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HomeMy WebLinkAbout1000-30.-3-1 T"WN "' F SOUTHOLD
Ae
Rental Permit
0586
Owner 287 Livingston Street Holdings LLC
Occupied as Single Family Dwelling
Located at 3045 Rocky Point Rd. East Marion 30.-3-1
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.
1/31/2024
Code r 'ore e t Officia
This Notice must be posted by the main entrance at all times
0 �5-8,,e;
TOWN OF SOUTHOLD BUILDING DD
631 -7654 802
INSPECTION
[ ] FOUNDATION IST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INSULATIOWCAI
[ ] FRAMING / STRAPPING [ ] FINAL
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY IN!
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PE
[ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FII
[ ] CODE VIOLATION [ ] PRE C/O ,141
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DATE
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TOWN OF SOUTHOLD
Rental Permit
0586
Owner 287 Livingston Street Holdings LLC
Occupied as Single Family Dwelling
Located at 3045 Rocky Point Rd East Marion 30-3-1
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.
1/31/2022
de "rmffc i a
This Notice must be posted by the main entrance at all times
Town Hall Annex
Telephone(631)765-1802
54375 Main Road Fax(631)765-9502
P.O.Box 1179
Southold,NY 11971-0959
1 10,01),
BUILDING DEPARTMENT
TOWN OF SOUTHOLO
RENTAL PERMIT APPLICATION
N
Rental Permit Fee $200(Application must be renewe v f ^eats
j�ui
Section A.
Property Information:
Rental Property Address: /� �' l m 'le�v All A/
Tax Map Number: 1000 SECTION 3 & -BLOCK 'LOT
SECTION B. ,`1p� nes (� LC-C
OWNER INFORMATION: ' l
c
Property Owner Name: I'
Property Owner Legal Address: Property Owner Mailing Address:
135 f AJ h
Telephone Number(s): Daytime Eveningf-Z7 374 Emergency QS'.
Property Owner Email Address:
Pd p
Pia
Page 1 of 5
Town Hall Annex
Telephone(631)765-1802
54375 Main Road Fax(631)765-9502
VS We
P.O.Box 1179
Southold,NY 11971-0959
ou
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
Town Hall Annex Telephone(631)765-1802
54375 Main Road Fax (631)765-9502
P.O.Box 1179
Southold,NY 11971-0959
ou
BUILDING DEPARTMENT
TOWN OF SOLITHOL D
Mailing Address of Managing Agent:
Telephone Number(s): Daytime Evening Emergency
Email Address:
SECTION F.
PROPERTY DESCRIPTION:
Number of Rental Dwelling Units on property: OA)e
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 oc py Dwelling Unit:
Number of rooms 1n Rental Dwelling Unit:
Use and Dimensions of each room in Rental Dwelling Unit:
jc-
Page 3 of 5
-Telephone(631)765-1802
Town Hall Annex Fax(631)765-9502
54375 Main Road �'
P.O.Box 1179 r ,U
Southold.NY 11971.0959
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
SECTION G.
INSPECTION:
9
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.
❑ 1 am requesting a fire safety inspection to be performed by a Code Enforcement Official
from the Town of Southold
I am submitting a completedl 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 S ) /Cid D h 0
i
867 certify under penalty of perjury,the following:
1. I 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
Telephone(631)765-1902
Town Hall Annex Paz(631)765-9502
54375 Main Road
P.O.Box 1179
Southold.NY 11971-0959
BUILDM DEPARTMENT
TOWN F iI
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 e t,ori eite Manna r. �� , it LL G
Property Owner's Name.
Property Owner's Signature:
Sworn to before me this day of "� 20.Z)
tial otary Public Signat e a Orlginat Notary Stamp
QUALIFIEDIN
;RICHMOND COUNTY.
COMM.EXP,
02-22.202-1
Page 5 of 5
TOWN OF SOUTHOLD BUILDING DEPT.
cou 765-1802
INSPECTION
[ ] FOUNDATION 1 ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INSULATIO CAULKING
[ ] FRAMING / STRAPPING [ ] FINAL
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL)
[ ] CODE VIOLATION [ ] PRE C/O
REMARKSm-
( k
DATE
" INSPECTOR
V
Town Hall Annex Telephone(631)765-1802
63
5375 Main Road Fax� , (63J)76.5-4502
P.O. Boz 1 179
Southold,NY 1 1971-0959
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I
BUILDING DEPARTMENT 2021
OF SOCIT'f f M
RENTAL PROPERTY CERTIFICATION WINIi.m.u:.�iuS UTI-FT
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
i p _ ipDa/seal r� if off , , nir� ingitt ins odor must provide
Rental Property SCTM Number:
/coo 3a 3
Rental Property Address: n _._ o
Owner/Name: 57 ! . � � I i � � eel loolnSs t( CLL
Rental Dwelling Unit lderstl ler
Number & Square footage of each bedroom as depicted in the attached floor plan:
(i.e. Bedroom #1 —100 sq., Bedroom#2-90 sq., etc.)
.
� ...„
Property Description lnclurie all improvements indicated on sures
..........
.�
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 Construction Code of New
York State,
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Print Name and Title �
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TOWN OF SOUTHOLD PROPERTY RECORD CARD s ter=
OWNER STREET VILLAGE DIST. SUB. LOT
{
I �} /�j ( ACR. REMARKS 4' 12- 120
TYPE OF BLD.
Iwl, PROP. CLASS--
LAND
LA -LAND IMP_ I TOTAL [ DATE S 3 + _ 6Lob
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3
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FRONTAGE ON WATER TILLABLE
FRONTAGE ON ROAD WOODLAND
DEPTH MEADOWLAND
BULKHEAD HOUSE/LOT
TOTAL
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23
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44- COLOR
-
` TRIM
30-3-1 1/02
I
M. Bldg, 5, Foundation CB' Bath Dinette
leis
Extension ,+ Basement -BRAWL Floors Kit.
SLAB
Extension �,..1 a_�� - I L.R. .
Ext. Walls , Interior Finish
v e r-a� d r t.��.
Extension - Fire Place Heat
� D.R.
Patio Woodstove BR. 4
i
Porch Dormer Fin. B.
Deck 2 v + a 75 i
� 3, � � � Attic
Breezeway Rooms 1st Floor
j Garage 7 � � Driveway Rooms 2nd Floor
Aj-
PoolAJ
3 �X,
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FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No: Z-28159 Date: 2ILLOL02'
THIS CERTIFIES that the building NEW DWELLING
Location of Property: 3045 ROCKY POINT RD EAST MARION
(HOUSE NO.) (STREET) (HAMLET)
County Tax Map No. 473889 Section 30 Block 3 Lot 1
Subdivision Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated APRIL 9 2001 pursuant to which
Building Permit No. 27422-Z dated JUNE 20 2001
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 WITH COVERED FRONT PORCH REAR DECK AND ATTACHED
TWO CAR GARAGE AS APPLIED FOR.
The certificate is issued to SCHEMBRI HOMES INC.
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL R10-01-0035 12 31/01
ELECTRICAL CERTIFICATE NO. 2450 12/05/01
PLUMBERS CERTIFICATION DATED 12/14/01 ED ZIMM'ER
k��_
Authorized Signator
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-31355 Date: 12/27/05
THIS CERTIFIES that the building ACCESSORY
Location of Property: 3045 ROCKY POINT RD EAST MARION
(HOUSE NO.) (STREET) (HAMLET)
County Tax Nap No. 473889 Section 30 Block 3 Lot 1
Subdivision Filed Nap No. Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated MARCH 10, 2005 pursuant to which
Building Permit No. 31131-Z dated MAY 13 2005
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 INGROUND SWIMMING PC7OL IN THE RE UIRED R Y WITH FENCE
TO CODE AS APPLIED FOR.
The certificate is issued to JOSEPH A NELSON & TERR.ENCE JOYCE
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTHWU OF HEALTH APPROVAL N/A
ELECTRICAL CERTIFICATE NO. 99985C 07/05/05
PLIMERS CERTIFICATION DATED N A
tw� zed A gnature
Rev. 1/81
Town of Southold 6/22/2015
P.O.Box 1179
CM
�. 53095 Main Rd
� + Southold,New York 11971
Air
CERTIFICATE OF OCCUPANCY
No: 37618 Date: 6/22/2015
THIS CERTIFIES that the building DEER FENCE
Location of Property: 3045 Rocky Point Rd, East Marion
SCTM#: 473889 Sec/Block/Lot: 30.-3-1
Subdivision: bled Map No. ' Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
5/13/2015 pursuant to which Building Permit No. 39801 dated 5/27/2015
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:
ALF LRATION TO POOL FENCE AS AP'PLEBD FOR
The certificate is issued to Lapiana,Gasper& Patricia
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
Fr.ECTRTCA-1,CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
t ignat c