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Home My WebLink About1000-115.-6-11 - TOWN OF SOUTHOLD Rental Permit 0567 Owner Michael Somma & Ors. Occupied as Single Family Dwelling Located at 415 Cardinal Drive Mattituck 115-6-11 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. 12/13/2021 Cod ref ce erg icial This Notice must be posted by the main entrance at all times �n CP Town Hall Annex �� Telephone(631)765-1802 54375 Main Road ` Fax(631)765-9502 P.O.Box 1179 � Southold,NY 11971-0959 �. k 1 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 Addressf Iq G .. II N Tax Map Number: 1000 SECTION -BLOCK�07 _J1.5 -LOT SECTION B. OWNER INFORMATION: C Property Owner Name: l 0 mot "Ar ,e+h d rnrng Property Owner Legal Address: Property Owner Mailing Address: Gree eC load _ Creed a�ou� 6qq �'g'I moite Telephone Number(s): Daytime q&l Evening._%4f_-01V Emergency L4 � 1 411b Property Owner Email Address: oGtflDOl�- �m Page 1 of 5 Town Nall Annex Telephone(631)765-1802 54375 Main Road 6r Fax(631)765-9502 P.O.Box 1179 ,�J 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: -' 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(63 1)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1179 - Southold,NY 11971-0959 " w' BUILDING DEPARTMENT TOWN OF SOUTHOLD Mailing Address of Managing Agent: f 1 ,� f � Irl Telephone Number(s): Daytime®�1�Z Eveni glq "qb ql Emergency�� Email Address: 20 5oynin GL a-Noo7'/- ° 6o e� SECTION E. 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,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: Number of rooms in Rental Dwelling Unit: 8 1''0l'Y7_--2 f OC-1 Cedes bw4hrvorn!�-, Use and Dimensions of each room in Rental Dwelling Unit: i'Vok" 1 1 r 10 _.._ �2d rr� 12_'X 10 ._m � - 3 i Ax `� .m rc�Yn - �7 J 1 PiningCobs �� y I X to Page 3of5 , 1 x 2- Town Hall Annex Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1179 a Southold,NY 11971-0959 � " , BUILDING DEPARTMENT TOWN OF SO HOLD SECTION G. INSPECTIQN: 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 flaws adopted by the New York State Fire Prevention and Building Code Council. [B' I am requesting a fire safety inspection to be performed by a Code Enforcement Official from the Town-of Southold ❑ 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 lltrd-4�- , 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 � y'' Fax(631)765-9502 P.O.Box l 179w. ,; SEs _ Southold,NY 11971-0959 P BUILDING DEPARTMENT TOWN OF SOUTHOLO 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: r 110 m m� Property Owner's Signature: a Sworn to before me this day of 2Qg/ e4=4- � Official Ner4 Pu#c Si ture and Original Notary Stamp St*of New Yo* S 01k Counly�No,4674771 Expires hn0 30, Q Page 5 of 5 ►�� Ca Dr- IUIG�,�h lL ` lis'' b-1 l TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION/CAULKING [ ] FRAMING/STRAPPING MAL [ ] FIREPLACE & CHIMNEY [V FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) [ ] CODE VIOLATION [ ] PRE C/O IY �z&h DATE '� '� Z�2-1 BLUE'u" BOOK � Building & Construction www.thebluebook )l If r � p y N4 �� k. �. r o ti 7i TECH 1-0GY „.,t. ::” ONETEAM . „ �� bluil ing .BUILD W P7 f 91 -- 1� BLUE BOOK L!±Iding & Construction a PKI Ile www.thebluebook.com �X �,FQ�-Z�' TFOr"k°LGGY ®NETEAM suao -7l16 13 TOWN OF SOUTH OLD PROPERTY" KMIJKLO OWNER STREET VILLAGE —I DIST., SUB. LOT fD- k OMEN OWNER N E CR. r o—,k 4 S W TYPE OF BUILDING RES. ' SEAS. VL. FARM COMM. CB. MICS. Mkt. Value -?19 c/0 QoAa(c LAND IMP. TOTAL DATE I REMARKS 4 6z 1h v 2- 7 pp, rv, a-e 4 5 Lw, v AGE BUILDING CONDITION ij-0 2p D W, oom- NEW j NORMAL BELOW ABOVE 7- FARM Acre ] Value Per Value Acre Are Tillable FRONTAGE ON WATER I Woodland FRONTAGE ON ROAD Meadowland DEPTH House Plot i BULKHEAD Total DOCK COLOR CTRIM V r a E x 1 t a I T- i k . � a r- E —A-4 t t 9 ' 1.15.-6-11 1/10 f M. Bldg [ ° i Extensiono — - F f 1 Extension € i Extension Foundation -Both ? = Dinette i I th Porch :Basement ,Floors t Porch a Ext. Walls jlme for r Finish LR, Breezeway Fire Place I ;Heat DR. Garage = Type Roof ooms 1st Floor i QR. m R Patio ;Recreation Roomy !Rooms 2nd Floor FIN. B O. B. , __£ Dormer t Drivewav v Total FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. CERTIFICATE OF OCCUPANCY No. .1-222fi........... Date ....... ...... .. sippteffiber....10 19...65 THIS CERTIFIES that the building located at ...AYA..10....(Subjeat...to...chamel. Street atituck Fsta6M No. .......jG ........ l_at No. ,.. ..l&t t1,taac k r-•.N.y.. conforms substantially to the Application for Building Permit heretofore filed in this office dated ...............................APri1..........4........, 19..0, pursuant to which Building Permit No. .2719..Z doted ..........................April....22......••. 19...6.5, 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 ........ Favi a. •one••x��i�, ...d s :li g ..................................................................,...............w......... The certificate is issued to ...Ed1�.... ...�.1it>�i..1�aXltB.CtQx'..Z ...................Q?1�;:4r................. (owner, lessee or tenant) of the aforesaid building. H.D.Approval Sept. 99 1965 by R. Villa Building lnspector