The URL can be used to link to this page

Home My WebLink About1000-64.-2-11 TOWN OF SOUTHOLD a Rental Permit Vk - 0607 Owner Mario Rivelli Occupied as Single Family Dwelling Located at 1435 Hobart Road Southold 64.-2-11 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. 4/22/2024 cede E ter m4t dfricial This Notice must be posted by the main entrance at all times TOWN F SOUTHOLD BUILDING DEPT. l 631 765-18 2 c~' IL 0 [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION/CAULKING [ ] FRAMING /STRAPPING [ ] F AL [ ] FIREPLACE & CHIMNEY [ FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FI L) [ ] CODE VIOLATION [ ] PRE C/O [ RENTAL r REMARKS: °� t0 O i / fq- DATE Ll �fv-,yq- INSPEC'7TOR b CTOWN OF SOUTHOLD BUILDINGDE PT. Omni,� 631-765 1802 I N S mro" E Amu"' 'r I O` N [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION/CAULKING [ ] FRAMING /STRAPPING 4AL [ ] FIREPLACE & CHIMNEY [ FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FI W ) I I CODE VIOLATION [ ] PRE C/O [ RENTAL i O Li r � G DATE �- mow. INSPECTOR 04, Town Hall Annex } "ff Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1179 Southold,NY 11971-0959 0,4 (31 ° 1 VN BUILDING DEPARTMENT TOWN OF SOUTHOL.D RENTAL PERMIT APPLICATION Rental Permit Fee$200(Application must be renewed every two years) Section A. Property Information: Rental Property Ad rasa: �5OF 101 1 Tax Map Number: 1000 SECTION �0 -BLOCK -LOT SECTION B. OWNER INFORMATION: Property Owner Name:_ AAOl Y 1 o I Vf(( 1 Property Owner Legal Address: Property Owner Mailing Address: V" Telephone Number(s): DaytimelII' Evening Emergency (W rvu q1�=57q'Zg39 Property Owner Email Address: Y)r! V& vVW Go w J ) 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: ('Y�GYI� 1 vtiI 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: Q- 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 k&, Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1179 e Southold,NY 11971-0959 p � "> 7a BUILDING DEPARTMENT TOWN OF SOUTHOLD Mailing Address of Managing Agent: n ' Telephone Number(s): Daytime . Eveni6 _ 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: 4) r,, Use and Dimensions of each room in Rental Dwelling Unit: $edro-#1 - 2 3O SP Wpm St I t MVol BaVP -' 4 " l`t2 S Ljviil� 25"� SF ni : 10� F IL-L .V Dora 1�b SE, Page 3 of 5 Town Hall Annex a a' Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1179 � Southold,NY 11971-0959 �� "Y 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 V, 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 � 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 Town Hall Annex Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1 179 m 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. 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: �� iP�.- q i�; 1-1-1,1-14 Property Owner's Signature: _" � ei 1 k„ L� ... — V Sworn before me this_day of 20^ Official otary Public Signatu and Original N/qota�y Stamp S Btate of Ido.02SU4711297C)jdW in „ �)V 30,21Ujl Page 5 of 5 r; Town Hall Annex S Telephone(631)765-1802 54375 Main Road , Fax(631)765-9502 P.O.Box 1179 �� y Southold,NY 1 197 1-0959 ,~ BUILDING DEPARTMENT TOWN OF SO :OLD 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 F'ro essional seal required Lor Architect or Engineer, licensed Home Insizector must provide co y of valid current cerci cation Rental Property SCTM Number: 1000- (0 2'I I Rental Property Address: 14�5 5 �Q&� I So ttf-bold N L'i I I q7 Owner/Name: 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.) Woo 5, IF WOW Property Description (Include all improvements indicated on survey) 1r VV0VV V01M5 vau Q A • I cert that ave 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. a � � aro r I►� : � �� ,� �, °.- � ...._.... Print Name and Title ° Ori inaIf Signature Please place professional seal: �� , �O 01' DEPT.TOWN OF SOUTHOLD BUILDING MUM,�� 765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. ' [ ] FOUNDATION 2ND [ ] INSULATION/CAULKING [ ] FRAMING /STRAPPING [ ] FI L4*v� P&wx [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) [ ] CODE VIOLATION [ ] PRE C/O REMARKS: DATEt8ORY KINSPECTOR Terrace Bedroom#1:23091 th m athroom close ,.— �� awl - Terrace ------------- ,t.,. closet "Y Bedroom#3:255sf close Bedroom#2:278sf Plan: 2nd Floor Scale: 1/4"=1'0" I" Na 40 Screened Porch Bedroom#4:142sf w.c. ra. Kitchen:122.5sf Dining Room 10 Screened a Porch Bathroom as Hari ose ,, GDecbr Living Room:254sf Hal N Room:238sf erarpmcr. fw Path °- 112" Plan: 1st Floor Scale: 1/4"=1'0" RI ELI RESIDENCE I GARAGE I 14,35 HOBART ROAD I ) SO N -11971 I y I 0.27 ACRE LOT Screened Parch Screaned Porch F 01 ASPHALT DRIVEWAY a PROPERTY LINE WITH FENCE N Hobart Rd SITE PLAN Scale: 1/8"=l '-O" TOWN OF L �' CARD - r,i OWNERSTREET j VILLAGE DISTRICT ' SUB. LOT i C 155 FO REWER N E ACREAGE i S W TYPE OF BUILDING f f � y RES. SEAS. L, FARM COMM. IND. CB. MISC. Est. Mkt. Value i LAND IMP. TOTAL DATE REMARKS 19 NEW NORMAL BELOW ABOVE FRONTAGE ON WATER Farm Acre Value Per Acre Value FRONTAGE ON ROAD r Tillable 1 BULKHEAD Tillable 2 DOCK a Tillable. 3 1 Woodland Swampland Brushland ' House Plot I To" ' l - a e � =s € j , 64.-2-11 11/05 brZ-11 L/Ub Bldg _ Foundation Bath ;® F �4 Extension �� , Basement Floors , Extension Ext, Walls Inte_or Finis; z E , rin - Fire Place .ta+ Roof Type 3' Porch Breezeway ; Patio Rooms d Eloy arae ,.,._ x_ _. . Driveway ,: r -er. s — ._ i I J I FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. PRE EXISTING CERTIFICATE OF OCCUPANCY No: Z- 29768 Date: 10 16/03' THIS CERTIFIES that the building DWELLING & ACCESSORY Location of Property 1435 HOBART RD SOUTHOLD (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 064 Block 0002 Lot 011 Subdivision Filed Map No. Lot No. conforms substantially to the Requirements for a ONE FAMILY DWELLING built prior to APRIL 9 1957 pursuant to which CERTIFICATE OF OCCUPANCY NUMBER Z- 29768 dated OCTOBER 16 2003 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 SIDE AND REAR SCREENED PORCHES AND COVERED FRONT ENTRY AND ACCESSORY TWO CAR GARAGE.* The certificate is issued to EMMY LOU STELZER (OWNER) _........._...._..�...__.. of the aforesaid, building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A *PLEASE SEE ATTACHED INSPECTION REPORT. ............ Authorized ' ignature Rev. 1/81 p BUILDING DEPARTMENT TOWN OF SOUTHOLD OUSING CODE 'INSPECTION REPORT LOCATION: 1435 HOBAR`I' RD SOUTHOLD SUBDIVISION: �.,.._ MAP NO.: LOT (S) NAME OF OWNER (S).- EMMY LOU STELZER OCCUPANCY: SINGLE FAMILY R"MMY 1,011 STLLeER _ ADMITTED BY: DENIESE SAGtlG:IANO ACCOMPANIED BY: SAME KEY AVAILABLE: SUFF. CO. TAX MAP NO.: 64.-2-11 SOURCE OF REQUEST: DENI ESE S BAGGIM0 „m DATE: 10/16 03 DWELLING: TYPE OF CONSTRUCTION: WOOD FRAME 1{ STORIES: 2.0 N EXITS: 3 FOUNDATION: CONCRETE BLOCK CELLAR: PART CRAWL SPACE: PART TOTAL ROOMS: IST FLR_: 5 2ND FLR.: 2 3RD FLR.: 0 BATHR (S): 1.0 TOILET ROOM(S): 1.0 UTILITY ROOM(S) : PORCH TYPE- REAR & SIDE SCREENED* DECK TYPE: PATIO TYPE: BREEZEWAY: FIREPLACE: 1 GARAGE: DOMESTIC TER: YES TYPE IMTER: OFF BOILER AIRCONDITIONING: TYPE HEAT: OIL WARM AIR: HOTWATER: ,STEAM . OTHER: *FRONT COVEREDENTRY ..........w._..,.�,..,. ......._....... .._......,. ACCESSORY STRUCTURES: GARAGE, TYPE OF CONST_: TWO CAR WOOD _ STORAGE, TYPE CONST.: SW33MING POOL: GUEST, TYPE CONST.: OTHER: www w _......._..wawa_. __..................�w _w__ VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE LOCATION.......__.... ....._.,.......,,..,_..__......... DESCRIh"TTT,ON, ...._.................. .. ......,,,._�� "+�R'I`.:.........�.wSEC.:......,.,.,... .._........_�wwwww tl l p V � i g E-�I PECT r) 10 �I.S �'3 ..... .. .......ww ........ ..._.... RRYaRKSi• RE- �"_�. �... ...__M..,.....wwwwwww. ........_�.�.�......_w_.w. INSPECTED BY: _. DATE ON INSPECTION: mL0�.q. ZL). _. P.Y a HN M BOUFIS TIME START: 9:30AM END: 10:1 WAM FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-31461 Date: 03/02/06 THIS CERTIFIES that the building ACCESSORY w ....... ..� Location of Property: 1435 HOBART RD SOUTHOLD (HOUSE NO.) (STREET) (HAMLET) Y P _..w. ......... 1 Count Tax Ma No. 473889 Section 64 Block 2 Lot 1 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated MARCH 3� 2004. . pursuant to which Building Permit No. 30138- Z dated MARCH 5, 2004 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 IN THE REQUIRED REAR YARD AS wAPPLIED FOR. , The certificate is issued to MARIO N. RIVELLI (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL NfAm ELECTRICAL CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED .w._.......... _w_.._.._.._.._.........._N A._._._._._._._.. tho ie Signature Rev. 1/81 FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-31460 Date: 03/02/06 THIS CERTIFIES that the building ALTERATIONS ... Location of Property: 1435 HOBART RDSOUTHOLD (HOUSE NO.) (STREET} _ w............... (HAMLET) County Tax Map No. 473889 Section 64 Block 2 Lot 11 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated MARCH 3 2004 pursuant to which Building Permit No. 301:38-Z dated MARCH 5, 2004 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 INTERIOR ALTERATIONS TO AN EXISTING SINGLE FAMILY DWELLING As APPLIED FOR. The certificate is issued to MARIO N. RIVELLI ....... ............ (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. 9781Cwwwggwwqq 06 21 05 PLUMBERS CERTIFICATION DATED 03 41 06 MARIO RIVELLI t oriz Sinatureµµ_,_.. Rev. 1/81 FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-32638 Date-- ,9.9/28/07 THIS CERTIFIES that the building ALTERATION/ADDITION Location of Property: 5_ M*M*�.w HOBART RD SOUTHOLD 143 . (HOUSE NO_.) (STREET) (HAMLET) County Tax Map No. 473889 Section 64 Block 2 Lot 11 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated SEPTEMBER 1 20.q pursuant to which Building Permit No. 33380-E dated SEPTEMBER 12, 2007 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 ADDITION TO AN EXISTING NON-HABITABLE ACCESSORY GARAGE AS APPLIED FOR. The certificate is issued to MARIO RIVELLI - ,wggqqqqqqqqe of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N A gr C`TRICAL CERTIFICATE NO. N/A �. PLUMBERS CERTIFICATION DATA _ _ N/A w __w_...w.w._...... AXi-orized Signature Rev. 1/81