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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, 4e- ���� 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: NlArl wl / u rraavwt si a�e�rvtE..ias�i - F1�R Y�A�b1 TOe�4YNE 6F.W uac.�sw..aW ask-!s' - aa*�x +�-r+•m� +aar�r.Fa f€�biL$ A9 Yo0�TEGPF�101o2t 10 be�N>mtlw�o aA�dmpNe ..... w. _ m�saau 105edlm R€We GIzaYBuH QJmeya rwiaw.r ws W w W w¢� rim,r�•o.�_�.. w z W X J w Q _e_--aa_s__ a__m-= --- ------------ OW S # ,... - t!. € � >,.t � _ � � � tea• �a�y..l,.w, tsw >,.,a d r » � O 00 _ §N w,a¢a _ - Bedroom#2 it MAX ,x I Ali pp , A.�� w y at boa 0 04 an ------------- rr w s N ry 0 o ••�. •�s� �� �� -. � - -- T rax siacxx�n€sYm rem � C7 r r l a " n W eta e ceQ„3a� PIAM XEIGHT 5-- SCJSE Ui-.1-0' Clem Mno>tde Debdar ����' SCJ€LE 1M'�t'J �s � mtlwe.AS.db�e1ldm. Iwet€molw�Y.sptm --. R ]ell SC WMR]€sd MFwew9t w.rmm.vttrn.mn .r.t �+ V w.xat a.Yd M'S M'mnn.¢.a.¢t aawa'aw*� Sat 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......_