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HomeMy WebLinkAbout1000-38.2-1-20 of so TOWN OF SOUTHOLD Rental Permit 1497 Owner: Michael Lupia , Donna Lupia Occupied as: Apartment (Unit 2C2) Located at: 2820 Shipyard Ln Unit 2C2 East Marion 38.2-1-20 Maximum Permitted Occupancy: 2 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 affa yaall bi-a ual ` ection. Issued: 06/16/2026 Expiration: 06/15/2028 c � o�;"ai This Notice must be posted by the main entr 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 Imo ; www.sogtholdtownn MAY 2026 RENTAL PERMIT APPLICATION PuTIding neParfrraenf Rental Permit Fee $300 (Application must be renewed every two years) V5-9, - 3C.� P-tc� �t23�y Section A. Property Information: Rental Pro arty Address: � 2,CZr AJy. /(of 3 9 Tax Map Number: 1000 SECTION O3 �' 2 -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) 3 r? 64w"ON AU vt 7 C WAfIlDnl bl21 ife Telephone Number (s): Daytime Z`f'g`/ Evenin 9.175_ Emergency ' Property Owner Email Address: D©WWA 7030 ( O, C®M Page 1 of 4 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 7- 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): Z 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: 69N45 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: 2 Requested Maximum number of persons allowed to occupy Dwelling Unit: POO/Z Number of rooms in Rental Dwelling Unit: r-1 Vol Use and Dimensions of each room in Rental Dwelling Unit: -7r7n 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. ❑ 1 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) LL/P/A 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: ©IVIVA- L,�/I9/A g �L.�.�... .... + Property Owner's Si n Sworn to before me this26 day of M(A!j , 20 2%P Official Notary Public Signature and Original Notary Stamp NATHALIA GARCIA CANAS r, Notary Public-State of New York NO. 01GA0026117 Qualified in Suffolk County Page 4 of 4 My Commission Expires Jun 24, 2028 May 18, 2026 Town Hall Annex Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1179 M ,a Southold,NY 11971-0959r a "� NOUN" � 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 i+bbl, 1 ' tr�t^ i , ,a ° huff o "n + lfnsd 1 � �ra� �� ;rnrt tic ebov .of V d.,carrehf Rental Property SCTM Number:Rental Property Address 2 p 939 Owner/Name: Mike & C I��� 22 Marion Rental Dwelling Unit Identifier: Number &Square footage of each bedroom as depicted in the attached floor plan: (i.e. Bedroom #1 -100 sq., Bedroom #2-90 sq., etc.) Bedroom #1 17 _ ft Property Description (Include all improvements indicated on survey) 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 Plumbing Code of New York State, the Fuel Gas Code of New York State, and the Energy Conservation Construction Code of New York State. Victor C ornehu' III CEO Inspector Print Name and Title ceo# 1216-0283 OrVigial ignature Please place professional seal: Jfx TOWN F S017 L UIL. II" DEFT. 631-765-1802 -2 � _ ( . INSPECTION [ ] FOUNDATION 1ST/ REBAR [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION/CAULKING [ ] FRAMING / STRAPPING ;[ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETR TION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FI ) [ ] CODE VIOLATION [ ] PRE C/O [ RENTAL REMARKS: DATE INSPECTOR ._ .... � �. I TOWN OF SOUTHOLD PROPERTY RE C OWNER STREET —, VILLAGE LOT r# �° M 6L aveI "2— FORMER OWNER`r, ty �� � N E ACR. r Q�CA I-, 00d T--rP d \f1j u d w i A U F S W TYPE OF BUILDING RES, SEAS. VL. FARM COMM. CB. MICS. Mkt. Value LAND IMP. TOTAL DATE REMARKS wo - � r - L�-34 411 _ z � -L!' - '- a -e Tillable FRONTAGE ON WATER Woodland FRONTAGE ON ROAD Meadowland DEPTH House Plot BULKHEAD Total t As MINIM- E - 38.2-1-20 9/10_ M. Bldg. Foundation Bath Extension Basement Floors Extension Fxt. Walls Interior Finish I Extension Fire Place Heat I I I i Porch Pool Attic Deck Patio Rooms 1st Floor Breezeway Driveway Rooms 2nd Floor Garage 0. B. Town of Southold 10/18/2022 P.O.Box 1179 53095 Main Rd Southold,New York 11971 ................ ........... CERTIFICATE OF OCCUPANCY No: 43507 Date: 10/18/2022 THIS CERTIFIES that the building ELECTRICAL Location of Property: 2820 Shipyard Ln Unit 2C2.East Marion SCTM#: 473889 Sec/Block/Lot: 38.2-1-20 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 8/28/2017 pursuant to which Building Permit No. 41920 dated 8/28/2017 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: re acementqf 4 a pL_off pack. The certificate is issued to Fasulo,Maria&Olsen,Laurie of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 41920 2/1/2018 PLUMBERS CERTIFICATION DATED rkuthorized Signature FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-34312 Date: 05/07/10 THIS CERTIFIES that the building DECK & STAIRS Location of Property: 2820 20 SHIPYARD LA EAST MARION (HOUSE NO. ) (STREET) (HAMLET) County Tax Map No. 473889 Section 38 .2 Block 1 Lot 20 Subdivision Filed Map No. _...___ Lot No_ conforms substantially to the Application for Building Permit heretofore filed in this office dated JANUARY 14, _2009 pursuant to which Building Permit No. 34569-Z dated APRIL 1„ 2009 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 AND STAIR REPLACEMENT FOR AN„EXISTING CONDO (UNIT 2C2)wwwAS APPLIED FOR _. The certificate is issued to MARIA FASULO & LAURIE OLSON (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A . ELECTRICAL CERTIFICATE NO. N/A PT. MjLc CERTIFICATION DATED N/A c hor°zed S ture ._..m Rev_ 1/81 FORM NO. /` TOWN OF SOUTHOLD BUILDING=DEPARTMENT Office-of the Building-Inspector Town Hall Southold,N.Y. Certificate Of Occupancy No. .7%1,1$97........ Date ..... AiPMeAbo.r.1....... - .... 19 Al TWS CERTIFIES that the building . Building.2?,.Unit 2 C2 ................. .............. Location of Property 4820 ., Shipvard. Lane � East Marion Ho�allo.� .. «.. ..................... County TAXMap No. 1000 Section . S $:Q?...Block ..q l..........Lot ................ 0 Himdp[ . Su n—A. ..........................Filed Map No. :X......Lot No. . ........... o substantially to the Application for Building Permit heretofore filed in this office dated .•... $DA��........,19 8 Q pursuant to which Building Permit No. ..10y 25.Z............ dated QF t 4 b 9 f'..$Q.............. 19 8 ,wan issued,and conforms to 80 of the requirements of the applicable provisions of the law.The occupancy for which this certificate is issued is ......... :......�Av,}ng,yc}}t, within .multiQle dwelling.*.........v........... .... The certificate is issued to ........ EMANUBL l�!�NTOK°�SSA ... .� ,• • •. . � .................... of the aforesaid building. Suffolk County Department of Health Approval . qM8 R............ ............................................. UNDER S CERTIFICATE No..........1'1.¢1 Q181.. LOIN 13X0X-*,'9AB'XTABLJkt . .� rr.xww.... m Building Impector G . a Rw.//at � • Jarski, John From: Donna Lupia <donna7030@aol.com> Sent: Monday,June 15, 2026 3:36 PM To: Jarski,John Subject: 2820 Shipyard 2C2 ATTENTION:This email came from an external source. Do not open attachments or click on links from unknown senders or unexpected emails. r �Illuuy PCs t, u of 1 1 clp�� r /r iyrl/� J; r�, r f i yPVJ!� 0 r� r'�l/�l;rrii r u SATH 0 V x 4'9' KITCHEN { 107" x 13'4" aEF t�c�X BALCONY s s r./ I.=IAA-1-i f iod ( � 12'10" x 157, �f g FOYER HALL 3'9"x 5' 15'9"x 3 �t Aed c - ��?