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Home My WebLink About1000-50.-6-1 n <X ROO, TOWN OF SOUTHOLD tk Rental Permit 1009 E. Owner Gregory Vassilakos & Kristen Musial Occupied as Single Family Dwelling Located at 14370 Soundview Ave Southold 50.-6-1 Maximum Permitted Occupancy 10 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. 10/24/2023 �£ Code EPforcent Official This Notice must be posted by the main entrance at all times W A L Town Hall Annex Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 11 79 Southold,NY 11971-0959 5 E P 5 2023 BUILDING DEPARTMENT TOWN OF SOUTHOLD RENTAL PERMIT APPLICATION Rental Permit Fee$200(Application must be renewed every two years) Section A. Property Information: Rental Property Address: j I q-71 -q3-10 500ndvi \1 e--n—u e- So o4)p I d. Tax Map Number: 1000 SECTION -BLOCK- to SECTION B. OWNER INFORMATION: Property Owner Name: r 5 +f nn AUSIQ � Property Owner Legal Address: Property Owner Mailing Address: 1260 bec61 15� s+ (89 30-V 31a_1±2e_C+ Cl I Telephone Number(s): Daytime dcl 9 4-15 5 Evening, Emergency_!j5�RJB _8 Property Owner Email Address: r +e". M VS 2_LZ � Vyi�al- �CQ Page 1 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 Mailing Address of Managing Agent: ..�__..,__..... :...... ..._.._.._-_-.-��,�..�!..!�L.__..........._... �I Telephone Number(s): Dayt1me1Q-2jq-nS3 Evening` .P-2"(j-'41S3Emergency�, Email Address: _...., .w............M .�.�w..www__.....�.�.�.�.��.�.......�.... �•.�M..... �- .��, ....._.. .�..ww'``._.... ....._w_._�..�.._�_....,., SECTION F. PROPERTY DESCRIPTION: Number of Rental Dwelling Units on property: w Y) _ - w_ _.................._....w.�_ 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: _w ww _........_,,,w_w... ..... Requested Maximum number of persons allowed to occupy Dwelling Unit: ., Number of rooms in Rental Dwelling Unit: 0 __.............M.m_.._._.......µ-_....__.._ ....._. b•bx Use and Dimensions of each room in Rental Dwelling Unit: i .�,X a�h�LuundrY - j 01 �yPWM foy m a I .i l oo 1 - ! lir wn m.. . ti - �P x r� .... ?. .. _04fi - 8 x►z 3fdroovo S 12 x 13 peo01 12 x lo. rDeii a ct+� wtoo1 x os l �dr�o .w�pw..6_�� .. ..,. ��,rco"8 x S.4 "-"` `` �►t�t"rsashed edroo io•4 x iZ roovh 3 i3•lUx !Z � r� _ z x Jr . 2n F o.{.. �.t _ jaseneV1 B ►� 2 . ..-._ . �� w 3 S.8- 3o '(hind Livivi9 Room - $CL0AYvdm 4 - 5x 8 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 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. ❑ 1 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 ' 4 t.vM U 5,+A 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 TO 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:_. w�..ri 5- h . U S f.Q I ---L")....... . ..... _. Property Owner's Signature: ...µ Sworn to before me this day of ..IT..._.. +� , 20.23 lcial Notary P .. ait re:�m _ and Original Notary Stamp ,a rrksx„p 17awndokmorn r raraaxNotary Prahlic,State ofNew'York NoOIJ06349053 ,rra ri#reaed in uttolkl i”"aaaa� ty epn,rm Comabaission Expirc t01�1.112lb Page 5 of 5 soTOWN OF SOUTHOLD BUILDING D1 831 -765-1802 � 0- 4 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION/CAt [ ] FRAMING / STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY IN! [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PE [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FII [ ] CODE VIOLATION [ ] PRE C/O [ REMARKS: DATElDrINSPECTOR OSCE FAMIL-4 Ole Vol CO ` ra la#y. law UAW VL*ftL SOU140w 14 y Ke-Y: snok amt BREI ter--- Q 3214 SR L,Nsti6 ROOM � D v Yl'a Ore Q c� Q 11 oP Did Kir07 � tN4 � BR 3 — t3rxl31b' II.S3F 0►at3tlA6" IZ6 sus Mftm Lucwtow Uff" Lmwwo F'iftK, FLOL - Rsv id-8-zaz3 1 ��D So -1pVt�W A*j&e. Mw'7" F X 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 SOUMOLD 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 Professional seal re uired or A chltect or L`n i eer licensed Home love must rovide cogy of valid current cerci cation Rental Property SCTM Number: Rental Property Address: : 1& owner/Name: Rental Dwelling Unit Identifier: Number&Square footage of each bedroom as depicted In the attached floor plan: (i.e. 8edr9am#1-100 sq.,Bedroom#2-90 sq, etc.) dr- .90 Fr Propert Des ription (in ude all im ovements indicated on s rvey) 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. �a M •�� P E:, Print Name and Title Original Signature Please place professional seal: , A 0 59 q.- --2 L3 TOWN OF SOUTHOLDPROPERTY REC R - OWNERSTREET :' VILLAGE DIST. ' SUB. LOT a s e. r = t FORMER, OWNER N a E ACR. i}} � 4 S - W TYPE OF BUILDING RES SEAS. VL. FARM COMM. CB. MICS. Mkt. Value LAND IMP. TOTAL DATE REMARKS p , (L � CL i - - _ `moi 41 - € � Tillable FRONTAGE ON WATER Woodland FRONTAGE ON ROAD Meadowland DEPTH House Plot BULKHEAD Tota COLOR TRIM - - . _ - - -- t -- �F N � - - i M Bldg Extension s ; Extension Extension _ Both Dinette - Woundation I IFto ors - K. Basement Porch _ Ext. Walls Interior FinishLR. _ _ Porch 17 a fire i �' p ruff _ re Place Heat . -c-� Type Roof R s 1st Floor II _ - - Garage BR Rooms 2nd Floor FIN (pht?ff�S Patio Recreation Room - �_ tn) on 'Driveway Dormer O. B. sz Total v FORM NO. S TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Clerk's Office Southold, N Y. Certificate Of Occupancy 28 Cr-7 7Y No .. . . .. Date . . . . . . . . . . . . . . . . . . . . . . . . . . .1 19. . . /`1370 SOUND VIEW AVE THIS CERTIFIES that the building located at . . . . . . . . . . . . . . . . . . . . . . . Street 5675 3* Map No. . . . . . . . . . . . „ Block No. . . . . . . . . . .Lot No. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . conforms substantially to the Application for Building Permit heretofore filed in this office dated . . . . . . . . . . . , 19pursuant to which Building Permit No. . . . . . . . . dated . . . . . ... . . . . . . . . . . . . . ., 19. ..., was issued, and conforms to all of the require- ments of the applicable provisions of the law. The occupancy for which this certificate is /a D,Vt- FA1*4 // ; bol ELL. inr issuedis . . . . . . . . . . . . . . . . . . . . . . . . . . . . I . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ' .. ir'll A h-) lv)e I C' R o we '" The certificate is issued to . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (owner, l` ig Fr- i of the aforesaid building. Suffolk County Department of Health Approval ! . . . . . . .l. . . . . , . . . . . / !� 1'4' UNDERWRITERS CERTIFICATE No. . . . . . . . . . .. . . „ . . . . . . . . . . P/j 370 SOVAID V-1 Ek/ AVC HOUSE NUMBER . . . . . . . . . . . . . . Street . . . . . . . . . . . . . . . . . . . . . , . . . . . . . . . . . . Building Inspector FORM NM 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Clerk's Office Southold, N. Y. Certificate Of Occupancy Nob ,28f109 . . . . . Date . . . . . . . . , . Nav. . 1.6. . . . . . . .. 19-77. THIS CERTIFIES that the building located at . .SoundV1Six .AVA . . . . . . . . . . Street Map No. . :cx. . . . . . . . Block No. xx . . . . Lot No. Sot;thgld . ,N.Y., , . , . . . conforms substantially to the Application for Building Permit heretofore filed in this office dated mor. 18, 19. 7,7 pursuant to which Building Permit No. .9.1.8.97.,. dated .April. . 1.8. , 19 7.7 ., was issued, and conforms to all of the require- ments of the applicable provisions of the law. The occupancy for which this certificate is issued is . Private swimsf.ng .pool.with Xenc,a &.accessQrgs. . . . . . . . . . . . . . . . . The certificate is issued to . - Richard Me-1-e hone Owner. . . • . . . • • . . . (owner, lessee or tenant) of the aforesaid building. Suffolk County Department of Health Approval 11.4R. . . . . . . . . . . UNDERWRITERS CERTIFICATE No. . .X362"722 . . . . . .49'y. - Rs. 1.977. . , . . .. . . . . . . . .. HOUSE NUMBER . . . .13.3.70 Street . 60und. •Vietr -Ava' ° ° . -Sbtitlibl'd " ` . ` . . . . " Building Inspect r FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-25243 Date SEPTEMBER 5, 1,997 THIS CERTIFIES that the building ADDITION Location of Property 14370 SOUNDVIEW AVENUE SOUTHOLD, N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 50 Block 6 Lot 1 Subdivision Filed Map No. Lot No.— conforms substantially to the Application for Building Permit heretofore filed in this office dated OCTOBER 24, 1996 `pursuant to which Building Permit No. 23607-Z dated—NOVEMBER 15, 1996 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 FAMILY DWELLING AS APPLIED FOR "AS BUILT" The certificate is issued to RICHARD & CONCETTA MELCHIONS - (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N-403789 - NOVEMBER 21 1996 PLUMBERS CERTIFICATION DATED OCTOBER 25, 1996 - RICHARD LCBIO uiM ing Inspeotor Rev. 1/81