HomeMy WebLinkAbout1000-74.-1-23 p � g$
TOWN OF SOUTHOLD
fflv 40 2_1 Rental Permit
Z 0838
Owner Andrew & Vera Anselmo
Occupied as Two Family Dwelling (Unit A)
Located at 31605 CR 48 Peconic 74.-1-23
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.
c
3/22/2023
ode ref ce en Official
This Notice must be posted by the main entrance at all times
TOWN OF SOUTHOLD
R Olt Rental Permit
�3 0839
Owner Andrew & Vera Anselmo
Occupied as Two Family Dwelling (Unit B-Studio)
Located at 31605 CR 48 Peconic 74-1-23
Maximum Permitted Occupancy 2
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.
3/22/2023
Code Enforcement Official
This Notice must be posted by the main entrance at all times
Town Hall Annexe Telephone(631)765-1802
54375 Main Road Fax(631)765-9502
P.O.Box 1179
Southold,NY 11971-0959
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
RENTAL PERMIT APPLICATION
Rental Permit Fee$200(Application must be renewed every t o a5.
410
� 6
Section A. .�i �
Property Information:
Rental Property Address:
3110 ,-gunly Road 48 Eggonic NY
Tax Map Number: 1000 SECTION -BLOCK 1 -LOT 23 -
SECTION B.
OWNER INFORMATION:
Property Owner Name:
. AndEew and Vera Anselmn
Property Owner Legal Address: Property Owner Mailing Address:
31605 County Road 48 Peconic NY 11958 31605 County Road 48 Peconic NY 11958
Telephone Number(s): Daytime 631-902-6972 Evening 631emergency 631-902-5 "
Property Owner Email Address: andrewanse
(�r1
Page 1 of S
Town Hall Annex Telephone(631)765-1802
54375 Main Road Fax(631)765-9502
P.O.Box 1179
Southold,NY 1 1971-0959
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 propert : one
For each Rental Dwelling Unit set forth the R rjtljelling 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: 31605 County Road 48 Peconic NY 11958
Requested Maximum number of persons allowed to occupy Dwelling Unf,414
Number of rooms in Rental Dwelling Unit: 12 ,
Use and Dimensions of each room in Rental Dwelling Unit: kitchen 14.4x17.4 livin room 17.5x17.4,
I r � 14.8x13.2,
bedroom#4 12.4x9.4 bedroom#5 8x10.11 bedroom#6 12.4x9.3 bath 3.9x6.10 bathroom 10.3x5
Page 3 of 5
�nn,
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
IX I 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 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
;f .
Town Hall AnnexTelephone(631)765-1802
54375 Main Road mit Fax(631)765-9502
P.O.Box 1179
Southold,NY 11971-0959 o e,
r-
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.
Property Owner's Name: 4tV &c' tj 12 S L L/h V�� rJs��(-M D
Property Owner's Signature: f
Sworn to before me this jeday of 20 23
Official Notary Pub ' Signature and Original Notary Stamp
EMILY TOTH,NOTARY PUBLIC
,„ E OF NEW YORK..COUNTY OF SUFFOLK
REGISTRATION Ike.01TO6357154
EXPIRES 04!10/205
Page 5 of 5
ftf SO 5000"
TOWN OF SOUTHOLD BUILDING DI
631 -765-1802
INSPEC ION
[ ] FOUNDATION 1ST [ ] ROUGH PL13G.
[ ] FOUNDATION 2ND [ ] INSULATION/CAt
I 3 FRAMING / STRAPPING [ ] FINAL
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY IN;
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PE
[ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FII
[ ] CODE VIOLATION [ ] PRE C/O [ ] I
REMARKS: 4136, -trow
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INSPECTORDATE '7 (W2,�
TOWN OF SO►UTHOLD BUILDING DEPT.
765-1802
T.
INSPECTION
[ ] FOUNDATION 1 ST [ ]"` ROUGH PLBG.
[ ]. FOUNDATION 2NDj ] SULATIOWCAULKING
[ ] FRAMING / STRAPPING [ FINAL Sbt.,�
j ] FIREPLACE & CHIMNEY [ ]'- FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL-(FINAL)
[ ] COD E 'VIOLATION [ ] PRE C/O
REMARKS: _UA�
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T� 3 3v 114-02- Z- INSPECTOR O
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Twin Wall Annex Telephone(631)765-1802
54375 Main Road � � Fax(63 1)765-9502
P.0,Box 1173
Southold.,.NY 11971-0359
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
RENTAL PROPERTY CERTIFICATION
Porta is to be completed by a 11cense architect,l eensed engineer or licensed house inspector
,Separate,form is required for each individuol mental Dwelling Unit
esll 11 mll!:111 io i leaf e i ecl rchtect crr1 irr,eer l eased Norte iras ector mfr �rviria
copy oLnid'currerrgrtt co�op
Rental Property SCTM Number: - i a JJ
Rental Property Address:
Owner/Name: A-
Rental Dwelling Unit Identifier:
Number&Square footage of each bedroom as,depieted in the attached floor plan:
(i.e. Bedroom#1 -100 sq.,Bedroom#2.90 sq.,et+c.) q
c c 2
V; mar tet , 77 s, '
0 7 156 'oo rE(?: 14,o.9,
Property Description (include all improvements indicated on survey)
dPoo two
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. mx
Print Name and Ti Origina i ture
Please plane profs
TOWN OF SOUTHOLD PROPERTY RECON g - --
OWNER - STREET �� ` �a "� , VILLAGE DIST,* SUB. LOT
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FORMER OWNER N � �-E �ACR
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RES. ? S S. VL. FARM COMM. CB. MISC. Mkt, Value
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LA ` !MP TOTAL DATE REMARKS
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Extension j' J' 'a I Is Interior Finish LR.
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Extension -Fire Place Heat DR.
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Parch 4� Recreation Room Rooms 2nd FIoci; FIN. B
Porch Qrl f �✓ ,.Dprmer
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FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
UPDATED
PRE EXISTING
CERTIFICATE OF OCCUPANCY
No Z-26957 Date FEBRUARY 29 2000
THIS CERTIFIES that the building TWO FAMILY DWELLING
Location of Property 31605 COUNTY RD. #48 PBOONIC N.Y.
House No. Street Hamlet
County Tax Map No. 1000 Section 74 Block 1 Lot 23
Subdivision Filed Map No. Lot No.�
conforms substantially to the Requirements for a Two Family Dwelling built
Prior to: APRIL 9 1957 pursuant to which CERTIFICATE OF
OCCUPANCY NUMBER Z-26957 dated FEBRUARY 29 2000
was issued, and conforms to 9$,11 hof the requirements of the applicable
Provisions of the law. T occup ncy for which this certificate is
issued is NON- 1 TWO LY DWRMLING WITH ACCESSORY GARAGE
AND NON- I SSORY BARN
The certificate is issued° o" SAUL & JANET MILLMAN
(owners)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A
UNDERWRITERS CERTIFICATE NO. N/A
PLUMBERS CERTIFICATION DATED N/A
*TME ACCESSORY BARN (COTTAGE) HAS NOT BEEN USED FOR HABITATION
FOR 10 YEARS.
THIS UPDATES PRECOZ-4949 DATED DEC. 18,/)L972.
B 1 ng Inspector
Rev. 1/81
FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Town Clerk's Office
Southold, N. Y.
Certificate Of Occupancy
No. . , (correction & replace zb &") . . . . . , . . w . . . . . . . . 19.72.
THIS CERTIFIES that the building located at X/6 Xddlo• • (CM) Street
Map No. . AX _, . , . . . Block No. . XX. . . , . .Lot No. . .XX . . Q 0• X.Y... . . . . . . . „ . . .
re ui to for txo d 11 code
conforms substantially to the
ORM am XFAJI
"before �� ,ie tc1�t ",
April 3 19. .x!' pursuant to which VNo. .3
dated . . . . . . .Dog. . . . . 18 . . . . .. 19.72., 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 . . .1� eW.0 g.tVQ .(2). . ` ily. .dvelling. d .,100assor : .rental.unit
The certificate is issued to . 944. 4 . : rS .(*U340• . • • •WNW#• • . • • . . . • .
(owner, lessee or tenant)
of the aforesaid building.
Suffolk County Department of Health Approval . AXiAting. . . . . . . . . I . . . . . . .
UNDERWRITERS CERTIFICATE No. . . .pft- .03tiSting.
HOUSE NUMBER31605 . . . . . .Street. . iddl* . ACR27)7) . . . . . . . . . . . . . . . . . . . . . . . . .
ZZ0eptions to housing codes
I* 11lin units must be entirely separated
Art , "o "t
2e 11rst floor no fight svitch at point of Building Inspector
entry %
a# Kitchen - no shutoff at gas ranee o
Bathroom no means of mec is ventilation geo21 4
;fie Cellars openings in foundation 8e*302a
\6e Aseossory unitt no heat, sumser occupancy only gee 513s,
"
bodroonj J=7 rigged electric wires►, 0*052 a
Xitchens no shutoff at gas store 52
HOUSING CODE INSPECTION
December 18, 1972
31605 North Road
Peconic, New York
Main house with accessory building apartment
Tax Roll: Edith Giella
Occupied, Carl and Marguerite Cataldo
Upon request of the Southold Town Building Department, I
made inspection of this two story, .framed dwelling with three
room apartment and found the following violations of Local
Law #1, Housing Code of the Town of Southold.
FIRST FLOOR - Main House, west side
Kitchen: Two entrys, no light switch at either one for
controlling light in room - Section 529b.
Dining room, living room, no violations.
SECOND FLOOR - Six bedrooms and one bath, no violations.
FIRST FLOOR APARTMENT - east side of building
Kitchen: No smut off valve at gas range - Section 508b.
Bathroom: Inside, no mechanical means of ventilation Section 215d.
Cellar: Opening in foundation, west wall - Section 302a.
ACCESSORY BUILDING APARTMENT - two story, unoccupied
No heating system, summer occupancy only - Section 513a.
First Floor
Bedroom - lamp cord outlet from light socket - Section 528a.
Second Floor
Kitchen - No shut off valve at gas range - Section 508b.
This building has a lean to storage section and has no
cellar.
Inspection completed approximately 10:40 a.m.
Resp ctfull Zitted,
dward Hindermann
EH:tle Building Inspector
awa Fat Town of Southold Annex 1/3/2012
54375 Main Road
Southold,New York 11971
.......... ............-..... .... .
CERTIFICATE OF OCCUPANCY
No: 35375 Date: 1/3/2012
THIS CERTIFIES that the building ADDITION/ALTERATION
Location of Property: 31605 CR 48 PECONIC,
SCTM#: 473889 Sec/Block/Lot: 74.-1-23
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this officed dated
1/7/2010 pursuant to which Building Permit No. 35319 dated 1/26/2010
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:
I IRC"�Alllll�1'111
Ly W
6`'
1 C nw-0 PORCH
�
T
T
The certificate is issued to Anselmo,Andrew&Anselmo,Vera
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 35319 12/28/11
PLUMBERS CERTIFICATION DATED 12/16/11 arra lumbi &Heating
................ . .......
t riz Sign urc
1 QCT'
Town of Southold 6/16/2022
P.O.Box 1179
53095 Main Rd
Southold,New York 11971
CERTIFICATE OF OCCUPANCY
No: 43163 Date: 6/16/2022
THIS CERTIFIES that the building SOLAR PANEL
Location of Property: 31605 CR 48,Peconic
SCTM#: 473889 Sec/Block/Lot: 74.-1-23
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
12/6/2021 pursuant to which Building Permit No. 47296 dated 1/6/2022
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:
roof mounted solar anel r eistin fni.lvwell�n amsaplcrp
The certificate is issued to Anselmo,Andrew&Vera
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 47296 5/5/2022
PLUMBERS CERTIFICATION DATED
. .. . .........
w ..
it ori, tgture .............. ..._ ...
rt _.
G If
FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No: Z-33798 Date: „06/25/09
THIS CERTIFIES that the building ACCESSORY
Location of Property: _,.........w31605 CR 48 w ww PECONIC
(HOUSE NO. ) (STREET) (HAMLET)
Lot 23
County Tax Map No_ 473889.......... Section 74 Block 1 mmmm
Subdivision Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated MAY 1, 2009 pursuant to which
Building Permit No_ 34646-Z dated MAY_. 1..,........2009
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 RELOCATE AND ALTER EXISTING ACCESSORY BUILDING TO NONHABITABLE POOL
HOUSE WITH SECOND FLOOR DECK AS APPLIED FOR.
The certificate is issued to ANDREW & VERA ANSELMO
(OWNER) _,.,.....
of the aforesaid building.
SUFFOLK COUNTY DEPARTM3NT OF HEALTH APPROVAL R10-06-0048 06/16/09
ELECTRICAL CERTIFICATE NO. 4018108 11/21/07
PL" FS CERTIFICATION DATED 12/02/06 CHARLES AZZARA
7thcrized Sig -
nature
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-26956 Date: 02/29/00
THIS CERTIFIES that the building ACCESSORY
Location of Property: 31605 CR 48 PECONIC
(HOUSE NO. ) (STREET) (HAMLET)
County Tax Map No. 473889 Section 74 Block 1 Lot 23
Subdivision Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated FEBRUARY 4 2000 pursuant to which
Building Permit No. 26348-Z-Z dated FEBRUARY 14 2000
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 CARPORT ADDITION TO EXISTING ACCESSORY GARAGE AS APPLIED FOR
"AS BUILT"
The certificate is issued to SAUL & JANET MILLMAN
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A
ELECTRICAL CERTIFICATE NO. N/A
PLUMBERS CERTIFICATION DATED N/A
Wu oriz d Signature
Rev. 2/81
FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No: Z-33983 Date: 09/30/09
THIS CERTIFIES that the building SWIMMING POOL .
�...E...................
Location of Property-' (HOUSI05 CR 4$ PECONIC
NO (STREET) (HAMLET)
County Tax Map No_ 473889 Section 74 Block 1 Lot 23
Subdivision Filed Map No_ Lot No_
conforms substantially to the Application for Building Permit heretofore
filed in this office dated APRIL 17,, 2009 pursuant to which
Building Permit No- „4643-Z dated APRIL 30, 2„009
was issued, and conforms to all of the requirements of the applicable
provisions of the law. The occupancy for which this certificate is issued
• AS APPLIED FOR.
is ACCESSORY IN GROUND SWIMMING POOL WITH FENCE TO CODE
The certificate is issued to ANDREW & VERA ANSELMO
m.
(OWNER)
of the aforesaid building.
SUFFOLK COU= DEPAR17OMT OF HEALTH APPROVAL
ELECTRICAL, CERTIFICATE NO. 12921„7„C 08/21/09
PLUMBERS CERTIFICATION DATED N/A
... ......., ..w_ ........
ori t Si, ure
Rev. 1/81
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