HomeMy WebLinkAbout1000-80.-1-7.1 = � � TOWN OF SOUTHOLD
" M
Rental Permit
0984
Owner Michael Timms & Donna Ganci
Occupied as Single Family Dwelling
Located at 2460 Paradise Shores Rd Southold 80.-1-7.1
Maximum Permitted Occupancy 10
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.
8/30/2023
Code nfoent Officia
This Notice must be posted by the main entrance at all times
s
Town Hall Annex � T 1 lZlsone(631)765-1802
54375!Main Road p Tax(t 1)765-9502
R0,Box 1279 I
Southold,NY 11971-Q959
BUILDING DEPARTM13NT AUG 1 7 2023
TOWN OF SCS OLD
E N TN A PERM ' IC `ION BUnDYNG DE4 Fr.
TOWNC� w
Rental Permit Fee $200(Application-must be renewed every two years)
Section A.
Property Information:
Rental PrQperty Address:
Tax Map Number: 1000 SECTION 4 C �-BLOCK �L) -LOT U-7 - d
SECTION B.
OWNER INFORMATION:
Property Owner Name: 1 1 .1
Property Owner Legal Address: Property Owner Mailing Address:
, 'fS'C ,5
� 1 1
Telephone Number(s): Daytime � -qfq"7q In Emergency �
Property Owner Email Address:
Page 1 of 5
Town Hall Annex Telephone(631)765-1802
54375 Main Road Fax(631)765-9502
P.O.Box 1179
Southold,NY 11971-4959
BUILDING DEPARTMENT
TOWN' OF S017fHOLD
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 Plumber (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 Emergencgc
Email Address:
SECTION E.
SITE MANAGER INFORMATION: (required For rental properties containing S or more rental units)
Name of Managing Agent of dwelling unit, if any;
ila
Address of Managing Agent (no P.D. Boxes):
Page 2 of 5
Rn
Town,Hall Annex Telephone(631)765-1802
54375 Main Road Fax (631)765-9502
P.Q.Box 1 179
Southold,NY 11971-0959 " a
BUILDING DEPAR'T'MENT
TOWN OF SOUTHOLD
Mailing Address of Managing Agent:
Telephone Number (s): Daytime Evening Ernergency_
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:
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: i cP -t / Tx 1 b
a 1 f X I v BIZ 7
10Y,10 62-3 Il k t-1 i` 4 (0 )e I c7 13 z�:- la X °y
4-):,s I G X 17 A++t L 14 X C
Page 3 of 5
Town Hall Annex Telephone(631)765-1802
54375 Main Road Fax(631)765-9502
402
Y.O.Box 1 179
Southold,NY 11971-0959 � �@ tJ v
BUILDING DEPARTMENT
TOWN OF SOUMOLD
SECTION Go
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
C I am submitting a completed Town of Southold certification form from a licensed
architect or a licensed professional engineer.
SEMON .
DECLARATION: Signature must be notarized and MUST be the owner of the dwelling unit.
STATE OF NEM YORK)
COUNTY OF SUFFOLK)
r "
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
Town Hall Annex Telephone(631)765-1802
54375 Main Road Fax(631)765-9502
P.O.Box 1 179
Southold,NY 11971-0959
BUILDING t)EPART'MENT
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 game,
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 I day of 4 20_2
Official Notary Public Signature and Original [Votary Stamp
CAITLIN CETIN
Notary Public.State of New York
N0.01 CE6199671
Qualified in Suffolk Country
my commission Expires Jan 7.0,202:
Page 5of5
TOWN CIT SIC UTHOLD BUILDING DEPT.
631-765.1802 go—
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PL13G.
[ ] FOUNDATION 2ND [ ] INSULATION/CAULKING
[ ] FRAMING /STRAPPING j ] FINAL
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION j ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) j ] ELECTRICAL (FINAL)
[ ] CODE VIOLATION [ ] PRE C/O [tRENTAL
REMARKS:
hi lest alai
2� h15 j'i �� 12 k 5
DATE
Town Hall Annex
Town of Southold 54375 Main Road
Rental Inspection Report PO Box 1179
Cn Southold, NY 11971-1179
" + ► Tel: 631-765-1802
e
SCTM # Ff 0 f ., _ , _ ..... Date �.mm .�', -a
Owner Phone
-. .. 4 ,.
Address ,� %� _ Visible
... p
Ins ector
Hamlet
Floor Level Quantities Sub 1
_. .. _..
Smoke Detectors not located in bedrooms)
Ca rbon Monoxide Detectors -
Fire Extinguishers
Exits
Bedrooms 2 6
Smoke Detectors
Egress
Occupant Count
Building Systems Maintained & Operational Condition of Property
Heating Building interior
Hot water Building exterior
Electrica11 l Property clean, maintained &safe
Mecha11 nical Handrails &guards installed & secure
Pool Safety Pool on Site
Surface water alarm Date of CO issuance
Door alarms 11 Pool completely enclosed
Self closingLL/ latching gates Pool fence to code requirements
CO's for all items present Prior Rental
om _
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TOWN OF SOUTHOLD PROPERTY RECON
OWNER ',STREET VILLAGE DISI.i sus. LOT
FORMER OWNER i N E I ACR.
�j
S W TYPE OF BUILDING
I —RES. SEAS. I VL.
FARM
COMM. CB. MICS. Mkt. Value
LAND IMP. TOTAL DATE REMARKS
2_
A u
41
"s
EA!
AGE BUILDING CONDITION
NEW NORMAL BELOW ABOVE
FARM Acre Value Per Value
Acre
Tillable FRONTAGE ON WATER 1
Woodland FRONTAGE ON ROAD
Meadowland
DEPTH
T
House,-Rlot--,
BULKHEAD
Total
DOCK
u
}
4
YOR TRIM l
� _
1
E
I
d F
•
i 3 .3, N•` = I i
3 s
80.4-7.1 10/2016
. Blda,
Extension --
extension _ — —
� T
Extension
Foundation Bath Dinette I
TltFI001s �d
_ 3
Porch Base
i
EXt. Jalls �, Interior Finish LR.
u
wreesevoG* 'Fire Place i' Heat DR.
Garage t type Roof 1Rooms lst Floor BR.
Patio
;Recreation Room ! i Rooms 2nd Floor FIN. B
0. B. ,' t _` _ �` Dormer ¢Driveway I
14-- - ®�
Total
i _
FORM NO.d
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
Certificate Of Occupancy
No. . . .Z10522 . . . . . . . pate Junew 8 . . . . . . . . . . . . . . . . . . . .. 19 87
THIS CERTIFIES that the building . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Location of Property . . 2.4(x0 . Par.adiae .SbiDres. Rood,,, . . . . . . .Sou JtAGld.,. .K .T.. . .
House o. t Hamlet
N
County Tax Map No. 1000 Section . . . .81z . . . . .Block . . . . . . . . .1 . . . . .Lot . 1. ]. . . . . . . . . . . .
Subdivision . . . . . . . . . . , . . . . . . . . . . . . . „ . . .Filed Map No. . . . . . . . .Lot No. . . . . . . . . . . . . .
r irexaer f r on f a i 7.1 itt Drior to
conforms substantially to the Mifi ce.dat�d__
. . . . .April, .23. . . . . . . . 193.7. .pursuant to wMci t6P�ig$ea't �rOccupancyZ 105. . .
dated . . . . . . . . .J.uA e. 8. . . . . . . . . . . . 19 . 8 1 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 . . . . . . . . .
Private One-family Dwelling
The certificate is issued to . . . . . . AlelCAAded'. CoudeA . . . . . . . , . , . . . . . . , . , . . . , ,
(owner« g- R atZ-
of the aforesaid building.
Suffolk County Department of Health Approval . . . .N!R . . . . . . . . . . . . . . . . . . . . . . . .
UNDERWRITERS CERTIFICATE NO. . . . .y/I{. . . . . . . . . . . . . . . . . . . .
Building Inspector
Rev.1/81
BDILDIHG Ds-PAsTMIElT
TOUT-1OFSOUTROLD, N. Y.
HOUSING CODE INSPECTION REPORT
Location 2460 Paradise Shores Road, Southold, mem York
41,1111-1
Subdivision up No. "~(~)________
`
Name of Dvmcr(s) Alexander nouueo
~
R-1
�
Owner
Occu�ancy
(type) ar
Admitted by: Self � by: Self
Key available Key at siteSuffolk Co. Tar 0o.80-1-7^1
Source of request ilz Date may 15` 1981
-
Type of construction- stories One
Foundation —Cellar Partial Crawl space »*ot
Total rooms, Ist. FI 4 2nd. FI 3rd. FI
Butbrpc�m(a) I Toilet room(s)
Porch, type ____Peck, type at-io, t}po______
Breezeway Utility room
Type Bea Warm Aiotvater
Fireplace(s) No. Exits 2 Airunuditinuing_______
Domestic hotwater Yes heater Electric
Other
ACCESSORY STRUCTURES: momE ^
` Garage, type const. —Storage, _t}pe const. '
Swimming pool Guest, type const.
Other
Housing Code, Chapter 52
Lqca,t-ion Descri-ollon Art. Sec.
Outside Wood Gutters rear of house and leaders
III 52-30Coioe bad /
Kitchen Gas Stove no shut off V 52-52E6
Outside III 52-30C
/
8emarks:
inspected oy: - ,. ,f ^^^,,.
— � so � end_
' .
Curtis W. Horton Time st
FORM NO.4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Halt
Southold, N.Y.
Certificate Of Occupancy
No. . AIA 563. . . . . . . . . Date , . . jAi!44ry. A,. .]988. . . . . . . . . . .
THIS CERTIFIES that the building . . . . .Addition .
Location of Property ?460 Paradise Shores o .d . . µSouthold
House No. , ,Street Hamler
County Tax Map No. 1000 Section . . .R$p. . . . .Block . . .t? t . . . . , . . . . .Lot . . . . , . , . . . , , , .
Subdivision . . . . . . . . . . . . . . . . . . . . .Filed Map No. . . . . . . . .Lot No. . . . , . . . . . . . . .
conforms substantially to the Application for Building Permit heretofore filed in this office dated
J an.. . .2.1., . .1.9.8 6 pursuant to which Building Permit No. . 145.7.6Z.
dated F e b... 2 7 , . 19 8.6 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 first and second floor of existing one family
dwelling .arid 'd'e'sk' a'dditiori. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
The certificate is issued to PA 1 I—. rt°1wITL LY
of the aforesaid building,
Suffolk County Department of Health Approval . . . . . N.I.A . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
UNDERWRITERS CERTIFICATE NO. . . . . . . . . . , . N.7.5 8 6 4 7, . . 7/ 1 5/8 6e . . . . .
PLUMBERS CERTIFICATION DATED: Roger Mc Carvill 12/22/87
L)",-�'tM.. . �/y0 .
Building Inspector
Rom.1181
ill Town of Southold 7/8/2016
P.O.Box 1179
53095 Main Rd
Southold,New York 11971
CERTIFICATE OF OCCUPANCY
No: 38385 Date: 7/8/2016Y WW
THIS CERTIFIES that the building ACCESSORY
Location of Property: 2460 Paradise Shores Rd., Southold
SCTM#: 473889 Sec/Block/Lot: 80.-1-7.1
Subdivision
• • • w Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
6/21/2016 pursuant to which Building Permit No. 40806 dated 6/29/2016
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:
0T.YrQ00R.a1 0 R I71T 1 "1°O I 11`1N"O E 1 11 Y E► I S L11 AS P1111 1 Rw
The certificate is issued to Tully,Paul
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
Autha µ._... Signature
Town of Southold 1/2/2019
P.O.Box 1179
a 53095 Main Rd
4- �� Southold,New York 11971
CERTIFICATE OF OCCUPANCY
No: 40129 Date: 12/23/2018
.._ww_.__....w. ... ....._...._. _.
THIS CERTIFIES that the building ELECTRICAL
Location of Property: 2460 Paradise Shores Rd, Southold
SCTM#: 473889 Sec/Block/Lot: 80.-1-7.1
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
12/12/2018 pursuant to which Building Permit No. 43304 dated 12/12/2018
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:
150a underground eleqLical se�ic .
The certificate is issued to Timms,Michael&Ganci,Donna
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 43304 12/17/2018
PLUMBERS CERTIFICATION DATED
Authorized Signature
MW
Town of Southold 8/29/2019
P.O.Box 1179
53095 Main Rd
Southold,New York 11971
ti
...............
CERTIFICATE OF OCCUPANCY
No: 40663 Date: 8/29/2019
THIS CERTIFIES that the building ALTERATION
Location of Property: 2460 Paradise Shores Rd., Southold
...........
SCTM#: 473889 See/Block/Lot: 80.-1-7.1
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
12/6/2018 pursuant to which Building Permit No. 43315 dated 12/14/2018
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:
qxist= in e f= dve ng,as li
The certificate is issued to Timms,Michael&Ganci,Donna
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO.
.............
PLUMBERS CERTIFICATION DATED
A th iz d Signature
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