HomeMy WebLinkAbout1000-69.-3-21 TOWN OF SOUTHOLD
C Rental Permit
Permit No. 0349
Owner Rocco & Eileen Resciniti
Occupied as Single Family Dwelling
Located at 235 Apple Court Southold 69-3-21
Village 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.
10/13/2020 John Jarski
Date of Issue Code Enforcement Officer
This Notice must be posted by the main entrance at all times
so
Town Hall Annex � 7 �! ss2, C�, Telephone(631)765-1802
54375 Main Road ; ,f Fax(631)765-9502
P.O.Box 1179 �
Southold,NY 11971-0959
BUILDING DEPARTMENT
TOUN OF SOUTHOLD
RENTAL PERMIT APPLICATION
r 'a
Rental Permit Fee $200 (Application must be renewed every t o--yei"7,
JUL 2 3 2019
Section A.
Property Information: i �, , {,; ; � ;,;,T"
Rental Pro erty Address:
Tax Map Number: 1000 SECTION 9 -BLOCK. -LOT-
SECTION B.
OWNER INFORMATION:
Property Owner Name: -
4;
Property Owner Legal Address: Property Owner Mailing Address:
rrj Ar cam,d ,
3Pq3(—
Telephone Number(s): Daytime Evening_ Emergency.
Property Owner Email Address: f -!�; C ! Y7
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Page 1 of S l�3
Y
Town Hall Annex ti Telephone(631)765-1802
54375 Main Road Fax(631)765-9502
P.O.Box 1179
Southold,NY 11971-0959 '`O�
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
Section C.
Authorized Agent Information:
Name of Authorized Agent of dwelling unit, if any: 130; j C1i nq f��rl�►'lre I� �1�a5 Lt-D
le-'h
Address of Authorized Agent (no P.O. Boxes): Ill S�/lvj, 04( /2a�/9Jr, t-Il`P'►�► l
,f /1-7/
Mailing Address of Authorized Agent: 11 9-W/1&)0vk PCAOC tqYya —ha11 75i
(o-3/- fid-_ -
Telephone Number(s): Daytime Evening Emergency
Email Address: 1 e�r�ip- q yn a r C`om
Section D.
Managing Agent Information:
Name of Authorized Agent of dwelling unit, if any: del e,v,--
Address of Authorized Agent(no P.O. Boxes):
Mailing Address of Authorized Agent:,
Telephone Number(s): Daytime _Evening Emergency`
Email Address:
SECT" N E.
SITE M NAGER INF RMATION: (re\!red for rental pro rties containing or more re al units)
Name of Ma ging Agent o dwelling uniy:
Address of Manage Agent\(noO. Boxes):
Page 2 of 5
Town Hall Annex _�( s +, Telephone(631)765-1802
54375 Main Road ` i ` ' ,{ Fax(631)765-9502
P.O.Box 1 179 - �
Southold,NY 11971-0959 Q�
cou
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
Mailing ddress of Managi Agent:
Telephone umber (s): Daytim Ev ning Em gency
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 Uni .
Number of rooms in Rental Dwelling Unit: 2 _
Use and Dimensions of each room in Rental Dwelling Unit: 1,4 V1 r�-Q Vim, IJ-2_)< /-T4
ed rydyr, -2- a2 X Id` a4A i/a X '7'0, .%ect'Wy-xrn 3, f 9 ,rot x
1�r o
Page 3 of 5
Town Hall Annex Fs Telephone(631)765-1802
54375 Main Road Fax(631)765-9502
P.O.Box 1179 Q }}
Southold,NY 11971-0959 ,- C {t'
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),
I lee-t r
` ,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
1�i SO
Town Hall Annex k. Telephone(631)765-1802
5437.5 Main Road Fax(631)765-9502
G_
P.O.Box l 179
Southold,NY 11971-0959
eoum�
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:_ `I eeqn I n r-
Property Owner's Signature:
SHERRI HIII.ENBERG
Swor o efore me this day of ' 20C NOTARY PUBLIC STATE OF NEW YORK
` LIC.#01 H14916482
COMMISSION1,11 SUFFOLK COUNTY
Official Notary Public Signature and Origin tart'Stamp COMP,i EXP 6128/20
Page 5 of 5
a0P SOUTH Z k C000l—k
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# TOWN OF SOUTHOLD BUILDING DEPT.
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u 765-1802 -_L�
INSPECTION
[ ] FOUNDATION 1ST-_ [ ] ROUGH PL13G.
[ ] FOUNDATION 2ND [ ] INSULATION/CAULKING
[ ] FRAMING /STRAPPING [ ] AL
[ ] FIREPLACE &-CHIMNEY [ FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL)
[ ] CODE VIOLATION [ ] PRE C/O
REMARKS:
DATE0 W7-D INSPECTOR k ,,o
SOF 50U1y
# ° TOWN OF SOUTHOLD BUILDING DEPT.
°`ycourm N 765-1802
NSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND -[ ] INSULATIOWCAULKING
[ ] FRAMING /STRAPPING [ ] INAL &Vfwf PAW4
[ ].
FIREPLACE & CHIMNEY [ ' FIRE-SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION _
[ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL)
[ ] CODE VIOLATION [ ] PRE C/O
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TOWN OF SOUTHOLD PROPERTY RECORD CARD
OWNER STREET VILLAGE DIST SUB. LOT
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TYPE OF BLD. Co
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LAND IMP. TOTAL DATE & rl?
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FRONTAGE ON WATER TILLABLE
FRONTAGE ON ROAD WOODLAND
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BULKHEAD HOUSE/LOT
ITOTAL
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Interior Finish
Heat
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Rooms 1st Floor
Rooms • Floor
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FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No Z-22025 Date DECEMBER 14, 1992
THIS CERTIFIES that the building NEW DWELLING
Location of Property 235 APPLE COURT SOUTHOLD, NEW YORK
House No. Street Hamlet
County Tax Map No. 1000 Section 69 Block 3 Lot 21
Subdivision SOUTHOLD VILLAS Filed Map No. Lot No. 10
conforms substantially to the Application for Building Permit heretofore
filed in this office dated JULY 2, 1992 pursuant to which
Building Permit No. 20799-Z dated JULY 9, 1992
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 (1ST FLOOR ONLY) AS APPLIED FOR
The certificate is issued to PECONIC PROPERTIES MANAGEMENT INC.
(owners)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL 92-SO-47 - NOV. 17, 1992
UNDERWRITERS CERTIFICATE NO. N-258833 - DECEMBER 2, 1992
PLUMBERS CERTIFICATION DATED OCT. 8, 1992 - ARTHUR MALAUSSENA JR.
Building Inspector
Rev. 1/81
Town of Southold _ 10/11/2020
P.O.Box 1179
53095 Main Rd ;
Southold,New York 11971
CERTIFICATE OF OCCUPANCY
No: 41524 Date: 10/11/2020
THIS CERTIFIES that the building AS BUILT ALTERATION
Location of Property: 235 Apple Ct, Southold
SCTM#: 473889 Sec/Block/Lot: 69.-3-21
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
7/23/2019 pursuant to which Building Permit No. 44020 dated 7/30/2019
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:
"as built"interior alterations(finished 2nd floor)to existing_single-family dwelling as applied for.
The certificate is issued to Resciniti,Rocco&Eileen
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 44020 1/14/2020
PLUMBERS CERTIFICATION DATED 2/20/2020 Eil Rescinit' owner)
A d Signature
BUILDING PERMITS PLUS L9®
(631) PERMITS
j,lb xr, , .w's✓':t, iµt I_a'1�fir_ 9`w h'^ 4 �.0 i}
Jason Allen
19 Stillwood Road
Brookhaven, NY 11719
July 20, 2019
Town of Southold Building Dept.
Town Hall Annex
54375 Main Road, PO Box 1179
Southold, NY 11971-0959
Re: CO Z-22025 dated December 14, 1992
SCTM 1000-69-3-21
CO Z-22025 should rear as follows: "One family 2 story frame dwelling
35.3'x 25.3' irregular" as depicted on final survey submitted to the SCHD
dated November 17, 1992, and as stated on the Electrical Certificate dated
December 2, 1992.
Very truly yours,
Building Permits Plus Ltd as Agent