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Home My WebLink About1000-106.-6-37 TIGN OF SOUTHOLD �z Rental Permit - � 0822 V Owner Jordan & Laura Rogove Occupied as Single Family Dwelling Located at 1945 Bayview Ave. Mattituck 106.-6-37 Maximum Permitted Occupancy 8 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. 2/17/2023 This Notice must be posted by the main entrance at all times de Errc)mrt 7cial Town Hall Annex �r Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1179 Southold,NY 11971-0959 ¢ BUILDING DEPARTMENT JUN 2 1 2019 TOWN OF SOUTHOLD RENTAL PERMIT APPLICATION Rental Permit Fee $200 (Application must be renewed every two years) Section A. Property Information: Rental Property Address: 1445 SAYViEw Ave M*Tr►TvcK Tax Map Number: 1000 SECTION 1 6 -BLOCK 6 -LOT 37 - SECTION B. OWNER INFORMATION: Property Owner Name: J oRDAW PO&OVE Property Owner Legal Address: Property Owner Mailing Address: D/kN GOvE Telephone Number (s): Daytime 71S 97-8 193ZEvening Emergency Property Owner Email Address: r dx a s+vdi o. cOm Page 1 of 5 Town Hall Annex •: Telephone(631)765-1802 54375 Main Road � � Fax(631)765-9502 P.O.Box 1179 m J Southold,NY 11971-0959 diµ, "A�" BUILDING DEPARTMENT TOWN OF SOUTHOLD Section C. Authorized Agent Information: Name of Authorized Agent of dwelling unit, if any: $'AtVL I.DEt3 Address of Authorized Agent (no P.O. Boxes): �ZR fRaNf Mailing Address of Authorized Agent: f'" ' Telephone Number (s): Daytime- _,,,, ening_ Emergency Email Address: .GDM Section D. Managing Agent Information: Name of Authorized Agent of dwelling unit, if any: 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 Town Hall Annex Telephone(631)765-1802 54375 Main Road Fax (631)765-9502 P.O. Box 1 179 << d Southold,NY l 1971-0959 a you ti .. 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: 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: 11 S Use and Dimensions of each room in Rental Dwelling Unit: ,b" "" 1�btu t " ! '* IgZb�4 I t Page 3 of 5 Town Hall Annex ; Telephone(631)765-1802 54375 Main Road 1 Fax(631)765-9502 P.O.Box 1 179 Southold,NY 11971-0959 P � " 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. ❑ 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) I certify under penalty of perjury,the following: 1. 1 amhe ner 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 �"F Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1179 r b �" �, 4a y Southold,NY 11971-0959 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 247 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: �CRtN o{sdV� Property Owner's Signature: ,,::ai Af Sworn to before me this "day of s e- �f Official Notary Pu lic Ignature and Original Notary Stamp Gregory Crane Notary Public, State of New York County of New York License#01 CR6279951 Commission Exores June 30,2021 Page 5 of 5 # * TOWN OPvOS UTHOLD BUILDING D 765-1802 p I NSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATIOWCAl [ ] FRAMING / STRAPPING [ ] FINAL11�,y((,, [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY IN [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PE [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FI [ ] CODE VIOLATION [ ] PRE C/O REMARKS: DATE INSPECTOR Town Hall Annex Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1 179 �� Southold,NY 1 197 1-0959 BUILDING DEPARTMENT TOWN OF SOUTHOLD 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 l�ro sessional seal re aired for Architect or Eirigineer,licensed Home Inspector must ravide cogLo valid current cerci ication Rental Property SCTM Number: Rental Property Address: a Owner/Name: Rental Dwelling Unit Identifier: Number &Square footage of each bedroom as depicted in the attached floor plan: (i.e. Bedroom#1-100 sq., Bed oom#2-90 sq., etc.) amwN Z Property Description (Include all improvements indicated on survey) 1 U- lol 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 Crl *1qy eofN York State. �, Print Name and Title Ori 'a n t 03 47 " (., Please place professional seal: µ � ; Town Hall Annex Telephone(631)765-1802 54375 Main Road f` Fax(631)765-9502 P.O.Box 1179 �d Q4f :` rlhold,NY 11971-0959 ,...w �1 AP R 2 0R � . BUILDING DEPARTMENT TOWN OF SOUTHOLD 70WN OF S01,, 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 I ra essional seal re aired air architect or n ineer licensed y9me Inspector nau�st Povide coAV o valid current certi nation Rental PropertySCTM Number: to 0 Rental Property Address: I'L � Owner/Name: off. k A�JVPk 'ovfe5- Rental Dwelling Unit Identifier: 0Vsff 1 Number & Square footage of each bedroom as depicted in the attached floor plan: (i.e. Bedroom #1 -100 sq., Bedroom #2-90 sq., etc.) Property Description (Include all improvements indicated on survey) "�btec� � (��—mrrvow, �i,5 �0 k-facisF' I�o�Nr AN 6R°l � yrs .H� FrGQr7 I� �r "�4"^ T A�� Mak 6N� GN ' 6JgTF� k �e69 'i"o crJGwof3 c�Y`i (��oor� _ W4� am �� 1 . 9r a 'trig 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. ,� D .. CV 1� Print Name and Title Ori i Si . 03 42, Please place professional seal: 0 ht SCTM # TOWN OF SOUTHOLD PROPERTY RECOWNER D r STREETLi- VILLAGE SUB, LOT - 4—u- }� � � - �P B ACR, REMARKS " . IZ 1I2 - 7, 7 - _ TYPE OF BLD. e .. PROP. CLASS �� . �.d V itt) , i x-7 IMP LAND TOTAL DATE7�1 11" �. ` r ` 763 4 _ r g _ F FRONTAGE ON WATER HOUSE/LOT BULKHEAD TOTAL 4 .. — zn J i _ TOWN OF SOUTHOLD RO 'PERT RECORD OWNER ; TRET _ - - VILA SUB, LOT S FORMER OWNER — a N { _ IE C I _ �A R S - �,. I W YPE O I T F BUILDING 'SEAS - 1 "�" q VL COMM. CB, MICS. Mkt. Value u - LANG � IMP. TOTAL � DATE_. _ _ REMARKS sa - - 4, � c A vil 'k7 _ �.- L 1 Z> � o c7 _ .. _ ti,' = �` F Ife x e g �. , 4 cu - Tiffloble FRONTAGE ON WATER Woodland FRONTAGE ON ROAD Meadowtawd - - DEPTH House Plot BULKHEAD - I - Total 111 04 61 s s we i E { Al 'OLOR \ F TI t i E s t �v t = 106.-6-37i 10/2016 = - ? 'F d�},,,f 4� Y - C? 't _ f Ext tonion z -bit * tart _y Foundation 'B Porth oth s -� e Dinett 1BOSernnt te _ = Ext. Walls F loots - K - _ -� Interior Finish Fm LR. - Fire Place i Hear i - DR. I YPe Roof a 1st Floor - Roo ms r R ,_- _ = Recreation jpA L, O. B. _ * _' Rooms 2nd 100' r IN 6 F ID r ° Tgtol - Driveway 3 Q 36-91 FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-19755 DATE: FebruaKy 25 1991 THIS CERTIFIES that the building NEW DKELLING Location of Property 1945 BAYVIEW AVENUE MATTITUCK4 N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 106 Block—.6 Lot 37 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated DECEMBER 22 1989 :pursuant to which Building Permit No. 18742-Z dated JANUARY 19 19908 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 ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to PHILIP SALICE {owner} of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL 89-SO-5I-JAN. 31 1991 UNDERWRITERS CERTIFICATE NO. N-174308 - FEBRUARY 14, 1991 , � PLUMBERS CERTIFICATION DATED OCT. 26 1990-HARDY PLUMB.&HEATING INC. / p ui ding Inspector 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-19756 DXPE:E: T`ebruar .5, 1,991. THIS CERTIFIES that the building— ADDITION Location of Property1945 BAYVIZ'W AVE. MATTITUCK N.Y_ House No. Street Hamlet County Tax Map No. 1000 Section 106 Block 6 Lot 37 Subdivision Filed Map No. Lot No. — conforms substantially to the Application for Building Permit heretofore filed in this office dated 3EPTE14BER 1.7 1.990 pursuant to which Building Permit No. 19421-Z �dated SEPTEMBER 26 1990 was issued, and conforms to all of the requirements of the applicable provisions of the law. The occupancy For which this certificate is ADDITION ONE FAMILY DWELLING. issued is DECK ON TO EXISTING , The certificate is issued to PHILIP SALICE (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH UNDERWRITERS CERTIFICATE PLUMBERS CERTIFICATION DATED w _ w ,,N � .lding Inspector —7/, Rev. 1/81 j ov- \ � � y� . s s - z"\�\ \` _ s y, \ _ka �z- y y - .y\. A ARM , I WowA V\V\AVA\o A\V \\ A- AV\��\\� V U - yy \� V��y VA\�yA—�A. A\\vv Y \\ :� �- \\ � \\\ \• z \yam �. �" \\: \ � _ _ _� \. a E.� o , -, _�-- �_ _�� \��\ �� _ ��'� �� z�� - � �� _ ��_ � � �V � � ' - � \� � ��\1�� _ - >�� ,�.` �;,,. - .. �� \�� b � �� o � ,� �\� ��\�\� L\ �` �; �� _ �s \\ \��V \Ay. �. Ag 46'-6' - ------------- UP c 33'-0' BEDROOM 3 IN ci - -------------------------------------------------- zz ----------------------------------------------------------- N MECH A U CIL ------------------------------------------------------------------------------ CL 00 04 W/D REC ROOM MECH CIL SfC U, 3'-0' 13-6' PATIO c,' § BATHROOM 3 10 UP 74, I--------------- SMOKE/CARBON ------------------- -------------------- MONOXIDE DETECTOR 4�-1 32'-0' 101-01, 1945 BAYVIEW AVE-RENTAL PERMIT APPLICATION-GROUND FLOOR Scm-E 1/1Z DXA studio 8946th Aenue WENT ROGOVE RESIDENCE 5h F'—, 1903 N— PROUE�NUMBER Y.�k.NY 10001 DAM J.-19. 00 —d—Ai T 212 874 0567 E z101-01 N, " 0" F2'-O' 2V-d BEDROOM 2 % BATHROOM 2 \ ) \ sc� \\ KITCHEN DINING DECK vi 7'- POWDER ROOM -------------------- `o & } _ _..__. ------------------------------- 00 DN 04 ---- ------------------------------------ ----- --------------------------------- ----------------------- } N, Ln LIVING �0 DECK ^ \`\ \- » \ )`\ } \ . 0, UP } m =2 2 / SMOKE/CARBON MONOXIDE DETECTOR 32'-0' 101-01 1945 BAYVIEW AVE-RENTAL PERMIT APPLICATION-FIRST FLOOR SCALE 1 g' DXA studio 894 bth Awe— CUENT ROGOVE�ESIDENCE 5�Fl— PROJECT NUMBER IM3 NY 10001 DATE J-e 19, 0 wwwAll—dio w, T 212 974 0567 46'-6" / m H 2`-O"! t 2-0- 14'-8:' 6-0" '-O f 3'-0" 2'-2" BEDROOM 1 BJH BATHROOM 1 CLOSET MASTER �? BEDROOM s`t I CL S1G co ----Da-- - - -- -- --- ------------------ -- - ---- DECK BELOW q0 OPEN TO BELOW s. SMOKE/CARBON MONOXIDE DETECTOR 4'-6" r 32'-0" 101`0" / 1945 BAYVIEW AVE- RENTAL PERMIT APPLICATION-SECOND FLOOR PR's "e DXAStUd'10 aFina nue cum 'RM SLh M F1e: f.�SifJ�: tol N wY..k.W i0 RR07€CTNItMH€R .Q,3 w..w-9 x3z,:aw.fia=. }2222as0%7 DAi€ June?9.2Gs4