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HomeMy WebLinkAbout1000-70.-8-52 of so SOWN OF SOUTHOLD Rental Permit 1250 Owner: Joseph D'Esposito , Tara D'Esposito Occupied as: Single Family Dwelling Located at: 80 Clearview Ave W Southold 70.-8-52 Maximum Permitted Occupancy: 4 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. Issued: 01/21/2025 )&;17= Expiration: 01/21/2027 cod ment 0 441 This Notice must be posted by the main entrance at all times x b"f�C,t ^w AV TOWN OF SOUTHOLD—BUILDING DEPARTMENT Town Hall Annex 54375 Main Road P. O. Box 1179 Southold,NY 11971-0959 Telephone (631) 765-1802 Fax (631) 765-9502 httg�'Sw//N w .tau iloLti,t�Na LIKly.,gov RENTAL PERMIT APPLICATION Rental Permit Fee $300 (Application must be renewed every two years) Section A. Property Information: Rental Property Address: CIFARV ICW AVt: wC-s-r,. :SouAt-ed Tax Map Number: 1000 SECTION q73 881 -BLOCK -LOT V - 5 2- SECTION B. OWNER INFORMATION: Property Owner Name: � T11 �� os fro Property Owner Legal Address: Property Owner Mailing Address: (Cannot be the same as Rental Property Address) VtiAb IZ- K . SAMr- As � L. 1 Telephone Number (s): Daytime blq-852-7113Evening Emergency b3t-561'752-6 Property Owner Email Address: U O 25AN19 r, .� Iocto Page 1 of 4 Town Hall Annex Telephone(631)765-1802 54375 Main Road P.O.Box 1179 Southold,NY 1 1971-0959 BUILDING DEPARTMENT TOWN OF SOUTHOLD RENTAL PERMIT APPLICATION INSTRUCTIONS Effective September 27th 2023 Rental Permit Fee: $300 (Application must be renewed every two years) The items listed below are required to be submitted with the completed application. • Floor plans: Floor plans of each rental dwelling unit, please show location of all smoke & carbon monoxide detectors. • Certificates of Occupancy and Pre-Certificates of Occupancy: Certificates of occupancy or Pre-Certificates of Occupancy for each rental dwelling unit. • Certification of Code Compliance (form enclosed): Must be submitted by a license architect, engineer or license home inspector if an inspection by Town of Southold Inspector is declined. • Rental Permit Fee: $300.00 f Section C. Authorized Agent Information: Name of Authorized Agent of dwelling unit, if any: 4u AL Address of Authorized Agent (no P.O. Boxes): (b M Ah QD M&T'rl C Mailing Address of Authorized Agent: C K. Telephone Number (s): Daytim 31 `6 ,- 6l Evening Emergency Email Address: �C.A13gp.L FX LR G . Cam Section D. Managing Agent Information: NIA 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. N/A 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: 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, 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: U 0 1-r Requested Maximum number of persons allowed to occupy Dwelling Unit: 3 Number of rooms in Rental Dwelling Unit: O (to(—"W4 G pT V 4.......A614) Use and Dimensions of each room in Rental Dwelling Unit: 5M R 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 afire safety inspection to be performed by a Code Enforcement Official from the Town of Southold 31 I am submitting a completed Town of Southold certification form from a licensed architect or a licensed professional engineer. Page 3 of 4 a � SECTION H. DECLARATION: Signature must be notarized and MUST be the owner of the dwelling unit. STATE OF NEW YORK) } COUNTY OF SUFFOLK)Jos I 14 (7,FS- pos 1T0 , 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: OSEQ►� Property Owner's Signature: Sworn to before me this -day of , Q fdkkr�" 204 . f ici l cat Public Signature and Original Notary Stamp MARA M ZONDERMAN Notary Public-State of New York NO.01ZO6370215 Qualified in Suffolk County My Commission Expires.w __w _,,,,,, Page 4 of 4 Town Hall Annex Telephone (631)765-1802 54375 Main Road p P. O. Box 1179 Southold, NY 11971-0959 , BUILDING DEPARTMENT TOWN OF SOUTHOLD RENTAL PERMIT APPLICATION ADDENDUM Rental Dwelling Unit Identifier: Requested maximum number of persons allowed to occupy each dwelling unit: Number of Rooms in Rental Dwelling Unit: Use and Dimension of each room: Rental Dwelling Unit Identifier: Requested maximum number of persons allowed to occupy each dwelling unit: Number of Rooms in Rental Dwelling Unit: Use and Dimension of each room: Rental Dwelling Unit Identifier: Requested maximum number of persons allowed to occupy each dwelling unit: Number of Rooms in Rental Dwelling Unit: Use and Dimension of each room: 0 SSO TOWN OF SOUTHOLD BUILDING DEPT. en 631-765-1802 INSPECTION [ ] FOUNDATION 1ST/ 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 [ 4-IR- ENTAL MATE l INSPECTOR s TOWN OF SOUTHOLD BUILDING DEPT. 631-765-1802 INSPEOCTION [ ] FOUNDATION 1ST/ 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: 0&NU, / s Dec 21 , 2024 Town Hall Annex W ° 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 PROPERTY CERTIFICATION Form is to be completed by a license architect, licensed engineer or licensed home inspector Separate form is required for each individual Rental Dwelling Unit Pro esirral secrl rewired car Architect ar F freer llensedcrrle itas actor rrlst rovide copy of valid current certi cation Rental Property SCTM Number: Rental Property Address: 80 Clearview Ave West., Southold NY 11971 Owner/Name: Joseph Des osi,,to Rental Dwelling Unit Identifier: Number &Square footage of each bedroom as depicted in the attached floor plan: (i.e. Bedroom#1 -100 sq., Bedroom #2-90 sq., etc.) Bedroom #1 145 S ft Bedroom #2. 145 s ft 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, and the Energy Conservation Construction Code of New York State. Victor Cornelius III CEO Inspector Print Name and Title ceo# 1216-0283 Original Signature Please place professional seal: yam,, TOWN' O�.._SOJT0LD PROPERTY RECORD CAL SUB LOT. R LADE C FIRMER OWNER" 7" -6' �� �"a� N E / AC �y� t W 6' d� r� d �� � � ,�m ✓i of r�r�,r ,,;� d=�, /� �'�Cr o fd �r�" :, _W,,.,...�..., TYPE OF BUILCIh1C SEAS. VL. FARM CO �.�...,.tAND IMP. TOTAL DATE.._ MM. �.,B MISC Mkt. Value ,.._ ......_ ._...,_,.._.�... .._wm REMARKS y vy i j t ......, ..... �_..,.,. .. o I 1 _ {� �o l Uuii,„ao �414/7 � .. .. i DLO aTi Y � NEBOszMAL�� ' FARM Acre Value Per V I e w_ J Tillable 1 .. _,......_. ..,,,..,_,. ,.., _ _... ._........ f m_ Tillable 2 Tillable 3 Woodland4. (O Swampland....._, FRONTAGE AGE ON ROAD DEPTH House Plot BULKHEAD q r Total f DOCK p� y COLOR.., 8 ..... _.; �l TRIM _ a wr.0 �. r w �.�_ .. ..... .,..w_. j iii%a9�r r f 1 Foundation------ M. Bldg. .,. inette n f Both Base Extension � � � � „� Floors K. Basement Extension Walls Interior Finish LR. .✓ ` Place . . :.�°� t...�w�....�..,. Extension _ r Flea... M.m_.. F u DR. ......,r.,...w. .. .._,,,_�.._.�..�....� � �.w_.�jType Roof _... .,. ...... ....._ Rooms 1st Floor BR. Porch Recreation Room Rooms 2nd Floor FIN B. Porch 'Dormer Breezeway Driveway g w s Gara e Patio O. B..B.._._,w _. _.. ......._.. �._. Total ------------ a. f ��1Flel Town of Southold 3/16/2024 P.O.Box 1179 53095 Main Rd Southold,New York 11971 CERTIFICATE OIL OCCUPANCY No: 45053 Date: 3/16/2024 THIS CERTIFIES that the building AS BUILTDECK Location of Property: 80 Clearview Ave W, Southold SCTM#: 473889 Sec/Block/Lot: 70:8-52 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated p m37 dated 2/6/2024 �l/16/2024 pursuant to which Building Permit No. 500 mmmm Ymµ. 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: "as built"deck addition to xistin in g:faniily dv llin as appla (if rµ_ The certificate is issued to Tandy,Tara _ww.................._...w _ .__......._.......www .. ..._.w_ _ _.._ ._. a of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED o t FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Clerk's Office Southold, N. Y. Certificate Of Occupancy No. Z4185. . . . . . Date . . . . . . . . . . . . .April. . . . 5. . ., 19.71. THIS CERTIFIES that the building located at . . Bayview•Road•& .Cle i,*VeeU**t Map No. . .xx. . . . . . . . Block No. . .xz. . . . . .Lot No. X= . . . . Seuthald. • • . .N.Y., • • • • - conforms substantially to the Application for Building Permit heretofore filed in this office dated . . . . . . . . . . • .AM& - -30-, 19. .71 pursuant to which Building Permit No. . 4835 L dated . . . . . . . . . . f'aY. . . . . V -, 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 . . . . Rrivate •one -Easily• dwelling • . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . The certificate is issued to . . .Anthony. Plylke -&- wife• • • • • • . • • • • • • • . • • . . . . . • • . . . (owner, lessee or tenant) of the aforesaid building. Suffolk County Department of Health Approval Apr13 . . 14 •197•1• • •by •R. Willa.- Heues # 16 5 bayview Rd 80 Clearview Ave west. . . . , Building Inspector FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Clerk's Office Southold, N. Y. Certificate Of Occupancy No. 24219 . . . . . Date . . . . . . . . . . . . . April 27 . ., 19-71 . THIS CERTIFIES that the building located at . .Bayv-jew. Rd A. G1e ew$Wtwest Map No. . . . . . . . . Block No. .X= Lot No. . mm. . . . .Seuth*U . . . . . . . . . . . . . conforms substantially to the Application for Building Permit heretofore filed in this office dated . . . . . . . . . .Nov, . . .zo. . , 19?o. . pursuant to which Building Permit No. . . 5. 059Z dated . . . . . . . . . . . .)1ev. . . W., 19. 7—p, 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 . . private. ate• •(&ccaesery• building). . . . . . . . . . . . . . . . . . . . . . . . . . . . The certificate is issued to . .Anthony. •Pylko• • • • • . . Owner • • . • • . • • • • . . • • • . • • . . . • . . (owner, lessee or tenant) of the aforesaid building. Suffolk County Department of Health Approval . . . . . . .1.*R„. . . . . . . . . . . • • . . • • • • . House # 16 5 B&Yview10 --- " *arvieu Ave beet Bu g inspector FLOORPLAN SKETCH Botro tt JOSEPH D.AND TARA DEI,3PO$rrO Fde% 4515 Case No,_06-066.0776151— 21, 11911 a0—U—TL±(LL2--.--- ",raw NY Londoc NAW FEDERAL CREDIT UNIOWDE P1,OF VA ........... ........ 24.0' 29.0' Garage Uncovered Dock 34,0' 143, o Family bed Floor 31,T Kitchen Pantry Laundry Rec Room 17 I Be" A fail!T i"T Dining Living Room Bed Basement Area 32 V 325 71--1 ARVA Coda Description rac"r "Itsiza "'TOW0 Namt 16" a Height X, Wdth - Aroo GLAI First Floor 1.0 1488.0 165.0 14800 First Floor 36.5 x 13.5 = 492.8 55MT Unfinished BSMT 1.0 1279.7 164.8 1279.7 34.5 x 20.5 - 707.3 GAR Garage 110 576.0 96.0 576,0 24,0 x 12,0 = 2136.0 Net LIVABLE (rounded) 1,406 3 total items (rounded) 1,488 ........ ... .......................... ......- �5A—,,—W."I",L't,diX ............. —------- ...... r N U U m m m U m (J m r L C cu E co (n O J (0 C cr- C7s C \ CD = C m N r- c a) ca a m U Z c c ih O E O O iv U) N C0 O ^, Y W � Q � a d O E un i CD (o a o U 0 o 2: o 0 U Y C co F O }+ c O Y E U N (D N c N Y m O E N N �X O C O 2 d C O O 7 m W U 0 /j J/ �j / Al % O` jj I Glriiiiiii ti o� CEO/ rr/ii