HomeMy WebLinkAbout1000-117.-4-23 � � . TOWN OF SOUTHOLD
Rental Permit
0421
Owner Vincenzo & Margherita Posillico
Occupied as Single Family Dwelling
Located at 625 Fanning Road New Suffolk 117.4-23
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.
4/21/2023
y n" )��
Code I r eet OfMal
This Notice must be posted by the main entrance at all times
TOWN OF SOUTHOLD BUILDING DEPT.
631-765-1802
INSPECTION
FOUNDATION 2ND INSULATION/CAULKING
FRAMING / STRAPPING FINAL
FIREPLACE & CHIMNEY FIRE SAFETY 114SPECTION
FIRE RESISTANTIPENETRATION
ELECTRICAL (ROUGH) ELECTRICAL (FINAL)
CODE VIOLATION PRE C/O V1 RENTAL
/
-
DATEgINSPECTOR
FOL/ , TOWN OF SOUTHOLD
Rental Permit
a� Permit No. 0421
41
Owner Vincenzo & Margherita Posillico
Occupied as Single Family Dwelling
Located at 625 Fanning Road New Suffolk 117-4-23
Village
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.
4/23/2021
od nfo ce nt Official
This Notice must be posted by the main entrance at all times
a s®�
Town Hall Annex Telephone(639 765-1802
54375 Main Road : Fax(63 1)765-9502 .
P:O.Boz 1179 Cv -
Southold,NY 11971-0959
BUILDING_DEPARTMENT
TOWN OF SOLD JAN
2 2020
RENTAL PERM IT APPLICATION
Rental Permit Fee$200(Application.must be.renewed every two years) -
o -
SOCflFi� -
Pro erty.Wormationo
Rental.Property Address:
n :w s iy
:Tax Map Number: 1000.SECTION: -BLOCK. .- WLOT 23 -
SECTION Bo
OWNER WORMATIONa:
Property Owner Name: V 1 fV-P -z_o A Q-c0 x-14ca asi.MGC _
Property Owner-Legal Address, . Property Owner Mailing Address:
Telephone Ntamber(s): ®aytime _ � -�I I A Evening -� X7799 Emergency _33 -3397
Property Owner Email Address: - I I r Nt b Lv
Page I of 5
Town Hall Annex Telephone(631)765-1802
54375 Main Road Fax(631)765-9502
P.O.Box 1 179
Southold,NY 11971-0959
®UM. e
. .BUILDING DEPARTMENT
TOS OF SOUTHOY.IID
Mailing Address of Managing Agent:
Telephony Number.(s): Daytirne Even'ing.. Emergency
Email Address
SECT-ION Fo
PROPERTY DESCRIPTION:
Number of Rental Dwelling.Units on property:
I ..
For each Rental Dwelling Unit set forth the.Rental Dwelling Unit identifier(for example,
: Unit 1; Unit 2,.Unit 3-or Apt A R, 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 . r
Addendum."
_ Rental Dwelling Unit-identifier:
Requested Maximum number of persons allowed to occupy Dwelling Un'
Number of rooms in Rental Dwelling Unit:.:
Use and Dimensions of each room in Rental.Dwelling Unit: L.l u l na 6"Oo m a•b y i q
X10.
nU nr9�-1��
Page,3 of 5
�S
0 AUT • -
Town Hall Annex Telephone:(631)765=1802
54375 Main Road Fax(631)765-9502
P.O.Box 1179 G�
Southold,NY 11971-0959
BUILDING DEPARTMENT
TO,"OF SOL"HO>
SECTION G.
_
INSPECTION:
Pursuant to the Town Code of theTown:of Southold Chapter 207..(Rental Properties),:a-safety :-
inspection by Code Enfo:ri em:ent Official is required: If the:owner chooses�not.to have said-
inspection performed by the Town,.a certification from a licensed architect; a licensed
_ - --- - m - - — -- from _ ... - -
professional engineer or a home inspector.who has a valid.New York State Uniform Fire
Prevention .Building Code Certification is required stating thatthe,propertywhich 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 Never York State.Fire Prevention and Building-Code Council:
am requesting a fire safety inspection to pe ' -d orm-d by a Code Enforcement-Official..
from the Town of Southold
❑ I am submitting a completed Towin:of Southold certification form_frorvl.a licensed ==
.architect:or a-licensed professional engineer:
- SECTION H..
DECLARATIOM Signoture-Must be n6wrizOd and MUST be the oW.ner of the dwellingunit
STATE OF NEW YORK) ..
COUNTY OF SUFFOLK)
j M ►� 1�1��I •��51 i�`0 .certify-under perialty of,perjury;the following::
I am.the owner.of the property identified in."Section /A':6f this application.
2. The property oviner'saegal addressset forth in "Section'B":of this:application is.my legal
address and.l understand-the Town.Will use-the address for-service-pursuant to all
Page 4 of 5
Town Hall Annex Telephone(631)765-1502
54375 Main Road Fax(63 1)765-9502
P.O.Box 1179
-Southold,NY 11971-0959 off a
l��oNlN`1;y i
BUILDING DEPAR'T'MENT
TOWN OF SOUTHOLD
applicable laws and rules. 'I further acknowledge that.1 will notify the.Town of Southold . .
Building Department of any changes of address-within-five (5) days of any changes
thereto. -
3. I 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 asto any change to the information
regarding Authorized Agent,.Managing Agent,or Site Manager.
Property Owner's blame: �' C e T kkG. �OS 1 i C_6.
Properfy0wner's Signature: Zj
n—
�
Sw rn to before Me this a- day of —
� .
Official fro ry Public Signature a d Originai'Notary Stamp
TRACEY L. DWYER
NOTARY PUBLIC,STATE OF NEW YORK
NO.01 DW6306900
QUALIFIED IN SUR
FOLI<COUNTY
COMMISSION EXPIRES JUNE 30,2"2.k
Page 5 of 5 -
a
OF SOGTD
IIII h� l0
# TOWN OF SOUTHOLD BUILDING DEPT.
765-1802
INSPECTION;
[
] "FOUNDATION 1 ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND. ° ' [ ] INSULATIOWCAULKING
[ ] FRAMING /STRAPPING [/] FIRE
NALFIREPLACE-& CHIMNEY [ SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION-- [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL)
[ ] CODE VIOLATION [ ] PRE C/O
REMARKS: b- 4D.
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TOWN OF SOUTHOLD PROPERTY-. ,,REC 1tv CARD
OWNER STREET V7 VILLAGE DIST SUB. LOT
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FORMER OWNER N E _ ACR
W TYPE OF BUILDING
F
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RES. T SEAS. ! VL. ( FARM COMM. CB. MICS. Mkt. Va(ue - —
LAND IMP. I TOTAL DATE REMARKS - j s
112 / Nb
x 600
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AGE BUILDING CONDITION
NEW NORMAL BELOW ABOVE —
FARM Acre j Value Per Value
Acre
Tillable FRONTAGE ON WATER
611
Woodland FRONTAGE ON ROAD a � -
Meadowland DEPTH
HouG�,e, q!,_ BULKHEAD F--
Total k I DOCK I
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4
FORM NO, 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Town Clerk's Office
Southold, N. Y.
Certificate Of Occupancy
No.23933 . . . Date -Aug 7 &eet
THIS CERTIFIES that the building located at NIS Panning Road
Map No. . Block No. = Lot No. x3c New Suffolk N.Y.. .
conforms substantially to the Application for Building Permit heretofore filed in this office
dated March j 5, 19 70 pursuant to which Building Permit No. 4&82
dated March It , 19 74D, was issued, and conforms to all of the require-
ments of the applicable provisions of the law. The occupancy for which this certificate is
issued is Private one family dwelling
The certificate is issued to Frank Calmso. . . . p $r . . .
(owner, lessee or tenant)
of the aforesaid building.
Suffolk County Department of Health Approval JUlY 30* 1970 by. Rr Villa.
Underwriters Cart # 1819443 G.^ . . .
House # 625 Building Inspector
'{ FORM NO.2
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN CLERK'S OFFICE
SOUTHOLD, N. Y.
BUILDING PERMIT
' (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL
COMPLETION OF THE WORK AUTHORIZED)
NIV 4648 Z Dote ...................x;1x v-9 h.......1.4............,
Permission is hereby granted to:
-....... at •• � u ..................................
.............� .. y�...........- .a y*.............
...01M...g' �sailr. ...............................................
........................................................................................................................... ... ................................
atpremises located at ... . . ...........................................................
.............................I........... .................... l�tiF • . .......9-#T-*...................................................
................................................................................................................................................... .S. ........
pursuant to application dated ...........................max—ab....... ......... 19....74 and approved by the
Building Inspector.
Fee $.. . ........
.+. .... ..... ...................
Building-in spector "
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