HomeMy WebLinkAbout1000-21.-4-5 TOWN OF SOUTHOLD
Rental Permit
0946
Owner Pranov Chopra
Occupied as Single Family Dwelling
Located at 3670 Rocky Point Rd East Marion 21.4-5
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.
3/25/2024
C e i r r t Official
This Notice must be posted by the main entrance at all times
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631 TB►T► 1802
IN PEC ION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INSULATION/CA1
[ ] FRAMING / STRAPPING [ ]' AL
[ ] FIREPLACE &, CHIMNEY [ FIRE SAFETY IN!
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PE
[ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FIN
[ ] CODE VIOLATION [ ] PRE C/O [
REMARKS:
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0-
DATE
INSPECTO )q"
Town Hall Annex
Town of Southold 54375 Main Road
PO Box 1179
Rental Inspection Report
Southold, NY 11971-1179
� , , ► Tel: 631-765-1802
SCTM# 02 — Date
C o O Phone
wner
Address / Visible _ w.. ..
Hamlet Spector
/� P
1Floor Level Quantities Sub
1 2
Smoke Detectors(not located in bedrooms
...... ..m
Carbon Monoxide Detectors
Fire Extinguishers _ ..._...
.... �..W..e...m ... „ .WwW. .... ..., ,.. _..... ... .. _ .........
Exits
_`
Bedrooms _ J
Smoke Detectors
Egress
res
Occupant Count
Building Systems Maintained &Operational Condit
ion of Property
Heating Building interior
Hot water `Building exterior i
Electrical Property clean, maintained &safe
w .....�_. ,.. M
Mechanical
Handrails&guards installed &secure
Pool Safety Pool on Sitea
�. .� ._ . ....a,..M.,..�.. . ....w .... ..... � .�
�Surface water alarm l completely
.�..w . .. �.a,.. .. ... ...._.��. _. .....`Poo � .�
Date o is
Door alarms ely enclosed
S
g Pool fence _ requirements Self closet /latching etas Q ..._...�. r. � w .__.. ._.
ante to code re uirement
Co's for all items present �i Prior Rental ._.u.�
omments
Town Hall Annex ,I Telephone(631)765-1802
54375 Main Road Fax(631)765-9502
P.O.Box 1 179 �
77'
� f
E P E
SPAN 0) BUILDING DEPARTMENT
TOWN OF SOUTHOLD OCT 1 )2
a RENTAL. PERMIT APPLICATION
lf1dTnq, Department"
Rental Permit Fee$200(Application must be renewed every two years) Town Of C-oulffiel
Section A.
Property Information:
Rental Property Address: I I q3
�fl PO l m �O �� �l �O/7�, IVY
Tax Map Number: 1000 SECTION -BLOCK L -LOT -
SECTION B.
OWNER INFORMATION:
Property Owner Name: "
Property Owner Legal Address: Property Owner Mailing Address:
..d /2 .3 -'h P r -I-
lb_�ZA92
Telephone Number(s): Daytime Evening Emergency
Property Owner Email Address: WOA
Page 1 of S
Town hall Annex Telephone(631)765-1802
54375 Main Road e Fax(631)765-9502
P.O. Box 1 179
Southold,NY 1 1 97 1-0959 "'`
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:
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:& Q-- 1 . 0
Page 3 of 5
Town Hall Annex Telephone(631)765-1802
54375 Main Road Fax(631)765-9502
P.O.Box 1179
b, .�
Southold,NY 1 1971-0959
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.
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)
I . ror)ay r kVJ nr 0� �, 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
SECTION H.
DECLARATION: Signature must be notarized and MUST be the owner of the dwelling unit.
STATE OF NEW YORK)
COUNTY OF SUFFOLK)
Vf 6k , 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: Q ra
Property Owner's Signature:
Swo before me this day of� a� 20 a
NotO y Public Signatur nd Original Notary Stamp
RUTH ESTHER HERNANDEZ
NOTARYPUBUC,SPATE OF NEW YOR1C
Registration Na 01EM4310M
Qualified in
MYonFiro Page 4 of 4
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- � � 0a � � .�_/ u - � � � �� 3670 Rocky Point
4po �. Read
Rocky3670 Point Road
East Marion,NY 77939
..... , ��, - ... ,....., Lot:5.00
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SCTM #
TOWN OF SOUTHOLD PROPERTY RECORD'
OWNER STREET Z`qaVILLAGE I: SUB LOT
ACR. REMARKS _
TYPE OF BLD,
PROP CLASS
LAND IMP_ TOTAL DATE
e �£
I
I
FRONTAGE ON WATER HOUSE/LOT
i
e _
1 BULKHEAD
TOTAL
i
1
TOWN OF SOUTH OLD PROPERTY REC�
STREET VILLAGE DISTj SUB. LOT
_ -
?
FORMER OWNER € t",�,n >. ,.kka t,' E ACR.
S W TYPE OF BUILDING
l y�;
€r gF zW u. �C?
RES. SEAS VL. I FARM COMM. CB. MISC. Mkt. Value
LAND IMP. TOTAL DATE REMARKS �
r s
Y
e
�R
r
-- -
p
F
sa ti �
AGE — BUILDING CONDITION
NORMAL BELOW ABOVE
FRM Va
Acre Value Per lue -
Acre . ;1
Tillable 1 R
I
Tillable 2
F
Tillable 3 `
Woodland
Swampland FRONTAGE ON WATER
�F
Brushland FRONTAGE ON ROAD
a
House Plot ~ DEPTH -
.r a.•- BULKHEAD
h ..
Total E DOCK
r- � r
' -
j l �T
-
COLOR —
I i . M �
y
. _
x
y
TRIM 7 t
z
t t
_ 3
I _
e
21 4-5 9/11
I i
M. Bldgs r ` _ ;Foundation Bath ._ Dinette F
R, _
Extension Basement K.
Floors � �K
E
Extension X --� 1 t Ext. Walls �= Interior Finish LR.
Extension !Fire Place Heat DR.
Type Roof s ; Rooms 1st Floor BR. _
Porch iRecreation Room' €Rooms 2nd Floor FiN. B.
Porch Dormer i
Breezeway _ Driveway
!
i
Garage
Patio j
0. B. t l
Total
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-23764 Date JULY 13 1995
THIS CERTIFIES that the building ONE F LY DWZLLING
Location of Property_ 3670 ROCKY POINT ROAD EAST MARION N.Y.
House No. Street Hamlet
County Tax Map No. 1000 Section 21 Block 4 Lot 5
Subdivision Filed Map No. Lot No.
conforms substantially to the Requirements for a One Family Dwelling built
Prior to: APRIL 9, 1957 pursuant to which CERTIFICATE OF
OCCUPANCY NUMBER Z-23764 dated JULY 13 1996
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 SEASONAL DWELLING *
The certificate is issued to FEDERAL SOME LOAN MORTGAGE CORP.
(owner)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A
UNDERWRITERS CERTIFICATE NO. N/A
PLUMBERS CERTIFICATION DATED N/A
*PLEASE SEE ATTACHED INSPECTION REPORT.
Building Inspe or
Rev. 1/81
_ BUILDING DEPARTMENT
TOWN OF SOUTHOLD
HOUSING CODE INSPECTION REPORT
LOCATION: 3670 ROCKY POINT RD_ EAST MARION, NEW YORE
municipality.).._._...,..ww....._._ _
SUBDIVISION HAP NO._ LOT(s)
NAME OF OWNER (s) .w._ _.,._I1 LOAN MORTGAGE CORP.
SEASONAL SINGLE FAMILY
...._�_�.'....__��w. _ _ www..............._......
OCCUPANCY........_ l(t.ype �..-,_ ,,_...... . ..w.. ................ downer-tenantl
ADMITTED BY: MARIA SEAS ACCOMPANIED BY: SAME
KEY AVAILABLIs SUFI _CO. TAX MAP NO. ]002T--W-- --
SOURCE OF RE VEST: MARIA YSEAS —w—............. W m�W M mDATE: JUNE 30 1995
................................ —- _.........,_.—
DWELLIN
G:
i'YPE OF CONSTRUCTION WOOD FRANK 1 STORIES 1 I EXITS 2
FOUNDATION _ CANT BLOCK CELLAR FULL CRAWL SPACE
TOTAL ROOMS: IST FLR. 6 2ND FLR. �3RD FLR.
BATHROOM (s) ONE TOILET ROOM (s) UTILITY ROOM
PORCH TYPE DECK, TYPE PATIO
BREEZEWAY FIREPLACEmJJ GARAG..... _,
E
DOMESTIC HOTWATER YES TYPE UCATER ELECTRIC AIRCONDITIONING
....................
TYPE BEAT ELECTRIC �. �........_.... .
WARM AIR HOTWATER
OTllER:
ACCESSORY STRUCTURES:
GARAGE, TYPE OF CONST, STORAGE, TYPE CONST.
SWIMMING 00 GUEST, TYPE CONST.
OTHER:
VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION 6 BUILDING CODE
.LOCATI.ON.,,,.. ...__...._ _......�B.1L.wCR1,P"1` _.,._..wm .�...�...._�_......,�_ ._.__
� ION ART. SEC.
REMARKS: SOME ON FRONT RIM JOIST IN BASEMENT
............_w._.
OPEN i6i NG T 122878-Z FOR ELECTRIC BEAT.
INSPECTED BY DATE OF INSPECTION JULY 6, 1995
M. BO IS TIME START 12:00 PM END 1:20 PMww..__.._
a
FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No Z17264 Date SEPT. 6 1988
THIS CERTIFIES that the building ALTERATION
Location of Property 3670 ROCKY POINT ROAD EAST MARION
House No. Street Hamlet
County Tax Map No. 1000 Section 21 Block 04 Lot 05
Subdivision XX Filed Map No. XX Lot No. XX
conforms substantially to the Application for Building Permit heretofore
filed in this office dated. OCT. 12 1983 _______pursuant to which
Building Permit No. 12721Z dated NOV. 2 1983
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 ENCLOSE EXISTING PORCH ON EXISTING ONE FAMILY DWELLING.
The certificate is issued to MR. & MRS. LEWIS STABILE
(owner, )
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A
UNDERWRITERS CERTIFICATE NO. N644241 MAY 15m 1985
PLUMBERS CERTIFICATION DA D tZ
J
Building Inspector
Rev. 1/81