HomeMy WebLinkAbout1000-31.-8-13.1 TOWN OF SOUTHOLD
RenW Permit
0494
Owner Katherine Mathis & John Turner
Occupied as Single Family Dwelling
Located at 730 Bay Avenue East Marion 31-8-13.1
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.
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7/7/2021
*de m nt fficial
This Notice must be posted by the main entrance at all times
,S
Town Hall Annex ,� J�[ Telephone(631)765-1802
54375 Main Road '' Fax(631)765-9502
P.O.Box 1179
Southold,NY 11971-0959 O
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
RENTAL PERMIT APPLICATION
Rental Permit Fee$200(Application must be renewed every two tjYears-
L"
APR 2 2 2021
Section A.
Property Information:
Rental Property Address:
Tax Map Number: 1000 SECTION 131 -BLOCK 3 -LOT -
SECTION B.
OWNER INFORMATION:
Property Owner Name: is �-s��-�oA.r� -ae� J�:�►�° '�����rc
Property Owner Legal Address: Property Owner Mailing Address:
'-j-fes. AVS, 5%'fit -L- -t' A-Vel
�1 p e,rux1,yt-j§ A
-7t,4 --96,T-(760 cr,-t 3t4, - o C,
Telephone Number(s): Daytime Evening Emergency
Property Owner Email Address: i ��`r►ei n�i _ ��` et,�k•�1e�-
Page 1 of S
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
Section C.
Authorized Agent Information:
Name of Authorized Agent of dwelling unit, if any: C
Address of Authorized Agent (no P.O. Boxes):
Mailing Address of Authorized Agent:
Telephone Number(s): Daytime Evening Emergency
Email Address:
Section D.
Managing Agent Information:
Name of Authorized Agent of dwelling unit, if any:_NIA
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: SIA
Address of Managing Agent (no P.O. Boxes):
Page 2 of 5
Town Hall Annex I Telephone(631)765-1802
54375 Main Road "' Fax(631)765-9502
P.O.Box 1179
Southold,NY 11971-0959
! �Vulm-
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: 4►�'�
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: v l✓ or 1
Requested Maximum number of persons allowed to occupy Dwelling Unit:
Number of rooms in Rental Dwelling Unit: 8
Use and Dimensions of each room in Rental Dwelling Unit:
0 rJ4 AX0f1° (-7 'X t'�`�tr 07. Q e'&e,P-ok l3' tt. ax kkI 3ti
K�TC►1FNr �� � �° 13' � �' nnA-S'Z'� et;1 2.dc+n ��f� $" 7C �t`Qtr
Page 3 of 5
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
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)
I -:5-
,_`'t j �up-wc-e, + , 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
41
Town Hall Annex low. Telephone(631)76.5-1802
54375 Main Road _ Fax(631)765-9502
P.O.Box 1179 �: O
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.
Property Owner's Name:
Property Owner's Signature: "f./4.
Sworn;Mthis 20 day of ` . 202-1
Offici No ary Public Signature and Original Notary Stamp
SAJIO PA'I'EEL
NOT A'PUBLEC
STATE Or,VIE YOnl(
No.0j ISA6,391957
Qualim'd in MA 96 Ooun'y
Icy C01-nanission E,,g3lres
1°shruary c,%2023
Page 5 of 5
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TOWN OF SOUTHOLD BUILDING DEPT.
cou765-1802
INSPECTION . -
] FOUNDATION
1ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INSULATION/CAULKING-
[ ] FRAMING /STRAPPING V] **FIRE
-FIREPLACE & CHIMNEY SAFETY-INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL)
[ ] CODE VIOLATION [ ] PRE C/O
REMARKS: .
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DATE INSPECTOR
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FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
PRE EXISTING
CERTIFICATE OF OCCUPANCY
No Z-24794 Date DECEMBER 12, 1996
THIS CERTIFIES that the building ONE FAMILY DWELLING
Location of Property 730 BAY AVENUE EAST MARION, N.Y.
House No. Street Hamlet
County Tax Map No. 1000 Section 31 Block 8 Lot 13
Subdivision Filed Map No. Lot No.
conforms substantially to the Requirements for a one Family Dwelling built
Prior to: APRIL 9, 1957 pursuant to which CERTIFICATE OF
OCCUPANCY NUMBER 2-24794 dated DECEMBER 12, 1996
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 ONE FAMILY DWELLING
The certificate is issued to ANTHONY TRAFFICA
(owner)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A
UNDERWRITERS CERTIFICATE NO. N/A
PLUMBERS CERTIFICATION DATED N/A
*PLEASE SEE ATTACHED INSPECTION REPORT_
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Building Inspector
Rev. 1/B1
BUII.D[NG DEPARTMENT
TOWN OF SOUTIIOLD
HOUSING CODE INSPECTION REPORT
LOCATION: 730 BAY AVE. EAST MARION, N.Y.
number. b street municipality
SUBDIVTSION MAP NO. LOT(s)
NAME OF OWNER (s) ANTHONY TRAFFICA
OCCUPANCY SINGLE FAMILY
type owner-tenant ----
ADMITTED BY: BRANDY ANGEVINE __ ACCOMPANIED BY: SAME
KEY AVAILABLE SUrF_Co. TAX MAP NO. 1000- - T3
SOURCE OF REQUEST: MARJORIE MYSLIBORSKI- _ —DATE: NOV. 18, 1996 ---
TYPI; OF CONSTRUCTION WOOD FRAME S'TURIF.S 2 _ l EXL'fS 2
FOUNDATION CEMENT BLOCK --- - CELLAR FULL CRAWL. SPACE
TOTAL. ROOMS: IS'r FI.R. 3 2ND FI.R. 3 3RD FLR. --
IIATiI ROOH (s) _ ONE TO I LE'r ROOM (s) ONE UTILITY ROOM
PORCH TYPE SIDE ENCLOSED-FRONT DECK, 'TYPE PATIO
BREEZEWAY FIREPLACE ---ON)a---- GARAGE_ _ —_—
DOMESTIC IIOTWATL'R XK 'TYPE IlEA'1'1:1( LILCO GAS AIRCONDI.TIONING
--(NOT-WORK'ING)" ---
TYPE HEAT OIL WARM AIR XX HOTWATER
O'f11ER:
ACCESSORY STRUCTURES:
GARAGE, TYPE, OF CONST. STORAGE, TYPE CONST.
SWIMMING POOL_ GUEST, TYPE CONST. _
UTIIER
-------------------------------------------------------------------------------------------
---------------------------------------------------------------------------------------
VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION d BUILDING CODE
LOCATION DESCRIPTION ART. SEC.
REMARKS: BP 023853-Z DEMO PERMIT ISSUED TO REMOVE SHED.
INSPECTED BY DA'L'E OF INSPECTION NOV. 26, 1996
J0RN M. BOUFI� TIME START -9:55 AM -- END 10:20 AM
FORK NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN CLERK'S OFFICE
SOUTHOLD, N. Y.
CERTIFICATE OF OCCUPANCY
No. A..M............ Date ................. .....3�.. ..... 19. b
.... .
THIS CERTIFIES that the building located at .... ............I....................... Street
Map No. .. _........... Block No. ... ?xX........... Lot No. ...... ......East...mari.ons...X...�°.......
conforms substantially to the Application for Building Permit heretofore filed in this office dated
..............................xa ....25.... , .......... ., 19.61. pursuant to which Building Permit No. . 14..WK.
dated ......................M..! ,Y..........2. ............ 19.6.x.., 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 ........
........P.r.3..vate...one..fami1y... lip- .1ing. ......................................................................................
The certificate is issued to .... `s!!...SaTU01....Traffica .. . Owner
(owner, lessee or tenant)
of the aforesaid building.
........................ . .. ..... ... .......
Buildinginspector
FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN CLERWS OFFICE
SOUTHOLD, N. Y.
CERTIFICATE OF OCCUPANCY
No. Z-2284............. Date .............................XoVemher.....3 19.45.
THIS CERTIFIES that the building located at ..W/O. ....Ba;y...Ave. ............................... .... Street
Map No. .. :............. Block No. ........XXX...... Lot No. .x=.......Tist..�k`w. oul.....&Y..........
conforms substantially to the Application for Building Permit heretofore filed in this office dated
..............................S=g. ....9k.................... 196.... pursuant to which Building Permit No.
dated ....................J1ane.......10............... 19.65.., 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 ........
Private..one...family..dwellitsg. ..............................................................................................
The certificate is issued to ..jSj'.��,..• t fl:� Y'Fi ) C36 ................QY r......................................
(owner, lessee or tenant)
of the aforesaid building.
�JW C (......X1. ...............................I...... .............
Building Inspector ........
rraa�.
Fal/fc®
Town of Southold 9/24/2019
� P.O.Box 1179
d' N 53095 Main Rd
Southold,New York 11971
CERTIFICATE OF OCCUPANCY
No: 40720 Date: 9/24/2019
THIS CERTIFIES that the building ADDITION/ALTERATION
Location of Property: 730 Bay Ave,East Marion
SCTM#: - 473889 Sec/Block/Lot: 31:8-13.1
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
1/29/2019 pursuant to which Building Permit No. 43441 dated 2/4/2019
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 AND ALTERATIONS INCLUDING REAR DECK AND SIDE ENTRY DECK TO AN EXISTING
ONE FAMILY DWELLING,AS APPLIED FOR
The certificate is issued to Mathis,Katherine&Turner,John
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 43441 07-29-2019
PLUMBERS CERTIFICATION DATED 08-29-2019 Jo erguson fi
t riz gnature