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Home My WebLink About1000-56.-5-11 TOWN OF SOUTHOLD L Rental Permit �4 3 0212 Owner Jonathan Tibett Occupied as Single Family Dwelling Located at 845 Budds Pond Rd. Southold 56.-5-11 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. 11/16/2023 odeor me ficial This Notice must be posted by the main entrance at all times v so TOWN OF ! „ p 831 �785-1802 INSPEC ION [ ] FOUNDATION 1ST [ ] ROUGH PL13G. [ ] FOUNDATION 2ND [ ] INSULATION/CAI [ ] FRAMING 1 STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY IN! [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PE [ ] ELECTRICAL (TOUGH) [ ] ELECTRICAL {F [ ] CODE VIOLATION [ ] PR C " [ ] REMAR a So � N DATE JAI I v *� INSPECTORC Town Hall Annex •T lei (63 a-1'802 � � � � ��.� �� 6#oB�.� 54375 Main Road Fax(631) 65-9502 P. O. Box 1179 4 Southold, NY 11971-0959 .B w BUILDING DEPARTMENT TOWN OF SOUTHOLD RENTAL PROPERTY CERTIFICATION Form is to be completed by a licensed architect, licensed engineer or licensed home inspector Separate form is required for each individual Rental Dwelling Unit Professional seal required for Architect or Engineer, Licensed Home Inspector must provide copy of valid current certification Rental Property SCTM Number: 1000-56.-5-11 Rental Property Address: _-845 Budds Pond Road, Southold, NY 11971 Owner/Name: Jonathan Tibett Rental Dwelling Unit Identifier: N/A Number& Square footage of each bedroom as depicted in the attached floor plan (i.e. Bedroom#1 — 100 sqft., Bedroom#2—90 sqft., etc.) ..........._. _w.� 22 ft Bedroom #3- 224s ftw�w_w.............. Bedroom #1- 144sgft ,wBedro.. #2- 224sq ., m_.....w.... �..._......w....w...._._.... � ..........._..w.v_._._._........_ Property Description (Include all improvements indicated on survey) _Z-Story Frame Dwellin 1 1/2-Stor .fara e Gravel Drivewa certify that I have done a physical inspection of the subject rental dwelling unit and find that it fully complies with all the provisions of the Code of the Town of Southold,. esidential Code of New York State,the Building Code of New York State, the Plumbing C,pd of New Yo State, the Fuel Gas Code of New York State, the Fire Code of New York State, the Pr rty Maintenanc Code of New York State and the Energy Conservation Construction Code of Ne York Sta . Anthonyrortillo, RA k -711 I ,., Print Name and Titled Y nal Signature �� Please place Professional Seal; if . Ty.. -% TOWNOF SOUTHOLD S Rental Permit 0212 Owner Jonathan Tibett Occupied as Single Family Dwelling Located at 845 Budds Pond Rd. Southold 56.-5-11 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. 11/16/2023 cedeo r me fiial This Notice must be posted by the main entrance at all times TOWN OF SOUTHOLD BUILDING D 631 -765-1802 INSPECTION j ] FOUNDATION 1ST [ ] ROUGH PLBG. j ] FOUNDATION 2ND [ ] INSULATION/CAl [ ] FRAMING / STRAPPING [ ] FINAL j ] FIREPLACE & CHIMNEY j ] FIRE SAFETY IN! j ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PE [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (F [ ] CODE VIOLATION [ ] PRE C/ [16/1 a So 1 DATE INSPECTOR 4 1� L . NOV 1 Town Hall Annex " t Telephori�(631)765-1802 54375 Main Road - Fax(631)765-9502 P.O.Box 1179 t Southold, NY 11971-0959 V,, r k � µe BUILDING DEPARTMENT TOWN OF SOUTHOLD RENTAL PROPERTY CERTIFICATION Form is to be completed by a licensed architect, licensed engineer or licensed home inspector Separate form is required for each individual Rental Dwelling Unit Professional seal re uired for Architect air Era ineer Licensed Home Inspector roust Provide copy of valid current certification Rental Property SCTM Number:_.....1000 56.-5-11 �w.�. m_w._,_ _.�.......... Rental Property Address: mm 845 Budds Pond Road, Southold, NY 11971 -wm Owner/Name: Jonathan Tibett .� Rental Dwelling Unit Identifier: N/A Number&Square footage of each bedroom as depicted in the attached floor plan; (i.e. Bedroom#1 —100 sqft., Bedroom#2—90 sgft., etc.) w.B a d.ro....o....m.... #..1.._-..144s ft., Bedroo_m_._.�#_2-....2.M.2.w.4...s fkBedroom #3-224sgft. _..w .�......�..w..w.ww.. M.._.. ... Property Description (Include all improvements indicated on survey) 2-StoryFrame Dwelling., w1 112-Story Gara e. Graval Driveway �_........ .. I certify that I have done a physical inspection of the subject rental dwelling unit and find that it fully complies with all the provisions of the Code of the Town of Sot�thol�l. esiden ial Code of New York State,the Building Code of New York State,the Plumbing d of New Yo State,the Fuel Gas Code of New York State,the Fire Code of New York State,the Pr, erty Maintenanc w Code of New York State and the Energy Conservation Construction Code of Ne York Sta Anthony Portillo RA Print Name and Title ` �nal Signature Please place Professional Seal: ',: ; d p w TOWN OF SOUTHOLD Rental Permit �3 0212 Owner Jonathan Tibett Occupied as Single Family Dwelling Located at 845 Budds Pond Road Southold 56-5-11 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. 11/15/2021 / k d Ery rc rpt ficial This Notice must be posted by the main entrance at all times Town Hall Annex " 1t �'r Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1179 u a y� Southold,NY 11971-0959 � �� ra (gG Ul BUILDING DEPARTMENT O 1 re� 5 2021, TOWN OF SOUTHOLDBLDING DEPT " RENTAL PROPERTY CERTIFICATION TOWN OF SOUTHOLD Form is to be completed by a license architect,licensed engineer or licensed home inspector Separate form is required for each individual Rental Dwelling Unit tura essio,n al seal re uired ear Architect or n !leer l/censed Lorne Inspector rl aast ralride cop V of valid current c rta��fr form Rental PropertySCTM Number: 1000-56-5-11 Rental Property Address: 845 BUdds Poind Rd, Southold NY 11971 Owner/Name: Jonathan Tibett Rental Dwelling Unit Identifier: Number&Square footage of each bedroom as depicted in the attached floor plan: (i.e. Bedroom#1 —100sq., Bedroom#2-90sq., etc.) Bedroom #1: 144 sq Bedroom #2: 224 sf ~ Bedroom #3: 224 sf Property Description (Include all improvements indicated on survey) 2 story frame house and garage I certify that I have done a physical inspection of the subject rental dwelling unit and find that it fully complies with all the provisions of the Code of the Town of Southold,the Residential Code of New York State,the Building Code of New York State, the Plumbing Code of New York State, the Fuel Gas Code of New York State, and the Energy Conservation,, U' I n Code of New York State, Anthony Portillo, R.A 10 I Print Name and Title Original Signature Please place professional seal- HA TOWN OF SOUTHOLD Rental Permit Permit No. 0212 Owner Jonathan Tibett Occupied as Single Family Dwelling Located at 845 Budds Pond Rd Southold 56-5-11 Address S/B/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. 10/29/2019 John Jarski Date of Issue Code Enforcement Officer This Notice must be posted by the main entrance at all times Town Hall AnnexTelephone(631)765-1802 r` 54375 Main Road Fax(631)765-9502 P.O.Box 1179 Southold,NY 11971-0959 BUILDING DEPARTMENT TOWN OF SO SOLD RENTAL PERMIT APPLICATION Rental Permit Fee$200(Application must be renewed every two y-epr�) T 2 8 2019 Section A. Property Information: Rental Property Address: 61)kIls Aled ee Tax Map Number: 1000 SECTION 1000 -BLOCK, ,-LOT SECTION B. OWNER INFORMATION: Property Owner Name: l b-e-fl` Property Owner Legal Address: Property Owner Mailing Address: Tf Telephone Number(s): Daytime X Evening Emergency Property Owner Email Address: 61,-ew o �' - U - aoo �e_Co�s35 � Page 1 of 5 t Gown Hall AnnexTelephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1179 Southold,NY 11971-0959 OWN �a a 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. ❑ 1 am requesting a fire safety inspection to be performed by a Code Enforcement Official from the Town of Southold I 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) 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 Town Hall Annex Telephone(631)765-1802 54375 Main Road r, Fax(631)765-9502 P.O.Box 1179 E 1 Southold,NY 11971-0959 q� rye BUILDING DEPARTMENT TOWN OF SO 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. I 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: ' � Property Owner's Signature: "� Sworn to before me this_day of °'� 20_ 01 Official Notary Public Signature and Original Notary Stamp CONNIE O.BUNCHI .. ptlAk,Stow d Now Y0* No,mmi NMI (.'),ua#ftd 1n Suffolk CQUWY ;momipsinn r=rplrasApril „2-D3 Page 5 of 5 Town Hall Annex Telephone(631)765-1802 54375 Main Road Fax (631)765-9502 11.0.Box 1 179 �Q k 10,, IA A Southold,NY 11971-0959 u ."11210rX BUILDING DEPARTMENT TOWN OF SOUTHOLD w��6 Mailing Address of Managing Agent: %5" P�use, 1'-(V Telephone Number(s): Daytime Evening Emergency Email Address: Av QE, 2ra-C, SDo 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, Q 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: Number of rooms in Rental Dwelling Unit: Use and Dimensions of each room in Rental Dwelling Unit: Page 3 of 5 Town Hall Annex Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1179 Southold,NY 11971-0959 � BUILDING DEPARTMENT OCT 28 2019 TOWN OF SOUMOLD RENTAL PROPERTY CERTIFICATION . Form is to be completed by a license architect,licensed engineer or licensed home inspector Separate form is required for each individual Rental Dwelling Unit ,Pro ssional seal re uited r rrchltect or n Ineer licensed Home Ins ector m st rovd+e coOm qL valid current certification t Rental Property SCTM Number: �Cd — 5�-a n r l Rental Property Address: ME B061-1 " Owner/Name: QLUa I Lfft- Rental Dwelling Unit Identifier: Number&Square footage of each be oom as depicted in the attached floor plan: (i.e. Bedroom#1-100 sq.,Bed=02-90 sq., etc.) Property Description (Include all improvements indicated on survey) I certify that I have done a physical inspection of the subject rental dwelling unit and find that it fully complies with all the provisions of the Code of the Town of Southold,the Residential Code of New York State,the Building Code of New York State,the Plumbing Code of New York State, the Fuel Gas Code of New York State, and the Energy Conservatio Construction Code of New York State. ►I Print Name and Title � � � Or al ature 0 0 Please place professional seal: mom. 0b � TOWN OF S0UTHO D BUILDING OE PT: eoum 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 R E M JK S, t K/ i 6r 04 m r— I k � I � ® j p d . .. wti f »�:��"T�...—».= p .� �" ��•� i 'r, ,sr �` O s ,� ""it ` ll 11 �4� a, a 4 � .......... ............. Z N ._4 i m _ nl 'r .8Cr ^tea �^"- 4 m ��..��,��,�,-� ,mea•--�� . ....._ .�... �..� ^� '•I 4'& � R� � � .0 k41* s � p r 4, a Ta � v1 rv' � tl �u n 4 1 u rr P <) 6 {� 6 6'o'5�0.a 66"V W - s � ' 4tblI A a '........ ., ,.,levc Y6 ,4-41 ry W ", .v s� T , T� . ... nc � a O n C= -9C :c Z m U c � C7 r r`! x dz 40 Grrl � + yA G) ulCA Gtb m 79 r J4 ` 00 6 � Tj �I Va, (Al K „, o � J 4yf F m rvp PI d 4J A. I � w, r�,� �`mf 5C pp a'" 7p �•j tj . c + 0 '3 far • I � t ,.,..., A, T" a c ® i —4 ' x y i • ...— 9 FORM NO- 4 TOWN OF` SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-22187 Date: MARCH 1.0,_ 1993 THIS CERTIFIES that the building NEW DWELLING - - Location of Property 845_BUDD'_S POND ROAD SOU'"F37:mD N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 56 Block 5 --Lot _ 11 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated JULY 29 1991 'lyrsua:r't to which Building Permit No.. 20061-Z dated AUG'�I zT 2,, '1991 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 ATTACHED GARAGE, DECK & BALCONY AS APPLIED FOR. The certificate is issued to DIAMOND & E. VIOLA SCARD'[.ZI0. (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL 89-SO-117-JULY 13, 1992 UNDERWRITERS CERTIFICATE NO. N-245473 - AUGUST 4, 1992 PLUMBERS CERTIFICATION DATED FEB. 12, 1992 - K&K PLUMBING & HEATING Building Inspector Rev. 1/81 ` ktii`7�+151/ . . t�D(�.^� APPLICANT . . . . . D / -N > In I (D :2 Up dd Ln cr- VW, 03 < aoo UO > n CD z 0 fAl 0 Z c: 0 Ln m m 0 0 > Pi °, CAJ < rk, O 4 p rn ED En En e CD .......... '41 rt ---------- _. o3 -n IA CD IL -0 (0 to 0 D. 0 0 n :3 -h ;a CD ... . ..... q5' (D 01 --n -n 4-1 . L............... ... .......... ... .......... ................. p I lej r � I Y.. � W a yFp0 0 00 \ -- ' A�, + 115. SDT I" " I,B F' fDA� O'A �. ^Yy. OND :a J, P p ..,. � o o - ...�W_II ..�'. y Km v, EARTH ' DRIVEWAYQ) P ✓� Nb L 0 Z Ol -9 w 4�ec Y a =26048 sf . Lot 14 ,I Aj GI APPROT,UODA TIMJW !' UNOEnono UND Re rNINO WALL ` 230.00' Ct 239.,67 �n-.4wn•.'.-: *^+�,'n+�%.hr«,y0. ,.... 'N �,a � ,.4m. f•Jl l pP k� . = �sd con®.i as shown on dVLY . O m .. StJRVEY FOR Ere da 2 tEna'.P.d."ASN f9C91?7i Cff1��TY fJE�'74N�T'ddk.FWT OF HEA 1 RWd(.b� DIAMOND SCARDUZ/O Q E.VIOLA SCARDUZ/D 4 T)pI,LY DWEIUNG ONLY LOT N0.9 , W/L LOW PO/NT NO >S'i.990 �• 92 89-SO-//7 r r 89 C4AT ,.� p0. AT ARSHAMOMAOUE DATE: OCT'9,19q ,/989 The sewage di,Tvvi l and valet supply hclliflm for Pus TOWN OF SOUTHOLD SCALE: 1' =40" location have btLt o inspected by this DeparpneW a d/orSUFFOLK COUNTY, NEW YORK No. e9-1038 other les and Lound to be satisfactory. R R4Ult — U AU^..3 THE 51oc—ffNOT B[ARINa TH[�ANDTH! 5#hE IS TA.T.vA,"(M Stir DN zoii a6 THE P, CTn6 of ➢Y'NbEIR rrl'1F�BWQLWTNhr W1srTN s°nw'154 T D 5 THIS eD;r' D ti 0 W k SURVEYOR UR EYORS INKED TEAL OR EM001%ED SEA SHALL •2 ,CS r 1 1 NOT DE CONSIDERED TO DE A VALID TRU[COPv n NOUARANTEES INDICATED HEREON—LL RUN ONLY TO I{ TNC PERSON FOR WHOM THE SURVEY IS PREPAREDM!k I 111 Ed!4L!H DEPARTMENT DATA POP APPROI AL ra�,r„WYriT UC Y� AKO ON HIS DE HALF TO THE TITL[cpIPWY,�OttNhtm— M R[ADEST Wl Z rANH WP _" R S'CNd CR YF"WATER PR-t.,,,,,-P%HUdjC_ MENTAL AGENCY AND LENDING INSTITUTION WI5.9It, B BNIIFF CND.TAM ADDP QRIT Y SE 9TICH,,,,`~;„ BLOCK _LOT.W" H'CAft*,ANO'TO TIME ASS40REES OF -jr LFLNONNG R THEM'[ AWE NO OWELLNHBB WITK'IN IOD FEET OF THIS PROPER+"N AVT17 UTKW OUARA N Ttl[% ARk NPT,TRANSFLAA BLE OTHE%.TKAH THOSE.SHOWN HEREON TO ANRMT'GORAL Will UAF.W$OR Sr,IBSEO UENR FCP . 45'8' 3 B TN[WWTKR lUMIO LY BlEMMB[DISPOSAL SYSTEM I[ OWNERS M1 THIS ROIDC II[L I E" %DISTANCES SHOWN HEREON FROM PROPERTY LINES (J WILL UMIPOIIM TO THE STANDAI105 OF THE SUFFOLK COUNTY DEPARTMENT G r' NSR" OF HEALTH KEITVICK[ TOE MI!TING STRUC TURES ARE FOR A SPECIFIC i' No gIgW,I ft APPLICANT, PURPOSE ANO..qPE NOT TO BE USED TO ESTABLISH ADORES! PROPERTY LIHE� OR FOR THE ERECTION OF FENCES ,u :.... _.. - ...m. YOUNG a YOUNG 400 _.. nrr�RrsrA�P" RHEAD, ER AVENUE -••- � %HEAD,NEW YORK ALDEN W YOUNG,PROFESSIONAL ENGINEER YFy'47 A�.:J01Yrr AMP,,oA h..CJ UV (6, Y rT't F I: YP ,Fr G'Y< AND LAND SURVEYOR N Y.S.LICENSE N0.12845 ,t'r nYrid h'Y l7dl"lUAP�"(b',IAS C,,1°8�^nY dl A34f,",.", .,,,.. ,w HOWARD W.YOUNG, LAND SURVEYOR I ,grTNAY'LDBA'EpCpM TAk WE,I.n.CWY SEPTnD'.RANK@BPI'%c[s+/oa.sfcFl RHO..H[w[ol N.YS LICENSE N0.45893 AIN.F*M MELD OgSER TIOM3 AHO Mh DATA ORIVA KU FROM OTHERS Rflmom 6 80.5 INC. T yyx