HomeMy WebLinkAbout1000-77.-1-24 TOWN OF S UTH LD
Rental Permit
0290
Owner: Michael Tortorella , Lindsay Tortorella
Occupied as: Single Family Dwelling
Located at: 485 Hickory Ave Southold 77.-1-24
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.
Issued: 01/30/2025
Expiration: 01/30/2027 a ent Official
tt
This Notice must be posted by the main entrantoataltimes
0 c
WN 0) SOLD OLD BUILDING DEPT.
631-765-1802
INSPOECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INSULATION/CAULKING
[ ] FRAMING / STRAPPING [ ] FINAL
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANX(FAL)
RATION
[ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL
CODE VIOLATION [ ] PRE C/O [ TAL
REMARKS:
4�
�Vl "Wovt
Telephone 631 765-1802
Town Hall Annex i,� '- P ( )
54375 Main Road % F Fax(631)765-9502
P.O.Box 1179
Southold,NY 1 1971-0959 42
BUILDING DEPARTMENT IAN 10 2025
TOWN OF SOUTHOLD
RENTAL PROPERTY CERTIFICATION SuRdln Deparfrnent
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
Ero essior of seal required or 4rclfitect or Engineer, ii'cer�sed'Home Inspector must vic
c"of valid current certi cotroa
Rental Property SCTM Number:
Rental Property Address: 485 Hicko Avenue Southold NY 11971
Owner/Name: Michael Tortorella
Rental Dwelling Unit Identifier: 1
Number &Square footage of each bedroom as depicted in the attached floor plan:
(i.e. Bedroom#1 -100 sq., Bedroom #2-90 sq., etc.)
Master bedroom - 210sgft
2nd Bedroom - 260sgft
3rd Bedroom - 180s ft 4th Bedroom - 140sgft
Property Description (Include all improvements indicated on survey)
Single family, detached home, 2-story
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 Construction Code of New
York State.
Brian Shassian, PE
rr!C nature
Si Original Print Name and Title �0 B �M�� Ori g g
Please place professional seal:
op '1A
Pit
TOWN OF SOUTHOLD
F
Rental Permit
0290
Owner Michael & Lindsay Tortorella
Occupied as Single Family Dwelling
Located at 485 Hickory Avenue Southold 77-1-24
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.
6/13/2022
cede E or rr Official
This Notice must be posted by the main entrance at all times
Bunch, Connie
From: Michael Tortorella <mgt3duke@gmail.com>
Sent: Wednesday, June 01, 2022 5:29 PM
To: Bunch, Connie W
„�
pf ' (
Subject: Re: Rental Permit 0290 due for renewal
�e,,��,
Hi Connie, I don't recall receiving a copy of the renewed rental permit, can you advise?
On Wed, Jan 12, 2022 at 9:47 AM Michael Tortorella<ttdke ttta%l.cn;> wrote:
Ok, thank you.
I should make the check out to: "Town of Southold"?
And mail it to:
Building Department 04 ckc)r ,,,f
Town of Southold Ld S
PO Box 1179
Southold NY 11971-0959
On Wed, Jan 12, 2022 at 9:40 AM Bunch, Connie Coruiie.Buiacla IgAn_s,Outhold.gy i wrote:
You would have to mail in the check,
Thank you,
Connie
From: Michael Tortorella [mailto:m t3duke mail.coml
Sent:Wednesday,January 12, 2022 9:29 AM
To:Verity, Mike <Mike.Verit town.southold.n .us>
Cc: Bunch, Connie<Connie.Bunch town.southold.n ,u >
Subject: Re: Rental Permit 0290 due for renewal Ar
w
Good morning Mike and Connie,
Please be advised that we wish to renew this permit. Please see below:
I
��4f 311, IOUN
!�*�
- ;
f
1-765-1802INSPECTION
I FOUNDATION 1ST ROUGH PLEIG.
FOUNDATION 2ND INSULATIOWCAULKING
FRAMING r STRAPPING FINAL
FIREPLACE & CHIMNEY FIRE SAFETY INSPECTION
FIRE RESISTANT CONSTRUCTION FIRE RESISTANT PENETRATION
ELECTRICAL (ROUGH) ELECTRICAL (FINAL)
CODE VIOLATION PRE C/O
46
DATEr
Town Hall Annex Telephone(631)765-1802
54375 Main Road 'F Fax(631)765-9502
P.O.Box 1179
Southold,NY 1 1971-0959
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
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 a sicrnal seal re aired or rclaitect or Bn In r�
licensed home Inspector rnust rovi e
!yap o valid current certi notion
Rental Property SCTM Number:
Rental Property Address: 485 Hicko Avenue, Southold NY 11971
Owner/Name: Michael Tortorella
Rental Dwelling Unit Identifier: 1
Number& Square footage of each bedroom as depicted in the attached floor plan:
(i.e. Bedroom#1 -100 sq., Bedroom#2-90 sq., etc.)
Master bedroom - 210sgft
2nd Bedroom - 260sgft
3rd Bedroom - 180s ft 4th Bedroom - 140sgft
Property Description (Include all improvements indicated on survey)
Single family, detached home, 2-story
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 Construction Code of New
York State.
Brian Shassian, PE �
r ,.
Print Name and Title �' " " -� Original Signature
Please place professional seal: :.
FEW CI`��� 01/12/2022
se1FFat,rTOWN OF SOUTHOLD
me e Rental _Permit,
oy�o a4�� Permit No. 0290
Owner' Michael & Lindsay Tortorella
Occupied as Single Family Dwelling
Located at 485 Hickory Ave' Southold 77-1-24
Address S/B/L
Maximum Permitted Occupancy 8 -
Is
-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.
2/11/2020 John Jarski
Date of Issue Code Enforcement Officer
This Notice must be posted by the main entrance at all times
- i
V, -0
Town Hall Annex Telephone(631)765-1802
54375 Main Road Fax(631)765-9502
P.O.Box 1179 G '�
Southold,NY 11971-0959 ��t � .�� � � �Li
AUG 2019 �a ,
BUILDING DEPARTMENT
TOWN OF SOUrrHOLD �UIT DnTfi F�PT
Jdr YI�9..r11d A L"'d til�gA'fif !Ln
RENTAL PERMIT APPLICATION
Rental Permit Fee$200(Application must be renewed every two years)
Section A.
Property Information:
Rental Property Address:
DIS S' V\t Lkc?N ��c r1�c2 , ��1�►a1c� �J`t' l t a I
Tax Map Number: 1000 SECTION -BLOCK.
SECTION B.
OWNER INFORMATION:
Property Owner Name: VAIC °O-V '
Property Owner Legal Address: Property Owner Mailing Address:
LIZ. �n�Ml-�1�� +L�►[l� (IZ 13V'bf LtLg1n KoaN
�,w.+e�•-� �'(an or} X17 l l S 3a -_.- S�a�� Mand' �Y l l�'�b
Telephone Number(s): Daytime �16 (014 0$7'OEvening _ Emergency,
rota • Go>nn
Property Owner Email Address: r'660446- @C, 'I
-W�DO
4�UctrA
Page 1 of 5
�4p� SU�T���r,�
Town Hall Annex Telephone(631)765-1802
54375 Main Road cn Fax(631)765-9502
Box 1119 '
Southold,NY 11971-0959:__
BUILDING DEPARTMENT
TOWN OF SOUTHOL,D
RENTAL PERMIT APPLICATION INSTRUCTIONS
Rental Permit Fee $200 (Application must be renewed every two years)
The items listed below are required to be submitted with the completed
application.
P Floor Plans: Floor plans of each Rental Dwelling Unit, please show location of
all smoke & carbon monoxide detectors.
Certificates of occupancy and Pre-Certificates of Occupancy: Certificates of
occupancy or Pre-Certificates of Occupancy for each rental dwelling unit.
I 1 Certification of Code Compliance(form enclosed): Must be submitted by a
license architect or engineer or license home inspector if an inspection by Town of
Southold Inspector is declined.
Rental Permit Fee: $200.00
SnU,r�o
Town Hall Annex Telephone(631)765-1802
54375 Main Road cn Fax(631)765-9502
P.O.Box 1179
Southold,NY 11971-0959
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
Section C.
Authorized Agent Information: V
Name of Authorized Agent of dwelling unit, if any: Nl�
Address of Authorized Agent (no P.O. Boxes): MIA
Mailing Address of Authorized Agent: P�
Telephone Number(s): Daytime Evening Emergency
Email Address: -
Section D.
Managing Agent Information:
Name of Authorized Agent of dwelling unit, if any: N `�
Address of Authorized Agent (no P.O. Boxes): I�
Mailing Address of Authorized Agent: JA
Telephone Number(s): Daytime Evening Emergency
-z .
Email Address:
SECTION E. n
SITE MANAGER INFORMATION: (required for rental properties containing 8 or more rental units) �`IW
Name of Managing Agent of dwelling unit, if any: I
Address of Managing Agent (no P.O. Boxes): N I A
Page 2 of 5
V- S70
Town Hall Annex Telephone(631)765-1802
54375 Main Road � Fax(631)765-9502
P.O.Box 1179 �, q
Southold,NY 11971-0959 p
UNTI,
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
Mailing Address of Managing Agent: l�
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, 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 D ening U
Number of rooms in Rental Dwelling Unit: 'f OomS + K►
Use and Dimensions of each room in Rental Dwelling Unit: UasLt, b¢dvoofn
Z"'� Cd•ccN► : Aso 3.a $u)►���..,: a4o 140 5�
Page 3 of 5
Town Hall Annex Telephone(631)765-1802
54375 Main Road c" Fax(631)765-9502
P.O.Box 1179 �O
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.
❑ 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-So uthoId'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)'
I _ 40t� fir` orfA , 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
Ala°S'0
Town Hall Annex Telephone(631)765-1802
54375 Main RoadFax(631)765-9502
P.O.Box 1179
Southold,NY 11971-0959 D
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: MI4c e L orh�re.�`a
Property Owner's Signature:V���
Swornto7(*,e/
fore me this V day of ���Y , 20 Lq
Official Notary Public Si nature and Original Notary Stamp
COVEL M MAYNARD
Notary Public,State of New York
No.of MA6149214
Qualified in Kings county
0
Commission Expires July
Page 5 of 5
q so
Town Hall Annex Telephone(631)765-1802
54375 Main Road Fax(631)765-9502
P.O.Box 1179 G
Southold,NY 11971-0959 \,` °!!"t�� �' •.a i
BUILDING DEPARTMENT OCT 1 7 2019
TOWN OF SOUTHOLD
RENTAL PROPERTY CERTIFICATIONi '
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
Professional seal required for Architect or Engineer, licensed Home Inspector must provide
copy of valid current certification
Rental Property SCTM Number:
Rental Property Address: `4.M 11ggJ
Owner/Name: �A%A^42 1 `r r-1,wLt 44
Rental Dwelling Unit Identifier: 1-
Number&Sq`uare footage of each bedroom as depicted in the attached floor plan:
(i.e. Bedroom#1 -100 sq., Bedroom #2-90 sq., etc.)
�Aa---�Wroonn - ako 5q 4
a6z) sg r4 u {� � r1
' is PjGG��oonn IS0 S� ti+ -6 &D VooM — JA0 51, Kb
Property Description (include all improvements indicated on survey)
Sinalx �am")q , CW hcMQ. 2- 5. 0r`/
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 Construction Code of New
York State.
Print Name and Title sy'� `4 '"'''� rOriginal Signature
f� 31�
U
Please place professional seal: tint 9247A
9oAESS10
ho��0f SOUI�o�
e
TOWN OF SOUTHOLD BUILDING DEPT.
765-1802
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLEIG.
[ ] FOUNDATION 2ND [ ] NSULAT ON
[ ] FRAMING /STRAPPING [ ] FINAL
[ ] FIREPLACE & CHIMNEY
� [ ] FIRE SAFETY INSPECTION
[ ] FIRE'RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL)
[ ] CODE VIOLATION [ ] CAULKING
REM5e t
AR S:
I'rn✓ yA
(,AV
DATE 3 INSPECTOR
I SOUT Wit
* # TOWN OF SOUTHOLD BUILDING DEPT.
765-1802
INSPECTION :
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INSULATION/CAULKING.
[ ] FRAMING/STRAPPING [ ] INAL
[ ] FIREPLACE & CHIMNEY [' FIRE SAFETY INSPECTION
[ ] 'FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL)
[ ] CODE VIOLATION [ ] PRE C/O
REM KS:
V t
QrAlv V PAW?
DATE 0 INSPECTOR
DINING LIVING
COVERED
PORCH
SD/
KITCHEN CO
® DN UP
CLOSET
BATH
® SD/
SD/ CO
1—CAR
GARAGE Co® LAUNDRY
ENTRY
MASTER
BEDROOM
MASTER BATH
FIRST FLOOR PLAN
SCALE: 8'=1'-0"
CLOSET
2ND
BEDROOM
BATH
® SD/
Co
Co
OCT 1 7 2019 DN
�Y
"v'"Tr•, �-,. ® CLOSET
C--LO. CLO. SD/
uu
4TH SD/ 3RD
BEDROOM Co BEDROOM
Nvll
co
SECOND FLOOR PLAN
1 fi
SCALE: $"=I'—o"
® 027 kr
9®PESS1®��
_ TOWN OF SOUTHOLD PROPERTY RECORD
P OWNER r , 101fj_ r k,0 STREET -- * VILLAGE DISTRICT SUB. LOT
FORMER OWNE `_ S E ACREAGE
SW TYPE OF BUILDING
RES. SEAS. VIL FARM COMM. IND. I CB. I MISC. I Est. Mkt. Value
LAND IMP. TOTAL DATE REMARKS
L9 L) S z F 141,'7 3P /—t3
n 9 -L e ✓Q �10,14Mnj- in L OA/wfn
-I�L)G 24 Illi �r z6 —L /� — �n1<-Aam ink m ifs -h'us rs
F � °�_ /G�'D�v
AGE BUILDING CONDITION lJl �7_ " ZT"J D
NEW NORMAL BELOW ABOVE FRONTAGE ON WATER
Farm Acre Value Per Acre Value FRONTAGE ON ROAD �w3 / c v S—
Tillable 1 BULKHEAD
Tillable 2 DOCK
-- - -- - ---- - - -- - 9TOfl�-�(,1�9,,,ea�l3+�-����n;�,r.� 5 },�v�nr�.fla �✓�r '�"X:�
Tillable 3
Woodland
Swampland
Brushland
._-_-------_..---
House Plot
- -- - -
Tota I
LL M
s, lam_
1
t
lot-
77,1-24 10/2016
Foundation Bath 3
111 -3 ; :L.0 0 �.�?� Basement Floors
Extension Ext. Walls v)mL. Interior Finish 611/)z
---- - - -
Extension Fire Place Heat
Heat
914-V 10 15 x a . 'a JT 194- Porch Roof Type
Pba4;W 7 X Q = r b3 Porch Rooms 1st Floor DRQ L-rZ 13Q PJA� M Ur
e °"Y°y nnG Q X10 T �0�1 — --— — 3 'r --
N(POO C3 t 1 Patio Rooms 2nd Floor
Garage aI x Q1;k:9 sr t7 Driveway ; Dormer
o. B. , s P oT ZOO -- —--
i
r�
Town of Southold
3/2]/Z017
-P.O.Bog 1179
Apt 53095 Main Rd
SoutboWL New York 11971
CERTII+'ICATE OF OMWANCY
No: 38868 Date: 31212017
TMS CERTOM that the bdWhg SINGLE FAMILY DWEU[MG
Location ofProperty: 485 WIckmy Ave,Southold
SCTM#: 473889 SeclBlockUh 77,-124
Sub"on: IRlled Map No. Lot No.
conforms snbshmtm Iy to the Application for Buz'iding pdmit hweW i+e filed in tide office dated
8/26/2015 pmaant to which Dwmisig Permit No. 40098 dated 9118/2015
was issued,and m*n ns to all of the requirements ofthe appRaable pravieions of the.law. The occupancy for
which this certificate is issued is:
ONMAMILY DWS/. M WITH COVEM FRONT FORCE,SIDE COVERED ENTRIES AI TACREP
49GGB AND UNFINISHfID BAMZz ENTPSR ZBA DHCISION#6849 DATIID 0416-2015 AS APPLIED
FOR
The certificate is issued to FNP Entezpdsw kc
of the of esam building.
SUFFOLK COUNTY DEPARTNOW OF ENALTH APPROVAL R10-14-0069 03-15-2017
ELECTRICAL CERTIFICATE NO. 40098 10-18-2016
PLUMBERS CERTIFICATION DATED 11-03-2016 Toe Wlutecavage
'rued Signature