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Home My WebLink About1000-78.-3-41.3 4 TOWN OF SOUTHOLD a Rental Permit 1149 Owner Lisa Amoia & Joan Fastaia Occupied as Single Family Dwelling Located at 50 Wabasso Street Southold 78.-3-41.3 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. 6/10/2024 Code Enforcement Official This Notice must be posted by the main entrance at all times a� yra� TOWN OF SOUTHOLD—BUILDING DEPARTML 202/1 Town Hall Annex 54375 Main Road P. 0. Box 1179 Southold,NY 11971-0959 Telephone(631) 765-1802 Fax(631) 765-9502 hlt�/ v�� southoldtgvvnn ,0 ur ng Department Town of Southold RENTAL. PERMIT APPLICATION Le • 3 . 2&-4 of 4'300'iq� ireC* I b-7999 Rental Permit Fee 300 (Application must be renewed every two years) Section A. Property Information: / Rental Property Address: 570 91-6 Tax Map Number: 1000 SECTION -BLOCK 7 -LOT SECTION B. OWNER INFORMATION: Property Owner Name: p, Property Owner Legal Address: Property Owner Mailing Address: (Cannot be the same as Rental Property Address) _' ZO T' Or �� N �, l� w IA:�__IS Telephone Number(s): Daytime 2"� wening a °M9 Emergency '��i e Property Owner Email Address: 1241 Page 1 of 4 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): 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: ^' 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: Use and Dimensions of each room in Rental Dwelling Unit: 41 41 ViT(,q7 d. M 6 `f 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. ❑ 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. 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) I ) 5 u' JDK; 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: L15A A ,I 01A /W #Aff/4144 Property Owner's Signature: ° J�GC- > Sworn to before me this 3 day of - Zn , 20.& Official Notary Public Signature aV6 Original Notary Stamp A `NEIJNE M.KELLY 11f Y Na bustified in Richmond Cou " Page 4 of 4 Town Hall Annex Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O. Box 1179 Southold, NY 11971-0959 a � BUILDING DEPARTMENT TOWN OF SOUTHOLD RENTAL PROPERTY CERTIFICATION Form is to be completed by a licensed architect, licensed engineer or licensed home inspector Separate form is required for each individual Rental Dwelling Unit Professional seal re aired for Architect or Engineer, Licensed Home Inspector must rovide copy of valid current certification Rental Property SCTM Number: Rental Property Address: 50 itIAPAMM Owner/Name: P�A kHoiPr .,, - Rental Dwelling Unit Identifier: Number&Square footage of each bedroom as depicted in the attached floor plan: (i.e. Bedroom#1 — 100 sgft., Bedroom#2—90 sgft., etc.) 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,the Fire Code of New York State,the Property Maintenance Code of New York State and the Energy Conservation Construction Code of New York Sta EC ] ,,a �= Print Name and Title fa SAL ignature Please place Professional Seal: > ""t � 0 TOWN OF SOUTHOLD BUILDING 631 -765-1802 c INSP C ION ] FOUNDATION 1ST / REBAR j ] ROUGH PL13G. [ ] FOUNDATION 2ND [ ] INSULATION/CAI [ ] FRAMING / STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY IN; [ ] TIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PE [ ] ELECTRICAL (ROUGH) j ] ELECTRICAL (FII [ ] CODE VIOLATION [ ] PRE C/O [ 36'RMJNG BEDROO?A W-2 xR-2) (I a-10'x 9'-47 I � MP5TER BEDROOM COVERED PORCH (I 3'8'x I d-47 I; CLOSET tL—______ ' e v 9 - PRfoGe IGiTCt1E 4 CLO. I 0-4"x I ` I I 1 i t 00 LIVING ROOM DINING ROOM .00 (I Y-4"x 13'-&) 0-0"x (I(Y-8'x 9- `) i I ow 5/G }- MASONRY STOOP UMRZ(.CONC.` FLOOR PLAN ffi t �r �"'� F�OsSEl�1f�11 50 wk�Kso S�("R�. SCTM # TOWN OF SOUTHOLD PROPERTY RECORD CARD OWNER STREET A VILLAGE DIST , ACR. REMARKS TYPE OF BLD, PROP. CLASS m tom _ LAND IMP TOTAL DATE 2 1 _ L!' 3 - / _ �e I 3 FRONTAGE ON WATER HOUSE/LOT t BULKHEAD '` TOTAL /19 TOWN OF S UTH L R PERT . -1! — CAR OWNER z STREET VILLAGE DISTRICT SUB. LOT d v FORMER OWNER ACREAGE - am� S � W a TYPE OF BUILDING NJ 1 t - RES. SEAS. VL. FARM COMW e IND. CB. MISC. ; Est. Mkt. Value LAND IMP, TOTAL ATE REMARKS r p _ _ _ f f = AGE BUILDING CONDITION , �� - , 9 ABOVE FRONTAGE ON WA N .=Ok AI BELL} - — - _ - - Value FRONTAGE ON ROAD z, - i � - _ sf - �� a _ L[ HEADS _ Tillable 2 DOCK _ e Tillable 3 -� - Woodland a . £_ Swampland Brushland '^ 1 House Plot i 3 Total z z� IL � la i a i R e 3 vk _ I s y y — 78.-3-41.3 9/22/2022 �a s - Extension Basement — Floors Ext. Walls - prior Finish t .—x e .sign -ire Place VVflt s [ Porch Roof Type Porch - Rooms 1st Floor Breezeway � Patio Rooms 2nd Floor �e Garn-ge Driveway Dormer . e 0. FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-26397 Date: 04/22/99 THIS CERTIFIES that the building DWELLING Location of Property: 50 WABASSO STREET SOUTHOLD_� (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 78 Block 3 Lot 41.1 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated SEPT3MBEa__8,L 1984 pursuant to which Building Permit No. 12� dated FEBRUARY 6, 1984 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 AS APPLIED FOR. The certificate is issued to WILLIAM BURKH T (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL 13-SO-173 04/21/89 ELECTRICAL CERTIFICATE NO. NN-66� 10/19/84 PLUMBERS CERTIFICATION DATED N/A lei Building In ecto;r Rev. 1/81 FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Fall Southold, N.Y. PRE EXISTING CERTIFICATE OF OCCUPANCY Date= 05 30 03 No: Z- THIS CERTIFIES that the building 4�'ESSORY 0 WABASSO ST Location of Property ___ SOOLD (STREET) Le�T) (E C1SE NO.) Block Lot 041003 County Tax Map No. 47� Section 078 p003— Subdivision Filed Map No. Lot No. conforms substantially to the Requirements for a APRIL 9 1957 pursuant to which CERTIFICATE OF built prior to OCCUPANCY NUMBER Z- 29478 dated MAY 30 2003 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 ACCESSORY NON- IT LE GARAGE.* The certificate is issued to W'ILLIAM BUR RDTWNER) of the aforesaid building. SUFFOLK COUNTY DEPAR T OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. pL[DMBERS CERTIFICATION DATED *PLEASE SEE ATTACHED INSPECTI REP RT. Authorized Sig ure Rev. 1/B1 BUILDING DEPARTMENT TOWN OF SOUTHOLD HOUSINGa CODE INSPECTION„REPORT.... ... LOCATION- 50 WABASSO ST SOUTHOLD SUBDIVISION: 14AP NO.; .........„......, LOT S .„.�.ww_.._ NAME OF OWNER (S): WILLIAM BURKHARDT _ OCCUPANCY: ACCESSORY GARAGE WILLIAM BURKHARDT ADMITTED BY: KATE CARPLC7K, ACCOMPANIED BY: SAME KEY AVAILABLE: SUFF. CO. TAX MAP NO-: 78.-3-41.3 SOURCE OF REQUEST: KATE CARPLUK AGENT DATE: 05/30/03 DWELLING: TYPE OF CONSTRUCTION: µ„m # STORIES: 0.0 # EXITS: 0 FOUNDATION: CELLAR; CRAWL SPACE: TOTAL ROOMS: IST FLR_: 0 2ND FLR.: 0 3RD FLR_: 0 BATHR0004(S): 0.0 TOILET ROOM(S): 010 UTILITY ROOM(S): PORCH TYPE: DECK TYPE: PATIO TYPE: BREEZEWAY: FIREPLACE: GARAGE: _... DOMESTIC 110TWATER: ..ww.,.,.,.,wn.,..._.� TYPE BEATRR: AIRCONDITIONING: TYPE BEAT: WARM AIR: HOdWC13R: OTHER: ACCESSORY STRUCTURES: GARAGE, - WO E STORAGE, TYPE CONST_: B, TYPE OF CONST_- WOO„�. .µ.D FRAME_. �..�._.... SWIMING POOL: GUEST, TYPE CONST.,: OTHER: _.........,.__ ........... VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION L BUILDING CODE LOCATION k S wwwwww ..�www� C7E'SCid I��SOT➢ � _ ...... _ ART. Eq., .......�ww..� _�.....� V & I e A j q ! p d N 6 V I � C I RiaraurR: BP6(128�WRILtINGdCOZ26391 11271 INSPECTED BY: DATE ON INSPECTION: 10 21 02 )OH M BOUFIS TIME START: 9:40AM END: 10:00AM Town of Southold 6/13/2017 P.O.Box 1179 53095 Main Rd �a Southold,New York 11971 CERTIFICATT OF OCCUPANCY No: 39010 Date: 6/13/2017 THIS CERTIFIES that the building ALTERATION Location of Property: 50 Wabasso St., Southold SCTM#: 473889 Sec/Block/Lot: 78:3-41.3 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 4/6/2016 pursuant to which Building Permit No. 40614 dated 4/13/2016 -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: Ai.'1F» 1 ION INCLUNJ1NC CO RY TO AN (ELIZQ M.-APPLIED IED FOR The certificate is issued to Jemcap SDII LLC of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 40614 03-23-2017 PLUMBERS CERTIFICATION DATED u Signature Town of Southold 10/15/2022 P.O.Box 1179 53095 Main Rd o Southold,New York 11971 CERTIFICATE OF OCCUPANCY CY No: 43486 Date: 10/15/2022 THIS CERTIFIES that the building IN GROUND POOL Location of Property: 50 Wabasso St, Southold SCTM#: 473889 Sec/Block/Lot: 78..-3-41.3 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 12/28/2020 pursuant to which Building Permit No. 45684 dated 1/19/2021 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: acMM in-ground Lwimming 000l fenced to code as ggplied for. The certificate is issued to Goldfarb,Jason&Kowalski,Robin of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 45684 6/16/2021 PLUMBERS CERTIFICATION DATED AM\ n OT Signature