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Home My WebLink About1000-67.-2-9 TOWN OF SOUTHOLD Rental Permit 0954 Owner Pierandrea Bianco Occupied as Single Family Dwelling Located at 155 Sound Avenue Peconic 67.-2-9 Maximum Permitted Occupancy 5 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. 7/24/2023 Code Ekorcent Official This Notice must be posted by the main entrance at all times Town Hall Annex Tele lone(631)765-1802 54375 Main Road i P.O.Box 1179 t Southold,NY 11971-0959 BUILDING DEPARTMENT RDNG DEQ TOWN OF SOUTHOLDa ; RENTAL PERMIT APPLICATION Rental Permit Fee $200(Application must be renewed every two years) Section A. Property Information: Rental Property Address: I ss apt4mA AIS P v"te- AIX 11919 Tax Map Number: 1000 SECTION d6:�-00 --BLOCK o2.00 -LOT U o sOOo SECTION B. OWNER INFORMATION: Property Owner Name:I69ArjDtZtA ?1 AMc_o Property Owner Legal Address: Property Owner Mailing Address: N tJ , &7 11;0 I k 1 (0013 Telephone Number (s): Daytime-t1 646 411-91kvening&411444Emergency 6J6--h Property Owner Email Address: • i Qnco qq&aM& � Page 1 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 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 N it ` Requested Maximum number of persons allowed to occupy Dwelling Unit: g Number of rooms in Rental Dwelling Unit: Use and Dimensions of each room in Rental Dwelling Unit: LI✓auk kir-o4e r - foo , Qt n - ASO � Page 3 of 5 � s �} Town Hall Annex Telephone(631)765-1802 54375 Main Road _ Fax(631)765-9502 lv P.O.Box 1179 Southold,NY 11971-0959 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 ❑ 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) 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 O 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 SO OLD 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: :4 Property Owner's Signature: Sworn to before me this lay of , 20, Official Notary Public Signature and Original Notary Stamp CONNIE D.BUNCH Notary Public,State of New York No.01BU6185o5o Qualified in Suffolk County Commission Expires April 14, - Page 5 of 5 TOWN OF SOUTHOLD BUILDING EPT. 631 765$1802 Co �- INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATIOWCAULKING [ ] FRAMING I STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) [ ] CODE VIOLATION [ ] PRE CIO [ eRENTAL 740- .C2g AA DATE - - a3INSPECTOR Town Hall Annex Telephone(631)765-1802 54375 Main Road ' Fax(631)765-9502 P.O.Box 1179 Southold,NY 11971-0959 � + s ` BUILDING DEPARTMENT TOWN OF SO HOLD 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 Engineer,licensed Home lnyector must provide cony of valid current certiAcation Rental Property SCTM Number: Rental Property Address: i !;5 1W ND A%f0v c -RE(VIVIcl, NI ilk Owner/Name: P16-P./ A1(a)PkA MA/Cp 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.) ivisA rc - FOOs � t - ISS R Property Description (Include all improvements indicated on survey) j 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 de of w Yor tate, the Fuel Gas Code of New York State, and the Energy Conservation Co structi C de f New York State. Print Name and Title ri , al Signature Please place professional seal: ---� ~~ Floorplan Shed 155 Sound Avenue Peconic, NY 11958 „ ..�.........�__.._ ,..aaaa, ..._ Open covered area o 4 21 ft. •, ti� Co. C FP, a . a rw i y a.a i Legend =Smoke&Caroon Monoxide Detector =Smoke Detector ........ - Approximately 5 feet CIO. Shed Floorplan 155 Sound Avenue Peconic, NY 11958 '® Open covered area 21 ft. r 3 CIO. Olo. cls. wIX �ryr R x Legend i" =Smoke&Carbon Monoxide Detector =Smoke Detector Approximately 5 feet CIO— 4� TOWN OF SOUTHOLD T RECC q/aqjj,i W RIu STREET VILLAGE DISTRICT SUB I LOT �. N J IWC ..... i /� ` .... ......... /�F ��l d d t w N E AC RLA�GE d" qm ,. _ ._. _ .... ....... »., ,.,,...... ,>, _ _ ....... yG_._......,a ..,...,.�............ ..... .. ...�...�.,.,_.......�.gy,.m,. II /1�r YP E OF BUILDING RES. SEAS VL FARM I COMM, lND CB MISC LAND .,.. Imp. TOTAL .. _�..,_ DATE REMARKS ��. r � a r ...�.�........� ."MY'�.,,..�"ww:.,.......«... � �.�.....Y..w,..........W........,o,✓,.. .�.y..�..�.,,,�.,.:.».�A..................—*n—.....,4... ......,.,,,...,..,.�,.,.�..�.�...,.».,.,.,....».....�.,w.:fY.�.......wJ..«M..,.,,,...�.......,.r....m... ,.........�...,,Y. .......,.,. ,wv�,,..�w,.:.»...m..�' W...........,......m.,. ....�..�w E BUILI..� CONDI Tw m,� NEW NORMAL ! BELOW ABOVE Farm Acre Value Per Acre Value ti Tillable 1 � - r Tillable 2 Tillable. 3 Wo,odland, Swampland 4 Brushlpnc Hcruse P c V r.. „., IL 1 M C t ' _. _. ............... � F r � M. Bldg. ( Foundation I Bath / Extension �� p Basement Floors �a Extension Ext. Walls Interior Finish G �� Fire Plaee °� Extension Heat _ Porch Attic ... , _ Rooms 1st Floor F' Porch � Patio Rooms 2nd Floor Breezeway � Driveway f r r r V d t FORK No. 4 TOWN OF SOUTHOLD 1. no plans in file BUILDING DEPARTMENT Town Clerk's Office Southold, N. Y. Certificate Of Occupancy No. lr"5 Date �� 19. �b THIS CERTIFIES that the building located at . . .?aid . . . . . . - - • . . . . . . . Street Map No. I P9949. Shc ygk No. . . . . . . . . . .Lot No. . 2Ck c21. . . .P Co . . . . . . . . . . . . . . conforms substantially to the Application for Building Permit heretofore filed in this office dated , , . , . . . . , . , .2. ., 19.` '. pursuant to which Building Permit No. . 86 5Z- dated . . . . . . . . . . . .June. . .22. ., 19.?6., 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 . . . Priva.te one fami-ly dwel.1-Ing. . . . . . . . . . . . . . . . . . . . . . . . . . The certificate is issued to JC? PMO:r . . . . . . . . . . . . . . . . . . . . . . . . . . . (owner., lessee or tenant) of the aforesaid building. Suffolk County Department of Health Approval a - . . . . �. .. . . . UNDERWRITERS CERTIFICATE No. .N305990. . . Oct. . 1, , • 1076. - . . • . . • • . • . • . . HOUSE NUMBER . . . . . _ . 155 . . Street . . . . Bound Ave. Pecsanio . . . . . . . . . . . Building Inspector