HomeMy WebLinkAbout1000-117.-9-29 #: TOWN OF SOUTHOLD
Rental Permit
0799
Owner Joseph Vangi
Occupied as Single Family Dwelling
Located at 17180 Main Street New Suffolk 117.-9-29
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.
1/10/2023
Co e E or a Official
This Notice must be posted by the main entrance at all times
Town Hall Annex "" ° Telephone(631)765-1802
54375 Main Road Fax(631)765-9502
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P.O.Box 1179
Southold,NY 11971-0959
ON
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
RENTAL PERMIT APPLICATION
Rental Permit Fee $200 (Application must be renewed every two years)
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Section A. I6) W�9°)
Property Information: BUILDING DEPT
TOWN OF SOUTHOLD
Rental Property Address: 17180 MAIN STREET, NEW SUFFOLK, NY
Tax Map Number: 1000 SECTION 117 -BLOCK 9 -LOT 29 -
SECTION B.
OWNER INFORMATION:
Property Owner Name: JOSEPH VANGI
Property Owner Legal Address: Property Owner Mailing Address:
17180MAIN STREET, NEW SUFFOLK, NY PO BOX 225, NEW SUFFOLK 11956
Telephone Number (s): Daytime 917-776-40700Evening Emergency
Property Owner Email Address: JVANGI@AOL.COM
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Page 1 of 5
w Telephone(631)765-1802
Town Hall Annex
54375 Main Road ��r �i Fax (631)765-9502
P.O. Box 1 179
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Southold,NY 11971-0959
N Y
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: 1
For each Rental Dwelling Unit set forth the Rental Dwelling Unit identifier(for example,
Unit 1, Unit 2, Unit 3 or Apt A, B, Q 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: 17180 MAIN STREET, NEW SUFFC, 4
, Y
Requested Maximum number of persons allowed to occupy Dwelling Unit:
Number of rooms in Rental Dwelling Unit: 6
Use and Dimensions of each room in Rental Dwelling Unit: Living Room-21'X 14' = 294 sq. ft.
BEDROOM 1 -156" x 13'4" = 206 sq ft
BEDROOM 2 - 14' x 11' = 154 sq. ft.
DEN- 18'6" x 16' = 296 s . ft
DINNING ROOM 14' x 19' = 266 sq. ft
KITCHEN - 8' x 13' = 104 sq.ft. Page 3 of 5
Town Hall Annex Telephone(631)765-1802
° Fax(631)765-9502
54375 Main Road
P.O.Box 1 179zl
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Southold,NY 11971-0959 l?
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BUILDING DEPARTMENT
TOWN OF SOUTHOLD
SECTION G.
INSPECTION:
Pursuant to the Town Code of the Town of Southoid 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 Stats 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.
X 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)
JOSEPH VANGI
i , 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 �
«`a Telephone(631)765-1802
54375 Main Road � � Fax(631)765-9502
P.O.Box 1179 "
Southold,NY 11971-0959 " !
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4
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 Agent, Managing Agent, or Site Manager.
JOSEPH VANGI
Property Owner's Name:
Property Owner's Signature: '
Sworn to before me this 9 day of. te= 20( �
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Official Notary Public Signature and Original Notary Stamp
Page 5 of 5
TO= OF SOUTHOLD BUILDING DEPT.
631-7651802
Ini5pECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INSULATION/CAULKING
[ ] FRAMING /STRAPPING [ ] FINAL
[ ] FIREPLACE & CHIMNEY [ ) IRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (EI AL)
[ ] CODE VIOLATION [ ] PR C/O [ RENTAL
REMARKS:
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ATE - INSPECTOR
TOWN OF SOUTHOLD PROPERI ID
OWNER T STREET VILLAGE DISTRICT 3 SUB. LOT
FOREf OWNS N E ACREAGE -
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LAND IMP. TOTAL ' DATE REMARKS
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AGE BUILDING CONDITION
NEW NORMAL BELOW I ABOVE FRONTAGE ON WATER
Farm i Acre Value Per Acre Value FRONTAGE ON ROADJ`,
Tillable 1 1 BULKHEAD
Tillable 2 DOCK
Tillable 3 I "
Woodland
Swampland 5'
Brushland
House Plot
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Extension Basement= Floors
Extension Ext. Walls Interior Finish
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Porch Roof Type
Porch- Rooms 1st Floor
Breezeway Patio Rooms 2nd Floor
Garage - Driveway Do-mer
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Town of Southold 1/10/2023
53095 Main Rd
Southold,New York 11971
A
.......... ..........
PRE EXISTING
CERTIFICATE OF OCCUPANCY
No: 43739 Date: 1/5/2023
THIS CERTIFIES that the structure(s)located at: 17180 Main St,New Suffolk
...................... ............
SCTM#: 473889 Sec/Block/Lot: 117.-9-29
Subdivision: Filed Map No. Lot No.
conforms substantially to the requirements for a built prior to
APRIL 9, 1957 pursuant to which CERTIFICATE OF OCCUPANCY NUMBER Z- ..............-43739.--1—
dated 1/5/2023 was issued and conforms to all the requriements of the applicable provisions of the law.
The occupancy for which this certificate is issued is:
wood. ram t—sirnghfipnily—dwelliggWilh unfinishe(lha!iqment fiCj(L[oom$ one bedroojqend jjajLLathroonij
and ��s _d
499 4pry wood f a Ap sink.*
The certificate is issued to Vangi,Joseph
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
*PLEASE SEE ATTACHED INSPECTION REPORT.
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BUILDING DEPARTMENT
TOWN OF SOUTHOLD
HOUSING CODE INSPECTION'REPORT
LOCATION: 17180 Main St,New Suffolk
SUFF.CO. X MAP NO.: 117.-9-29 SUBDIVISION:
NAME OF OWNER(S): Vanga,Joseph
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OCCUPANCY:
ADMITTED BY:
SOURCE OF REQ
...._ ....�_.._Vangi,Joseph..............._:,_. ,...��µ ........................�_... .. .... ...._ ...........ww. ...._.. .. www_.. .......DATE:.. 1/5/2023
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UEST:
DWELLING:
#STORIES: 1 #EXITS: 2
FOUNDATION: cement block CELLAR: full CRAWL SPACE:
__,w__...._ �__........._...._.__. ._.._.
BATHROOM(S): 1 TOILET ROOM(S): 1 UTILITY ROOM(S): WM
.
_.....�...............
.._........_.
PORCH TYPE: DECK TYPE: PATIO TYPE:
BREEZEWAY: FIREPLACE: GARAGE:
DOMESTIC HOTWATER: yes TYPE HEATER: electric AIR CONDITIONING:
TYPE HEAT: oil - WARM AIR: HOT WATER: x
#BEDROOMS......._._........._ m3m_��.___..� #KTTCHENS,....wwwwww�...__._�.w.�.... ........,.�...w_........_.........._..w.� _�....
• BASEMENT TYPE: unfinished
.........._._._._... ......
OTHER:
ACCESSORY STRUCTURES:
GARAGE,TYPE OF CONST: wood frame 2 car STORAGE,TYPE OF CONST:
SWIMMING POOL: GUEST,TYPE OF CONST:
_ ._........... .____
OTHER: ._.
VIOLATIONS:
REMARKS:
_.ww.......� .....w.......... ___ _ ._._.. ._. ...._... ... .... ....w.. ...._ ...._. .... ...., .___......__------------_.... _ _._....._
INSPECTED BY: JOHNJ DATE OF INSPECTION: 7/1/2022
TIME START: 11:50am END: 12:15pm
---_........
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�5f1 t�t � Town of Southold 12/7/2021
P.O.Box 1179
53095 Main Rd
Southold,New York 11971
CERTIFICATE OF OCCUPANCY
No: 42585 Date: 12/7/2021
THIS CERTIFIES that the building ALTERATION
Location of Property: 17180 Main St.,New Suffolk
SCTM#: 473889 See/Block/Lot: 117.-9-29
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
3/12/2021 pursuant to which Building Permit No. 46031 dated 4/5/2021
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:
clterior alterations includin laatl r m to existiz sin le-fa r ily dwelling as aDlcd for.
The certificate is issued to Vangi,Joseph
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 46031 9/30/2021
PLUMBERS CERTIFICATION DATED 12/3/2021 1 e Vangi
tla z d inuture
114 " Town of Southold 4/4/2023
P.O.Box 1179
53095 Main Rd
Southold,New York 11971
00
CERTIFICATE OF OCCUPANCY
No: 43982 Date: 4/4/2023
THIS CERTIFIES that the building GENERATOR
Location of Property: 17180 Main St,New Suffolk
SCTM#: 473889 Sec/Block/Lot: 117.-9-29
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
_ ............ .1 20
11/3/2022 pursuant to which Building Permit No. 48681 dated 1 3 23
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:
"gsbuilt"ac.�ces or enerator as applied for.
The certificate is issued to Vangi,Joseph
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 48681 3/15/2023
PLUMBERS CERTIFICATION DATED
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