The URL can be used to link to this page

Home My WebLink About1000-106.-6-34 � # SOWN OF SOUTHOLD Rental Permit 3 1206 Owner Alan & JoRita Risola Occupied as Single Family Dwelling Located at 1645 Bayview Ave. Mattituck 106.-6-34 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. 9/30/2024 Code ref rceQet C► a This Notice must be posted by the main entrance at all times TOWN OF SOUTHOLD—BUILDING DEPARTMENT S�`* V Town Hall Annex 54375 Main Road P. O. Box 1179 Southold,NY 11971-0959 Teleplaione,(69 )365-1802 Fax(631) 765-9502 � 1Ias;f �� tk_ciclto � �. e. w RENTAL PERMIT APPLICATION Rental Permit Fee $300(Application must 6e renewed eves s Section A. Property Information: x\ A I Rental Property Address: 1645 Ba view Avenue Mattituck NY 11952 Pd 3 W rt -,I0 � Tax Map Number: 1000 SECTION- 1000-B LOCK 106.-LOT 6-34 ` SECTION B. OWNER INFORMATION: Property Owner Name:JoRita Risola Property Owner Legal Address: Property Owner Mailing Address: (Cannot be the same as Rental Property Address) 564 Center D re Avenue West Islip NY 11795 564 Center D re Avenue West Islip NY 11795 Telephone Number(s): Dayti 347 918-75 Evening,, 51.6 729-1467 Emergency (631)495-0338 Property Owner Email Address:jdundon927@yahoo.com Page 1 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: Unit 1 Requested Maximum number of persons allowed to occupy Dwelling Uni µ 16 Number of rooms in Rental Dwelling Unit: 12 Use and Dimensions of each room in Rental Dwelling Unit: Office-8'11"x11'11", Powder room-4'11"x4'11", Kitchen- 19'1"x11'11", Dining room- 107'x11'11", Family room- 14'9"x13'0", Foyer-4'0"x5'9", Living room- 16'4"x14'5', Pantry-4'11"x3'1", Bedroom 1- 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. 0 1 am requesting a fire safety inspection to be performed by a Code Enforcement Official ,from the Town of Southold 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 . 0L,.K) a157 I t . 1C& 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 I;Owner`s Signature: Sworn to before me thi day of , 20-4 fficial iVotary Public Signature and Original Notary Stamp k t $tact of N o ca MI 0110 Iry Nassau Page 4 of 4 � ,4F fkU,ry��a TOWN OF SOUTHOLD BUILDING DEFT. 631-765-1802 /OG- lo INSPECTION [ ] FOUNDATION 1 ST/ REBAR [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION/CAULKING [ ] FRAMING / STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) [ ] CODE VIOLATION [ ] PRE C/O [ °'RENTAL REMARKS: " O. °" Town Hall Annex ��rc � Telephone (631) 765-1802 54375 Main Road Fax (631) 765-9502 CS P. O. Box 1179 ` Southold, NY 1 1 971-0959 w { A ? ► V 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 required for Architect or En ineer Licensed Home Inspector must provide copy of valid current certification / Rental Property SCTM Number: �000 D"� 3 q Rental Property Address: /�-�' �x z V/6:,-u AVc— a7 Owner/Name: J0 A 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.) cyy�a�vort L zuw. Ga er 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 Mainte dew York State and the Energy Conservation Construction Code of New York Stat Print Name and Title Origin rat , Please place Professional Seal: ........... e UTILITIES 22,W! x 11 t4�i GARAGE _ 'r 2 '7' \ `SMEN \, A.A V\. \\ \. A\ alm �A �� A� . ��... �_ \. �. .�, \\ � A> AAA �_MW SRI" A Cgjk all ANA � -.A �\�arg VA a al E-R 11 v; Ali AlK t\ \ DJUX � \ \ \ \ \\ h �< .. �. vA v o ' \ \ \\ \ \ \ yr c `\ \ \ y. � A a z 'I" o �F Al 14 v FlOY,ER r 1 7 \\ ._.. ._.�. ._ .. .._,..... 0 tv� W y.y....... � . gg � o 10 A A A o O� A A A 7N I1 JI TOWN OF SOUTHO .D PROPERTY RECORD CARD OWNER 'STREET VILLAGE T DIS ' SUB. LOT FORMER P _ OWNER � L. N E - ACR. P I Ll 17) S - = VN f i ra !A-. , h . L/` TYPE OF BUILDING "f s � RES. 3 SEAS. VL. FARM COMM. CB. MICS. Mkt. Value LAND IMP. TOTAL DATE REMARKS "� 0(6 I ' { -04 '76 t J £ �'# i I _ • I s 7g-1, .' J , Tillable FRONTAGE ON WATER Woodland FRONTAGE ON ROAD � I Meadowkmd I ' DEPTH House Plot BULKHEAD F , Total t 1 COLOR TRIM f • f s 3 3 F 410' Ile S I I y �a- MS `,.. _ I _ F f 106.-6-34 2/06 ! I € s B I on , i s I � I 1 [ r , s t 3 s s 3 Extension ! 'Foundation 4 Bath C� Dinette r Poich s Q Basement ll Floors K. ! / . March Ext. Walls U��,�` Interior Finish 'LR. / Breezeway !Fire Placec'as Heat ��, DR. Roof Rooms 1st Floor ` 13R. le XV /�klo2= = potto !Recreation Room !Rooms 2nd Floor FIN. B O. B. !Dormer s Driveway i - �55 ► � T. qfal FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-31134 Date: 08 2 05 THIS CERTIFIES that the building NEW DWELLING Location of Property: 1645 BAYVIEW AVE MATTITUCK (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 106 Block 6 Lot 34 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated OCTOBER 29 2004 pursuant to which Building Permit No. 30739-Z dated OCTOBER 29 2004 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 WITH COVERED FRONT PORCH REAR STOOP AND ONE CAR GARAGE UNDER AS APPLIED FOR. The certificate is issued to BADENCHINI REALTY ASSOCIATES LLC (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL R10-04-0018 08 22 05 ELECTRICAL CERTIFICATE NO. 2056117 08 15 'OS PLUMBERS CERTIFICATION DATED 08 22 05 CHARLES SANDERS h� Authorized Signature Rev. 1/81