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Home My WebLink About1000-88.-4-14 Y TOWN OF SO T OL �a g Rental Permit Permit No. 0230 Owner Dean & Alison Prainito Occupied as Single Family Dwelling Located at 970 Watersedge Way Southold 88-4-14 Address S/B/L Maximum Permitted Occupancy 8 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. 11/20/2019 John Jarski Date of Issue Code Enforcement Officer This Notice must be posted by the main entrance at all times Town Hall Annex " , Telephone(631)765-1802 54375 Main Road P.O.Box 1 179 k l� (631)765-9502 Fax Southold,NY 11971-0959 BUILDING DEPARTMENT JUL 3 0 2010 TOWN OF SOUTHOLD n RENTAL PERMIT APPLICATION y Rental Permit Fee$200(Application must be renewed every two years) Section A. Property Information: Rental Property Address: e S" Tax Map Number: 1000 SECTION _ _-BL0t -LOT—d--- SECTION LOT -SECTION B. OWNER INFORMATION: Property Owner Name:he'�6'4 a Property Owner Legal Address: Property Owner Mailing Address: 2 -� Aja 4 . ID 10 SCI Telephone Number (s): Daytime 9GI E�ening Emergent' m Property Owner Email Address: S a Page 1 of 5 Town Hall Annex Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1 179 Southold,NY 1 197 1-0959 BUILDING DEPARTMENT TOWN OF SOUTHOLD Section C. Authorized Agent Information: Name of Authorized Agent of dwelling unit, if any:, l Address of Authorized Agent (no P.O. Boxes).,;. Mailing Address of Authorized Agent: Telephone Number(s): Daytime „Evening 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): 0 I � , N Lf C,,1 Mailing Address of Authorized Agent:. ....... ( .I)176� 63� �G5- 115--7 0 Telephone Number(s):Daytime 65J-765 1wening 1 5-7Q Emergency. Email Address: nr► ee - Cow` SECTION E. SITE MANAGER INFORMATION: (required for rental properties containing 8 or more rental units) Name of Managing Agent of dwelling unit, if any: a Address of Managing Agent (no P.O. Boxes),,__ Page 2 of 5 zM, Town Hall Annex �w Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1 179 Southold,NY 11971-0959 BUILDING DEPARTMENT TOWN OF SOUTHOLD Mailing Address of Managing Agent: Telephone Number(s): Daytime Evening . Emergeni:y; 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." 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: e— l I' OX/S) Iw 1 3 � (Luno' 11X1,5, i�x is r - 5 �r1-7 Page 3 of 5 ad. Town Hall Annex p �; Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P_O.Box 1 179 g Southold,NY 11971-0959 �w V, 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 ❑ 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-lie' address,sei 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 t Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1 179 Southold,NY 11971-0959 coin w �; P't BUILDING DEPARTMENT TOWN OF SOUTHOLD 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, Managing Agent, or Site Manager. Property Owner's Name: Property Owner's Signature: a Sworn to before me this of 20L� Official Notar Public SinIttre and Original Notary Stamp ,rTac� Nancy Messer �uornRv Notary Public,Slate of New York No 01ME 6177256 pusLtc Qualified in Suffolk County a; r Conun sionEspirt11113J20W. Page 5 of 5 4v SO& TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING /STRAPPING [ INAL [ ] FIREPLACE & CHIMNEY FIRE SAFETY INSPECTION [ ]I [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) [ CODE VIOLATION CAULKING A4 oy h REMARKS: �� 9 ovN Y71) ,r �µ � Y I n °k w a ��L r 94C 11 n 7. 4 _I {I— T ,{ 1 R e 7a i y'I u _ L �7 y a ' tY'n 1-41_.9'.C. N b iA14 •g ISO.' �� v dY ry J 7i 1 IA t 94L IL Ir ni N t n 1 n F � v 1 ; laiE6L... I f .FI*.SZ Yr ger,'. cE��a wa c E- Gq, Z .. LfBL r17 ��•.�f f� "vlfJ 11'Cl[.LU4 'HC1 f(s�y.M' _.I aaa- veer. � I „P ;_kd- 31 I , .. Q0 ilk V v �l. llt N a, -- l JIII C , R, f - f,IZ �N t a qv. �C o o c m o .z y P u� 3f3 C�1 QQ rf c yh yy h W I CPS rd ,4 14 Ci 3 T,� E' � d�� e o f.Y R C}gzN65 o� W cn aJ W LL, ' ° o ku 3R lla 3/J.. fi In. W z�}�nm 15 -rte p A� ,{ qj T I6 V 0` Rzz Siz y ya � INA �,� CNN fl q , "�F• �x ° �r' CF ?gin ¢IN TOWN OF SOUTHOLD PROF7/5/tORD CARD -. STREET TVILLAGE7 DIST) SUB. LOT FORMES OWNER - ` N E -,CR, 3 S W TYPE OF BUILDING RES. SEAS. VL ' h FA RM COMM. CB. MISC. Mkt. Value LAND IMP. TOTAL PATE j REMARKS a FARM Acre I Acre Value Per Value Acre _ Z- Tillob er ` - -- – — - 1 Tillable 3 Woodland Swampland J FRO TAGE ON WATER, Brushlond FRONTAGE ON ROAD House Plot DEPTH BULKHEAD Total DOCK _ �� — � a i COLOR E 2 h g � � I TRIM a � r ; 1 M Bldg - FoundationBoth - � � G- I Dinette:. �tnton r crJ .� — - _ Basement Floors K. £_ -� � 5-� - 7 Ext. Extension Walls Interior Finish LR. Extension Fire Place Heat - DR. - Type Roof Rooms lst Floor I . Iorc - BR. ^ - - - J R U 3: + �- ecreation Roo Rooms 2nd Floor!_ 2 Z�" ' J �Dormer - _(o Breezeway Driveway n e Patio -- - Toto I - — — i 2 FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-26451 Date: 05/14/99 THIS CERTIFIES that the building ADDITION Location of Property: 970 WATERSEDGE WAY SOUTHOLD (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 88 Block 4 Lot 14 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated MARCH 29 1999 pursuant to which Building Permit No. 25720-Z dated MAY 12, 1999 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 DECK ADDITIONS TO EXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to JOSEPHINE E PETTIT of the aforesaid building. (OWNER) SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A 63ilng Inspector 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-26402 Date: 04/23/99 THIS CERTIFIES that the building NEW DWELLING Location of Property: 970 WATERS EDGE WAY SOUTHOLD (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 88 Block 4 Lot 14 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated JULY 14, 1998 pursuant to which Building Permit No. 25144-Z dated AUGUST 31, 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 ONE FAMILY nwmT.TjNG WITH COVERED PORCH, AND TWO CAR GARAGE AS APPLIED FOR. The certificate is issued to JOSEPHINE E. PETTIT (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL RIO-97-0065 04/14/99 ELECTRICAL CERTIFICATE NO. N485411 04/12/99 PLUMBERS CERTIFICATION DATED 03/12/99 MANORVI'LLE PL &H'EAT'. it ing Inspector Rev. 1/81