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HomeMy WebLinkAbout1000-113.-6-21 fill TOWN OF SOUTHOLD 01i Rental Permit 1122 Owner Joseph & Christina Minaudo Occupied as Single Family Dwelling Located at 800 Fox Hollow Rd Mattituck 111-6-21 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. 5/9/2024 c E for e t Official This Notice must be posted by the main entrance at all times TOWN OF SOUTHOLD—BUILDING DEPART T Town Hall Annex 54375 Main Road P. 0. Box 1179 Southold,ANY 'I 7�r'.0 ". r. Telephone (631) 765-1802 Fax(631) 765-9502 lt� rolrllc .°� a RENTAL PERMIT APPLICATION Rental Permit Fee $300 (Application must be renewed every two years) Section A. Property Information: zj,�,k ffw Rental Prope ddress:rt 1,4A-1VJ Tax Map Number: 1000 SECTION -BLOCK -LOT SECTION B. OWNER INFORMATION: Property Owner Name: ' Property Owner Legal Address: Property Owner Mailing Address: (Cannot be the same as Rental Property Address) A� -7/&. //r70 Telephone Number(s): Daytime "",� ;„-.,�C��� Evening Emergency Property Owner Email Address: C� � ���3� Page 1 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 a ample, 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." 11,J, Rental Dwelling Unit Identifier: e Requested Maximum number of persons allowed to occupy Dwelling Unit:: Number of rooms in Rental Dwelling Unit: ' •• °� Use and Dimensions of each room in Rental Dwelling Unit: �St, P- - V 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. -1KI 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 3of4 SECTION H. DECLARATION: Signature must be notarized and MUST be the owner of the dwelling unit. STATE OF NEW YORK) ) COUNTY OF SUFFOLK) 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: Property Owner's Signature: Sworn to before me this JL day of ,Ian vu rc/ , 20 Ll Off i al Notary Public Signature and Original Notary Stamp ROOSEVELT CLAIRJOUR Notary Public-State of New York NO.01CL6399103 Qualified in Kings County My Commission Expires Oct 15, 2027 Page 4 of 4 TOWN OF SOUTHOLD UILDING I 631 ?8T 1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION/CAt [ ] FRAMING / STRAPPING [ ] WAL [ ] FIREPLACE & CHIMNEY [ FIRE SAFETY INc [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PE [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL L CT ICAL [ ] CODE VIOLATION [ ] P / [ 7, . TOWN OF SOUTHOLD PROVERTY RECORD, l j� OWNER STREET VILLAGE LOT--st"t- DISTJ FORMER OWNER N ACR�. .4 444 55 A -e A,- S TYPE OF BUILDING i W RES, SEAS. i VL. FARM COMM. CB. MISC. Mkt. Value LAND IMP. TOTAL DATE REMARKS —4— -7 _4 Z ca, C 20 ova, E IL? G CO�01T)614 NEW NORMAL BELOW ABOVE 7: 17ti FA Acre Value Per Value 2-1 —L Til c� rj I Tillabi e3ogo' 1610 0 o lip Woodland WOO WATER FRONTAGE ON Swampland ER Brushland FRONTAGE ON ROAD House Plot DEPTH 1 •�.. BULKHEAD Total ' DOCK P L e-1 F \ t L ' �z COLOR 3 —E _ F e 3 ll r � I � T e _ RIM e I � 4-- I � f _ 4 Bat Foundation ? h' ._. _ e i nett ? ;. i Basement Floors j e Ext. Walls Interior Finish LR. fan - _Fire Place Heat DR. - s S . r � Type Root = Rooms Ist Floor BR. _ _ a _ Porch _ �Recreotion ROOD Rooms 2nd Floor FIN. B Pt Dormer t Driveway - I ' Garage tj 7 - Patio g 0— B. o ci €.t Total I 7 SCTM # C - TOWN OF SOUTHOLD PROS = OWNER STREET VILLAGE DIST. SUB, LOT E 4 ACR. REMARKS atOro TYPE OF BLD_ PRO :`CLASS _. _ LAND IMP, TOTAL DATE 41 i FRONTAGE ON WATER HOUSE/LOT a BULKHEAD I TOTAL FORM NO.4 TOWN OF SOUTHOLD BUILDING DEPARTMENT r Office of the Building Inspector Town Hall Southold,N.Y. Certificate Of Occupancy No. . . . . Z.1.0412. . . . . . Date . . . . .MOLrcn.4.,. . . . . . . . . . . . M , 19 . . E31 THIS CERTIFIES that the building . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Location of Property i3.QR .F'A .Ii91.7�p . load,. . . . . . . . . Matti tucit t rt .X. House No. .Street Hamlet 06 County Tax Map No. 1000 Section . . . .1.1. . . . . . .Block . . . . . . . . . . . . . ..Lot . . . . . . . 1. . . . . . . . Subdivision . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Filed Map No. . . . . . . . .Lot No. . . . . . . . . . . . . . requirements for a one-family dwelling built prior to conforms substantially to the Appitcatiiun'for,Btd?diiig 1 1r h 4"W `filled itf TMf 3f11e 'We " Certificate c«f Occupanc",! p pr11. -.3 . . . . . . . . . . , 19 .5 `pursuant to which Building Permit No. I.-A2. . . . . . . . . . dated . . . . - I I 4 . ` ^ , . „ 19 . . . 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 . . . . . . . . . 19. ;'. rciZY. .'JWellin With Staimmin� Pool(detached) with Fence. The certificate is issued to . . . . . . . . . ri 0 m i 1 v i es ": %o r* (owner,larcoe-oa seaansj - of the aforesaid building. Suffolk County Department of Health Approval . . . . . . . ,tit.:. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . UNDERWRITERS CERTIFICATE NO. . . . . . . . 1 , . . . . . . . . . . w . . . , . . „ . . . . . . . . . . . . a . . . . . . . Building Inspector Rev.1/81 BUILDINIG DEPARTMENT TOV,V OF SOUTHOLD, N. Y. HOUSING CODE INSPECTION REPORT Location 800 Fox Hollow Road, Mat tituck nu N,Y. m°er 6 street al �. Municipity).. . Subdivision Map No. Lots) Name of Own er(s) Robert O ilvi6 & Norma Ogilvie Occ4anc R-1 Owc e type owner-tenant Admitted by: Mrs. Ofj,ilvie Accompanied Key available Suffolk Co. Tax No. . 113-06-21 Source of request Gary Flanner Olsen Date 2/5/81 DVrMLING Type of constructions Wood Framed ##stories 1 Foundation Cement Block Cellar PartiaVrawl space X Total rooms, 1st. F1___.2_2nd. Fl 3rd. F1 Bathrocm(s) , Toilet rooms) Porch, type Deck, type Patio, type Slate Breezeway Garage Utility room Type Heat Warm Air Hotwater Fireplace(s) No. Exits 4 Airconditioning Domestic hotwater Yes Type heater Tankless Other Room finished off cellar ACCESSORY STRUCTURES: , Garage, type const. Storage, type const. Swimming pool x Guest, type const.� Other Outside Datio with u VIOLATIONS: Housing Code, Chapter 52 Location Descript_on Art. Sec. Cellar No rail to, .cellar 1t This Certificate of Occupancy includes updating BP4937Z for a Swimming Popl with fence - C.O.Z4125 January 15, 1971 . ThisC.O. also includes Remarks, B.P.2 ,35Z issu d, pri 12 1965-No C.O. was ever issued. Inspected by: _Date of Insp. i31 Time start 11:00end 11:30 Y FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Clerk's Office Southold, N. Y. Certificate Of Occupancy No. Z4125. . . . . . Date . . . . . . . . . . . . . . J . . . .15. . . ., 1971. . THIS CERTIFIES that the building located at . Pvt.Rol- .Fox .Z011QV. R.d . Street Map No. .XX. . . . . . . . . Block No. . ?X. . . . . .Lot No. . . M. . Matt N.Y.. . . . . . conforms substantially to the Application for Building Permit heretofore filed in this office dated . . . . . . . . . . . . . .4Xu9 . . 1!7 19.70. pursuant to which Building Permit No. 493?Z. .,. dated . . . . . . . . . . .Sept . .2. . . ., 19.70., 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 . .Privata .(accessory). svti=ing .pool A. purtaAQU00x. . . . . . . . . . . . . . The certificate is issued to . .Robert. 04ilvia . . . . . .Owner. . . . . . . . . . . . . . . . . . . . . . . . . . (owner, lessee or tenant) of the aforesaid building. Suffolk County Department of Health Approval . . . . . . . . . . . . . . . . . . . . . . . . . . . House # 800 , . . . . . . �. . . . . . . . . . . a , . . Building Ivpector. . . FORM NO.4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold,N.Y. Certificate Of Occupancy No. Z 1777.9 . . . Date .February . 2,1., 198.9 THIS CERTIFIES that the building . . . . . . Al)DTTIONS. AND.AI..TERATIONS, Location of Property 8Q0 ,FOX HOLLOW RD . MATTITUCK House No. Street Hamlet County Tax Map No. 1000 Section . . . . .1.1 3. . . .Block . . .06 . . . 2.1. . . . , , . . . . . . Subdivision . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Filed Map No. . . . . . . . .Lot No. conforms substantially to the Application for Building, Permit heretofore filed in this office dated . . Dec . 8, 1987 pursuant to which Building Pemiit No. . ?b 6,7 2 Z. . . . . . . . . . . . . dated . , Dec: 14 , 1987 was issued,and conforms to all of the requirements of the applicable provisions of the law. Tile occupancy for which this certificate is issued is . . . . . . . . . ADDITIONS AND ALTERATIONS TO EXISTING DWELLING . The certificate is issued to . . . . FREDERICK & MILDRED COWAN (owner,,'P� �4't?t "t' t1'(r7drXtX of the aforesaid building. Suffolk County Department of Health Approval . . . . R/A. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . UNDERWRITERS CERTIFICATE NO. . .PENDING SLIP 1 /27/89 PLUMBERS CERTIFICATION DATED: MARTINEK 2/ 15/89 i Building Inspector. . . . . . . . . . . . . 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-24814 Date DECEMBER 18, 1996 THIS CERTIFIES that the building ALTERATION Location of Property 800 FOX HOLLOW RD. - MATT`ITUCK*qN.Y. House No. Street _ Hamlet County Tax Map No. 1000 Section 113 Block 6 Trot 21 Subdivision Filed Map No. Lot No.�w� conforms substantially to the Application for Building Permit heretofore filed in this office dated MARCH 10, 1993 pursuant to which Building Permit No.w 21268-Z dated CH 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 SCREEN IN PORCH ON AN EXISTING DECK OUTSIDE DINING ROOM AjjjA ONLY OF EXISTING ONE FAMILY DWELLING. The certificate is issued to FREDERICK & MILDRED COWAN (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ww N/A - UNDERWRITERS CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A 2 4 ' wilding Inspector Rev. 1/81 Cd to = Ito rr1 zf(0c) r Be v-0 V-k + 1� LAI I( e . 40 V,/"- I I bX 1 22� a Li v �� dv 5-x 3[1 d � 01V S �� C C ONA 6 h.