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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 --� S O 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 SN4 V --- - ----- # TOWN OF SOUTHOLD BUILDING DEPT. • �� 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 REMARKS: t �l mumb- _D CIT n-y w - / 60 11 1 (p �i i - k AA DATE 0 INSPECTOR I - SMc►CE- U�TEG�� - GLOS f I D �s �� :� I ' r DET�7DR —loyY + �ETEt'TaR s P�TT�R7�altE� DF7EcTo>Z loyz to year _ /o'-o" -- 1' P 10o M1P JLrC.TUAL o-� �2\ N .{ c ! -k N TOWN OF SOUTHOLD PROPERTY RECORD CARD OWNER STREET VILLAGE DIST SUB. LOT ACR. RE 'CA I" -W "7e�"s J f,� ri e, l.�.L` TYPE OF BLD. Co (-'r o pc, r, 1 -S PROP. CLASS ro,e�e0 /Z 2 v LAND IMP. TOTAL DATE & rl? IJ A t "'00 *LA r -5k6 3 5'Ne 60e) - ZA37 FRONTAGE ON WATER TILLABLE FRONTAGE ON ROAD WOODLAND DEPTH MEADOWLAND E. BULKHEAD HOUSE/LOT ITOTAL -- EMIMMINIMMIN= ■ ■ ■ MI=■■ MINIM■ ■■■■■■■■ ■■■■■■■ ■■■■ ■■■■■■■■■ ■■■■■■ ■■■■■■■■■■■■■ ■■■■■■■■■ ■■■■■■ ■■■■■■■■■■■■■■■ ■■■■■■■■■ ■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■MONS■■ ---■■■■■■■■E■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ Interior Finish Heat • • • . ..dstove : - • Attic - Rooms 1st Floor Rooms • Floor • 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