The URL can be used to link to this page

Home My WebLink About1000-70.-8-32 TOWN OF SOUT OL �_� Rental Permit £ � aA2zPermit No. 0046 Owner Debra Martocchia Occupied as Single Family Dwelling Located at 390 Custer Ave Southold 70-8-32 Address - Village S/B/L Maximum Permitted Occupancy 5 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. 5/8/2019 John Jarski Date of Issue Code Enforcement Officer This Notice must be posted by the main entrance at all times s Town Hall Annex 54375 Main Road Telephone(631)765-1802 P.O.Box 1 179 Fax(631)765-9502 Southold,NY 11971-0959 r F✓ I3UII_.L"1ING DEPARTMENT .. TOWN OF SOUTHOLD RENTAL PERMIT APPLICATION APR 2 8 2019 Rental Permit Fee$200(Application must be renewed every two years) T. Section A. Property Information: Rental Property Address, Tax Map Number: 1000 SECTION _BLOCK -LOT. SECTION B. OWNER INFORMATION: Property Owner Name: Property Owner Legal Address: Property Owner Mailing Address: Cy Telephone Number(s): Daytime, _:_I" '�'_)_13vening y ,k Emergency_ Property Owner Email Addressi ' r � c I 1 Page 1 of 5 so � Town Hall Annex Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1 179 Southold,NY 11971-0959 of BUILDING DEPARTMENT TOWN OF SOUTHOLD Mailing Address of Managing Agent: Telephone Number(s): Daytime- " " venin. _ _Emergerrey _ Email Address: C \, 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: DI'. Requested Maximum number of persons allowed t upy Dwelling U1 t: Number of rooms in Rental Dwelling Unit: I YN �, h' wrnS Use and Dimensions of each room in Rental Dwelling Unit:. p Page 3 of 5 i so Town Hall Annex Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1 179 Southold,NY 11971-0959 0 /gy�pp 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 ❑ 1 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) 1 , 4,�,c�h certify under penalty of perjury, the following: r 1. 1 am the owner of the property identified in "Section A"of f6is aliblication. 2. The property owner's legal address set forth in "Section:B" of ihi5 ap lication is my legal address and I understand the Town will use the address for service pursuant to all Page 4 of 5 i ,I ii So Town Hall Annex jot jot Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box It 79 Southold,NY 11971-0959 w BUILDING DEPARTMENT TOWN OF SOUTHOLD applicable laws and rules. I further acknowledge that I will notify the Town of Southold �a. 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: C Property Owner's Signature: Sworn to before me this day of 2O q :fficial�Notary�Pubric�Signature and Original Notary Stamp lotary F'u0C Gtate 01 v County 1 s of Tp ,re a L +uttmetland 1:tc 1 0 'Exp.. a Page 5 of 5 u TOWN OF' soUTHOLD BUILDING w " d 7654802INSPECT '10b FOUNDATION 1ST ROUGH �iFOUNDATION 2ND INSUI FRAMING / STRAPPING AL !"'IRESAFETY FIRE RESISTAN I- CONSTRUCTION FIRE RESISTAN I El I H [ El-ECTRICAl C a I: all NP � a V7 s p 45 91 t gry d r.0 t FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERIC'S OFFICE SOUTHOLD, N. Y. CERTIFICATE OF OCCUPANCY No. Z18.55. .............. Date ................... .Suna.... ,................ . 19.6�F.. THIS CERTIFIES that the building located at ....S'lla...aufit.Er. Avn; ................................ Street 0 1rG 9V i P,9,rk 1Cl�. p ...................... Block No. .....XZ............ Lot No. .. .Saiz hold.s. ....N..X...... ........ conforms substantially to the Application for Building Permit heretofore filed in this office dated ..............................................P ?q,.*...12..., 19.. 1 pursuant to which Building Permit No. ..4'76 .. �dated ............................AMR E'(S..•....31.........., 19.63..., 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 ........ .............. ............ .... ........ ......... ......... .................. The certificate is issued to -tTj:a 3...M*T..ean-,, .., '—......, ..oh1n6?r. .................... (owner, lessee or tenant) of the aforesaid building. H.D.Approval May 29� 1964 by B? Villa Bui]drng lnsp6c FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENt Town Clerk's Office Southold, N. Y. Certificate Of Occup4hcy No. Z .58,E . . . Date . . . .". a- 10f THIS CERTIFIES that the building located at . JLV „ „ . . , . , Street Map No.Fair 1 P ck No. . . . . . . . . . .Lot No . . . thald. . . .N.Y..,.'. . . . . . . conforms substantially to the Application for Buddin Permit heretofore filed in thip office dated . , Mgy. . .8. . ., I9A4. . pursuant to hich Building Permit No. .724M . dated . . . . 19 . ., was issue and conforms to all of the require- . . . . . . . . . 8. . . ments of the applicable provisions of the law. Th ccupancy for which this certificate is issued is . 7.09. OA9. tV41y. .4 . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . The certificate is issued to .John .8.. . xjx . . . —Owwo. , (owner, lessee or tenant) of the aforesaid building. Suffolk County Department of Health Approval UNDERWRITERS CERTIFICATE No. . . pem4in4 . . „ „ , , y . . . . . , . , HOUSE NUMBER . . . .3.94. . . . . . Street . . 44 r.00 . . . . .. . . . . . . . . . . . . . . : . . . . . . k1 k�w A „ B�ding Inspector po FORM NO. x TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) O7240 Z Date ...........................fty .... .8.......... ., Permission is hereby granted to: R,...Ryatt...I.Y*e.....A/C.-John••*eLe*n..... »...,. .............IF9104AMId..........................................,..,. . «.. «« .. , ..,,«,,. ........—1 ........- ....... to .. ............ atpremises located at 1C t..#............tiairtc ....................»».,................».»...,»,,...,,.,.«,......,.. .................................................Qtrstrr...A m. .........�oixthrld........................................................ pursuant to application dated ..........................."fty 1 ., and approved by the Building Inspector. Fee . Uil InM«« n ec'tar � ..... p;", ZF04d' , Town of Southold Annex 8/14/2012 P.O.Box 1179 54375 Main Road V+;'` Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 35875 Date: 8/14/2012 THIS CERTIFIES that the building DECK Location of Property: 390 Custer Ave, Southold, SCTM#: 473889 See/Block/Lot: 70.-8-32 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this officed dated 5/10/2012 pursuant to which Building Permit No. 37213 dated 7/26/2012 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: ""as bpilf deck addition to a e ist ng oi-L fare ily dwcl1�7tgwzlsm P1?1g : f�)r The certificate is issued to Martocchia,Debra ...... ... (OWNER) em_ of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED Aut' " zed St �tur TOWN OF SOUTHOLD PROPERTY RECORD, OWNER STREET VILLAGE I DIST.i SUB. LOT cx 4� ja - FORMER OWNER N E ACR. ev SW TYPE OF BUILDING RES. SEAS. VL. FARM COMM. CB. MISC. Mkt. Value LAND IMP, TOTAL E DATE REMARKS J -7p L AGE,- 13 U i bpi 6'C6 KID 1 T 10 N �A c;k L I ICI NEW i NOR MALZ E -2, I -. - - ! P.r Acre Vel V-lye 1volU6 L T;lloble I ti Tillable 2 Tillable 3 Woodland Swampland FRONTAGE ON WATER Brushland FRONTAGE ON ROAD House Plot DEPTH 'BULKHEAD Total iDOCK F DLOR 3 IM NO RM I F � I k i i s ——1 Ii- �-- 70.-8-32 3/2014 7 I � Bath te t an'Foundat'on M. Bldg. . — — Extension - 6 i Basement 3 Floors K j Ext. Walls � t'-! Interior Finish �: A LR. Extension Extension Fire Place 1 Heat ry DR. Type Roof _ Rooms 1st Floor BR. I - t .Recreation Roo Roams 2nd Floor- FIN. B. Dormer Porch I BreezewayI Driveway Garage ri I I _ T Pfltio O. B, Total