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HomeMy WebLinkAbout1000-123.-8-19 O N O It co O O 'y � cQ � O Q 'u O W o O O O O N c �i cB O z LU U o O cn E cam io O � Q CX3 cv C� LIP c o O a o � Caj N co •0 a o Co I.L. . - o O U U i Z O 3 0 a) En Cd o 4- ova; z° a� N oocLn CO � V► ca o 0 3 2 N a) clb B NN O •X o �, 0 m i N Ln M ;- 0 * O 3 Y O N \ m . . U O a a..+ -p f� co O • V N U U p = .CL 3 U O O coU �' w pif so 3.,4e PG,;r� rt TOWN OF SOUTHOLD BUILDING DEPT. `co 631-765-1802 `23--2r" 117 IM 1 5 1 J EtC' T 10' N [ ] 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 (FINAL) [ ] CODE VIOLATION [ ] PRE C/O [k4�RENTAL REMARKS: DATE INSPECTOR��5�-- ? Y`r'�►n vF04 Town Hall Annex 411. Town of Southold 54375 Main Road Rental Inspection Report PO Box 1179 Southold, NY 11971-1179 Tel: 631-765-1802 SCTM# 123=$`1 q Date 5/1 Izaa. Owner p �c(ai�SKi Phone Address 120-riC AAA Visible 5 Hamlet Inspector I cofzwitj Floor Level Quantities Sub 1 2 3 Smoke Detectors(not located in bedrooms) 1 l Carbon Monoxide Detectors Fire Extinguishers Exits Bedrooms 1 2 4 5 6 Smoke Detectors 1 I Egress t Occupant Count Z `4 Building Systems Maintained&Operational Condition of Property Heating Building interior Hot water ,,/ 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 is 1✓i" ✓//i %%i j%/ ✓ �//ri✓� iir� ji0 /li✓ 'dyi r ✓ CO's for all items present Comments: CD Vl EF UT O O e-F N � � N o N r-+ Q Er N `z (n (gyp CD D �� ;"� 03 =3 a ---�+ O �< =r C) CD y Q CD V CD * N. O0 cn p- x _3 m =3 �• N C:)- Cn Z N � CD C CD 3 CD o0 CD -m Zr CCD fD 0- m CD o CDCD CD 3 o OCD W Q 0 O (gyp �~�. ' -n FD * UQ rD o Nmoo � � o CD N � d TC ono -� < cm �. M rD rD�* = CD e. CD ._r (=Co * (D 3 Cn CL fD o O Q � Q CD WU W SKQ = n a O C) 3 C L C_ O = — (o — Q Q r+ m 0 �- CD= = � C) o N z o c n W O ) i 00 ro - � r � :3 CD CQ 0 (T -0 ^ 0(D A � Cn 0 All Town HaffAnnex Telephone;(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1 179 Southold,NY 11971-0959 � "? DIFF MAY - 3 2019 UILDI PA w 11 . °1° ®: OWN,, F. . MHO , RENTAL PERMIT APPLICATION, TOWN OFSOUTHC) I"keintal Ilfueri mlt III:: 00( pplka ion npust be renewed et)i two years) Section A ' Property Information: Rental Prop ertdres;: o Tax Map I r CTION , -rl, -LOTS E ION B. � l � • OWNER 11 ll III IIG III�`1 , Property Owner Name: 5= Property Ow r'Leg5l Add res : Pro j el"1y 0%#heu A'a lih ddre'ss: a, 0 �so 5AML Telephone Number (s): Daytime 31 .2,19t Evenin1• - Emergeny Property Owner Email Address: J "-_OftWj Page 1 of 5 Town Hall Annex � �'" Telephones:(631)76,5-1802 54375;Main Road Fax(631)765-9502 P.O.Box 1 179 Southold,NY 11971-0959 14 ' BUJ DINGDEPARTIVfENf ; TOWN- Of OU . OLD; Mailing Address of Managing Agent: ' Telephone Number (s): Daytime Evening, Emergenc Email Address: SECTION 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 tie Rental Dwelling Unit (for example, Kitchen, Bedroom 1, Bedroom 2, Living Room) and the dimensions of each room; For properties with multiple Rental Dwelling Qnits use 'Refttal PermitApplicatr"ori Addendum." Rental Dwelling Unit Identifier: .01 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: CAI =Tend � . ,fee ( 0 L Page 3 of 5 + � . Town Hall Annex Telephone(631)745-1802 54375 Main Road Fax,(631)7¢5-9502 P.O.Box 1 179 Southold,NY 1 1 97 1-0959 IL 1 O DEPARTMENT , _ TOWN-OF 1SOUTIROLD a 1phcab�e haws and runes. III fu rtlher ac'kno fledge that l wiI notify the 7'o l'l C)f's6uthold ' iang ' day of a changOIddwmf p utuna n f '� 14 � ` �u u u i. r . I �,iaVe'a d ai,ad t'ete' d ctap,)y df ilea tei-�.; 'df' Il�ae C"M' d ''of tQ��e l'oW� ul ,(,,f utlll lid A uld agre d o' EAde bylih' °some' P a 0 "ill notify the Ton witllairea fine 5 Ibusiness days as to any change to the uu°ufaaomat6ou regarding Authorized Agent, Managing Agent, or Site Manager: Property`OwnerysNtarite: " - �"� Property Owner's Signature: f Sworn to before me thi day of °20 C\ Official Notary Public Signature and,Origin�al Notary Stamp, r C.ON Ni D UNCH Notary Puble to of,Now York No.OIBU6185050 C ualufi in Su fo*county (`rC1m1'1"kis'910 0 EVires ill rll`44, 33� Page 5 of 5 I a d n Town=ball Annex Telephone(631)7,65-1902 54375 Mai&Road Fax(631)76.5-9502 Y.O.Box 1 179 Southold,NY 11971-0959 � " 'COO' [ ILIAN ' EPA T ENT' SECTION G. INSPFCT1 N :.. Pursuant Wthe-Town Code of the ie T,a wn, ;SQuthgld Chapter 07 (RgntaI-Pro,p.erties), a gf'ety 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 Preventi0n7,I.Jild,i_ng-,Code Ce�rt,ification,is..rpggired;statipg 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:gfthe County o ',Suffolk,a.nd 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 t - g. _ o -p -- n forEnJr+oc a licensed ❑ lam submitting a cm leted Town of Southold-certification architect or a licensed profe, sional engineer. E, SECTION H. DECLARATION: signature must be notarized and MUST be the owner of the dwelling unit. STATE OF NEW YORK) COUNTY OF SUFFOLK) I MJ0 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`tl1s app)1at1 is m legal address and I understand the Town will use the address for s ryj d� �a t ag all �. Page 4 of 5 r+ 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-25075 Date June 6,, 1997 THIS CERTIFIES that the bui ig O FA17CLY DWXLLIN.G Location of Property 3060 PARK AEA MATTITIICK A.Y. House o.. Sheet Hamlet County Tax Map No. 1000 section 12 3 Block 8 Lot 19 Subdivision Filed'r ''i' ' No'm of No. conforms substantially to the Requirements, or- a One Family Dwelling built Prior to: APRIL 9,r 1957 pursuant to which CERTIFICATE OF OCCUPANCYZ�2.5075 dated JUNE 6 1997 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 TWO ONE FAMILY DMLLINGS & ACCESSORY GARAGE WITH THREE— ATTACHED SHEDS The certificate is issued to KATHLEEN TUTHILL (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. PENDING - JUNE 2, 1997 PLUMBERS CERTIFICATION DATED N/, *PLEASE SEE ATTACHED INSPECTION REPORT. 4 Z Aildiinspector Rev. 1/81 .t BUILDING DEPARTMENT TOWN OF SOUTIIOLD HOUSING CODE INSPECTION REPORT LOCATION: 3060 PARR AVE. MATTITUCK N.Y. naAazr �r rr slresat)._.,..,_ meanacpal�ty SUBDIVISION MAP NO. LOT(4) NAME, OF OWNER (s) KATHLEEN B. TUTIIILL OCCUPANCY RES. OWNER ov n er--tenamt AUMiTTFD BY: KATHLEEN TUTHILL ACCOMPANIED BY: SA14F KEY AVAILA:KLE�_ 5118�F. ;O. TAX MAP NO 1000-I23-OE-1 SOURCE OF RE UEST:. T _ L 13 .. Q KATHLEEN ..UTHILL�.. _..._.. DATE^ e BWELLING: _ _.._„ TYPE OF CONSTRUCTION . HOOD FR AME _M STORIES. 2 / EXITS ,2 CRAWL SPACE FOUNDATION CEMENT BLOCK m !CELLAR 3 4�� .W ._ TOTAL ROOMS: IST PLR. 4 ZND PLR_ 4 3RD FI.R; BATHROOM (s) ONE 70CI,ET .ROOM {s) ONE UTI1.I'1'Y .noon PORCH TYPE ENCLOSED I I PATIO DECK, TYPE _ BREEZEWAY_ FIREPLACE ONE GAIAgr DOMESTIC 110T.. � WATER. YES TYPE HEATER _E F CRI,C AIRCdNDITI""®KING TYPE 1lEAT � l WARM AIR FI. H NE IIOTWATER mm OTHER:__ ACCESSORY STRUCTURES: GARAGE, TYPE OF CONSTWWvuwwlalO011 FRAME,2O TYPE CONST» 3 SHEIK 11TTACHED TO, GARA SWinMINC POOI GUEST, TYPE CONST GE OTHER: V101.ATIONS� CHAPTER 45 N .�.._...___.;__.�.��_._.___� --�..'-.-..-... _��_,-GOOF. Y_ STATE UNIFORM FIRE. PREVENTION b Bll]:LD.1NG-CODE LOCATIIN ART.. SEC,,.. REMARKS: ... . � w.. OF LNS INSPECTED B DATE PECTION MAY 22 1997 _ r 1` ht TIME. START 11:00 END 11:20 BUILDING DEPARTMENT TOWN OF SOUTHOLD HOUSING CODE INSPECTION REPORT LOCATION: 3060 PARK AVE. MATT"TMg nrajmber & street sre�nleiPa�IatY SUBDIVISION HAP NO. NAME OF OWNER (s)m KATHLBEN B. TUTHILL OCCUPANCY--(—type) OWIDI (owner-tenant), ADMITTED BY: KATHLEEN B. TUTHILL ACCOMPANIED BY: jLL— _.....- KEY AVAILABI. 23 _�W........ SUFFA O A1I HAP NO �.._ SOURCE OF REQUEST: KATHISEN TUTHILL DATE: KAY 1 � . DWELLING: TYPE I1 CONSTRUCTION WOOD FRAME 11 STORIES 2 # EXITS ONE FOUNDATION_ POSTS .CELLAR N4...... CRAWL SPA CE TOTAL ROOMS: IST FLR. 3 2ND FLR_ 9 3RD FLR. BATHROOM (s) ONE TOILET ROOK Is) 11 UTILITY ROM PORCH TYPE DECK, TYPE PATIO BREEZEWAY_ FIREPLACE; GARAGE DOMESTIC HOTWATER— M39ATER AIRCONDITIONING TYPE HEAT OIL WARM AIR FLOOR SEATER HOTWATER OTHER: ACCESSORY STRUCTURES: (S- - HOUSING REPORT FOR. DWELLI G4 1 .S ST® GARAGE, TYPE OF CONST. _� SWIMMING P091� CUEF,TTPE CONST. OTHER: �. VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE LOCATION DESCRIPTION ART', SEC. INSPECTED BY D MAY 2, IV' '37 .... �. � mm..... ATE OF INSPECTION 2 � _,,.. I. SH TIME START 11:00 AM END 11:20 AN FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-26227 Date: 01/22/98 THIS CERTIFIES that the building ADDITION & ALTERATION Location of Property: 3060 PARK AVE MATTITUCK (HOUSE NO. ) (STREET) (HAMLET) County Tax Map No. 473889 Section 123 Block 8 Lot 19 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated NOVEMBER 5, 1997 pursuant to which Building Permit No. 24627-Z dated FEBRUARY 2, 1998 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 ALTERATION, RENOVATION AND ADDITION TO AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to JOSEPH & DONNA BENDOWSKI (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. N 458999 07/14/98 PLUMBERS CERTIFICATION DATED 01/20/99 JACK GISMONDI /BiAlding' Inspector Rev. 1/81 FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Ball Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-27490 Date: 12/26/00 THIS CERTIFIES that the building ADDITION Location of Property: 3060 PARK AVE MATTITUCK (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 4"83889 Section 123 Block 8 Lot 19 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated DECEMBER 15, 2000 pursuant to which Building Permit No. 26974-7, dated ._DECEMBER 151, 2000 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 DECK ADDITION TO AN EXISTING ONE FAMILY . DWELLING AS APPLIED FOR. Z.B.A. #4558 DATED 4/16/96. The certificate is issued to JOSEPH & DONNA BENDOWSKI (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. N A PLUMBERS CERTIFICATION DATED N/A utho,;rized Signature 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-28164 Date: 01/11/02 THIS CERTIFIES that the building ADDITIONSmm Location of Property: __mmm 3060 PARK AVE MATTITUCK _ � (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 123 Block 8 Lot 19 Subdivision Filed Map No. Lot NO. conforms substantially to the Application for Building Permit heretofore filed in this office dated JANUARY 8, 2001 pursuant to which Building Permit No. 27093-Z dated FEBRUARYY 262001 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 ADDITION AND DECK ADDITION TO AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to JOSEPH & DONNA BENDOWSKI (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL VA- ELECTRICAL CERTIFICATE NO. 51081 W� 09/04/01 PLUMBERS CERTIFICATION DATED 01/10/02 HOWARD E WOLBERT prized Si gnature 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-29071 Date: 11/12/02 THIS CERTIFIES that the building ACCESSORY Location of Property: 3060 PARK AVE MATTITUCK_ (HOUSE NO.) (STREET) (HAMLET) y p Section 123 Block 8 Lot 19 Count Tax Ma No. 47389 Subdivision Filed Map No. Lot No. r conforms substantially to the Application for Building Permit heretofore filed in this office dated DECEMBER _5, 2001 pursuant to which Building Permit No. 27943••Z dated DECEMBER 7, 2001 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 NON-HABITABLE THREE CAR GARAGE AS APPLIED FOR. ZBA #5027 DATED 11/1_5/....O1..._� The certificate is issued to JOSEPH & DONNA BENDOWSKI -- (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. 51081C 11/06/02 PLUMBERS CERTIFICATION DATED 05 03 02 HOWARD E WOLBERT „ s - � Aut'lerrieC Signature Rev. 1/81 I ........ a I [ _ I �...,.,...._ ,... _ ..., ..... .�,........... ��...... . ,- - .. � I i I e II �. e a © q,. I r .... Nil- I , r 1 I e d I d m,.. y,— i m r i ...... -- 1 t 't I d I m a., 7 1 I ! ._. .. ..I,..� � t 1 t I > t I , f _ I lr I m ......._ _.......... � 1 I _ �m... . w,.4. ^� w .......... 1 � t 1 74- . I i I I u f f a .,........ " e..,.'row"' ....... _ f r R ...... 1 i j I , 1 i 1 j _....,_ �.. 1 ......— .......... _. ... � m : --- —..... I F : r _. e I i J ,... ,,,_ .._,_„_... i )oho of so765-1802, ` l TOWN OF SOUTHOLD BUILDING DEPT. " b i INSPECTION j [ ] FOUNDATION 1ST [ ] ROUGH PLBG. 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