Loading...
HomeMy WebLinkAbout1000-78.-9-54.1 TOWN OF SOUTHOLD Rental Permit �g g. 0539 Owner Rishi & Niyati Prabhu Occupied as Single Family Dwelling Located at 1160 N. Bayview Ext Southold 78-9-54.1 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. 9/30/2021 Code Enfo eeent Offitial This Notice must be posted by the main entrance at all times Town Hall AnnexTelephone(631)765-1802 54375 Main Road �� Fax(631)765-9502 , P.O.Box 1179 a Southold,NY 11971-0959 �� ��` � i ��,V BUILDING DEPARTMENT TOWN OF SOUTHO� _ I,�� RENTAL PERMIT APPLICATION Rental Permit Fee$200 (Application must be renewed every two years) Section A. Property Information: Rental Property Address: _ Tax Map Number: 1000 SECTION g -BLOT 9 LOT SECTION B. OWNER INFORMATION: Property Owner Name: N1 Property Owner Legal Address: Property Owner Mailing Address: It _ Telephone Number(s): Daytime 9 �^7' 232 1 E ening 1 � Emergency Property Owner Email Address: n _. (I CA n ° �ry-) Page 1 of 5 Town Hall Annex Telephone(631)765-1802 54375 Main RoadFax (631)765-9502 Ali P.O.Box 1179 Southold,NY 11971-0959 „ua 4 xn� + BUILDING DEPARTMENT TOWN OF SOUTHOLD Mailing Address of Managing Agent: N [A 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 Unit: Number of rooms in Rental Dwelling Unit: Use and Dimensions of each room in Rental Dwelling Unit: 1 BPS Z lt 1 x Page 3 of 5 1 Town Hall Annexe '' Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1 179 Southold,NY 11971-0959 m r 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 1�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) I i G , certify under penalty of perjury,the following: 1. I 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 a Town Hall Annexe Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1179 wz Southold,NY 11971-0959 BUILDING DEPARTMENT ''T'O" 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: + Property Owner's Signature: Sworn to before me this day of 20-T Official Notary Public Signature an ri " Notary Stamp M05 t�AkilZ Notary Publk, tOOf NOW York Ott�ppod 0 fn n 0a d�catN1t111 iP " Page 5 of 5 t Apr 24, 2021 r� Town Hall Annex Telephone(631)765-1802 54375 Main Road ll 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 Pro essional seal re uired for Architect or Engineer, licensed Home i s ector must provide copy of valid current cerci cation Rental Property SCTM Number: 1 i Rental Property Address: 1160 N Bayview Rd. Ext Southold NY Owner/Name: Ni ati Prabhu Rental Dwelling Unit Identifier: Number& Square footage of each bedroom as depicted in the attached floor plan: (i.e. Bedroom #1 —100 sq., Bedroom #2-90 sq., etc.) Bed[QQM #1 160 Sqfi Bedroom #3 300 s f Bedroom #2 160 s ft Bedroom #4 105 sqf Property Description (Include all improvements indicated on survey) 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. ' ' 0 Victor Cornelius III CEO Inspector Print Name and Title ceoa°# 1216-0283 r' inal I0 cure Please place prefessionai seal` v v u v v Po o r m m m m 0 � m m N '� .. N O fj) O 0 O _ m a m u v v r v m m m Z m r m - ®N m m C C7 m m C 0 -4m r ® 2 Cl)o 0 ® ZCP Z z ch r m m T r n Z ® O O z Z r —--- . .m. — , v 4 r,. „•� m _. C ;� „ r A u N u In , Jkl f ....�:, ... ., ,�. ,....:....I! ...�..,. ✓uwri ey �, rm pl M,.i P 'µ• 41�� ,y,,,_.�..� }.. �, Y � ,;,; ,... � ¢�. �� �� VV V`rny.+: .�` f",i N �F �x:._.,rwC °,• � � , I, �. at 4 e i I � } l q r r w r _, m _. i eA J I � r, .� , e r o F , r � r r � p 4 � rl r } (` I Rill, 5. r� fill k 'All Ng 6R , EMIR HIT t�� � � � µ...ms- V 9 YY ....... _ ..._ ,w.,�. .�...., ...... ..............._ �©�'w,...,,,.��..-� ,, ..D d E l 0 E f� C � P O V� I T C.7 i�.._ E.� No4ZTN �n�'viEw 1z,ono, a�..3�-�,0�o N.Y,. o 4 !fes �...��. � �......m_.... ... ...�m ..w_.� .. .._.., .... .�w �.... P .. �� a 7Y 4 w { a w 1 j Xr.. lo d , YA.4 Y y 1.7 H un ; (I '41v a,,,,, i 01 I a ti v } t� 1 �� {u �� I P ��y q � Y �r,c+mm�'re sx�,.m.... �.wp�, �� rW�a+• �. 'r �.:�:°.�,rfl�.9sw'�.;;„ iP ,,,, a. ` ti p , ` n✓ C l"'I � L r � " w Q ' 4 �. Y. r . A V IP a, 41 b � r4� tr� (F . L p o K o E-.....� hk�R.Tu P...�d v P�W YZoaD �o u i N oLp� NY r CD D CD m —i Z 17 •.' G � k C/ V {4 p D .. , cn p m � co z N O C 2 m O o ��D _ tla r m O OZ �7�,, •`� 1 m m m w � m n w. " 7, _ -i rw i q p 1 co O O Cf) r � cl m 4 t 0 oo Z m, 1 Ln o o CD 0 n P � MMM i a y _......_.._�. ,�.,.u..._. .. .. ,,,..,. ... ._.. .,... ..,..z..,....... �..._... w_...,..�..,_... .... ._,., ,... m 9 I n 'i CD o m, an O �r 4. h m m � 4 o c o T T A Z z D m m m O O N � _ j n Z B , O ,. u D 77 _.._ i A n rly, CD m _ f OA e I r (A O L Ud J M1 + �w'"•N. a �� �, ;4 � K"a b $ ti 0 w 0 0 m 4 0 0 0 � x " � fl n n m rD Cir w o' (o 2 s a- D 1 -3 y r w Ell o)CD fi < qq �lY � 4 r ry ppqq 1 i ri�l isr I 1 ig k I t� � � M I..> n -O CD n —Li, CD i ID .._...._.p_,_�_.�..,_.�......... �, ...., ... �.......,_ . .... ., b a CD 4 O O p o _.. � k a G 0 i rz. O 1) CD t p O r.. _....�.._._..._�.. ._.�.._� NJ w. _.........,._.,.. 1..... .,,...s..........M..� ...®._.....,.�...,_., a _......._.m._..... Lo CL _. .. ..m.. _....� _.._, � f s fl Y { � a rr I �, r G pp r P FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-27844 Date: 07/31/01 THIS CERTIFIES that the building NEW DWELLING Location of Property: 1160n NORTH BAYVIEW RD EXT SOUTHOLD HO ( USE NO.) (STREET) _ (HAMLET) County Tax Map No. 4'e3�889 Section 78 Block 9 Lot 54 Subdivision Filed Map No_ Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated MARCH 21 2000 pursuant to which Building Permit No_ 266484-Z dated MAY 5 2000 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 COVERED .FRONT AND REAR PORCHES AND ATTACHED TWO CAR GARAGE AS APPLIED FOR. The certificate is issued to NANCY & SALVATORE SAPORITO (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL R10-00-0005 07/30/01 ELECTRICAL CERTIFICATE NO. N 560672 0 0.8 01 PLUMBERS CERTIFICATION DATED 06 04 01 PECONIC PLUMBING & HEAT Authoriz Signature Rev. 1/81 Town of Southold Annex 2/8/2012 54375 Main Road Southold, New York 11971 i �x CERTIFICATE E OF OCCUPANCY No: 35435 Date: 2/8/2012 THIS CERTIFIES that the building ALTERATION Location of Property: 1160 N Bayview Road Ext, Southold, SCTM#: 473889 Sec/Block/Lot: 78.-9-54 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this officed dated 9/9/2010 pursuant to which Building Permit No. 35899 dated 9/27/2010 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: INTER[OR tTO AN EXISTING AS APPLIED FOR The certificate is issued to Alexander&Tracy Sutton (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 35899 1/31/12 PLUMBERS CERTIFICATION DATED Authoriz S natur