Loading...
HomeMy WebLinkAbout1000-21.-4-6 of so TOWN OF SOUTHOL Rental Permit 1372 Owner: Nicolelis PT Rev Trt Occupied as: Single Family Dwelling Located at: 3600 Rocky Point Rd East Marion 21.4-6 Maximum Permitted Occupancy: 6 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. Issued: 09/17/2025 W Wiew Exp i ration: 09/17/2027 cad En tent OfficW This Notice must be posted by the main entrance at all times � lo TOWN OF SOUTHOLD—BUILDING DEPARTMENT " Town Hall Annex 54375 Main Road P. O. Box 1179 Southold,NY 11971-0959 Telephone(631) 765-1802 Fax (631) 765-9502 htt s-,//www.�qutholdtow i a9 RENTAL PERMIT APPLICATION Building Department Town of Southold Rental Permit Fee $300 (Application must be renewed every two years) Section A. Property Information: Rental Property Address: 34CO ROCK ot,aT ko j I✓A57' f"+Rtc:'M NV II 36 Tax Map Number: 1000 SECTION 4T3-- Ste, BLOCK . .t -LOT SECTION B. OWNER INFORMATION: Property Owner Name: C►4RtsTop �La= PjCnLELt-S' Property Owner Legal Address: Property Owner Mailing Address: (Cannot be the same as Rental Property Address) 457 r=t Q'5 P t 57 US PLA-C,C—. �u S' o v4 tj NS O� Telephone Number (s): Daytime -° Z T Evening 101- 2&5Emergenc 3-7-13 P Property Owner Email Address: easfertdre 11 @- Page 1 of 4 Section C. Authorized Agent Information: Name of Authorized Agent of dwelling unit, if any: P, UL LOE B3 no VG rS J-=Lc,(A4Af-t Address of Authorized Agent (no P.O. Boxes): 124- FRoWr C Ei vbitzr, NY o ,+ Mailing Address of Authorized Agent: 1 F9XW T "T 457T &P-aW ART, NY 114rA 4 (ba I) (&41) Telephone Number(s): Daytime 04-2 Evening Emergency �' S Email Address: ALt oe, f(I*maA . C' v 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 Emergency 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: VpF— uMtT 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: 2+. " 4' Requested Maximum number of persons allowed to occupy Dwelling Unit: Number of rooms in Rental Dwelling Unit: I I Use and Dimensions of each room in Rental Dwelling Unit: illy ` ; t UV1 SuIJ PWOOM j Z) r-ULL h kF PoufbF�R RA:*C�4" R P%*0v" / WA-LW-1N PPENTt+• 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 ❑ 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) I (,'k4R.%STgpKee - nllcoc.F_L-LS 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�t, 10 ' tus Property Owner's Signature: Sworn to before me this day of Cluej 20 .� Official Nota y Publicsi eture and Original Notary Stamp JEANMARIE ODDON Notary Public,State of New York No.01 OD6251238 Qualified in Suffolk County Page 4 of 4 Commission Fixpires Nvnmber 141 2©,.,• , Town Hall Annex �� "� Telephone(631)765-1802 54375 Main Road P.O. Box 1179 Southold, NY 11971-0959 a� x BUILDING DEPARTMENT TOWN OF SOUTHOLD RENTAL PERMIT APPLICATION ADDENDUM Rental Dwelling Unit Identifier: , }3 9,91 2I. - 4 - Requested maximum number of persons allowed to occupy each dwelling unit: Number of Rooms in Rental Dwelling Unit: it Use and Dimension of each room: (35D mS /0119W& v N P'oW0( Rental Dwelling Unit Identifier: Requested maximum number of persons allowed to occupy each dwelling unit: Number of Rooms in Rental Dwelling Unit: Use and Dimension of each room: Rental Dwelling Unit Identifier: Requested maximum number of persons allowed to occupy each dwelling unit: Number of Rooms in Rental Dwelling Unit: Use and Dimension of each room: o So w TOWN OF SOUTHOLD BUILDING DEPT. .� 631-765-1802 EL 0 I N 10 im [ ] 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 [.,rRENTAL REMADI S: iL Gat�O/1 4 So ° DATE INSPECTOR Town Hail Annex Town Of Southold 54375 Main Road cz k� Rental Inspection Report PO Box 1179 Southold, NY 11971-1179 Tel: 631-765-1802 r SCTM# Date o� Owner tG ' Phone Address Visible Hamlet lInspector Floor Level Quantities Sub 1 2 3 Smoke Detectors(not located in bedrooms) r Carbon Monoxide Detectors Fire Extinguishers Exits Bedrooms 1 V2 3 5 6 Smoke Detectors Egress Occupant Count 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 CO's for all items present Prior Rental Comments: TOW OF SOUTHOLD ORD CARD PROM OWE s STREET VILLAGE D1ST SUB. LOT tIc , Q' FORMER OWNER N E ACR. i_ S W , TYPE OF BUILDING RES, SEAS. VL. ` FARM = COMM. CB. MISC. Mkt. Value � ' I LAND IMP, TOTAL DATE REMARKS J { IF 3 _ _ t r � D B�! DING CdNi3 r a FARJA Acre Value Per CO �(31L�e )1u' Tillable Tillable 2 Tillable 3 E E i Woodland I : I Swampland FRONTAGE ON WA � � f Brushland i FRONTAGE ON ROAD I e House Plot ` DEPTH ' BULKHEAD I Total ; DOCK s COLOR ) 41 t,. _ A TRIM fi y z\ �y vAvim �) Z 77v— `N 1st;. 2nd Foundation ' 7 Fin. B. Bath Dinette -EU-LL---� COMBO Extension i z)( s :3O �(a j Basement CRAWL PARTIAL Floors s Kit SLAB Extension Ext_ Walls Interior Finish .-a L_R_ Extension Fire Place e Heat - D.R_ Patio Woodstove 8 \, Porch ' 3 Dormer Baths 1 ��i �r,�_ 2 �� 1�� 1 1� Deck ` Dock Fam, Rm. A.C. v,,Sec 1 r•( 'f Garage ,-.,' � =:r„ J I - Pooh < 3n 7 f Zj O�F�-r } } I t COLOR _ � I f = _ I s ` TRIM ' ; i = s t I I Bath M. Bldg. x _ ✓ i F datio - lg� - :Dinette 11 1 i 4 ��. 7� 3 y W _ 3 Floors Extension i B. ement p, K _ ItsInterior Finish LR. 1, wa = i Extension � � _ F �,.. tD i Extension Fire Place � ✓� ( Heat R. v A14, g 'T e Roof .� �_ Rooms 1st Floor BR. �Z X =Z4o YP Porch �h K 3a StZ Recreation Rooms Rooms 2nd Floor' FIN. B. Dormer Porch ' Driveway Br'eezeway i Garage i Patio i I O. B. Total i 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- 31193 Date: 0 06 0 THIS CERTIFIES that the building DWELLING Location of Property 3600 ROCKY POINT RD LEAST MARION (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 021 Block 0004 Lot 006 Subdivision Filed Map No. Lot No. conforms substantially to the Requirements for a ONE FAMILY DWELLING built prior to APRIL 9 I957 pursuant to which CERTIFICATE OF OCCUPANCY NUMBER Z- 31193 dated OCTOBER 6 2005 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* The certificate is issued to PETER T NICOLELIS (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. N/A - PLU14BERS CERTIFICATION DATED N/A *PLEASE SEE ATTACHED INSPECTION REPORT. A h ized' 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 5-24658 Date SEPTEMBER 26 1996 THIS CERTIFIES that the building ADDITION Location of Property 3600 ROCKY POINT RD. FAST MARION, N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 21 Block 4 Lot 6 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated MAY 28, 1992 pursuant to which Building Permit No. 20678-Z dated DUNE 1 1992 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 EXISTING ONE FAMILY DWELLING AS APPLIED FOR The certificate is issued to PETER NICOLELIS (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A Building Inspec r 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-33274 Date: 09/17/08 THIS CERTIFIES that the building ADDITIONS ALTERATIONS Location of Property: _w wµ 3600 ROCKY POINT „RD EAST MARION (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 21 Block 4 Lot 6 Subdivision Filed Map No. Lot NO. conforms substantially to the Application for Building Permit heretofore filed in this office dated NOVEMBER 14, 2005 pursuant to which Building Permit No. 31608-Z dated NOVEMBER 16, 2005 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 ALTERATIONS AND ADDITIONS, INCLUDING DECK AND COVERED PORCH, TO ANm„mmµ EXISTING ONE FAMILYDWELLING AS APPLI„ED FOR. The certificate is issued to PETER T NICOLELIS (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A RT R['rR TCAj, CERTIFICATE NO- 2096553 07/02/07. PLUMBERS CERTIFICATION DATED 04/16/07 GREENPORT PLUMBING ut sized Signature Rev. 1/81 e x r o� ROOF PLVII 2ND FLOORRAN A-5 _u a Mnwk 15T,+ ftmVAX = r �- 4 »«a»! « < �D011�� » __ �_ _ « ... . .. y - : - . «x< 2! 2 .. . . ; § . . .._._. _ , . , - . 7-,_._._ . < a FDA IQ§ a C ! --... z-?ems ••-- .�.--'x---->< x r _ t k t t 4 v �_ v n.E t'+l' DRQDM < —_ -_--. � ate- :3' B¢` G- '• _1 -\ E R _ - z Q IT Lu a t f� < 4 a a 3 W)TW ; 11]lt_E JP P>'ERS YV KYIt TCf -. I YHf.3i £NJt@A11 U LL.£A� ARfT fff iW41C - 31A - RI0.F;,RY T4TYE-' iLOiV6 Fsrvea -. PoI YtRE FBRif?u'FCillM PAn�1^.�FtfU W4 KS 43 �, �F i 1 +PAR 6tA"I1N:i )�? ' 4i C' n7c Ee RIfC W'(H FFD<.:A'EL WFFER(LVFIC+I). e 5.1 Ii_iL .r2hTFCTRi[4AW[itot•TC Yd�E AtaRMS. \ i ROOF PLAN SCALE:1J4°=1' nr*tD DI n nI HFN frWI\G.WOE � GWLNSzARE-A F- - s i n ; n�v oE� w _ j3 �x a. EXIST t e, t F a a � z s s r f € I. EDROO N f 3 a s EMERY�LL : SSS ! s a — v=�1 vnPrk Fxrcrrvr.nFCe