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HomeMy WebLinkAbout1000-126.-10-10 s TOWN OF SOUTHOL :=g Rental Permit 0912 Owner Nicole DeLaurentis Occupied as Single Family Dwelling Located at 2930 Bray Avenue Laurel 126.-10-10 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. 4 5/22/2023 e Endo e e 'tial This Notice must be posted by the main entrance at all times '4f 0 Town Hall Annex Telephone(631)765-1802 54375 MainRd - Fax(631)765-9502 P.O.Box It 79 � Southold,NY 1 1 971-0959 ,rye;, BUILDING DEPARTMENT TOWN OF SOUTHOILD RENTAL PERMIT APPLICATION MAY 1 2 2023 LD, dUIWINV DEPT. Rental Permit Fee $200(Application must be renewed every two year WN0FS0UTH0LD SeV Ir'i n A. Property Information: Rental Pro ertyAd�ss: tf�A �k— Tax Map Number: 1000 SECTION _-BLOCK �© -LOT l SECTION B. OWNER INFORMATION: PropertyOwner Name: wis +v° . Property Owner Legal Address: Property Owner Mailing Address: Telephone Number (s): Daytime Evening Emergency_- Property Owner Email Address: niColt,8r,(qLA KA1g1LP C i G /D Lf5-Q)0 Page 1 of 5 out Town Hall Annex , Telephone(631)765-1802 54375 Main Road � Fax (63 1)765-9502 1 .O.Box 1 179 � y Southold,IVY 11971-0959 BUILDING DEPARTMENT TOWN OF SOUTL40LD 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. �s 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: L�s� Page 3 of 5 w 'f own Nall Annex 'telephone(631)765-1802 54375 Main Road ° Fax(631)765-9502 P.O.Box 1 179 Southold,NY 11971-0959 " 40 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, theaws and sanitary and housing regulations of the County of Suffolk and by the laws adopted b °the New York State Fire Prevention and Building Code Council. ❑ I am requesting afire 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} I 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 o Town Hall Annex Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 CA F.Q.Box 11794 Southold NY 11971-0959 w"r BUILDING DEPARTMENT TOWN OF SO SOLD RENTAL PROPERTY CERTIFICATION Form is to be completed by a license architect, licensed engineer or licensed home inspector Separate form is required for each individual Rental Dwelling Unit pry ssi+ nal seaaP re rlred for Architect or n r+eer licensed Home ins ectcrr must rcrlr/cle copy oI valid current cerci ;cation Rental Property SCTM Number: Rental Property Address: Owner/Name: Rental Dwelling Unit Idgntifier: Number &Square footage of each bedroom as depicted in the attached floor plan: (i.e. Bedroom#1 —100 sq., Bedroom #2-90 sq., etc.) Property Description (Include all improvements indicated on survey) 1 certify that I have done a physical inspection of the subject rental dwelling unit and find that it fully complies with all the provisions of the Code of the Town of Southold,the Residential Code of New York State,the Building Code of New York State, the Plumbing Code of New York State, the Fuel Gas Code of New York State, and the Energy Conservation Construction Code of New York State. Print Name and Title Original Signature Please place professional seal: Town Hail Annex Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1179 Southold,NY 11971-0959 �r BUILDING DEPARTMENT TOWN OF 30U`1C 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: Property s Owner' Sig nature ° P CONNIE D.BUNCH Notary Public,State of New York No.01BU6185050 Sworn to before me thisl�d y of . 20 a� Qualified in suffoik Countyn� Commission Expires April 14,2 A'/ Official Notary Public Signature and Original Notary Stamp Page 5 of 5 r3f so TOWN OF OUTHOLD BUILDING 1 COT 631 -765-1802 ry(, .--- to INSPEC ION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION TND [ ] INSULATIOWCAt [ ] FRAMING / STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INS [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PE [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL E CT ICAL (FI [ ] CODE VIOLATION [ ] PRE C/ [ I REMAR a So INSPECTORDATE ISUALp YmdT aRJACfII•CERTIFIED at 0)Utl � ` tg i ► � r a 04ik USE NLY % �y/ r� °y /% i AMR y Wt t M Nil t AS , /% / vo r/r j -0ND i �%i r r , „ /� �� i1-0 >,l, / /� ✓ / i//.!� t, /// / , s inurraiRa mm�amamu nor armwuur+uauaroamuranvassrn+ni anin.'m!er�w:uucu� �auuonaruw nBenu�,ruawwa�u xa��niwaur.raainarnasam�aa wnmrumwamrtw aaan�w�e�awamunmmnMvm.��witt�u�aan�erter.�s muu�u��r�ms;nm��rrra��nmau emrwrruwti�w n SAE OF NEWY K /, i,y Beit known that IM / J Kyle Matheson % has successfully completed the requirements of a Basic Code Enforcement Training Program established by the Minimum Standards for Code Enforcement Personnel(19 NYCRR Part1208)in the State of New York as a: r ' CODE ENFORCEMENT OFFICIAL JohnP-Add,ario,Y.Ei.,Director Divisionofftfldinp,Standards and Codes i � BWldingStandards Certification N00822 / and Codes r nartsR Tnaitwcar,this,cerfiricratiomsu�chpetsataplradstyatuvwiwsm�rvimtrairdnoa ualmneoandadvan wltwsftv�,etrakrle / To in J ' mu v ki mmr wow a r m mmuren rvry ry art mroma n'aa rn rovsna;o mnrurromaa rn wa ou a m mrwmrurr �a®n an aamov v aravrics�e n aaawa arrau m iu mm s um�mans m aaar vunA 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 RENTAL PROPERTY CERTIFICATION Form is to be completed by a license architect, licensed engineer or licensed home inspector Separate form is required for each individual Rental Dwelling Unit lro ssionl seal re aired or architect or�n neer licensed dome Insvector must,pr+ vad copy oI valid current certl cation Rental PropertySCTM Number: 1600 - ILI. L -.6 Rental Property Address:-Zli'3 ,, 4&C—Q- t I"" Owner/Name: Alxeal .� Rental Dwelling Unit Identifier: Number & Square footage of each bedroom as depicted in the attached floor plan: (i.e. Bedroom#1-100 sq., Bedroom#2-90 sq., etc.) t6 0 e 0t," 2-3 4 Scz 676 om; Property Description (Include all improvements indicated on survey) I certify that I have done a physical inspection of the subject rental dwelling unit and find that it fully complies with all the provisions of the Code of the Town of Southold,the Residential Code of New York State,the Building Code of New York State,the Plumbing Code of New York State, the Fuel Gas Code of New York State, and the Energy Conservation Construction Code of New York State. I SOAI Print Name and Title Ori final Signature NYS CEO Certificate No0822-0345 Home Inspection License#16000129107 Please place professional seal: 1013^ m AI DY t - € �a I � g i I 7 Y i ` 1 - �- UFI E71G 4v6jEQ E t FI C: i FLo�.c Je•o} F I�4a. ! } Al a _ � �I U c_ Lt•— f A-' 1 0 - £ [ 1 TY PI C SeCTI ot4 SEcTlo�1 ij ,a �,� -- t- 174 ___ I[•_o -- - ---t_._P.a.-..--_. t4 _ .�>_. sff'-.� _ .. tz. v. c. -- '. -.a. - - :¢.' ., e�_4• z• 4-F, z•s+4 .{ .ss,?�. ., _ ate. 19':0:_ .. _— --_ F _ f@•'d .. e - .C2.= - SOr � € , E � 44 k ST I R, 6n n w L I V i W f7 F,M. 177,71 s At VIP km k � o 6i n IPL L 4 # _ - J�rN:mr_n rix^rl�trL e/7yLe - - 2-C•3479 [bf` gun:BC�GE TOWN OF SOUTHOLD PROPERTY REC� OWNER 'STREET VILLAGE 1--DI—ST, SUB. LOT FORMER OWNER N E I ACR— S W TYPE OF BUILDING 711 d� E RES. ,` ; SEAS_ VL_ FARM s COMM. CB. MICS. Mkt, Value LAND IMP. TOTAL DATE REMARKS .. z f IN g _ems Y - Va r-e AGE BUILDING CONDITION NEW NORMAL BELOW ABOVE FARM Acre ' Value Per Vcfue Acre Tillable FRONTAGE ON WATER Woodland ` FRONTAGE ON ROAD -, a Meadowland DEPTH _ House Plot D Total DOCK f s 2a 9 _j j : I ' AL t f COLOR „ TRIM_ 3 e 3 , , a t s q. e fi o _ � Vi I 126:10-10 10/20/202243 - L, - - ter, on I 3 �e extension - } I ' } I Extension Foundation Bath , Dinette rch All) d mens %i =Floors g• �K g Rrh _ Ext. Walls 121j,1 ` ,: � , ,;Interior Finish � �� i LRI ; i DR Fir” Place - Breezeway �e Heat V ,,. r SBR Garage 6 YPe Roof f ,w Rooms 1st Floor s Patio i ItRecreation Room` Rooms 2nd Floor 3 FIN B i e O. S. �Dorrrier =Driveway f Total i c FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Clerk's Office Southold, N. Y. Certificate Of Occupancy No. S. 3765* Date . . . . . . . . . . . .4r*k. . -13 . . . . .. 19.70 THIS CERTIFIES that the building located at . .Bray.kV*.& BIVt . . . . . . . Street Map No. . .=. . . . . . . . Block No. X3j . . . . . . .Lot No. .=X . IAUrrl•9• .11 ax... . . . . . . conforms substantially to the Application for Building Permit heretofore filed in this office dated . . . . . . . . . My . . . .` . ., 19. .69 pursuant to which Building Permit No. . 427th,. dated . . . . . . . . . . . )lay- . . .1 , 19. .69 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 . .Primate- *- family •dwol1ing. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . a , . , , . . . The certificate is issued to . • 'John °B:• ft"ch* . . . . ` . ° ` ' 1 . OvAer ° . ` ` ` ` ` ° " (owner, lessee or tenant) of the aforesaid building. Suffolk County Department of Health Approval . .Ill. .I.970. • •by•R.. •Yii wa. . . Building Inspector Bout* 7580 Pso. Bay Blvd 2930 Brag , ire Town of Southold 8/26/2022 P.O.Box 1179 53095 Main Rd Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 43371 Date: 8/26/2022 THIS CERTIFIES that the building IN GROUND POOL Location of Property: 2930 Bray Ave.,Laurel SCTM#: 473889 Sec/Block/Lot: 126.40-10 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated p g _......._......4.._...93 / 0 2 7/12/1982 pursuant to which Building Permit No. 47893 dated 6/2/202 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: cc s&D in- aaund swimmin 1 encs to c de as applied The certificate is issued to Roache III,Benedict of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 47893 7/19/2022 PLUMBERS CERTIFICATION DATED czedg tore s