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HomeMy WebLinkAbout1000-15.-3-7 s TOWN OF SOUTHOLD ze f# Rental Permit 0982 Owner Areti La Valle Occupied as Single Family Dwelling Located at 555 Sound View Rd Orient 15.-3-7 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. 8/23/2023 ode of rce t Official This Notice must be posted by the main entrance at all times Town Hall Annex " �H� Telephone(631)765-1802 Fax 631 765-9502 54375 Main Road ( ) P.O.Box 1179 Southold,NY 11971-0959W BUILDING DEPARTMENT AUG 18 2023 TOWN OF SOUTHOLD RENTAL PERMIT APPLICATION 6ullding 00PO tment Town of Botalhola Rental Permit Fee$200(Application must be renewed every two years) Section A. Property Information: Rental Property Address: 555 Soundview Road, Orient Point, New York Tax Map Number: 1000 SECTION 15 -BLOCK 3 -LOT 7 SECTION B. OWNER INFORMATION: Property Owner Name: Areti La Valle Property Owner Legal Address: Property Owner Mailing Address: 555 Soundview Road Orient Point, NY 11957 SAME ---���� ( 917 ) 414-6719 Telephone Number (s): Daytime,,, Evening Emergency Property Owner Email Address: rlavalle@alphainterabstract.com Page 1 of S M pby Town Hall Annex �� e. Telephone(631)765-1802 54375 Main Road t', 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: Name of Authorized Agent of dwelling unit, if any: �..._._ Address of Authorized Agent(no P.O. Boxes):__,_MM.,,,, Mailing Address of Authorized Agent: ._w-_._.__�� 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 ��,. ger "a�N 'r,, s4 Town Hall Annex +11, Telephone(631)765-1802 54375 Main Road p, Fax (631)765-9502 P.O.Box 1 179 �� 5 Southold,NY 1 1 971-0959 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, Q 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 U t tuber of rooms in Rental Dwelling Unit: Use and Dimensions of each room in Rental Dwelling Unit: t (off .- Page 3 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 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) 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 AnnexTelephone(631)765-1802 54375 Main Road Fax(631)765-9502 r P.O.Box It 79 l�° Southold,NY 11971-0959 r ,4' !,( BUILDING DEPARTMENT TOWN OF SOUTHOLD applicable laws and rules. I further acknowledge that I will notifythe 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: _ r Property Owner's Signature: U� r . Sworn to before me this day of � 203 Official Notary Pub c Signat r r;Iginal Notary Stamp WILLIAM LAVALLE Notary Public,State of New Yak Ido.C11LA48t11874 lusiltked in Queens CounW- tom7ission kxpirdoh 30 Page 5 of 5 631-765-1802 EL a INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATIOWCAULKING [ ] FRAMING / STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTAN/� AL)RATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL [ ] CODE VIOLATION [ ] PRE C/ [ TAL R M A jRIS: 1 DATE INSPECTOR ... vo Town Hall Annex � Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1179ty Southold,NY 11971-0959 w � 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 Pro essional seal re aired for.Architect or Fra ineer licensed dome Inspector mustprovide cogy of valid current certi cation Rental PropertySCTM Number: 1000 Rental Property Address: 5-q 0 N Y Owner/Name: Lt's 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.) FSE lSbsF 2- F 2oa sF Property Description (Include all improvements indicated on survey) 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, 0 Print Name and Title r ri Inal Signa are SIAha Please place professional seal: ap TOWN OF SOUTHOLD WI(I CARD OWNER &TRE-ET VILLAGE 761—sii,�CT SUB LO L) FORMER OWNER N E ACREAGE /L 13 : S # W TYPE OF BUILDING v RES. SEAS. VL. FARM comm. IND. CB. I MJSC Est. Mkt. Value f ij LAND imp. TOTAL DATE REMARKS v7L+ sa 4-v 0 B �oL ------ _ asJ J,� /4- C, 7' Z71 AGE BUJILDING �CQNDITI ABOVE N NORMAL FRONTAGE ON WATER NEW BELOW ..........---- Form Acfe --- Vcre qpeN� AVie FRONTAGE ON ROAD wl - Tillable I BULKHEAD Tillable 2 7 DOCK LA n-D Tillable 3 ^1 A 'a 1 00 -70 7,0 q0 0, "1 Woodland -7- -27! Swampland Brushlond :4, House Plot z. Total V L_ v Lc r (0 COLOR -° Ll IZr f7 TRIM - �Y..���.�Y� � 0 MON . (I-' - Ck tj 9 - .,, 7 19RM �- _ 565 3/28/2019 SQ. FT. Fin"B" 1 st Floor 2nd Floor TOTAL r Bldg, Foundation Bath 1 Dinette ' M Bld d- •� � t OTHER ''� - LL _ COMBO Extension `R ` §� _ .� j � g Basement s PARTIAL Floors ON Kit. Extension � Finished B, Interior Finish L.R. - _ �= Extension �' FP I WBS Heat �[ `y' D.R. S I Garage I � ;t®t l i Ext. Walls BR. - x - / '-e -� _71.5 £, ormer Baths Deck/f�a# A c Roof Fam. Rm. Pool Solar Foyer A.C./GEN ` x. � {��" S"tau � Laundry a e �.. - Library/ o 1"A Study ..Y Dock f y t r a a a E s 17 Ae- i 15.-3-7 6/11 ' _ t M. Bldg. Foundation Extension Basement Floors Itsiar - _ FYt, malls interior Finish n tension - i Fire Place Heot - x Porch Root Type Porch I Rooms i st Floor - a t , Floor c, ns Z .Patio Garage , s - Dormer [Driveway Dor' er , 0, B. f .£ , f Lkpl 4 Cb { — Q OD.A f }, TF IL y f f i s ,Y ` � m € A AID- AJ ' , 1GY%r Ren L6 ch€ € �o€Ubedute an.s12- <�# ns�st 3 � € �"'-4vt -. � } a�n>�• € F�€?#S}a iks'-Yi - �d2 d%" _ � �F,.~:.i.a R } �{ 7 t.g"• f .0 € Yn i 3frs:a} ' €ate. xrwMpw€C�Ii4 ,g >.r �;- €x. u - *�tes - a aa._ �. € - .�• rte^ _..,� F - w .= faa¢c€-- � ��`.- -z -a -_ - ' ;9 --43 63# -- § 4 ag- LKFa .iw.,rcnF'aw boot 6064i4Pr11 s - } R -��s-- s.a :Ss zsr� _ -z xa� f r t ref �.ras - - � � -:-_ � 4 -.>`� _ '• � _ nt �x su.. s 9rP € sa f' tfs1 Ws+• � ��-� sa � a�"'.-.--<-# -..hs r� .:. € '••ter -. , _ ��a��. -. '� •� Ft r«.,r �.�'�"�a"� -- -�t`_-'i:���€,�t— r - - f-€ t��- sari €su;;sr. � � � �si�.,..-��.• .., � F z � _, s l55.#tt,a #:xxs 6#3 2 -a• ,-. € F q 4}ar } _ - - .a.€.-t.. _ _. - •IRFt Rtr�+ s �iS �f F+S` z 4 _.•# #�'- L`P }-in � 4td s - --- -� � �� - PC t� pp NES tiroa.� See2ry.,.� Town of Southold 1/9/2019 P.O.Box 1179 53095 Main Rd Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 40156 Date: 1/8/2019 THIS CERTIFIES that the building SINGLE FAMILY DWELLING Location of Property: 555 Sound View Rd, Orient SCTM#: 473889 Sec/Block/Lot: 15.-3-7 -------------- Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 9/8/2017 pursuant to which Building Permit No. 42025 dated 10/5/2017 was issued, and conforms to all of the reuuiretnerits of the applicable provisions of the law. The occupancy for which this certificate is issued is: ONE FAMILY DWELLING WITH REAR ENCLOSED P0RC: L LU�AR_ IRST,AND SEQQN .w a"I t 'DECII S, FRONT I _A:l`TAQlIED GARAGE AND UNFINISHED ED IAS, E"NT ICER ZBA DF.CIS It T- ?C► fa,I ATED 02-16-29,17 APLIED FOR The certificate is issued to Lavalle,Areti of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL RIO-17-0053 12-31-2018 ELECTRICAL CERTIFICATE NO. 42025 10-15-2018 'PLUMBERS CERTIFICATION DATED 10-25-201$ Dale Gross µµµµµppp ut ` ed Signature � in Town of Southold 6/17/2023 ' P.O.Box 1179 53095 Main Rd Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 44204 Date: 6/8/2023 THIS CERTIFIES that the building IN GROUND POOL Location of Property: 555 Sound View Rd.,Orient SCTM#: 473889 Sec/Block/Lot: 15.-3-7 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 3/11/2022 pursuant to which Building Permit No. 47678 dated 4/14/2022 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: accessory in arquji _ wimrn ng,pool withspa fenced to qgde as applied fi�rP r�1 A#752 dated 11/1 /2121. 1, / C2 orreotecl for C ertiflcate pnatpber only The certificate is issued to Lavalle,Areti of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 47678 9/26/2022 PLUMBERS CERTIFICATION DATED P " Town of Southold 8/28/2021 P.O.Bog 1179 53095 Main Rd Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 42305 Date: 8/28/2021 THIS CERTIFIES that the building. GENERATOR Location of Property: 555 Sound View Rd.,Orient SCTM#: 473889 Sec/Block/Lot: 15.-3-7 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 5/7/2021 pursuant to which Building Permit No. 46300 dated 5/24/2021 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: acg.e eneratcar as a died fcar, The certificate is issued to Lavalle,Areti of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 46300 8/11/2021 PLUMBERS CERTIFICATION DATED Si tore uj w s Jl d� ' ( (DI 3 � tu r� as 3 s s/ , g r s t AJ i AJ o 1 Fl, ` tpr .�b. � � =: FRAMING PLANS w £I AA — — � 4 Fa IN P : 1 gi t' N r j (4 r I� _ ' s est •�Z r ! = 3> IF —r p 4 fi i, i.> A D [ its v k13 AJ 3 I , : ;Nindow Sehed le �o0 5 hedule — u•�a�n - _S, 05 g tC � wgu 4 w.Ee.r� i ;`fBIG — F JwFLOOR a i - z Q.. 16JE :,��t-�. 3 xs PLANS rF rEa a<, s = Qase _ = --- --- ---- —�— — -- ---- — IT _ L� m 3 t , ___ _________ i L J O -.-may ol vvvv FC3 30\ G&f:ar Otair Get¢!CTW) A_ ^.4G=3 QF 1P