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HomeMy WebLinkAbout1000-59.-9-15.1 �Q �fFa� �o TOWN OF SOUTHOLD �o c S Rental Permit 0525 Owner Andromahi Eliodromytis Occupied as Single Family Dwelling Located at 7720 Sound View Av Southold 59-9-15.1 Maximum Permitted Occupancy 7 Is incompliance 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. 8/24/2021 de En rcil -T-1 nt fficial This Notice must be posted by the main entrance at all times sfi pF SU(jTN Town Hall Annex { Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1179 G 0 t1 Southold,NY 11971-09590ze. . BUILDING DEPARTMENT TOWN OF SOUTHOLD RENTAL PERMIT APPLICATION Rental Permit Fee$200(Application must be renewed every two years) Section A. Property Information: Rental Property Address: o Tax Map Number: 1000 SECTION -BLOCK CA -LOT 1 - SECTION B. OWNER INFORMATION: i Property Owner Name: fif) Property Owner Legal Address: Property Owner Mailing Address: Telephone Number(s): Daytime%9I1 10 Evening Emergency Property Owner Email Address: 2 WO &4A ACO. CL Page 1 of S i fjl Q� So. a Town Hall Annex 1 , Telephone(631)765-1802 54375 Main Road cn 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: ke Telephone Number(s): Daytim Ste` 1Qvening Emergency Email Address: 7 2—,=� 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: 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 i F�jQC S06 Town Hall Annex 4 Telephone(631)765-1802 54375 Main Road c� Fax (631)765-9502 P.O.Box 1 179 ; Gr, Southold,NY 1 1 971-0959 COU � jj�' BUILDING DEPARTMENT TOWN OF SOUTHOLD Mailing Address of Managing Agent: Telephone Number(s): Daytime Evening Emergency 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: 4 Use and Dimensions of each room in Rental Dwelling Unit: � �1� 17 1 IL Page 3 of 5 i Town Hall Annex Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1179 Southold,NY 11971-0959 O rya cou I 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 RIM' Rt,b11 CIA0049 �/ , 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 Xk Town Hall Annex Telephone(631)765-1802 54375 Main Road --E2x(631)765-9502- C/7 P.O.Box 1179 CL,-] - -- Southold,NY 11971-0959 AUG 1 1 2021 L: / BOLDING DEPARTMENT TOWN OF SOUTHOLD BURDENG D� . TO 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: kftO, Property Owner's Signature: Sworn to be ore r 20 p9this—dayofln. Officie,N ary Pubdic'Sig Watured Original Notary Stamp LINDA S. CARLSON Notary Public, state of New York No.01 CA61371 78 Qualified in Suffolk COuntY Commission Expires Nov. 14, 20 Page 5 of 5 # # TOWN OF-SOUTHOLD BUILDING DEPT. �� • i0 `ycourm '' 765-1802 INSPEC=TION [ ] FOUNDATION IST [ } ROUGH PL13G: = [ ] FOUNDATION 2ND [ ] INSULATI.OWCAUL ING [ ], FRAMING/STRAPPING [ FINA [ ] FIREPLACE & CHIMNEY [ ] "FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) [ ] CODE VIOLATION [ ] PRE C/O REMARKS: o4.4A DATE INSPECTOR .r n. . 3 , } t. 17 —77 `CLS•, C� `�' 'E NCE. �_ _ . � �--asc Vie. ,. ? .' f^ • 7 , �t�Stt,` a 'IJ'S3'8d e. ti," � § • r '' STH', , M w` LLI is vLOS �# LAI F < :64TH`- w_ a� Tj( v N ... _ _ .j"}tr ; l''�• i P li .M ' ' - - )1 LOSET [ a ` I ET a 15"'2 BOILER , _ d .v , t. 54'.$" 4 3 YF 7 S6T TOWN OF'SOUTHOLD PROPERTY REGO LOT OWNER STREET VILLAGE L-->ufjl ACR. REMARKS TYPE OF BLD.. I 4L 3)4 low, -L 7,3 96 j 7 pv odro m V OP. CLASS, ) ilJ ;2 LAND IMP. TOTAL DATE L4 7 f') 5 Ll q,71) FRONTAGE+ON:WATER' HOUSE/LOT BULKHEAD TOTAL ....................... ............. N p - TOWN. O SOUTH LD PROPERTY. : - . T ... J;_. ; .., ri.. VILLAGE DIST. SUB. LOT tlrl `.�#a .q{i< 9$, f6wm lr� ,d�°, °`.da•z t. „.✓' :�a,"ad' �,-, -p'�°1jP,,;...J.<�'e+, v".<.:" " �.....'., FORMER,OWNER I,..��P �E"fr�i t��<..����1', N E � ��a' ACR. g . r��� g, °# p # a` `' r3s. S W TYPE OF BUILDING ^% f x!(`"j: a-: ea ^: A - . , . ;,, ✓ r .fig e 't ', r, W� , � 3 £d.tr 3,.a, r,••�.»f.�,pae �, +4' ti✓1``:" ;f. ^'t r.' ';,y, «"• . ..��: ;✓., r'8� RES, ,: SEAS. VL. FARM COMM. :CB. MISC. Mkt. Value'_ �.; LAND IMP, TOTAL DATE REMARKS. ,.,, i ; . y. -7"c,o+` Yell -....� � �, .. �$ t9 C.�' �# .:� e3 1 4 7 z .✓x,s yf'� $8� 'zt TM � 3 '+�`{'t^. �#T s •�J{�dt� f,'., " / �x "?,.r .1 -f .... � � ' pr'y 6�4 -.,} t•'€� - v` '7o °3 7 i' ,r" '/t5'°«d.o.er ?„.e3..sa r °,dtw" :-' a ` � „ v fr'P .r' l' .-R c.'�-+ .bf, `3"), .I>"�"e1» r;` ! �b� .i t-` r ,f9,<., a(..aJ d..t`.'�s f ��'�, i',- iw Z fg d . jj$ �[}4 j u t )`(w p �c� t• $ }ir f c'�_, } /�^4 ....<, ` ? '.+ // -4. ..F iC'?7f t„` P f 4•,n .,.E" "'{ LI L _ t '�, a +a Atf„ r�M . �J `�� x'1 a' ffa. '•I,f yfx " { " FARM Acre Value Per Value: Acre. - - Tillable 7 . - �� �e�,s,,.+`t ' � � t•'"`, I3 � 'l,"�;,�;x.d � ' t/a[,•'� «._„ �"�� � �, 4 ^fNa. {,,;r. .:,, 1 Tillable 2 ­S111Ok %:a ( -- Tillable 3 f �.., o-°M Woodland ..Swampland FRONTAGE ON,WATER Brushland FRONTAGE ON ROAD ` House Plot- DEPTH ' BULKHEAD DOCK Total _ , r 11■!■■■■■ ■■■ yi No loom OEM ON MEN No ONE M MEN 4 ■ mi. MIC zIVy a ■ ■■■ soy MEM. ■■■■■. Ag 1 M tea: ■..■ M Mom� ��■■U■■■■®■■■■ .. , MENEW mommmom mom mom= kisf xr 'k it � ■■■■■■IN ■■■■■■■ ■■ ..■ � �9 �� ■■® ■■. ■■■ ■■■■ ■ ■■ a@ 'nJ ,.s.«i.x....+T .F*u ....T. '4 :ge2'`; _. J'z. '3iWx c a."#.. 'k`h ■■�■ ■■®■■■■�®■ ■. .. .�..■■■ ■�®■■ •• •' 'i • Room, ••• O O• i i FORM NO. 4 1 iTOWN OF SOUTHOLD BUILDING DEPARTMENT Town Clerk's Office Southold, N. Y. Certificate Of Occupancy No. .Wao.t . . . . . Date . . . . . . . . . . . AVB. . .?. . . . . . .21977. THIS CERTIFIES that the building located at - .S/S• Bound View. Ave. . . . . Street Map No. . xx. . . . . . . Block No. . .= . . . .Lot No. . . .=. . . . . . jS,OuthOld.N.-.Y.. . . . . . conforms substantially to the Application for Building Permit heretofore filed in this office dated . . . . . . . . . Sept . 29 19.76. pursuant to which Building Permit No. . .M$Z dated . . . . . . . . . .3ept . .21. . . ., 1976. ., 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 . ;xiva.te .one. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . The certificate is issued to R..Bayle.y to. . .Loui.s .Lombardi. . . . . . Q�%mor. . . . . . . . . . (owner, lessee or tenant) of the aforesaid building. Suffolk County Department of Health Approval Apx 22 1977. by. R, Villa. . . . . UNDERWRITERS CERTIFICATE No. . . J132630.7 . . . . . . .Feb . .17. .1977. . . . . . . . . . . . HOUSE NUMBER . . . g72D. . . . . Street . . . . .Bound• View. Ave. . . . . . . Southold. . . A4 Q- Building Inspector I I FORM NO. 4 I I i TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-28415 Date: 05/15/02 THIS CERTIFIES that the building ACCESSORY Location of Property: 7720 SOUNDVIEW AVE SOUTHOLD (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 59 Block 9 Lot 15.1 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated FEBRUARY 26, 2002 pursuant to which Building Permit No. 28126-Z dated MARCH 1, 2002 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 ACCESSORY GARAGE AS APPLIED FOR. The certificate is issued to MICHELLE L MARTOCCHIA (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A /Wuth? ized ignature Rev. 1/81