The URL can be used to link to this page

Home My WebLink About1000-23.-1-8.1 TOWN OF SOUTHOLD Rental Permit 1126 Owner Edmond Franco Occupied as Single Family Dwelling Located at 15919 Route 25 East Marion 21-1-8.1 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. 5/10/2024 Code er ent Offi i This Notice must be posted by the main entrance at all times ABC 1 20N TOWN OF SOUTHOLD—BUILDING DEPARTMENT' 1 �b Town Hall Annex 54375 Main Road P. O. Box 1179 Southold,NY 119Ti-095 °°. Telephone(631) 765-1802 Fax(631) 765-9502htjt oldtown�r RENTAL PERMIT APPLICATION Rental Permit Fee $300(Application must be renewed every two years) Section A. Property Information: C) Rental Property Address: SOTCY MCA( 90AVI CAJT 144R t vr4 NY 11131 Tax Map Number: 1000 SECTION 2. --BLOCK—* I -LOT SECTION B. OWNER INFORMATION: Property Owner Name: QM FkA C* Property Owner Legal Address: Property Owner Mailing Address: (Cannot be the same as Rental Property Address) IL IVY 100#3 Telephone Number (s): Daytime - Evening Emergency Property Owner Email Address: a rsoCD dfraoe4rdi . Gom Page 1 of 4 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: t M : 44 ' 33 0M 10 1 X If" 8000M / 'x /g ' ly ' l6 � x 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. 0 1 am requesting a fire safety inspection to be performed by a Code Enforcement Official from the Town of Southold 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 - ° D ,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: .a a ... ., . Property Owner's Signature�� Sworn to before me this ay of P 1 .- , 20 Official Notary Public Signature and Original Notary Stamp ARL a A. OLNTAN Notary ry Public, State of New York N e l trafloll#01 DU634863 u� l commission�u 'E Queonu Page 4 of 4 Town Hall Annex �' w Telephone(631)765-1802 54375 Main Roada P. O. Box 1179 Southold, NY 11971-0959 BUILDING DEPARTMENT TOWN OF SOUTHOLD RENTAL PERMIT APPLICATION ADDENDUM Rental Dwelling Unit Identifier: AffIT Requested maximum number of persons allowed to occupy each dwelling unit: Number of Rooms in Rental Dwelling Unit: S' Use and Dim nsion of each room: L. � s '"1SP /fir o ""# Z Rental Dwelling Unit Identifier: Requested maximum number of persons allowed to occupy each dwelling unit: Number of Rooms in Rental Dwelling Unit: Use and Dimension of each room: Rental Dwelling Unit Identifier: Requested maximum number of persons allowed to occupy each dwelling unit: Number of Rooms in Rental Dwelling Unit: Use and Dimension of each room: 14f so TOWN OF ZIM 631*765-1802 c=P3 as- INSPEC ION [ ] FOUNDATION 1ST [ ] ROUGH PLEIG. [ ] FOUNDATION 2ND [ ] INSULATION/CAI C ] FRAMING / STRAPPING [ ] FINAL C ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY IN! [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PE [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (TII [ ] CODE VIOLATION [ ] PRE C/O [ REMARKS: 0 'L f lets DATE INSPECTOR 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 RENTAL PROPERTY CERTIFICATION Form is to be completed by a licensed architect, licensed engineer or licensed home inspector Separate form is required for each individual Rental Dwelling Unit Professional seal re uired for Architect or Engineer, Licensed Home Inspector must Provide copy of valid current certification Rental Property SCTM Number: 3 O 1 —Rental Property Address: /-f '+�l1" � MAKt Y //1�q / Owner/Name: C FAAffC.0 Rental Dwelling Unit Identifier: UAiI Number&Square footage of each bedroom as depicted in the attached floor plan: (i.e. Bedroom#1 —100 sqft., Bedroom#2—90 sgft., etc.) / ' 15*4 S74 1410 X 0 ' irc 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, the Fire Code of New York State, the Property Maintenance Code of New York State and the Energy Conservation Construction Code of New York State. NIA�L CAW Print Name and T l ` �° '' Original Signature Please place P fe "slon,al'Seal W "'iu,a .'uiw 3 _ 3 TOWN OF S UTHOLD PROPERTY t OWNER 'STREET _ VILLAGE _ SUB. LOT //�/� f � � FORMER OWNER N /) f/ (\` I E. ACR.�z- A V f)r r 1, ;� _ ��...�1:J VL. �• C;. � = - �J S W ; TYPE OF BUILDING - _ tt l I zzk RES. SEAS. VL. FARM COMM. CB. MICS. Mkt. Value f LAND IMP. TOTAL DATE REMARKS 5 '�Ga_ j �j yv',?Irn 2 A �, - - L ' - - t - � ` '� (L?Q �s -' SU rlcc I Tillable FRONTAGE ON WATER - f Woodland FRONTAGE ON ROAD _ Meadowland DEPTH ! - . House Plot BULKHEAD - I Total I £ I COLOR `R\�\ 3 , 7 a TRIM � Ao i lyA , l MEN=, - - �� 1 23. 1-8.1 3/11/2020 5 1 S 1 p o f SQ. FT. Fin"B" 1st Floor 2nd Floor TOTAL ts� dg_ _ X5 w' A`�,�$ Pc ca a-7 `3 Foundation THER Bath 3 Dinette \/ X t C _ 5 FULL COMBO Extension I �. Ll� �`�$� 3. 50 ��tj Basement L PARTIAL Floors Kit. s B Extension L1 X 1`k - 6 Finished B. Interior Finish L.R. �'- ,3 ., \ \ - a5 �` q3 Heat �l I-T D.R. Ext nX , 133 O `� . FP _ ems 1 t t Garage , a C> `A d Ext. Walls BR. XS Zt Porch 10 x 5 u1 � g y p �5 p � Dormer Baths Deck/Patio ��-�,b �y X� (� _,. any � �S s Roof Fam. Rm. Pool Solar Foyer A.C./GEN a 3d- � `� CI SP�1 .pQ Laundry Library/ 9.B' Study N 16cl DoJal� ISM F4ouv� a a FI�o��x12= p��1�S (R a1a C)f l _�a� 13 2525 1 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- 27370 Date: 10 23/00 THIS CERTIFIES that the building ACCESSORY Location of Property JS919 MAIN RD EAST MARION (HOUSE NO.) (STREET) (HAMLET) County Tax Map No_ 473889 Section 023 Block 0001 Lot 008.001 Subdivision Filed Map No. Lot No. conforms substantially to the Requirements for a A=ESSORY STRUCTURE built prior to APRIL 9, 1957 pursuant to which CERTIFICATE OF OCCUPANCY NUMBER Z- 27370 dated OCTOBER 23_ 2M000 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 ACCESSORY TWO CAR WOODFRAME GARAGE The certificate is issued to THEODORE P SWICK (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO_ N/A PLUMBEILS CERTIFICATION DATED N/A *PLEASE SEE ATTACHED INSPECTION REPORT, Authorized S gnature Rev. 1/81 BUILDING DEPARTMENT TOWN OF SOUTHOLD HOUSING CODE INSPECTION REPORT LOCATION: 15919wMAIN RD EAST ,M.ARION SUBDIVISION: . .. MAP 190.: __.......... LOT (S) ,. NAME OF OWNER (S): THEODORE P SWICK . OCCUPANCY: SINGLE FAMILY � _ THEODORE P SWICK ADMITTED BY: THEODORE P. SWICK ACCOMPANIED BY: MARY ANN BOLLMAN KEY AVAILABLE: .......................ww SUFF. CO. TAX MAP NO.: 23.-1-8.1 SOURCE OF RiLniiRCT: DMOND FRANCO /00 _ __w w w_.... DATE: 10 23 00 DWELLING: TYPE OF CONSTRUCTION: STORIES: 0.0 0 EXITS: 0 FOUNDATION: CELLAR: CRAWL SPACE: TOTAL ROOMS: 1ST FLR.: 0 2ND FLR.: m0, 3RD FLR.: _0 BATHROOM(S): 0.0 TOILET ROOM(S): 0.0 UTILITY ROOM(S): PORCH TYPE: DECK TYPE: __. w ................. PATIO TYPE: BRSELE AY: �.... ............,,_ FIREPLACE: ............ _ _.� GARAGE: .... ._ DOMESTIC PlOTWXTXR: TYPE BEATER: gqq. - AIRCONDITIONING: �. TYPE HEAT: WARM AIR: BOTNATER: OTHER: �......�.. _www_w _ _. w_._._._._.. ACCESSORY STRUCTURES: GARAGE, TYPE OF CONST.: 2 CAR WOOD FRAME STORAGE, TYPE COMST.: .....� SWIMMING POOL: _ GUEST. TYPE CONST.: ._ ......�m OTHER: .._� __..... ............w VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE CATIONww .. _ _ N ART. SEC. ....�q�... _._mm___ .�,50�".�CRIE�TIGb_.� q www N q � N B 4 q 4 9 I q V fl C q q C p 1 V N q N N I 6 N M V p I U w q q � q N ! I REMARKS: :.... . ^ TING ONLY ,Y, DWELLING; BUILT 5 9 62 kR�"+')$'1.5`94•°C„02.1334 G 4,"a�. PR F}E .�TI,.....� ......—... INSPECTED BY. ... ww DATE ON INSPECTION: 10 23 00 HN M. BOUFIS TIME START: 9:50 AM END: 10 110_wAM ronm NO.4 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. CERTIFICATE OF OCCUPANCY No, -....41334-..... Date ...........................may..........9.......... THIS CERTIFIES that the building located at Street F4st Xari Map No. ==......... Block No. ........ Lot No. ...... on ................... conforms substantially to the Application for Building Permit heretofore filed in this office doted .....I.......I............-........Qatabox.....5..... 19.62.. pursuant to which Building Permit No, Z15. :.. doted ......................... 190L..., was issued, and conforms to all of the requirements of the applicable provisions of the low. The occupancy for which this certificate is issued is .......... .......ftftate...one....f.amil.3r-dwelling....... ................................................................................ This certificate is issued to ..DrA..kXM=d..AO***&..WtfP-t.........Oumers................................... (owner, lessee or tenant) of the .aforesaid building. ��l a Town of Southold 9/7/2019 P.O.Box 1179 53095 Main Rd Southold,New York 11971 � fo CERTIFICATE OF OCCUPANCY No: 40679 Date: 9/7/2019 THIS CERTIFIES that the building ACCESSORY GARAGE Location of Property: 15919 Route 25,East Marion SCTM#: 473889 Sec/Block/Lot: 23.4-8.1 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 8/22/2017 pursuant to which Building Permit No. 41908 dated 8/24/2017 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: c so a c a P l e jor. The certificate is issued to Franco,Edmond of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 40908 6/19/2019 PLUMBERS CERTIFICATION DATED A i * o x Town of Southold 10/16/2019 P.O.Box 1179 53095 Main Rd Southold,New York 11971 CERT"` CA'TE OF OCCUPANCY No: 40775 Date: 10/16/2019 a THIS CERTIFIES that the building ADDITION/ALTERATION Location of Property: 15919 Route 25, East Marion SCTM#: 473889 Sec/Block/Lot: 23.-1-8.1 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 9/16/2019 pursuant to which Building Permit No. 44169 dated 9/16/2019 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: Wlqgtious a-nd addi ns " c udan t ks second floor k and o�u tdoo h we,f, to an"i tin family dwelligg as applied lied for. The certificate is issued to Franco,Edmond of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 44169 6/19/2019 PLUMBERS CERTIFICATION DATED 9/27/2019 rg ick a h Town of Southold 10/18/2019 P.O.Box 1179 53095 Main Rd Southold,New York 11971 CEILTIFICATE OF OCCUPANCY No: 40776 Date: 10/16/2019 THIS CERTIFIES that the building IN GROUND POOL Location of Property: 15919 Route 25, East Marion SCTM#: 473889 Sec/Block/Lot: 23.-1-8.1 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 8/22/2017 pursuant to which Building Permit No. 41930 dated 8/29/2017 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: ,accessory n ro mmi l'frith s�urr nip dk stora e closet an ht wer fenced to code as#p liiq for. The certificate is issued to Franco,Edmond J of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 41930 6/16/2019 PLUMBERS CERTIFICATION DATED 9/27/2019 Geo Fredrick Signature ��ltt Town of Southold 1/18/2019 ;- P.O.Box 1179 53095 Main Rd +� Southold,New York 11971 CETTIFICATE OF OCCUPANCY No: 40180 Date: 1/18/2019 THIS CERTIFIES that the building SOLAR PANEL Location of Property: 15919 Route 25, East Marion SCTM#: 473889 Sec/Block/Lot: 23.-1-8.1 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated p g ___......_. �6/2018 .,. __ 5/10/2018 pursuant to which Building Permit No. 42687 dated 5/1 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: (Jl�MQU E-D OLAR P L, The certificate is issued to Franco,Edmond of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 42687 01-14-2019 PLUMBERS CERTIFICATION DATED Authorized Signature ............................ --—----------—-—---------......... ........... Town of Southold 5/20/2021 P.O.Box 1179 53095 Main Rd Southold,New York 11971 ................ ...... CERTIFICATE OF OCCUPANCY No: 42042 Date: 5/20/2021 THIS CERTIFIES that the building SOLAR PANEL Location of Property: 15919 Route 25,East Marion SCTM#: 473889 Sec/Block/Lot: 21-1-8.1 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 1/4/2021 pursuant to which Building Permit No. 45680 dated 1/13/2021 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: roof-mounted r gl� ed for. _�qk_p ap_ __g�s 4ppjj_ The certificate is issued to Franco,Edmond of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF BEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 45680 3/11/2021 ............ PLUMBERS CERTIFICATION DATED Authorized Signature FRANCO --- ADDITION I i , 3 Fii�+t 1 t6e52ltx t9-T S.t• zasG12 �et�,��e 1 _1 ass' n:u =[ e �; xovsEew+tx.r+aeas ' s, 4 T BATFI i BEDROOM i --_.___ ----------__— � F I� em�rvcstenro2.ra, Roo"" ___ _______ ______ _ - i t � KlI H e Inc ----------------- 71 3 Y - RYALLSH�ERDAN ARCHITECTS H PROPOSED GROUND �. .=$ FLOOR 8,DECK PLANS T"S PROPOSED GROUND FLOOR 8 DECK PLAN -_ i FRANCO _ MMON BEDROOM 2 x urrmm+a�iaaew=_ _ _ e o-sw�.i=.cas.T.aEsw,�a:weE i i �� tsars '€ 9 rti McN+tOhtUs�Elm'.SFrw ^ 1 - + E �a tW5fMS4QSrT:�a�a .�, r£ <E> -Y "`��_-�,- mk - i1, 5; rzicrnrxxe v� --- __ - ROCA FHrt]ltfGB10 1 J _ — - _ •-� vm�arcura 4+'t2 r2P 43 '�-.� _ is£ 1 _ _ —1 PROPOSED UPPER FLOOR PLAN Fol ; -_'D "- E t s a GHMEC 3 : RYALL SNER@AWN AR TS :r cn Tio r r� _ i ---._...... rt q .PROPOSED ROOF PLAN 3 : Al04