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Home My WebLink About1000-31.-10-7 ms TOWN OF SOUTH. Rental Permit 0527 Owner Barak Wrobel Occupied as Single Family Dwelling Located at 345 Cemetary Road East Marion 31.40-7 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. 10/17/2023 Code Enf eemn official This Notice must be posted by the main entrance at all times TOWN OF SOUTHOLD BUILDING I 631 -765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PEBG. [ ] FOUNDATION 2ND [ ] INSULATION/CAl j ] FRAMING / STRAPPING [ ] FINAL j ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY IN! [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PE [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL {FII [ ] CGDE VIOLATION [ ] PRE C/O [Al oj�, -po'2- DATE w /0INSPECTOR - co .. Town Hall Annex Town of Southold 54375 Main Road o Rental Inspection Report PO Box 1179 -` Southold, NY 11971-1179 Tel: 631-765-1802 SCTM# m.�...�m � .. -..� .. Date .. .�.�..._........_„ Owner Phone Address � Visible HamletInspector Floor Level Quantities Sub ? i .., . ., .... ..wJ, ., ., .. Smoke Detectors not located in bedrooms) _ Carbon Monoxide Detectors Fire Extinguishers f Exits Bedrooms 1 2 3. 4 5 S _ . . . _ _ _ Smoke Detectors Egress _ Occupant Count Building Systems Maintained & Operational Condition of Property Heating _ _ " Building interior Hot water Building exterior Electrical Property clean, maintained &safe Mechanical Handrails &guards installed &secure Pool Safety Pool on Site Surface water alarm Date of CO issuance Door alarms .Pool completely enclosed Self closing/ latching gates Pool fence to code requirements CO's for all items present Prior Rental w Comments: { s TO N OF SOUTHOLD Rental Permit { ir 0527 Owner Barak Wrobel Occupied as Single Family Dwelling Located at 345 Cemetary Road East Marion 31.40-7 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. 10/17/2023 `�- � Code E f rcem7' 1cial This Notice must be posted by the main entrance at all times TOWN OF SOUTHOLD BUILDING 831 -785-1802 INSPEC ION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION/CAI [ ] FRAMING / STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY IN! [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PE [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (EII [ ] CODE VIOLATION [ ] PRE C/O [ REMARKS: 0o';411 oz So DATE /0- INSPECTOR Town Hall Annex OF fat Town of Southold 54375 Main Road Rental Inspection Report PO Box 1179 Southold, NY 11971-1179 Tel: 631-765-1802 Date SCTM# 4 '.��"--.,� —1,11– -- � ,�� _.. Owner +. Phone ...� �... , ._. . -_ f._ . _..._ , ., ... __ .... Address (� Visible ... . . Hamlet M Inspector Floor Level QuantitiesSub J 1 2 3 ..Smoke Detectors located in bedrooms.. _m Carbon Mono Extinguisherside D tecctors '. Fire , .... Exits Bedrooms 1 2 3 4 5 6 Smoke Detectors Egress Occupant Count' �' C Building Systems Maintained & Operational Condition of Property HeatingBuilding interior Hot water _ . Building exterior Electrical Property clean, maintained &safe Handrails& .. . _ _ . . . - - �� Mechanical guards installed & secure Pool Safety _ _ _ Poo_l�on Site Surface ite Surface watr alarm Date of CO i ssuance _1-_.... .... ... a .. ...-- . _. Door alarms Pool completely enclosed gates t Self closing/latching _. _ ....., _. Pool fence to code requirements CO's for all items present Prior Rental Comments: rf TOWN OF SOUTHOLD ' Rental Permit 0527 Owner Barak Wrobel Occupied as Single Family Dwelling Located at 345 Cemetery Road East Marion 31-10-7 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. 8/31/2021 Code Enforcemfficial This Notice must be posted by the main entrance at all times !�)b SOUTHOLD TOWN Town Hall Annex ��,0 G$�►C}� 54375 Main Road Cz = PO Box 1179 Southold, CIO . Rental Inspection NY 119711179 ® Tel: 631-765-1802 Fax 631-765-9502 SCTM # Date 0 2 Owner cv. erokdPhone t -3 W o6 Address (Q-V - Zip Hamlet Inspector Address visible from street? LEVELS SUB 1 2 3 Smoke Detectors (#- bedroom detectors excluded) Carbon Monoxide Detectors (#) Fire Extinguishers (#) Exits (#) BEDROOMS 1 2 3 4 5 Smoke Detector Alarms (#) Carbon Monoxide Alarms (#) Egress (windows) (Y/N) BUILDING SYSTEMS CONDITION OF PROPERTY Heating system maintained/operational 7 Building Interior is clean/maintained Hot water system maintained/operational Building Exterior is clean/maintained Electrical system maintained/operational T�= Property is clean/safe/maintained Mechanical system maintained/operational Handrails&guards present POOLS IQ Y N POOL BARRIERS Y/N Pool present Pool is completely enclosed Pool surface alarm and/or door alarm Barrier is a min.48" high resent - POOL GATES Y/N All openings in barrier less than 4" Self-closing, self-latching Max. 2"clearance @ bottom of barrier Latch on pool side of gate, meets height _ Barrier capable of being locked &child- requirements proof when unattended COMMENTS: r R6-6 6 d 0— �. Town Hall Annex Telephone(631)765-1802 54375 Main RoadFax(631)765-9502 P.O.Box 1179 , Southold,NY 11971-0959 zz:rt it " !J if BUILDING DEPARTMENT JUL 2 8 2021 TOWN OF SOUTHOLD RENTAL PERMIT APPLICATION $ DG DEPT. !` To 7N OR So"T HOLD Rental Permit Fee$200(Application must be renewed every two years) Section A. Property Information: in Rental Property Address: E Tax Map Number: 1000 SECTION 34 -BLOCK -LOT - sirvorrav 31 11 wa_/l 0 LArt�- } i SECTION B. OWNER INFORMATION: Property Owner Name: ?>Ara� I Property Owner Legal Address: Property Owner Mailing Address: j G :WM Mc k ko�L(u PmviN tip msj Lot Lk i i Telephone Number(s): Daytime %_�-3 _06Eveninggl�GEmergency (_3qq�6 R�6rzL-q g � wAa t1 . c_o Property Owner Email Address: '? �F r 1 i�1*3 FI Page 1 of 5 i i Town Hall Annex , Telephone(631)765-1802 Fax 54375 Main Road .� . i P.O.Box 1179 ® - Southold,NY 11971-09590 lac®l10 IF r., BUILDING DEPARTMENT TOWN OF SOUTHOLD i RENTAL PERMIT APPLICATION INSTRUCTIONS Rental Permit Fee $200 (Application must be renewed every two years) 'i ,i. ii The items listed below are required to be submitted with the completed , application. ❑ Floor Plans: Floor plans of each Rental Dwelling Unit, please show location of all smoke &carbon monoxide detectors. E� ❑ Certificates of Occupancy and Pre-Certificates of Occupancy: Certificates of occupancy or Pre-Certificates of Occupancy for each rental dwelling unit. i ❑ Certification of Code Compliance(form enclosed): Must be submitted by a l license architect or engineer or license home inspector if an inspection by Town of Southold Inspector is declined. . ❑ Rental Permit Fee: $200.00 j 41 S t •`A1 1 i I I Town Hall Annex Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1179 _ Southold,NY 11971-0959 BUILDING DEPARTMENT p TOWN OF SOUTHOLD Section C. Authorized Agent Information: Name of Authorized Agent of dwelling unit, if any: / =i Address of Authorized Agent(no P.O. Boxes): 1' 'i -,t Mailing Address of Authorized Agent: w`• u Telephone Number(s): Daytime Evening Emergency i� Email Address: fE Section D. Managing Agent Information: j Name of Authorized Agent of dwelling unit,if any: Di 1 �t Address of Authorized Agent(no P.O. Boxes): Mailing Address of Authorized Agent: f Telephone Number(s): Daytime Evening Emergency i - I. b 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): I Page 2 of 5 I J Town Hall Annex Telephone(631)765-1802 $i 54375 Main Road Fax(63 l)765-9502 P.O.Box 1 179 Southold,NY 11971-0959 . �CQUIV 1]��• �; BUILDING DEPARTMENT IE TOWN OF SOUTHOLD :I Mailing Address of Managing Agent: j,` i• Telephone Number(s): Daytime Evening Emergency Email Address: �k it j� SECTION F. PROPERTY DESCRIPTION: 4l 1 Number of Rental Dwelling Units on property: r For each Rental Dwelling Unit set forth the Rental Dwelling Unit identifier(for example, 4i fi Unit 1, Unit 2, Unit 3 or Apt A, B, C);the use of each room in the Rental Dwelling Unit U (for example, Kitchen, Bedroom 1, Bedroom 2, Living Room) and the dimensions of each i room. '4 For properties with multiple Rental Dwelling Units use "Rental Permit Application Addendum." I E t I f Rental Dwelling Unit Identifier: Requested Maximum number of persons allowed to occupy Dwelling Unit: f Number of rooms in Rental Dwelling Unit: I U e and Dimensions of each room in Rental Dwelling Unit:. � edR,W�. \7-'% 12 Xk 2o� l N G C l -tz>2•�v�,� ��tv��Com- �i�#x�3 ) I Page 3 of 5 f :4 S �'r it 7 Y v_ Vi Town Hall Annex Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 i! P.O.Box 1179 ® V Southold,NY 11971-0959 } 4��11�'�Il��;l is BUILDING DEPARTMENT (; TOWN OF SOUTHOLD E 9 4 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. ii 3. 1 have read and received a copy of Chapter 207 of the Code of the Town of Southold and li agreed to abide by the same. .!i 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. i Property Owner's Name: j Property Owner's Signature: ! .i. I Sw rn to before me this&,AU day of U 20_� (' j Official Noy Public Signature a,6,riginal Notary Stamp 4 e— TRACEY L. DWYER ? NOTARY PUBLIC,STATE OF NEW YORK NO.01 DW6306900 QUALIFIED IN SUFFOLK COUNTY ' COMMISSION EXPIRES JUNE 30,2b2; E I t 1. Page 5 of 5 I. '.F1 l | | ! [j Town Hall Annex Telephone(6 /)r*u xxnz ! o4s7��u��ouu � emVeUra5-o5uz �. P.O.Box //79 Southold,NY 1/*71-095* | OU ' @DlLDDqG DEPARTMENT ` TOWN OF � » � SECTION G. � , INSPECTION: � ' Pursuant to the Town Code of the Town of Southold Chapter 207 (Rental Properties) a safety inspection bvCode Enforcement Official isrequired. Ifthe owner chooses not tohave 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 V� 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. |~~�° ` o |amrequmstngafinecafetv|nspootiontobeperfonnedbxaCodeEnforcenoentOff|da| � from the Town ofSouthold ^} , �i O | amsubmitting acompleted Town ofSouthold certification form from alicensed architect oralicensed professional engineer. SECTION H. DECLARATION: Signature must be notarized and MUST bethe owner ef the dwelling unit. | J �. STATE OFNEVVYDRK) COUNTY OFSUFFOLK) �' ` ` | certify under penalty bfpe�ury,the following: 1. | amnthe owner ofthe property identified in "Section A"ofthis application. JL 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 vra � —1 L 9 I4Ir 0 { 1 m V t•ul IA1 � KI/H8/d/G(115E2 ewvr�<ygnr, n ,YPIegt FOReR � S 7v-mr+mar.�, 'l I m«�inymwlvlm,meuagi A mwdrimlr�amNo..nr ceeo ' _ _ V p NP,aN ne^�meM �lOn n 3M. N rn1�e 17!4d 'i0=4'• --�1Y> 23�8'I z'.o 4�4d lu III•,yl 41,30 G LVA OldVww•( 414fy 10 pP+vC RCdp IBilo4 202,0 O I �� a� �-- - r - '� — "=-- --- :' _>oat� —- a-_5mgre '� '!w I i' e_ o:m'. •?e _ (� a e� — �---�• —� I a r¢t- '';":, j3/A°_��%AF': ry2Plz ro<r,z v o G'5 '0 p rce�lwa.filer WcF p fJ NI 0 v N 4e --12'0" e 9 5Vj 41L—L o,l I I I ! 2�° �•. 9 /S ( � � v N� �a•.sala•r<tty �I 1.. 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I '�5 I � UI.JppEmeY0Gnva1EG ,L �-F--- � ovma^wa� J l(+.^^�e�d:r`.i'°b°'"°• ---o— 'w/e�a. \ P x.1c� _ Wexs uq<N•.1n I � d _T1 � I-V - - 1 I -� -.�i I 4 I �m e:mb1�x 0(1.� .� 2A.LL.>:�'t 1Y(� 1- 1 _ 2e'Bgr,�-2 ,� I • I X t r.eTw.yrr- y T I .enruea.... nRl°N ° re. m I_)rm �e4 a ry p N pp �p R- .. BCtlam- -1�III y1 -e I2L8 R v r -- Rwxwmn.^w _F - Pmn enu,i^enmMre J m ,ly 4-2.P8 C-2 rB N�JI—BI I am ue^• J� � tS,�P •^j� rt `T `all+ I m F.'ir m—_2'—_ %I� �•a.c..� N•aF 2- 2 x 10 4"pnT TN NJ— Na —1 '-• 1aLL w� SNR .. EH 2xa r1W -�' r��au uco•, hd xwwaum�pmN I I w Xa llXef I p T�"P'1 fC 1012° Tit•er 1L10 '(<P rr ft.- t0!2' - No•rev . . I,m^.wq'11menwv A o R)eM)v 9RnPP sw I yd.i� — �I'-6^ f}P :. f T' S: ------ -- TOTALrI- :11474 1 PICAL FOIIROATON �•8 b•O" li•6 $!O li-8 O>!p 9011 1011 100 Q�Id' S!6 4!$" 321 L1°1 )E 9di �� „ 1 1 10.0E I�i1.04 eumm vmlwmtoae m WHIR IRLI'•O" u0f?D ALE 10.0 CPmireemela waom 100" i •'/r..+ 131.x" al••�J'�-'-A�^? 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Pau .muco...v,oY ,mlus oom. °'" I m,.nvon,renmtlm"" L x.un.,m-seee.v-, V A 3s- e I "v, � ve�mm aruv a�.n • av v \ � _ �iA�iEMEtIT �1�vtlK;°,y�nie `l _ •04 ✓6./1- �� _vl (Q� t». Gw r- q'�cw1,.6 WPB ,��o `Q\ 1.--J.-:I -� _ � Y<itl�.li-fi— f- 7•�Ff4 n.T.Jv �___ v C —_'-IR �iT. - -f + gr 4T /l�Url 5�4r1 mn°awes N� r 20 __---- -_—__-_-- ,��_. � r.'omu�e minor:x•crpnvn ffiD ¢'c>na I �� •-� `�• I i I I,J!' IO:Oe 4° 4' �04+ `-?' 2' Y lo:o° A^ '1�\ yp\ r I I iau EHO.Ij�I }...t 7 I I b/1a EM E�I I +1 I I01 -1.1 -d 1tIG - - - - I tzE6.lz ELEVA-�Io�. I--E�'�51176 ELE�.t°�-(IoN- � ,`r ;• ,I. '�" +wWlw+�?q� �z i .e:+a•,r.n. x l'L�cl s _ - n � v ro a ,� PEAL ptv[ L G.1rHUCy I F I 1 d �aFJ TOP hlnl.l..' ✓F�r YL TRI d.=•t- '�12 -- _ -- - �� , ,'�I I I ,I�_ a __ = la� - __ I it I •i �-- __'- _ � I _—_- 1- -r-W - Mow F+-•w!� \��p �' �n— �1 � I I ! I I I,� 1 I i i I !,I. `.I ' I I� ..._ I �� I I - ggggg �I I �-—-----4 +---J_--i--i----..._� l ..j :� I I ---T'—I- IL +-- i , , OWNERCRt .. STREET . ; VILLAGE;, D1ST. �u►s_....... 'LOT ®� .-, J7,�"'d C�.•! '. r w'�'tC*f.".Y`.n._+'°v"!. 3 .rte'f 4 !✓M1."-4, 1 r t -•:,r°i�'«.�� FOR ER:OWNER3f.; �( s. y N. s E ACR: 6ri S W _ TYPE OF BUILDING �� D. -T4 RES. SEAS. - VL. �J FARMCOMM. CB. ,'. MISC:' -Mkt-. Valu'e' LAND IMP. TOTAL DATE REMARKS V .P moi - .� a 1 S-. B !V fh-- --.__ !Cf' - E".V -7od). ••1 C,�,:+�..� ��.t,.r'.,_'"� ��-' � t5::�%:� �'�.•�� `+°1..�. arc. x��P7 $ # „r g � $ .+ 6�� F�s'a e'8 @ � P t '� 'g o.'�✓' 3r«'>.w^r �z j„h i ��g3 �„�... t'.-,��<:f _CaE. BUILDING COND..' Qf. 16 .12 € %� , �- NEW NOR eMAL BLOVI/ `` 2 FARM `� Acre Value'Pera'lue � Acre. ;`!" Pte- -» i ` 1:, 7 # ll . '. Tillable 1 r y �- l:. //� Tillable 2 Tillable 3 Woodland Swampland FRONTAGE ON WATER Brushland FRONTAGE:ON ROAD House Plot 4r 4t DEPTH . i . �_` (7,6,6• 'BULKHEAD Total DOCK � ��'' x ,•.�._ „. 7-- 77' � �: a� ,�. ��• ..;�.° ____ 1.�.�.�� ICU—�— �. ; COR A.. i I . � �Illiilllllllllllllll �- l��llllll� I,M „h��,;ro;,y„'s:'w�V'e�.K;:i.^'.-r-�r-'��,��z�a',�r'��::=^•` 7cr1i-, � ..` .•: '".s.:, �,e;e,3j".Fx.'.tw y �vGr - }�i�':.'-�''•.f-i•,: .5.. „qty.. i• � ��I'IJ i' "•ISI• S`'a`".'s..��;^`a��"t"h:nsi „qhs,-�;:r_'��""��^'�w'4F.r'�3<.;Fr.;;^r`.��.•:c?".za�,.�,�-' .�a t�I .. .BAgg � i -;,'&; " 6 ,. :t :;.yy...F.-;•:F,'r,<,}o:• <:: 4iT�" 's,}T+t NIS. S ;f„�'.:bd.`s�.:'�s�k:z`� �„'.LcrJ"a`'�:.e�¢�i�'''w{�•..•µck:.� ..4_i�? A i , i >w{a,,ya; f�j;k�•�- '�::�Y','='r'�ri.t„» - F4>�:'�,:.eF,s."' `r��,�s- gg �"��;;';: _:`^� •.-r -:' s °*.^.,•.'n" k moLO w'' j 31.-10-7 — - , 9/06 ' T, 4 'M Bldg i Foundation Bates Dinette Extension t Y, r,- e ( ( • ` a .'s `�'" � ,' Basement �. Floors Extension ? -- Eit. Walls C Interior LR. E t�rion 1 Y �' 4. �. Fire P^lace Heat ;L� y ISR. r .. Type.Roof Rooms 1st Floor BR. if Porch Recreation`r,a� � {. v� i L- \ Recreation Room Rooms 2nd .Floor FIN. B. Porch .. 1c. try J Dormer•. Breezeway Driveway':, Garage .��7:�; - '1' 1.�-� (� •, F -- ---�-- "�-:•�. � ��- . .. Patio O. B. 777-777 -- --'— -- _ i Total r 2- _ , F FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-32555 Date: 08/23/67 THIS CERTIFIES that the building NEW DWELLING Location of Property: 345 CEMETERY RD EAST MARION (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 31 Block 10 Lot 7 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated AUGUST 2, 2007 pursuant to which Building Permit No. 33290-Z dated AUGUST 2, 2007 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 SINGLE FAMILY DWELLING WITH ATTACHED TWO CAR GARAGE & COVERED FRONT PORCH AS APPLIED FOR. The certificate is issued to ESTEVES HOLDING CORP. (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF EL'JLTH APPROVAL R10-05-0015 08/22/07 ELECTRICAL CERTIFICATE NO. 2074974 03/09/06 PLUMBERS CERTIFICATION DATED 06/08/05 WM.METCALF PLUMB.&HEATING h ized Signature Rev. 1/81