIC HOTWATER: radiator TYPE HEATER: AIR CONDITIONING: TYPE HEAT: oil WARM AIR: HOT WATER: #BEDROOMS: 2 #KITCHENS: 1 BASEMENT TYPE: half finished half utility OTHER: ACCESSORY STRUCTURES: GARAGE,TYPE OF CONST: wood frame STORAGE,TYPE OF CONST: SWIMMING POOL: GUEST,TYPE OF CONST: OTHER: VIOLATIONS: REMARKS: INSPECTED BY: JOHNJ DATE OF INSPECTION: 5/18/2021 TIME START: 10:37am END: 10:50am