The URL can be used to link to this page

Home My WebLink About1000-78.-3-37 J/ .m TOWN OF SOUTHOLD CIO, W' Rental Permit A, � 0962 Owner Joseph & Jillian Cordeira Occupied as Single Family Dwelling Located at 1945 Nokomis Road Southold 78.-3-37 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. 7/27/2023 rl Official This Notice must be posted by the main entrance at all times ' far { Town Hall Annex ` - - Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 cez P.O.Box 1179 41 Southold,NY 11971-0959 N BUILDING DEPARTMENT TOWN OF SOUTHOLD I - i of RENTAL PERMIT APPLICATION BUILDING DEPT To" pSOUTHOLD Rental Permit Fee$200(Application must be renewed every two years) Section A. Property Information: Rental Property Address: Tax Map Number: 1000 SECTION -BLOCS -LOT - SECTION B. OWNER INFORMATION: Property Owner Name: C ® (r—!("Je,' Property Owner Legal Address: Property Owner Mailing Address: las AM U- sic,Limb ,4 V�'S!V�A ox z k ta .. � I Telephone Number (s): Daytime ' I )Evening _ Emergency Property Owner Email Address: �'e Page 1 of 5 ��£ . ITIN \V 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: 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: �1v 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(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1 179 Southold,NY 11971-0959 g rr BUILDING DEPARTMENT TOWN OF SOUTHOLD Mailing Address of Managing Agent: Telephone Number(s): Daytime Evening mergen 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: /0 Number of rooms in Rental Dwelling Unit: �� Use and Dimensions of each room in Rental Dwelling Unit: G ,ce_ bd�vam L^ L fl ty% y �y ) Page 3 of 5 So Town Hall Annex Telephone(631)765-1902 54375 Main Road Fax(631)765-9502 P.O.Box 1179 Southold,NY 11971-0959 , u 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. ❑ 1 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 NEWYORK) COUNTY OF SUFFOLK) i '�OS h � �CC� , 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 N Fax(631)765-9502 P.O.Box 1179 - 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: Co r Property Owner's Signature: � Sworn to before me this l day of ,2022-- _ Official Nota ublic Signature a tOriginal Notary Stamp TRACEY L. DWYER NOTARY PUBLIC,STATE OF NEW YORK NO.01 DVV6 306900 QUALIFIED IN 61,jr-FOLK COUNTY COMMISSION EXPIRES MUNE 30,2.�C7- Page 5 of 5 Town Hall Annex = Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1179 Southold,NY 11971-0959 i _ BUILDING DEPARTMENT TOWN OF SOUTHOLD 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 Professional seal required for Architect or nai eer,licensed borne lnsaectc r m st ravide coy al`valid current cri kation Rental Property SCTM Number: 1000 - 0-1% -00-01 ,00 - 0377. 000 Rental Property Address: i9%JS ROMOMIS ROAD sQV-V40L-O !may Owner/Name: 70S M C oko CR Rental Dwelling Unit Identifier: I H,-V4, Vkm*`'_ wnC Number& Square footage of each bedroom as depicted in the attached floor plan: (i.e. Bedroom#1 -100 sq., Bedroom#2-90 sq., etc.) 0c\oAoon fi 1 � 13y sFC )��2 CFF) IKg sF QCoaben xi 3 CSF)- 15OS-F Qcaroo n ff H (Sf) , 1011S 13j0&oon n S(r'►art,sF) - " 7,3- sF Property Description (Include all improvements indicated on survey) "2--sl-oay s ►N6Fi f'ftMiul I{orl� s (3 rr 0000ons. On. 4-(j010on AiJO 00FNc6 co i .G 9 9 _ 9 Art: VNFIIrtStti=4 130�>zn�n�i INSfEC.Trt0 MAY 1: 2o2--L- I certify that I have 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. v 1 wya Prin Original Signature CO I i PIal:� "9451 �oF�Ut.r# 0,� ��rk�,ol� N OF SOUTHOLD B ILDING DI 631 .765.1802 INSPEC ION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INS LATIOWCAI [ ] FRAMING / STRAPPING [ ] AL [ ] FIREPLACE & CHIMNEY FIRE SAFETY IN: [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PE [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FI [ ] CODE VIOLATION [ ] PRE C/O [ I REMARKSrt R-6"- Y\40alei �M DATE INSPECTOR .............. . � .... _......__.w..s°rr ��"................................_ .mma.�� ................_. �� __..._��..._.�.�_....._....�� -�,��... _................................_. z'Q rn i oa tc=._m.. .........._.......... "._. w O E DET �,y BEDR"OOM SMOKE w � Z FL BATH Etta � Op #3 � YO BEDROOM 4 +x1 _ 0 237 ft' v LL Z 0 SMOKE DET 12 .'�...�"""" 0... O O0d U c) fn ., / y SMOKE DET 84 BED59 T 2, SMOKE: O Or� ✓ s v WOKE#2 .... a:.ra._.:a::. .................y. 1 CL CL r*u — ....._ EMa aw CLOSET _._.� , � ATTIC, z go J ol 0 OZ 00 cn SCALE:NTS SHEET: F—Z SMOKE DET BEDROOM 4 FL 104 ftp O ' " BATH BEDROOM 5 237 ft2 SMOKE DET 12 OON .... SMOKE DET BEDROOM 3 / 150 ft2 SWDKE CARBON/ sum r, t TLT CL CLOSET ATTIC 1945 NOKOMI5 ROAD, 50UTHOLD, NY SECOND FLOOR PLAN F^2 5GALE:1'-0" = 3/16" 05/07/2022 39'4' H/W OCARO N/ .. CIfC �C � �� UNFINISHED BASEMENT SM)KUP cv " O O u� HEAT 1945 NOKOMI5 ROAD, 50UTHOLD, NY BA5EMENT PLAN B_ I 5CALE:P-0" = 3/1 G" 05/07/2022 ........... C!G"? 00=0 O _. Q 00 —---- =I a L 104 KITCHEN FL SMoKt DEr BATHO BEDROOM 2 148 ft2 jN 12 DN 12 W O Up GARAGIE 0 SM6KE DET LIVING ROOM BEDROOM 1 , 134 ft" CL i 27"-4" 2° lo'-4- 1945 NOKOMI5 ROAD, 50UTH1.0LD, NY FIR5T FLOOR PLAN ALF:P-0" = 3/1 6" 05/07/2022 SCTM # � GI -77, TOWN OF SOUTHOLD PROPERt �'Il'Yl,C� OWNER STREET VILLAGE DIST, SUB, LOT ACR. I 1 REMARKSm TYPE OF BLD. ""., 4, ',0 � � 1fA . `� PROP. CLASS LAND IMP. TOTAL DATE ti i FRONTAGE ON'WATER HOUSE/LOT BULKHEAD TOTAL " TOWN OF SOUTH LD PROPERTY RECORD I VIL. 9 _OWNER STREP ....a.._. ..._ �,.�_,..��.�..._.., _... .._, �,�_�...`...... V11 LAGE DIST. SUB. u i _. . ...�... __ .� .. _ _..._.. .... .MM_.. „_ . N . rn 7h A jmua r T,� oa, '� R E'OR" R OWNER , S f1`1 W TYPE OF BUILDING l` i r � ES. A /0 SEAS. VL. FA. _.. RM COMM. CB. MISC. Mkt, Value m„ LAND... IMP. TOTAL DATE REMARKS 71 r r � ,r AGEBUILDING .. .., , .._.,_... i�,.��....,...___,.., ._.....__.�.. s BUILDI G CONDITION �G? o, N . �.�w. BELOW ABOVE. NEW NORMAL � FARM Acre Value PerVolue . _..�.. . Acre 1 M � Tillable 1 Tillable . 2�_....�.._' L-?�l Tillable 3 � Woodland � .... . , ..._.,_.._ _ .._. .....__._.._...__.., � .._,....._. ...�,.�..„..M,..._.. ._.., �,., �Swampland MM.......... ._..._M._�.... FRONTAGE ON WATER Brushland � FRONTAGE ON Rp..� .... ..� _.,.,, ... ,. ........ . ...�.�.... ..�......... � ..,�.�.._,.. �.�.�.._. . , ._, _. m_.. ._ AD HousePlot ,^ a DEPTH rr.�_.�,.__..�__�........� �...___..__m__.._........._��__._..�_.w...�.._....... mm....,�,., BULKHEAD `T"taI DOCK o�aDd aBDJDE,) ._ADmazaaJB ..«m,„,�..,.... ��, .�,�,�....,,.,....I m........ ......«.. w.. ......,...,.. � ,,...,. ......� .��.. aw..w,,..�.�... � .ron.... �mwwwiww.mww ya,JOd �.. 9 "N I J 1001 J puz swoo-d' wood U014Daj,),f yPJod �8 J00IJ ;s swoop ,� }ood ad/,jl 409H f aaDld aJld � uolsu94x3 r 3 � .. ...., M.._... r „ o � slIOM uoisue x sJoolJ ..._u__” .� i iJa�ul 0 .,..�..,�,!,� � _...��,.�. �F ......_....._._..._....�. � � .�.. ..._, ._..._ UaUJaS �`'�2 � i .`i > UOISU94X3 p a;;auia 9 4;08 m uoi;opuno jl 7 6P18 'W ............ w m � 60/6 LE-URL ..a._ .. v it ., ., ... ....., .....s h uw. wv 'do-lo f FORM NO. S TOWN OF SOUTHOLD BUELDING DEPARIVErff Town Clerk's Office Southold, N. Y. Certificate Of Occupancy No.Z `. . . . . . . Date . . . . . . . .. . . . 19. 7fi THIS CERTIFIES that the building located at . Street Map No.Xxx. . . . . . . . . Block No. lwc. . . . . .Lot No, . .Southold . K.-A.. . . . conforms substantially to the Application for Building Permit heretofore filed in this office dated . . . . . . . . . . . Dee. . . .10., 19.75. pursuant to which Building Permit No. . .$33!+x dated . . . . . . . . . . Dec. 1.0. . . . ., 19-75, was issued, and conforms to all of the require. ments of the applicable provisions of the law. The occupancy for which this certificate is issued is . .Private one family dwe111ng . , . .; i . , . . The certificate is issued to .Rivers ide. .liomas .IYw. . .TQ.h k7r.'y.V3,102D. C4rIPJAAer of the aforesaid building. (owner, lessee or tenant) Suffolk County Department of Health Approval April ,26, , 1976. , by. A. .Vf114. . . . UNDERWRITERS CERTIFICATE No. X27504. . Mar. . 23. . 1976. . . . . . . .. . . . . . . . . HOUSE NUMBER . . . . . 191t5. . . . Street . . . ,N$kpmi S.ppLA4. . . . . . . . . .. . . . . .. . . . . Building Town of Southold 5/18/2019 P.O.Box 1179 53095 Main Rd Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 40392 Date: 5/20/2019 THIS CERTIFIES that the building ELECTRICAL Location of Property: 1945 Nokomis Rd, Southold SCTM#: 473889 Sec/Block/Lot: 78.-3-37 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 5/14/2019 pursuant to which Building Permit No. 43738 dated 5/14/2019 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: gas built"electric l suryv The certificate is issued to Dawson,Todd of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 43738 5/16/2019 PLUMBERS CERTIFICATION DATED ^ Authorized Signature