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 ~
=
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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. , , . . . , , , . . „ _ , . .
Building Inspector
Rev.1/81
�e c� r-oa 1 0
'GP�t r a o 1 a ,
Sri
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I`f3� FAMILY ROOM
SUNROOM 17'11"x 13'5"
'> 21
1610"x 17'10"
— BILLIARD ROOM
S� . , BATH 21'10"x 111 U
5'1"x 6'11"
3d
PRIMARY BEDROOM a5 BATH KITCHEN „ DINING AREA
13'11"x 11'1" 6'10"x 11'1" 9'5"x 11'1" 13'1"x 11"I
77s� �
g Esc, I H 3 s5-6f
5 M�
HALL
19'9"x4'0" 2`�L '
LIVING ROOM
' AID s� � 19'4"x12'4"
FOYER ,
BEDROOM BEDROOM 3'11"x 8'0"
10'10"x 9'10" 9'11"x 10'11" -7g2
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