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Home My WebLink About1000-59.-9-1 TOWN OF SOUTHOLD 1Al g Rental Permit 1217 Owner Russell Fine & Pamela Koffler Occupied as Single Family Dwelling Located at 8200 Soundview Avenue Southold 59-9-1 Maximum Permitted Occupancy 7 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. 10/18/2024 �\-N14N%m e En n Official This Notice must be posted by the main entrance at all times (1 C - i M TOWN OF SOUTHOLD— BUILDING DEPARTMENT Town Hall Annex 54375 Main Road P. O. Box 1179 Southold, NY �,.1119 0959 P ) ) outholdt � r Telephone 631 765-1802 Fax 631 765-9502 ht ,,, m :. c 0 RENTAL PERMIT APPLICATION Rental Permit Fee $300 (Application must be renewed every two y �Ilkc Section A. Property Information: Rental Property Address: A, Tax Map Number: 1000 SECTION y J 1 J -BLOCK U -LOT SECTION B. OWNER INFORMATION: Property Owner Name: 4 �' l - Frh e, Property Owner Legal Address: Property Owner Mailing Address: (Cannot be the same as Rental Property Address) q10 Q101. VIA VIA k : Daytime_ �" Evenin Telephone Number (s) g Emergency Property Owner Email Address: � M' �y 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 propertieMc6ntaining 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 Man/Day�t' e Telephone Number (s): 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: Use and Dimensions of each room in Rental Dwelling Unit: I V)h It bA10414, 1m D X 2- 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. I am requesting a fire safety inspection to be performed by a Code Enforcement Official 1 from the Town of Southold C 9 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 � 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 isrny 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: Pamela Koffler Property Owner's Signature:"Al "L Sworn to before me this i day of 20 M 40al aary Public Signature and Original Notary Stamp JACOUELlNE GAIL ECKHOU5E NOTARY PUBLIC-STATE OF NEW YORK No.02EC6446281 Qualified in New York County my commission Expires 12-12-2026 Page 4 of 4 TOWN OF SOUTiOLD BUILDING DEPT. 631-765-1802 1 Nvl*wmi'h' P Orm" C T 10 N [ ] 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 (FI L) [ ] CODE VIOLATION [ ] PRE C/O [ RENTAL REMARKS: / � / | | | � l | } TOWN OF SOUTHOLD PROPERTY RI iRD OWNER STREET VILLAGE DIST.1 SUB. LOT c J : : ,FORMER OWNER N E 1- ACR. - S _ W TYPE OF BUILDING s RES. SEAS. VL. (FARM !COMM. CB. MISC. Mkt. Value LAND IMP. TOTAL DATE REMARKS / gg z Ft c.E' "� �` «a Al, a . { . tfJ h `ACE B IG COND1 { : f r a r '.—'7 U a NEW NORMAL BELOW ABOVE FARM Acre Value Per Value Acre Tillable 1 I Tillable 2 i ! Tillable 3 Woodland s s Swampland FRONTAGE ON WATER Brushland FRONTAGE ON ROAD --THouse Plot ' DEPTH Via- s � I BULKHEAD Total ! DOCK i �r r sp ti - COLOR = y - :x € I I � s ° = z TRIM d i LL— t z ` € i 3 � I t I f t - �� ..a - - � :— Z- �3 I I z . 5 � t I € M. li _ 1 $ oundation s �3 Bath f ` Dinette Extension ::��Ba�sem,ent Floors K. -� E 4ru Pic? N I Extension r =Ext. Walls Interior Finish $I -R. € Fire Place HeatExtension tz C DR.o H $£ ;Type Roof p 'B Rooms 1st Floor ! R Porgy_ Recreation Room Rooms 2nd Floor FIN. B Rer"ch ormer { `Driveway o �3 I Garage 7 I E �o l q9 `� a s I = I i t ro COLOR a I 1 S � � 3 \\ y 6 TRIM \\ 5 Z sr _ i I f TFT1 I I e 59.-9-1 12/07 i 1 st 2nd M. Bldg, 1 , 7t" Pc c51 Foundation [ Bath Dinette 7 �. � G� OTHER FULL COMBO Extension i Basement CRAWL PARTIAL Floors Kit. I =E Extension Finished B. Interior Finish L.R. Extension Fire Place Heat D.R. Garage Ext. Walls BR. Porch Dormer Baths Deck/Pa#e 6 < r,e �116 _ Fam. Rm. I r1PIT Post Y y lz = = Foyer hx 4 A.C. �r'` Laundry Library/ Study A; .a ,I FORM NO 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Clerks Office Southold, N. Y. Certificate Of Occupancy No. . .� ,� . . . . Date . . Janua-ry. . 26 . . . . . . . . . . . .. 19- 7$ THIS CERTIFIES that the building located at . 6200. =:found• -View -Ave• • • • Street MapNo. . . , . . , 6 . . . . . Block No. . . . . . . . . , .Lot No, . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . conforms substantially to the Application for Building Permit heretofore filed in this office dated .;`Elite tb� . . . . .9. . . ., 19.7`l, pursuant to which Building Permit No. .941+67 . dated ,ptember. . . . .9. . . 19.17t7, 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 . . - • yP.T1TkTE -01M -x ARITA' P1421LING. . . . . . . . . . . . . . . . - . . . . . . . . . , . . . . . . The certificate is issued to . . . . . Jack. Ring- & -Lei. Oraham . . . . . . . . . . . . . . . . . . . . . . . . (owner, lessee or tenant) of the aforesaid building. Suffolk County Department of Health Approval . . . . . . .IT/& „ . . ... . UNDERWRITERS CERTIFICATE No. . . . . . . . . . . . . . . HOUSE NUMBER . . .8200. . . . . . . Street . Sound- Mier- Ave. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Southold STY . . . . . . . . , . . . . . , . . . . . . . . . . 411� '_. ..:Kra e'er w . . � . . . _ _ I Building Inspector a FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-19899 Date MAY 8 1991 THIS CERTIFIES that the building ACCESSORY Location of Property 8200 SOUNDYIEW AVENUE SOUTHOLD N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 59 Block 9 ,Dot 1 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated JJLY 10 1981 ursuant to which Building Permit No. 16227-Z mated JULY 14 1987 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 ABOVE GROUND SWIMMING INC O L & FENCE AS APPLIED FOR. The certificate is issued to MICHAEL PICUCCI (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL /A UNDERWRITERS CERTIFICATE NO. N-184402 - APRIL 23, 1991 PLUMBERS CERTIFICATION DATED NIA, uil ing 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-19899 Bate MAY 8, 1991 THIS CERTIFIES that the building ACCESSORY Location of Property 8200 SOUNDVIEW AVENUE SOUTHOLD N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 59 Block 9 Lot. 1 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated JULY 10 1987 ___pursuant to which Building Permit No. 16227-Z dated JULY 14 1987 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 ABOVE GROUND SWIMMING POOL & FENCE AS APPLIED FOR. The certificate is issued to MICHAEL PICUCCI (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N A UNDERWRITERS CERTIFICATE NO. N-184402 - APRIL 23A 1991 PLUMBERS CERTIFICATION DATED N/A uil ng 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-19899 Date MAY 8 1991 THIS CERTIFIES that the building ACCESSORY Location of Property 8200 SOUNDVIEW AVENUE SOUTHOLD N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 59 Bloch: 9 Lot 1 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated. JULY 10,t, 1987 ursuant to which Building Permit No. 16227--Z dated JULY 14 1987 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 ABOVE GROUND SWIMMING POOL & FENCE AS APPLIED FOR. The certificate is issued to MICHAEL PICUCCI (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL, N A UNDERWRITERS CERTIFICATE NO. N-184402 - APRIL 234 1991 PLUMBERS CERTIFICATION DATED NIA, uil ing 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 Z19597 Date DECEMBER 20 1990 THIS CERTIFIES that the building ADDITION Location of Property 8200 SOUNDVIEW AVE. SOUTHOLD House No. Street Hamlet County Tax Map No. 1000 Section 059 Block 09 Lot 01 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated NOV. 8 1990 __pursuant to which Building Permit No. 19519Z dated NOV. 16 1990 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 DECK ADDITION TO AN EXISTING ONE FAMILY DWELLING & POOL. The certificate is issued to MICHAEL PICUCCI (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N A UNDERWRITERS CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N A �APUY'Iding 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-25893 Date: 08/17/98 THIS CERTIFIES that the building ACCESSORY ,,,,_ Location of Property: 8200 SOUNDVIEW AVE SOUTHOLD (ROUSE NO.) (STREET) (HAMLET) County Tax Map No. 473689 Section 59 Block 9 Lot 1 subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated JN'E 23 1998. pursuant to which Building Permit No. 25081-Z dated AUGUST 4 1998 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 REPAIR EXISTING ACCESSORY SHED AS APPLIED FOR. The certificate iS issued to RICHARD L EAGAN (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A L4 Building InspX16r Rev. 1/81 �T FORM NIO. 4 TOWN OF SOUTHOLD BUILDING DEPART3MT Town Clerk's Office Southold, N. Y. Certificate Of Occupancy No. .Z 5594. . . . . Date . . . . . . .Oe 0 :F. ?31. . . . . . . .. 19.?3. THIS CERTIFIES that the building located at .SAS Sound Vier Ave. Street Map No. . . . . . . . . . Block No.XX. . . . . . . .Lot No. . .KX Southold conforms substantially to the Application for Building Permit heretofore filed in this office dated . . . . . . . A49.. 25 . . . . ., 19. 72 pursuant to which Building Permit No. dated . . . . . . . Aug,. .25,. . . . . .. 19.74., 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 . . . .1prI.-Date, one, 44 y ,dwelling. . . . . . . . . . . . . . . . . » The certificate is issued to . . . Bayley. . . .owner . . . . . . . . . . . . . . . . . . . „ (owner, lessee or tenant) of the aforesaid building. Suffolk County Department of Health Approval . K!R!. . . . . . . . . . . . . . . . » . , . a . . , . . . . . . UNDERWRITERS CERTIFICATE No. N .110551 . . . . . . . . . . . . . . „ . , . . » . . , . . . . . . . » . HOUSE NUMBER . . . 8200. . . . . . Street . . .Solund. Pieta Ave . . . . . . . . . Southold . . . . . . » . . . , . » . . . » . » . . . . . . . Building Inspect r FOAM XO. 4 TOWN OF SOUTHOLD BUILDING DEPARTM7WT Town Clerk's Office Southold, N. Y. Certificate Of Occupancy No. Z7.442. . . . . Date . . . . . . .ARIA er. .17*. 19. .76 THIS CERTIFIES that the building located at 9/0 AQUU0dW. Ave#. . . . . . . Street Southoldf N. Y« Map No. . , . . . . . . . Block No. . . . . . Lot No, . . I . . . . . . . . . . . . . . . conforms substantially to the Application for Building Permit heretofore filed in this office dated M4VV)k 29s . . , 1976. , pursuant to which Building Permit No. .61` 55%. dated )*3mh .299. . . . . . . . . .. 197.0 ., 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 y' n . . . . .� dt? . ?. �a.TJk �, aA 'a ►',d � � , . . . . . . . . The certificate is issued to .40grt. Tit. .PAY107. . a . . . . . . . . . . . . . . . . . . . . . . . . . . . . (owner, AAM1 ' 111111,; of the aforesaid building. Suffolk County Department of Health Approval I / UNDERWRITERS CERTIFICATE No. . . . Q3$. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . HOUSE NUMBER P200 . . . . Street A !. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . + . 1�. ,Y.. . . . . . . . . . . . . . . . . . . . . . . a .. Building Inspector ►fir. ¢Y ---_ ' T FOYER � g MUM OCENQQM T a s 12 - J Lo zjj e =FLOOR TO ugft SOMMODA'M R A FLOOR E CAI TO SUMP T PL04P � t ft �a • M15 CAML La fi [ -TRk'r-GiB. MtwftW A'Q k + . : FIST E d+�—�"—IO' -nIe 10 xtsfi- t I ft —� �A I • "r � EK151`. 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