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Home My WebLink About1000-110.-8-21.1 TOWN OF SOUTHOLD Rental Permit Permit No. 0010 i£ Owner P & S Pezzino Family Trust Occupied as Single Family Dwelling Located at 180 Wicks Road New Suffolk 110-8-21.1 Address Village S/B/L 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. 3/20/2019 John Jarski Date of Issue Code Enforcement Officer This Notice must be posted by the main entrance at all times Town Hall Annex Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 i rR! P.O.Box 1179 Southold,NY 11971-0959 MUN BUILDING DEPARTMENT TOWN OF SOUTHOLD RENTAL PERMIT APPLICATION Rental Permit Fee $200(Application must be renewed every two years) Section A. Property Information: Rental Property Address: `0 L C Tax Map Number: 1000 SECTION LOCI, 4 LOT �, SECTION B. OWNER INFORMATION: a Property Owner Name: ,.. ,� �� r i )"I Property Owner Legal Address: Property Owner Mailing Address: (Cannot be the same as Rental Property Address) .. Telephone Number(s): . . ��fJD °, �b d,` rv, Property Owner Email Address: 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, Living Room) and the dimensions of each room. For properties with multiple Rental Dwelling Units use "Rental Permit Application Addendum." Rental Dwelling Unit Identifier: � ELI, Requested Maximum number of persons allowed to occupy Dweliing U -- Number of rooms in Rental Dwelling Unit: " Use and Dimensions of each room in Rental Dwelling Unit: ° ` _i� i " " w v ,» M 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 NYS licensed architect, a NYS 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. �4 `I am requesting a fire safety inspection to be performed by a Code Enforcement Official from the Town of Southold. Page 3 of 4 ❑ I am submitting a completed Town of Southold certification form from a licensed architect, a licensed professional engineer, or a licensed home inspector who has a valid New York State Uniform Fire Prevention Building code Certification. SECTION H. DECLARATION: Signature must be notarized and MUST be the owner of the dwelling unit. STATE OF NEW YORK) COUNTY OF SUFFOLK) 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: W.„ Property Owner's Signature: " - orn to I efore, e thi _ . d,y f ,.. 20 s�d NICOLE CORALLO Notary Public,State of NewYork Na 0006033934 Official Notary Public Signature and Original Notary Stamp Qualified in Nassau County Commission Expires March 29, ti Page 4 of 4 Town of Southold P.O.Boz 1179 12/30/2015 V,f 53095 Main Rd Southold,New York 11971 J CERTIFICATE OF OCCUPANCY �b No: 38006..– – Date: 12/30/2015 THIS CERTIFIES that the building AS BUILTL'TERATION Location of property: 180 Wicks Rd, New Suffolk Sec/lllock SCTM#: 473889 .� . �,.�.�..:�:.� /Lot: 1_ _ 10.-8-21.1 Subdivision: Lot No.Filed Map No. — . _ _ conforms substantiallyto the A hcation for Building permit heretofore �e PP d in this office dated /11/2015 pursuant to which Building Permit No. 39755 dated 5/11/2015 was issued, PPoccupancy.—....for�-..w—..—.. and conforms to all of the requirements of the applicable Provisions of the law. The which this certificate is issued is: —alterations and front stogy addition as built to an exist, one fan�il dwclliaa as a li�for, The certificate is issued to P zzino,Peter&Sabrina Family Trust of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 39755 1/31/2013 PLUMBERS CERTIFICATION DATED 12/17/2015 �......_..m._.. Hi-T h pl �xng J_i �gt urSt e_.. .. �. Town Hall Annex Telephone(631) 765-1802 54375 Main Road Fax(631)765-9502 P.O. Box 1179 Southold, NY 11971-0959 Alro er.richert town,.Rnirthr)lq- .us q BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATE OF ELECTRICIAL COMPLIANCE SITE LOCATION issued To: Peter Peaino Address: 180 Wicks Rd City: New Suffolk St: NY Zip: 11956 Building Permit#:��" � 37453 110 Bpk:' 8 Lot: 21.1 WAS EXAMINED AND FOUNb TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE Contractor: DBA: Rocky Point Electric Inc License No: 32644-me SITE DETAILS Office Use Only Residential X Indoor X Basement X Service Only Commerical Outdoor X 1st Floor X Pool New Renovation X 2nd Floor Hot Tub Addition Survey Attic X Garage INVENTORY Service 1 h Heat gas Duplec Recpt 19 CeilingFixtures p 150a 6 HID Fixtures Service 3 ph Hot Water GFCI Recpt 8 VYall Fixtures 3 Smoke Detectors 3 Main Panel 150a A/C Condenser Single Recpt Recessed Fixtures 14 CO Detectors 1 1 Sub Panel 100a A/C Blower 1 Range Recpt Fluorescent Fixture Pumps Transformer Appliances N Dryer Recpt EImergency Fixtures Time Clocks Disconnect 150a Switches Twist Lock Eidt Fixtures 11 TVSS Other Equipment: 150a undo! round service, 1- addle fan„ 1-Ehtlu t fan, 4-ARC fault circuit breakEl Notes: Inspector Signature: -'- Date: Jan 312013 Electrical Certificate.xls N 97t, �)ow& 5ou, 4 802 INSPECTION I11 1114 111111 T IIIM "IST II I11 IIIII I11 FOUNDAIID IIID 21114Dj; IIII III IIIII riiiiON IIII FRAMING I""'RA,Plll1�)ING Fl AL gaonA4 11111 Illi 11 IIIIIIII IIIIIIIIIIIII1111 [1111MINEYSARIE,ry lli' II IIIA lulu"1 IIS 'IIII Illi " I�°11°IW IIII IIII llllllllll IIII IIII lly unnA llllln IIID II IIIII w 111111 , 111111°'1 °° IIIA"Illllllllllnlll , lll1"°1 ,IIIII Illi Illlllllllllllllllllllllllllllllllro, °° IIII 1.. 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Z k�a � � �1f d ',, � I .a I m t " + k ag g F a s k y*»t�O��a l iu �r ss I g 4 N Z Z Q % M* > p3-0 $$y 310— D m �Z F �iti�r "n,e unrn: n.rauw r.03 ar,., a z. mcg o s o Dn a 7a Ry N i o 0 I z 1h ,rva0 � U o w�m F 3E3 axy� OCi Zm�� DO p Z D r U7 0 = ;0 — Ln —� O H e m X 0 �aM v , m {C' I � x ' w ° ,t rad P is `a.:,` `C"I rl' CA Uv m g r 77 U41 { o Pezzino House AS-BUILT WINDOW REPLACEMENT, Mark K Schwartz,AIA }� PROPOSED REPAIRS&ALTERATIONS Architect,PLLC 9 186 WICKS ROAD - i NEW SUFFOLK,NY �rc og„xr.uvs UUU FLOOR PLAN,ELEVATIONS,RESCHECK rroo.,.rvunaaies r�(63azaa-ono it o J� TOWN OF SOUTHOLD PROPERTY RECOF17/a� 6 OWNER e STREET t-� VILLAGE DISTRICT ; SUB, LOT - FOR`v,FR OW ER -- - ` - _ . ACRE -� Sy TYPE OF BUILDING ee RES, SEAS. ' VL. FARM COMM. I IND. CB. MISC. Est. Mkt. Value DATE REMARKS LAND IMP. ' TOTAL E j',/�' y Lj �e - - - i - , a _ e f f 3 nitp BUILDING CONDITION AGE _ -3_, � a� -- -� s _ NEW NORMAL BELOW ABOVE I FRONTAGE ON S'A'FE Farm Acre I Value Per Acre Value F NT GIE ON ROAD :ie, - 4r � Tillable 1 F BULKHEAD Tillable 2 DOCK i v Tillable 3 _ _-- r � - -- Woodland Swampland3 - - s 1 Brushlar House Plot I �_ i atff I _ a : f Bldg. �s aza n _ cct, � y L{rT s C \ -- .?4' cion _ . , '1'' r s_ _ ent _» sloe s 3 _ . . �/�/a Interior Finish - f .xterhs u — _ = IIs Extension Fire Place Heot T - Porch oor i ype 2 �� a _ z S °- - - I Porch, RD:)rns l st Floor A {� ptAfrcPatio Rc�,,s 2nd Flcor veway Dormer -9--B- � �I