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Home My WebLink About1000-70.-12-7 `SOWN OF SOUTHOLD k Rental Perm*t 0529 Owner Frank & Kathleen Guidice Occupied as Single Family Dwelling Located at 1230 Critten Lane Southold 70.-12-7 Maximum Permitted Occupancy 8 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. 9/13/2023 Code Et o erg Offici This Notice must be posted by the main entrance at all times * TOWN OF SOUTHOLD BUILDING D 631-765-1802 INSPECTION rl�r� [ ] FOUNDATION 1ST [ ] ROUGH PL13G. [ ] FOUNDATION 2ND [ ] INSULATION/CAI [ ] FRAMING / STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY IN! [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PE [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (F1, CODE VIOLATION P RE C/ REMARKS: 94LAtkm_1) � d 01 IN \ ° \ S : . �� 1� \� ^ . a Imm- 3i ,o ' Town Hall Annex Town of Southold 54375 Main Road Rental Inspection Report PO Box 1179 Southold, NY 11971-1179 Tel: 631-765-1802 SCTM # Date Owner Phone Address Visible Hamlet � 7� _ _ In Spector Floor Level Quantities Sub 1 2 3 Smoke Detectorsnot locate .e .... . ( ed m bedrooms) Carbon Monoxide Detectors Fire Extinguishers Exits Bedrooms 1 2 3 4 5 6 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 cl11 osing~/ latching gates Pool fence to code requirements CO's for all items present Prior Rental Comments: TOWN OF SOUTHOLD Rental Permit ® off 0529 Owner Frank & Kathleen Guidice Occupied as Single Family Dwelling Located at 1230 Critten Lane Southold 70-12-7 Maximum Permitted Occupancy 8 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. 9/13/2021 ode E o e nt Official This Notice must be posted by the main entrance at all times S�V� 1 ar Telephone(631)765-1802 Town Hall Annex �' +--� �` z.�:. Tele p .;. 54375 Main Road n q Fax(631)765-9502 et, :0 P.O.Box 1179 zs , Southold,NY 11971-0959 BUILDING DEPARTMENT TOWN OF SOUTHOLD RENTAL PERMIT APPLICATION Rental Permit Fee$200(Application must be renewed every two year, MAY 2 4 2021 Section A. Property Information: ' , •� T Rental Property Address: i'43 0 Cri4+e05 La nti 5-0 uA 01 Tax Map Number: 1000 SECTION -70 -BLOCK / 0 -LOT - SECTION B. OWNER INFORMATION: Property Owner Name: Rink 6kn d jfeh (�u l 11 6(5- Property Owner Legal Address: Property Owner Mailing Address: J14 Leo knn ''erraCe- Same, yVLvALCc, k Ny #175:3 3-/6 �YY>6R3g007- Telephone 07-Telephone Number(s): Daytime.3 x(-7739371 Evedning sGtm e, Emergency Property Owner Email Address: '(ran kq Uti j i ce j @ q rna)I , Com Page 1 of S V so Town Hall Annex !r { Telephone(631)765-1802 t �3 is 54375 Main Road Fax(631)765-9502 t P.O.Box 1179 W��, Southold,NY 11971-0959 l4"~ 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: Mr) - uia L Requested Maximum number of persons allowed to occupy Dwelling Unit: Number of rooms in Rental Dwelling Unit: (0 Use and Dimensions of each room in Rental Dwelling Unit: 1"l-e-4-A -en �� X `Y B a.roo;�nkj- 15 'x /d ReddI-ovm -a- �J /o'//'rax l0' ; R-Prim �3r'�/' X g ' 1�eGQ1-cpm �f a ®'rl�,� 9 '//'' ; L;,u16room // Dinp7q p G's'ri9 026 ° A- bet) bet) i51KlaL Page 3 of 5 Town Hall Annex d1 r t- t l; Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1179 Southold,NY 11971-0959 t®Ui�[`1,� r 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. 6 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 JO,F SUFFOLK) I K6t �'J I eCll &J1 A'C�ertify 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 v Town Hall Annex Telephone(631)765-1802 54375 Main Road i Fax(631)765-9502 P.O.Box 11791 - Southold,NY 11971-0959 amu: 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: Q`I''� 10eI + Gni Property Owner's Signature. Q Ww, Sworn to before me this M day of KL\ 20_2A AJIL A t Official Notary Public Signature and Original Notary Stamp GLENN MICHAELPRISTINA NOTARY PUBLIC,STATE OF NEW YORg Registration No.01PR6411856 Qualified in Nassau Co ty My Commission Expires Page 5 of 5 � o # # TOWN OF SOUTHOLD BUILDING DEPT. °�y ou►m '� 765-1802 INSPECTION - [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [. -] INSULATIOWCAULKING [ ] FRAMING/STRAPPING [ ] INAL Rei pj,,Mj+ [ ] FIREPLACE & CHIMNEY [ FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) [ ] CODE VIOLATION [ ] PRE C/O REMARKS: rA ha- WK Ilk�, aa 4�v (J1 A✓INl JAI(� - - ►� � - 01, lC�&) ,01 .01 DATE INSPECTOR 1230 Crittens Lane, Southold Smoke Alarms Master Bedroom D AUG 7 5 2021 BUILDING DEPT. TO!VN()F Sj7T'T SOLD i �■...■■....rte.. Bedroom#2 Bedroom#3 r r L-3U AUG 1 2021 L BUJI.DING DEPT. s Bedroom#4 123 _ �z 6( 0 .t Fk- CO ew C% aor If UV�o C411 X e � n o t cor 0 Fro + Gb r al - • I 7,77-7 7 7 777777 -77 ,—�7.`,',:t -71 44, OW N ER STP EET',',1 _T . DISTRICT ICTSUB. LOT Ob .................... F.O'RM E MO& U PEOFS 'W� I DIN L r FARM �co "SEAS. M . ................................... ;2— I<S .... ....... ..................... L :DX-t AND� L. imp. TOTA .............................................. .............................. -J., P V .......... 2, "A . .................. ............... 3 ...........�.r .......... -1............... I., id, .1 !, p` Utz. Z, .nrw r. ......................... . , -------- ........... B AGE 31 L ING CO -ABOVE ................................ ............. 27 A a Acre r e''." A A� ................ Tillable', I q: ................. ............ ........................... .................... ............................. ........................................ ble, �3 ........... ............ .............. ................ _7.............................................................................. .......................................... Swomp,apcll' .......... ................... Brushland ............. ................... House Plot ......................... ........ ..... ................................ 7z "'W (IGET g. .............................. .... ...... ... .......I 7 _21 ........... _ "- "s F , — ��y g r, "4 N sw ?. x i e 4 � n F w I — } __ _—.__.......... .. ......... ----------- M. Bldg. Bath __--- — --— ✓ 3 Foundofian Extension . :', r . r tt Floors { P f, �r Basement � - -- -- -- --' 9>p Extension s +r. + t Pf- �s.� Ext: Walls ±, lhterior, F'i'nish. / Extension Fire Rlace' ` Heat , Porch_ , A ftic s 1�t, Floor Porch Room Bteecvva y = Patio., " Rooms 2nd.Floor ... d x : Garager%' .t Driveway. . , air �' — - 71 ..y , �. FORM X0. 4 - TOWN 0. 4 .TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. CERTIFICATE OF OCCUPANCY No. ......... Date.......................... ................. 191 ... THIS CERTIFIES that the building located ot... rl'ttem...16M.,,,, „•,• Street Map NO. Block No. ......... .......Lot No. ..M=. .....SAWKIAt....gtxt:..................... conforms substantially to the Application for Building Permit heretofore filed in this office dated ......................N T-RAW ... ...... ..�. ,, 109....pursuant to which Building Permit No. ............... dated .....................QVIP. tr....2.....•..,,, 19.191 issued,and conforms to all of the requirements of the applicable provisions of the law. The occupancy for which this certificate is issued is.............. .............PRIVA..:.an®,FMAY..dwa�............................................... ........................................... This certificate is issued to.........TRA'!?itU9. 'ffttk...... 1sA ........................................................... (owner, lessee or tend 0 of the aforesaid building. Building Inspector FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-25426 Date: 12/16/97 THIS CERTIFIES that the building ADDITION Location of Property: 1230 CRITTEN LANE SOUTHOLD (HOUSE NO. ) (STREET) (HAMLET) County Tax Map No. 473889 Section 70 Block 12 Lot 7 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated MARCH 13, 1980 pursuant to which Building Permit No. 10734-Z dated JUNE 16, 1980 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 DECK ADDITION TO EXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to JEROME & SELMA A. POLATNICK (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL NIA ELECTRICAL CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A Bui ing Inspector Rev. 1/81 FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-28316 Date: 04/02/02 THIS CERTIFIES that the building ACCESSORY Location of Property: 1230 CRITTEN LA SOUTHOLD (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 70 Block 12 Lot 7 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated JANUARY 11, 2002 pursuant to which Building Permit No. 28018-Z dated JANUARY 17, 2002 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 ACCESSORY TWO CAR GARAGE AS APPLIED FOR. The certificate is issued to RUDOLPH J & DOROTHY M CAGGIANO (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A Authorized Signature Rev. 1/81 O�gufFO��`OG Town of Southold 9/13/2021 P.O.Box 1179 _ 53095 Main Rd ��4j�r �t1e Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 42330 Date: 9/13/2021 THIS CERTIFIES that the building AS BUILT ALTERATION Locatiou.of Property: 1230 Critten Ln, Southold SCTM#: 473889 Sec/Block/Lot! 70.-12-7 Subdivision: Filed Map No: Lot No. conforms substantially to the Application for Building:Permit heretofore filed in this office dated 8/16/2021 pursuant to which Building Permit No. 46733 dated 8/25/2021 < 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 HVAC and front window'replacement to existing sin leg family dwelling as aj?ulied for. The certificate is-issued to Guidice,Frank&Kathleen of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL' ELECTRICAL CERTIFICATE NO. 46733 9/10/2021 PLUMBERS CERTIFICATION DATED Au o ed g ture