HomeMy WebLinkAbout1000-144.-2-33 a = TOWN OF SOUTHOLD
Rental Permit
t
0992
Owner Joseph & Diane Aiello
Occupied as Single Family Dwelling
Located at 1820 Marlene Lane Mattituck 144.-2-33
Maximum Permitted Occupancy 4
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.
9/25/2023
ode c c Official
This Notice must be posted by the main entrance at all times
e NY's ";tr e t
Town Hall Annex Telephone(631)765-1802
r° Via` Fax(631
54375 Main Road � )765-9502
P.O.Box 1179 � � s
Southold,NY 11971-0959 � ' w
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
RENTAL PERMIT APPLICATION
Rental Permit Fee $200(Application must be renewed every two years)
OR 9 2020
Section A.
Property Information:
p y
Rental Property Address:
e�
Tax Map Number -
1000 SECTION v J BI.O U � -LOTH
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Cd `f v v D 2 v 3 3 0 C;)0
SECTION B.
OWNER INFORMATION:
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Property Owner Name: vJ � _ •
Property Owner Legal Address: Property Owner Mailing Address:
(G 3I .-.�mA.-......._.......�... � �� fo3� -796�d
Telephone Number(s): Daytimeavening• merenc� g
Property Owner Email Address:1A.Aile r�.•=, c �- ,.-�..•
rd q_010
Page 1 of 5
100
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 SO HOLD
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: ... ..w._�.......
Telephone Number (s): Daytime� aw Evening _ _ Emergency
Email Address: .... . . ��.
Section D.
Managing Agent Information:
Name of Authorized Agent of dwelling unit, if any: _ ._...,.,.ww„au .,. ..,...., �. � _ ...
Address of Authorized Agent(no P.O.
Mailing Address of Authorized Agent: �.��_.� ,
Telephone Number (s): Daytime Evening Emergeny..,_,,. .,,_ ._
EmailAddress: .� .. .... �. ..�..,. _��. ....� �.. �� .�. .�.���.��. ��� �.,�...... ..�� .�..��.
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):,_,_---'.,.. �,� .�_.. .. ....... ...._. �..� ...�.�.� �m
Page 2 of 5
Town Hall Annex " w': Telephone(631)765-1802
54375 Main Road Fax (631)765-9502
P.O.Box 1179 a � �
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, 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."
Rental Dwelling Unit Identifier: Uo It 1 „�W w _ ..........---------,
Requested. Maximum number of persons allowed to occupy Dwelling U it:
Number of rooms in Rental Dwelling Unit: ..�
Use and Dimensions of each room in Rental Dwelling
Unit: , 1 �...� IU to”
11 i \�
� 1613" �` '� � " 4 . - ,X10P If
5`11 41 it
u �1
Page 3 of 5
of
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Town Hall Annex Telephone(631)765-1802
54375 Main Road Fax(631)765-9502
P.O.Box 1179 4y
Southold,NY 11971-0959 ��
; ', t ,.
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
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 SO HOLD
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:
s,
Property Owner's Signature: LLAA-(Uj
�... . . . �_
Sworn to before me this g day of 20M
Official ary Public Signature an�iginal Notary Stamp
VIRGINIA A I RAY6
Notary public,gt to of NewY r
No.01 KR65521f459
Qualified in Suffolk County
Commission Expires August 24,2012
Page 5 of 5
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[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INSULATIOWCAUL :ING
[ ] FRAMING /STRAPPING [ ] INAL Povvvl �--
[ ] FIREPLACE & CHIMNEY [ FIRE SAFE INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL)
[ ] CODE VIOLATION [ ] PRE C/O
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TOWN OF SOUTHOLD PROPERTY RECORD
OWNER STREET VILLAGE DIST.; duo,
g..
FORMER OWNERIZO 0—,e PA N ACR. f -
_y
c` S W TYPE OF BUILDING
RES. SEAS. VL. 'FARM COMM. CB. MISC. Mkt. Value
LAND IMP. TOTAL DATE REMARKS ,,, ti
/74a
f
¢. a_ /
A
s
,GE BUIIP1NG C4beN
NEW(/ NORMAL BELOW ABOVE ' 4
FAR Acre Value Per I Value
Acre
Tillable 1
Tillable 2
Tillable 3
Woodland
Swampland FRONTAGE ON WATER
Brushland FRONTAGE ON ROAD
a
House Plot DEPTH
BULKHEAD
Total DOCK
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LOR
I
14
ov
RIM
12 1)("!
4-1
s
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3
i
144-2-33 10/2014
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M. Bldg o F ndation
Bath
Dinette.
LK.
.
Basement
tens _
� of
�� go
Floors
_ _ � F
= Ext. Walls Interior Finish I ' LR.
Extension I
Extension Fire Place Heat DR.
Type Roof Rooms I st Floor; BR.
i Porch _ itre Rooms 2nd Floo I y. B.:
�/ £` C7 otion Ror
Porch Dormer !
Driveway
Breezeways
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t
Gorcge
F
l
o _off 0�
O.
Total 6 �.
- - _
77
FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
PRE EXISTING
CERTIFICATE OF OCCUPANCY
No Z-17721 Date JANUARY 30 1989
THIS CERTIFIES that the building ONE FAMILY DWELLING
Location of Property 1820 MARLENE LANE MATTI CK N.Y.
House No. Street Hamlet
County Tax Map No. 1000 Section 144 Block 2 Lot 33
Subdivision Filed Map No. Lot No.
conforms substantially to the requirements for a private one-family
dwelling built prior to: April 9 1957 ursuant to which
CERT. OF OCCUPANCY. #17721 dated JANUARY 30 1989
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 ONE FAMILY DWELLING WITH 2 CAR ACCESSORY GARAGE
The certificate is issued to FRANK J. & BARBARA KROPF
(owners)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A
UNDERWRITERS CERTIFICATE NO. N/A
PLUMBERS CERTIFICATION DATED N A
B ol-
'i'dinqInspector
Rev. 1/81
BUI D1:,'1 DEP!,_RTHENTI
T0,111\1 OF SOUT.--:OLD, N. Y.
HOUSING CODE !ITS? CTIOi'i RF. ORT
Location 1820 Marlene Drive Mattituck, New York
lnunoer k street) �i'iunicipalizy)
Subdivision a-aD NO Lot(s)
Name of 0,aner(s) FRANK J. & BARBARA KROPF
Occupancy R-1 OWNER
( -yPe) o�rner-�enan�)
Admitted by: MR. KROPF Accompanied by: SAME
Key available Suffolk Co. Tax No. 144-2-33
Source of request FRANK J. KROPF - Date 1/.14/89
DUELLING: '
Type Of construction WOOD FRAMED
`stories 1
Foundation Cement block Cellar full Crawl space
Total rooms, lst. F1 5 2nd. Fl— rd. F1
Bathroom(s) I Toilet room(s)
Porch, type
Deck, type Patio, type_
Breezeway Garage Utility room
Type Heat GAS �7arm Air xx Hotwater
Fireplaces) 1 No. F.<:it;5 2
.Airconditioni ng
Domestic hotwater YES Type heater ELECTRIC
Other
ACCESSORY STRUCTw 9RES s
Garage, type const.2 car wood Storage,
o type const.
pool Guest, type const.
Other rear yard is fenced in
VIO�:ATI0T"IS: Housing Code, Chapter 45 N.Y. Stal:a Tlnaf'oraaa Fire Prevention
T
cTc'�
on Desc,-i'oti
'-.. � Art. � Sec.
NO VIOLATION OF THE HOUSING CODE, CH. 45 WERE ---� -
FOUND.
DWELLING HAS A SMOKE DETECTOR
Remarks: Building Permit #6468Z issued 4/9/73 for a two car garage-CO Z-5419
Inspected by: c1 j .,-...— �._....,..._..
Date of Insp. JANUARY 27, 1989
CURTIS W_ HORTON Time start 11: 15 amend 11:45 am
FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No: Z-26406 Date: 04/26/99
THIS CERTIFIES that the building ADDITION
Location of Property: 1820 MARLENE LA LAUREL
(HOUSE NO. ) (STREET) (HAMLET)
County Tax Map No. 473889 Section 144 Block 2 Lot 33
Subdivision Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated AUGUST 18 1998 pursuant to which
Building Permit No. 25219-Z dated OCTOBER 9, 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
is ADDITION TO AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR.
The certificate is issued to FRANK & BARBARA KROPF
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A
ELECTRICAL CERTIFICATE NO. 25242 01/06/99
PLUMBERS CERTIFICATION DATED 03/25/99 EDWARD T. COX JR.
fling Inspector
Rev. 1/81
Town of Southold Annex 4/29/2014
P.O. Box 1179
54375 Main Road
Southold,New York 11971
CERTIFICATE OF OCCUPANCY
No: 36881 Date: 4/29/2014
THIS CERTIFIES that the building DECK
- ------------------------------- ........
Location of Property: 1820 Marlene Ln, Laurel,
.............
SCTM#: 473889 Sec/Block/Lot: 144.-2-33
Subdivision: Filed Map No. Lot No.
............
conforms substantially to the Application for Building Permit heretofore filed in this officed dated
3/13/2014 pursuant to which Building Permit No. 38760 dated 4/2/2014
................—.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:
16.5'X 18"dl addition as aa
plied for.
The certificate is issued to Aylward,Rachel&Pigott,Ruthanne
.................. .................
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
Au igna, re
FORM NO. 4
TOWN OF SOUTHOL11
BUILDING DEPARTMENT
Town Clerk's Office
Southold, N. Y.
Certificate Of Occupancy
Noa.�'`4.iq. . . . . . . Date . . . . . . . . . . . . . . �gp . . . . . . . ., 193 .
THIS CERTIFIES that the building located at . . _ .901U0. �84e. . . . . . . . . . Street
Map No. . .xx. . . . . . . . Block No. . . . . . . . . . .Lot No. . . ." . . . . :ttlt.*Mek. . .N.Y.•.
conforms substantially to the Application for Building Permit heretofore filed in this office
dated . . . . . . . . . . ..�Prtl . .9. ., 19.7.3. pursuant to which Building Permit No. 646p .
dated . . . . . . . . . . . 4PrX32 . .9. ., 19.73., was issued, and conforms to all of the require-
... inents of the applicable provisions of the law. The occupancy for which this certificate is
issued is . .Prlmate. .garage . (A.cceessory .bldg). . . . . . . . . . . I . . . . . . . . . . . . . . . . . . . .
The certificate is issued to . Frame .0. Helen Xropf . . . . . . . .UVMers . . . . . . . . . . . . . . . . .
(owner, lessee or tenant)
of the aforesaid building.
Suffolk County Department of Health Approval . . . ...'. . . . . . . . . . . . . .
UNDERWRITERS CERTIFICATE No. . Y. IM55 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
HOUSE NUMBER 1820, . . . . . , . . Street . . ]KAXI e .L`;tAet . . . . . . . . . . . . . . . . . . . . . . . . .
. . . . . . . . . Com., . . .�,�,�. , , . . . . .
uilding Inspector
i A",,