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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{. 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