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Home My WebLink About1000-87.-3-51 ------------- TOWN OF SOUTHOLD Rental Permit AIN AJ 1046 Owner Digilio PG & Matas LR Re Lv Tr Occupied as Single Family Dwelling Located at 1575 Minnehaha Blvd Southold 87.-3-51 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. 1/2/2024 Code tnfoement o Vial This Notice must be posted by the main entrance at all times Io r� 2 TOWN OF SOUTHOLD—BUILDING DEPARTMEN Iln Town Hall Annex 54375 Main Road P. O. Box 1179 Southold,'6N '�1,f971-0959 8 Telephone (631) 765-1802 Fax(631) 765-9502 htt .//w�vw.south�)I t.c w � ( ' ,�,) , , T RENTAL PERMIT APPLICATION Rental Permit Fee $300 (Application must be renewed every two years) Section A. Property Information: � �/ ' tom') -Is►o-edh/lc only Rental Property Address: JJ a t A �&V 0 S6 L) Aq7/ Tax Map Number: 1000 SECTION 7 BLOCK._.. 3 SECTION B. OWNER INFORMATION: Property Owner Name: Property Owner Legal Address: Property Owner Mailing Address: (Cannot be the same as Rental Property Address) Telephone Number (s): Daytimep4T.g0 -,?1q Evening Emergency�� Property Owner Email Address:—&5 Page 1 of 4 Section C. Authorized 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 D. Managing Agent Information: Name of Authorized Agent of dwelling unit, if any: •a. _ Address of Authorized Agent(no P.O. Boxes):_._.__ _w Mailing Address of Authorized Agent: Telephone Number(s): Daytime _. Evening_„ Emergency w 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): Mailing Address of Managing Agent: Telephone Number (s): Daytime __Evening .._. Emergency Email Address: �_ _........ _m Page 2 of 4 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: E cs ? ANY Requested Maximum number of persons allowed to occupy Dwelling Unit: 2.. Number of rooms in Rental Dwelling Unit: -q--.. Use and Dimensions of each room in Rental Dwelling Unit:,__- AL i 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 ❑ I am submitting a completed Town of Southold certification form from a licensed architect or a licensed professional engineer. Page 3 of 4 Y 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. I 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 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 s to any change to the information regarding Authorized Agent, Managing Agent, or Site Manager. Property Owner's Name: , Property Owner's Signature:. �... Sworn to before me this q�day o "'` 20s3 Official Notary Public Signature and Original Notary Stamp C NNIE D.BUNCH Notary Public,State of New York No, 01 BLJ6185050 Cuaiified in Suffolk County Page 4 of 4 Comdrision Expires April 14,2—�'J u1/2/2024 Town of Southold 01 P.O.Box 1179 53095 Main Rd t VSouthold,New York 11971 F,lfd"` CERTIFICATE OF OCCUPANCY No: 44842 024 Date: 1/2 2 THIS CERTIFIES that the building ALTERATION Location of Property: 1575 Minnehaha Blvd, Southold SCTM#: 473889 See/Block/Lot: 87.-3-51 Subdivision Filed Map No. Lot No. conforms substantial) to the Application ... y plication for Building Permit heretofore filed in this office dated P w 12/29/2023 pursuant to which Building Permit No. 50166 dated 12/29/2023 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: c W p� rten ith n.... ! lr iwy w lV rlg..a v-El d LE cc The certificate is issued to DigilioPG&Matias LR Re LvTr of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A Au1ho iz w nature FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. PRE EXISTING CERTIFICATE OF OCCUPANCY No Z-22267 Date APRIL 16 1993 THIS CERTIFIES that the buil..ding ONE FAMILY DWELLING Location of Property 1575 MINNEHAHA BLVD. ;OUTHOLD N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 87 Block 3 Lot 51 Subdivision Filed Map No. Lot No. conforms substantially to the Requirements for a One Family Dwelling built Prior to: APRIL 9 1957 pursuant to which CERTIFICATE OF OCCUPANCY NUMBER Z-22267 dated APRIL 16 1993 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; The certificate is issued to JOHN LaGUARDIA & ANO (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N A *PLEASE SEE ATTACHED INSPECTION REPORT. Bidding Inspector Rev. 1/81 BUILDING DEPARTMENT TOWN OF SOUTHOLD HOUSING CODE INSPECTION REPORT LOCATION:,_...........",","... (n�ber�61575 H sHtree[��. n '.... -_..........__,_,....................,..__..SOTITBOnuHBiciip URK �._..............�.�.�.......... .............. ality SIIBDIVISION NAP NO............... .0�._... LOT (s) �. . ....._..�...�.....�......._.................__.._.�www�_., . .... NAME OF OWNER (s) JOHN LaGUARDIA b ANO. _.. OCCUPANCY OWNER -�r-tenant .....A-1 BES _._........__m.._...,_......w..........._...w.�.�..__.........................�...�.........owe��..,� ..�....�.�...."..�.�.w.... ADMITTED BY: RATE RDHLMANNACCOMPANIED BY: SANE ........._.M...,.._................._......_. KEY AVAILABLE SUFF_ CO. TAX NAP NO. 1000-87-3-51 SOURCE OF REQUEST: CATHERINE FISH PETERSEN 6. ..�.,.... .... ..� �DATE:�._. APRIL 12, 1993.....,.., DWELLING: TYPE OF CONSTRUCTION WOOD FRAISE # STORIES - N # E%ITS__ 2 CEMENT BLOCK .... CELLAR PARTIAL CRAWL SPACEPARTI CEMENT FOIINDATION........._......� ......................_ ...v,.......„._.,�. _ ....._.wu......._......�.._ _.,__..............-.. ..._.._ TOTAL ROOMS: IST FLR. 5 2ND PLR. 3RD FLR. - BATHROOM (s) ONE FULL TOILET ROOM (s) ONE UTILITY ROOM - PORCH TYPE.. _...........ww_... .._-w....�......., DECK, TYPE ............. mm,.,._�_............_..�_. PATIO, TYPE STONE REAR YARD... ...N BREEZEFiAY ww�........w_. �.. PIREPLACE MONSONE CAR AT.GARAGE ”�.._..... CHEDA. ........_...._._........M..._. DOMESTIC HOTWATER.......,,,mow..........._..._.., TYPE HEATEROIL AIRCONDITIONING .,........-..,..�_._..._......,.�._, ._....................._...._.w._......_� TYPE HEAT O'I'°L WARM ATR HOTWATER %% R YARD. _.,.. .......... ACCESSORY STRUCTURES" GARAGE, TYPE OF CONST..._.—..— STORAGE, TYPE CONST.y ryµ GUEST, TYPE CONST. SWI2lMING POOL ._.��.� .�._.�.�.._�..._....-, ..�.�.�.._._...._...._..... _.... ...................._�._......�........_.......,..„„_.._,...._�.....w..�, OTHER: B.B.Q. VIOLATIONS:--CHAPTER_45- N.Y. STATE UNIFORM FIRE PREVENTION S BUILDING CODE LOCATION.. .. DESCRIPTION ART. SEC REMARKS INSPECTED BY: � DATE ON INSPECTION APRIL 16, 1993 G J. FISH TIME START 8:55 END 9.10 FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY NO: Z-29078 Date: THIS CERTIFIES that the building �j)ITIONS & ALTERATIONS Location of Property: (HOUSE1575) MINNEH,*1A BLVSTREET)D SOUTHOLD ( T) County Tax Map No- 473889 Section 87 Block 3 Lot 51 Subdivision Filed Map No- Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated SEPTEMBER 7 2001pursuant to which Building Permit go. 27859-Z dated NOVEMBER ry 1, 20-01 -— -------- 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 ALTERATIONS, THREECAR A ....... ., STORAGE ABOVE,GARAGEDDITION WITH UNFINISHED SCREENED PORCH ADDITION WITH DECK ABOVE, SECOND FLOOR BALCONY AND FIRST FLOOR DECK ADDITION TO AN EXISTING OND, FMAILY DWELLING AS APPLIED FOR- ZJM #4941 -5 tid /3/01 The certificate is issued to EILEEN GALLAGHER (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. 1052933 9 2/Q.�LQ2 PLUMBERS CERTIFICATION DATED 11/13/02 PECONIC PLUMBING & HEAT At rid Signature�/L, d 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-30923 Date: 05 19p05 THIS CERTIFIES that the building __q ALTERATIONS Location of Property: 1575 MINNEHAHA BLVD w w _w. SOUTHOLD (HOUSE NO. ) (STREET) (HAMLET) County Tax Map No. 473889 Section 87 Block 3 — Lot 51 Subdivision Filed Map No_ Lot NO. conforms substantially to the Application for Building Permit heretofore filed in this office dated w JUNE .23 2004 Pursuant to which Building Permit No. 3049 -Z-Z dated w JULY 19, 2004 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 ALTERATIONS TO CREATE AN ACCESSORY APARTMENT IN EXISTING SINGLE FAMILY DWELLING AS APPLIED FOR & AS PER SPECIAL EXCEPTION OF ZBA #5244 DATED 1/2 3 0 3. ......... _�w...... .._... .. ...., _ _mm_._., _ ._.. The certificate is issued to EILEEN GALLAGHER (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPPARTVffW OF HEALTH APPROVAL ��NN ELECTRICAL CERTIFICATE NO. 2034067 03/I8 05 ............. _.... _ ' LA"IINO PLUMBERS CERTIFICATION DATED 0 12 0 PECONIC PLUMB�IN&TTEA ,,,,_,,,,,, itho�..zed Signature Rev. 1/81 Fat n Town of Southold 7/17/2023 P.O.Boz 1179 53095 Main Rd Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 44322 _ Date: 7/17/2023 m THIS CERTIFIES that the building ADDITION/ALTERATION . � Location of Property: 1575 Minnehaha Blvd,Southold SCTM#. 473889 See/Block/Lot: 87.-3-51 ........ ................ .. �.....__........., ._..._........__._� Subdivision: Filed Map No. Lot No. conforms substantiallyApplication to the pp ation for Building Permit heretofore filed in this office dated 4/28/2021 pursuant to which Building Permit No. 46247 mmm dated 5/13/2021 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: ranr o a« ltiitica it eta c1e 1 tea„p i t% f ly shin AiMplied for; . _.._lio,PG ....�.�... LR Re.Lv Tr .....__w........._................. __ .... ..... .. ..........._ _w_......_..k_._ The certificate is issued to Digilio,PG&Matias. Re of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ..... _.... ELECTRICAL CERTIFICATE NO. � 46247 4/4/2023...__. ..-..._._..._ PLUMBERS CERTIFICATION DATED Au i ped jai ......_ te. . _ ._...... so T NOF SOUTHOLD BUILDING DI M� 6311 -765-1802 INSPEC 10 [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION END [ ] INSULATIOWCAl [ ] FRAMING / STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY IN! [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PE [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (E11 [ ] CODE VIOLATION [ ] PRE C/Ot iL 6,0-ele(lAxk ce"l, [ I wv L),Ko� DATE %.2- . 2 - INSPECTOR�� . , Town Hall Annex Town Of Southold 54375 Main Road Rental Inspection Report PO Box 1179 Southold, NY 11971-1179 `:.d Tel: 631-765-1802 SCTM # 3 '� _ Date Phone M Owner O Address Visible Inspector Hamlet Floor Level Wm 3 Quantities u1 1 ..i Smoke Detectors not locatedCarbon Monoxide Detectors in bedrooms). _ Fire Extinguishers .._ __.. . . .... . , _ Fi Exits Bedrooms 1 2 3 4 5 Smoke Detectors _. i Egress Occupant Count Building Systems Maintained & Operational Condition of Property Heating Building interior - —.. Hot water Building exterior Electrics! Property clean, maintained &safe _. Handrails &guards s installed &secure Pool Safety Pool on Site Surface water alarm _. _ _. .._ Date of CO issuance Door alar11 m11 s Pool completely enclosed � _ Poo.. _ ... ._ . , Self closing latching at..__ . m . . ,e ..._ es -- fence to code requirements -- CO's for all items present prlilol.rl Rental Comments: 1� . TOWN OF SOUTHOLD Pt� 7/ D CARD e OWNER I STREET VfL DISTRICT SUB. LOT OR ER OWNER T . = N — EACREAGE N, s r a BUILDING - S 1W TAPE F RES_ SEAS. 1 VL. FARM COMM. IND_ CB. e MISC. Est. Mkt. Volae LAND IMP, TOTAL DATE REMARKS - tr _ s E = a o e FRONTAGE ON WATER FRONTAGE ON ROAD Tilhle �� BULKHEAD Tillable 2 DOCK Tillable 3 �s Woodland Swampland E _, } Brushland i - House Plot I Tota f w^ -- I _ � � �V � 4 s n _ 87.-3-51 9/22/2022 87-3-51 9102 Ext _ a eric} v tj _,_ _ ,_ �seent Floors -- — -- -- Etenso _t. Walls Interior Finish 3 x,e., io 7,/- Fire dace _ Heat orc Roof Type , - - osch'?; �Roo ns l ct Floor Breezeway Patio Rooms 2nd Floor Driveway Dormer ,r 77 , iP , a � E SCTM # _ s TOWN OF SOUTHOLD PROPERTY RECORD CARD Ol1NER STREET VILLAGE DIST SUB. LOT r' CR. R A REMARKS TYPE OF BLD. 1 s PROP. CLASS LAND IMP. TOTAL DATE ------------- FRONTAGE ON WATER HOUSE/LOT BULKHEAD TOTAL ...................... AN' PAIg ploynos Co UO!JPAOW�j Cm ®R, H 61 1 a I L 11c: 11 Qgih h how !No Q!1 it itil,!N WON Z'............... -------—--------------------- .7 0 0 ry ".. ......... .................. say... ........ ... 7 7, - ob ---------- ldlt 41 A I dill H SIP 0 lI h I Ha ARM I AI UK M SKI 11 gill N 1 91 H 1 " y lug 101011 PHI B U, MCI, New, H10 URI l IMH ui 5 t l IhRu sa og g gig all, 1 oil N "Hill Eli