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HomeMy WebLinkAbout1000-62.-3-42 TOWN OF T L Rental Permit 1488 Owner: Joseph Clerici , Diane Clerici Occupied as: Single Family Dwelling Located at: 660 Town Harbor Ln Southold 62,342 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: 06/02/2026 S Exp i ration: 06/01/2028 Code Enforcement official This Notice must be posted by the main entrance at all times " . TOWN OF SOUTHOLD— BUILDING DEPARTMENT Town Hall Annex 54375 Main Road Pa 0, Box 11.79 Southold, YY' 11.971-0959 Telephone(631)765-1802 Fax(631)765-9502 )�tt s.l out of too KIMYf.I�� .1 h RENTAL PERMIT APPLICATION Rental Permit Fee $300 (Application must be renewed every two years) r'•e c.-4 117, 14 Z_ aOO•— Section A. iX s"Q sI 1i 12 b Property Information: Rental Property Address: Tax Map Number: 1000 SECTION 44 7383 ��-BLOCK - -LOT SECTION B. OWNER INFORMATION: Property Owner Name: Property Owner Legal Address: Property Owner Mailing Address: (Cannot be the same as Rental Property Address) 7 r +`' 1. � _ a //7y Telephone Number (s): Daytime 5A6- °Io,5`�7 Evening 16 S/0.5. • 117mergency5l6`510-$57q Property Owner Email Address: u E fUdwn f r �. U Co 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, diving Room) and the dimensions of each room. For properties with multiple Rental Dwelling Units use "Rental Permit Application Addendum." Rental Dwelling Unit Identifier: o(1 S Requested Maximum number of persons allowed to occupy Dwelling Unit: Number of rooms in Rental Dwelling Unit: I J Use and Dimensions of each room in Rental Dwelling Unit: k M tC x1 I qg 411 � , a�thvv�n i 7 3 rvu,�� t � ace rou6n 1 /� 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. l� 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) I asS . A C,fie (`!-c , 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. 1 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: c/e I t Property Owner's Signature: Sworn to before me thi��day of Official Notary Public Signature and Original Notary Stamp CONNIE D.BUNCH Notary Public,State of New York No.01 BU6185050 Qualified In Suffolk County Commission Expires April 14,2Aa Page 4 of 4 v So TOWN OF SOUTHOLD BUILDING DEPT. 631-765-1802 6;L�— 3- -iZ mmft N S Pp e C T Up) N [ ] 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: _ ► O Cy— DATE 5l s 12,02,6 INSPECTOR i � � Town Hall Annex Town Of Southold 54375 Main Road Rental Inspection Report PO Box 1179 Southold, NY 11971-1179 Tel: 631-765-1802 SCTM # 62.-3-42 Date 5/11/2026 Owner Joseph Cierici Phone Address 660 Town Harbor Ln Visible y{ Hamlet Southold Prispector R. E. Corwin Floor Level Quantities Sub 1 2 3 Smoke Detectors (not located in bedrooms) Carbon Monoxide Detectors Fire Extinguishers Exits Bedrooms 1 2 3 4 5 6 Smoke Detectors I Egress Occupant Count S Building Systems Maintained &Operational Condition of Property Heating Building interior cx� Hot water ,✓ Building exterior Gzle a Electrical ✓ Property clean, maintained &safe YcS Mechanical Handrails &guards installed &secure ve-5 Pool Safety Pool on Site Surface water alarm Date of CO issuance i;t17 IV Door alarms / Pool completely enclosed y✓ Self closing/latching gates jPool fence to code requirements CO's for all items present Prlor Rents occupants: Comments: ry 1el ss i-.,, - txAQ, PERT 'CARD TOWN OF SOUTHOLD PRO Y STREET VILLAGE DISTRICT SUB. LOT 4, 7/­ v FORMER XNER N. I E ACREAGE ,j K­Jtf) W TYPE OF BUILDING P RES. SE IND. CB. Est. Mkt. Value AS. VL. FARM I comm. misc. 2--1 LAND IMP. TOTAL DATE REMARKS a- 4 7 7 z"I bZ_ 7 4i;z L! Z b'­ 51 2, !fltzhi - L Iq - AGE BUILDING CONDITION NEW I NORMAL BELOW ABOVE ON WATER Form Acre Value Per Acre Value FRONTAGE ON ROAD Tillable 1 JBULKHEAD Tillable 2 DOCK Tillable 3 Woodland Swampland Brushland House Plot Total s ve fir_® � INNER' q = s � � 62.-3-42 3/2014 g r M. Bldg. Foundation Both � F �f Extension � Floors - � �sernent va Extension Ext. Walls Gj.�, interior Finish Extension '� �. ire Place s , Heat iC r 1. Porch E Roof Type CYC CjC`ICP�,� r� '�'(,r' Er? - r��^. •' - Porch Rcorns Ist Floor Breezeway � � � Patio Rooms 2nd Floor Garage wo Dormer fir" e Do ` O. B. } a F TOWN OF SOUTHOLD OFFICE OF BUILDING INSPECTOR TOWN HALL SOUTHOLD, NEW YORK CERTIFICATE OF OCCUPANCY NONCONFORMING PREMISES THIS IS TO CERTIFY that the /XJ Land Pre C.O. #- Z13327 Building(s) Date- Ax l-S��g S._ r/ Use(s) located at 660 Town Harbor Lane Southold - Street Hamlet shown on County tax map as District 1000, Section 062 , Block 03 Lot 042 , doesknot)conform to the present Building Zone Code of the Town of Southold for the following reasons: Tnsufficient total area. Insufficient front yard set-back. Insufficient rear yard set-back on accessory building. On the basis of information presented to the Building Inspector's Office, it has been determined that the above nonconforming /X/Land /_/Building(s) /_/Use(s) existed on the effective date the present Building Zone Code of the Town of Southold, and may be continued pursuant to and subject to the appli- cable provisions of said Code. IT IS FURTHER CERTIFIED that, based upon information presented to the Building Inspector's Office, the occupancy and use for which this Certifi- cate is issued is as follows: Pro ert contains a two stor oxae family dwelling, with an accessory building in the rear yard. Property situated in the A- Residential-Agricultrual Zone with access to L'Hommedieu & Town Harbor Lane; both Town maintained roads. The Certificate is issued to MOBYSD JOSEPH T. of the aforesaid building. (owner, hmv -- -tea Suffolk County Department of Health Approval N/A UNDERWRITERS CERTIFICATE NO. N/A NOTICE IS HEREBY GIVEN that the owner of the above premises HAS NOT CONSENTED TO AN INSPECTION of the premises by the Building Inspec- tor to determine if the premises comply with all applicable codes and ordin- ances, other than the Building Zone Code, and therefore, no such inspection has been conducted. This Certificate, therefore, does not, and is not intended to certify that the premises comply with all other applicable codes and regula- tions. Dwui Ldi Spector - ...................... FkAr Town of Southold Annex 5/21/2013 P.O.Box 1179 54375 Main Road Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 36245 Date: 5/20/2013 ............. THIS CERTIFIES that the building RESIDENTIAL ADDITION ...........................Location of Property: 660 Town Harbor Ln, Southold, SCTM#: 473889 Sec/Block/Lot: 62.-3-42 .... ......... ...................................Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this officed dated 11/26/2012 pursuant to which Building Permit No. 37678 dated 12/10/2012 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: d ock and sc _n N reqqed_p addition to an existing 9 p family dwell a, pf lfd for. The certificate is issued to Clerici,Joseph &Clerici,Diane ............... (OWNER) ............................................ of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ................ ........................................... ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED Aut riz it lure iz ................ Town of Southold 12/7/2018 P.O. Box 1179 53095 Main Rd Southold,New York 11971 .......... - CERTIFICATE OF OCCUPANCY No: 40088 Date: 12/7/2018 .......... ............... THIS CERTIFIES that the building IN GROUND POOL ......................................... Location of Property: 660 Town Harbor Ln., Southold ............. ............... SCTM#: 473889 Sec/Block/Lot: 62.-3-42 ......... ... ...... Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 6/25/2018 pursuant to which Building Permit No. 42836 dated 7/5/2018 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 IN-GROUND SWIMMING PO FENCED TO PO _LODE AS APP L „ Q L _Ll The certificate is issued to Clerici, Joseph&Diane of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 42836 09-04-2018 PLUMBERS CERTIFICATION DATED ............. ............ ....... U luw) ignature 21 E_ # } i `- �- Q�lo* r f <i 1 TV t t—, Sm&kF— DETECTvk a � . r &o - i 4 Nil Nc- a t 4 - -- t _ fri u�e Rum C7 V k -