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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. Jr 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 r Town Hall Annex ', Telephone(631)765-1802 54375 Main Road a P Fax(631)765-9502 P.O.Box 1179 8 r Southold,NY 1 1971-0959 d ,n �"o Wfw "b +r"� 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')-, ` , 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 r 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 rV 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, — 0* Page 5 of 5 0eS0Uiyo� �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: Y �► u c u r rJ � DATE L v INSPECTOR SCTM # 000g TOWN OF SOUTHOLD PROPERTY RECORD CARD OWNER STREET q qq -S VILLAGE DISTJ J, SUB. LOT a ACR. REMARKS TYPE OF BLD. PROP. CLASS LAND IMP. TOTAL DATE a I E E FRONTAGE ON WATER HOUSE/LOT i - - BULKHEAD TOTAL �t TOWN OF SOUTHOLD PROPERTY F/011 lL� OWN VILLAGE i DIST.' SUB. LOT S, f: 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 7' Z7 V4 _ 7 ,I 4—Z� n)c it -7, f j J r7l !2' 0 v H4 AGE BUILDING CONDITION IN 7 e-, -�'Z NEW NORMAL i BELOW ABOVE 1, —J 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 k COLOR TH.1 . E i.a— - a I c5 i, tt 2A 3 FiA @3 ¢ s M. Bldg. Extension s r Extension t i E Extension 2 l Y, 7 t\ flf 7 t1 !Foundation �� r !Bath -24 Dinette Porch _ aserr - t ' } „. Floors X t-'� � i o 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 s Total g -7 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... _....._ �. w .. .. . _ .... _...wv...... ....m._ _. � .... _ ......... o ....._. ............... ............. ........ ......w. .--_.._... ............ ................. .. ........... ...... . ......... _.......... .......... 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 J PA TJ �-7' > x--'71 . A 1 _._....__....... 1 1 �,A'o)I" v VI ........... let A) M C) Jq �'f �Mr Ek °