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Home My WebLink About1000-94.-2-1.5 A TOWN OF SOUTHOLD = Rental Permit 0750 Owner 2500 Soundview LLC Occupied as Single Family Dwelling Located at 2500 Soundview Ave Mattituck 94.-2-1.5 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. 1 10/12/2022 cede ref c )t Official This Notice must be posted by the main entrance at all times 9 Town HalP Telephone(631)765-1802 4 � 54375;C 10w I iS�t"d @" r Nd Fax(631)765-9502 P.0.11 1179 Southold, t 1 971-0959 1 n2022 C , I-YT BUILDING DEPARTMENT TOWN OF SOUTHOLD RENTAL PERMIT APPLICATION G Rental Permit Fee$200(Application must be renewed every two years) Section A. Property Information: Rental Property Address: w {. Tax Map Number: 1000 SECTION �I y -BLOCK 2 -LOT - SECTION B. OWNER INFORMATION: Property Owner Name: Property Owner Legal Address: Property Owner Mailing Address: �•' L.sr� 320 ,v, �ra� 7th +o44 Telephone Number(s): Dayt1m0-4 per'fnz Evening Emergency Property Owner Email Address: +�►�d� . Pagel of 5 ru �� Town Hall Annex Telephone(631)765-1802 54375 Main Road 1 �a Fax 631 765-9502 P.O.Box 1179 "k �� 0` Southold,NY 11971-0959 r BUILDING DEPARTMENT TOWN OF SOL7THOLD Section C. Authorized Agent Information: Name of Authorized Agent of dwelling unit,if a y: _ Address of Authorized Agent (no P.O. oxer) Mailing Address of Authorized Agent: Telephone Number(s): Daytime_,,,._, ,,,,, vening _Emergency Email Address: Section D. Managing Agent Information: Name of Authorized Agent of dwelling unit, ifin Address of Authorized Agent(no P.O. Boxes): Mailing Address of Authorized Agent: Telephone Number(s): Daytime_ Emergency Email Address: SECTION E. SITE MANAGER INFORMATION:(required for rental proper " s co ining 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 y i Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 AMW P.O.Box 1 179 Southold,NY 11971-0959 r Coum BUILDING DEPARTMENT TOWN OF SOUTHOLD Mailing Address of Managing Agent: Telephone Number(s): Daytime Ev ng,_, „ 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: Requested Maximum number of persons allowed to occupy Dwelling Unit, Number of rooms in Rental Dwelling Unit: Use and Dimensions of each room in Rental Dwelling Unit: ,. Page 3 of 5 Town Nall Annex /�% % , Telephone(631)765-1802 54375 Main Road 0, % 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. 0( 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) Paul Pa a iotidis,a member of 2500 Soundview LLC 1 Pau n M µmaaaq 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 k Town Hall Annex Telephone(631)765-1802 54375 Main Road , Fax(631)765-9502 P.O.Box 1179 Southold,NY 11971-0959 ti BUILDING DEPARTMENT TOWN OF SO HOLD 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: Paul Pana iotidis,a Member of 2500 Soundview LLC Property s Owner' Signature: x p Sworn to before me this a y of MAY , 2022 Official Notar Public Signature and Original Notary Stamp JENNIFER VALVERDE NOTARY PUBLIC,STATI;OF NEW YORK Registration No.01 VA6384908 Qualified in Nassau County My Commission Expires: Page 5 of 5 TOWN OF SOUTHOLD BUILDING DI 631 -785-1802 IN PEC ION [ ] FOUNDATION 1ST [ ] ROUGH PL13G. [ ] FOUNDATION 2ND [ ] INSULATION/CAL [ ] FRAMING / STRAPPINGj ] L [ ] FIREPLACE & CHIMNEY [ 1E SAFETY I [ ] FIRE RESISTANT CONSTRUCTION [ FIRE RESISTANT PE [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL, (FII [ ] CODE VIOLATION j ] P E C/O [ I REMARKS: 4- pyw 1 o dile'160 � ' o ��l 0*4" V040 /00 DATE INSPECTOR _ _ C/S = Carbon and Smoke Detector Combo C = Carbon Detector LO BEDROOM 1 BEDROOM 2 C/S '3 L C/S F- BATH C�S BATH 1 2 CL LIVING ROOM DINING f C CSS BEDROOM 3 C/S W/D CL BATH 3 KITCHEN z TOWN OF SOUTHOLD PROPERTY 15((c, RD �, r . P--,-- _ VILLAGE _T vial,- 3UB. a LOT a f - r, - �� C Lam14 ' - 1 � 'C FORMER OWNER, NE } S W - TYPE OF BUILDING RES. SEAS. VL. FARM COMM. CB. MICS. Mkt. Value LAND IMP. TOTAL DATE REMARKS v IJ 3 asp l a . a _ f�_ s fell S�L E _ trz { t z — g 4 _ - r 70- Tillable FRONTAGE ON WATER Woodland FRONTAGE ON ROAD Z Meadowland DEPTH House Plot BULKHEAD Total r .m � TOWN OF SOUTHOLD PROPERTY RECORD CAS OWNER STREETVILLAGE DIST,j SUB. LOT FORMER OWNER N E ACR. - S W/ TYPE OF BUILDING RES. SEAS. VL. t FARM COMM. CB. MICS. Mkt. Value LAND IMP. TOTAL DATE REMARKS E. 3 e _ f � I � � I I - - I i Tillable FRONTAGE ON WATER - I - - F _ Woodland FRONTAGE ON ROAD E Meadowland - - DEPTH I House Plot BULKHEAD - Total I COLOR S �' TRIM I RUN _ ~ d a CT 17 � 3 �t o e�tiri x 1�- = 2 � 3* ' F c�T�lo z z Extension Q j foundation 1 nett Ba h e - - - -t. D Porch Baernent _Floors I �ert5 �/ Ext, Walls r { Interior Finish Breezeway IFire Place � iFfeat �� . - QR Garage x uc Type Roof � 1Rooms 1st Floor � R. 4 0 _ - Patio ;.Recreation Room Rooms 2nd Floor , O. B. ormer ;Driveway Total F i mow, FORM NO.4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Clerk's Office Southold,N.Y. Certificate Of Occupancy No. . . Z9%,3. . . . . . . . . Date .M1Mr ua:ry. �?. . . . .. . . . . . . . . . . . . .. 19�Q. THIS CERTIFIES that the building . . . . . . . . . . . . . . . . . . . . „ . , . » . . . . . . . . , . .. . . . . .. . » . . . Location of Property . .9W.3oundv�ew.Avenue. .Iftttue itk, JT X Hous.No. •t . County Tax Map No. 1000 Section . . . .94. . . . . .Block . . . .2. . . . . . . . . .Lot . . . .101 « y Subdivision. . . . . . « . . . . . . . . . . . . . . . . .. . . . . ..Filed Map No. . . . . . . . .Lot No. . . . . . . . . . . . . . conforms substantially to the Application for Building Permit heretofore filed,in this off 3ioe dated . . .Augaat. 20. . . . . . . . 119. .pursuant to which Building Permit No. . . . .10432Z. . . . . .. . . . dated . . .Oetaer. R . . . . . . . . . . . . . . 1979. ,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 . .. . . . . . . . . . .. . . . . . . . . . . . .. . . . . . . . . . . . . . . . . « . . The certificate is issued to . . . . . . . . . X111190, PA4. f0 .�lR . . . . . . . . . . . . . . . . . . . . of the aforesaid building. Suffolk County Department of Health Approval /1.$�8f} . . .9-$Q-72. . . .R.. A*.Villa" . UNDER ERS CERTIFICATE N0. . . . . . . . .N. .46171Z , . . . . . . . . „ , , ding Inspector RM 4/70 Of A 14 AVWWMa No. 2593/9-27-79 **ftivat well with high nitrat** . so* K"lt h Dept. note OD finol survey FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-22926 Date MARCH 30 1994 THIS CERTIFIES that the building ADDITION Location of Property 2500 SOUNDVIEW AVB. MATTITUCK N.Y. House Na. Street Hamlet County Tax Map No. 1000 Section 94 Block 2 Lot 1.5 SubdivisionFiled Map No, Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated APRIL 30 1993 rsuant to which Building Permit No. 21.392-Z dated MAY 5 1993 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 ADDITION & DECK ADDITION TO EXISTING ONE FM41LY DWELLING AS APPLIED FOR. The certificate is issued to CHARLES MOUNT & HAROLD GORDON (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N--308255 MARCH' 23 1994 PLUMBERS CERTIFICATION DATED MARCH 16 1994--K&K PLUMBING & HKATING Building nspector Rev. 1/81 1F (t Town of Southold 5/22/2022...,...._..,..,.._ ..�... _. P.O.Box 1179 410�a 53095 Main Rd Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 43083 Date: 5/18/2022 THIS CERTIFIES that the building ALTERATION e .._.�... �� . ___._....._.______ry......_ .......... . ... ......... ... — ............Location of Property: 2500 SoundviewAv ., Mattit ... ....... Sec/Block/Lot: 94.-2-1.5 3889 CTM#: .47.........-_.�_.�... e1.5ap No._ Filed Map Lot No. conforms substantially to the Application for Building Permit heretofore ... filed in this office dated 1/25/2022 22 pursuant to which Building Permit No. 47522 dated 3/7/2022 ......_...._. was issued and conforms to all of the requirements of the applicable provisions ovisions of the law. The occupancy for which this certificate is issued is: ;ktlzcc9.g!r� ltcred,ta lylw°a�. s ,tc,c �wtinwitic � rrm dr��Nc111ir� � The certificate is issued to 2500 Soundview LLC of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL _w . ...w.. . .._... ELECTRICAL CERTIFICATE NO. 475224/7/2022 PLUMBERS CERTIFICATION DATED 3/31/2022 Antl Cuocco At c •ic.d t tntur