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Home My WebLink About1000-126.-7-17 TOWN OF SOUTHOLD Rental Permit w t 0921 Owner Joseph & Helen Corso Occupied as Single Family Dwelling Located at 2180 Bray Avenue Laurel 126.-7-17 Maximum Permitted Occupancy 3 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. 6/1/2023 Code Enfo c ment Offic I This Notice must be posted by the main entrance at all times tag.k 4 200 o4S°Iq sot> Town Hall Annex ' Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1179 yQ Southold,NY 11971-0959 LDBUILDING DEPARTMENT 2 ` �� TOWN OF SOUTHOLD BUIWINGDEP7 TOW(e)MOU71401b RENTAL PERMIT APPLICATION- Rental Permit Fee$200(Application must be renewed every two years) Section A. Property Information: Rental Property Address: X6$4 � Hwy �,►e,��-e�rl.a.��,� . N�' IIR'�8 Tax Map Number: 1000 SECTION q73$$q -BLOCK.-_1_X(0 - _ _ --LOT. -7 1? - SECTION 7 -SECTION B. OWNER INFORMATION: Property Owner Name: . jest]6 e 4 14-e(e,,1 Y. CO2s p Property Owner Legal Address: Property Owner Mailing Address: asap "!L a b f- - - CJ�'s,� f� Nt I IR 35' -- s Telephone Number(s): Daytime'!'14-WE-R)3K Evening 631•?3'f4jf_;Emergency.&31 —375-4 Property Owner Email Address:- !Cn ruol(� oytl oak•Cd r, Page 1 of 5 AP-'*'Vjf*-SOUND Town Hall Annex Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1179 Southold,NY 11971-0959 QIC day f 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 pfS0 Town Hall Annex Telephone(631)765-1802 54375 Main Road t Fax(631)765-9502 P.O.Box 1 179 G , Southold,NY 1 1971-09591 COU 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: l 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:_ 3 --- Number of rooms in Rental Dwelling Unit: Use and Dimensions of each room in Rental Dwelling Unit: tib°`.R-VV\ LO.1 ��-�(ti�2•N — �� Sr , �e�hcd� [ - 1�2�� '�., R-��iedm �.IORCg 5 i Page 3 of 5 Town Hall Annext J Telephone(631)765-1802 54375 Main Road "' Fax(631)765-9502 P.O.Box 1179 Southold,NY 11971-0959 �``d7�. cnum a,s 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. ❑ I am requesting a fire safety inspection to be performed by a Code Enforcement Official /from the Town of Southold I/ 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 105e ,.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 9�soupy , 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 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:. V4- C '4� _ U 1i Property Owner's Signature: 106,q 6,q k, Sworn to fore me thispL�-day of M 6W20� Offici otary Public Signature a rigi al Not ry Stamp LILLIANNA R KIEL Notary Public-State of New York NO.01 KI6424267 Qualified in Suffoik county My commission Expires Oct 25,2029 Page 5 of 5 Town Hall Annex ,4t Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 CIO P.O.Box 1179 , , Southold,NY-11971-0959 i �coutJ1�s��' 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 Professional seal required for Architect or Engineer, licensed Home inspector must provide copy of valid current certification Rental PropertySCTM Number: Rental Property Address: 1190 bxu Riemo-e, , I.a,vntl , Nq`VN& Owner/Name: ToStOL -t- Wdeo tOILS® Rental Dwelling Unit Identifier: I Number&Square footage of each bedroom as depicted in the attached floor plan: (i.e. Bedroom#1 -100 sq. Bedroom#2-90 sq., etc.)rE DR- o 1 s 1�W'V neeea� 10'- 9. Kll�F� Property Description (Include all improvements indicated on survey) 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 Constr ction Code of New York State. Print N dei. ,; Original Signature .. Pleas I ce Is OF SOUlyolo # TOWN OF SOUTHOLD BUILDING DEPT. courmN�'' 631-765-1802 /a(o_ 1_17 INSPECTION [ ] 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 [-�NTAL REMARKS: / DATE �-/�� INSPECTOR H Q O r� V OD ~ V 4 � w in m m �n m ni ni ni m m ni 5 LIVING / DINING ;;; O 13'8"x 15'5" • O 00 O m in iii r l STOOP p m m ui - - - - - - - - - - - - - - - - - - - - — m ni ----- 0 O i i m , , m i S 4'1�1 KITCHEN S 8'1"x10'2" 39.4 SF SERVICE 82.2 SF I I ��i PROPOSED UNFINISHED BASEMENT NEW CC BEDROOM No. 2 ;;; x o EAU 10'5"10'5" 11'4" 62.2 SF n. wvO q, m ,.0 - 42 12 -14 4 --------------------- - - Ln --------------------- -----__==________=____ _____=____________=====e----------------_____ � . ----- -------------- cu m � .- in N o BEDROOM No. 1 8'11"is 15'5" ENTRY 5'8"x15'8" Ell 142.6 SF W 87.9 SF 4 " 0 W U) OS SMOKE DETECTORHOUSE AREA: 802.7 SF SO SMOKE DETECTOR 900 � CO CO DETECTOR NOTE: O CO DETECTOR PROVIDE SMOKE AND ,w CARBON MONOXIDE DETECTORS TO CODE FLOOR PLAN FOUNDATION PLAN x SCALE: 1/4" = 1'-0" SCALE: 1/4" = 1'-0" DRAWN: SCALE: 1 � JOB#: 5/10/2023 SHEET NUMBER: A- 1 TOWN OF SOUTHOLD PMOPERTY RECORD X' OW SERb A, F. Co,_S� STREET VILLAGE DISTRICT SUB. LOT FORMER OWNER N E. ACREAGE Old V :5ecov, Fix -&J(,+W� W —TTYIEOFBUILDING I/ RES. SEAS. VL. FARM comm. I IND. I CB. I misc. I Est. Mkt. Value LAND IMP. TOTAL DATE REMARKS C—v :2i 0 ? 0 f1l 0 0 WL 6 6 9 vr L71-74 AGE BUILDING CONDITION 0 CO-f-50 a,41, NEW NORMAL BELOW ABOVE FRONTAGE ON WATER tl Form Acre Value Per Acre Value FRONTAGE ON ROAD J-'� ! J--7) Tillable I BULKHEAD Tillable 2 DOCK Tillable 3 f� a� a Irl! /�Ob Wqodland Swampland Brushland House'Plot- -41 Total i "�..Y yY�yyf � _ �,?C'¢`_•'1t`. _ .. v .. - � � I i � i..I�' � `. I � v� iy.,�•�7.r aY .+ -.I/ - � ss� I I I � I 1{ 1 i !� � � �.� _� _.:'.ry��t`ani:.a• � ,..-�- _�._ ::.w .d .�°` � � i ! ; ` ! I � i/ �i ( i _I ' L J y' "+=�%'�b,.�C:•"_a�'n:�•�,; ."d:^a:.�:,'": C�'af�•s..�'��' '4'at�' M,`~ I I I `! t` 1 1 }} Vj _ i I M. Bldg. �> 1 i i i Foundation i , Both a Extension I ' 949 �csemenf r �, Floors + F Extension r• I Ext. Walls inish i �/ f/ Interior Extension Fire Place j ."; i� Heat i 2/g//7/,X� Porch 1 Root TypeG� i I I Porch Rooms 1st Floor Breezeway Patio Rooms 2nd Floor I I Gara9e Driveway Dormer � O. B. ! I FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT office of the Building Inspector Town Hall Southold, N.Y. PRE EXISTING CERTIFICATE OF OCCUPANCY Not Z- 27252 Date: 08/16/00 THIS CERTIFIES that the building DWELLING Location of Property 2180 BRAY AVE LAUREL (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 126 Block 0007 Lot 017 Subdivision Filed Map No. Lot No. conforms substantially to the Requirements for a ONE FAMILY DWELLING built prior to APRIL 9, 1957 pursuant to which CERTIFICATE OF OCCUPANCY NUMBER Z- 27252 dated AUGUST 16, 2000 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 ACCESSORY METAL SHED The certificate is issued to ANDREW & MARGARET DONLEVY (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A *PLEASE SEE ATTACHED INSPECTION REPORT. //ut)ftized Signature Rev. 1/81 BUILDING DEPARTMENT TOWN OF SOUTHOLD HOnATNG CODE INSPECTION REPORT LOCATION: 2180 BRAY AVE L•At�EL. SUBDMSION; MAP NO.: LOT (S) NAME OF OWNER (S) : ANDREW & MARGARET DONLEVY OCCUPANCY: A 1 RRqTnRNTTAT, ANDREW & MARGARET nONLEVY ADMITTED BY: PHYLLIS ATKINSON ACCOMPANIED BY: SAME KEY AVAILABLE: SUFF. CO. TAX MAP NO.: 126.-7-17 SOURCE OF REQUEST: ANDREW DONLEVY- 8/9/00 DATE: 08/16/00 DWELLING: TYPE OF CONSTRUCTION: WOOD FRAME # STORIES: 1.0 # EXITS: 2 FOUNDATION: �CANCRRTE BLOCK CELLAR: FULL CRAWL SPACE: TOTAL ROOMS: IST FLR.: .i 2ND FLR.: 3RD FLR.: -�L BATHROOM(S) : 1.0 TOILET ROOM(S) : _ 0.0 UTILITY ROOM(S) : PORCH TYPE: FRONT ENCLOSED DECK TYPE: PATIO TYPE: BREEZEWAY: FIREPLACE: GARAGE: DOMESTIC HOTWATER: YES TYPE HEATER: ELECTRIC AIRCONDITIONING: TYPE HEAT: LIPA GAR WARM AIR: XX HOTWATER: OTHER: ACCESSORY S'T'RUCTURES: GARAGE, TYPE OF CONST.: STORAGE, TYPE CONST.: METAL SHAD SWIMMING POOL: GUEST., TYPE CONST.: OTHER: VIOLATIONS: CHAPTER 4S N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE LOCATION ( DESCRIPTION i ART. i SSC. I f I � � f f f I i f f I I { f f f I f i I f I I f 1 I f I I f I I f I I f I I f I f REMARKS: EP,43774Z•COZ•3077 (ADDITION & ALTERATION) INSPECTED BY:_ ' DATE ON INSPECTION: 08/15/00 GARY J FI H TIME START: 10:20 AM END: 10:45 AM FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. CERTIFICATE OF OCCUPANCY No. RAQ.77............. Date ...................J ............r21a........... 19,A2Q. THIS CERTIFIES that the building located at J9/ .A:F4X...AM!..................................... Street Map NoA-4e'W3Biock No. ...................... Lot NoAQ.......t r... ... Fkt.................. conforms substantially to the Application for Building hermit heretofore filed in this office dated ............ ................ 19.010.. pursuant to which Building permit No. .17-74-0. dated ..........."knmr-mr.............. 19.M., was issued,and conforms to all of the requirements of the applicable provisions of the low. The occupancy for which this certificate is issued is ........ ..pX:iY.$U.. "4P.. ► ..1 ++��k�,ung......................................................................................... The certificate is issued to ..A?..)ig1gA*yy f..PWAI*.................. ... ....................................................... (owner, lessee or tenant) of.the aforesaid building. ...... ........... .:.. .........4-::... ..�'..�...�... .............. Building Inspector i FORM NO.2 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) Nf° 3774 Z Date ...........................Vehi..21.............. 1940... Permission is hereby granted to: ................ ►:.� 'Oft..................................... ................................................................................ to ......... .................................................................................................... ........................................................... at premises located at ... .. ....gtT.VaAw :..a ..gKkIIng...................................................... ............ j r.... ' i:..A.`1�e.......UW01.............................................................................................. ................................................................................................................................................................ pursuant to application dated .............................. "� ..... .�............... 15 ...., and opproyed by the Building Inspector. Fee 4sm .............. B i ding Inspector 1