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Home My WebLink About1000-67.-2-4 IT- �� TOWN OF SOUTHOLD Rental Permit 1081 Owner Danny & Lisa Yuricic Occupied as Single Family Dwelling Located at 415 Sound Avenue Peconic 67.-2-4 Maximum Permitted Occupancy 5 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. 2/28/2024 Code Enforcement Official This Notice must be posted by the main entrance at all times Town Hail AnnexTelephone(631)765-1802 54375 Main Road ' " Fax(631)765-9502 P.O.Bax 1179 k Southold,NY 11971-0359m a ✓ � -71 BUILDING DEPARTMENT TOWN OF SOUTHOLD a la.`( U Q RENTAL PERMIT APPLICATION Rental Permit Fee $200(Application must be renewed every two years) Section A. Property Information: Rental , roperty ss: ..� m Tax Map Number: 1000 SECTIONI' I.. -LOT - SECTION B. OWNER INFORMATION: Property Owner Name: -._._.._ An- Property Owner Legal Address: Property Owner Mailing Address: evovi 7. Telephone Number(s): Oaytin e)u�q � Evening,- , �.. Emergency V Property Owner Email Address: yz� c uE C E � W E F E8 1 6 2024 Page 1 of 5 f„q � �Qa 19" gel b Telephone(631)765-1802 Town Hall Annex 54375 Main Road Fax(631)765-9502 1 P.O.Box 1179 Southold,NY 11971-0959 BUILDING DEPARTMENT TOWN OF SOiTTHOLD Section C. Authorized Agent Information: Name of Authorized Agent of dwelling unit, if any: 1� C Address of Authorized Agent (no P.O. Boxes): 11 Mailing Address of Authorized Agent: �� .._ ........_...�m �� ,.........�.�.............. ..�.�..._ Tele s : d Ev...�__w.. Telephone � ) Da ytime Evening... �.Emergency ��/'76 hone Number � �...v Email Address:_._.... i o. ...��....... �.,... �� Section D. Managing Agent Information: Name of Authorized Agent of dwelling unit, if any: Address of Authorized 4 Agent no P.O. Boxes _..._.. , ., ,,.. .. w g Mailing Address of Authorized Agent: ......... ..........._�_.. ...o��. Telephone Number(s): Daytime_ Evening Emergency Email , Email Address: _ .. ..... _,....................��.�..�.rv�.__.__...�. SECTION E. SITE MANAGER INFORMATION: (required for rental properties containing 8 or more rental units) Name of Managing Agent of dwelling unit, if any: o ... �.�.�._..__..as�.�.....�........._..�.�.�... Address of Managing Agent (no P.O. Boxes) .�.�.. w� ... _ -M............ .�...�...�.�.�.. �......a.a.� .......� .�..._.. . �.��..� Page 2 of 5 Town Hall Annex Telephone(631)765-1802 .54375 Main Road � a� Fax(631)765-9.502 P.O.Box 1179 cru Southold,NY 11971-0959 BUILDING DEPARTMENT TOWN OF SOUTHOLD Mailing Address of Managing Agent: Telephone Number P s): Daytime,yt� .............._................a Eve n i n Emergency vw , 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: � ... 0.V1 Use and Dimensions of each room in Rental Dwelling Unit: Page 3 of 5 1 w' Town Hall Annex ¢ Telephone(631)765-1802 �, 54375 Main Road Fax(631)765-9502 P.O.Box 1179 ; `i Southold,NY 11971-0959 f ; 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 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 µ vZ t C l 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 Halt AnnexTelephone(631)765-1802 54.375 Main Road Fax, Fax(631)765-9502 P.O.Box 1179 ; Southold,NY 11971-0959 M 1 BUILDING DEPARTMENT TOWN OF SO FOLD applicable laws and rules. I further acknowledge that I will notifythe 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: ��. _ U . _ o.a..w ._. ....._. ._ . Property Owners Signature: ....a._.. . Sworn o before me this)34day of Q. �.. 20. Official Notary Pu 1c Signature and Original ,.�m�M.. ...........�w_ �na1 Notary Stamp UEN CIC Notary Public �Iof York No.01' ,l 55 Qualified In N Commission Eypires N Page 5 of 5 TOWN OF SOUTHOLD BUILDING DI 631 -765x*1802 INSPECTION FOUNDATION 1ST [ ] ROUGH PL13G. FOUNDATION 2ND [ ] INSUTATION/CAl FRAMING / STRAPPING [ ] FINAL L 1 FIREPLACE & CHIMNEY [ ] FIRE SAFETY INS FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PE ELECTRICAL (ROUGH) [ ] ELECTRICAL (FII [ CODE VIOLATION [ ) PRE C/O [ I REMARKS: rl DATE �� INSPECTOR Town Hall Annex Telephone(631)765-1802 54375 Main Road Fax(63 1)7659502 P.O.Box 1179 Southold,NY 11971-0959 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 'or each individual Rental Dwelling Unit erjo goptoId curren er atio L_J va IS Vfic _q Rental Property SCTIVI Number:,- jj&K� ,- Rental Property Address: 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., Bedroom#2-90 sq., etc.) f�11�11'41,�11 p'll"g2l if Property Description (Include all Improvements Indicated on survey) 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. 4, .......... Print Name and Title Original ure YpIX qw Please place professionals v A TOWN F S®UT OL® Y ► a� I go gA OWNER STREET ;_ 3 VILLAGE - DIS`T`RICT SUB. LOT F' ar 170l MER OWNER N E ACREAGE , S W TYPE OF BUILDING RES. ... 7 _ SEAS. VL. FARM comm. IND, MISC. N�LAND� IMP. TOTAL DATE f REMARKS a -61 e f 4 �R 3 7 — - — - — e — a � .ts NEW NORMAL BELOW ABOVE I n— e Form Acre Value Per Acre Value Tillable 1 - Wig - - — _ Tillable 2 Tillable, 3 1Ips Woodland Lt Swampland Brushldnd i Hou:.�Plof Tato i s 3 �I S All i 67.-2-4 3/10 f i Bath M BI ., Foundation Extension t Basement Floors _ Extension Ext, Walls Interior Finish Extension i Fire Place I Heat I — - Attic I —Porchoms 1st Floor � r b Patio V Rooms 2nd Floor Drivewa Carago., J _w _ Y I � I f , Town of Southold 6/3/2021 53095 Main Rd Southold,New York 11971 vt *AL PRP EXISTING CERTIFICATE OF OCCUPANCY No: 42047 Date: 6/3/2021 THIS CERTIFIES that the structure(s)located at: 415 Sound Ave.,Peconic SCTM#: 473889 Sec/Block/Lot: 67.-24 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 42047 dated 6/3/2021 was issued and conforms to all the requriements of the applicable provisions of the law. The occupancy for which this certificate is issued is: aad#'r m Ogle hmid d elling,_.with enclosed raorch andar.c or wood frame ara e.* The certificate is issued to Terranova,Peter&Barbara . w_................_._� (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED *PLEASE SEE ATTACHED INSPECTION REPORT. Signature BUILDING DEPARTMENT TOWN OF SOUTHOLD HOUSING CODE INSPECTION';REPORT LOCATION: 415 Sound Ave.,Peconic SUFF.CO.TAX MAP.NO..... 67.-2-4 � � SUBDIVISION: � �............ � NAME OF OWNERS : Terranov.Y..Peter ( ) Te _.,w... a,Peter Barbara _w......�_.. _ .. _ � _.w....... � ._... OCCUPANCY: ADMITTED BY: _ SOURCE OF REQUEST: Terranova Peter...... __ww_.. .. ........_._www _... _M.....DATE..___...6/3/202�_.1_ _._.w. ..._......,.,..w.. ._ m1µW m� DWELLING: #STORIES: 1 #EXITS: 2 b.......w_...._._.v_ FOUNDATION: lock CELLAR: CRAWL SPACE: BATHROOM(S): ...., ....._w......__.._.w.._.,.. .......TOI..............,..wLET w.T _..ROOM(S)' UTILITY ROOM(S): 1 �............� ...._.........................._........_ �.�.....m_._..._a_w._.._....w. PORCH TYPE: enclosed .._...._ DECK TYPE: PATIO TYPE: .... ....... . BREEZEWAY: _............ .................�� ....._ ....._.......� �_�_............_...._. _w .. ............ BREEZEWAY: FIREPLACE: GARAGE: DOMESTIC HO_..w_.w.. .ww_....._.._.. .......�..__... __,...�..�.�.�..............._._w_................ ......__._._._..............___..ww TWATER: yes TYPE HEATER: gas AIR CONDITIONING:- TYPE HEAT: oil WARM AIR: forced hot air � HOT WATER: s #BEDROOMS:� 3 #KITCHENS: 1 BASEMENT TYPE: unfin hed with showerWW mmp mm� OTHER: ACCFSSORY STR' 1C'TU'RF S: GARAGE,TYPE OF CONST: wood frame STORAGE,TYPE OF CONST: SWIMMING POOL: GUEST,TYPE OF CONST: OTHER: VIOLATIONS: REMARKS: INSPECTED BY: JOHNJ DATE OF INSPECTION: 5/20/2021 TIME START: 10:50am END: 11:06am FORM NO.. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-34258 Date: 04 05/10 THIS CERTIFIES that the building ALTERATIONS Location of Property: SOUND AVEPECONIC (HOUSE NO. )' , STREET).....-�._ � (HAMLET). County Tax Map No. 473889 Section 67 Block 2 Lot 4 Subdivision Filed Map No_ Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated MAY 11, 2009 pursuant to which Building Permit No_ 34718-Z dated w mmr MAY 2„8, 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 ALTERATIONS TO AN EXISTING ONE FAMILYDWELLING AS APPLIED FOR. .,. .............._�....._..... _ ...,..-. . The certificate is issued to PETER S & BARBARA H TER OVA (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. 11627 03. J ZEES PLUMBING HEAT040 & PLUMBERS CERTIFICATION DATED 0 3 0 (.7,.C� �...�'„ www...,......_,.... .............. a Au orized Signature Rev. 1/81 �,Iojt �� Town of Southold Annex 4/16/2012 P.O.Box 1179 54375 Main Road �i, Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 35545 Date: 4/16/2012 THIS CERTIFIES that the building AS BUILT DECK Location of Property: 415 Sound Ave, Peconic, SCTM#: 473889 Sec/Block/Lot: 67.-2-4 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this officed dated 12/7/2009 pursuant to which Building Permit No. 36961 dated 1/3112012 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_ °"as 4auilt°"ci rl c :iti n ko an existing�?ttq-fa-61 w lli a a lied r>r..p '2`1 , X63,_ mat 101/22./t1%. , � .y. 1...-__.--gyp The certificate is issued to Terranova, Peter&Terranova,Barbara (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED A ed ' ttature DINING AREA u6 p;6XPE' REF. d II° g5t7S G3�JC DE29QQM NO 114505F. �� tYrstsBirr ticttrR� O 24' �30 El SSR• 1�5�4 4412 �. a IOIPI SF. € Ow 30I MN6 RM. OSD 3'dStil'-0• OSD I� eEDROOH NO3 ' 114b15F. W Q 32' y V LEGEND: a�� '� woo w.+am watts• C.7 �J SUNROOM �r�en.�a+rt+rsncrz m m 36564• 36Xi#' 36X:4• %Xi4' 36XM' V'� � O� s'n�oE�crac � ce ruuwc� 5' uo cn+eawsr r-u+ g 1 11 suDER jos t� I Amo tea 24oa SWARM POOTA6ES: FIR.+T RDOR, .ip1A0 SF. �:aL C-t�3«'.tRiR]�Y: 1=XISTIu6 "mT. PLANI I twos. u4•.tw•