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HomeMy WebLinkAbout1000-117.-2-10 YF0 TOWN OF SOUTHOLD Rental Permit t 0500 Owner 2500 Grathwohl Rd LLC Occupied as Single Family Dwelling Located at 2500 Grathwohl Rd New Suffolk 117-2-10 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. 7/14/2021 ode fo e t Official This Notice must be posted by the main entrance at all times R Town Hail Annex €4` 1,, y Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 CIS P.O.Box 1179 Southold,NY 11971-0959 BUILDING DEPARTMENT TOWN OF SOUTHO11,D RENTAL PERMIT APPLICATION Rental Permit Fee$200 (Application must be renewed every two years) ��`�U \j ! ' joN 1 5 2020 Section A. -P'T'N'G'Dr,PT Property Information: Rental Property Address: 2500 Grathwohl Rd. New Suffolk Tax Map Number: 1000 SECTION 117 _gj phi{ ..,.02 -LOT 10 SECTION B. OWNER INFORMATION: Property Owner Name: 2500 Grathwohl Rd LLC / Pat Mcauliffe Property Owner Legal Address: Property Owner Mailing Address: 2638 21 st Street; apt #5C same Astoria, NY 11102 Telephone Number(s): Daytime (347)510-4147, Evening Emergency. Property Owner Email Address:. pat75.mcauliffe@gmail.com Page 1 of 5 so Town Hall Annex .M ,,y i Telephone(631)76A-1802 54375 Main Road : Fax(631)765 502 P.O.Box 1179 ¢ Southold,NY 11971-0959 BUILDING DEPARTMENT TOWN OF SOUTHOLD Section C. w 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 Even! g Emergency Email Address: . Section D. Managing Agent Information: Name of Authorized Agent of d Iling unit, if any: Address of Authorized Agen no P.O. Boxes): Mailing Address of Auth rized Agent:. Telephone Number : Daytime ..Evening Emergency. Email Address: /aeofManaging ER INFORMATION: (required for rental properties containing 8 or more rental units) Agent of dwelling unit, if any: naging Agent (no P.O. Boxes): Page 2 of 5 Town Hall Annex �' 1, ,� >; , � � Telephone(631)765-1802 54375 Main RoadFax(631)765-9502 P.O.Box 1179 � E. rt. Southold,NY 1 1971-0959 ; . * ` z :r BUILDING DEPARTMENT TOWN OF SOUTHOLD Mailing Address of Managing Agent: Telephone Number(s): Dayti Evening __ Emergency Email Addr 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 Unit: Number of rooms in Rental Dwelling Unit: Use and Dimensions of each room in Rental Dwelling Unit. Page 3 of 5 Town Hall Annex �� ' Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1179 y 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. 0 1 am requesting a fire safety inspection to be performed by a Code Enforcement Official ; from the Town of Southold [X 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 RT Mc- A JL ,Z� ,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 p ° � Telephone(631)765-1802 54375 Main Road k Fax(631)765-9502 P.O.Box 1 179 k# - Southold,NY 11971-0959 J, ",r', 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 gent, or Site Manager. Property Owner's Name:.. Patrick uliffe for 2590 at w I Rd. LLC Property Owner's Signature: . V.,�4 Sworn to before me this a day of 'feb 20;9 Official Notary Public Signature and Original Notar $ 3 G \O \\�' tip• 0 \ g g o(I -146 G Page 5 of 5 Town Hall Annex �1�[ Telephone(631)765-1802 5437�Main Road Fax(631)765-9502 aP�O.Box 1179 G Southold,,NY 11971-0959 `!" 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 1 Professional seal'regu red-for�A'rchitect<or Enafneer afcensed'Home:Inspector mushprovide: copy,of fd-currenicertf#cation: Rental Property SCTM Number: 1 000-1 17-2-10 Rental Property Address:_--_-25-00.Grathwohl_Rd Owner/Name: Patrick Mcauliffe for 2500 Grathwohl rd. LLC-_._ _ Rental Dwelling Unit Identifier:.. Number&Square footage of each bedroom as depicted in the attached floor plan: (i.e. Bedroom#1-100 sq., Bedroom#2-90 sq., etc.) Bedroom #1=-257 sq. ft., Bedroom #2 = 168 sq. ft., Bedroom #3 = 219 sg. ft. Property Description (Include all improvements indicated-on survey) single family house with-frame garage I certify that I have done a physical inspection of the subject rental dwelling unit and find that it fully complies with.all the provisions of the Code of the Town of Southold,the Residential Code of New York State,the Building Code of New York State,the Plumbing Code of New York State, the Fuel Gas Code of New York State, and the Energy Conservation C struc ' Code of N York State. Print Nam and Title VEDA' I Si re M. Pa Please place professional seal: -pT 037405 yp of NE`s ,.` �o�,oF souryO� Z��UO V fAq M/o n--1 P44—. a w * . # TOWN OF SOUTHOLD BUILDING. DEPT. 765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PL13G. [ ] FOUNDATION 2ND [ ] INSULATIOWCAULKING [ ] FRAMING /STRAPPING [rFIRE AL44� QJWM I+FIREPLACE &CHIMNEY [ SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) - [ ] .ELECTRICAL (FINAL) [ j CODE VIOLATION [ ] PRE C/O REMARKS: (1). ;V'AWA ©n �. ?inCi ��gyp✓ DATE INSPECTOR ENTRY --- --- --- --- --- --- 00 --i O O OVEN I KITCHEN " STUDY I I BEDROOM r-------------- FRIDGE 257 S.F. O I S.D. I #1 EZ F.P. _---- O I CLO. C.OJ S.D. I BATHROOM 10'•3' I CLO. ti C_LO. I M LIVING ROOM I --- --- --- --- 3.-1. I I I I0 0 I zz-1 r 0 S.D. --- --- --- --- BEDROOM 158 S.F. ENCLOSED PORCH #2 4'-10 FIRST FLOOR PLAN RENTAL PERMIT FOR: SCALE: 8" _ -011 2500 2500 GRATHWOHL ROAD DATE: JAN. 3, 2020 NEW SUFFOLK, NY 11956 PAGE: 2 OF 3 F- - - - - 1 I I I I - - - - - - - - - - - - - - - - - - - - - - - I MASTER 3, BATHROOM r� 1 ;CLOSET v I LINEN J Ii I zrs i S.D. _ MASTER v � BEDROOM L 219 S.F. #3 o SHELF CLOSET J I I I I I I I I I - - - - - - - SECOND FLOOR PLAN RENTAL PERMIT FOR: SCALE: 8" = 1'-0" 2500 GRATHWOHL ROAD DATE: JAN. 3, 2020 NEW SUFFOLK, NY 11956 PAGE: 3 OF 3 MECHANICAL ROOM ' STORAGE RECREATIONAL wr �ax�E y AREA O ❑ p J V F.P. O C-OI S.D. --- MEDIA ROOM i 0 BASEMENT PLAN RENTAL PERMIT FOR: SCALE: 8" = 1'-0" 2500 GRATHWOHL ROAD DATE: JAN. 3, 2020 NEW SUFFOLK, NY 11956 PAGE: 1 OF 3 - - - _ 6♦ TO N :0F ": SOU.'TF �� PAPER Y R� . DIozb OWNER'S STREET ` ", VILLAGE "DISTRICT SlJF3 - LQT . .',e �,�•!` ,...,_ A., ; ORIv1ER-OWNER N ,. 4 :.E.. ACREAGE . _: �j 1 GKa�/� S+ S W• TYPE .OF BUILDING, - , "��q'�� �)�^ (j (j) p} .t`^q 4 � I !( SR/ &I 8 +.','(. 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' +s-";'3�i�'ik?..j,•a..A-^"�J.s-...,"".F'^ « `'rC-`,rea^ m7 , •,� xw - I ; J. Fi 3 M. Bldg", Foundatio Bath �.Exte Sian .� ;[ i ' { x 6ciserrient 'Floors Ext. Walls Interior Finish c a :Extension f , ^ Extension I "-` j '~'' Fire "Place, iH,eat - ... fr'r y � „ r i < . "- . , �j f2oof Type , Porch Porch $fRoorns .1st.' Floor d- g) D ' Yi Patio Rooms 2nd Floor Garage ' i' .`I: Driveway . f. 77-- (Dormer `z : s - _....<�a -�,::..:...-�_.:-...,..w...-.,...v..w.t_..-..-.�..-G........-r.-,.-..�.....r.-x..:a..,...,...t.,. ..w..,,.,.'.........-...t-....:.............�.F�::.,aa..,:.,.:.,.,,s........:....,�-.a.x...-.w....:.::....,,u,e......,.a,...�w........:,<.,.:....-..,:..:;:.m:...,.w:...w.'..'...y_.,-,_,.....,.n.........................<.,,................,.,.,..,....,,....«........z.-_.c .,..-...._ -._-.......-.....a_.....,...__...._..,...,... ,._ _,,....._, - _, FORM NO.4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building,Inspector Town Hall Southold,.N.Y. Certificate Of Occupancy No. ?.k7,0-6,5. . . . . . . . ... Date .J u 1 y 6,, 1:9 8=$. . . . . . . . . . . . . . . . . . . . . . . . . . THIS CIrRTI FIES that'the boald 't9 rm f aam i 1' 1.w 11 i n$ . . . ,,, ...... . .. . . . . . Location of Property 2500 Grathw.ohl. TuthillRd ; New Suffolk . . House No. � � Street .Ha'i'ler County Tax Map No. 1000 Section . . 17. . . . . . .Block . . .2 . . . . . . . . . . .Lot.. .l,9..;... . . . . . . . . . .Subdivision . . . . . . . . . . . . . . . . . . . . . .. . . . . . -.Filed Map No. . , l:ot No. Requirements for a private one-family dwelling built �prior � to conforms substantially to the 1 MRAX" Certi�fic&te of Occupancy . . A p r i 1. .23,. .1.. . .. . pursuant to which-BURN-T1ftXK No. . , , . , ,Z 17 0 6.5 . . . . . . . . dated1:9 8 8 , , 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, accessory garage and accessory storage building. The certificate is issued to . 'KA)RJ'I RZE. It;REE� ILL,IHGWDRTA . . . . . . . (owner,/ KK4M*X of the aforesaid building. Suffolk County Department of Health Approval'.. . . . . N./.A . . . . . . . . ..... . . . . . . . . . . . . . . . . .,UNDERWRITERS CERTIFICATE NO. . . . . . . . . . . . . N�A.. . . . . . . . . . . . . . . . . . . . . _. . . . . . . . . . PLUMBERS CERTIFICATION DATED: N/A SEE INSPECTION REPORT Building Inspector Rev.1/81 1 FORM NO. 4 T€WN .OF SOUTHOLD BUILDING DEPARTTMENr Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY 3ate -Jim '3 2, '1 Sq THIS CERTIFIES that the building ADDITION & ALTERATION Location of Property 2410 GRATHWOHL RD. NEW SUFFOLK, N.Y. House. No. Street Hamlet County Tax Map No. 10.00. Section 117 Block 2 Lot 10 subdivis-ion Fi:7ied Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated DECEMBER 7, 1988 Pursuant to which -Building Permit 'No. 17685-Z dated DECEMBER .13-, 1988 was issued, and codforms to dil of the requbrements of the applicable provisions of the law. The occupancy for which this certificate is issued 1s SECOND FLOOR ADDITION WITH ALTERATION ON FIRST FLOOR OF EXISTING ONE FAMILY DWELLING AS APPLIED FOR. -The certificate is issued to jowl RWR &a JOSEPH MCKAY, (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A 'UNDERWRITERS CERTIFICATE NO. ' N=:073705-073705—MAY 26, 1989 PLUMBERS CERTIFICATION DA'T'ED JULY-8, 1989-FRANK :DYER ildi g Inspector Rev. 1/81 BUILDING DEPARTIIiMNT TOVPN OF SOUTHOLD, N. Y. HOUSING CODE INSPECTION REPORT Location 2500.• Gra•tbwohl Rd.. & AGO suthitl Md. Rew. s•ul.€o.1k. (HiEbez- & street iyftinicipality} Subdivision clap No. Lot(s) Name of Owner(s) MARJORIE GREENE ILLINGWORTH 'Occupancy type owner-tenant Adsiitted by: Jane Stubelek Accompanied by: same Key available ' Suffolk Co. Tax No. 117-2-10 Source Of request Marie Ongioni "attorney" Date June .8, 1988 DWELLING: Type of construction wood framQ,d. listories fi Foundation cement block Cellar full Crawl space Total rooms, lst. F1 6 2nd. F1 -- 3rd. Fl -- Bathroom(s) 1 Toilet room(s) 1 Porch, type screened in Deck, type Patio, type. Breezeway Garage Utility room 2 Type Heat gas Warm Air )HM1xxW2= steam FireP1=e,(.$) ado. Exits 2 -Azrc-on'ditioning 0onaestic hotwater yes Typ a heater g a s Other Large finished room cellar ACCESSORY STRUCTURES: Garage, type const. 2 car wood Storage, type const.small -metal Swimming pool Guest, type const. Other Fence east sidle of property. VIOLATIONS: Housing Code, Chapter 4.5' N.Y. Stats Uniform Fire Prevention & B n 1 di na Cade _ Location Description lArt. 1 Sec. Dwell'ing has a smoke detector Remarks: 117- 1-3 is a sin le & separate lot Inspected by: ate of Insp.. July 6, 1988 CURTIS W. HORTON ' Time start 10:00 end 11:00 a.m. ��o�ag�EfOl,fcoGy Town of Southold 7/15/2021 0 P.O.Box 1179 y 53095 Main Rd Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 42160 Date: 7/15/2021 THIS CERTIFIES that the building AS BUILT ALTERATION Location of Property: 2500 Grathwohl Rd.,New Suffolk SCTM#: 473889 Sec/Block/Lot: 117.-2-10 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 4/2/2021 pursuant to which Building Permit No. 46116 dated 4/22/2021 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"bathroom alterations as applied for. The certificate is issued to 2500 Grathwohl Rd LLC of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 46116 5/24/2021 PLUMBERS CERTIFICATION DATED A ignature