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Home My WebLink About1000-117.-7-23 af"'„n d” J wmww and m iV K Rental Permit Oil 0973 Owner Puric Family Irr. Trt. Occupied as Single Family Dwelling Located at 1250 Second Street New Suffolk 117.-7-23 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. 8/4/2023 rt� 7icial This Notice must be posted by the main entrance at all times rTe E�� ar�c � f SQl/ - Town Hall Annex Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 AF P.O.Box 1179 Southold,NY 11971-09.59 BUILDING DEPARTMENT J U L 1 4 2023 TOWN OF s0 'HOLD `.. RENTAL PERMIT APPLICATION T . Rental Permit Fee$200(Application must be renewed every two years) Section A. Property Information: Rental Property Address: , Ilel SIV 1k, �y� Tax Map Number: 1000 SECTION -BLOCK -LOT ' SECTION B. OWNER INFORMATION: j Property Owner Name: -7 1e- pJr-q- vCCo4 Property Owner Legal Address: Property Owner Mailing Address: 1i ((,3'1' .312-3`)S01 «i)fja)--LI)bl fC�,�i)�� a Telephone Number (s): Daytime Evening Emergency Property Owner Email Address: rc r JaeC=1,"f 1inq-, ne-f Page 1 of 5 Town Hall Annex Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1179 fi Southold,NY 1 1 971-0959 �c oum u =a BUILDING DEPARTMENT T-OVIVW 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 rentals units) Name of Managing Agent of dwelling unit, If any: ' �a��i r C�in� ry �V1 Address of Managing Agent (no P.O. Boxes): (0� � lYa� L"Cf4k a` , �/j i i ct as Page 2 of 5 Town Half Annex hone(631)765-1802 �� Telephone 54375 Main Road Fax(631)765-9502 P.O.Box 1179 Ac Southold,NY 1 i 971-0959 �r I AA'Al tur4BUILDING 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." x Rental Dwelling Unit Identifier: Requested Maximum number of persons allowed to occupy Dwelling Unit: Number of rooms in Rental Dwelling Unit 3 Use and Dimensions of each room in Rental DRA&qwelling Unit: r7 0`h ��f a �� f �i ' +I`' t t Y .�- j , `hot f ri I � 10 09 Page 3 of 5 IN Town Hall Annex V� Telephone(631)765-1802 54375 Main Road � Fax(631)765-9.502 At P.O.Box (i 79 Southold,NY 11971-0959 nA 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. ❑ 1 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 SUFFOLK,) ►�%� ®� 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 A Town Hall Annex Telephone(631)765-1802 54375 Main Road - K Fax(631)765-9502 P.O.Box 1179 Southold,NY 11971-0959 BUILDING DEPARTMENT TOWN OF s0 OLD 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: v Property Owner's Signature: Sworn to before me this A�day of Sow, . 20A3 f OM-al Notary Public Signat a and Original Notary Stamp JOSEUNE V.LOJA Notary Public,State of New York No.01 L06425984 Cluallfled in Suffok County Cornm"on1? Page 5 of 5 0 TOWN OF SOUTHOLD BUILDING DEPT. 631-7651802 kt�-,�-7- _ v� limbpEUT olm [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [XFFIRE LATIOWCAULKING FRAMING /STRAPPING [ L FIREPLACE & CHIMNEY [ SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FI L) [ ] CODE VIOLATION [ ] PR / [ RENTAL rn /� DATE INSPECTOR u 0 .....m.__. .. �...� � � �� Tr{- . _ . DISTRICT SUB LOT TOWN OF SOUTHOLD PROPERTY RE .fit°"_....... .. _.. _ �_ ..w .._ ......_ ....�.�.. _,___µ... ._w�......__.. ...��ww..w_,�. __,....�M..�._� ......._. ,w....,.... ..,__..._�... _. STREET VILLAGE OWNER N.. .„ FORMER OWNER N E ACREAGE _ .... _.. S W TYPE OF BUILDING SEAS RES ;� i .. �_. mm. ... . ....,...VL. FARM _.... __ ..��a., .... . _..... ��,. _.....�...._. - ....._..._�___�.�.._ ....._,.._.__��..__�._....-. _._....._. � ..� COMM IND CB MISC Est Mkt Value LAND IMP, TOTAL DATE REMARKS - r . 1 BU PING C: ) DI i % 71 NEW NORMAL BELOW ABOVE FRONTAGE ON WATER _ .. ...... ON ROAD Farm � Acre � Value Per Acre Value � FRONTAGE .. Tillable 1 BULKHEAD Tillable 2 DOCK _ . ... ._ Tillable 3 ° a. Woodland i 2 el d �p � � a re _ w. Swampland House Plot Total „x rY , f / F 4 117-7-23 2/01 II Dinette M. Bldg, Foundation CrBar� Bath t� x �r,. Base ' Floors i Kit. xtension Ile ,� � �� a Basement �' .,� — . .._— _.._..._._.11 11 Ext Walls Interior Finish L. Extension .=_t.�= . �... a�..._. .._.. _ .. ... . .._...�� _ ......, a_. ...�._ ...._...._.... w.. D.R. Extension Fire Place Woodstove Heat _... ......._. _. BR. Patio ...m_ . .. _...._. . ._ ....m_ __ n. Dormer Fin B Porch .M........-�--__ .�. .... ....... .. Attic i ��. ts� i4 R ._.. Breezeway Rooms 1st Floor __....w_. mm.... ,. _..... _. ... , . Garage Driveway Rooms 2nd Floor 0,B. Pool r i 0 d r r r s b, �� l l � B Foundation Both W Ext y . Floors J ExtensJ n ! -" F Ext. Walls ii;terior f=inish Extension � � Fire Place heat Porch �� Roof Type Y Porch f R,)oms 1st Floor B reezewoy Patio Rooms 2nd Floor 0 .,. Garage Driveway Dormer r O. B. f r FOEM NO. S TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Clerk's Office Southold, N. Y. Certificate Of Occupancy No. .27333 . . . . . Date . . Optober. 29 . . . . . . . . . . . . .. 19_76 THIS CERTIFIES that the building located at . . .1250 ,Second. . . . _ . . . . . . . Street Map No. . '---". . . . . BlockNo. No. . . . New Suffolk, N.Y. . . . . . . . . .77. . . . . requirements for one family d l.l.ing & Noosing Code conforms substantially to the Ai r g built prior to Certificate of Occupancy d .. April 23 19. 57, pursuant to which dated . . . . .Octgbor. 29. . . . . ., 19. 76, was issued, and conforms to all of the require- ments of the applicable provisions of the law. The occupancy for which this certificate is issued is . . . private. one-family. dwelling . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . The certificate is issued to . . . France a Maj a ski, Owner . . . . . . . . . . . . (owner, lessee or tenant) of the aforesaid building. Suffolk County Department of Health Approval pre-existing . . . ?i. .i- xis. . . UNDERWRITERS CERTIFICATE No. . . Pre-existing . . . . . . . . . . . . HOUSE NUMBER . . . . 1250. . . . . Street . . Second Street. . . . . . . . . . . . { . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . New, Suffolkr. NY. . 11956. . . . . . . . . . . . Buizig Inspector HOUSING CODE INSPECTION October 26 , 1976 1250 2nd St. Nev Suffolk, N.Y. Tax Roll: Frances Majeski Occupied: Tenent, Barbara Baco Upon receipt of an application for a Pre-existing Certificate of Occupancy, I made an inspection of this one- story, framed dwelling. I was admitted to the building by Mrs. Baco and began this inspection at approximately 2 :40 P.M. The building consists of one bedroom, living room, kitchen, and a full bathroom. The building is constructed on locust posts and is tightly skirted. Heat is furnished to the building by a floor-standing space heater, kerosene fired, located in the living room. The following Violations of the Housing Code, Chapter 52, Town of Southold, New York, were found: 1. Living Room - outside entry, no means of controlling light in room on entry; Article V, Section 52-56 B (2) . 2. Bedroom - no door to provide privacy; Article II, Section 2-2 D (2) . 3 . Kitchen - gas cooking range, no shut off valve at unit; Article V, Section 52-52 B (2) . Outlet for refrigerator and ceiling fixture, current supplied to these fixtures by lampcord running through petition dividing kitchen and living room. This lampcord has pigtail plugged into outlet in living room wall; Article V, Section 52-56 A (1) . 4. Bathroom - no moisture-resistant floor covering; Article II, Sec on 52-26 (4) . Wall fixture, lamp cord providing cur- rent for wall fixture through petition to an outlet in the kitchen. Connection is made under the plate of the outlet; Article V; Section 52-56 A (1) . Hot water heater, electric fired, two wires connecting, no shield and no ground; Arti- cle V, Section 52-56 A (1) . 5. Exterior of building - southwest corner, siding of structure an strcturef elow grade level, subject to elements v destruction from insects; Article III, Section 52-30 C and Section 52-31 B. Pole on northwest corner for electric service to building has been damaged by termites at the base and section at roofline is cracked and weakened, Con- duit that supplies the service line to the meter box is loose; Article V, Section 52-56 A (1) (2) . FORM NO.4 TOWN OF SOUTHOL:D BUILDING DEPARTMeNT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy No. .z11055. . . . . . . . . Date . . . .June . ?9. . . . . . . . . . . . . . . . . . . .. 198.2 THIS CERTIFIES that the building . . . . . . . . . . . . . . . . . . . . . . • • • . . . . . . . . . .. . Location of Property 1>250se 10.. . . . . . . . . . . . . . . rSecond Street o- New£Suffolk HvuStreet Ham%et County Tax Map No. 1000 Section . 1.1.7 . • . . • . .Block ?. . . . . . . . . . . .Lot . . . 423. . . . . . . . . . Subdivision . . X. . . . . . . . . . . . . . . . . . . . . . . . . . . .Filed Map No. X. . . . . . .Lot No. A. > . . . . conforms substantially to the Application for Building Permit heretofore filed in this office dated June 1019$ pursuant to which Building Permit No. . ,1.1214. .Z dated . . . .June .2 919$x. ,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 . . , . . . . . . amaddition to an exis.tin� dwelling. . , , , . . The certificate is issued to , , Peter & Helen Puric � rrer,� i fir► of the aforesaid building. Suffolk County Department of Health Approval . , n/.r . . . . . . . . . . . . . . . . . . . t • . • . . t • • _ . . • • . UNDERWRITERS CERTIFICATE NO. . . . . P. .552720# @ * , . . . . . . . . . . . . . . . . . . . . . . . . . . Building Inspector Rev.1/81 4 - FORM NO.4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold,N.Y. Certificate Of occupancy No. . . . . .295.0.56 . . . . . Date . . . .. Oc,t910er . P.,. . . . . . . . . .. 19 86 THIS CERTIFIES that the building . AM ,to, exist,in� orze, family, dwelli ddng Location of Property ;1#250 Second Street New Suffolk . . . . . House Na Street *H*a- 1ei County Tax Map No. 1000 Section . . . . . . . . .Block . 0,7. . . . _ . .Lot . , . 023. . .. . . .. Subdivision . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Filed Map No. . . . . . . . .Lot No. . . . . . . . . . . .. . conforms substantially to the Application for Building Permit heretofore filed in this office dated ... . . . . . . . . . . 19 8 5.pursuant to which Building Permit No. . .9.4491 Z . dated . . . . Dec e mbe r 3 0., . , . , . 19 85. ,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 . . . . . . . . . Addition to existing one family dwelling Peter & Helen ?uric The certificate is issued to . . .. . . . . . . . . . . . . . . . . . , . . of the aforesaid building. Suffolk County Department of Health Approval . . . . . . . . . . . . . . AIA. .. . . . . . . . .. . UNDERWRITERS CERTIFICATE NO. . . . . . . . . . . . . . . . . . .N 7 7.??4?. , . . . . . , . ., . > , . , . . . Plumbers Certification dated August 7 , 1986 F . . . . . .. . . . . . . . . . . . . . . . . . . . . Building 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-26897 Date: 01/31/00 THIS CERTIFIES that the building FOUNDATION Location of Property: _ 1250 SECOND ST NEW SUFFOLK (HOUSE NO. ) (STREET) (HAMLET) County Tax Map No. 473889 Section 117 Block 7 Lot 23 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated JANUARY 5, 1998 pursuant to which Building Permit No. 24754-Z dated MARCH 5, 1998 was issued, and conforms to all of the requirements of the applicable provisions of the law. The occupancy for which this certificate is issued i9 AL'TERATION & N FOUNDATION UNDER E%ISIING ONE FAMILY DWELLING AS APPLIED FOR, The certificate is issued to PETER & HELEN PURIC (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. 24271 01/05/00 PLUMBERS CERTIFICATION DATED 37/20/99 IGNAZLO ACCARDI, JR. S41t cavi ed Si nature Rev. 1/81 .T- .... F �. *. 44 i yy T. E -- 1 i I y 1 ,cn, 6•