HomeMy WebLinkAbout1000-44.-1-22 sU�FNit
TOWN OF SOUTHOLD
Rental Permit
0484
1
Owner Daniel Nathel & Simone Horovitz
Occupied as Single Family Dwelling
Located at 56225 CR 48 Greenport 44-1-22
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.
6/25/2021
Code En rcement O ficial
This Notice must be posted by the main entrance at all times
Town Hall Annex �,. Telephone(631)765-1802
54375 Main Road cn Fax(631)765-9502
P.O.Box 1179
': .
Southold,NY 11971-0959
BUILDING DEPARTMENT
TOWN OF SOUTHOLn
RENTAL PERMIT APPLICATION
Rental Permit Fee$200(Application must be renewed every two years)
Section A.
Property Information:
Rental Property Address:
56225 County Road 48, Southold NY 11971
Tax Map Number: 1000 SECTION 44 -BLOCK 1 -LOT 22 _
SECTION B.
OWNER INFORMATION:
Daniel Nathel
Property Owner Name:
Property Owner Legal Address: Property Owner Mailing Address:
56225-County Road 48 562 5 Cou ty Ro 48__
Southold NY 11971 Southold NY 11971
Telephone Number(s): Daytime 201-724-9076 Evening Emergency 201-724-9076
Property Owner Email Address: DNathel@gmail.com
Page 1 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 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: 1n k
Address of Authorized Agent(no P.O. Boxes):
Mailing Address of Authorized Agent:
Telephone Number(s): Daytime Evening Emergency
Email Address:
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
Town Hall Annex ;; Telephone(631)765-1802
54375 Main Road c� Fax(631)765-9502
P.O.Box 1179 �.
Southold,NY If 971-0959
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
Mailing Address of Managing Agent:
Telephone Number(s): Daytime Evenine Emergency
Email Address:
SECTION F.
PROPERTY DESCRIPTION:
Number of Rental Dwelling Units on property: 1
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
(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 Unit: 8
Number of rooms in Rental Dwelling Unit: 4 Bedrooms 14 Bathrooms
Use and Dimensions of each room in Rental Dwelling Unit:
Master Bedroom= 1000 sqft(35'x30') Kitchen=300 sqft(10'x30')
Bedroom/Study=225 sqft(15'x15') Dining=600 sqft(20'x30')
Bedroom 2=225 sqft(15'x15') Laundry= 100 sqft(10'x10')
Bedroom 3=225 sqft(15'x15') Living Room=500 sqft(16'x32')
Basement= 1500 sqft(50'x30')
Page 3 of 5
Town Hall Annex Telephone(631)765-1802
54375 Main Road f Fax(631)765-9502
P.O.Box 1179
Southold,NY 11971-0959 f
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 am requesting a fire safety inspection to be performed by a Code Enforcement Official
from the Town of Southold
X I 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) o
I D-CzAln�J N aAk2 , 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
r
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 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. 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 as to any change to the information
regarding Authorized Agent, Managing Agent, or Site Manager.
Property Owner's Name: ovan ► _t\ _
Property Owner's Signature:�k
Sworn to before a this day of 0-! 20 2 (
Official Notary Public Signature and Original Notary Stamp
CAROLINE M MACARTHUR
NOTARY PUBLIC-STATE OF NEW YORK
No.01 MA6384635
Qualified in Suffolk County
My Commission Expires 12-17-2022
Page 5 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 SOUTHOLD
RENTAL PROPERTY CERTIFICATION
Form is to be completed by a license architect, licensed engineer or licensed home inspector
Separate form is required for each individual Rental Dwelling Unit
Professional seal required for Architect or Engineer, ficensed Home-inspector must provide
copy of valid current certification
Rental Property SCTM Number: 100 "044.00 01 .do- 0-Z_2_00 O
Rental Property Address: 562, 25 Coo+ rTy (toNo T{Kg 59v-1 ►t0L40 /vyr
Owner/Name: DW16L NAT1,1 L
Rental Dwelling Unit Identifier: SANG+-rZ �t�slD�nrc,�-
Number &Square footage of each bedroom as depicted in the attached floor plan:
(i.e. Bedroom#1 =100 sq., Bedroom#Z-90 sq., etc.)
hA'm f- Sa(LO013, 900 sr 13000n #k lS-1p y : 5F
(i&PILOon aF2: ZZ-S sp I3Cpaboti q
Property Description (include all improvements indicated on survey)
Q,vE rknl l-Y of e I Ll 101, . i,,I-rrt G,+a,+0C uW ori L AN0 A-'r7-1VC-H90 10001S.
C04*
I certify that I have done a physical inspection of the subject rental dwelling unit and find that it
fully complies with all the provisions of the Code of the Town of Southold,the Residential Code
of New York State,the Building Code of New York State,the Plumbing Code of New York State,
the Fuel Gas Code of New York State, and the Energy Conservation Construction Code of New
York State,
Print a`h'1 �o� Original Signature
a
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Pleas
AROFES S I ONP�'
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T%0VT OF SOUTHOLD PROPERTY RECOk
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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-24732 Date NOVEMBER 15, 1996
THIS CERTIFIES that the building NEW DWELLING
Location of Property 56225 COUNTY ROAD #48 SOUTHOLD, N.Y.
House No. Street Hamlet
County Tax Map No. 1000 Section 44 Block 1 Lot 22
Subdivision Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated OCTOBER 5, 1992 pursuant to which
Building Permit No. 21044-Z dated OCTOBER 23, 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 WITH GARAGE UNDER,& ATTACHED DECKS AS
APPLIED FOR & AS PER ZBA #3707.
The certificate is issued to JOSEPH & CARMELA CITARDI
(owners)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL 88-SO-01-APRIL 14, 1993
UNDERWRITERS CERTIFICATE NO. N-273750 - APRIL 23, 1993
PLUMBERS CERTIFICATION DATED AUG. 23, 1996-HENRY P. SMITH
BV,'j-ldirfg Inspector
Rev. 1/81