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Home My WebLink About1000-64.-2-49 ¢ TOWN OF SOUTHOLD fi Rental Permit 1178 AV Owner Brian & Lauren Crespo Occupied as Single Family Dwelling Located at 310 Old Shipyard Ln Southold 64.-2-49 Maximum Permitted Occupancy 5 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. 7/30/2024 Code fore nt ofici This Notice must be posted by the main entrance at all times TOWN OF SOUTHOLD—BUILDING DEP T IK',, C Town Hall Annex 54375 Main Road P. 0. Box 1179 Southold, NY 11971-0959 Telephone (631) 765-1802 Fax(631) 765-9502 ht.AtX://WW 0L1t oldto r / ( RENTAL PERMIT APPLICATION Y"t c Rental Permit Fee$300 (Application must be renewed every two years) Section A. Property Information: Rental Property Address: 310 OL l F' 9 N� SD I Tax Map Number: 1000 SECTION (0'4 BLOCK — 2' -LOT SECTION B. OWNER INFORMATION: Property Owner Name: 4=&2 RiE3�I Property Owner Legal Address: Property Owner Mailing Address: (Cannot be the same as Rental Property Address) 1 ( Z --7513 Telephone Number (s): Daytime Evening Emergency Property Owner Email Address: (a V r e b c4 ry%atl CO nrL Page 1 of 4 Section C. Authorized Agent Information: Name of Authorized Agent of dwelling unit, if any: Address of Authorized Agent (no P.O. Boxes): Mailing Address of Authorized Agent: Telephone Number(s): Daytime Evening Emergency Email Address: Section D. Managing Agent Information: Name of Authorized Agent of dwelling unit, if any: Address of Authorized Agent(no P.O. Boxes): Mailing Address of Authorized Agent: Telephone Number (s): Daytime Evening Erergency Email Address: SECTION E. SITE MANAGER INFORMATION: (required for rental properties containing 8 or more rental units) Name of Managing Agent of dwelling unit, if any: Address of Managing Agent(no P.O. Boxes): Mailing Address of Managing Agent: Telephone Number (s): Daytime Evening Emergency Email Address: Page 2 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: cs Number of rooms in Rental Dwelling Unit: 7 Use and Dimensions of each room in Rental Dwelling Unit; b g CA .» r tj 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. ❑ lam requesting afire 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 Ltla e Cre-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: 4 Property Owner's Signature: Sworn to before me this o-) day of JANE ALLEGRETTI AR. UBLIC-STATE OF NEW YORK Officia otary Public Si ature ano JA N�Stamp Qualified assau County My Commission Expires 08-02-2026 Page 4 of 4 i4F SQNJ1y TOWN OF SOUT'HOLD BUILDING DEPT. 631-765-1802 (p�/- a-/P INSPECTION [ ] FOUNDATION 1 ST/ 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 ,L) [ ] CODE VIOLATION [ ] PRE C/O [ RENTAL REMARKS: Ok- Ak son gage- DATE - 50 0 02 INSPECTOR '`� � are B) , k rd Lctr`k �D ".. so, K i j TOWN OF SOUTHOLD BUILDING DEPT. 631-765-1802 INSPECTION [ ] FOUNDATION 1 ST/ REBAR [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION/CAULKING [ ] FRAMING /STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINA .) '` [ ] CODE VIOLATION [ ] PRE C/O [ RENTAL REMARKS: Ca e.hor► titorr , t 01� r r`✓ 1 aulwdt, a � Gin e rtoop,, ,w�YMMaMnpBl'W4&MMNM� BJlki4'�.mmwurv.�,+�,._ d RATE INSPECTOR ' �� TOWN OF SOUTHOLD BUILDING DEPT. +� 631-765-1802 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 (FINA ) [ ] CODE VIOLATION [ ] PRE C/O [ RENTAL REMARKS: Ca,g-hon matt ay_�: Jc e i //7 CA- -'4 ,eSQi� cc� a n QoC i �ea- c s, HATE _� I' INSPECTOR ``� Town Hall Annex ��' e Telephone (631)765-1802 54375 Main Road Fax(631)765-9502 P. O.Box 1179 Southold, NY 11971-0959 �a � 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 uwiredl for Architect or Engineer, Licensed Hoare Inspector must provide copy of valid current certifici ion Rental Property SCTM Number: D - (q4 ,- 2-4 1 Rental Property Address: 31 D ttl LIE Owner/Name: 1--AU REYJ Rental Dwelling Unit Identifier: Number&Square footage of each bedroom as depicted in the attached floor plan: (i.e. Bedroom#1 -100 sqft., Bedroom#2-90 sgft., etc.) B EC>9W #W l ` q 3'-*t) Property Description (Include all improvements indicated on survey) 6 A-t-tR . 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,Plurnoipg Code of New York State,the Fuel Gas Code of New York State,the Fire Code of New Yor Stptp,-k 11 foperty Maintenance Code of New York State an ner Co ervation Construct � � '�of New Yor State. Print Name and Title � � a�.�� mgin t Signature Please place Professional Seal: r TOWN OF SOUTHOLD PROPERTY RECORD CARD- - " �VILLAGE 1 DISTRICT I 6 SUB LOT 6(V 5 J- 0 E :-n vf-r-0r) I ACREAGE S W TYPE OF BUILDING 7'a CB, RES, SEAS. VL� FARM Comm, IND. Mlsc� I LAND IMP- TOTAL DATE REMARKS 4 C-10 Ive, 101 51 zov f— 'v If 9 f AGE BUILDING CONDITION o - NEW NORMAL BELOW ABOVE 42 Form Acre Value Per Acre Value Tillable I 4 Tillable 2 Tillable 3 Wcodland lZ- O-OlL P'771— 199Y Swampland Grushlond House Plot 1,4,— --2- 14 LLLL R L-1 j v- 1 M. Bldg. LFoundation Both Extension Basement v i Floors 10 Extension Ext. Walls Interior Finish Extension Fire Place Heat Porch Attic Porch Rooms 1st Floor Breezeway' Patio Rooms 2nd Floor Garage Driveway t O. B. FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. PRB EXISTING CERTIFICATS OF OCCUPANCY No 9-24069 Date DECEMBER 7 1995 THIS CERTIFIES that the buildin OHS FAMILY DWELLING Location of Property 310 OLD SHIPYARD ROAD SOUTHOLD N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 64 Block 2 Lot 49 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 $-24069 dated DE ER 7 19915 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 DWXMING KITH ATTACHED GARAGE The certificate is issued to DIANE X. SLAVORIR (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A *PLXASX SE8 ATTACHED INSPECTItNi PO �J Building Inspec r Rev. 1/81 FORM NO 4 BULWN OFSOUTHOLD DING DEPARTMENT �� .. LIt1 r' '/ TOWN CLERKS OFFICE SOUTHOLD, N. Y. CERTIFICATE OF OCCUPANCY No. . .... .. mote ....................................MAY..7........ 19AA. THIS CERTIFIES that the building located atW/&-.=..Shi ►y.wjd--L*te•.••••••.••.•.•••• Street Map No.Faunders..S k No. .........xzx........ Lot No. ..7.5.........southA2As.....X.-Y................ conforms substantially to the Application for Building Permit heretofore filed in this office dated .. ..... .................JaLv.9mj=....,3Q, 19..59., pursuant to which Building permit No. ..."Z918........... dated .............................11W0 I + ;"......W,....3:9wos issued, and conforms to all of the requirements of the applicable provisions of the low. The occupancy for which this certificate is issued is ................ .. ................2r1*VA. t..aw.. ............................................................................ This certificate is issued to ....BrAner....ftP-000........................... ». ., ........... ..................... (owner, lessee or tenont of the aforesaid building. ..........14wx.�43........LkA f;.;,,:: ... ... »..<... . Building Inspector Hp IANIA Hp MA H 7AM H '-NIA HO IANIA 2A PO IANV' NM AVU 'Lu.ZE s13msvo d0i'J31iInOl, C°o z 4 Oro Cc 0 z 0 LL w Inc < c LJ LIJ Z4 LU Li C\j 100 H13 CO o 0 D LU 0 co 0 Hp IANIA H 'AWA HQ IANIA HQ ANIt. Lot 74jt wz �c Q ! J ' ��Ea d o garaga Q 10 N Q LOt 75 Lntj 37' 150,0 a Lot 76 Q i MAP OF LAND NBTC: L44 nu bees zhowt,rs fcr+B`Map of SURVEYED EOIZ r0uM*ts Csf'4 es•fit" hi the Suffolk C.6u t4 ' JOSEPH L. SLAVONI K Gtark Office 4s op tiumbelo a34 AT SOU_rHoLD `y o .r a roes yco TOWN OF SGUTHOCD and# a'3e46 rit t_�4V Itk of L" � NEW Yoa,ccl,- �, scale VAN Sots { i.� lfZe�et , IIIIILIIING IIEPARTHENT TOWN OF SOUTHOLD IIOUSING COD[: INSPECTION REPORT 310 OLD SHIPYARD ROAD SO RK OLD....,.NEW YO n nbe r 6 s L re a L.._.,w,..,,.,h.w..,_,.......................„,.._,„.,........._ mull L C l p;l 11 L y SIIISI)IVIS1UN TIAP NO L(1'1'1s) ....NAME OF OWNEA( (s) .,,.,__ w_,",,,,__„•. ...,.....,. DIANE E. SLAVONIK SINGLE FAMILY OCl;I11'ANf.Y....._._.._�......., ..._.. �m_.__,...._..,_,__....w.__......_...wv._. .. ._.. �,•.0 „_...„„_m,. ....,..,, , lyl". _...w_.....,. .. owner-tenant, .......... ..... . ADMITTED Ily DIME E. SLAVONIK ACCOMPANIED IiY: SANE KI•:Y AVAII.AIlI.).._.... VfI l ,(.(). 'I°AX HAP NU. DATE. 12/4/95 SOURCE, OF REQUEST: DIANE E. SLAVONIK Dlfitif,l_ _.._ .._..... ....w ww...,.._. ,... _... ... i STORIES.._. _ 2 _. TYPE OF CONST'(' It11CflON WOOD FRAME 1 I EXITS FUL FOUNDA'I'IUN _ CEMENT .,.... .. _...,....... WCELLAR L...._,_._._.,. CRAW1. Sl'ACE_._.........M..m.w. _.,.... ...__ 'I'0'l'AI. ROOMS: 1ST FLR. 5 2ND FI.R. 3RD PLR. RATIIROOM (s) ONE 'TOILET ROOM (s) UTILITY ROOl1 PORCH TYPE _ DI CK, 'TYPE ' PATIO REAR BRICK ..�.•.w._ 4IREI'LACE ONE (:AItAGC,,_.•.�.CAB ._.......�.. , IS IIEIi'L I�WA Y�._................_»...._........__...,._....._,.. ..�...,........�....,,....,.._...._.._......_...,_._�,...,_„. D(MIiSTIC 110`I'WATE.R OIL TYPE HE TE.It OFF AiRCONIJITIONING _ _. . . .., ..... X _... TYPE IIEA'T OIL HAlill Alit IIO'l7lATER XX O'I'll r•.It: . ACCESSORY STRUCTURES: GARAGE, '1'YPI? OF C(1NST. STORAGE, TYPE CONST Su1HHING, POOL ..... .... .,,,. , .m.. ._. ,. .,..„ GUI S'T, TYPE CONSI.,,..._- .W ...... _.. 0'I'l lls 11 VIOI,AT'IONS: CIIAPTEIt 45 N.Y. STATE UNIFORM FIRE 11REVENT'ION S IIIIILDING CODE CATION DESCRIPTION ART. SIG, i REMARKS: BP /918-CO Z-553 ALT 11..1 CC'1'f.D BY . . .,.,. .......��._ A ....1),.II Ur INSI I C . .... _,_.......w. ..__ ..,.,,, ' TION DEC. 6, 1995 N-m I JTI H I. START9:30 AN END 10:00 AN f) �� / � � �� r�/ I ;// 1 ;��,/ii %r i� /// j��J !,�� /j�� %i 'i�i�� %�� ', i o %,�� ,� �l ;�� ; i�%�o 1//��` ��i�� , f ��!f�'1 ,,,�% `'ff � �� „`�� ,,�, I �'�� %/, �!/, ,�� r �, // �� ;� � i i�� i��l� � ,rlj, i �� J �� %�� i � �� , � i� �/�� "�!i ii �'�fl�n, !e E, �V�+� � „%�"�� ( I r. .vu l�