HomeMy WebLinkAbout1000-70.-8-41 TOWN OF SOUTH OLD
I,
Rental Permit
0647
Owner Pierre Drogoul
Occupied as Single Family Dwelling
Located at 75 Clearview Avenue Southold 70.-8-41
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.
4/19/2024
Code of d
ment off I
This Notice must be posted by the main entrance at all times
TOWN OF SOUTHOLD BUILDING DI
w�. 631 785 1802 �a-
INSPEC ION
[ ] FOUNDATION 1ST [ ] ROUGH PL13G.
[ ] FOUNDATION 2ND [ ] INSULATION/CAL
[ ] FRAMING / STRAPPING [ ] FINAL_
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY IN;
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PE
[ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (Fit
[ ] CODE VIOLATION [ ] PRE C/O [
REMARKS*
4?W4�e�. 14 iv he, 6/' as �)I,
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Town Hall Annex
Town of Southold 54375 Main Road
PO Box 1179
Rental Inspection Report
Southold, NY 11971-1179
" Tel: 631-765-1802
Date
SUM# ... .. ...�
Owner
D
Phone
� o v . � w. ... .. .. ... .,
Address V Visible
tJ Inspector
Hamlet
_M....,Floor Level Quantities _._... .. _ Sub 1 2 3 ....._
Smoke Detectors not located i s) /�
n bedrooms)
Carbon Monoxide Detectors ..Fire ....r.w... _..
Extinguishers _ ..
Exits
Bedrooms 1 2 3 4 5 6
Smoke Detectors
Egress
Occupant Count � 45�_.
Building Systems Maintained &Operational Condition of Property
Heating Building interior
Hot water Building exterior
Property clean, maintained._
& safe
Electrical ..,
Mechanical Han led & sec
guards installed ure....... .�n_..Handrails ua& rd
Pool Safety Pool on Site
Surface water alarm Dat e of CO issuance
11 Door alarms Pool completely enclosed
Self closing/ latching gates Pool fence to code requirements
CO's for all items present Prior Rental _
Comments: _.
r$ TOWN OF SOUTHOLD
Rental Permit
0647
Owner Pierre Drogoul
Occupied as Single Family Dwelling
Located at 75 Clearview Avenue Southold 70-8-41
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.
5/16/2022
e Enfo e nt 0'
e 1
This Notice must be posted by the main entrance at all times
Town Hall Annex ,tl Telephone(631)765-1802
54375 Main Road Fax(631)765-9502
P.O.Box 1179
Southold,NY 11971-0959
BUILDING DEPARTMENT
TOWN OF S OUTHOLD „n
RENTAL PERMIT APPLICATIONL\'� MAY 2022
n
Rental Permit Fee $200 (Application must be renewed every two years)
Section A.
Property Information:
Rental Property Address:
S
Tax Map Number: 1000 SECTION 0-7 0-BLOCK L ���� -LOT L� ' � .- o
141
SECTION B.
OWNER INFORMATION:
Property Owner Name: �-
Property Owner Legal Address: Property Owner Mailing Address:
75 GI e civ e- /� �S 2
11j
Telephone Number (s): DaytimeL.' -5� -tt-191 ening�4�-�4y 95�ergency'g6 - `,44 -T94D
�a
3X ix C) 355 u�G3
Property Owner Email Address: i�� � �w"
Pagel of 5
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
Section C.
Authorized Agent Information:
Name of Authorized Agent of dwelling unit, if any: , ` i 10. L�--r
Address of Authorized Agent (no P.O. Boxes): ' -1,1 yjq
Mailing Address of Authorized Agent: Ha-im ' a 41��qq
Telephone Number(s): Daytime Xveningt i,l 5536!�'V-Emergency61,533
Email Address: elml weJ - " j Kk rk
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 Annexe Telephone(631)765-1802
54375 Main Road Fax (631)765-9502
P.O.Box 1 179
Southold,NY 1 1971-0959a ,�
, $
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, Q 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: t
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: `lc"- , �' -r, .: i3`
K.
L I l 11 2
Page 3 of 5
Town Hall Annex ; Telephone(631)765-1802
54375 Main Road Fax(631)765-9502
P.O.Box 1 179 �L
Southold,NY 11971-0959
wl4
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.
pf 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 OF
I la Q U 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
MN W
NNpm
'tk
Town Hall Annex haw Telephone(631)765-1802
54375 Main Road Fax(631)765-9502
P.O.Box 1179 &�&
Southold,NY 11971-0959N��
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:
Property Owner's Signature: -
Sworn to before me this Zda of M P-Li 20
O Icial No ry Public Sign nd Original Notary Stamp
=STATP
RMSTRONG
STATE OF NEW YORKo.OIAR6191075INGS COUNTYres AUGUST 4 2024
Page 5 of 5
SO
TOWN OF SOUTHOLDL I
631 -765-1802
INSPE,C ION
[ ] FOUNDATION 1ST [ ] ROUGH PL13G.
[ ] FOUNDATION 2ND [ ] INSULATION/CAl
L l FRAMING / STRAPPING [ ] FINAL
I l FIREPLACE & CHIMNEY [ ] FIRE SAFETY INS
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PE
[ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FII
[ ] CODE VIOLATION [ ] PRE C/O [ ] I
REMARKS:
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SCTM #
`$ t TOWN OF SOUTHOLD PROPERTY RECORD CART
OWNER STREET VILLAGE DIST SUB, LOT t
ACR. REMARKS 17,
r
4
TYPE OF BLD.
VNPROP. CLASS 4
a 44-5
LAND IMP. TOTAL DATE z
' � clt N
i
I
FRONTAGE ON WATER HOUSE/LOT
-------------
I BULKHEAD
I TOTAL
MAY 11 2022
r :OLOR -TFF
i
i
FRIM
-T -F-T-r J
I
70.-8-41 1/19/2022
Mm
Yr
M. Bld
L �— ]a"�L(i b y Foundation ]J� Bath �, Dinette
rr 1f'
f
ensto .. `
fL � � F 5Q � �•bU a� a0 Basement FLA Floors K.
Extension Ext. Walls CAAr Interior Finisha
cSl �, LR.
Extension } Fire Place Heat DR.
Type Roof Rooms 1st Floor BR.
Porch -7XvQ Y, 140 bO -70 Recreation Roorr Rooms 2nd Floo FIN. B.
POM r�� 1 Dormer 3►�Tu �-
Brei woo Driveway
Patio GiF1 Lp
Total
a
_.......�...._.......�.... _M..._.._._.. .. _... ._._._�_�_w.. .._ ...._._.. ...� ......... _................_.
Town of Southold 12/9/2021
P.O.Box 1179
53095 Main Rd
Southold,New York 11971
CERTIFICATE OF OCCUPANCY
No: 42591 Date: 12/9/2021
THIS CERTIFIES that the building SINGLE FAMILY DWELLING
_.,.__ ... ........ —
... ............_ ._._. .
Location of Property: 75 Clearview Ave, Southold
........w.� , .._................_.__...._ _ . ._ �..........._.,..............�.
SCTM#: 473889 Sec/Block/Lot: 70.-8-41
..._......�........._.._._... __........_................._w__. .w..._------------
�.� w..w..__.v..
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore tiled in this office dated
1/2020 pursuant to which Building Permit No. 45814 dated 2/12/2021
was issued, and conforms to all of the requirements of the applicable provisions of the law. The occupancyfor
which this certificate is issued is:
din ale-farrtilyAely dlb with unfictished-bgs rpent covered frorlt.,Porch �P-OLItl tta he wg r g , a a Ii (d f`c�f.,
The certificate is issued to Zoumas,Ioannis
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF BEALTH APPROVAL R-20-0883 12/2/2021
ELECTRICAL CERTIFICATE NO. w.........�................-._....45814_...__..._...�.�. �......M.M 1..1/8/2021.w�._-._�.
PLUMBERS CERTIFICATION DATED 10/20/2021 Fre
Almys
_.M........ . ...... -_.w................
........... . - � ._w..�__m__...u...._..
f0p Town of Southold 12/9/2021
P.O.Box 1179
53095 Main Rd
Southold,New York 11971
CERTIFICATE E O OCCUPANCY
No: 42592 Date: 12/9/2021
THIS CERTIFIES that the building IN GROUND POOL
Location of Property: 75 Clearview Ave., Southold
SCTM#: 473889 See/Block/Lot: 70.-8-41
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
6/10/2021 pursuant to which Building Permit No. 46459 dated 6/22/2021
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:
c c; q in- run _r a n ars n aoc i e c .t _code as ajTjigd t r.
The certificate is issued to Zoumas,Ioannis
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL.CERTIFICATE NO. 46549 11/8/2021
PLUMBERS CERTIFICATION DATED
.... .... _._._. _
._�.�.. . .....w...._.. h riz ignature._v....____�........M......_