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Home My WebLink About1000-67.-6-1 TOWN OF SOUTHOLD Rental Permit s 0398 Owner Mitchell Shahade Occupied as Single Family Dwelling Located at 15 Third Ave Peconic 67.-6-1 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. 3/13/2023 Code Enf; c o ci This Notice must be posted by the main entrance at all times DEPT. TOWN OF SOUTHOLD BUILDING 631.765-1802 INSPECTION [ ] FOUNDATION 1 ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION/CAULKING [ ] FRAMING / STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) ODE VIOLATION [ ] PRE C/O [ NTAL r - INSPECTOR TOWN OF S O U T H O L D Rental Permit Permit No. 0398 Owner Mitchell Shahade Occupied as Single Family Dwelling Located at 15 Third Ave Peconic 67-6-1 Address Village S/13/1- Maximum /13/LMaximum 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. 3/11/2021 John Jarski Date of Issue Code Enforcement Officer This Notice must be posted by the main entrance at all times pa�'4 pa'c �7/0— Town Hall Annex '' Telephone(631)765-1802 54375 Main Road k Fax(631)765-9502 P.O.Box 1179 :. Southold,NY 11971-0959 BUILDING DEPARTMENT TOWN OF SOUTHOLD DENTAL PERMIT APPLICATION Rental Permit Fee$200(Application must be renewed every two years) Section A. Property Information: JUN 1 7 2020 Rental Property Address: l'S 'r►}�Ri7 iti�C, PEc o rrt L �-1 l l �. 5 � -~-',, _ - ' '� Tax Map Number: 1000 SECTION 413 RS -BLOCK �. -LOTS-�_ SECTION B. OWNER INFORMATION: Property Owner Name: . .�"1 1 l C.(1 E L S t4 14 A,0 E:- Property Property Owner Legal Address: Property Owner Mailing Address: I s T>k i i-D AV-e- �o a x z-4 Z k Telephone Number(s): Daytime E4 X0t=tr Emergency ° 4 9�� Ana' w J'i 56.-t Property Owner Email Address: M XSIA 4 6 Page 1 of 5 Town Hall Annex Telephone(631)765-1802 54375 Main Road �f '� ,.4, ;"r j Fax(631)765-9502 P.O.Box 1 179 Southold,NY 11971-0959 �/�coU®� ��•� �,4� 6tl i>a� Y BUILDING DEPARTMENT TOWN OF SOUTHOLD Mailing Address of Mana ' Agent: Telephone Number(s): Daytime Evening Emergency. . Email Address: SECTION F. PROPERTY DESCRIPTION: Number of Rental Dwelling Units on property: 6- r For each 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: IS `T4t tz, D Iz— Requested Maximum number of persons allowed to occupy Dwelling Unit: �-' Number of rooms in Rental Dwelling Unit: I Use and Dimensions of each room in Rental Dwelling Unit:, L4& — D & I, I, X 3o Q s� Q a e,�Jbo� 1 �c O ' ( 2 15 K rj x 1 2- f/kn^c tH (Zoo N` t l )C 2. Page 3 of 5 So Town Hall Annex ;,�; a Telephone(631)765-1802 54375 Main Road � ,F?4 a:'} Fax(631)765-9502 P.O.Box 1 179 G - Southold,NY 11971-0959 C®U ,�� PUILDING 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 11& (tL lti Sk A 4 Q ecertify 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 ,R �- 07Z02-0 Town Hall Annex � Telephone(631)765-1802 54375 Main Road 10, Fax(631)765-9502 P.O.Box 1179 4 fl Southold,NY 11971-0959 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:. ky�. t ,G L— Property Owner's Signature: h Sworn to before me this k\ day of 70K� Aim&, Official Notary Public Signature and Original Notary Stamp ��` •NOTARY l% /�� NO.01 NA637442G: QUALIFIED IN SUFFOLK COUNTY COMM, EXP, v,,. 04-30-2022 9TH;PUBLIC. '. OF NEI14 Page 5 of 5 ` ,V11_�•� IJp�f ' s_"°y ,r1>,i1\6 it a ELECIRICAL INSPECTION REQUIRED II1, ., n L.: 411 q� M i fr1? If1l;d l ye �'NQ ...,.a.«... mi ." _ 01)1![1,A 110r1- I',"•i f''111',n i) Q 'I ^ 1,„dF:d. f si Gth. i'-: n ?I' ilISLgAitttilVj (IN _ cc) p E)r t;r)1%,1'I 0 All U I'il,Jlr`11,:,1 ' II it Lf "flli r,. t+' '�- ltiil}lliflLhlr.i•II':)?)�ii!I"Cti:A_.)Of'Id, IJ Y0111C';TAII. il0i 1:'61'li;';!"i I: 1=011 _ -II--- 3: ,,,.! t1, O _ IIc�IGrl'=�f1 ?�]i�bi{lUGllr>I� Llil'tUflS 9L4 COMPLY WITH ALL CODES OF _ I NEW YORK STATE&TOWN CODES pow �(�JY II }�7^!Gf AS REQUIRED R1GD'Cbid5tif6NS OF ' �r� _. �- � � � _... T.v. u...._ � wW ,..... SOIt8�64'JW28A• G, M!l 1 SOMP6GT8WMSTEES ciLt IFiCATION _�_�_ _• !(.LAADCONTENT BEFORE ;:.RTIFICATEOFOCCUPANCY i .;nLDER USED IN WATER a�` SYSTEM CANNOT f +j 0tCEED 2/10 OF 1%LEAD. „I c[URfiS�J TCR 23 SL�EDC if I (',C c'a,e•• y pUV"tSUAt'j�U CiiAP t M. OFTFiETO\NtdCODE. � o� 114 11 ;nIs;Nllrll'WAS Ur Sriu:O 037406 I. ,!li k�li;i't i1;I_COVLR1i•dlt FOP NE��O ......».._-•---.._....�.....,....-...-�...,.,....e...�...,.....-..�..-......•...,.....�.,.....,.....-...,........a........_...,.��.,•..,�...-....--.--,r._�.e........._...._.,...�....�.�.....,.,.,....._._,,,.....,...�--..,e..,--"---, -...-„ ,..,.w•-..�..-.v..,•=.til 1 I Vill374 �O TOWN OF S0UTHOLD-3, PROPERTY RECOR 0\( OWNER STREET VI GE DISTRICT SUB. LOT mj,�Cell FORMER OWN-ER N E ACRE.-AGE ri S W TYPE OF BUILDING RES. fd SEAS. VL. FARM comm. I IND. I CB. misc. LAND IMP. j TOTAL DATE REMARKS & 3�A0 to -0 C,�0 ,0 Aloavu-0bece4sed a coo"o1,400" 0 ej 0 co AGE BUILDING CONDITION NEW NORMAL BELOW ABOVE Form Acre Value Per Acre Value Tillable I Jr Tillable 2 Tillcble 3 Wcodland i !� � ��r'�'� Swampland Brushland i House Plot 4 o• ■■■ ■■■■ I I ■■ .,/ , ■■■ ■■■■N21, M. �"� '` '� �� ■:,■(Iii ■ ■N■■■■ i •. Foundation :. th i Extension Basement Floors Extension Ext. Wo I I s Interior Finish Extension Fire Place HeatJ Porch Porch Rooms Ist Floor Breezeway jZ0 Patio Rooms 2nd Floor Garage 2, Driveway' 0 B. ■ i � c 3 FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. PRE EXISTING CERTIFICATE OF OCCUPANCY No: Z- 29778 Date: 10/21/03 THIS CERTIFIES that the building DWELLING Location of Property 15 THIRD AVE PECONIC (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 067 Block 0006 Lot 001 Subdivision Filed Map No. Lot NO. conforms substantially to the Requirements for a ONE FAMILY DWELLING built prior to APRIL 9, 1957 pursuant to which CERTIFICATE OF OCCUPANCY NUMBER Z- 29778 dated OCTOBER 21, 2003 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 SINGLE FAMILY DWELLING WITH ATTACHED GARAGE The certificate is issued to BERNARD M MACKAY (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A *PLEASE SEE ATTACHED INSPECTION REPORT. ori ed Signature ///11/1 Rev. 1/81 r a BUILDING DEPARTMENT TOWN OF SOUTHOLD HOUSING CODE INSPECTION REPORT LOCATION: 15 THIRD AVE PECONIC SUBDIVISION: MAP NO.: LOT (S) NAME OF OWNER (S): BERNARD M MACKAY OCCUPANCY: SINGLE FAMILY DWELLING BERNARD M MACKAY ADMITTED BY: GEORGE DEACON ACCOMPANIED BY. SAME KEY AVAILABLE: SUFF. CO. TAX MAP NO.: 67.-6-1 SOURCE OF REQUEST: BARBARA DEACON 9/22/03 DATE: 10/21/03 DWELLING: TYPE OF CONSTRUCTION: WOOD FRAME # STORIES: 1.5 # EXITS: 2 FOUNDATION: CEMENT BLOCK CELLAR: PIT CRAWL SPACE: TOTAL ROOMS. IST FLR.: 3 2ND FLR.: 2 3RD FLR.: 0 BATHROOM(S): 1.0 TOILET ROOM(S): 0.0 UTILITY ROOM(S): PORCH TYPE: DECK TYPE: PATIO TYPE: BREEZEWAY: YES FIREPLACE: ONE GARAGE: ATACHED DOMESTIC HOTWATER: YES TYPE HEATER: AIRCONDITIONING: TYPE BEAT: OIL WARM AIR: XX HOTWATER: OTHER: ACCESSORY STRUCTURES: GARAGE, TYPE OF CONST.: STORAGE, TYPE CONST.: SWIMMING POOL: GUEST, TYPE CONST.: OTHER: VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE LOCATION 1 DESCRIPTION I ART. I SEC. i I I I I I I I I I I I I I I I I I I I ! I I I I I I I I I I I I I I I I I I I I I I I I I I I uE34A=: ool INSPECTED BY: DATE ON INSPECTION: 09/23/03 Reinspected 10/20/03 F TIME START: 10:00 AM END: 10.20 AM ��oti0 cdGyay Town of Southold 11/13/2019 P.O. Box 1179 0 �4 53095 Main Rd Southold,New York 11971 I_ it CERTIFICATE OF OCCUPANCY No: 40850 Date: 11/13/2019 THIS CERTIFIES that the building ADDITION/ALTERATION Location of Property: 15 Third Ave., Peconic SCTM#: 473889 Sec/Block/Lot: 67.-6-1 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 2/20/2019 pursuant to which Building Permit No. 43518 dated 3/4/2019 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: ADDITION AND ALTERATIONS TO AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR The certificate is issued to Shahade,Mitchell of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 43518 10-29-2019 PLUMBERS CERTIFICATION DATED 08-23-2019 Jose h uomey ut rized i ature