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Home My WebLink About1000-126.-3-14 TOWN OF SOUTHOLD Rental Permit 1484 Owner: Thomas Hug , Jennifer DiVello Occupied as: Single Family Dwelling Located at: 1285 Albo Dr Laurel 126.-3-14 Maximum Permitted Occupancy: 4 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: 05/21/2026 Expiration: 05/20/2028 a n t ment official This Notice must be posted by the main entranc OatII times Town Hall Annex ' Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1179 Southold,NY 11971-0959 BUILDING DEPARTMENT TOWN OF SO HOLD RENTAL PERMIT APPLICATION Rental Permit Fee$200 (Application must be renewed every two years). Section A. Property Information: Rental Provo ert ddress: tell Tax Map Number: 1000 SECTION t�10 .BLOCK �L -LOT 0 1 q 00 SECTION B. OWNER INFORMATION: Property Owner Name: Property Owner Legal Address: Property Owner Mailing Address: 2(;® b '_,4, Mk�'1 w a �7 -� L r 19)04� Telephone Number(s): Daytime Evening I Emergency Property Owner Email Address: 'Zo a rActi 1. .m Page 1 of 5 Town Hall Annex Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1179 Southold,NY 11971-0959 rook, �� BUILDING DEPARTMENT TOWN OF SOU"THOLD 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 Emergency Email Address: SECTION E. t� 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): Page 2 of 5 Town Hall Annex hip Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1 179 Southold,NY 1 1 971-0959 10 BUILDING DEPARTMENT TOWN OF SOUTHOLD Mailing Address of Managing Agent:.... Telephone Number(s): Daytime Evening Emergency Email Address: 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: f° 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: Page 3 of 5 Town Hall Annex 4: Telephone(631)765-1802 54375 Main Road �V r P� Fax(631)765-9502 P.O.Box 1179 ��5 » Southold,NY 11971-0959 W'a � BUILDING DEPARTMENT TOWN OF SOUTHOLD 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. SECTION H. DECLARATION: Signature must be notarized and MUST be the owner of the dwelling unit. STATE OF NEW YORK) ) COUNTY OF SUFFOLK) I -11AOW� ll� , 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 Page 4 of 5 Town Hall Annex - Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1179 Southold,NY 11971-0959 wV. i� BUILDING DEPARTMENT TOWN OF SOUTHOLD 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 as to any change to the information regarding Authorized Agent, Managing Agent, or Site Manager. Property Owner's Name: �ko Wkc, Property Owner's Signature: Sworn to before me this CI day of (A 20�—! Official otary Publk Signature and Original Notary Stamp Jacob M.Grier NOTARY PUBLIC,STATE OF NEW YORK Registration No.01 GR6399126 Qualified in Suffolk County Cormission Expires October 15,203 Page 5 of 5 sou;� Y A 0 N P SOUTHOLD BUILDING DEPT. 631-765-1802 INSPECTION [ ] FOUNDATION 1ST/ REBAR [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION/CAULKING [ ] FRAMING / STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENET TION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FI L) [ ] CODE VIOLATION [ ] PRE C/O [ RENTAL f� DATE "� INSPECTOR Town Hall Annex e= Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1179 �r � Southold NY 1 197 1-0959 � � BUILDING DEPARTMENT TOWN OF SOUTHOLD RENTAL PROPERTY CERTIFICATION Form is to be completed by a license architect, licensed engineer or licensed home inspector Separate form is required for each individual Rental Dwelling Unit Professional seal required for Architect or Engineer, licensed Nome inspector must provide co v of valid current certification Rental Property SCTM Number: 1000-126.-3-14 Rental Property Address: 1285 Albo Drive Laurel, NY 11948 Owner/Name: Jen Divello and TJ Hu Rental Dwelling Unit Identifier: Number &Square footage of each bedroom as depicted in the attached floor plan: (i.e. Bedroom#1 -100 sq., Bedroom -90 sq., etc.) Bedroom 2 - 95 sq. Property Description (Include all improvements indicated on survey) One sto frame house. 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 Plu ng Code of New York State, the Fuel Gas Code of New York State, and the Energy Conservat n Constructio ' de of New York State. Anthony Portillo, R.A Print Name and Title gnature Please place professional seal: ' r , 0F F t TOWN N F SOUTHOLD PROPERTY RECORD OWNER STREET VILLAGE D I STJ SUB. LOT l < FORMER OWNER N, / E ACR.� i S W TYPE OF BUILDING RES. /fit SEAS. VL. FARM COMM. CB. MISC, Mkt. Value LAND IMP, TOTAL DATE REMARKS 7 7 F� f r i AGE BUILDING CONDITION NEW NORMAL BELOW ABOVE FARM Acre Value Per 'Value Acre ry0 TillableIT 1 I x � QJ Tillable 2 I 38 Tillable 3 I Woodland Swampland j 1 FRONTAGE ON WAT-4-:R-- Brushlond FRONTAGE ON ROAD i House Plot DEPTH SULK H EAD Total DOCK � g COLOR � � ✓; €€ I k , 7 l3A t1tl ' E fm ` TRIM f i rT E i E F , f i _ I f M. Bldg _` i �� `Foundation '� i Bath 1 Dinette Extension _ Basement [ 1 FloorsVl�t� £K. ..a Extension iExt. Walls 4 ;Interior FinishI LR. Extension i Fire Place ��/ C [ Heat DR. Type Roof r'e n / Rooms 1st Floor BR. i Porch F 'Recreation Room i €Rooms 2nd Floor!£ FIN. B i F , Porch Dormer i I i Breezeway IDriveway i f t Gar } �B- Toto I 00 1 5 Sao POA w..a. _ _ __...w . LIVING ROOM ............ _.. 210 S.F, 260 S.F. EX15T. DN. cV KITCHEN 150 5.F ._w. ._.W............ EXIST. DN. .... n ,_ _.�.�.�.�.�.�.�.�.�..._.. �ww��_._._. 2,/2`..__............._.... ,=sue - - - € e ' S } S. I A rI7'LAE`NO.S5625, . g \ 0&0211 iMALTET DEPARrUM TEST BOLE (te DEC A,4.Er-� s7(9 Aa `� � ¢ . k SANG ' f «.. 28 f--x--_- rho I `n c Z'A\ 1 ply SAND I - a I GR4VEL f I GhisP cP ram-,.:rz:'_ Er:Ujne�°•i rzT i or form; erlY /tow VN Albert j-ongo 'ON �a OF 1_ It } 16163 ` g IF SA N OF?vEp t. t '.. '. C 44,o' s+ _ a �t zt b now or R(orlNerly 3 ( NOTE. + ■=MONUMENT 1 _ Robert Larsen WATER SUPPLY-PRIVATE WELLS NEAREST PURL IC WATER-5 MIL ES f O 9r4 KE THE LOCATION OF WELLS AND CESSPOOLS SHOWN HEREON ARE FROM FIELD F -.OBSERVATIONS AND/GE FROM DAEA OBTAINED FROM OTHERS i REVISIONS YOUNG & YOUNG E w'E.SUPPLY AND SEWAGE DISPOSAL SYSTEMS FOR THIS RESIDENCE WILL _ - AUG 5,1976 400 OSTRANDER AVENUE, RIVERHEAD, NEW YORK `-'A TO THE STA:VOARDS OF THE SUFFOLK COUNTY DEPARTMENT OFHEALTH . # SEPT.3,I976 rQv. s ALDEN W. HOWARD W.YOUNG EYOR :1Pr'Y!CANr - --- - - - - - -- -- _ - OCT/B,I9T6 PROFESSIONAL OENG VEER AND UNG .9DG4ESS--------- - -- -_-_--_ - DEC,13,1976 LAND SURVEYOR,IN LIC.NO.1 AS N..Y.S.LIC LAND YNO.41— s s — a a e g aT>s = a e- DEC.2/,1976 SURVEY FOR: �^ UNANTHO—D ALTERATION OR ADDITION HlssuRErEaNIDLATw GE ND TO sEDTmN MICHAEL J. GERARD $ PHYLLIS GERARD CORES OF THIS SURVEY NAP NDT BEARING THE LAND SURVEAL 5HALL NOT BE—NOEREDEYOR'S INKED SEAL OR Eb80SE 0 s -...- -. TO BE A vALID TRUE E.R1 AT LAUREL SECURITY TITLE e GUARANTY Co. 'GUARANTEED TO: ( c aRAN%EEs IPERSONOICATED HEREON STALL Run ;SOUTHOLO SAVINGS BANK ONLY TO PRE THE PERSON FAA WHOM PHE TOWN OF SOUTHOLD SDRVEY IS PARED,AID ON HIS EENAL' TO THE%I LE COMPANY,OOVERNNELIST AGENCY AND LENDING IHSTkTO%ION LISTED - P -- - HEREON,AND TO THE ASSIGNEES OF THE SUFFOLK CO., N.Y, 'eY ,- a4 > L1. ENOING INSTITUTION QUARZTEES ARE s.TRANSFERABLE ADDITIONAL SCALE: III_40E I DATE:JUNE 3,1976 ;N0' 76-428 FORM NO. 4 I TOiN OF SOUTHOLD BUILDING DEPARTMENT Town Clerk's Office Southold, N. Y. Certificate Of Occupancy I No. ,Z7.437 Date . . . . . . . . . . .. .Dec.*. 30.. . , ,, 1976. THIS CERTIFIES that the building located at .. .,Alba,Drive . .. . . . .. .. ... Street Map No. .XXX. . Block No. . XX . , ..Lot No. XX%. .Laurel.• •N,Y.. . ..... ..... conforms substantially to the Applic u tion for Building Permit heretofore filed in this office dated � , duly, 1 °6 , pursuant to which Building Permit No. S7367, dated . . July , . .. ., 1€_70., was issued, and conforms to all of the require- ments of the applicable provisions Bof the law.The occupancy for which this certificate is issued is »Privat®. .c 40. P.gm11y. .4VO111111t,, , ....... .......... » .». The certificate is issued to Mjxn a .d. ,orris a"ard.... ....Alfriere »• .. ..., (owner, lessee or tenant) of the aforesaid building. Suffolk County Department of lleJth Approval . Dec. . •29. .•1.976•• •by R.-Villa [INDERWRITERS CERTIFICATE No. X316753 . .... ..DOO .15...1976.. •. .....,., .. HOUSE NUMBER . . . .t285. , Street ., .Albo-Drite..... .Laurel 44M.+t..Foot109A.=dar.deAk piers.to..be.Installed. •Wholm meather.permits Building lnsp r I 1 I C C Q a I i FORM Im 4 TO" OF SOUTHOLD BUILDtt DEPART MOT To Clerk's Office Southold, N. Y. .. rtifi�t Of Occupancy No. U025. . . . .. Date . ...... ... . ..NOV.. ..29.... .. 19.7.7. THIS CERTIFIES that the building located at .Albo.Drive.. .. .. ........ . Street Map No, . . , .. , „ . Block No. „ ,z; . ... ..Lot No. . .apt.....Laurel.. . N.Y.,........ conforms substantially to the Application for Building Permit heretofore filed in this office dated . . , .. . ..A:ug. .19. ., 19,7 . pursuant to which Building Permit No. 9417Z dated „ . . .. . .. ..Aug .19.. ., 197 . ., was issued, and conforms to all of the require- ments of the applicable provisions of the law.The occupancy for which this certificate is issued is ,Private, aaces.sory. .storage,bui&ding.. .. . . .. . .. . „.. .............. . f The certificate is issued to . Michaq ,A Yby,7,i19. A@ropM. , , ,Owner9. ,.,., (owner, lessee or tenant) of the aforesaid building. Suffolk County Department of Health Approval . N.R.,. ... „ ,, .. .•., UNDERWRITERS CERTIFICATE * „ .N.R... ............ .... ................... HOUSE NUMBER . . , .128.5 . , .. . Street A1bo.Drive.....Laurel(•1.1:).w w„•.» ... IbI Building Inspecr p tlI ti { k€� p4 p STAIRWELL TO UNF=INISHE-rl,',NCOTIOITII;NE::I E3A5-.-.-.MENT ------------------ 120 5F LIVINO ROOM -F BATHROOM -210 5 i. -�:HROOM I 4&SP EXIST O DN� CL 5X15T- 260 S.P. DN. cv N N TLi KITCHEN O 150 ar. 10 5F, tY BEDROOM 2 - --------------------------- A- ON, i L I L 42 2-