HomeMy WebLinkAbout1000-74.-3-14 TOWN OF SOUTHOLD
Rental Permit
1284
Owner: Joshua Feit , Adam Feit, Nitasha Kawatra
Occupied as: Single Family Dwelling
Located at: 3200 Peconic Ln Peconic 74.-3-14
Maximum Permitted Occupancy: 10
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.
1)r-
Issued: 04/02/2025 x,
Expiration: 04/02/2027 c "" official
This Notice must be posted by the main entrant UZll tim
A TOWN OF SOUTHOLD—BUILDING DFPAR'I'� `N EC E0WE �
Town Hall Annex 54375 Main Road P. O. Box 1179 Southold, NY 1 09 MA R 2 6 22`
Telephone (631) 765-1802 Fax(631) 765-9502 Ilia
Building Department
Town of Southold
RENTAL PERMIT APPLICATION Ccc- 69 La(¢7
Rental Permit Fee$300 (Application must be renewed every two years)
Section A.
Property Information:
Rental Property Address:
32L00 ?eCOn11C L/-r1E 'P�C�ry� C
Tax Map Number: 1000 SECTION —74 -BLOCK 3 -LOT �4 -
SECTION B.
OWNER INFORMATION: ARAM FE IT
Property Owner Name: N yrAc tt A KAWIhTe A
Property Owner Legal Address: Property Owner Mailing Address:
(Cannot be the same as Rental Property Address)
!-310 KeNT EVE S C�rne.
N
hi—
51(o-r 39 8 2S 12-
Telephone Number (s): Daytime Evening Emergency
Property Owner Email Address: a IMCLI .bo Im
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: I
i
Requested Maximum number of persons allowed to occupy Dwelling Unit:
Number of rooms in Rental Dwelling Unit: 1 2
Use and Dimensions of each room in Rental Dwelling Unit: FAIT: 201--7i+c 11 Lq����
�tN• Rrn� 1�'-�"x 13�-8" ?WO. M; q'-8' i6�—�%2 Liv• PM. ?-S'—S%x
PifewfL: (3�-A 11'B y Se >RM. it 18)'-5�c I2'-1 L 6ATftKM #t•1-6'-7Yz?.,q!6�
i3EPRM : 131- u?c W P" p eo2m- '
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
❑ 1 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)
iv/1-ssArP)
COUNTY OF StiffinrLK)
1 A i)AA Fe 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: &AK t
Property Owner's Signature:
Sworn to before me this / day of MI 20 ,25
Official Notary Pd6lic Signature and Original Notary Stamp
KENNETH R.FEIT
NOTARY PUBLIC,STATE OF NEW YORK
Registration No.02FE0034802
Qualified in Nassau County
Commission Expires March 13,2029 Page 4 of 4
Al-
TOWN OF SOUTHOLD BUILDING DEPT.
631-765-1802 - �►�
INSPECTIVA" N
[ ] FOUNDATION 1ST/ REBAR [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INSULATION/CAULKING
[ ] FRAMING /STRAPPING [ ] FINAL
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PEN TRATION
[ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (F AL)
[ ] CODE VIOLATION [ ] PRE C/O [ RENTAL
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Town of Southold
P.O. Box 1179
53095 Main Rd
Southold, New York 11971
CERTIFICATE OF OCCUPANCY
No: 46018 Date: 03/05/2025
THIS CERTIFIES that the building ALTERATION
Location of Property: 3200 Peconic Ln Peconic. ICY 11958
S ec/B Ie /Lot: 74.-3-14
Conforms substantially to the Application for Building Permit heretofore,filed in this office dated: 12/20/2023
Pursuant to which Building Permit No. 50251 and dated: 01/24/2024
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 additions and alterations including foundation repair, a rear wood stoop, and
interior alterations to an existing single-family dwelling.
i
The certificate is issued to: Joshua Feit , Adam Feit ,Nitasha Kawatra
Of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL:
ELECTRICAL CERTIFICATE: 25-100683 2/3/2025
PLUMBERS CERTIFICATION: BMigno Mayon 8/21/202
A ho . d Signature
STOOP
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FIRST FLOOR PLAN
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SAY WINDOW 1 14" = 1 ,_0" 2.2 5.2 5
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3200 PECONIC LANE
PECONIC
1000-74-3- 14
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FEIT RESIDENCE
3200 PECONIC LANE
PECONIC
1000-74-3- 14