HomeMy WebLinkAbout1000-70.-5-2 TOWN F SOUTHOLD
71
Rental Permit
0786
Owner Paul & Stephanie Leonardo
Occupied as Two Family Dwelling (1st Floor)
Located at 49925 Route 25 Southold 70-5-2
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.
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12/12/2022
Cod of r e ent Official
This Notice must be posted by the main entrance at all times
_x 1WN OF SOUTHOLD
Rental Permit
0787
Owner Paul & Stephanie Leonardo
Occupied as Two Family Dwelling (2nd Floor)
Located at 49925 Route 25 Southold 70-5-2
Maximum Permitted Occupancy 4
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.
12/12/2022
cede nfor mnt Official
This Notice must be posted by the main entrance at all times
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Town Hall Annex ', Telephone(631)765-1802
54375 Main Road a P Fax(631)765-9502
P.O.Box 1179
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Southold,NY 1 1971-0959 d ,n
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BUILDING DEPARTMENT
TOWN OF SOUTHOLD
� , a RENTAL,PERMIT APPLICATION
' Rental Permit Fee $200 (Application must be renewed every two years)
Section A.
Property Information:
Rental Property Address:. � S
U L')-,
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0
C9 to e
Tax Map Number: 1000 SECTION _ 1.70 - -BLOCK -LOT
SECTION B.
OWNER INFORMATION:
Property Owner Name: 0A
Lcona-rd
Property Owner Legal A dress: Property Owner Mailing Address:
c r-eve S
q Li L4 C)
Telephone Number (s): Daytime Evening Emergency
Property Owner Email Address: q"1 f IrV �__C)►YL_
Page 1 of 5
Town Hall Annexe Telephone(631)765-1802
54375 Main Road Fax(631)765-9502
P.O.Box 1179 µ
Southold,NY 11971-0959 r�.
R
BUILDING DEPARTMENT SEP 2 S 2021
TOWN OF SCUUTHOLD TOWN OFFS DEPT
Section C.
Authorized Agent Information: y
Name of Authorized Agent of dwelling unit, if any:
Address of Authorized Agent (no P.O. Boxes): q!651242 LK ��Aho
r
Mailing Address of Authorized Agent: �513
Telephone Number (s): Daytime S- Evening teY6& Emergency
Email Address: t''
Section D.
ZAd
Managing Agent Information: rl
Name of Authorized Agent of dwelling unit, if any:
w
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
° � o
Town Hall Annex Telephone(631)765-1802
54375 Main Road Fax(631)765-9502
P.O. Box I l79
Southold,NY 11971-0959
rro
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: Ca
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: I+ 'DD
Requested Maximum number of persons allowed to occupy Dwelling Unit:
Number of rooms in Rental Dwelling Unit: /V 64
Use and Dimensions of each room in Rental Dwelling Unit: (- om it X 1.3 1
I I k 0 I
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Page 3 of 5
f S " w.
Town Hall Annex Telephone(631)765-1802
54375 Main Road Fax(631)765-9502
P.O.Box 1 179
Southold,NY 11971-09.59
NV
BUILDING DEPARTMENT
TOWN OF SOUTHOILD
RENTAL PERMIT APPLICATION ADDENDUM
Rental DwellingUnit Identifier: r1�1 �lt� Woo
,+
Requested maximum number of persons allowed to occupy each dwelling un"
Number of Rooms in Rental Dwelling Unit:
Use and Dimension of each room:
r X.1 to K t th,,_ q
,rM i+v •t,rti � I A[
Rental Dwelling Unit Identifier:
Requested maximum number of persons allowed to occupy each dwelling unit:
Number of Rooms in Rental Dwelling Unit:
Use and Dimension of each room:
Rental Dwelling Unit Identifier:
Requested maximum number of persons allowed to occupy each dwelling unit:
Number of Rooms in Rental Dwelling Unit:
Use and Dimension of each room:
S OutTown Hall Annex Telephone(631)765-1802
m�
54375 Main Road A
Fax(631)765-9.502
P.O.Box 1179
Southold,NY 11971-0959
BUILDING DEPARTMENT
TOWN OF SOUT ?FOLD
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.
XI am requesting a fire safety inspection to be performed by a Code Enforcement Official
from the Town of Southold
0 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)
�7 Q.r��, 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 m� Telephone(631)765-1802
54375 Main RoadFax(631)765-9502
CA
y,
P.O.Box 1 179
Southold,NY 11971-0959bl
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 A nt, Managing Agent, or Site Manager.
Property Owner's Name: n I
P Y
Prope,rty Owner's Signature: 'A
Zon
L-511
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Sworn to bef e dth* day of 20 ,
Official Notary Pubre an Original Notary Stamp
THOMAS I WCAATHY
NOWY Pubk,State of Now York
No.6004790
Expires r 23, —
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Page 5 of 5
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�Q* TOWN OF SOUTHOLD BUILDING 0
�cvuNMI �i 765-1802
1 NSPECTION
( ] FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INSULATIOWCA
[ ] FRAMING / STRAPPING [ FINAL
[ ] FIREPLACE & CHIMNEY [� FIRE SAFETY IN
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PI
[ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FI
[ ] CODE VIOLATION [ ] PRE C/O
REMARKS:
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DATE L v INSPECTOR
SCTM #
000g TOWN OF SOUTHOLD PROPERTY RECORD CARD
OWNER STREET q qq -S VILLAGE DISTJ
J, SUB. LOT
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ACR. REMARKS
TYPE OF BLD.
PROP. CLASS
LAND IMP. TOTAL DATE
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FRONTAGE ON WATER HOUSE/LOT
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BULKHEAD
TOTAL
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TOWN OF SOUTHOLD PROPERTY F/011 lL�
OWN
VILLAGE i DIST.' SUB. LOT
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ER IISTRtEET
FORMER OWNER H, V C f N ACR.
S
W 1 TYPE OF BUILDING
RES,
VL. 1 FARM COMM. CB. MICS. Mkt. Value
""SEAS-,-
LAND IMP. TOTAL I DATE REMARKS
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AGE BUILDING CONDITION IN 7 e-, -�'Z
NEW NORMAL i BELOW ABOVE 1,
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FARM Acre Value Per Value
Acre
Tillable I FRONTAGE ON WATER
Wood!oncl FRONTAGE ON ROAD
Meadowland DEPTH
House Plot BULKHEAD r),'
-_ja,
Total DOCK 2, ii yj
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COLOR TH.1 .
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a
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2A 3
FiA
@3 ¢ s
M. Bldg.
Extension
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Extension t
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Extension 2 l Y, 7 t\ flf 7
t1
!Foundation �� r !Bath -24
Dinette
Porch _ aserr - t ' } „. Floors X
t-'� � i
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Ext.
Walls
Porch - _ 'Interior Finish ' ,
Breezeway � Fire Place � Heat � �DR.
Garage E 2 y X2 — t ty Roof Rooms 1st FloarR.
a
Patio _ Recreation RoomRaarns 2nd Floor =:=(N. B i
O_ B. _ Dormer Driveway
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Total
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4
FORM NO.4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Ball
Southold,N.Y.
PRE
Certificate Of Occupancy
No. „217830 » » Date
THIS CERTIFIES that the building ..TWO.FAMILY WITH ACCESSORY GARAGE: .
.... ..... .......
Location of Property49925-MAIN ROAD SOUTHOLD, N.Y.
House No. .. Street Hamler
County Tax Map No. 1000 Section ...?Q.... ...Block ....05..... ....Lot .. 02............
Subdivision............................ ...Filed Map No. .Lot No.
..... . .............
REQUIREMENTS FOR A PRIVATE ONE FAMILY DWELLING BUILT PRIOR TO
conforms substantially to theXdClll+s%#dd>% R% it2itlFiX,Tat1�+kti�$ t8�%"
APRIL 9,......._. .. pursuant to which]kilt OCCUPANCY F OCC
P i4�t No. ...2 17 8 3 0...........
dated . MARCH ]0', 19 8 9 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 .........
TWO FAMILY DWELLING WITH ACCESSORY GARAGE.
............................
The certificate is issued to ......GERARD it: GAUGHRAN
(owner,les3fe�6Yilflbi b� ...»........
of the aforesaid building.
Suffolk County Department of Health Approval ...,.,FAA ,..„,,.,,,„,,,,,,,,,,,,,
UNDERWRITERS CERTIFICATE NO......... .....?AA............
PLUMBERS CERTIFICATION DATED: N/A
SEE INSPECTION REPORT
ALSO B.P. 117892Z C.O. #Z17829 for renovation of 2nd floor.
t ,... .................
Building Inspector
Rw.1/01
7 "
FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No Z-24054 Date NOVEMBER 30p1995
THIS CERTIFIES that the building ADDITION
Location of Property 49925 MAIN ROAD SOUTHOLD NEW YORK
House No. Street Hamlet
County Tax Map No. 1000 Section 70 Block 5 Lot 2
Subdivision Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated AUGUST 7, 1995 pursuant to which
Building Permit No. 22959—Z dated AUGUST 22 1995
was issued, and conforms to all of the requirements of the applicable
provisions of the law. The occupancy for which this certificate is
14-
issued is D ' EXPANSION ADDITION TO EXISTING DECK OF O FAMILY DWELLING
AS APPLIED FOR.
The certificate is issued to GERARD W. GAUGHRAN
(owner)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A
UNDERWRITERS CERTIFICATE NO. N/A
PLUMBERS CERTIFICATION DATED N/A
uildi' g Inspector
Rev. 1/81
VA,
FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No Z-19240 Date a-ULY 251 1990
THIS CERTIFIES that the building ADDITIONS & ALTERATIONS
Location of Property 49925 MAIN ROAD SOUTHOLD NEW YORK
House No. Street hamlet
County Tax Map No. 1000 Section 70 Block 5 Lot 2
Subdivision Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated MAY 11, 1989 pursuant to which
Building Permit No. 1.8125-Z dated MAY 194 1989
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 FOUNDATION ADDITION UNDER EXISTING DWELLING ALTERATION TO
ENCLOSE PORCH ADDITION & DECK. ADDITION. ALSO GARAGE ADDITION AS PER.
ZBA #3841 TO EXISTING FAMILY DWELLING AS APPLIED FOR
The certificate is issued to ..,..- GERARD GAUGHRAN
(owner)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL _ N111
UNDERWRITERS CERTIFICATE NO. H-016119-MAY 25 1996
PLUMBERS CERTIFICATION DATED MAY 14 1990-PECONIC PLUMBING & HEATING
Building Inspector
Rev. 1/81
FORM NO. 4
TOWN OF SOUTHOLD f
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No Z17829 Date MARCH 10 1989
THIS CERTIFIES that the building RENOVATION
Location of Property 49925 MAIN ROAD SOUTHOLD
House No. Street Hamlet
County Tax Map No. 1000 Section 70 Block 05 Lot 02
Subdivision Filed Map No. Lot No.
conforms substantially to the .Application for Building Permit heretofore
filed in this office dated FEB. 24, 1989 —pursuant to which
Building Permit No. 17892Z dated MARCH 8 1989
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 RENOVATION OF THE 2ND FLOOR AS APPLIED FOR.
The certificate is issued to GERARD W. GAUGHRAN
(owner, )
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A
UNDERWRITERS CERTIFICATE NO. N737791 MARCH 3p 1986
PLUMBERS CERTIFICATION DATED N A
Bu lding Inspector
Rev. 1/81
FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.X.
CERTIFICATE OF OCCUPANCY
No Z-23543 Date MARCH 13 1995
THIS CERTIFIES that the building ALTERATION
Location of Property 49925 MAIN ROAD SOU LD NY
House No. Street Hamlet
County Tax Map No. 1000 Section 70 Block 5 Lot-2
Subdivision Filed Map No. Lot No.�
conforms substantially to the Application for Building Permit heretofore
filed in this office dated MARCH 3 1994 pUrBuant to which
Building Permit No. 21934-Z dated MARCH 8 1994
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 NOV'ATE ANDEXP "NON EMITABLS,, STORAGE AREA 'fes A
GARAGE AS APPLIED
The certificate is issued to GERARD GAUGHRAN SR.
(owner)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A
UNDERWRITERS CERTIFICATE NO. PENDING MARCH 10f, 1995
PLUMBERS CERTIFICATION DATED N/A
Building I pector
Rev. 1/81
FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No Z-24197 Date MARCH 81 1996
THIS CERTIFIES that the building A SS
Location of Property 49925 MAIN ROAD -SOUTHoLn, NNW YORK
House No. Street Hamlet
County Tax Map No. 1000 Section 70 Block 5 Lot 2
Subdivision Filed Map No. Lot No.�
conforms substantially to the Application for Building Permit heretofore
filed in this office dated MAY 12 1992 pursuant to which
Building Permit No. 20643-2 dated MAY 21 1992
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 STORAGE SHED AS APPLIED FOR.
The certificate is issued to GERARD GAUGHRAN
(owner)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A
UNDERWRITERS CERTIFICATE NO. N/A
PLUMBERS CERTIFICATION DATED N/A
Building Inapeoto
Rev. 1/81
McCAMMY MANAGEMEM . MEEMMIMMEMIM
46520 COUNTY ROAD 48
SOUTHOLD, NY 11971
oaTE,
Jo 1�6
(631) 765-5815 FAX (631) 765-5816
a rre�rvri�.
" . . �� rf" ... .. . ...
illdV1, _ �.�.P m... �.. .. .. _ �. ...... .....�e
WE ARE SENDING YOU ❑ Attached ❑ Under separate cover via ..._...the following items:
5
❑ Shop drawings ❑ Prints ❑ Plans L1 Samples ❑ Specifications
❑ Copy of letter ❑ Change order ❑ ......�._ ..... _ _..,...... .. ®_.... . ... .... .. .
__....... _. ..._ _.__w. _.... ..... ......... _ __. . .
_.. .ww.__ ... _W...__.. _.._.. _ww.w... _....._ �.
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............
................. .. ........... ......
. ......... _..........
..........
THESE ARE TRANSMITTED as checked below:
❑ For approval ❑ Approved as submitted ❑ Resubmit copies for approval
❑ For your use ❑ Approved as noted C7 Submit copies for distribution
❑ As requested ❑ Returned for corrections ❑ Return _....—corrected prints
5
LJ For review and comment _.....m.,... __„__ .... ..... m ... . ...—....... ... ....__"_ . ....... .. ............ _._......._'_ .....
❑ FOR SIDS DUE .... .......... L I PRINTS RETURNED AFTER LOAN-ro US
....._._a... _ ... ... __........ ....... .... .... ... _ .............w._..�._.....
REMARKS
. ... ... ........ ....... .. . ............. �_a...... .. _.........
COPYTO ... .. ......... .... ...... .............. ......
SIGNED: _..
If enclosures are not as nested, kindly notify us at once.
Town of Southold
53095 Main Road
Southold NY 11971
631-765-1939 Investigation and Enforcement Unit
Rental Affidavit
On /J5 I spoke to 94ee-Ge . �$t-o �'V�1 _ who is a member of the
Southold Town Investigation and Enforcement Unit. He asked if I was renting the house located at
AVA
w..............._..w.w.w__...—._._.__._............... ...............
I told the investigator that I rented the house from_w / �- --- �� �' t1
_w_........._ __.
1 paid for a total of-60 days/nights, and that the owner does/does not_ live on the premises.
Namea 4 r �J telephone#
Address _ 6 G C)-E- .WAJ P11 _........
City
Signature
False statements made herein are punishable as a Class A misdemeanor pursuant to section 210.45 of the
Penal Law of New York State.
RA rev 8/21
Wim(
STATE OF NEW YORK:COUNTY OF SUFFOLK
LOCAL CRIMINAL COURT:TOWN OF SOUTHOLD
THE PEOPLE OF THE STATE OF NEW YORK NOTICE AND DEMAND
DOCKET NUM:
against
NOTICE PURSANTTO
C.P.L.710.30
Defendant(s) DEMAND PURSANT TO
C.P.L.250.20
SIR/MADAM:
PLEASE TAKE NOTICE that the people intend to offer at a trial of the above entitled action statement(s)
by and/or identification(s) of the Defendant contained in or attached to the accusatory instrument,or
otherwise specified:
Evidence of oral statement(s) made by the Defendant to public servant(s).The sum and substance of the
statement(s)is set forth as follo s and/or is contained within the accusatory instrument:That on the
day ofd� Sff at ,Town of Southold,County of Suffolk,State of New York,the
Defendant stated:
lJls a-/Z=-z 00 T741p— F� Sr r-�-00(e, (,4 LVA Aoj � ,NK ZIvV
TR�E, 64.eACbE Zu-r 77JkrF /-5 quo
Sworn to before me this ,, . . .....
2S day of AAD a k Co OWL
NOTARY
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