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-
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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)
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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
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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.-
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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