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Home My WebLink About1000-107.-7-18 TOWN OF SOUTHOLD a. Rental Permit t 4 � 0994 Owner Katherine Barna & Charles Glover Occupied as Single Family Dwelling Located at 1600 Westview Dr. Mattituck 107.-7-18 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. 9/25/2023 de E arc Offfcial This Notice must be posted by the main entrance at all times m 54375fMit)ft Y,RbW, Fax(63-0)763+95 RD 86k 1479, tuft,6046 I OF SOMIG W, suiLDwc DEPT. � e TOWN OF SOUTHOLD RENTAL PERMIT APPUCATION Rental Permit Fee$200(Application must be renewed every two years) Section A. Property Information: Rental Property Address: �u Tax Ma Number: 1000 SECTION SECTION B. OWNER INFORMATION: Property Owner Name: » � Property ner Lea Acress: �roperyrner ar� ess: �rrYlll�,ua°e o �� rr*a1� r° c�' , ,yr�, i �r '' ' 1"P r a 1,,, ";'.. ✓� , , r , , � n,/„rirm ,w,iarr 7�. Telephone Number(s)V: Daytime_ r54 , Emergency�r pff9 'jif," ,' lsalJ 1 yya, % % f//,/fir ,n %� nfrl ayra „rrfi/✓fir//artrf/% n,t,,, `Fe c ' Page 2 of 5 t 1 Town Hall fAnnex ` Telephone(631)765-1802, '' 54375 Main Road Fax(631)765-9502 P.O.Box 1179 � a Southold,NY 11971-0959 �N BUILDING DEPARTMENT TOWN OF SOUTH OLD Section C. Authorized Agent Information: Name of Authorized Agent of dwelling unit, if any: Address of Authorized Agent (no P.O. Boxes). Iv'�ii9iig"Ad�i•�Ss a�'Au#i�ib�z�d� �r _. Telephone Number(s): Daytime Evenin .Emergency r, Section D. Managing Agent information: Name of Authorized ent n l w Ag of dwelling unit, if any: astl& Fwk em'ftj AwwjYK, Act ress ovAiAorizea Agent Eno I « oxes :. "t'mw eeplone umers� m "ame � RedinfKC, ieeg Email Address: cann SECTION E. SHV Name of Managing Agent of dwelling unit, if any: Page 2 of 5 Town Hall Annex q Telephone(631)765-1802 54.175 Main RoadFax(631)765-9502 5 P.O.Box 1179 Southold,NY 11971-0959 " k BUILDING DEPARTMENT TOWN OF SOUMOLD 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." w Rental Dwelling Unit Identifier: o,, I" Requested Maximum number of persons allowed to occupy Dwelling Unit: 1 Number of rooms in Rental Dwelling Unit: ° Use and Dimensions of each room in Rental Dwelling Unit: m �► 3. o Vl � p�.YriGll9i'av� . Page 3 of 5 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 sotrMOUD 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 ❑ 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 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 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 SOXYMOLD 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: l Gly Property Owner's Signature: Sworn to be ore me this day of 2&� 20.Z ci Notary Public Sat �eandtrigein`alNotary Stamp No.4,32S373 � s�tfoskCoagnt Page 5 of 5 fqjf so 1&00 TOWN OF SOUTHOLD BUILDING DEPT. coo-, 765-1802 t 07. — ? - t g- HNSPECTIOmrim [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATIOWCAULKING [ ] FRAMING /STRAPPING [ ] FINAL ' [ ] FIREPLACE & CHIMNEY [e9 FIRE SAFETY INS ECTION [ ) FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) [ ) CODE VIOLATION [ ] PR C/O REMARKS: � �V� �� ✓( Lic1 b(oq Co y 4% w II ATE � t 4 L .. INSPECTOR 6 TxE .k't YrTli AC-G`_c t&wyc'w,a As R,�LJpEoaAfATte^-" %aC io APPROVED ASNOTED z xiRbt -a OCCUPANCYOR _��• USE IS UNLAWFUL WITHOUT CERTIFICATE OF OCCUPANCY COMPLYZONE = R. gg COMPLY WITH CHAPTER TAQ 3 SOUTFLOOH O D TOWN CO ENf}ON 6WfF101O TOWN CODE. CERTIFICATION NAILING&CONNECTIONS _- - REWIfi�D.. ` ,i, RUNOFF RwmaERCERnF7CAT?ON ONLEAOCON7ENfSEFORE CEJ^RTtFlCAFEOFOCCUPANCY IX T� emankt-At&I'- 1 w g 11 1 ' MAL. Nim- n m — ° 4 m I - . sf ium a 14 4on I H . - • xm In ( 40 — 5 z 9 � �m — : T RAn S U T. R z --« hit CH ITE C T U A€ -1 A'3 v"-� et...3 sem.wi"IN a °lu- 7 L 3k VP —_ �o S a I I " zr, E6x I € � I ' Al _ LYE[zl� cos. ' 3 [ ` I 6 K s TI is r441 WA ¢ .. N S - a � N V. ] 11 WIA t - { . ry ME- � a H-4--4 a 0- ! Poron - i 4.0 142 - i t] _mm R AND S T R F r c .s, :s �r ARCH[T E C T U R E 54,Essu w rKOho- _�r..<,,,.,=f.�a`� I. -. .__`" a:=§- ?=4s2.--��F��---�#4. --t `�`'�s':'��: 3 �. - DnrE SCTM # ocx eTOWN OF SOUTHOLD PROPERTY REQ' OWNER STREET VILLAGE DIST, SUB. LOT sC{ F.c ACR. _ REMARKS TYPE OF BLD. PROP. CLASS LAND IMP. TOTAL DATE d " I FRONTAGE ON WATER HOUSE/LOT i I BULKHEAD _ I TOTAL i Q g COLOR go ti A _ 33 I E is TRIM x 107.-7-18 9/08 1st 2nd R - Pc c #did. { ?i5 5 �E�l t7r 7� Foundation OTHER Bath Dinette / _` COMBO _ s Extension //35- /?5- ' Basement kli PARTIAL Floors Kit. SLAB Extension ' Z5 -3K Finished B. -- Interior Finish P L.R. / Extension Fire Place J Heat D.R, Garage i Ext. Walls Porch ! ' '`�° C 50Dormer Baths 1zi o3 a Deck/Patio Fam. Rm. / Pool Foyer A.C. lL� PE?I 0 0 Laundry :€ Library/ € O.B. Study ! - i Dock fF F)t �z o,:� 77r5�' v_ It5g , 'Ar; .. C-� TOWN OF SOUTHROP RYRCRD CARD CVR _ STREET = VILLAGE € 3 QST` LOT fr t FORMER OWNER 'Pf1 N E ACR. ? -e � � l c�f a �JO r _ w TYPE OF BUILDING S 7 RES, SEAS, VL. FARM COMM. CB. MISC. Mkt. Value LAND IMP, TOTAL DATE REMARKS 3 i T - to f' s f max r 4 . € - - - ` 3 r AG E 4. B�IDI�G CND T[ � ( `� t �� Aj I � �� IT _ � , kg FA1 A e Value Per Value Acre ,` ef td Tillable 1 /. - £ � f� Ti{!ak la 'T CY j S ' '�'J I t! �Woodland FRONTAGE WATER � I?- "�-- ON 6rushlcnd 1 FRONTAGE ON ROAD * 7 House Plot DEPTH t BULKHEAD Total � DOCK s _ COLOR -- _ It _ e# aT t F TRIM �-- - - 3 n E F 11111010 g a I K Bldg - t _ Both B Dinette Foundation ' _ Basement i Floors f K. Extension i Ext. Wallsy, f £ - interior Finish . F ; LR, Extension i 1AL Extension Fire Place Heat DR. Type Root Rooms 1st Floor BR ,E Porch t Recreation Room ` Rooms 2nd Floor" FIN. B � i n Porch Dormer l Breezeway Driveway I Garage Patio t Q. B. lei Total ; � I r FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY NO: Z-33800 Date: 0 /O� THIS CERTIFIES that the building NEW DWELLING �._mm_._,_..........� Location of Property: 1600WESTVIEW DR _ _....... .......„�. MATTITUCK _. (HOUSE NO. ) .._ (STREET) (HAMLET} County Tax Map No. 473889 Section 107 Block 7 Lot 18 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated _ -JUNE 11, 2009 pursuant to which .:. ........,.... 2009 ......... dated JUNE 1...1..�_.� Building Permit No. 79_�_ was issued, and conforms to all of the requirements of the applicable provisions of the law. The occupancy for which this certificate is issued .M ., WITH COVERED PORCH, OR BALCONY AND TWO CAR is ONE FAMILY DWELLING � SECOND„ FLa....-...,. GARAGE UNDER AS APPLIED FOR. The certificate is issued to MICHAEL PISCATELLI..................._.. (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMMT OF HEALTHAPPROVAL R10-07-0039 05/ 90 SLSCTRICAL CERTIFICATE NO. 8142 03/31/08 Pj„ B E S CE:RTIFICATION DATED 0 1/09 PERFECTION PLUMBING IhLrizedSignature Rev. 1/81