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HomeMy WebLinkAbout1000-115.-6-31.1 TOWN OF SOUTHOLD JOY go Rental Permit 0668 Owner Phil & Dawn Felice Occupied as Single Family Dwelling Located at 500 Blossom Bend Mattituck 115-6-31.1 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. 6/13/2022 , _ Offic This Notice must be posted by the main entrance at all times hod °nf r If Town Hall Annexr` ,� Telephone(631)765-1802 54375 Main Road n ��9 Fax(631)765-9502 P.O.Box 1179 a � Southold,NY 11971-0959 BUILDING DEPARTMENT TOWN OF SOUTHO RENTAL. PERMIT APPLICATION APR 0 5 2022 DEPT Rental Permit Fee$200(Application mrustbe renewed ever two yearVVNail SOWHOID W Section A. Property Information: Rental Property Address: 551 lL^ 'r, GI_l Tax Map Number: 1000 SECTION b -BLOCK -LOT f - a I SECTION B. OWNER INFORMATION: �` I � t Property Owner Name: _ t+ l" 11. f (`� Property Owner Legal Address: Property Owner Mailing:Address: Telephone Number (s): Daytime 6LLZJL ° �0 Emerge n y ,Evening Property Owner Email Address: �'� r � Page 1 of 5 so "w Town Hall Annex Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1 179 Southold,NY 11971-0959 BUILDING DEPARTMENT TOWN OF SOUTHOLD Mailing Address of Managing Agent: .-- Telephone Number(s): Daytime_,,.—Evening Emergency..........._ ,.,�... ,.. €mail Address:...-.—,.dress: .-.—,-,,-. SECTION ,. . ..._..w.._. SECTION F. PROPERTY DESCRIPTION: Number of Rental Dwelling Units on property: _,� �,.. ....._ ...e.. .._ 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 Un! Number of rooms in Rental Dwelling Unit: Use and Dimensions of each room in Rental Dwelling Unit: t u.. Page 3 of 5 Town Hall Annex ��� �, Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1179 4 101 Southold,NY 11971-0959cou yy .f b 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): ,_ .., .. � �� ..�..w Mailing Address of Authorized Agent: _N,,,,,,wd_,M ,__ . Telephone Number(s): Daytime-,----—, Evening.,,, EmailAddress: ......_.....�.�.�.�..........�... �._....�.�...�.._�_�....,....�....��.�.�._.�.���_,. �� .......... ..��. ..� ,.���.� 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: µ w ----w.. Telephone Number (s): DaytimeEvening 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: „µ ! .,..,............._�� _...,,,,..._......_.._....., _. Address of Managing Agent (no P.O. Boxes):_-_._-_. Page 2 of 5 Fso Town Hall Annex d Telephone(63 1)765-1802 54375 Main Road 4 Fax(631)765-9502 P.O.Box 1179 Southold,NY 11971-0959 yr U it 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 ❑ 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 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 so TOWN OF SOUTHOLD BUILDING DI 6 -765-1802 5 To E>toS: 31 11 INSPECTION FOUNDATION IST ROUGH PL13G. FOUNDATION 2ND INSULATION/CAL FRAMING / STRAPPING [ INAL I FIREPLACE & CHIMNEY FIRE SAFETY INE. FIRE RESISTANT CONSTRUCTION FIRE RESISTANT PEI ELECTRICAL (ROUGH) ELECTRICAL (W CODE VIOLATION PRE C/O F REMARKS: bg loe Pr acup DATE , INSPECTOR h Telephone(631)765-1802 Town Hall Annex 54375 Main Road ,t Fax(631)765-9502 P.O.Box 1179 Southold,NY 11971-0959 0;, . BUILDING DEPARTMENT TOWN OF S+O UTHOLD 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: ...a..�` .... ...u. Property Owner's Signature: ..,. . ._._ .--••- Swo*NarY e this y of 20 22 Of#filic Sig star and Origins{ Notr,%St don Notary Public, State of New York Reg. No. OILY6356686 Qualified In Suffolk County Commission Expires 04/03/26 S Page 5 of 5 o z_ vv at -41 z su� _ s ED4 SCTM # LLC - ��15 TOWN OF SOUTHOLD PROPERTY RECORD CARD OWNER STREET VILLAGE DIST SUB LOT E _I ACR. REMARKS oe 1 TYPE OF BLD. _ PROP. CLASS LAND IMP, TOTAL DATE - ) -s i I 1 I FRONTAGE ON WATER HOUSE/LOT BULKHEAD TOTAL %'� TOWN OF S U 41 f G WNL n� STREET - V —. _ - 7' LLAGE LOT D r FORMER OWNER I - z N p = CJ I ACR. - -� sW TYPE OF BUILDING v 9 RES :SEAS. i VL. ' FARM _ . e COMM. CB. MICS. Mkt. Value IMPTOTAL LAND . DATE REMARKS I e 3 r a = a _ � Y f AGE BUILDING CONDITION -- } NEW NORMAL — e = - BELOW ABOVE a t FARME Acre Value Per Vcluei - Acre _Y Tillabi E i FRONTAGE ON WATER = -- Woodland FRONTAGE ON ROAD ©4 Meadowlond F DEPTH -1— House —House Plot BULKHEAD _e__ To"j, .%,e . - DOCK LIR TRIM 3. E-7-- il .,� i l _ i 115.-6-31.1 111 ,Ci_J- � � � M. Bid a t - xterip-01 — I Extension I r — Ext f z ' Foundation � 1� Bath � } Dinette o gn Basement 'Floors /° K. f = �... Porch ' - Ext. Walls `Interior Finish 1 LR 117- BreezewayFire Place Heat _ D R IZ Garage ��( � � � /�'C� ..Type Roof jRooms 1st Floor 1 BR Patio 'Recreation Room: 'Rooms 2nd Floor ! FIN B 1 i _ d. B � ;Dormer `Driveway Total 4 3!0' FORM NO. 4 TOWN OF SOUT'HOLD BUILDING DEPARTMENT T'OW'N CLERK'S OFFICE SOUTHOLD, N. Y. CERTIFICATE OF OCCUPANCY No.Z. ., . . .. . Date . . . . . . . .. . . .... . .Q.Q t0b1$ THIS CERTIFIES that the building located at . B10650M .Ro&d. . . . . . . .. .. .. . Street 1a �t t tuck ESVeo . . . . . . . . . . . . Lot No. . ..26+ . .H•'�i:IR�,'�uakt. . oX o. . . . . . p oc No. conforms substantially to the Application for Building Permit heretofore filed in this -office dated . . . .. .J=q. . . . . . 26. . . . ., 19.66. pursuant to which Building Permit No. . .3137. Z dated . . » . » . • . . • . ."r e. . .26• • •, 19. ., 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 . Private one family 4,Wp jj j2g . . . . . .. . . . .. . . .. . . . . . . .. . . . . .. . . .. .. .. . . . The certificate is issued to . ' W*• •Albltz. .Contracto •Inc. . . . . . . 0"Mer.. .. . . . . . . . (owner, lessee or tenant) of the aforesaid building. .Suffolk County Department of Health Approval . .Oratober. . . . . . . . 1966 - -b-7•Ro,-Villa 14�l �,. . . . ._;k . . Building Inspector n r r w � M FORM NO. 4 TOWN OF S OUTHOLD BUILDING DEPARTMENT Town Clerk's Office Southold, N. Y. Certificate Of Occupancy No.24188 . . . . . . Date . . . . . . . . . . . AP41 . _ . 19 . . . .. 19.7.1. THIS CERTIFIES that the building located at . .Blew seweu. .Bon& . . . . . . . . . . . Street Map No. Matte. lot. Block No. . . . . . . . . . .Lot No. . .26. & .per;'. . . . . . . . . . . . . . . . . conforms substantially to the Application for Building Permit heretofore filed in this office dated . . . . . . . Wt- 49. . . . . .. 19. A pursuant to which Building Permit No. . 5007Z. dated . . . . . . . . Q0. , . . . 19. . . ., 19 7.0 ., 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 . . . . .Priv to. m2e. Uit .dw*1ling. . . . . . . . . . . . . . . .1, The certificate is issued to . . . H.Barry•Ayea• • • • • • • • mer• • . . (owner, lessee or tenant) of the aforesaid building. Suffolk County Department of Health Approval N..R.. . . . . . . . . . . . . . . House # 500 �. muildingfi Inspector r FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-19287 Date AUGUST 10 1990 THIS CERTIFIES that the building ACCESSORY Location of Property 50Q BLOSSOM BEND TTITUCK N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 1.15 Bloch 6 Lot 31.1.. subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated JULY 27 1990 ursuant to which Building Permit No. 19317-Z dated AUGUST 9 1990 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 SHED AS BUIL' AS APPLIED FOR. The certificate is issued to JOHN & JA MELINE WAHLERS (owners) of the aforesaid building. SUFVOLK COUNTY DEPARTMENT OF HEALTH APPROVAL NLA UNDERWRITERS CERTIFICATE NO. H-016992 - JULY 11, 1990 PLUMBERS CERTIFICATION DATED N/A NILw Building Inspector Rev. 1/81 art ` Town of Southold Annex 12/8/2011 54375 Main Road Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 35323 Date: 12/8/2011 THIS CERTIFIES that the building ADDI'T'ION/Al-f ERATION Location of Property: 500 BLOSSOM BEND MATTITUCK, SCTM #: 473889 Sec/Block/Lot: 115.-6-31.1 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore fled in this officed dated 5/24/2010 pursuant to which Building Permit No. 35623 dated 6/7/2010 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: COVERED wERON 1 ) H 1 )AN EXISTING ONE STORY HOUSEASAP?LIED Ft _ , ., The certificate is issued to Fsposito.Nancy (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL, ELECTRICAL, CERTIFICATE NO. 35623 11/17/11 PLUMBERS CERTIFICATION DA'Z'ED At 0 w' ( .wt1 1 E' ....ew ... ...we ...... ._m_ ......._ . ..... ........... .... sa" ' 1FClI,, Town of Southold 2/20/2022 r P.O.Box 1179 0 53095 Main Rd +, V� Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 42808 Date: 2/20/2022 THIS CERTIFIES that the building ELECTRICAL Location of Property: 500 Blossom Bend,Mattituck ............................_........... ........ ............... ....... ._._ .. SCTM#: 473889 See/Block/Lot: 115.-6-31.1 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 2/4/2022 pursuant to which Building Permit No. 47419 dated 2/4/2022 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: 200 amfa overheadelectric service. The certificate is issued to Stein, Christopher&Olivia of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 47419 2/8/2022 PLUMBERS CERTIFICATION DATED Authorized Signature FactTown of Southold 7/25/2022 P.O.Box 1179 53095 Main Rd ` cv Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 43285 Date: 7/25/2022 THIS CERTIFIES that the building - HVAC Location of Property: 500 Blossom Bend,Mattituck SCTM#: 473889 Sec/Block/Lot: 115.-6-31.1 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 6/6/2022 pursuant to which Building Permit No. 47992 dated 6/24/2022 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: " s-built"HVAC unit to existin sit le fantl d)Ke na gii d for. The certificate is issued to Stein,Christopher&Olivia of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 47992 7/6/2022 PLUMBERS CERTIFICATION DATED _. ........... ... ut ori- Signature A W OFFICE, of PHIL, W. f ICE, P. C 333 SUNRISE HIGHWAY WEST ISLIP,NEw YORK 11795 TEL (631) 893-3900 FAX (631) 893-5300 BUILDING DEPT. TOWN OF SOUTHOLD VIA FEDERAL EXPRESS April 1, 2022 Town of Southold 54375 Main Road Southold,NY 11871 Attn: Building Department Re: Rental Permit Application Premises: 500 Blossom Bend, Mattituck,NY 11952 Owners: Phil Felice and Dawn Felice Dear Sir/Madam: Enclose herewith, please find the rental permit application and supporting documents for the above referenced property. Also enclosed is a check in the amount of$200.00. Please confirm receipt and advise if anything further is needed. I thank you for your attention to this matter. M Very 1. fly ypurs, J, P WF/df � Encs. ��