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
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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
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TOWN OF SOUT OLD PROPERTY RECORI 9eF,,
�OW.NER STREET ? VILLAGE �DIST.' SUB. LOT
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FORMER ONIVINQP, N ACR. ,-
TYPE OF BUILDING
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LAND IMP. TOTAL DATE REMARKS
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Garage j _ �� ! Type Roof Reorns 1st Floor 8R. 3
00 i Recreation Room Rooms 2nd Floor FIN. 6
Q. B. !Dormer - €Driveway l
Total
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14
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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......................
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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