HomeMy WebLinkAbout1000-30.-2-56 a TOWN OF SOUTHOLD
47 "_
Rental Permit
1177
Owner Anna Costaras
Occupied as Single Family Dwelling
Located at 1920 The Strand East Marion 30.-2-56
Maximum Permitted Occupancy 8
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.
7/25/2024
Code ent oc'
This Notice must be posted by the main entrance at all times or�
I
w TOWN OF SOUTHOLD— BUILDING DEPARTMENT
Town Hall Annex 54375 Main Road P. taw Sox 1179 Southold,NY l 1 0 C E I V E
Telephone (631) 765-1802 Fax(631) 765-9502 ht Ix t�i
JU N - 6 2024 UO
RENTAL PERMIT APPLICATION 13ultding F)eParfment
Town of Southold
Rental Permit Fee$300(Application must be renewed every two yearn N
1(4W4
Section A.
Property Information:
Rental Property Address:
19 Z 9 t7i e S�z n of %lug' �'►,l/7.% V 13
Tax Map Number: 1000 SECTION D -BLOCK Z -LOT S 6 -
SECTION B.
OWNER INFORMATION:
Property Owner Name: '
Property Owner Legal Address: Property Owner Mailing Address:
(Cannot be the same as Rental Property Address)
n ✓or
m-n A r
Telephone Number (s): Daytime j" , 3t --a d27-Evening ...... b - -_ Emergency
Property Owner Email Address: "Ca
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, 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: 2'o x zo
/2-4 "A,/-; l ", �,y '0 d ` �� �/u X 1 rio/ r
�r
/ W t_! r
Gl✓'1Y iw - ` '�' /� t� /G'/�9 /J. �r r/ f(,
/0 rd " k 7
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.
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)
1Am yj a 604 to ra S 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 Owner's Signature:
Sworn to before me this 2X day of Mql µ _ 2021
Official Notary Public Signature and Original Notary Stamp
MATTHE'WVADAM MPtST'EFJ
Notary Public,State of Now Yo*
No.01ME8f 80
Qustified In Now York County
Commission Expires 09/p�p ;.,;.`,t"
Page 4 of 4
Fat , - Town Hall Annex
Town of Southold 54375 Main Road
Rental Inspection Report PO Box 1179
Southold, NY 11971-1179
" Tel: 631-765-1802
SCTM # �p Date
..... G•! a _Owner �e. .,, Phone
.e ... .... ,.,. .. ___ ___ ......._
Address � � ? - S4'�' Visible
_ , e e
Hamlet 1nspector
Floor Level Quantities Sub 1 2 3
a..........,�
Smoke Detectors (not located in bedrooms)
_... _. _.
Carbon Monoxide Detectors
_ . _. , ._ . ,. ....._ . e ,. ..
Fire Extinguishers
. ........
Exits
_ . ................._.... _. _ „ ..., �,. �..._... �....
Bedrooms e .. 1 1 2/ 3/ 4/ 5 6
Smoke Detectors . l
✓',"
Egress
....„ e _.... .,, ® .. ...
Occupant Count ,
Building Systems Maintained &Operational Condition of Property
Heating Building interior
Hot water Building exterior
Electrical Property clean, maintained &safe
_ _ ..... .. .... e _,,,. ___...... ._ _ ., . .._..... .
Mechanical Handrails &guards installed &secure
Pool Safety I Pool on Site
Surface water alarm Date of CO issuance
Door alarms Pool completely enclosed
. ..
Self closing/ latching gates Pool fence to code requirements
CO's for all items present Prior Rental
Comments: ....... ,. , ,, . .. ..... . .. .......
®.._._, , _. . , e _„e„ee,,_. __ _ _,�
149
.....
r4f ace
TOWN OF SOUTHOLD BUILDING DEFT.
631-765-1802 `3o - a-5 1p
INSPECTION
[ ] ,FOUNDATION 1ST/ REBAR [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INSULATION/CAULKING
[ ] FRAMING /STRAPPING [ ] FINAL
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FIN
[ ] CODE VIOLATION [ ] PRE C/O [ RENTAL
REMARKS:
DATE 1NS1"EC"" OR
TOWN OF SOUTHOLD BUILDING DEPT.
631-765-1802 3o Pa-S(a
INSPECTION
[ ] FOUNDATION 1ST/ REBAR [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INSULATION/CAULKING
[ ] FRAMING /STRAPPING [ ] FINAL
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL)
[ ] CODE VIOLATION [ ] PRE C/O [ RENTAL
REMARKS: hodl X4 or?oKIJ n, e
14t5le— DAOW,,P - /Zp he, Aawzd r
at.+e-m s s
Ie"AA /t e fie °, oL sl /, o2 ' c
DATE 43 oa INSPECTOR
'7
TOWN OF SOUTH OLD PROPERTY RE COI i �cd-a`-;t�
1601
OWNECi,"" ---Nr STREET = VILLAGE LOT
DIST. SUB.
cy 0
FORMER OWNER i N E AIR.
S W TYPE OF BUILDING
RES. (o SEAS. VL. FARM COMM. CB. MICS. Mkt, Value
LAND IMP- TOTAL DATE REMARKS/-',f
2146
4 -.2) t5 on Cal 4�0 tzs 7 0 !0 0
- 4-
14 1c) A
JV!
J
Tillable FRONTAGE ON WATER
vi
Woodland
FRONTAGE ON ROAD
Meadowland DEPTH
House Plot BULKHEAD
Total
)LOR TRIM
I
ti
c - -
3 3
3�
:t4-
A-
9F-�-
� #gg
30-2-56 9/01 e_, —' Z,
t > Li I
M. Bld g.
•
� I _
c [
Extension
? C-- i 2A x'Zq 7Z . �i s ��5 a -
2 4 IIIIIIIII 1llil II
Extension
Foundation Q C Bath �Z i Dinette;
4
Porch t,�:1 K(Q = t2 °A ( +�g j Basement i Floors K. }
-Refs-h- lls Ext. Wa ' Interior Finish �� �Q+x- LR
((n c4cw s�,.,.�F e3ll. t ,.
Breezeway i Fire Place V 1 Heat
c DR yw
Garage Type Roof iRooms 1st Floor 'BR. i
I €
Patio Recreation Room` Rooms 2nd Floor �1441
- - Est _
O. B. i Dormer Driveway z `
I
Total
Ac
FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No: Z-29269 Date: 02/14/03
THIS CERTIFIES that the building NEW DWELLING_
Location of Property: 1920 THE STRAND EAST MARION
(HOUSE NO.) _ (STREET) (HAMLET)
County Tax Map No. 4"73889 Section 30 Block 2 Lot 56
Subdivision Filed Map No. Lot No,
conforms substantially to the Application for Building Permit heretofore
filed in this office dated JANUARY 11, 2002 pursuant to which
Building Permit No. 28003-Z dated JANUARY 14, 2002
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 DWELLING WITH TWO CAR GARAGE UNDER AND SECOND FLOOR COVERED
DECK AS APPLIED FOR PER ZBA #4750 DATED 11/88/99. mmmm
The certificate is issued to RONALD & MADELINE RIBAUDO
of the aforesaid building,.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL R10-99-0079� 12 21/0
ELECTRICAL CERTIFICATE NO. 45106 07 02
PLUMBERS CERTIFICATION DATED 1 15/02 H A DRESCHER CORP
uthorized Si� a ure
Rev. 1/81
FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No: Z-29268 Date: 22 14/49
THIS CERTIFIES that the building ACCESSORY
Location of Property: 1920 THE STRAND EAST MARION
(HOUSE NO.) (STREET) (HAMLET)
County Tax Map No. 473889 Section 30 Block 2 Lot 56
Subdivision Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated JANUARY 11, 2002 pursuant to which
Building Permit No. 28003-Z dated JANUARY 14, 2002
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 INGROUND SWIMMING POOL WITHH FENCE TO CODE AS APPLIED FOR PER
ZBA 44750 DATED 11/18 99. m_w_
The certificate is issued to RONALD & MADELINE RIBAUDO
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO_ 58096 12/10/01
PLUMBERS CERTIFICATION DATED N/A
�,.._ Authorized Signa . re _._..._._..
Rev. 1/81
FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No: Z-29269 Date: 02/14/03
THIS CERTIFIES that the building NEW DWELLING
Location of Property: 1920 THE STRAND EAST MARION
(HOUSE NO.) (STREET) (HAMLET)
County Tax Map No_ 473889 Section 30 Block 2 Lot 56
Subdivision Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated JANUARY 11, 2002 pursuant to which
Building Permit No. 28003-Z dated JANUARY 14, 2002
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 DWELLING WITH TWO CAR GARAGE UNDER AND SECOND FLOOR COVERED
DECK AS APPLIED FOR PER ZBA ##4750 DATED 11/88 99.
The certificate is issued to RONALD & MADELINE RIBAUDO
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL, R10-99-0079 12 21/0
ELECTRICAL CERTIFICATE NO. 45106 22Z22YO1
PLUMBERS CERTIFICATION DATED 01/15 02 H A DRESCHER CORP
Authorised Si �a:et.re
Rev. 1/81
FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No: Z-29268 Date: 02 14 03
THIS CERTIFIES that the building ACCESSORY
Location of Property: 1920 THE STRAND EAST 1 ' ION
(HOUSE NO.) (STREET) (HAMLET)
County Tax Map No. 473889 Section 30 Block 2 Lot 56
Subdivision Filed Map No_ Lot NO.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated JANUARY 11, 2002 pursuant to which
Building Permit No. 28003-Z dated JANUARY 14, 2002
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 INGROUND SWIMMING POOL WITH FENCE TO CODE AS APPLIED FOR PER
ZBA #4750 DATED 11 18 99.
The certificate is issued to RONALD & MADELINE RI_BAUDO
(OWNER)
of the aforesaid building,.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A
ELECTRICAL CERTIFICATE NO_ 58096 12/10/01
PLUMBERS CERTIFICATION DATED N/A
Authorized Sign re
Rev. 1/81
a
NpTES:
wa
r{.
S �
All
� , ' _ �� a
�. 9 IT
s
-
_ »_ —
f
DECK HOUSE, INC
s�_
NOTES
Qvv:e arisrow wrwad.eu,>Beas re.ccvi
Ej
ae xx ni as��xccomucr�
p eaesaro lmsroannm cmrcrwwxexxe
�,� icurow.xo m..m.mnnoaawaa..a w�Tue
9 9 9 9 9 9 O"cures r+aaav[unm;.�vee
oaomaa emu �tss w¢�un.vo> rerz
i � + - a mie�aailzwwl.
4
a €
_ 1
=Ft
g
t
gg i
BEDRDCf1-2 � �� F; BED�'I-3
' 3 € ]
Jli
_.
'41
. -_ _
a ,
3 4
;8
� xOx d IX i d18dY00 O I:I1s1
a DECK HOUSE INC -
s
NOTE'
� - t �rrLYl�Y�� DFER rx>x Eca H'Fa=_lc Yo
IN
2ve1!atr.phppt ro LR RLUE
9 9 9 9 y -+ wee¢ msav rce lire caania!w.neYeni
� .vo
p.moea ro ux,lm•rrn6 xc.Yyn uu�mam
a Peu aoc
a
a
Eb
3 _ 4
�1 ---- _
WE-
i
i
co MINT$v
-M DEt;K HOUSE, INC
ids Q
ri
� p
iVli N��wy WW�� �I
P911� 'p
Ig
..
,,RI Tr���f.
Town
f,,.
i
I�/j >(! �� f � ���pptl�Ypptllpptl flu III IIII i�Yuiiu��l ��
Nulllllllll IIN�„��n,f �
gill/
al
/ii% j rrrr /r
j/'
'ter
,r
/ rr/r r irrrrr rri �//j��
r /rriir ii�r /
reor/
F11
/ rill
r
IIJ i,' ` �j" � � jam•% / // /Jy %� ��� �F
J i i ,
r r
r i
r
r r /
r r r
i
h r
�I II 6
AM,,
�� API
/f
,r I
r �
1 r
1
�L
i
r /
I
j i'
yr,,
G: ,