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HomeMy WebLinkAbout1000-37.-5-14 A � � TOWN OF SOUTHOLD Rental Permit } 0478 Owner Lagoon Lodge LLC Occupied as Single Family Dwelling Located at 270 Knoll Circle East Marion 37.-5-14 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. 7/27/2023 Code tnfo6krnent MAI This Notice must be posted by the main entrance at all times 14f so TOWN OF SOUTHOLD BUILDING DEPT. 631.765.18027 INSPEc-ulON [ ] 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 [ ENTAL REMARKS: 140064wa- oxlk- ot a /1 DGG v DATE - 3 _ INSPECTOR _. Town Hall Annex °aM Town of Southold 54375 Main Road Rental Inspection Report PO Box 1179 Southold, NY 11971-1179 Tel: 631-765-1802 SUM # ��P� _ . �.. Date Owner Phone G dam. ......, Visible Address 'Hamlet pectar -...��.. Ins Floor Level Quantities Sub 1 2 3 I .Smoke Detectors�... ........ .... ... .._..._� . ..... .._. ,..�.. ..... .._ __ .. .a.. _, .. (not located in bedrooms) .. Carbon Monoxide Detectors Fire Extinguishers _. ti .._ Exits Bedrooms 1 2 3 4 5 6 Smoke Detectors 1 _ Eg11 ress Occupant Count Building Systems Maintained & Operational Condition of Property Heating _ Building interior Hot water Building exterior Electrical Property clean, maintained &safe ;Mechanical Handrails&guards inst11 alled &secure Pool Safety 11 Pool on SEte Surface water alarm Date of CO issuance a _ - .-a......_ .._ ..._ _ __ _.. _.._.._.. . m_ . larmsPoocompletely enclosed Pool......e . ..�... _ Self closing/ latching gates I fence to code requirements CO's for all items present Prior Rental " " Comments: TOWN OF SOUTHOLD cm Rental Permit 0478 Owner Lagoon Lodge LLC Occupied as Single Family Dwelling Located at 270 Knoll Circle East Marion 37-5-14 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. 6/21/2021 de E orc m nt fficial This Notice must be posted by the main entrance at all times 6 Town Hall Annex Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1179 , Southold,NY 11971-0959 t :�( 71a ( ` } f t BUILDING DEPARTMENT F E D 1 9 2021 TOWN OF SOUTHOLD 1 117 RENTAL PERMIT APPLICATION _ _a Rental Permit Fee$200(Application must be renewed every two years) Section A. Property/ Information: Rental Property Address: Tax Map Number: 1000 SECTION -BLOCK . �J . -LOT 14 SECTION R. OWNER INFORMATION: Property Owner Name: L4 x,\ ��'` e Property Owner Legal Address: Property Owner Mailing Address: Kai O i t'I-L d� Telephone Number(s): DaytimeEvening 54 �. Emergency s� Property Owner Email Address:_ DG1,ENO0)0 a LjNAII , elPfl. gal 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: 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: 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"-6QhZ--1 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 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, 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: 7 Use and Dimensions of each room in Rental Dwelling Unit: LA z3�iz' -A I L [3a�E�.l 7vc"; ORI xR' Page 3 of 5 Town Hall AnnextTelephone(631)765-1802, 54375 Main Road "" Fax(631)765-9502 P.O.Box 1179 } Southold,NY 11971-0959 3 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. 9'*01 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 -7) e-am v ;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 AnnexL Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1179 s :' Southold,NY 11971-0959 `°' QUM$ 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: ( _ A4_ .®qlalfe Property Owner's Signature: -:�Doa4l_ Sworn to b re me this/�_ day f �Ri/ �`� 20 2 P Official N p KENNETH L.. STEIN Notary Puoliv, State of New York No. 02S'e 3328742 Qualifi-A in Westchester COLinty Commission Expi;es May 31, 20 L� Page 5 of 5 TOWN OF SOUTHOLD PROPERTY •�REC RD CARD OWNER STREET VILLAGE DIST. SUB. LOTS -(5� � ca � �. /(V G!".L L/�n!�°.: - , ��s�"iC..✓L�r�-�' i`-L'� '-� �' !•"�-�,1�;• ,_ ,ti,�f e �"i ;;, _ ` ' -�,'.'� -' - FORAER OWNER N E ACR�Q� S W TYPE OF BUILDING Ils RES. f SEAS, > VL. FARM I COMM. CB. MICS. Mkt. Value LAND fIMP. TOTAL DATE REMARKS 0 r�',C�: ��—' O U i s c"'f�r i- 1 ` cd 47 .--,13P=' e COY)-q;-, Igyii g Y t 22 � 3©©c 5 Ro= a� 3-L IIS 5( o �f p p s<}©cD 3 7pbI I'?2 allT 55 U - AGE 4 i BUILDING CONDITION ;NEW l NORMAL .I BELOW ABOVE r / F >� 41 ,- � elf '/✓l) — ,// � FARM Acre Value Per Value (% ,,_ --- - Acre Tillable j FRONTAGE ON WATER6 Woodland FRONTAGE ON ROAD C•, i Meadowland DEPTH House Plot T � BULKHEAD To;'a`I 'T —_-_� � DOCK ' i COLOR � •\��� � TRIM ! I i ! ! ! { ► i I I d isTiq IJ i �7s 14� ti I i ! I i k , ter f k-S t-" ry Extension I i _i;I !�-h -� i I I I _ I j j i t I I ( I — I +i Extension -� Foundation Z72- ' � , Bath ; Dinette 5• 't3xt 43 = 34 �2-S ��i-�4. I � — Porch sement Floors �_ a K. -Porch I Ext. Walls , LR. I Interior Finish - Breezeway i Fire Place, f ;�o�.•� _ Heat 'ZO ` y� ; DR. t Garage j I Type Roof f cf .},:s Rooms I st Floor LP t� ; BR. Patio '' 1�t! �{ '{ �l�, Recreation RoomRooms 2nd Floor' 2 8P_'s u ' FIN. B O. B. et; 1 SOS '4\i a� 2 f� "Dormer i I Driveway ! Total I �o�a0ES0(/Tyolo ,,� �o� ���-C�,r�y�m�✓'►��, * # .TOWN.OF SOUTHOLD BUILDING DEPT. couffv 765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PL13G. [ ] FOUNDATION 2ND [ ] INSULATIOWCAULKING [ ] FRAMING /STRAPPING [ Y'INAL 06(,�L [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL-(FINAL) [ ] CODE VIOLATION [ ] PRE C/O REMARKS: IIMV44m, C�) DATE INSPECTOR fin` cv., �'l to be rabcl,w!-r holclinq axistwvic, Arrler',, a5 per 5t.lrvecy�� Upkc�t2 Lrxc(zpt revising north own). R a+ain �a(1 u5at>(cz �7artions to vn�a{�csC1. PLOT PLAN 10�• 2' 5'-I 0112' ri Csirder Scat 6"�6�x I in bVi high pN ( ---�irllctr- 3- 2' x lC7 I IcerAQr, double at-all C 0 Fm apa.nine3, bridging at I Alar,M I ' m+dopan, box incnd6 I 12'k I I I n= I � m I CD I I I I I Ii0 X0rh I I I L I I � � I •� .0uli I i `p ( 3'Z Lally co(umn on 77 0 pp 6( I(o'x 8' cconcr tta Chimney Foo'l'irl(-r �QOf thC�. r I I •LDD 1 I I 0 I r I \N I � Girder 3Qa+ C'w 6"x8'%y high it r i t� I - L 23'• 4%y' C E LL /-,\ r FLc)oP,, PLAt-� Nate :- Dwellmg to be mbo' uvts►de Cornm as pa rcX tfing -('aoiTpelvit, Q Walt as shOWn). R048in c�,�c�stnn9 -Favndaban, ---� 4=9%4� 6`- 11" to'-11." — 4-9'ia 3'X7� la'tfort-n Z 3 0 P i+l'y G C P• 25 G-55 i ALatc*% 12" -r.TI. 12" O-G. i Doublaai-al�loperriru�e, •O -v . C0 A f4s;'Wfi 4 bridc3irt of m,ds an, .I Q Z ico Lty1 f�l� RO OM % cin � Com o Q tq CD#51014-e O pt�� N (D r I w N b 94(" N 3'- _ 4 A�c—L 7"* r 6" O.c. LO fi )Vt C'1 71 _ O 1 10 _ ° ao -o I �, �O O 1 v 1 I NO Q o y.t 3W 6.\P , tip N ` AU 361 0 cj w + o -o Rap. 32, 00 N , M\� NDOW N rn J(0) ? 3,A.. i 12'-�iIZ,A �St�, - N m\� La 6' O.C. poubl¢atv ¢nrn 5, brid ¢ ��---- - Ia' T.J.I. , —___._ � n • 9 9a.f N jnidspan: box ands 0 7:10" to W. ENTRY u VA co u� I `' -\9 Ln iv X10 ! 3/z •i-'- a" 4'- "' 1 28310 y 5TO Off' �--- ' L imi�- a-Cdave — -- — — -- — — nLA I 12"CG2ble Ear/¢ — --— -- LAI 0 _ i S/ L I _ Vs-6Z SOK f ALLJRJ4 goo Dp .O j � �•z,4, 1 I r 1F? I . ai' 2 41.5 214" I•sl J 0'--3rGL { ! ! V-5-62 { I w 15 l� 5statrwail i1� I �- r + vz Evz (•Zoe ri q z i 1 I ' I I L _ ` — --- � — —— L►rr�i+ off'rcac� ... _ 1- 12`•8`/4 8"$�¢r 2• O 1 5EcoNo F-1_.,CSO R L_ •�( i e•^ � W�C, x 1000-37.-5-14 — i e € ACREAGE 0.14 s h ETCAMP High Density Residential \ a\ \+ PROTECTED i CF USE One Family Year-Round Vi ` Residence j <' AD a. h= ZONING R-40 ZSPLIT 0.00 `i SPLIT CAT ZACRES 0.00 FWIET 0.00 MItrET 0.02 r Zoom to ^� ,r��. °.� �� �,'�' � a. . . ;�•,� Vis.. �� � ;, °,~` tee_'?: •a ti3€tt%ss: TOWN OF SOT3T? 5�11395ROUTE.25-P,0.BOX 1403 CC3NSOLIDArl'ED Ii.EAL PROPi St?J 1x3 731,W 21971-0499 L)""OE1,2014-NOVEMBER 30,2016-TAxRS SEC, , r u e x•' a s t IF THE V40RD'ARREAF ��q,6!. PhUN YTREALDRERSE eP S•URERI 473889 37.�5�14 477, . . 4. 270 Knoll Cir 269,157,439 , 1,654,119 210 ' 1 � 1 Family Res ' 15919 hlfrPl����11��llirl�iilh�llrllll�lr�hnrrllrnunl�lt1d4�11 Lennox Grant H Pa Box 53 Glasser,NJ 07837-0053 .First'Half: . 4.378 $2,134.40 1/10!2014 Secorid Half: 4378 `,$2;134:4'1._.:. 5/2712014 ,,. .. j ��� QW_ E'er°fa s XABLE�dALi4". T.. Qyster Ponds School45.42°Io ° 5400` , "367' Oyster Ponds Library 4:21%O 5;400'. rv� i u �ne e �:cG.:,s333333, y .6:rs /si /•+ n.n��^....^ D 49.63% SLiffolk County Tax- :_ 2.22°/Q . g5�4Ut�.:" i; - ",17� 2.22%_ . .. 5outhatci Town Tax . 32.50% 5;400'. .:. • °263; 32.60% You Prop Iax aw pp 2.74%• 400 ;2 MTA Payrestt TaX 4 0:07%, - 5;d00:. . 04"OCCty3CGC' 6,440 East Mladon FAf 9,65°la' 5,444 7 Drient-E Mtafmi Park:' 0.3690 5400 3 S1NHtsUlltt3Yl1I[S,Ct ffitzf °gla �I{}t - ` 15.67% 2,'1.85:97: -:2;18 =2T'gEDEC.t_2114PAYALtttlsOPi?�AB�tTf.T(lf #t0.`fe �,1933f�.t>utde�#9 �1'd"sitfOS37t�E L1€"aGP#MY3#-s4t g11FFQCK� �o �oG� Town of Southold 6/21/2021 P.O.Box 1179 C* - 53095 Main Rd Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 42103 Date: 6/21/2021 THIS CERTIFIES that the building SINGLE FAMILY DWELLING Location of Property: 270 Knoll Cir.,East Marion SCTM#: 473889 Sec/Block/Lot: 37.-5-14 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 12/27/1989 pursuant to which Building Permit No. 45926 dated 3/15/2021 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: reconstruction of a single family dwelling with unfinished basement and front and side stoops as applied for. The certificate is issued to Lagoon Lodge LLC of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 45926 6/16/2021 PLUMBERS CERTIFICATION DATED 6/11/2021 rles E Top Signature