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Home My WebLink About1000-107.-7-12 fro, TOWN OF SOUTHOLD '4 C; a Rental Permit Permit No. 0088 Owner Pindar Vineyards Occupied as Single Family Dwelling Located at 1180 Westview Drive Mattituck 107-7-12 Address Village s/g/L Maximum Permitted Occupancy 6 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. 6/19/2019 John Jarski Date of Issue Code Enforcement Officer This Notice must be posted by the main entrance at all times aW u Town Hall Annex � Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1179 ' Southold NY 11971-0959 � � >, ' e 17, a BUILDING DEPARTMENT q TOWN OF SOXYrUOLD RENTAL PERMIT APPLICATION Rental ermit Fee $200(Application must be renewed every two years) Section A. Property Information: Rental PropertyAddre J 1`J Tax Map Number: 1000 SECTION BLOCK _ ..LOT —" SECTION B. OWNER INFORMATION: Property Owner Name: 1 __. Property Owner Legal Address: Property Owner Mailing Address: (Cannot be the same as Rental Property Address) Number Telephone s `—�V � ........ N O ,Y Property Owner Email Address: 2L f 4�)� CZz c, a3�('O5 Page 1 of 4 Section C. Authorized Agent Information: of dwelling unit if Name of Authorized Agent g any: Address of Authorized Agent (no P.O. Boxes): Mailing Address of Authorized Agent: _.. Telephone Number (s): 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): 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): Mailing Address of Managing Agent_ ........_ � Telephone Number(s): Email Address: Page 2 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: _ — Requested Maximum number of persons allowed to occupy Dwelling Unit: o Number of rooms in Rental Dwelling Unit: __„m_, m___ Use and Dimensions of each room in Rental Dwelling Unit: 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. ❑ I am requesting a fire safety inspection to be performed by a Code Enforcement Official from the Town of Southold. Page 3 of 4 ❑ 1 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) e 1 � I Q certify and r 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: � �fv�bni35 _ -17 Property Owners Signature: _ dp Swoto befe •M.th iday of w , 2019 /11ar 0 ficial N _ ..., ..��.. _. otary Public Signatur a r" inal Notary Stamp CIRISTINA M MAUCERI Notary of New yob No 01MA5 3136 Page 4 of 4 oua�jfi�d in Commission ExpiresDecember m ger ' 1 g rla m -,. err v mmmma, +.�xn n nY em--------------- - w �.« _ s 8 YF ,�- nr Fa x ` l 1 i � LL 00, &J Dr. M�4�VCJ4.. 4� 765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION' [ ] FRAMING /STRAPPING [ ] INAL [ ] FIREPLACE & CHIMNEY [ FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) [ ] CODE VIOLATION [ ] CAULKING vce I I DATE (01194->aq INSPECTORY-J�, laill g� i i i TOWN OF S 765-1802 02 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING /STRA,PPING [ ] NALPU40-4- [ ] FIREPLACE & CHIMNEY [ FI E SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) [ ] CODE VIOLATION [ ] CAULKING REMARKS: w i DATE -ki INSPECTOR 5 . rn Z�, m D ��" m, ov n a V m ;a 'C' s �: m � x D 7p CD I u Q ny ( a z tm Q (D M r O Z r 2:1Nv' co r n 70 n mI O ,N 4N, mi �; j � m 04 w C m 7� .. m O ' C7 v O O G1 �, r � v a m m Ul i 0 oo s m Drn f a Aw f I I n` i I J i a� E po- c m U 03 IS r �t .M a. u I Nc G) 0 00 o m 0 0 in m �. co m � r r rr, ll I Ij 1. UI 'ill iarri r li 1 h Afla r to vlj - _ Q —I Y7 co T n 00 (D CD CD p _ O- O J xo8 O a .* D (D El •t I s -% O ry 0 0w �. . .m .. .., Z CP � N ' z m , _. .., ..... S N FORM NO.4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy No. . . . . .Z1264 9. . . .. . . Date . . . . . . . . . . . . .Jiay..2.7. . . . . . . . . . ., 1984. THIS CERTIFIES that the building . . , . . . . .. PAW-dWAI:.ing , , „ , , . , , , , „ . . ,, , , , ,. . 1180 Westview Dr. Location of Property . . . I d, . „ „ , , .Broty-pr. .I34. . . . . . . . . . . . . . . .Mattit:Luok. .Her House No. Street County Tax Map No. 1000 Section A.7. . . . .Block . . . .07. . . . . . . . .Lot . . . .I?. . . . . . . . . . . Subdivision . . . . . . . . . . . . . A » . . . . , , . „ . . , » . . .Filed Map No. . . .4. . . .Lot No. . . . . . .4. . . . . . conforms substantially to the Application for Building Permit heretofore filed in this office dated . . . . . . .NPVer0bex. .3 . . , 19 .8_1 pursuant to which Building Permit No. . . . . . . .IV4 4 . . , , . . , dated . . . . . . . .19ovembex. .9 . . . . . .. . . 19 88. ,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 . .. . . , . . .. new one—family dwelling. The certificate is issued to . » . . » , „ , W , „ » „ » * .RICHARD POSSELT towner,l sse r-temmr» . . , of the aforesaid building. Suffolk County Department of Health Approval . . . . . . . . . . . . . . . . .13—SO-99 . , . . » . UNDERWRITERS CERTIFICATE NO. . . . . . . . . , , , „ „ „ . N65 . . . . Building Inspector Rev. 1/81 Town of Southold 1/7/2019 P.O.Box 1179 53095 Main Rd rr �sz�'a, u Southold,New York 11971 CERTIFICATE OF OCCUPANCY �.... o: 40152. - _m....-- ate: 1/7/2019 m��__ THIS CERTIFIES that the building RESIDENTIAL ALTERATION ....._— _..,....— __.. Location o Property: 1180 Westview r.,Mattituck __ ..w.. SCT : 473889 Sec/Block/Lot: 107.-7-12 .. . .... .. . ...—_.._ . ....- .mm... _.. ......�. Subdivision: Filed ap No. Lot conforms substantially to the Application for Building Permit heretofore filed in this office dated _... 9/19/201gpursuant .........r... s t to which Building Permit No. 43080 ate 10/1/2018 _ was issued, d conforms to all of the requirements of thea applicable provisions of..t pp ° p the law. The occupancy for which this certificate is issued is: --AS-K-11,1-14ARLFABLE SECOND FLOOR AND A1.Tl-RATIQ TO CiN EN1ST1NCy ONE pAM ' 1I 1 WE1 111wTC1 .–P-LIED I"Ol, The certificate is issued to Pindar Vineyards of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL — —..... .... .. _— ELECTRICAL CERTIFICATE NO. 43080 01-07-2019 m _ .._....................... PLUMBERS CERTIFICATION DATED 12-31-2018 J h Hardy __.� -_ ... .. t1�o ri iia l��a . . .__....._ .w