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HomeMy WebLinkAbout1000-56.-5-3 TuNN OF S UTHOLD Rental Permit 1266 Owner: Aldo Bacchia Occupied as: Single Family Dwelling Located at: 45 Budds Pond Rd Southold 56.-5-3 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. Issued: 03/02/2025 Expiration: 03/02/2027 ode f ern nt official This Notice must be posted by the main entrap at all m- 4-Z Y /12-!!;7— (,#- 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 htp :L/NKW .sotittioldtowriny RENTAL PERMIT APPLICATION Rental Permit Fee $300 (Application must be renewed every two years) Section A. Property Information: Rental Property Address: PN �1 Tax Map Number: 1000 SECTION -LOT - Cp 5 -�3 SECTION B. OWNER INFORMATION: Property Owner Name: Property Owner Legal Address: Property Owner Mailing Address: (Cannot be the same as Rental Property Address) � . ' /13 Z Telephone Number(s): Daytime Evening_ Emergency Property Owner Email Address: / C Page 1 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 Dwellliin/g Unit: Number of rooms in Rental Dwelling Unit: `T e� �oM Use and Dimensions of each room in Rental Dwelling Unit: t v '" C 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 � ir2,k W A , 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' Na p y s me: Property Owner's Signature: Sworn to before me thii,�day of fJo r ,20q::tw ti YY�P Official Notary Public Signature and Original Notary Stamp CONNIE D.BUNCH Notary Public,State of Now York No.01 BU618500 Qualified In Suffolk County Page 4 of 4 Commission Expires April 14,2 w� TOWN OF SOUTHOLD BUILDING DEPT. 631-765-1802 �(P J INSwr"p" ECTION [ ] FOUNDATION 1ST/ REBAR [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION/CAULKING [ ] FRAMING /STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PEN RATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (F AL) [ ] CODE VIOLATION [ ] PRE C/O [ RENTAL R ARKS.- 1 A"TE INSPECTOR � FBI s i j F f j x Si6.A RRGE € Phi�nc Sr nAila Main Koxd ` C C t FNPOR E.NY 11?44 % Csuw i -A JIM- i lam' Lji ZA WAI ir TO A RAG F POW -1 rl } y 3 t1h�(t t�E i s F POW Ph-1-477.041EQ 0�' ,.{Nin Road GRITNPOR C,N Y 119,11 Awr .." s TT— T l p 7 r - ((: i alp I � 3 [ C 7 p L Phone 477-0400 l�fidn RwiM - CTM — TOWN OF SOUTHOLD PROPERTY RECORD CARD O WN — TT �� VILLAGE : SUB ,wd� LOT ACR REMARKS TYPE F 8M e� e f v — LAND IMP TOTAL E e s ------------- a _ f FRONT T AGE WATER f HOUSE E ------ BULKHEAD TOTAL TOWN OF SOUTHOLD PROPERTY /gWARD OWNER ]STREET VILLAGE DIST SUB. I O T Ar 1=01 ViE OWNER. 1 N E ; R. S W ; TYPE OF BUILDING 4 �RES, SEAS. VL. FARM COMM. CB. MICS. Mkt. Value LAND IMP. TOTAL ? DATE REMARKS z I 1 r a ONDITI{ lm ' - _ X NEW MOVE I ' FARM Acre Value Per alu - Acre - , Tillable s FRONTAGE ON WATER r =3 #. Woodland FRONTAGE ON ROAD Meadowland I DEPTH House Plot BULKHEAD E Total "— a DOCK - �9 _s u t z P x e F eq COLUK 44 x - a e � i z a x x -'t` .. i z [ 5 z 1f14/2025 Bid tens' _ T o ' Exte s ml cundOT con 41 Basement - Ext. WcHs - ire RaceDorme.- Driveway _ 4 Tom! 4b 35_. FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z17614 Date DEC. 19 1988 THIS CERTIFIES that the building ONE FAMILY DWELLING Location of Property 45 BUDDS POND ROAD SOUTHOLD House No. Street Hamlet County Tax Map No. 1000 Section 056 Block 05 Lot. 03 Subdivision WILLOW POINT Filed Map No. 4652 Lot No. 01 conforms substantially to the Application for Building Permit heretofore filed in this office dated DEC. 16 1983 _jaursu,ant to which Building Permit No. 12823 _dated JAN. 4 1984 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 FAMILY DWELLING ATTACHED 2 CAR GARAGE DECK & PATIO. The certificate is issued to OLGA & ALDO BACCHIA (owner, ) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL 13-SO-168 NOV. 25 1988 UNDERWRITERS CERTIFICATE NO. N031635 SEPT. 6 1988 PLUMBERS CERTIFICATION DATED HENRY J. SMITH 8 1S 88 Building Inspector Rev. 1/81 b Town of Southold P.O. Box 1179 53095 Main Rd � urt Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 45744 Date: 11/09/2024 THIS CERTIFIES that the building SINGLE,FAMILY DWELLING-ADDITION AND AL 1"EXRAXION Location of Property: 45 I udd Pond Rd Southold NY 11 t7j Sec/Block/Lot: 5 6.-5-3 Conforms substantially to the Application for Building Permit heretofore,filed in this office dated: 12/01/1994 Pursuant to which Building Permit No. 50473 and dated: 03/25/2024 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: "as built" greenhouse addition with mini-split air conditioning to existing single family dwelling as applied for. The certificate is issued to: Aldo Bacchia Of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL: ELECTRICAL CERTIFICATE: 50473 06/06/2024 PLUMBERS CERTIFICATION: uth ri ed i nattare Town of Southold 8/4/2024 " P.O.Box 1179 53095 Main Rd Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 45425 Date: 8/4/2024 THIS CERTIFIES that the building IN GROUND POOL Location of Property: 45 Budds Pond Rd,Southold SCTM#: 473889 Sec/Block/Lot: 56:5-3 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 8/21/1994 pursuant to which Building Permit No. 50474 dated 3/25/2024 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: Leq for. The certificate is issued to Bacchia,Aldo of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 50474 6/6/2024 PLUMBERS CERTIFICATION DATED uho z Signature