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HomeMy WebLinkAbout1000-55.-1-2 =a TOWN OF SOUTHOLD Rental Permit 1114 Owner Michael Tavani & Meghan McGinnis Occupied as Single Family Dwelling Located at 50 Lighthouse Road Southold 55.-1-2 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. 4/22/2024 ode r r me ff cial This Notice must be posted by the main entrance at all times �bm,gflAGP4A , TOWN OF SOUTHOLD—BUILDING DEPARTMENT Town Hall Annex 54375 Main Road P. O. Box 1179 Southold,NY 11971-0959 Telephone(631) 765-1802 Fax(631) 765-9502 Imp, Lqw RENTAL PERMIT APPLICATION - � « Rental Permit Fee $300(Application must be renewed every two 1 8 202 Section A. e ' Property Information: Rental Property Address: Tax Map Number: 1000 SECTION -BLOCK2- SECTION B. OWNER INFORMATION: Property Owner Name: kc� Property Owner Legal Address: Property Owner Mailing Address: (Cannot be the same as Rental Property Address) 1�440 \joi;0F tZ IZ� to wFxv�� E � b Telephone Number (s): Daytime 01 11-6Z( VAvening g17"V1�92kmergency 7(-_�(oZ 1 6%Z( Property Owner Email Address: ACC`��IJ^i 161, 6M 1 L- Co NA ib �2t C- l o")l91 Page 1 of 4 Section C. Authorized Agent Information: Name of Authorized Agent of dwelling unit, if any: �rt cko' C 06 -e Address of Authorized Agent (no P.O. Boxes): 02 I� Mailing Address of Authorized Agent: Telephone Number(s): Daytime Evening Emergency Email Address: -e'6 Section D. Managing Agent Information: woec 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. b 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: Page 2 of 4 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, 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: 5 c) (A,clkf-hoUz w Sb "'AaJ Requested Maximum number of persons allowed to occupy Dwelling Unit: Jf Number of rooms in Rental Dwelling Unit: IQ Use and Dimensions of each room in Rental Dwelling Unit: Co �S ,s 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 I am requesting a fire safety Inspection to be performed by a Code Enforcem nt Official 4 _ from the Town of Southold �� � � 4m' ❑ lam submitting a completed Town o Sou hold certifatlon farm from a licensed architect or a licensed professional engineer. Page 3 of 4 SECTION H. DECLARATION: Signature must be notarized and MUST be the owner of the dwelling unit. STATE OF NEW YORK) COUNTY OF SUFFOLK) 1 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 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: rc1�+ ��- Property Owner's Signature: Sworn to before me this day of L L-�- , 20 b 119A'V� Official Notary Public Sig ature and Original Notary Stamp KYLEE S DEFRESE NOTARY PUBLIC-STATE OF NEW YORK No.01 DE6420156 Qualified in Suffolk County Page 4 of (vty Commission Expires 08-02-2025 HAMPTON HOME TECH ArchhWurW Dralling A Design i { .a � GN WHw•NYrItN .... # - re. ra4r _ Po�essn'aim i i 9 CLOSET eBpVEA' _ RENOVATION 50 Ilghlh—Rd ( ` NY 11971 Emmam 1 _ .m i . �_ MODERN 4 _ DUSTING - STRUCTURAL BEDROOM EXISTING ENGINEERING BEDROOM.EXISTING #i£ = nPSXI¢R no BEDROOM t �.Y � t � T-m � s { c3 BeVRrONk 8 Y I>P F 1 SECOND FLOOR m AND ROOF PLANS B t 'WH401B1097:51 AM -- ( P 503<Fr7 HAMPTON HOME TECH AmMeftW DWdng&Dastn bMRYW WINDOWS SEp .WED� ADDITION& m-- RENOVATION 50 Lighthou-Rd y" Southold NY U971 1 EXISTING W KITCHEN MODERN 7-v F # _5 STRUCTURAL 'a 1"r 11-r "I ENGINEERING EXUrrM U197 UY EXISTING LPJM ROOM t _2A ww < N—FT T17,90 11" E309TWO CELLAR 6*149 BASEMENT& FIRST FLOOR PLANS F— A-1 .0 5 o 5<? -7 TOWN OF SOUT OLD PROPERTY RECORI 9eF,, �OW.NER STREET ? VILLAGE �DIST.' SUB. LOT s -e o r� j �J FORMER ONIVINQP, N ACR. ,- TYPE OF BUILDING G 1 lPt' � � RES SEAS. VL. FARM COW,' CB. MtCS. Mkt. Value LAND IMP. TOTAL DATE REMARKS 6 r. x 4 m �t sue' i AGE ' BUILDING CONDITION _ r1 NEW NORMAL BELOW ABOVE FARM Acre Value Per I Value Acre ; I a �=l� �. , Tillable Woodland FRONTAGE ON ROAD v Meadowland RI II floc _ . .J House Plot E - rn.AD Total At TRIM _ i I t T s E 55.1-2 11/2015 s E M. Bldg. Extension - -7 3 Extension — i ! i Extension Foundation !3� Bath }Dinette 1 Basement Floors K. r �`�u`a .. r L4`� C 1 �� � J�( 'Ext. Walls _ � � ��Interior Finish � L t � -LR, � i Zd Fire Piace Heat DR. Garage j _ �� ! Type Roof Reorns 1st Floor 8R. 3 00 i Recreation Room Rooms 2nd Floor FIN. 6 Q. B. !Dormer - €Driveway l Total 3 14 - _ (� 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- 32653 Date: 10/04/07 THIS CERTIFIES that the building _ DWELLING Location of Property rt 50 LIGHT HOUSE RD SOUTHOLD ._...�. ..w_ �.ww.. (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 055 Block 0001 Lot 002 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- 32653 dated OCTOBER 4F 2007 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 & ACCESSORY BARN* The certificate is issued to HARRIET DONOPRIA (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. N/A........_._. PLUMBERS CERTIFICATION DATED N/A *PLEASE SEE ATTACHED INSPECTION REPORT. r Aut4orizdignature Rev. 1/81 BUILDING DEPARTMENT TOWN OF SOUTHOLD HOUSING CODE INSPECTION RE ORT" IAC'ATIOH: .......ww_ .....S.O......LIGHT HOUSE...R _.7,------------- ...._ CdHOIa........... SUBDIVISION: MAP NO.: IA)T (S) MAKE OF OWNER (S): HARRIET DONOPRIA — OCCUPANCY: SINGLE FAMILY DWELLING ILU Ikffi' —DONOPR,IFT.......................... � ......_Y ANN.S THY DOLSO �P� HY: SAME �.._.._., ADMIZT� BY: MARY ANN SAWICKI & CA w,.,.,,.,.,,,,,�.,,..... ,. ICEY AVA, LS; _,.....,M SUFF. CO. TAX MAP NO.: — — ..............�. SOURCE OF 'R UEST: CHRISA ATTY 9j25 a7 DATE: 1.a 04 t9 7 DWELLING: M...w...._.w ..�.._ � � _��.. R STORIES: 2.0 R EXITS: 3 TYPE OF CONSTRUCTION: WOOD FRAME,.,.,.,.,., .... FOUND A'I"TON: BRICK................._._.........._..... ...... CELLAR: 1 5 CRAWL SPACE: 9 5 TOTAL ROOM$: 1ST FLR.: 4 2ND FLA.: ....4 3RD FLR-: 0 BATHROOM(S): 1.a TOILET ROON(S): 1.0 UTILITY ROOM(S): _.................................... : ._..,... RICK,,,,,,,,ATT SLAB PATIO TYPE: .. � ., _......a. � _........ w_ PORCH TYPE DECK TYPB- REAR M$ �w.., BRA Y: . = ONE GARAGE: www........._.. w�.�.�.�.�_�.�.�_�.�.. _ ..__. DOMESTIC ATE.: YES TYPE HEAD: .�.�.�.�.�.. .._._� AIRCCMTTICIING- .. TYPE BEAT: OIL_ _ 100 M AIR: OTHER: ACCESSORY STRUCTURES: GARAGE, TYPE OF COBST.: STORAGE, TYPE CONST.: SWTNKXW POOL: w__...... _ GMT, TYPE COB.ST.: _ __...._.. _. OTHER: ..w...._.,_,...,_,_ M. ........_...._................._ _w_ __.. �.............,.w. VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE LOCATION' DESCRIPTION _�� .� w ......... ....._.._....... .._...,,..,u..�.wvvv...................... Y V u 8 � N I V 1 p V b RKS: ....................w..�w�...�.�.�.�..� .............. .... �.w�.. zNseEcrED BY ..._ .. ..... .' �� �....._ DATE ON n�sP IcV � a7 TIME START 1 _, ._,...M 10: a„AM ............... Town of Southold 4/12/2023 P.O.Box 1179 53095 Main Rd Southold,New York 11971 ........... ....... CERTIFICATE OF OCCUPANCY No: 38403 Date: 7/22/2016 ......................... .............. THIS CERTIFIES that the building ALTERATION ........................Location of Property: 50 Lighthouse Rd, Southold .......... SCTM#: 473889 See/Block/Lot: 55.4-2 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 5/15/2015 pursuant to which Building Permit No. 39820 dated 6/1/2015 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: ALTBA TL ONa TO AN EXISTING QN13,.1AMILY DWELLING AS APPLIED FOR. -- — The certificate is issued to Miller,Kirk&Ryan,Alice of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 39820 08-13-2015 PLUMBERS CERTIFICATION DATED --— —-------- Authors �d S .................................— �ttt Town of Southold 4/20/2024 P.O. Box 1179 53095 Main Rd S���66� . Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 45132 Date: 4/20/2024 THIS CERTIFIES that the building ADDITION/ALTERATION Location of Property: 50 Lighthouse Rd, Southold SCTM#: 473889 Sec/Block/Lot: 55.-1-2 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 1/7/2019 pursuant to which Building Permit No. 50387 dated 3/4/2024 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: addition L I atq, i ,. nclu qt Llggjj,jpisng..sn lef�rnI li for, N cy� 3 The certificate is issued to Tavani, Michael &McGinnis, Meghan of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 50387 4/3/2024 PLUMBERS CERTIFICATION DATED 5/19/2023 ttit Phi 11 qg& IJea g A.. for e .ig ,tture ....... ..._.... .... _. Town of Southold 4/20/2024 P.O.Box 1179 53095 Main Rd Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 45133 Date: 4/20/2024 THIS CERTIFIES that the building ACCESSORY Location of Property: 50 Lighthouse Rd, Southold SCTM#: 473889 Sec/Block/Lot: 55.-1-2 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 3/30/2023 pursuant to which Building Permit No. 49193 dated 5/2/2023 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: lta.,,', rgilt'"aca l; ..1?.j�.l:gcaLI,,gs The certificate is issued to Tavani, Michael &McGinnis, Meghan of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 49193 4/3/2024 PLUMBERS CERTIFICATION DATED tat ori-, cl .. i naltur t11fat, Town of Southold 4/20/2024 P.O.Box 1179 53095 Main Rd Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 45134 Date: 4/20/2024 THIS CERTIFIES that the building ACCESSORY ............. ......... Location of Property: 50 Lighthouse Rd SCTM#: 473889 Sec/Block/Lot: 55.-1-2 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 3/30/2023 pursuant to which Building Permit No. 49194 dated 5/2/2023 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: if built" ac,ce,ssor pergo,ll as applied_forw pool side,., The certificate is issued to Tavani, Michael&McGinnis, Me-han I ........... -------- of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 49194 4/3/2024 PLUMBERS CERTIFICATION DATED u iorize 'ignature