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Home My WebLink About1000-59.-6-22 € � 'OWN OF SOUTHOLD n Rental Permit 1212 Owner Veradeana Properties LLC Occupied as Single Family Dwelling Located at 9425 Soundview Ave Southold 59.-6-22 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. 10/10/2024 Official This Notice must be posted by the main entrance at all times (7e Vr) P"'Z' �aw I Pt,'* - Y�t4c-�r- 1 T7 SS-1 TOWN OF SOUTHOLD—BUILDING DEPARTMENT „lw Town Hall Annex 54375 Main Road P. O. Box 1179 Southold,NY 11971-09 Telephone (631) 765-1802 Fax (631) 765-9502 https, // c t oC.clto . _VC ;w RENTAL PERMIT APPLICATION Rental Permit Fee $300 (Application must be renewed every two years) Section A. Property Information: Ren I Property Address: I Vl Tax Map Number: 1000 SECTION J -BLOCK G -LOT 22 - SECTION B. OWNER INFORMATION: Property Owner Name: Property Owner Legal Address: Property Owner Mailing Address: (Cannot be the same as Rental Property Address) Ol l-7 5-10 V-310 (-Z LO-7 (Z 6 Telephone Number (s): Daytime Evening Emergency Property Owner Email Address: " i01�11nn Q v �' CC VA_ ", Page 1 of 4 Section C. Authorize ,-Agent Information: Na 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. Man ing Agent Information: ZA'ame 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 SITE MANAGER INFORMATION: (required for rental properties containing 8 or more rental units) e'N me 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, 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: �'� A 'O N G217 �cJm O M +"� � M �'T ' wm mmmmmm.�m. o f � Use and Dimensions of each room in Rental Dwelling Unit: m F141Z 2 10 f SECTION G. r 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 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) 4 10 ) ` ~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 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 s to any change to the information regarding Authorized Agent, Managing Agent, or Site Manager. Property Owner's Name: Property Owner's Signature: 03vounS ul pegge 90ttaZ90Mw VN Sworn toJbe (reVmeis ay of �° 20 40JI�N 10 OlelS 0I1qnd N' � Official ota " Sign u7a0 Original Notary Stamp Page 4 of 4 MY— 'r D.I.IIS RT oe-IGN — _ 120N0—Ave Bu\p0ll,NY IL705 63l A 19 615g s� � - inR`oplanl�nc ncl 9e m��s. ,' - ", '-•~ R&W E.,givcan, a .. pc 080'Ibwv1uc Rona Builc l50 Hvuppnug NY (83119b0151 B(Fax) _ a vc�v nEcv � Ar -- a..4 PLAN NOTES: d i ALLWINDOWIDOCR HEADERSARE MIN _ T41 (2)2X8 UNLESS NOTED Z "y?<" z i 2 HORIZONTAL BLOCKING IS REQUIRED AT ALL PLYWOOD SEAM LINES WITHIN ~�[ BRACED WALL PANEL LOCATIONS SEE p U yS PAGE BR-i FOR BRACED WALL W LOCATIONS ❑ WITH A PANASONIC EXHAUST LU BE HROUGH SUI- EO NCO E�� D '+ { LAT NON-VINYL I DUCTWORK APPROXIMATE LOCATIONS N a. € ma.ffi sgg R.9_$S3¢ SHOWN g NWITH THE FOLLOWING _ �- _ao. ._�._._ �.m e - SYMBOL PLA ? ~ p � i t s m Ici -•- � x _ ) visnn .3 ti r - — 3 t SLDSEL k urn " � o F 0 o } - ( L , f Ks € 88 � uzsva ncu \ FF A l f f POSTS AND CONNECTORS ai = m �� 8/2/2023 FIRS—,LOOR KAN -cz - lf e SHEET' a <' A-3 o T.%IVWN OF SOUTHOLD BUILDING DEPT. viol , 631-765-1802 ��` � 6 INS' PECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION/CAULKING [ ] FRAMING /STRAPPING [ INAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (F DIAL) [ ] CODE VIOLATION [ ] PRE C/O [ ] RENTAL REMARKS: DATE � '" � INSP ECT0 a -2, TOWN OF SOUTHOLD PROPERTY / I y/"Z3 OWNER _ I STREET I VILLAGE LOT aci g F-ORMER OWNER N 1 � ACREAGE S W F BUILDING �..d . e e RES. � �4� SEAS. VL. FARM COMM. IND. CB. MISC. LAND .a£` IMP. TOTAL DATE REMARKS 711� 11 06 I - 1 LZ LIN2 r� E£Y T Z3 AGE J� U� BU NG_CONDITION NEW NORMAL BELOW ABOVE 11l/ j,,X i 6 �e 47 Farm Acre Value Per Acre Value -" Tillable 1 _ Tillable 2 Tillable 3 1t Wcodland � Swampland B rusdymd, House Plot Tct-- I t 3 Q , 3 I I TSk j F - _. i M. Bldg. _ �b ' (��12-`Foundation �G,{j Both I l.�l gal Extension / 2 ?Zi BasSment. _ r ` j I Floors� _ T to n IGV� 0L; J L`l'- Ext. Walls ;�,, ��j' Interior Finish �zr f Extension x Fire Place Heart ------------- Porch Attic Porch Rooms l st Floor i Breezeway, Patio Rooms 2nd Floor _ Driveway Garage � � OhlfJ � ,:- E y 0. B. I I FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. CERTIFICATE OF' OCCUPANCY No. . ..$�9.....,... Date .... ... ...............f 0tob,ex....24......... 19...60 THIS CERTIFIES that the building located at Its/..: f4 !d...VyaW..AVM••••••••••••••••••-••• Street xxx Map No. ..............Block No. *?...........Lot NoA7q........ ct� ltd.........................,.,......,.,,.....,. conforms substantially to the Application for Building PcrnZit heretofore filed in this office dated .....< ..<....,, ..' U > ....16 19.kQ pursuant to which Building Permit No. . . ,].�,��. ....•. dated ................ : ?9w:� .....19....... 19...6.0, 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 .a...............P.�'.�,:�5�..��...An.P...��m3.�.�r...dwed:�:�:x3g. ...........,.,.........,....,, ...............,...�.,..,....,..,..........,.�., .,,.. This certificate is issued to c�::lea, S e Oslo (-... r ' ' � O e (owner, lessee or tenant) of the aforesaid building. .......... .... ...........Building..Inspec tor ..,..............:.,..... FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Clerk's Office Southold, N. Y. Certificate Of Occupancy No.'" ? ". , . . . . . Date . . . . . . .,N. . . . .30. . . . . . , 19.+12, THIS CERTIFIES that .the building located at .It/: .8o=d .9i" I' .At* . . . . . Street Map No. .3M. . . . . . . . . Block No. . . .=. . . . .Lot No. . .,S* ,2A - •N,.Y o . . . . . . . . conforms substantially to the Application for.Building Permit heretofore filed in this office dated . . . . . . . . . . . .Oct. . . . . ., 19 71. _ pursuant to which Building Permit No. . �. . dated . . . . . . . . . . Oct, , . Y , , . ., 19.71 ., 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 . .Prlvate- one. family. .dwe-11in8 . . . . . . . . . The certificate is issued to . 81e .g&hri0f er. . . . . .offer. . . . . . . . . . . . . . . . . . . . . . . (owner, lessee or tenant) of the aforesaid building. Suffolk County Department of Health Approval Jt9R..... . . . . . . . . . . . . . . . . . . . . . . . . . . . UNDERWRITERS CERTIFICATE No. . . .X*R* . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . HOUSE NUMBER. . .5 . . . . . .Street. . AmAllew. Ave. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Btiildirtg Inspector FORM NO.a TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N° 5546 Z Date ...........................0 ......... ........., 19. .. Permission Is hereby granted to: l...e�r.................. lr ..............4 kha 14.............................................. to .. xis.. .. 3. ..r :.r ., rt ............................................................ ....................................................."..,.................................................................................................. at premises located at ............ .. .. f LAY .. #3 t. ..�................................................................ .,.... ..............:........................................ J t . ..,........ l+a .......,.,.,..................................................... .......................................................................................... ...................................................I................. pursuant to application doted ....................................jcwt �......, 19...r.�'.1, and approved by the Building-Inspector. Fee .......... ......................... . .: ....., ............. Building Inspector. �� g sFOt/r Town of Southold 2/7/2024 P.O.Box 1179 53095 Main Rd Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 44950 Date: 2/7/2024 THIS CERTIFIES that the building ADDITION/ALTERATION Location of Property: 9425 Soundview Ave, Southold SCTM#: 473889 See/Block/Lot: 59.-6-22 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 10/6/2022 pursuant to which Building Permit No. .48980 dated 3/3/2023 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: additions and alteratLons�inctqding deck w to existing siigle family dwell in a i d f The certificate is issued to Veradeana Properties LLC of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL R-22-1517 10/11/2023 ELECTRICAL CERTIFICATE NO. 48980 12/13/2023 PLUMBERS CERTIFICATION DATED 12/1/2023 nN�ich�o .,Mastres ze . S nature .�...... fFt Town of Southold 10/10/2024 '�- P.O.Box 1179 53095 Main Rd 1, Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 45634 Date: 10/10/2024 THIS CERTIFIES that the building BASEMENT ALTERATION Location of Property: 9425 Soundview Ave, Southold SCTM#: 473889 Sec/Block/Lot: 59.-6-22 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 6/10/2024 pursuant to which Building Permit No. 50990 dated 7/26/2024 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: alterations forfinished kaas, , enu nc� ng l edre,cam to,p ist ng..:sin le fq j,l,y dwell ng..w s..a.ppL fir. The certificate is issued to Veradeana Properties LLC of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 50990 10/7/2024 PLUMBERS CERTIFICATION DATED alio izu gnature