HomeMy WebLinkAbout1000-88.-4-53 } TOWN OF SOUTHOLD
E£ Rental Permit
NA
0644
Owner Kristie Rabkevich & Sharon Amato
Occupied as Single Family Dwelling
Located at 440 Longview Lane Southold 88.4-53
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.
6/5/2024
En f rc° ficial
This Notice must be posted by the main entrance at all times
P
so
'6/�0 H 0 L�' W I L.4D :iGWD,E�T.
U +� 631-765-1802
FOUNDATIONINSPECTION
L .
[ ] FOUNDATION 2ND INSULATIOWCAULKING
[ ] FRAMING ING STRAPPING [ ] F AL
FIREPLACE, & CI [ FIRE
FIRE RESISTANTCONSTRUCTION I I PENETRATION
L ] ELECTRICAL ELECTRICAL L)
CODE VIOLATION [ ] PRE ® [ RENTAL
DATE INSPECTOR
.,w
77
--V TOWN OF SOUTHOLD
Rental Permit
t 0644
�j
Owner Kristie Rabkevich & Sharon Amato
Occupied as Single Family Dwelling
Located at 440 Longview Lane Southold 88-4-53
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.
l
5.'12/2022
rl ficial
This Notice must be posted by the main entrance at all times (CT
i / Telephone(631)765-1802
Town Hall Annex /� y'ii/i Fax(631)765-9502
54375 Main Road „�/
P.O.Box 1179
Southold,NY 11971-0959
BUILDING DEPARTMENT
TOWN UT L
�r a
RENTAL PERMIT APPLICATION
Rental Permit Fee $200 (Application must be renewed every two years)
Section
Property r ti a
Rental Property Address
Tax Map Number: 1000 SECTION -BLOCK f._................-LOT ___. ...
SECTION B.
OWNER INFORMATION:
Property Owner Name: ............. _. ��:�'.. i�.._ � I. _._ ....... . ......... _.. _ .....
Property Owner Legal Address: Property Owner Mailing Address:
'3 g.. Emergencyw��rM (.gy m.� 4?
Telephone Number (s): Daytimew.,�l ;"EWenin ! 1
Property Owner Email Address: . ...... . 45rhz3. _ "L`tr �� �.._... �..�_. _ __..... .._ ... ._
Page 1 of S
Town Hall Annex Telephone(631)765-1802
54375 Main Road Fax(631)765-950
P.O.Box 1179
Southold,NY 11971-0959 -
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
Section C.
Authorized ent Information:
Name of Authorized Agent of dwelling unit, if any:
Address of Authorized Agent (no P.Q. Boxes):-._......._ . . .......... _..._... -------
M a i I i n g
,._Mailing Address of Authorized Agent: _ ...__...... ...... .....
Telephone Number (s): Daytime� '. �" -Evening.... EmergencY_.� ."
Email Address:
_....._
Section D.
Managing en Information:
Name of Authorized Agent of dwelling unit, if any: ,,,,,..,- _......_ _....._ ._. ..._._ _ ..._... „M._..
Address of Authorized Agent (no P.O. Boxes):,_
Mailing Address of Authorized Agent: .......... .....
...._.
Telephone Number (s): Daytime Evening Emergency
EmailAddress: .. ....... ......_ .. ... ..... __w......... . .... .. _.._ _... .._ ....._._._ ..W.._.... ... _... _. ._ .. ... ...
SECTION .
SITE INFORMATION: (required for rental properties containing 8 or more rental units)
Name of Managing Agent of dwelling unit, if any: _...� � .. _� .... .... ,.m.... ... . _,..��
Address of Managing Agent (no P.O. Boxes):_ �... `�.'._ ,. t .. ._ .. ..... _
Page 2 of 5
2
Town Hall Annex Telephone(631)765-1802
54375 Main Road �
' 765-9502
�/��i�, Fax (631
P.O.Box 1179
Southold,NY 1 1971-0959
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: _... _ _. ._..
a�
Requested Maximum number of persons allowed to occupy Dwelling Unit: ' ,,,,, mm ,,
Number of rooms in Rental Dwelling Unit: __ .. ........ _... ... ,... ........... ._ ....... _......_...
Use and Dimensions of each room in Rental Dwelling Unit: ..._.__�....u......_................. ..__..................... . .......�_... . ...w,.
Page 3 of 5
Telephone(631)765-1802
Town Hal]Annex
54375 Main Road " Fax(631)765-9502
P.O.Box 1179
Southold,NY 11971-0959
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
SECTION G.
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.
Signature must be notarized and MUST be the owner of the dwelling unit.
STATE OF NEW YORK)
}
COUNTY OF SUFFOLK)
1ta (. ..... � 1. . .. 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
j
Town Hall Annex %'��� „. Telephone(631)765-1802
. r,
54375 Main Road Fax(631)765-9502
P.O.Box 1 179
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: ....... .tsl ... . .« rr _. 1" .._.. .. ..
Property Owner's Signature: ,4e
Sworn to before me this+day of .m ° 20 CONNIE D.BUNCH
- Notary Public,State of New York
L ( No. 01BU6185050
.. . ... ._... _ i _.._ _ _..... Qualified in Suffolk County
Official Notary Public Signature and Original Notary Stamp Commission Expires April 14, __..
Page 5 of 5
A0 ul 4 8
TOWN OFF%'COUTHOLD BUILDING DEPT.
e - fig, ,�
INSPECTION
FOUNDATION 1ST ROUGH PL13G.
FOUNDATION 2ND INSULATION/CAULKING
FRAMING /STRAPPING FINAL
FIREPLACE & CHIMNEY FIRE SAFETY INSPECTION
FIRE
ELECTRICAL (ROUGH) ELECTRICAL (F AL)
REMARKS:CODE VIOLATION PRE C/O R NTA
*Ao----
AW
DATE
o
aT
1
lqv,so
TOWN OF SOUTHOLD BUILDING
7651802
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLCO.
[ ] FOUNDATION 2ND [ ] !PSULATIOWCAULKING
[ ] FRAMING /STRAPPING FINAL ve4r-c
[ ] FIREPLACE & CHIMNEY( [ FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL)
VIOLATION [ ] PRE C/O
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—FORMER OWNER fit, E ACR
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TYPE OF BUILDING
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RES. SEAS. VL. FARM comm. CB. MICS. Mkt. Value
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C'd��'
FORM.NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Town Clerk's Office
Southold, N. Y.
Certificate Of occupancy
NAM . . . . . . . Date . . . . . .41 . . 29. . . . . . . . . . . , 19. 72.
THIS CERTIFIES that the building located at �46.TiOv 1 ,10*0 . . . . . Street
_-----I+Iap NoTeyM1 . a « . . . . . . . . . . .Os $O0. ' 4
--—tfo"nforms substantially to the Application for Building Permit heretofore filed in this office
dated . . . . . . . . . . .;MA .� . . . ., 19.71. pursuant to which Building Permit No. 53304. .
dated . . . . . . . . . . .;AMA 19.74 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 .Pri�►ate oue femilX dxa. . .
The certificate is issued to . . . OMAX11~ 4044110. . . . . . . O:r. . . . . . . . . . . . . . . . . . . . .
(owner, lessee or tenant)
of the aforesaid building.
Suffolk County Department of Health Approval Julq„'J� '�9'j? by R. :9i11g
UNDERWRITERS CERTIFICATE No. . A5055. . . . . . . . . . . . . . . . . . . . . . . . . . .
HOUSE NUMBER. . . �O. . . . . .Street. . . . . Lang.Y1.ew. . . . . . . . . . . . . . . . . . . . . . . . . . . .
. . . . . . . . . . . . . . . . www . . . . . .
Building Inspector
FORM X0. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Town Clerk's Office
Southold, N. Y.
Certificate Of Occupancy
No.25509 . . . . . . Date . . . . . . . . . . . 00% . . . . . .5. . . . . .. 19. 73
THIS CERTIFIES that the building located at Lmgviev. . . . . . . . . . . . . Street
Map No. TOM. . X09Uock No. . . . . . . . . . .Lot No. 72 . . . . Southold. . N.Y.. . . . . . . . .
conforms substantially to the Application for Building Permit heretofore filed in this office
dated . . . . . . . . . Jan. .22. . . . .. 19.73. pursuant to which Building Permit No. 6359z .
dated . , . . . . . . . . . .Feb. . . . .'j. ., 19. 73, 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 , vate.ganp. .(accessory.Building)&. Fsnco. . . . . . . . . . . . . . . . . . . .
The certificate is issued to 000inle. . . .Cost 13.0 . . . . . . O=Qr. . . . . . . . . . . . . . . . . . . . . .
(owner, lessee or tenant)
of the aforesaid building.
Suffolk County Department of Health Approval S!A+. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
UNDERWRITERS CERTIFICATE No. . . .I'OXtOU19. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
HOUSE NUMBFR. . .440. . . . . . .Street. . . Lan , '`iw.La . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Building Inspector
f „
FORM NO.4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold,N.Y.
Certificate Of Occupancy
No. . . . .21999.5 . . . . . . Date . . . . October .15a. . . . . . . . . . . . . . .. 19 $
THIS CERTIFIES that the building .Cons t r u c t addition .&. d.e.ck a d d i tion . .
Location of Property440 ,Longv„iew Lane . „ . . . Southold.,. N .Y.
House NO. t i ' " Hemlet
County Tax Map No. 1000 Section . AU$. . . . . . .Block . . . .Q 4. . . . . . . . .Lot . . . .Q53. . . . . . . . .
M/o Terry Waters 2901 72
Subdivision . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Filed Map No. . . . . . . . .Lot No. . . . . . . . . . . . . .
conforms substantially to the Application for Building Permit heretofore filed in this office dated
May. 9 , . , 19 $5.pursuant to which Building Permit No. 13939 Z
dated M a yM «1W 19 8 5 ,was issued, and conforms to all of the requirements
of the applicable provisions of the Iaw. The occupancy for which this certificate is issued is . . . . . . .. .
Construct addition & deck addition to existing one family dwelling.
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
The certificate is issued to . . . . . . . . . . . . D o m i n i c,k & Paula Costello
tavern 'te
. . . . . . . . . . . . . . . . .
of the aforesaid building.
Suffolk County Department of Health Approval . . . . . . . . NIA
* „ , „ ,.
UNDERWRITERS CERTIFICATE NO. . . . .. . . . . . . . . . . .N.7 7 2 8.8.2 . . . . . . . , . . . „ . . . . . . . . .
Plumbers Certification dated September It 1986
. „
Building Inspector
Rev.1/61
Town of Southold Annex 7/5/2014
P.O.Box 1179
54375 Main Road
Southold,New York 11971
............. ------- ... ............................
CERTIFICATE OF OCCUPANCY
No: 37004 Date: 7/5/2014
THIS CERTIFIES that the building AS BUILT ALTERATION
..... .--------- .......
Location of Property: 440 Longview Ln, Southold,
SCTM#: 473889 See/Block/Lot: 88.4-53
Subdivision: Filed Map No. Lot No.
----—-- ----------------------------- ..........
conforms substantially to the Application for Building Permit heretofore filed in this officed dated
4/10/2014 pursuant to which Building Permit No. 38789 dated 4/17/2014
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:
"as built"alteration to closets into half bath in an existi c nc famil y11it i4_4Dpljqt_fc
The certificate is issued to Costello,Paula
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 38789 4/29/14
PLUMBERS CERTIFICATION DATED 7/2/14 John W. Reichert
.. ...........
Ary......
i ix ign ure
),-/.- ,s 4i
ft Town of Southold 5/12/2022
P.O.Box 1179
W
53095 Main Rd
« " Southold,New York 11971
CERTIFICATE OF OCCUPANCY
No: 43067 Date: 5/12/2022
THIS CERTIFIES that the building AS BUILT ALTERATION
Location of Property: 440 Longview Ln., Southold
SCTM#: 473889 Sec/Block/Lot: 88.4-53
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
12/7/2021 pursuant to which Building Permit No. 47629 dated 3/31/2022
..................._................. ....._... _..............
..........._.. ..........
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:
4s-built interior alterations to existin sinele family dwellin , : ppl qde t)L
The certificate is issued to Rabkevich,Kristie&Amato,Sharon
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 47629 4/29/2022
PLUMBERS CERTIFICATION DATED
._..w.w .. A o...t Signature._...__..... ...__.w.....
r lkt Town of Southold 9/20/2021
53095 Main Rd
+� Southold,New York 11971
631-765-1802
COMPLAINT
To: Rabkevich, Kristie Complaint#: 2021-607
906 Mayer Dr SCTM#: 88.-4-53
Wantagh,NY 11973 Follow-up Inspection Date: 1/1/1900
Location: 440 Longview Ln
PLEASE TAKE NOTICE,a complaint has been registered against the location described above,in that the above
named individual(s)did commit or permit to occur the following offense:
is apparently catering to weekend rentals contrary to the lease requirement in our Town Code.As such, on behalf of the
Association,we ask that steps be taken to correct this problem and hopefully obtain a termination of this short term rental
This condition constitutes a violation of:
When on 7/4/2021,I did observe the following:
7/4/21 APB interviewed tenants and obtained rental affidavit
7/4/21 APB first attempt service.
This property will be re-inspected for compliance on: 1/1/1900