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HomeMy WebLinkAbout1000-88.-5-6 Rental Permit O 1259 Owner: Charles Barredo , Susan Barredo Occupied as: Single Family Dwelling Located at: 505 Longview Ln Southold 88.-5-6 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. Issued: 02/13/2025 Expiration: 02/13/2027 Code knfor a ent Off2l This Notice must be posted by the main entrance at all times 3 w TOWN OF SOUTHOLD-BUILDING DEPARTMENI1 Town Hall Annex 54375 Main Road P. O. Box 1179 Southold,NY' 1 W 0953j)L 2 9 024 Telephone (631) 765-1802 Fax (631) 765-9502 l T"OW-N �)F S 011 " RENTAL PERMIT APPLICATION Rental Permit Fee $300 (Application must be renewed every two years) Section A. Property Information: Rental Pro erty Address: -5b--19 Y Tax Map Number: 1000 SECTION M0 ,Ob -BLOCK OK.oU -LOT 0b1- -bDD SECTION R. OWNER INFORMATION': Property Owner Name: � - Property Owner Legal Address: Property Owner Mailing Address: (Cannot be the same as Rental Property Address) 2 lz� %)e. Telephone Number (s): Daytime(SIC)C 0 4 Evenin Mq4 Emergency s10 4S 1-S Property Owner Email Address: D a e-Qr>L, N —7 ej U Page 1 of 4 Section C. Authorized Agent Information: i 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: A IJA 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 Uni : Number of rooms in Rental Dwelling Unit: Use and Dimensions of each room in Rental Dwelling Unit: + C1 S x 11 ► �� �j 13 I it Li �� Eoan� 1 q w ' 1�- 5 , 1 D 17 0 ate`,I �► i► x 13 S d1► r , � 24 116 , 1 f 'r I'AL) X I I 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 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 C� r rr0, 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 Owner's Signature: Sworn to before me thi��4hy ofT�� ., � 20a Official Notary Public Signature and Original Notary Stamp CONNIE D.BUNCH Notary Public,State of New York No.01BU6185050 Qualified in Suffolk County Page 4 of 4 Commission Expires April 14,2�a� of so a, TOWN OF SOUTHOLD BUILDING DEPT. 631-765-1802 1 N S P mm"m 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 (FINAL..) [ ] CODE VIOLATION [ ] PRE C/O [ '''ANTAL REMARKS: aa-dp, -�*--i-,4—R-m-s. .44-- DATE INSPECTOR TOWN OF SOUTHOLD BUILDING DEPT. 631-765-1802 INSr =CTION [ ] 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 [ 4ENTAL AoA J, � w _ r' IL DATE a INSPECTOR TOWN OF SOUTHOLDPROPERTY F OWr I R STREET VILLAGE DIST4 SUB. LOT FORMS OWNER:-y, frz 4-v)-- N E ACR. S W TYPE OF BUILDING RES. SEAS. VL. I FARM COMM. CB. M[CS. Mkt. Value LAND IMP. TOTAL DATE REMARKS i .—, f 4 �� af47 r U J E 3 _ et n, _ F F a. r "E s ------------ -7— C A — _ + AGE BUILDING CONDITION NEW NORMAL BELOW ABOVE , FARM Acre Value Per Vclue l FRONTAGE ON WATER ' Tillable l ey ; _ Woodland ' FRONTAGE ON ROAD l Meadowtand DEPTH HouseJPat� I BULKHEAD I DOCK Total ^, s e I i )R TRIM 3 I { -77777� i- �— ., A E I I - Ov 711 21 ni I I 88.-5-6 3/08 s FL s i [ M. Bldg - - ---_ Extensiorr { F 3 i Extension i Extension 4 i7 _ - - _ oundation Bath r Dinette ', 'Floors <- K. ,�' C Por`ch � - - 'Ext. Interior nterior Finish 4:- LR. E F z ='Fire Place Heat DR. r` Garage j a Type Roof Rooms l st Flcor i BR. _ >-. �- Patio Recreation Room Rooms 2nd Flcor FIN. B i O. 13. Dormer Driveway Total ~ = - e FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-25864 Date: 07/30/98 THIS CERTIFIES that the building ADDITION Location of Property: 505 LONGVIEW LA SOUTHOLD (HOUSE NO. ) (STREET) (HAMLET) County Tax Map No. 473889 Section 88 Block 5 Lot 6 •- Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated MARCH 9 1998 pursuant to which Building Permit No. 24765-Z dated MARCH 13 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 1B ADDITION AND DECK ADDITION TO A ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to GOERGE CAVAGNARO (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. 21113 06/10/98 PLUMBERS CERTIFICATION DATED 06/16/98 MATTITUCK PLUMBING Building I apeotor � 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-32691 Date: 20 25m-CD7 THIS CERTIFIES that the building ADDITIONS Location of Property: 505 LONGVIEW LA SOUTHOLD (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 88 Block 5 Lot 6 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated JULY 11, 2007 pursuant to which Building Permit No. 33263-Z dated JULY 20 2007 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 SCREENED PORCH & DECK ADDITION TO AN EXISTING SINGLE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to GEORGE L CAVAGNARO & MARILYN COBET (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. 3048259 10/05/07 PLUMBERS CERTIFICATION DATED N/A e Au orized Signature..-.........ww_.... 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.Z12892 . . . . . . . . . . Date . . . .October 1.6 . . . . . . . . . . . . . . . 1984. THIS CERTIFIES that the building . . . . . . . .4n?. ,Family dwelling . . . . . . . . . . . . . . . . . Location of Property 505, Longview Lane. Southold Hause IVa. . . . . . . Street» ' , , . . "tierrrlet County Tax Map No. 1000 Section , 0.8.8 . . . . . . .Block . .5. . . . . . . . . . , .Lot . . . 6 . . . . . . . . . . . . Subdivision . . T.e.r,r,y. WA t e rs. . . . . . . . . . . . . . .Filed Map No. ?9 0.1. . . .Lot No. . .4 7. . » . . . . . . conforms substantially to the Application for Building Permit heretofore filed in this office dated . . . . . . . . .NaY. 8 . . . . . . . 19$4. pursuant to which Building Permit No. 1 31,9 7 . . . . . . . . . . , . dated . . . .4aY. 8 . . . . . . . . . . . » „ » . . . 104. ,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. famil.,y ,dwelliRp . . . . . . . . . . . . . . . . » , . , . . . . . . . . . . . . . . . . . . . . , . . . . . . , , . . , . The certificate is issued to . . . . . . .George„C,aY?&naro M , , , , , , , , , , , , , , , , (owner, �i X of the aforesaid building. Suffolk County Department of Health Approval , . , . . .1� S 0-9 9. . . . . . . . . . . UNDERWRITERS CERTIFICATE NO. . . . . » . . . . . . . .Pend ink. , , . . . , , , . . „ _ , . . 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