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Home My WebLink About1000-126.-10-15 TOWN OF SOUT OL Rental Permit Permit No. 0070 Owner Salvatore Antonucci Occupied as Single Family Dwelling Located at 7025 Pec Bay Blvd Laurel 126-10-15 Address Village S/B/1- 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. 5/29/2019 John Jarski Date of Issue Code Enforcement Officer This Notice must be posted by the main entrance at all times P6� Id f'k 13KITown Hall Annex �' �� ' �� 54375 Main Road � ' TelcPho (631),765-1802 P.O.Box 1179 � w Fox(631)765-9502 Southold,NY 11971-0959 ° � d BUILDING DEPARTMENT TOWN OF SOUMOLD AWMLNRWTTI� Rental Permit Fee$2 (Application must be renewed every two years) Section A. Property Information: Rental Property Address- Tax Map Number: 1000 SECTION - -LOT Iw; C SECTION . OWNER INFORMATION: Property Owner Name: Property Owner Legal Address: Property Owner Mailing Address: r Telephone Number(s): Daytimeen n Erner gent' Property Owner Email Address: -� °11 I Pagel of 5 %;,,, Mr Town Hall Annex Telephone(631)765-1802 54375 Main Roads Fax(631)765-9502 P.O.Box 1179 Southold,NY 11971-0959 BUILDING DEPARTMENT TOWN OF 8O OLD Section C. Authorized Agent Information: < . Name of Authorized Agent of dwelling unit, if any: Address of Authorized Agent (no P.O. Boxes): 12 ")""A 'I Mailing Address of Authorized Agent: C Telephone Number(s): Daytime/0(833 Evenings 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 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): Page 2 of 5 7' Town Halt Annex Telephone(631)765-1802 54375 Main Road ' �% Fax(631)765-9502 im P.O.Box 1 179 Southold,NY 1]971-0959 ��f` � k BUILDING DEPARTMENT TOWN OF SOUTHOLD Mailing Address of Managing Agent: Telephone Number(s): Daytime Evening Emergency Email Address: 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." o Rental Dwelling Unit Identifier: '°`° r. 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: i16 Page 3 of 5 Town Hall Annex "i Telephone(631)765-1902 54375 Main Road Fax(631)765-9502 P.O.Box 1179 Southold,NY 11971-0959 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 .m � 4 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 Page 4 of 5 l isV,p ; Town Hall Annex Telephone(631)765-1802 54375 Main Road F�� f Fax(631)765-9502 P.O.Box 1179E , Southold,NY 11971-0959 BUILDING DEPARTMENT TOWN OF SOU T'HOLD 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 as to any change to the information regarding Authorized Agent, anaing Agent, or Site Manager. Property Owner's Name: 43 � ) a f Property Owner's Signature: 4Sworn to before me this ay of , 2 tl Official Notary Public Signature and ' " al Not d ) NCI:HALL N4) x ,1 1111� tWe OfNew,York ual 1 1 t188191W Cnonty 0nnn:lsslnmmm:,1;� n 1,Jay 7 P1� Page 5 of 5 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- 33098 Date: 06 '16f08 THIS CERTIFIES that the building DWELLING Location of Property 7025 GREAT PECONIC BAY BLVD LAUREL (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 126 Block 0010 Lot 015 Subdivision Filed Map No. Lot No. conforms substantially to the Requirements for a ONE FAMILY DWELLING built prior to APRIL 9, 1957 pursuant to which CERTIFICATE OF OCCUPANCYNUMBKR Z- 33098 dated JUNE 16 2008 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 ONE FAMILY DWELLING WITH CEMENT PATIO.* The certificate is issued to CATHERINE SMITH (OWNER) of the aforesaid building. SUFFOLK COUNTY DRPARTNEW OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A *PLEASE SEE ATTACHED INSPECTION REPORT. A orized Signature Rev. 1/81 BUILDING DEPARTMENT TOWN OF SOUTHOLD 1TOUS'ING CODEINSFRCTION REPORT LOCATION: ___ 7025 GREAT PECONIC BAY BLVD LAUREL S®IVISION: NAP NO.: LOT (S) HAKE OF OMNER (S): CATHERINE SMITH OCCUPANCY:-ONE FAMILY CATHERINE SMI'T9 ADMITTED BY: MICHAEL SMITH ACCOMANIND BY: ]MY ANAILABLT3: BUFF. CO. TAX KAP NO.: 126.-10-15 SOURCE OF ROQUEST. MICHAEL SMITH _ DATE: 06f6 08 DWELLING: TYPE OF ION: WOOD FRAME # STORIES: 1.0 # SKITS: 2 FO ON': CEMENT CELLAR: YES CRAML SPAM: TOTAL RfOONS: ]ST FLR.: 6 21M FLR.: 0 3RD FLR.: 0 BATHROOK(s): 1.0 TOILET ROOM(S): 0.0 UTILITY ROOM(S): PORCS TYPE: DELT TYPE: PATIO TYPE: CEMENT AY: +IAKZ: I. DOMESTIC HDTHATM-- YES TYPE SEATER: OIL AIRITIOMUNG: TYPE NEAT: MARK AIR: YES YES OTSBB: HEATED PORCH INCLUDED IN 1ST FLOOR ROOM COUNT ACCESSORY STRUCTURES- GARAGE- TYPE OF CONST_: � � STORAGE, TYPJR CONST.: POOL: _......... _ WEST, TYPE CONST.: OTHER.: VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE LOC'ATIO'N PmEgRIPTION .... N ART. I SEC. � N I � C � j I REMARKS: BPS53 ADD CO2419 BP19926 REPAIR 00221023 .......�� INSPECTED BY ... m � „.-DATE ON 06 7L2 SSR GRORM GILTS TIME START: END: FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. CERTIFICATE OF OCCUPANCY No. .....4.. 01 2 +1111.. Date ............October.....15....................19 ... THIS CERTIFIES that the building located at ..........W/ ...Peeejaje...Bj&y..$jwjd,......... Street Map No. ..XXXX. ...................... Block No. .....IV=...................... Lot No. yB � .s. .N.I.y.,...... conforms substantially to the Application for Building Permit heretofore filed in this office dated QC ..2.......19. pursuant to which Building Permit No.. . ,..�}' ... . ....... .. ., dated ,......•...................0a.tater..2........19.5a..., 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 ............ .........PRI T ••,T1I&LUN . .....,..,,.— ........ 11-11---..........-- 1 .....1...... This certificate is issued to ..ftanik...-banf eld-Jr.......(•••Cunex) ..................................... (owner, lessee or tenant .......... of the aforesaid building. Building Inspector FORM NO. R 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) N° 474 , Z Date ......... .................tic 1958 .... Permission is hereby granted to: Alfred ................mattituck .....Nwti.......................... to ...� " ` ' ' tai' I ...... . ......... ......... ......... .............. atpremises located at ...... ... . 0011 C.. �. ..... ......... ......... ...»,.».....». .............. ......... T�.......x�t�..,.....,.......... ......... ......... ......,.. .,»...... ......,,..,.,. pursuant to application dated ..................... Vatobw -3, .......,....»,19�6. ., and approved by the Building Inspector Fee ...... Building Inspector GP P� O� O O `n Z Tz i SP 0 ID o rn LO rol UP � 2 .,i �:• , w 1�•S't,�T, yyx. 15 ✓ WdrM�kr . �P �''Y n vy 2 Survey for %- "c Z�o FRANK BANFIELD Sr. m ,Vs FRANK BANFIELD Jr. a Laurel „ -1 Town of Southold c . Sco Ie:l'=50' Nov 26,1957 JULY 10,1958 GUARANTEED TO FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERKS OFFICE SOUTHOLD, N. Y. CERTIFICATE OF OCCUPANCY No. ........ Date ..................... ........ 19.1.9 THIS CERTIFIES that the building locatedA/4-roognig—fty..xTO W.VVk1Pk*e0*0Y0 MapNo. ...... Block No. ..........I.............Lot No. .......... ....... ........- .............................. ........ conforms substantially to the Application for Building Permit heretofore filed in this office dated ............4 119.19.,pursuant to which Building Permit No. ....;... ............ dated .................SAPIAMIMr-23......... 19.19.,was issued,and conforms to all of the requirements of the applicable provisions of the low. The occupancy for which this certificate is issued is.......:V I ...................................................n"'ka-M..T"I Ivy..IMMM...........................;........n......... ti ... .. ...... . .. . ........... This certificate is issued to W—A444-own",... (owner,.r, lesse.e a.r tenant)..... ........ of the aforesaid building. e i i ..... .......... ....... u*ffing Inspector HOWARD M. ?MY FORM NO. 2 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) Date ....................S*P r••21......... 19..A Permission is hereby granted to: ...................................................... . X&tt1tU0ki.. r.. o,V ................................., to ....baild—additi.on..on..ecis=-4..asa.•f 3.1y... .rely ng. .. .................... ................ at premises located at ..Mattituckp. . .., ............ pursuant to application dated .............199..., and approved by the Building Inspector Fee $f..:.......... 1d Oash ........ ......... "Building �InsatorHOWAM .......................... • RRT ......... FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-19964 Date JUNE 11 1991 THIS CERTIFIES that the building ACCESSORY Location of Propertlr 7025 PECONIC BAY BLVD. MATTITUCK N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 126 Block 10 Lot 15 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated, APRIL 25,__ 1977,1,_ pursuant to which Building Permit No. 9228-Z dated MAYA, 1977 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 STORAGE SHED IN NEED OF REPAIR The certificate is issued to CATHERINE E. SMITH (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N A UNDERWRITERS CERTIFICATE NO. N A PLUMBERS CERTIFICATION DATED N/A ilding Inspector Rev. 1/81 �c1F 144& Town of Southold 8/1/2016 P.O.Boz 1179 53095 Main Rd Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: .38421 Date: 8/1/2016 THIS CERTIFIES that the building ADDITION/ALTERATION Location of Property: 7025 Great Peconic Bay B1vd.,Laurel SCTM#: 473889 Sec/Block/Lot: 126.-10-15 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 9/11/2013 pursuant to which Building Permit No. 40392 dated 1/8/2016 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: ADDITIONS AND ALTLRA,TIQN.S,INCLUDING SIDE AND REAR LANDINGS "1"O AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR The certificate is issued to Antonucci, Salvatore of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 40392 04-27-2016 PLUMBERS CERTIFICATION DATED 04/08/2016 Walter Marczewski Author" Signature �t � Town of Southold 10/2/2018 P.O.Box 1179 co 53095 Main Rd Southold,New York 11971 CERTIFICATE CC CY No: 39927 Date 10/2/2018 THIS CERTIFIES that the building ACCESSORY ALTERATION Location of Property: 7025 Great Peconic Bay Blvd,Laurel SCTM#: 473889 Sec/Block/Lot: 126.-10-15 Subdivision: Filed Map No. Lot No. conforms substantially to the.Application for Building Permit heretofore filed in this office dated 2/26/2018 pursuant to which Building Permit No. 42431 dated 3/6/2018 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: FIRE REPAIRS AND ALTERATIONS TO AN EXISTING ACCESSORY BUILDING AS APPLIED FOR The certificate is issued to Antonucci,Salvatore of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 42431 09-18-2018 PLUMBERS CERTIFICATION DATED .n -- utho hot nature hill " ulu; ry . ............ go E ........ -----------------I ........... . .......... ---------- ........... ..... ... ... gr ....... ...... ------------ d) 'ryp as"'77:71F-: IE al' .4 i9 . ........... ............ ............ ........... ......... ........... G 1k .... ........ ......... . .......... - ... ........ ........ ... -------------------- ...... tl TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. 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