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Home My WebLink About1000-38.2-1-19 TOWN OF SOUTHOLD Rental Permit 0728 Owner Kvm Enterprises Ltd. Occupied as Single Family Dwelling Located at 2820 Shipyard Ln 2C1 East Marion 38.2-1-19 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. 8/23/2022 Code nforc nt Official This Notice must be posted by the main entrance at all times -*n5 Awd , 2� Oso ., Town Hall Annex Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1179 Southold,NY 11971-0959 . i� 4*' BUILDING DEPARTMENT TOWN OF SOUTHOLD RENTAL PERMIT APPLICATION Rental Permit Fee$200(Application must be renewed every t PP �'Y D AUr, .8 202 Section A. BUILDING DEPT. Property Information: TOWN OF SOU HOLD Rental Property Address: a2L20 ,Sh�r�va,zl �.e U11/1 1. '6031 X41,161 gY 1431 Tax Map Number: 1000 SECTION . -BLOCK.. .. QA -LOT d& U�7.000 SECTION B. OWNER INFORMATION: Property Owner Name:. (IVM P n _r9r( Se-5 Ud Property Owner Legal Address: Property Owner Mailing Address: Crl 6) (r16) Telephone Number(s): Daytime ?P5 JI,S0 Eveiiing & 9-s 69;�OEmergency. 4/-�-6-�PS87 CCt-L Property Owner Email Addresses 0 Pagel of S 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 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: XITCoen/ LW10 G ✓-OA 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:"See- a-k-,4-j xloo,- Plah�� Page 3 of 5 I Town Hall Annex ! Telephone(631)765-1802 54375 Main Road "".I Fax(631)765-9502 P.O.Box 1 179 " Southold,NY 11971-0959 BUILDING DEPARTMENT TOWN OF SOUTHOLD s 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 ora 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. �f 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 SUFFOLK) Kenneh imote &nd th Viviand ti, ,certify under penalty of perjury,the following: 1. ram 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 ism legal w address and.understand the Town will use the address for service pursuant to all a Page 4 of 5 soy 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. Vurther acknowledge that twill notify the Town of Southold Building Department of any changes of address within five (5) days of any changes thereto. w� 3. X have read and received a copy of Chapter 207 of the Code of the Town of Southold and agreed to abide by the same. V11 4. ,twill 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:_ Kennah Vi Vtan NLOIe Property Owner's Signature: Sworn to before me this 6n'day of Auau ,202 kJ Official Notary Public Signatur and Original Notary Stamp SUZANNE ANDREJACK Notary Public,State of New York No.OIAN6346660 OualMed in Suffolk County Commission Explres August 15.20.a Page 5 of 5 *pF SOUTy�� aGl # # TOWN OF SOUTHOLD BUILDING DEPT. `ycou631-765-1802 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 [ ENTAL REMARKS: i'l'l 3Theee, to-'a/I occ. dm 't� sygqf-s�on iV1 on a�ii(.e, cJ 4 e. DATE ��o�o?- o� '� INSPECTOR Town Hall Annex ;� .�® � ; SOUTHOLD TOWN 54375 Main Road PO Box 1179 Southold, `7 Rental Inspection NY 11971-1179 Tel: 631-765-1802 Fax 631-765-9502 SCTM Date Owner', V Se y Phone Address. �o't0 s{'lit R.t(�. Zip. - Rol, .City: l%. Inspector LEVELS SUB 1 2 .: 3 Smoke Detectors (#- bedroom detectors excluded) Carbon Monoxide Detectors (#) Fire Extinguishers (#) Exits (#) BEDROOMS - 2 3 4 5 . ' Smoke Detector Alarms (#) Carbon Monoxide Alarms (#) Egress (windows) (Y/N) BUILDING SYSTEMS Y/N CONDITION OF PROPERTY Y/N Heating system maintained/operational Building Interior is clean/maintained Hot waters stem maintained/operational Building Exterior is clean/maintained Electricals stem maintained/o erational Property is clean I safe/maintained Mechanical system maintained/operational. Handrails&guards present COMMENTS:` Rental Inspection Form 4/7/2021 i PA'71O PATIO "f L.IVING7I�INING M. ' .`.�1'!'"• �� Ary' '. d.'••'%:J � � �'I••::� - � a., ' "'a:- i� !o�Y.� a 4-+may �R' '•.�'.,• R. i;, _UNI T'—JLr l..':..�• UN.1T —190b- NOTL This U s typical apartment unit The dimensions and arrangement may vary as refa s%d to la the Cff4Wnq Ptah.Ail dtmenslem charm are apomx(mate. . g�6 �a0 t, t1 TOWN. 'OF SOUTHOLD PROPERTY RECORD CARD OWNER b STREET ;�r�:µ j VILLAGE DIST. SUB. LOT }!'i 1' I�L '.i if iSC �!1��. ) '} t �i ya'`j =l 1��#e�l`�: =/ ::�iu l`� i :`L�r< I4 1'r3 FORMER OWNER i N E ACR. �LD r`ti kt cG - • tav) S W TYPE OF BUILDING RES. SEAS. VL. FARM COMM. CB. MICS. Mkt. Value LAND �� IMP. TOTAL DATE REMARKS 4 ;i'_Ii L' Cl 497 r) J' d S 130/84-) 7X I-6 5, L52---l-527s,.1.4o - � ?.4-.l. { � f2 �1 l, --- �:.� �p�9� ,y'7 '1 )Ca d? j• 1�,�(�;2-21<11�1 1 'G i E'+le, 4" L -7 L 11 car'V 7,q ze-» Y G Tillable FRONTAGE ON WATER Woodland FRONTAGE ON ROAD Meadowland DEPTH House Plot BULKHEAD Tota r L.n ■■MMEEN■ ■■■NEEM■■■■ ■■■EE■■■■■M■■■■■■■■■ ■■■■■■■■■■■■■■■MM■■■ r- - - ■■M■■M■■■MM■M■■■ME■■ ■M■■■■M■M■M■■■■■■■■■ . ■MMMM■ MM■■■M■ ■MMM■ ~ >\ X ■MMMMMMMM■■■MM■MMM ■E �..Sx'.c'• t'., "r` ..:15 :...... .`?i.>,.. . "aYii"'s>.#'tet:`?>ta�..x._ f • • Interior. FORM NO.4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy No. Al.1.8 . . . . . . . . . .. Date . . . . . .Sgptember. .9 . . . . . . . . . . . . .. 19 .83 THIS CERTIFIES that the building . . . q 1.1 d n g. 2,,• •Unit .2 C 1 Location of Property 2820 . . . . . . . . . . . . . . . . . . . .Shipyard Lane East Marion House No. . . . Steet . . . . . . . . . . . . . . . . . . . . . . .Ham%i County Tax Map No. 1000 Section . .038•..02 . . .Block 1 . . . . . . . . . . .Lot . . .017 . • Subdivision . . .X. . . . . . . . . . . . . . . . . . . . . . . . . . .Filed Map No. . .X . . . . .Lot No. X. . . . . . . . . . . . conforms substantially to the Application for Building Permit heretofore filed in this office dated • . 0 c t o b e r. . . . . . • . . 19 8 0 pursuant to which Building Permit No. .19p2.5. .z . . . . _ . dated . . . . . .0 c t o b e r. 2.0. . . • • . . . . . . 19 8.0 ,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 . . . . . . . . . • living• .unit within multiple dwelling. . The certificate is issued to E M A N U E L' K O N T O K O S T A . . . . . . . . . . . . . . . . . . . . .Towner;%see er t;,%rant} . . . . . . . . . . . .. . . . . . . . . . of the aforesaid building. Suffolk County Department of Health Approval . . .EM8R . . . . . . UNDERWRITERS CERTIFICATE NO. . . . . . . . N 61 01 78 . . . Building Inspector Rev..I FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-34311 Date: 05/07/10 THIS CERTIFIES that the building DECK & STAIRS Location of Property: 2820 19 SHIPYARD LA EAST MARION (HOUSE NO. ) (STREET) (HAMLET) County Tax Map No. 473889 Section 38 .2 Block 1 Lot 19 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated JANUARY 14, 2009 pursuant to which Building Permit No. 34568-Z dated APRIL 1, 2009 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 DECK AND STAIR REPLACEMENT FOR AN EXISTING CONDO (UNIT 2C1) AS APPLIED FOR. The certificate is issued to KVM ENTERPRISES LTD (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A uthor'zed gnature Rev. 1/81