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Home My WebLink About1000-31.-17-3 TOWN OF SOUTHOLD , hl CEO; Rental Permit 1060 Owner 2085 Bay Ave LLC Occupied as Single Family Dwelling Located at 2085 Bay Avenue East Marion 31.-17-3 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. 2/2/2024 Code Efor erent Official This Notice must be posted by the main entrance at all times TOWN OF SOUTHOLD—BUILDING DEPARTMENT p *' Town Hall Annex 54375 Main Road P. O. Box 1179 Southold,NY 11971-0959 Telephone (631) 765-1802 Fax(631) 765-9502 h.0 ��'v�ouffiI ltcL nlly. RENTAL PERMIT APPLICATION Rental Permit Fee $300 (Application must be renewed every two years) Section A. Property Information: Rental Propert Address: ao Ne Tax Map Number: 1000 SECTION ,--- - BLOCK-SECTION B. OWNER INFORMATION: Property Owner Name: a naae1,i LaYrl Moto Property Owner Legal Address: Property Owner Mailing Address: (Cannot be the same as Rental Property Address) Q. r i Telephone Number (s): Daytime-1431%11-10Evening_olM-96f aXEmergency, Property Owner Email Address: �� COeq - OD co� ' �1� Page 1 of 4 Section C. Authorized Agent Information: Name of Authorized Agent of dwelling unit, if any: N/A 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 rental units) Name of Managing Agent of dwelling unit, if any: Nil A Address of Managing Agent (no P.O. Boxes): Mailing Address of Managing Agent: Telephone Number (s): Daytime Evening Emergency Email Address: Page 2 of 4 SECTION F. PROPERTY DESCRIPTION: Number of Rental Dwelling Units on property: I" 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: 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: ;� w f ► ►fiche ► 7�► �� . ► Roo � �,� � X I 1\ P( t► 1)►�X to l(.9�► S .off ) ►1 � ►� J 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 I am requesting a fire safety inspection to be performed by a Code Enforcement Official from the Town of Southold El I am submitting a completed Town of Southold certification form from a licensed architect or a licensed professional engineer. Page 3 of 4 SECTION H. DECLARATION: Signature must be notarized and MUST be the owner of the dwelling unit. STATE OF NEW YORK) COUNTY OF SUFFOLK) 1 W�J LomzAcd , 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 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 s to any change to the information regarding Authorized Agent, Managing Agent, or Site Manager. Property Owner's Name: fe i La�r2gfo Property Owner's Signature: Sworn ore me this 141(%y of 2002 T— ffici Notary ublic Signature and Original Notary Stamp JNNNNNAN 0AN7CAU:N GARY pusuO,STATE OF NEWYORK NANO.0I KO 2056 QU ED IN sNNFFFON.K COUNTY NAY CONdINAMION EXPIRES OECEMBER 23,2027 Page 4 of 4 TOWN OF SOUTHOLD BUILDING D b 631 -785-1802 INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION/CAI [ ] FRAMING / STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY IN! [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PE [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (Fl [ ] CODE VIOLATION [ ] PRE C/O [ 1 REMARKS: - DATE :TT 69- INSPECTOR Town Hall Annex Town of Southold 54375 Main Road " C Rental Inspection Report PO Box 1179 a Southold, NY 11971-1179 Tel: 631-765-1802 SUMw# : .,.... _.� .w..�. .. , ..... Date .,.._...._. oflo Owner„ �. ° ........... ...�. .._„..__ �......� ... .. Phone ��..... ...... ....... ... ........ Address A Visible HamletInspector .,.,,., .„„. .... , ,.. ........ ,,. . ;....... _ ... ... .,,, _.._.,,_,,Inspector _.a ......... . Floor Level Quantities Sub 1 2 3 ww.�. „ _.�.. � �.. ._..„„ ..., Smoke Detectors(not located in bedrooms) Carbon Monoxide Detectors Fire Extinguishers .R„..., „.„ww ,,..0 ............ . .....� Exits __ _........ _.. . .. ..-----. . _..... ... . .. � ..._ ,. _'......w.... .. _. wC _, ... ., „_..rc. . . Bedrooms 1 2 3 4 5 6 Smoke Detectors Egress Occupant Count �........_ ... ,....,w .w,�. �..,..� I�Bu.i�ld„i�ng Systems Maintained aintained., .&.�R.O.,...�p�..a.e.r.a. tio..n..�a..l. . ..a.,.,�,e Condition dition of Property „„,. w„- - .. Heating .. I �... Building interior Hot water j Building exterior Electrical dProperty clean, maintained &safe .w„„,...................„„„„ w.. �..... w . ... MechanicalHandrails&guards installed &secure ical,,....__. ,. „............. ..... .. ... .�...._ ........... , .w..µ.. . � ...,,,,,,... .... ._ ,„, �� ,„. ..... .�.., ., ..... �� , ....rc�� ..,., ... ...., Pool Safety Pool on Site .. ....... ..... „ „„ „„.. ........ Surface water alarm Date of CO issuance .,„galla— �„�„� - „�.a-....... ,�m�.„„.„„„ ��. .� . . . �w.� . ...... . _Door alarms Pool completely enclosed Self closing�/ latching�gates Pool fence fen�ce to c�od�e requirements... ,. O's for all items present jj Prior Rental Comments: . . ................ _........ ... .. .....�...._.. ....... �. . .. ......w,,.,� _.. ..... . ............ . . . . ,_ �. .. . ... .......... ._. ........ ..... . ...... .. . .,,,,.- ------ ---- ---- ... ...... .... ... ......... L ....... .W.....— _............. ... _,._ ........_..,, _ ..... ,...... ... ............_...... ............ .... _........ �........ .,_......_.. N.N........... .. _...__.....,_. . .,..... ......,_. . ........ _..,..,_....�_..,, _ „ .. ..,....,, m\ _ xLIVING£A 2 �e� ' & g DINING ca k �'��' w_ n goxs+ M - _ . ; , DECK «E9z, - . , 7 - - � emmm . • PRIMARY BEDROOM \ s?&�« 2b« > - �..D« �� A2.»e « . 4'1Ex6 . . . _ . : : � . LSTORAGE &9"x72 m SCTM # TOWN OF SOUTHOLD PROPERTY RECORD CARD] OWNER STREET `A m VILLAGE DIST- SUB LOT ACR_ REMARKS TYPE OF BLD. PROP. CLASS LAND IMP TOTAL DATE _ s ez 1 l FRONTAGE ON WATER HOUSE/LOT i BULKHEAD ° TOTAL pg �i #� 1 OSI STREET VILLAGE DIST SUB. LOT i FORMER OWNER E a S- -- TYPE OF BUILDING RES. SEASg —� �YL .FARM COMM. CB. MISC. Mkt. Value LAND IMP. TOTAL DATE REMARKS i - s t - s n 4e - r�GE BUILDING CO iTI e ` - NEW e _ NORMAL � � O�� - e FARM Acre Value Per •ale$ Acre Tillable 1 ! fir == - — Tillable 2 i Tillable 3 Woodland -- m Swampland ! FRONTAGE ON WATER - Brushland FRONTAGE ON ROAD Rause Plot DEPTH BULKHEAD DOCS Toto! F` mfr - - - - - - t I I . / I z Y , 31.-17-3¢3/2014 i M. BIS. e'"`_ Foundation f Bath E Dinette , s Extension Y` r "j Basement =Floors K. Extension Ext. Walls Interior Finish Extension i Fire Place ;Jest >f ' DR_ Type Roof < Rooms 1 st Floor BR. s Porch „ g Recreation Room; Rooms 2nd Floorl FIN. B Porch :Dormer I Breezewaya t 'Driveway eway _.. I �� I s a Patio Q. B_ Total �„ 4 , FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Torun Clerk's Office Southold, N. Y. Certificate Of Occupancy No.G .5897 . . . . . Date . . . . . . . . . . . . . .Ma?'. . . . . . . , ., 19 74. THIS CERTIFIES that the building located at . . _ .BaX.A: . : . . . . . . . . . Street 3= x7 x East Marion, 1Q.Y. Map No. . . . . . . . . . . . . Block No. . . . . . . , . . .Lot No. . . . . . . . . . . . . . . . . . . . . . . . . . . re wire nts for o family d 11 & who ag cod conforms substantially to the built Certificate of occupancy dated . . . before April 23, 19. . 57pursuantto which No,Z5847 . . dated . . . . . . . . . . . . . . .. 19. 7�, 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 dw. . . . . . . . . The certificate is issued to Itarvey 3rundagc d t,:ita , _ .oener. . . . . . . . . . . . . . . . (owner, lessee or tenant) of the aforesaid building. Suffolk County Department of Health Approval pre— existing UNDERWRITERS CERTIFICATE No. pre— existing. . . . . . . . . . . . . . HOUSE NUMBER . . .2C£5. . . . . . Street . . Bay Ave „ Building Inspector HOUSING CODE INSPECTION May 8, 1974 #2085 Bay Avenue R-1 ' East Marion, N. Y. Tax Roll: Harvey Brundage & Wf Unoccupied Upon request of the Southold Town Building Department I made inspection of this one story framed dwelling and found the following violations of Chapter 52 , Housing Code, Town of Southold. I picked up the key from the Robert W. Gillispie real estate office on North Road, Southold, and started inspection at approximately 11:45 A.M. The building consists of two bedrooms, one bathroom, and a combination living, dining and kitchen room with an enclosed front porch entrance. Building on cement block piers not skirted - Article VI, Sec. 52-53 B. Two Bedrooms - tb 4f1 ; niz °1 , re fob "ooc � 8. One room TO—sq. ft. t odupants. One room sq. ft. - two occupants. Article II, Sec. 52-22 A-2. At �d � t Article V, 52-53 A-1. A violation of Chapter 100 Zoning Ordinance exists in that new shrubs were planted beyond front property line on Town property (road side) . Article III, Sec. 10U-35. Building and yard area well maintained. Inspection completed at approximately 12 :00 P.M. Key was returned to real estate office. Respect ly ubmitted, EH:mm Edward Hindermann Building Inspector Town of Southold Anne: 9/11/2013 P.O.Box 1179 54375 Main Road Its Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 36497 Date: 9/11/2013 THIS CERTIFIES that the building RESIDENTIAL ALTERATION Location of Property: 2085 Bay Ave,East Marion, SCTM N: 473889 Sec/Block/Lot: 31.47-3 Subdivision: _ Filed Map No. t No. y Application for Building Permit heretofore ..KK ._ _._..._,....__.. conforms substantial/ to the ' g ed in this oflSced dated 1/11/2013 pursuant to which Building Permit No. 37756 dated 1/15/2013 was issued,and conforms to all of the requirements of the applicable provisions wof the law. The occupancy for which this certificate is issued is: interior alterations and""as j.wilt";d s and,ou r shower additio e an exist" Daze 1 elwvel a a ti dln ..4.. The certificate is issued to Korchin,David&Renta,loan (OWNER) .,.�, _ .. .......,, , of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL .. .b .... ......_ .. ELECTRICAL CERTIFICATE NO. 3775 8/21/13 PLUMBERS CERTIFICATION DATED _ 9/10/13 ;;A k Plumbing&Heating