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Home My WebLink About1000-54.-3-15 TOWN OF SOUTHOLD ,F Bernd Permit -- � Al 1144 Owner John Consiglio Occupied as Single Family Dwelling Located at 6430 Horton Lane Southold 54.-3-15 Maximum Permitted Occupancy 8 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. 5/30/2024 Code of r ant Official This Notice must be posted by the main entrance at all times sr, Town Hall Annex �� G Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1179 Southold,NY 11971-0959 BUILDING DEPARTMENT TOWN OF SOUTHOLD RENTAL PERMIT APPLICATION Rental Permit Fee$200(Application must be re dsro��rrs MAR 2 3 202 Section A. "IF0 4 OF SOLMAU...n Property Information: Rental Property Address: , �.fioh S "Ile Tax Map Number: 1000 SECTION -BLOCK 3 -LOT - SECTION B. OWNER INFORMATION: Property Owner Name: 04 h Co)1S1 ; Property Owner Legal Address: Property Owner Mailing Address: r tjy Telephone Number (s): Daytime y� /EZ�ning �— Emergency Property Owner Email Address: .S CD N5 i G L/o G rr+4-%�• � , '3 0Page 1 of 5 Town Hall Annex Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1179 Southold,NY 1 197 1-0959 ,a BUILDING DEPARTMENT TOWN OF SOUTHOLD 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: Address of Authorized Agent(no P.O. Boxes): Mailing Address of Authorized Agent: Telephone Number(s): Daytime Evening Emergency 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): Page 2 of 5 Town Hall Annexe Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1179 Southold,NY 1 1 97 1-0959 +. all BUILDING DEPARTMENT TOWN OF SOUTHOLD Mailing Address of Managing Agent: Telephone Number (s): Daytime Evening Emergency 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, Q;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: Use and Dimensions of each room in Rental Dwelling Unit: 9,e-J ro° If Page 3 of 5 Town Hall Annex , Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1179 � r Southold,NY 11971-0959 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. E5 1 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 �►^r ��h S �' , 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 Hall Annex Telephone(631)765-1802 54375 Main Road � �" Fax(631)765-9502 P.O.Box 1179 � ^ Southold,NY 11971-0959 a "7m I BUILDING DEPARTMENT TOWN OF SOUTHOLD applicable laws and rules. I further acknowledge that 1 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 as 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 day of March , 20--2 oZ JA Official Not Uy Public Signatur a d Original Notary Stamp TRACEY L. DWYER NOTARY PUBLIC,STATE OF NEW YORK NO.01 DW6 i06900 QUALIFIED IN SUFFOLK COUNTY COMMISSION EXPIRES JUNE 30,2�p2 Page 5 of 5 so bq v "65 ftlee (I TOWN OF SOUTH LD BUILDING D1 631 765-1802 ---� INSPEC ION [ ] FOUNDATION 1ST [ ] ROUGH PL13G. [ ] FOUNDATION 2ND [ ] INSUEATION/CAU [ ] FRAMING / STRAPPING [ ] AL [ ] FIREPLACE & CHIMNEY [ FIRE SAFETY INS [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PEI [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (F [ ] CODE VIOLATION [ ] PRE C/O [ F INSPECTORDATE sI 24`_0" 4 ,s , o' t i � 3 r' 1 a: 11 g` ti UH e S t Li .vYr- '_ - k'r i, O E O t LL PEDpoolli A € �} ( -- 1 a t 3 ;e;y'thi tIt TP.D KUNi. _ � F g CD EWRlY 1 # �€ =r 8 M i 1 At—1 off 4' REVISED 4-7-18 FOR BUILDING PERMIT SP IS A V IOLAT[ON OF LAW IF RICHARD HIRT AR.C£' CT P.C, € ' FOR ANY PERSON,UNLESS FuVE �' 3 'vc�PERWT ? RICHARD HIRT THE CONSIGLIO RESIDENCE FIRST FLOOR PLAN ACTn+GUwoIIITHE NORTH HAVEN,N.Y.11463 '- ; [ SCALE:1t4-IA" DIRECTION OF THE TEL 631 808 3434 A � ARCHITECT IIORTONS LANE,SOUTHOLD,NY ARCHUECT,1-0 ALTER ANY 1 ME M ON THIS DRAWING E-MAIL RICKHIRTCROPTTMUM.NET --- 1_ =1 ns surer i i �erssrrrrwx7° � � r�wr6enoe � - ,'-.td.JN Drip` _ t RLP/PRZ g: 1 twsur.nrry srrm Door,I w KfMttEN 3 Rd0 MIN s«< I DINING + € I � NI �t PEA SFGOND FLOOIP DiffDRODM J v r/p-,57-rc.00p iffNrpy .' 3. ; T;W0 AS BUILT DECKS 3 It � AS BUILT ATTIC HOT NUKMER RISANGLATTGN OF LAW - RII�4IAIID IIIT ARG"FIITfI'. I' - -.- -_. --. --. € TI—��3 FOR ANY PERSON,UNLESS -_ RICHARD HIRT THE CONSIGLIO RESIDENCE p DECKS-AS BUILT acr[NG UNO�rtsE NORTH HAYEN,N.Y.11463 - SCALE tta°=t'�° ` IDxECnox OF T. -- ; ARCHITECT HORTONS LANE,SOUTHOLD,NY _ 6A 'nxcxlrEcr,ONAL�ANv i TEL.631808 3434 .NET ---- i ITEM ON rl TS ixuwmc £L E-MAIL RICKH[RT�1a OPT'IMIJNt t --. - ----. --- __ -- —a= __- - - - LE cws = CAl Ti—s _€ ZZJ Po _ Arr d l�1NDkY a C= ih'P 11 AF nf7 SFC�L R `s D V✓ E 4VPAFtPERSFktPP�C €� t `�`ems' — 1 ` MASTER p�DRf70M - - REVISED 4-7-18 FOR BUILI?ING PERMIT tT IS A VtaLARTaN aF LAW 3 R?CRARD W$1RT ARCM EC—P.C- ] t 1 *'. FaR Awr�ERsan emLFss RICHARD HIRT 6 THE CONSIGLIO RESIDENCE= ESECON°D R PLAN /'J -_ -; ACR{Na UNDER THE ��g 1tL�S-,GIBS Y �' ,� ( 'sue / NORTH HAVEN,N.Y.11463 [[ : SCALE;114°= aaRECTfawaeTxE --�--- - E ARCHITECT HORTONS LANE,SOUTHOLD,NY 1 raRCHfTECT,T.ALTgRRAn'Y€ TEL.63t 8083434 € -tea t,St1,s' , € ITEM aN Trtis aRAwinc :_, E-MAIL RICKHIRT@OPTIMUM.NET,i t ` ' I wr box ` u �z o 5 r ( I s I Y5 P f.�F1 C.x C t0fr�N1k17 [ _ _r e�._s P�.v�- � S PLY 16" [ t OfAtl lD -per q LV2l1E of P PEPPGYS9xxr � I PlNNI CONGPETE FOB/N6 18 a 96 s 18 PLAtNGONGREfE Prv _ N'1�t3':il, wit s � POOr1NG F %, oo P51 ' 5p 'r t Z --i C�YPrt9C?.'1f.'£J .... t P'Iig,6L1551h'S. iC--AC.eir,E [ ` IN-drfi'CN fV.hpO.¢��1,E:P+-P -, CD 57 vcF e 47pr k�x�fO.F a ree DOa.,' •0°pouw cGo","GPMWN --'%�00 P r, I DAR q ^ qq qA o l�tr-1Qr 1gr_Orr [ 1`tr_q Orr _ FORBUILDING PERMIT dr + ------------- 26 OF "t L7FORANY 7.111 I RMARDHI RTAR IT. TP.C, , Rc€ --is TINC HIRT HARD THE CONSIGLIO t A TL 6 � S SCAL !O sT NY FOUNDIN PLAN44I +UT NORTH HAVEN, t L RIC RESIDENCE 4TEL.63I 808334 ARCHITECT HORTQNS LANE,SQUTHOLD NY aMM NET JC I I' TOWN OF SOUTHOLD PROPERTY R OWNER i,y,) C'00SI 10 ISTREET 3 VILLAGE DIST.` SUB. LOT 1 I I � : FORMER OWNER N E - ACR. bit`r T S W TYPE OF BUILDING RES, r/ i SEAS. I VL. FARM COMM. CB. MICS. Mkt. Value LAND IMP. TOTAL ' DATE REMARKS - 1 1 �_ f f, a 3 t 77 Ili E I A AGE BUILDING CONDITION NEW NCRMAL iBELOW ABOVE FARM Acre Value Per I Value I Acre Tillable FRONTAGE ON WATER Woodland FRONTAGE ON ROAD Meadowland DEPTH House Plot - BULKHEAD Total DOCK TRIM — — -- 5 #v # • f , 54:3-15 1/22/2021 _ 3 , z Extension f � — — _ a_ t Extension �� t I ` ;Foundation s Bath 3112— ? Dinette #,( Porch Basement � ��Y k + ;Floors Porch �� Za, 1 v 3Q Ext. Walls Interior Finish 5l(L !R. E Breezeway _ Fire Place Heat 6�� D2. Garage # n -�l 'Type Roof ! Rooms Ist Floor (<R Patio Rooms 2nd Floor ! Recreation Room I FIN. B � i 0. C (� 5(?c� I ice'; Dormer I Drivevvoy a Tod _ NitroTown of Southold 12/7/2021 P.O.Box 1179 '* 53095 Main Rd Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 42586 Date: 12/7/2021 THIS CERTIFIES that the building SINGLE FAMILY DWELLING Location of Property: 6430 Horton Ln,Southold SCTM#: 473889 See/Block/Lot: 54.-3-15 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 12/12/2018 pursuant to which Building Permit No. 43326 dated 12/19/2018 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: single family dwelling with unfinished bqW.MML ca froigrttr side qd rear dec and attached two card izaraae up ed�for. The certificate is issued to Consiglio,John of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL R10-18-0107 12/2/2021 ELECTRICAL CERTIFICATE NO. 43326 3/15/19&3/1/21 PLUMBERS CERTIFICATION DATED 10/20/2020 C a Jes San ell- it 0 `,r Signature