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HomeMy WebLinkAbout1000-123.-8-19 TOWN OF SOUTHOLDco Rental Permit k- Permit No. 0064 7 Owner Joseph & Donna Bendowski Occupied as Single Family Dwelling Located at 3060 Park Avenue Mattituck 123-8-19 Address Village S/13/1- Maximum /B/LMaximum 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. 5/20/2019 John Jarski Date of Issue Code Enforcement Officer This Notice must be posted by the main entrance at all times All Town HaffAnnex Telephone;(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1 179 Southold,NY 11971-0959 "? DIFF MAY - 3 2019 UILDI PA w 11 . °1° ®: OWN,,OZ.S . MHO , RENTAL PERMIT APPLICATION, TOWN OFSOUTHC) I"keintal Ilf3eri mlt III:: 00( pplka ion npust be renewed et)i two years) Section A Property Information: Rental Prop ertdres;: o Tax Map I rCTION , -rl, -LOTS E ION B. � l � • OWNER 11 ll IIIA IIG III�`1 , Property Owner Name: 5= Property Ow r'Leg5l Add ress:* Pro j el"1y 0%#heu A'a lih ddre'ss: a, 0 05AML Telephone Number (s): Daytime 31 .2,19t Evenin1• - Emergeny Property Owner Email Address: J "-_OftWj Page 1 of 5 Town Hall Annex � �'" Telephones:(631)76,5-1802 54375;Main Road Fax(631)765-9502 P.O.Box 1 179 Southold,NY 11971-0959 14 ' BUJ DINGDEPARTIVfENf ; TOWN- Of OU . OLD; Mailing Address of Managing Agent: ' Telephone Number (s): Daytime Evening, Emergenc Email Address: SECTION 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 tie Rental Dwelling Unit (for example, Kitchen, Bedroom 1, Bedroom 2, Living Room) and the dimensions of each room; For properties with multiple Rental Dwelling Qnits use 'Refttal PermitApplicatr"ori Addendum." Rental Dwelling Unit Identifier: .01 Requested Maximum number-of persons allowed to occupy Dwelling Unit Number of rooms in Rental Dwelling Unit: Use and Dimensions of each room in Rental Dwelling Unit: CSI =Tend � . ,dee ( 0 L Page 3 of 5 + � . Town Hall Annex Telephone(631)745-1802 54375 Main Road Fax,(631)7¢5-9502 P.O.Box 1 179 Southold,NY 11971-0959 IL 1 O DEPARTMENT , _ TOWN-OF 1SOUTIROLD a 1phcab�e haws and runes. III fu rtlher ac'kno fledge that l wiI notify the 7'o l'l C)f's6uthold ' iang ' day of a changOIddwmf putura nf '� 14 � ` �u u v i. tl°ri i eto.. d. C ' I �,iaVe'a d ai,ad tete' d ctap,)y df ilea tei-�.; 'df' Il�ae C"M' d ''of tQ��e l'oW� ul ,(,,f utlll lid A uld agre d ��o' EAde bylih' °some' P a 0 "ill notify the Ton witllairea fine 5Ibusiness days as to any change to the uu°ufaaomat6ou regarding Authorized Agent, Managing Agent, or Site Manager: Property`OwnerysNtarile: " - �"� Property Owner's Signature: f Sworn to before me thi day of °20 C\ Oficial Notary Public Signature and,Origin�al Notary Stamp, r C.ON Ni D UNCH Notary Puble to of,Now York No.01E "f850'50 C ualufi in Su fo*county (`rC1m1'1"kis'910 0 EVires ill rll`44, 33� Page 5 of 5 I a d n Town=ball Annex Telephone(631)765-1802 54375 Mai&Road Fax(631)76:5=9502 Y.O.Box 1 179 Southold,NY 11971-0959 " 'COO' [ ILIAN ' EPA T ENT' SECTION G. INSPFCT1 N :.. Pursuant Wthe-Town Code ofthe ie T,a wn, ;SQuthgld Chapter 07 (RgntaI-Pro,p.erties), a gf'ety 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 Preventi0n7,I.Jild,i_ng-,Code Ce�rt,ification,is..rpggired;statipg 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:gfthe County o ',Suffolk,a.nd 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 t - g. _ o -p -- n forEnJr+oc a licensed ❑ lam submitting a cm leted Town of Southold-certification architect or a licensed profe, sional engineer. E, SECTION H. DECLARATION: signature must be notarized and MUST be the owner of the dwelling unit. STATE OF NEW YORK) COUNTY OF SUFFOLK) I MJ0 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`tl1s app)1at1 is m legal address and I understand the Town will use the address for s ryj d� �a t ai all �. Page 4 of 5 r+ FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. PRE EXISTING CERTIFICATE OF OCCUPANCY No Z-25075 Date June 6,, x,997 THIS CERTIFIES that the buil ig O FA17CLY DWXLLIN.G Location of Property 3060 PARK AES MATTITIICK A.Y. House o.. Sheet Hamlet County Tax Map No. 1000 section 12 3 Block 8 Lot 19 Subdivision Filed'r ''i' ' No'mof No. conforms substantially to the Requirements, or- a One Family Dwelling built Prior to: APRIL 9,r 1957pursuant to which CERTIFICATE OF OCCUPANCYZ�2.5075 dated JUNE 6 1997 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 TWO ONE FAMILY DMLLINGS & ACCESSORY GARAGE WITH THREE— ATTACHED EEATTA D SHEDS The certificate is issued to KATHLEEN TUTHILL (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. PENDING - JUNE 2, 1997 PLUMBERS CERTIFICATION DATED N/, *PLEASE SEE ATTACHED INSPECTION REPORT. 4AZ ildiinspector Rev. 1/81 .t BUILDING DEPARTMENT TOWN OF SOUTIIOLD HOUSING CODE INSPECTION REPORT LOCATION: 3060 PARR AVE. MATTITUCK N.Y. naAazr �r rr sl resat)._.,..,_ meanacpal�ty SUBDIVISION MAP NO. LOT(4) NAME, OF OWNER (s) KATHLEEN B. TUTIIILL OCCUPANCY RES. OWNER esv ner-•tenamt) AUMiTTFD BY: KATHLEEN TUTHILL ACCOMPANIED BY: SA14F KEY AVAILA:KLE�_ S118sF. ;O. TAX MAP NO lOOO-123-0E-1 SOURCE OF RE UEST:. T _ 3 .. Q KATHLEEN ..UTHILL�.. _..._.. DATE^ALT—[- e BWELLING: _ _.._„ TYPE OF CONSTRUCTION . HOOD FRAME _M STORIES. 2 / EXITS ,2 CRAWL SPACE FOUNDATION CEMENT BLOCK m !CELLAR 3 4�� .W ._ TOTAL ROOMS: IST PLR. 4 ZND PGR_ 4 3RD FI.R; BATHROOM (s) ONE 70CI,ET .ROOM {s) ONE IITII.I'1'Y .noon PORCH TYPE ENCLOSED I I PATIO DECK, TYPE _ BREEZEWAY_ FIREPLACE ONE GAIAgr DOMESTIC 110T.. � WATER. YES TYPE HEATER _E F CRI,C AIRCdNDITI""®NTNG TYPE 1lEAT � l WARM AIR FI. H NE IIOTWATER mm OTHER:__ ACCESSORY STRUCTURES: GARAGE, TYPE OF CONST. WOOD, FRAME,29x 17' STORAGE, TYPE CONST» 3 SHEIK 11TTACHED '1O GARA SWinMINC POOIGUEST, TYPECONST GE OTHER: V101.ATIONS� CHAPTER 45 N Y.�_. STATE _FIRE PR-E-V�..'-NT.-.I,O.._N.. _Bl�l]:�.1N_G-GOOF LOCATIIIN ART.. SEC,,.. REMARKS: ... . � w.. OF LNS INSPECTED B DATE PECTION MAY 22 1997 _ r 1` ht TIME. START 11:00 END 11:20 BUILDING DEPARTMENT TOWN OF SOUTHOLD HOUSING CODE INSPECTION REPORT LOCATION: 3060 PARR AVE. MATT"TMg nrajmber & street sre�nleiPa�IatY SUBDIVISION HAP NO. NAME OF OWNER (s)m KATHLEEN B. TUTHILL OCCUPANCY--(—type) DRE (owner-tenant), ADMITTED BY: KATHLEEN S. TUTHILL ACCOMPANIED BY: ' ;1 ^ _.....- KEY AVAILABI. 23 _�W........ SUFFA O A11 HAP NO �.._ SOURCE OF REQUEST: KAT EN TUTHILL DATE: KAY 1 � . DWELLING: TYPE I1 CONSTRUCTION WOOD FRAME 11 STORIES 2 # EXITS ONE FOUNDATION_ POS'T'S .CELLAR N4...... CRAWL SPA CE TOTAL ROOMS: IST FLR. 3 2ND FLR_ 9 3RD FLR. BATHROOM (s) ONE TOILET ROOK Is) 11 UTILITY ROM PORCH TYPE DECK, TYPE PATIO BREEZEWAY_ FIREPLACE; GARAGE DOMESTIC HOTWATER— M39ATER AIRCONDITIONING TYPE HEAT OIL WARM AIR FLOOR HEATER HOTWATER OTHER: ACCESSORY STRUCTURES: (S- - HOUSING REPORT FOR DWELLI G4 1 .S CONST. GARAGE, TYPE OF CONST. _� SWIMMING P091� CUEF,TTPE CONST. OTHER: �. VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE LOCATION DESCRIPTION ART', SEC. INSPECTED BYD MAY 2, IV' '37 .... �. � mm..... ATE OF INSPECTION 2 � _,,.. I. SH TIME START 11:00 AM END 11:20 AN FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-26227 Date: 01/22/98 THIS CERTIFIES that the building ADDITION & ALTERATION Location of Property: 3060 PARK AVE MATTITUCK (HOUSE NO. ) (STREET) (HAMLET) County Tax Map No. 473889 Section 123 Block 8 Lot 19 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated NOVEMBER 5, 1997 pursuant to which Building Permit No. 24627-Z dated FEBRUARY 2, 1998 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 ALTERATION, RENOVATION AND ADDITION TO AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to JOSEPH & DONNA BENDOWSKI (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. N 458999 07/14/98 PLUMBERS CERTIFICATION DATED 01/20/99 JACK GISMONDI /BiAlding' Inspector Rev. 1/81 FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Ball Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-27490 Date: 12/26/00 THIS CERTIFIES that the building ADDITION Location of Property: 3060 PARK AVE MATTITUCK (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 4"83889 Section 123 Block 8 Lot 19 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated DECEMBER 15, 2000 pursuant to which Building Permit No. 26974-7, dated ._DECEMBER 151, 2000 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 ADDITION TO AN EXISTING ONE FAMILY. DWELLING AS APPLIED FOR. Z.B.A. #4558 DATED 4/16/96. The certificate is issued to JOSEPH & DONNA BENDOWSKI (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. N A PLUMBERS CERTIFICATION DATED N/A utho,;rized Signature Rev. 1/81 FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-28164 Date: 01/11/02 THIS CERTIFIES that the building ADDITIONS .. Location of Property: __ 3060 PARK AVE MATTITUCK _ � (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 123 Block 8 Lot 19 Subdivision Filed Map No. Lot NO. conforms substantially to the Application for Building Permit heretofore filed in this office dated JANUARY 8, 2001 pursuant to which Building Permit No. 27093-Z dated FEBRUARY 26, 2001 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 ADDITION AND DECK ADDITION TO AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to JOSEPH & DONNA BENDOWSKI (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL VA- ELECTRICAL CERTIFICATE NO. 51081 W� 09/04/01 PLUMBERS CERTIFICATION DATED 01/10/02 HOWARD E WOLBERT prized Si gnature Rev. 1/81 FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-29071 Date: 11/12/02 THIS CERTIFIES that the building ACCESSORY Location of Property: 3060 PARK AVE MATTITUCK_ (HOUSE NO.) (STREET) (HAMLET) y p Section 123 Block 8 Lot 19 Count Tax Ma No. 47389 Subdivision Filed Map No. Lot No. r conforms substantially to the Application for Building Permit heretofore filed in this office dated DECEMBER _5, 2001 pursuant to which Building Permit No. 27943••Z dated DECEMBER 7, 2001 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 NON-HABITABLE THREE CAR GARAGEAS APPLIED FOR. ZEA #5027 DATED 11/1_5/....01..._� The certificate is issued to JOSEPH & DONNA BENDOWSKI -- (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. 51081C 11/06/02 PLUMBERS CERTIFICATION DATED _95/,Q3 02 HOWARD E WOLBERT „ s - � Aut'lerrieC Signature Rev. 1/81 I ........ a I [ _ I �...,.,...._ ,... _ ..., ..... .�,........... ��...... . ,- - .. 1 � i � I i I e II �. e a © q,. I r .... �..xm _ I , Nil r 1 I e d I d m,.. y,— i m c i ...... -- 1 t ' t I r I m a., 7 1 I ! ._. .. ..I,..� � t 1 t I > t I , f _ I lr Im ......._ _.......... � 1 I _ �m... . w,.4. ^� w .......... 1 � t 1 74- . I i I I u f f 0 .,........ " e..,.'row"' ....... _ f r R ...... 1 i j I , 1 i 1 j _....,_ �.. 1 ......— .......... _. ... � m : --- —..... I F : r _. e I i J ,..._ .._,_„_... i )oho of so ` l TOWN OF SOUTHOLD BUILDING DEPT. 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