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HomeMy WebLinkAbout1000-99.-3-2 TOWN OF SOUTHOLD Rental Permit Permit No. 0440 Owner 65 Soundview LLC Occupied as Single Family Dwelling Located at 65 Soundview Ave Mattituck 99-3-2 Village 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. 5/12/2021 Code nfo ce a Official This Notice must be posted by the main entrance at all times " q Town Hall Annext ! I Telephone(631)765-1802 54375 Main Road "' Fax(631)765-9502 P.O.Box 1179 ` Southold,NY 11971-09591 aa` coUfdv i BUILDING DEPARTMENT a TOWN OF SOUTHOLD M AY 2 8 2019 RENTAL PERMIT APPLICATIONr _ Ix TOWN OF SOUrrJW Rental Permit Fee$200(Application must be renewed every two years) Section A. Property Information: Rental Property Address: a•&� � f ( g�Z G S So u.md v tw A ve- , i Tax Map Number: 1000 SECTION (9 0 C) -LOT 0 (72 0.00 SECTION B. OWNER INFORMATION: 6's S"o�dV 1.� L L C Property Owner Name: - Property Owner Legal Address: Property Owner Mailing Address: 6 SC() C/ env v-� 6' S so-rvud ve(w Ayt MA tt-b'(' ,l/ I N y 1 !95�.. t4 Vic' tn'uc 1 )4 y i �/ S-y 2 - 044S Telephone Number(s): Daytime (6y6)6��`�`� ��Evening Emergency Property Owner Email Address: Ct'L-0tjaZrQ Iue - 6&wf Page 1 of S Town Hall Annex Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1179 �. Southold,NY 11971-0959 Culm . BUILDING DEPARTMENT TOWN OF SOUTHOLD Section C. Authorized Agent Information: Name of Authorized Agent of dwelling unit, if any: Address of Authorized Agent(no P.O. Boxes): Mailing Address of Authorized Agent: Telephone Number(s): Daytime _ Evening Emergency. Email Address: Section D. Managing Agent Information: Name of Authorized Agent of dwelling unit, if any: Address of Authorized Agent(no P.O. Boxes): Mailing Address of Authorized Agent: R tucl/—i IVY 1143`x' e/ Telephone Number(s): Daytime 6 3 7/Evening Emergency rn Email Address: co KL �` � �S o Q4, SECTION E. SITE MANAGER INFORMATION: (required for rental properties containing 8 or more rental units) Name of Managing Agent of dwelling unit, if any: Address of Managing Agent (no P.O. Boxes): Page 2 of 5 . q Soo). . Town Hall Annex Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1179 G Southold,NY 11971-0959 .W BUILDING DEPARTMENT TOWN OF SOUTHOLD CGIC� 2a�G ��S'S�ul Mailing Address of Managing Agen_ A .601 S, � ��' A V q v__. . . . /I Lily Telephone Number(s): Daytime Evenin�O �O? EmergencyL.�/ �A� ' -3 y% S Email Address: a'6©M.-Gt`2. �L lMle_ 71e-k SECTION F. i PROPERTY DESCRIPTION: �i 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 i (for example, Kitchen, Bedroom 1, Bedroom 2, Living Room) and the dimensions of each i room. I For properties with multiple Rental Dwelling Units use "Rental Permit Application Addendum." I Rental Dwelling Unit Identifier: Requested Maximum number of persons allowed to occupy Dwelling Un t: . Number of rooms in Rental Dwelling Unit: S Use and Dimensions of each room in Rental Dwelling Unit:"IftdiOwl6�`� l j�, M o R4 `(L ��o1g Ali, x i�, P Page 3 of 5 V k Town Hall Annex ! f Telephone(631)765-1802 54375 Main Road ;'. J ; Fax(631)765-9502 P.O.Box 1179 Southold,NY 11971-0959 UNM� ; 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 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) Ll Ok ct -�-Q„t ;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 Town Hall Annex Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1179 Southold,NY 11971-0959 BUILDING DEPARTMENT TOWN OF SOUTHOM 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 20.7 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: s- S(9t,4mdyj SLC Property Owner's Signature: � t Sworn to before me this d y of VY\ 20_ ct I^ Lori T McBride �OTARY PUBLIC,STATE OF NEVI'YORK Registration No.OIMC6368447 Official Nota ure an Public Si natd Ori final Notar StQualified in Suffolk County g g yam p Commission Expires December 11.2021 Page 5 of 5 �O�aOF 50UTy�� TOWN OF SOUTHOLD BUILDING DEPT. `�couK►v a�` 765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. . [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING /STRAPPING [ ] INAL WP�vv�7 [ ] FIREPLACE & CHIMNEY [ FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) [ ] CODE Vc- IOLAT41 [ ] CAULKING REMARKS1 i -4 w FO^ 2f VAP, Pdlf/VP hym 3 DATE INSPECTOR JAI Aj _ S 3r"o, C).z&+ -Fvk-ry�ev cr , x V/61&1 yX yICt savwc, 0+�1.nevs► �l X �� ��h NV IL' Lo cyf vp 1 Six /L,r .STo t q.�e 6' G" T" FI Avov �► I LAP 23 ' (o " r z: Red Yost" �D l061 f� {j Zr(hj Rooly ��►qu -94i&f % 6 13 S lo 01 ,.r 13� S 0VA/ v/EA✓ wl'S 1-6C z,P j?-A� I?— /`I i�.��,.�' .: '`rte a,1�.v,,,./r►..o�F�/Gv���, h,.�1oX,a� �1�v,,,, 1 TOWN OF SOUTHOLD PROPERTY RECORD CARD � OWNERc STREET VILLAGE DISTRICT `ou� � SUB. LOT ►�r�aF���� lid - _ _ - - FORMER - ,:�, ✓ ,-v OWNER N E ACREAGE f G+ .- llu�� l f S W TYPE OF BUILDING Ft RES. �� .1 I SEAS. VL. FARMCOMM. I ND. I CB. I MISC. W -- I-- _ - - LAND IMP. TOTAL DATE REMARKS PSP 3 ( — --- - y$57 � �--, 2-2- L o0o, 3/i3�y t ► IU to -L �Zfr,4{� 98b-C� Illno +Z) , y i I►��o BUIG C DITI 1 3,;�1E ly-00,90MLO E _ / T`- - oAcre `- -�LLiI_Sl.. � 3 1 6'_° Jl, ����1,,1agO��bQO_ E�G.`�_Iy�2�So�•.d��,q��j 000 Tillable 2 Ti I loble 3 --- --- - -- -- r- --- - `Ncodlond Swampland — �rushland , - -- — ----- -------- House Plot _ y _ - ■■■■■■■■■■■■■iii■niiai■■■■■■■■■■■■■ • •• . :. .. •. . Baths j . i qq - -m2 � 3 11 T t '.+ j M. Bldg. y Foundation G Bath 2— g t� _ I Extension ` 4, D - ---- -._- Basement ( r'y L Floors Y 3 Extension I4 x a.D - p D 6 Ext. Walls Interior Finish ua �-, 4LW 4 LR- Extension X .2 / - ,� Fire Place 3 Heat Parch Attic URRlmn 1 -- — - — ------ --------- Porch + Rooms 1 st Floor Breezeway Patio Rooms 2nd Floor ............ --- Garage 1Q x .?/ u Driveway ------- O. B. f FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Clerk's Office Southold, N. Y. Certificate Of Occupancy No. L4153 . . . . . . Date . . . . . . . . . . Feb. . . . .9. . . . . . . .119-71, THIS CERTIFIES that the building located at .Souad .View.Ave . . . . . . . . . . Street Map No. . AU. . . . . . . Block No. XXX . . . . . .Lot No. . .XXXX. . . . Xattituctc • •N ly" . . . conforms substantially to the Application for Building Permit heretofore filed in this office dated . . . . . . . Ju3.y. . .14. . . . .. 19. 70 pursuant to which Building Permit No. .4g57..Z. dated . . . . . . . July. . . .14. . . . , 19. .70, 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 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . The certificate is issued to . . MR3MA _Lalab. . . . . . .QWA6.r . . . . . . . . . . . . . . . . . . . . . . . . . (owner, lessee or tenant) of the aforesaid building. Suffolk County Department of Health Approval Fob . .9-9- -1971. . .by. A..Villa. . . . . . House 65 ' Building Inspector PO Town of Southold 11!29/2016 a P.O.Box 1179 53095 Main Rd Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 38680 Date: 11/29/2016 THIS CERTIFIES that the building ALTERATION Location of Property: 65 Soundview Ave,Mattituck SCTM#: 473889 Sec/Block/Lot: 99.-3-2 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit beretofore filled in this office dated 8/13/2015 pursuant to which Building Permit No. 40027 dated 8/20/2015 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: alterations and additions,including-decks and stoop to an existing one family dwelling as applied for ALPS (l� C�11.2� The certificate is issued to Hall,Barnby&Hall,Emma of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 40027 10/26/2016 PLUMBERS CERTIFICATION DATED 10/28/2016 Brad Piecuch • e th ' ed Signature �o�oSUFFOtkcpGy Town of Southold 5/12/2021 P.O.Box 1179 y 53095 Main Rd "D,�,gjo� d Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 42022 Date: 5/12/2021 THIS CERTIFIES that the building ALTERATION Location of Property: 65 Soundview Ave,Mattituck SCTM#: 473889 See/Block/Lot: 99.-3-2 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 11/10/2020 pursuant to which Building Permit No. 45808 dated 2/11/2021 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: finished basement,including bathoom and sauna,to an existing single family dwelling as applied for. The certificate is issued to 65 Soundview LLC of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 45808 5/5/2021 PLUMBERS CERTIFICATION DATED 4/5/2021 A Nrad Piec h A th d Signature