The URL can be used to link to this page

Home My WebLink About1000-62.-1-24.7 (Vail Bldg #5) _s TOWN OF SOUTHOLD Rental Permit 1148 Owner Colonial Vill Tenants Crp (Jean-Marie Sanchez) Occupied as Single Family Dwelling (Vail Building #5) Located at 55075 Route 25 Southold 62.-1-24.7 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. 6/10/2024 Code fore erg off' This Notice must be posted by the main entrance at all times e TOWN OF SOUTHOLD—BUILDING DEPARTMENT Y ?() :r Town Flall Annex 5 375Main RoadP. 0. 'Box, 1179 Southold, 'N ` 11971-09 9 Telephone (631) 765-1802 Fax(631) 765-9502 https://www.southo1dtoLA ww.southoldto nn `. �&o RENTAL PERMIT APPLICATION , coe �� q (,p� Rental Permit Fee $300 (Application must be renewed every two years) Section A. Property Information: Rental Property Address: Tax Map Number: 1000 SECTION off— -BLOCK -LOT - SECTION B. OWNER INFORMATION: Property Owner Name: �E�i✓' L 1E wrtl c` Z Property Owner Legal Address: Property Owner Mailing Address: (Cannot be the same as Rental Property Address) t/ /00 r AJ ` o o3 S/�a �f8 $o /d', O,96Emerg � '/ -66 Telephone Number (s): Daytime �� Evening Property Owner Email Address: L'_ 9 o'; f-00(' 4-6-1 t. 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: 14J1- �5— 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 /t Id /2ov& 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. Frl,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. 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) I �/f 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: Property Owners Signature: Sworn to before me this ao day of OCL �, 20 " Official Notary 66c Signature ancoriginal Notary Stamp TRACEY L. DWYER NOTARY PUBLIC,STATE OF NEW"YO RK NO,Oi COMOSSION EXPMES JUNK°"30 2221P Page 4 of 4 so TOWN OF SOUTHOLD BUILDING D Sl -7 5-1802 31 INSPt: C ION [ ] FOUNDATION 1 ST / REBAR [ ] ROUGH PL13G. [ ] FOUNDATION 2ND [ ] INSULATION/CAI [ ] FRAMING / STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY IN! [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PE [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FII [ ] CODE VIOLATION [ ] PRE C/O [ REMARKS: VA( � 6 Town Hall Annex �"�» Town of Southold 54375 Main Road Rental Inspection Report PO Box 1179 " Southold, NY 11971-1179 Tel: 631-765-1802 SCTM# Date ... . .,... � ... . . .. ......... _.._..� .. ... .. _......... Owner Phone ._.... Address , �C.� Visible ._._RR. . .._ H Inspector amlet . . . mm....... . . ...w ......_.w _....' . ....... ..... �.......... P,...__ _...... _ ......... Floor Level Quantities Sub 1 2 3 Smoke Detectors(not located in bedrooms) .... -...� ", .00., ,".,".. .,"�"w � .. ..� �.. m.,,R .m a Carbon Monoxide Detectors.�..,�.,,..��..� R �... .�.... � ..w."..,,,,. ��.. ,�w��...�a,m,� .. ....... .........� � .a......� .......... . w...ww........ �..� Fire Extinguishers �.,.... Exits.. ..... . ..... .... ... ,. ..,, .....__ ... ,__,.... . ..�.� .� .,, ... .._ . .w�. . 1................�., �8Bedrooms 1 2 3., 4. 5 6 .. .� �.. d..... w. .... _m.M, ,.....� �__. Smoke De .�._..rc..�_ � ......... �.. �.w. ._� Egress t/ . .... . l r Occupant Count pp m wilding Systems Maintained &Operational Condition of Property Heating Building interior rHotw"a-t- - ....... ... .. . ........ . ," , �e, ri . . .� � ter Building exterior Electrical Property clean, maintained &safe �... Mechanical Handrails&guards installed&secure Pool Safety Pool on Site Surface water alarm Date of CO issuance [Door alarms Pool completely enclosed [Self closing/ latching gates Pool fence to code requirements �� R..e. . O s for all items present Prior nt—al I.Comments: �.�......... �.. .._. .__.. __... , .._.. , w _.....,....._...._.. „ .......,, r ... ...M. ........ .. ........... . ,y_.... . . .......... ... ....... .,.. ........ ..........._.... . ._.... �,..._._... .................... ............ ...,..,... .........,. .�..... ....,�..,.,...,..,__...... ..,,............... ..... ..... ,,. ...,........,.. .. ..,..,.,.�.. ................... ....._,..... ,,.........._ ...,.,....,..,..... ..... ........,,.,.. .... ......,. .,. ., .....,.,.,.. .._..,.. ... ..., m.��.,.�.,W. i 3 g,s A_KITCICLOSE DROOM(1)1T7"x 12' --- C BATHROOM 4'10 x 12' _.. 10 E LIVING FIOOM 16'8"x 12' r�tD BE 4uN(2)16.5'x 11' 5-TERRACE 16'x 6' A KITCHEN 11 'x13' B BEDROOM (1) 17'7" x 12' C BATHROOM 4'10 x 12' D BEDROOM (2) 16.5' x 11 ' E LIVING ROOM 16'8" x 12' F TERRACE 16' x 6' QSMW� DE- fc;lo(- C�� De-ftcfof-- } Wk- - - 1t NN m 3 ss a s ; a z 'f Q ,xp ' } •^' }f aA l' } � £ \ 3 .t} f O;C' .&1 N d � �n j SUPERVISOR'S OFFICE TOWN CLERK'S OFFICE 16 South Street BUILDING DEPARTMENT Southold N. Y. roef Gr.enport, N. Y. Tel. Groonport 7-0650 Tel. Southold 5.3783 TOWN OF SOUTHOLD SUFFOLK COUNTY, N. Y. BUILDING INSPECTOR'S OFFICE CERTIFICATE OF OCCUPANCY 307 Gra Tel. G Southoldq H.Y. No. Date 19 THIS CERTIFIES that the building located at ICA I Street, Map No. AZ= Block No. , Lot No. ., Southold in the Town of Southold, conforms substantially to the approved plans and specifications heretofore filed in this office with Application for Building Permit dated V4W a 19.64., pursuant to which Building Permit No.158 dated ... Ju.ne__1& I164 , 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 This certificate is issued to owner, era'rr on ' " of the aforesaid building. H.D.Approval Nov 19, 1964 by R. Villa lding sp°ocf r " (The Certificate of Occupancy will be issued only after the Building Inspector is convinced of the completion of the consfruction in compliance with the Multiple Residence Law and with other laws, ordinances or regulations effecting the premises, and in conformity with As approved pions and specifications.) SUPERVISOR'S OFFICE TOVM CLERK'S OFFICE 16, South Street BUILDING DEPARTMENT Southold N.ree Y. Graenport, N. Y. Tel. Greenport 7-0550 Tel. Southold 5-3783 TO N F SOUTHOLD SUFFOLK COUNTY, N. Y. CERTIFICATE OF OCCUPANCY BUILDING # 2 No. Date Oct 119 (Ann's Way) THIS CERTIFIES that the building located at Street, Map No. , Block No. , Lot No.M so Id N Ie in the Town of Southold, conforms substantially to the approved plans and specifications heretofore filed in this office with Application for Building Permit dated 19-0 pursuant to which Building Permit No. B a „161, dated .... 19 f 2, 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 .. This certificate is issued to $ V 11a 6 (owner, lessee or tenant) of the aforesaid building. H.D.Approval Septa 28, 1965 by Re Villa Building Inspector (The Certificate of Occupancy will be issued only after the Building Inspector is convinced of the completion of the construction in compliance with the Multiple Residence Law and with other laws, ordinances or regulations affecting the premises, and in conformity with !fie approved plans and specifications.) SUPERVISOR'S OFFICE TOWN CLERK'S OFFICE Ile South Street BUILDING DEPARTMENT Mai. S+ro.+ Gresnpor+, N. Y. Southold, N. Y. T.I. Greenport 7-0550 Tel. Southold 5.3703 T ''li""N OF S UTHOLD SUFFOLK COUNTY, N. Y. BUILDING I'NSPECTOR'S OFFICE CERTIFICATE OF OCCUPANCY No.. Date April 20 19A6_ THIS CERTIFIES that the building located at Street, Map No. 3 , Block No. , Lot No, xxx in the Town of Southold, conforms substantially to the approved plans and specifications heretofore filed in this office with Application for Building Permit dated ftmenther. 1 1965— pursuant to which Building Permit No , dated D ,. 6 1 1965-, 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 pamInent oacumex Aiparigents This certificate is issued to ftilddrUlt P. H1-Cb4AA3Q11i&1 Village Inc )owner, lasso* or fonont) of the aforesaid building. H.Da Approval Jana 121 196% bar Re Villa Su'rlding Inspector (The Certificate of Occupancy will be issued only affer the Building Inspector is convinced of the completion of the construction in compliance with the Multiple Residence Law and with other laws, ordinances or regulations affecting the promises, and In conformity with the approved plans and specifications.) SUPERVISOR'S OFFICE TOWN CLERK'S OFFICE Ib South Street Main Street Greenporf, N. Y. BUILDING DEPARTMENT Southold, N. Y. Tel. Greenport 7.0550 Tel. Southold 5-3783 TO�� OF HOLD SO SUFFOLK COUNTY, N. Y. BUILDING INSPECTOR'S OFFICE Tel �� CERTIFICATE OF OCCUPANCY Building 4 No. Xaa410 Date J 19 L"o (Ann's Wlr� THIS CERTIFIES that the building located at Street, Map No. = . , Block No. , Lot No. in the Town of Southold, conforms substantially to the approved plans and specifications heretofore filed in this office with Application for Building Permit dated skril I 119W pursuant to which Building Permit No. , dated __AVr11 A 19 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 This certificate is issued to lowner, less** or tenant) of the aforesaid building_ HeD.tpproVal B*pt* 7f 1 Building Inspector (The Certificate of Occupancy will be issued only after the Bonding Inspector is convinced of the completion of the construction in compliance with the Multiple Resldonco low and with other laws, ordinances or regulations affecting the promises, and in conformity with the approved pions and sp*cifications.)4W SUPERVISOR'S OFFICE TOWN CLERK'S OFFICE Ib South Street BUILDING DEPARTMENT Mein Street Gresnporf, N. Y. Southold, N. Y. Tel. Greenport 7.0550 Tel. Southold 5-3783 SUFFOLK COUNTY, N. Y. BUILDING INSPECTOR'S OFFICE CERTIFICATE OF OCCUPANCY BUILDING # 5 No. M R D to THIS CERTIFIES that the building located at VA NQrtb L&QV M Rd NIS MAin StStreet Map No. , Block No. , Lot No. in the Town of Southold, conforms substantially to the approved plans and specifications heretofore filed in this office with Application for Building Permit dated Rent 23 19-161111, pursuant to which Building Permit N , dated SePt 21 . __.. 19-66, 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 e C This certificate is issued to ('owner„ lesson or fenant) of the aforesaid building. HoDeApproval Octe 17, 1966 by R#Villa /V'6L'� i Building Inspector (The Certificate of Occupancy will be issued only after the Building Inspector is convinced of the complefion of the consfruc+ion in compliance with the Multiple Residence Law and with ofher laws, ordinances or regulations affecting the premises, and in conformity with the approved plans and specifications.) TOWN CLERK'S OFFICE SUPERVISOR'S OFFICE Male Street Ib South Street BUILDING DEPARTMENT Southold, N. Y. Greenporf. N. Y. Tel. Southold 5.3783 Tel. Greanport 74660 SOWN OF + ""'OUTHOL SUFFOLK COUNTY, N. Y. BVILDINC4 INSPECTOLLpFfICE � � CERTIFICATE OF OCCUPANCY sot e H eY a �1 . Village Ina BldgI 6 No. 17 Date THIS CERTIFIES that the building located at Mute Map No. 3' , Block No. , Lot No. �L ee in the Town of Southold, conforms substantially to the approved plans and specifications heretofore filed in this office with Application for Building Permit dated 19 pursuant to which Building Permit No. , dated XMIA 19—0, 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 This certificate is issued to i r*k F* ''U'16 Colonial Vi111a • I (owner, louse or tenant) of the aforesaid building. Ht►Deapp"'9"al :uly 11f, 1967 by Re C,' k Bang Inspector (The Cwtiflcate of Ocoupanty will 60 issued only after the Building Inspector is convinced of the completion of the construction in compliance with the Mdulfpla Residence Law and with other laws, ordinances,or regulations affecting the premises, and in conformity with the approved plans and specifications.) SUPERYISOR'S OFFICE TOWN CLERK'S OFFICE Ib south Street Main BUILDING DEPARTMENT Southold,+N.+Y. Greenport, N. Y. Tel. Greenport 7-0550 T.I. Southold 5-3T83 TOWN OF SO TH LD SUFFOLK COUNTY, N. Y. COLONIAL VILLAGE BLDG 7 BUILDING INSPECTORS OFFICE k CERTIFICATE OF OCCUPANCY No. 182 Date But 23 19A& THIS CERTIFIES that the building located at IiW reef, Map No. 'Pis Riah , Biock No. , Lot No. x= Bout of N*Y sr in the Town of Southold, conforms substantially to the approved plans and specifications heretofore filed in this office with Application for Building Permit dated 19 pursuant to which Building Permit No.N+s"Ne , dated ..__ftX...31 19 1&, 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 !Nltlple Be This certificate is issued to Colonial Village Inq `'C"ed MOW (owner, Iassae or tenant) of the aforesaid building. Health Dept approval, June 14, 1968 by Ba Villa Building Inspector (The Certificate of Occupancy will be Issued only after the Building Inspector is convinced of the completion of the construction in compliance with As Multiple Residence Law and wi+h other laws, ordinances or regulations affecting the promises, and In conformity wath the approved plans and specifications.) SUPERVISOR'S OFFICE TOWN CLERK'S OFFICE Itr South Street BUILDING DEPARTMENT Main Street Greenporf„ N. Y. Southold, N. Y. Tel. Greenport 7-0550 Tel. Southold 5-3783 °"OIT"TN OF SOUTHOL SUFFOLK COUNTY, N. Y. BUILDING INSPECTOR'S OFFICE r CERTIFICATE OF OCCUPANCY Apt house # I (Wa. Rolyoillke House) _,... .. No. Date 19 THIS CERTIFIES that the building located at et, Map No. , Block No. xxx Lot No. in the Town of Southold, conforms substantially to the approved plans and specifications heretofore filed in this office with Application for Building Permit dated Aps U is 1 19 pursuant to which Building Permit No. IS 499 .., dated ... 19#0�..., 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 This certificate is issued to owner, lessee or tenant) of the aforesaid building. Sellekpprml Aug 21 , 1969 by A. Villa# ( So additional fee required) �fding ns r (The Certificate of Occupancy will bo issued only alter the Building Inspector is convinced of the completion of the construction in compliance with the Multiple Residence Law and with other laws, ordinances or regulations affecting the premises, and in conf'ormify with *0 approved plans and specifications.)