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HomeMy WebLinkAbout1000-75.-6-6.2 TOWN OF SOUTHOLD Rental Permit 0597 x� t= Owner Ahmad-Ali Sardar-Af Chani & Mohamad H. Sardar Occupied as Single Family Dwelling Located at 44190 Route 25 Peconic 75-6-6.2 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. 2/14/2022 ode orc n ocial This Notice must be posted by the main entrance at all times Town Hall Annex Telephone(631)765-1802 �" P 54375 Main Road Fax(631)765-9502 P.O.Box 1179 Southold,NY It 971-0959 too BUILDING DEPARTMENT TONM OF SOUTHOLD RENTAL PERMIT APPLICATION i Ia Rental Permit Fee$200(Application must be renewed every earn / ti 2021 ABB.ILD PIP TOWN OFSotfi"A&D Section A. Property Information: � Property Renta Pr Address: N Tax Map Number: 1000 SECTION -BLOCKOct,, O0 -LOT D D SECTION B. OWNER INFORMATION: Property Owner Name: m�°�a m a Gl Property Owner Legal Address: Property Owner Mailing Address: �k�� �'y r a'"?�;.,'� ✓lea `°," �"� �^� �"� ""� „�""� �� C:� �` ,��, �� ,✓ Telephone Number (s): Daytime.,5","' S"�6,1 Evening Sci�t 4s do, Emergency Property Owner Email Address: til, > roe, Pd Pagel of 5 Town Hall Annex Telephone(631)765-1802 54375 Main RoadFax(631)765-9502 P.O.Box 1179 Southold NY 11971-0959 q m � BUILDING DEPARTMENT TOWN OF SO UTHOI.D 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: 001 Requested Maximum number of persons allowed to occupy Dwelling Unit: " Number of rooms in Rental Dwelling Unit: O n7om.� Use and Dimensions of each room in Rental Dwelling Unita V' Li��/?o��� QX��r BQ (11q- Page lz.l 3 of 5 Town Hall Annex Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1179 , Southold,NY 11971-0959 �µfT BUILDING DEPARTMENT TOWN OF SOU OLD 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. E� 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 M• 5}1-ZDA- ,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 Town Hall Annex wY"U, Telephone(631)765-1802 54375 Main Road k; Fax(631)765-9502 P.O.Box 1179 Southold,NY 11971-0959 UNTI 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. 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: 1. Sworn to before me this 5 day of 20 Official Notary Public Signature and Original Notary Stamp CONNIE D.BUNCH Notary Public,State of New York No.01 BU6185050 Qualified in Suffolk County Commission Expires April 14,20�) Page 5 of 5 rjf so 765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION/CA L 'ING [ ] FRAMING /STRAPPING [ ZFIRE NAL FIREPLACE & CHIMNEY [ SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) [ ] CODE VIOLATION ] PRE C/O REMARKS: to) 67 h DATE INSPECTOR 1 3 > jralvil-M CA �� all -' #3 g r,; OFA . V E-2— `4 � fl 0 _ __, , ° ' n..rv�vsram,c�,w�r �f ryI/f�� --_ _ econaav - - w,rc�aaer gA1e1Kg n Igl L 3 := Q Z iJ At I z 2 1 � oLu 0 �ji OIO r- 6 � dw si ONO #6 z- n__t rE1� F I R S T F L O O R P L A N chades M.Th©rn8s a r oh t i :,c i v pomp m w 3 7z r � PLANS j 1 N t n PLUMBING RISER DIAGRAM -� ScxE N is 1 ............�. ......................"� i Ground ... .............. . ^411Nao"b4�RNP" II�MflO'in,rortmNa h,O v`,vi,.i g2� oiI MMI 2ZIII t ,P.ry ,'m Na011dwmm�� ,, First Floor SCTM # 41,lpoao� TOWN OF SOUTHOLD PROPERTY RECOP OWNER STREET t _ VILLAGE DIST.1 SUB, LOT ACR_ REMARKS TYPE OF BLD. _.. _ '. PROP. CLASS LAND IMP, TOTAL DATE 1 FRONTAGE ON WATER HOUSE/LOT 1 � BULKHEAD TOTAL zz b OWNER STREET : VILLAGE DIST. SUB. LOT z h;rr>n p �oAJ FORMER OWNER N - E _ ACR. - i J� S W TYPE OF BUILDING r �T�INh'C- c . � S SEAS. VL. FARM COMM. CB. MICS. Mkt. Value LAND IMP. TOTAL DATE REMARKS Q7L` ' y I I _ ri L+0(11 x e a R # a F_ E 4 $ l II f 14 r - .- -701 Tillable FRONTAGE ON WATER Woodland FRONTAGE ON ROAD CJ F _ .. ca c) Meadowland I DEPTH House Plot BULKHEAD -- Tota I II Vk At CLLR f� c t s 41,11 _ i A - - 4 a ell \ — l a r t I s � £ a e � - — - e 1 4 r 75-6-6.2 11/2015 3 £ - 7 ------- yj M. Bldg :, n �-��� � �- � � - t I v� . Exte.nsior i r � _ Extension £ Extension : e ` Foundation .4 Both ; Dinette -- - Porch Basement � Floors . i` Porch _ Ext. Walls Interior Finish 1 1 LR. I Breezeway _ i Fire Place - ; F-leot ..z 3 ' Garage Type Roof R -rns E. € Recreation Room; Rooms 2nd Floory tl r FINB E Dormer Driveway Total „ v .. rA S lv1 Feet S 'Ft Living Rwrn 3.6 4.1 14.8 11.81 13.5 158.9 Study 22 3.4 7.5 7.2 111 80.5 Kitchen 4.0 3.6 14.4 1.3.1 11.8 155.0 Dining Room 3.7 3.7 13.7 12.1 111 147.4 Hallway 1.3 1.8 23 43 5.9 25.2 Bak Entrance 13 2.1 2.7 4.3 6.9 29.4 Laundry Room 1A 2.1 29 4.6 6.9 31.6 Bathroom 2.2 22 4.8 7.21 7.2 52.1. It 13 Irwin 1_ 3.9 3.9 15.2 12.8 12.8 1633 13edroorn 2 3.0 3.7 11.1 9.8 12.1 119.5 Bedroom 3 3.0 3.7 111 9.8 12.1 119.5 Bathroom 4.9 72 11.8 16.1 2.3.6 :379.8 Landing 2.7 2.01 5A 8.9 6.6 58.1 11tt11wwaw 29 2-11 .9 65.6 TOWN OF SOUTHOL.D OFFICE OF BUILDING INSPECTOR TOWN HALL SOUTHOLD, NEW YORK CERTIFICATE 01: OCCUPANCY NONCONFORMING PREMISES THIS IS TO CERTIFY that the f� Land Pre C.O. 11- Z-16424 Building(s) _.._. n Use(s) Date- November 19, 1987 located at 43900 Main Road Peconic, New York Stre shown on County tax map Ilamlct as DistrictA 1000, Section n . 75W....µµ. }: .... , Block r. 6 Lot 6 does (not) conform to the present Building Zone Code of the Town of Southold for the following reasons: Insufficient front yard set beck on Principle dwelling; side yard of Accessory barn. On the basis of information presented to the Building Inspector's Office, it has been determined that the above nonconfor-min;, 1-�7 Land /!J- Building(s) = Use(s) existed on the effective date t-he present Building Zone Code of the Town of Southold, and may be continued pursuant to and subject to the applicable provisions of said Code. IT IS FURTHER CERTIFIED that, based upon information presented to the Building Inspector's Office, the occupancy and use for which this Certificate is issued is as follows: Property contains 2 story, one family, .1....., ..a...,...__.-_ .,.... .,.....,,. ,'- —.1 . wood framed dwelling; accessory garage; corn crib; privy; sheds; barn all situated in the 'A' Residential Agricultural zone with access to Main Road; a state maintained highway. The Certificate is issued to APOLONIA S'1'ANKEWICZ, DECEASED (owner, A)tXy,'j§�kxxxvxx)NyxI x.,4 of the aforesaid building. Suffolk County Department of Health ApprovaliJ N/A UNDERWRITERS CERTIFICATE NO. N/A NOTICE IS HEREBY GIVEN that the owner of the ,above premises HAS NOT CONSENTED TO AN INSPECTION of the premises by the Building Inspcc:- tor to determine if the premises comply with all applicable erodes and ordinances, other than the Building Zone Code, and therefore, no such inspection has been conducted. This Certificate, therefore, does not , and is not intended to certify that the premises comply r.ith all other applicable codes and regulations. a Building Inspector- � FFt1I k, Town of Southold 11/6/2015 P.O.Box 1179 53095 Main Rd Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 37888 Date: 11/6/2015 THIS CERTIFIES that the building ALTERATION Location of Property: 44190 Route 25,Peconic SCTM#: 473889 Sec/Block/Lot: 75.-6-6.2 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 5/28/2015 pursuant to which Building Permit No. 39847 dated 6/5/2015 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: ALTERATION TO AN EXITING ONE FAMILY DWELLING AS APPLIED FOR The certificate is issued to Richmond Creek LLC of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 39847 11-02-2015 PLUMBERS CERTIFICATION DATED 09-16-15 Kevin Rempe Au, �0. �iature � tlt . Town of Southold 5/25/2018 P.O.Boz 1179 'w 53095 Main Rd Southold,New York 11971 CEIITII+ICATE OF OCCUPANCY No: 39666 Date: 5/25/2018 THIS CERTIFIES that the building IN GROUND POOL Location of Property: 44190 Route 25,Peconic SCTM#: 473889 Sec/Block/Lot: 75.-6-6.2 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 3/21/2017 pursuant to which Building Permit No. 41472 dated 3/29/2017 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: a c s or iia c and swim naingSpol with fence to code as applied for. The certificate is issued to Richmond Creek LLC of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 41472 6/8/2017 PLUMBERS CERTIFICATION DATED _.. .... ......... ut or :e Signature