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_
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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
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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/
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FORMER
XNER N. I E ACREAGE
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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
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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 =
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62.-3-42 3/2014 g
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M. Bldg. Foundation Both
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Extension � Floors
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va
Extension Ext. Walls Gj.�, interior Finish
Extension '� �. ire Place s , Heat
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Porch E Roof Type
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CjC`ICP�,� r� '�'(,r' Er? - r��^. •' - Porch Rcorns Ist Floor
Breezeway � � � Patio Rooms 2nd Floor
Garage wo Dormer
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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
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