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HomeMy WebLinkAbout1000-74.-2-6 ofSOpryo! TOWN OF SOUTHOLD o Rental Permit Courm.� 1324 Owner: Paula Daniel , Tim Trujillo Occupied as: Single Family Dwelling Located at: 580 Soundview Ave W Peconic 74.-2-6 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: 06/02/2025 Expiration: 06/02/2027 Code Enf rcem t official This Notice must be posted by the main entrance at all times wfffltx TOWN OF SOUTHOLD-BUILDING DEPARTMENT Town Hall Annex 54375 Main Road P. O. Box 1179 Southold,NY 11971-0959 I0e o V 126 02 Fax (631) 765-9502 https.//www.southoldtowM.gov MAY 2 3 2025. RENTAL PERMIT APPLICATION Building Department Town of Soutt gr&al Permit Fee $300 (Application must be renewed every two years) 'bv0 Section A. Property Information: Rental Property Address: S 8' n SO E/V%6%% P.t.A.� 1�tS`R" Tax Map Number: 1000 SECTION 1 -BLOCK 7 y -LOT_- SECTION B. OWNER INFORMATION: Property Owner Name: 1 �`hJ ► r '�- � �'�- bCL.h iRX Property Owner Legal Address: Property Owner Mailin Address: (Cannot be the same as Rental Property Address) O W Y1 e'4' - C GYL i C. 63! Telephone Number s): Daytime - Evening �— Emergency cell Yd© S" Property Owner Em it Address: Page 1 of 4 1, Section C. Authorized 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 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: Address of Managing Agent (no P.O. Boxes): JA 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 Unit: Number of rooms in Rental Dwelling Unit: -3 Use and Dimensions of each room in Rental Dwelling Unit: V1nks,�z ti ti 3sel fh, M (`t D s Nf-W>- It 9 sb�2E- 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. ❑ 1 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 YY\ ���, �� fl , 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. e 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: �'v+ �' —7� vp Ala Property Owner's Signature: Sworn to before me this day of 20 &dw�,A= -1 . J!--�4u� Official No ary Public Signature and Original No Stamp BARBARA H.TANDY Notary Public,State Of New York No. 01 TA6086001 Cualified In Suffolk County Commission Expires 0#0ift7 Page 4 of 4 6 Town HallAnnex ► ► Telephone(631)765-1802 54375 Main Roadi P.O. Box 1179 Southold, NY 11971-0959 .414 BUILDING DEPARTMENT TOWN OF SOUTHOLD RENTAL PERMIT APPLICATION ADDENDUM Rental Dwelling Unit Identifier: 4T I Requested maximum number of persons allowed to occupy each dwelling unit: Gcer Number of Rooms in Rental Dwelling Unit: Use and Dimension of each room: a-�7�'2 '��►3 f=r ra� l`t� s5 F f 1 t A Rental Dwelling Unit Identifier: Requested maximum number of persons allowed to occupy each dwelling unit: Number of Rooms in Rental Dwelling Unit: Use and Dimension of each room: Rental Dwelling Unit Identifier: Requested maximum number of persons allowed to occupy each dwelling unit: Number of Rooms in Rental Dwelling Unit: Use and Dimension of each room: *OF SOUl,�°� . - # TOWN' OF .SOUTHOLD BUILDING DEPT.'_ - °�y�o��m��� 631-765-1802 INSPECTION [ ] 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 7RENTAL L) CODE VIOLATION [ ] PRE C/O [ REMARKS: jex 04,bo_7, 010 A OUS — (D 7002 DATE 'a INSPECTOR OE soUlyo6 # # TOWN OF .SOUTHOLD.BUILDING DEPT. Comm, 631-765-1802 INSPECTION [ ] FOUNDATION 1ST/ REBAR [ ] ROUGH PLBG. [ ]. FOUNDATION 2ND [ j INSULATION/CAULKING [ ] FRAMING/STRAPPING [ ] .FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT.PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL 7RENTAL CODEVIOLATION [ ]- PRE C/O [ REMARKS: C ► �C Ica c%r ie�, 641,j V4 — was t� 20n 6,12 p Ua 4v bui lilm je,& 42e, 4,p\- 6- a-a5 0 12- DATE 15,ar, �-S� :_ INSPECTOR of Sollt Town Hall Annex _ Telephone(631)765-1802 } 54375 Main Road 41 4 Fax(631)765-9502 P.O.Box 1179 G �: Southold,NY 11971-0959 OV- 4� �N BUILDING DEPARTMENT TOWN OF SOUTHOLD RENTAL PROPERTY CERTIFICATION Form is to be completed by a license architect,licensed engineer or licensed home inspector Separate form is required for each individual Rental Dwelling Unit Professional seal required for.Architect.or Enaineer,-.licensed Home:Inspector must provide copy of valid current.certitication Rental Property SCTM Number: 10() " -7 Y— 0,1— 6 l P Rental Property Address: 1.;0,0 Sa Ar 1 fJW (-hd—, Wei PP_((�rl�i� -- Owner/Name: `T11r1r\ �11r�1 i f Rental Dwelling Unit Identifier: Number&Square footage of each bedroom as depicted in the attached floor plan: (i.e. Bedroom#1-100sq.,Bedroom#2-90_sq., etc.) Property DescKA-0 tion(Include all improvements indicated on survey) �h1 f 4 R11M. -.� m-P, S 11'e Ck I certify that I have done a physical inspection of the subject rental dwelling unit and find that it fully complies with all the provisions of the Code of the Town of Southold,the Residential Code of New York State,the Building Code of New York State,'the Plumbing Code of New York State, the Fuel Gas Code of New York State,and the Energy Conservati onstruction Code of New York State. 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Wcxn-,-,r- https://mail.google.com/mail/u/0/#inbox/FMfcgxwDgxGNsjFSQhtgDBgccVWRdVKk?projector=l&messagePartld=0.7 1/1 I - Ib TOWN OF SOUTHOLD PROPERTY RECORD j` OWNER STREET f VILLAGE DIST.T SUB. LOT )[bo tl-,� . to o 1101ela QAle. - FORMER OWNE E ACR. L TY)E OF BUILDING � Y f RES. Z�� SEAS. VL. FARM COMM. CB. MICS. Mkt. Value LAND IMP. TOTAL DATE REMARKS �7-� -/�'_ /t lyeIse, D D i 6 4 G7' v 113,-l5 6 0z 7 7e c D O /5v o 02 o-A ✓ 70 /75� PE '; 79 / /7 000, i F. 937e v563 de%Tc 1��N�. M.�i✓,��� - - �t&—Op 5/0-0 bt'�2L; 7—KO 7 0 /a/1 bmy,-i3 10161 j ",q! t 3 FRONTAGE ON WATER _ _ _ _ Woodland I FRONTAGE ON ROAD I/_ _QQ _ _11 _ Meadowland DEPTH House Plot ,+7 BULKHEAD -7 Total DOCK 1� � ` _ ■■■■■■■■ NOON ■■■■■■■■■■■■■ NONE■■■■■■■MEN■■ ■M MEN ■■ ■■■ ■ } - _ ■■E■E■■N■■■■EEEEOEEE N■■■ _= E■■■■NE■ ■■■■■■■■■■■■NONE r ■INE■N■■■NN■■■E■■■■NE■E■NEi■ SEEMS! MOMMEME IN ME mumm IEUEENE,!Z Iwo �.,.. - i■E■rs;o■■�i■EEN■E. SEE MEMO ln�MNESM1■■■E■EENONE No EEO■ ■■EIS■■■■1■■■■■r■EN■■■ Ni® - . - � .���: ,�,� ■ E�IEtE-�'�■I■O■■■■■■NEE ■ ■■ • ■E ■IEm!E■1N■■■■■■ NNE■■■�■ :. 10, ! - , :. sement Floors • Ir 'RoomsExt. Walls Interior Fihish Type Roof ••rim !Recreation m .• _Nr i • i w Lw JUAP CO 41 w caa - ,,+►+9 f� lJFr�t& t7atsl i VD CA-P SN IOttl �! 1-4F r 6� - , N*� FtcoP—, 0 trST- - '` "". --.r.bu. ...+...wer- _.a........e...,.....»._..._ _.,yu�._ �e.,.�..,. .yiv ..,...r+..y,..�.�..,..__.�,.....:�p�a.i..._...•.-.. B j d I • �f z d i m..,. ,.. a -r..sa a.......,.�....,,.r........»4w....A,...._. ......._............,.....,. 1� FORM ea A TOWN OF SOMBOI.D MU DING DEPART>II NT Town QeWs Office Southold, N. Y. Cedicate Of Occupancy No. .. . . . . . . . Date . . . .. . . . . . . . . J?il.3f . . .3. . . ., 19.75. THIS CERTIFIES that the building located at . .$v=dFiox.,&vo. .WoBt. . . . Street Map No. Peaonic Raftock No. . . . n . . . .Lot No. h6.. . . .Peamia. x*Y&.. . . . . . . . . . conforms substantially to the Application for Building Permit heretofore filed in this office dated . . . . . . . . . .. . . . .daa .i719.7S pursuant to which Building Permit No.",,769.!Z. dated . . . . . . . . . . .Jan . .i?. . . ., 19. 7.5, was issued, and conforms to all of the require ments of the applicable provisions of the law. The occupancy for which this certificate is issued is .P�ri9at& •one• •Tanll�y.dw llLng. . : . .. . . . . . . . . . . . . . . . . .. . .. . . .... . . . . . The certificate is issued to . .Dautel. A.41i$ia3a.TlMVs=. • . . ..bra. .. . . .. . . . (owner, lessee or tenant) of the aforesaid building. Note t One stair so"' not equal) Suffolk County Department of Health Approval . . . MY. . .1 t. .1.971. . by.R% MUA. UNDERWRITERS .CERTIFICATE No. 14334 . . . .;uW.A.1975. .by A t.K Qri HOUSE NUMBER . . . . . . . . . . . . . . Street . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . .. .. .. . . .. . . . .. . . . . . . . .. ... . .. . . .. . . .. .. .. .. . . . .. . . . . ... ... . 1 . . . . c"k 4e� . . . . . . .. . . Building Inspector FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-27344 Date: 10/10/00 THIS CERTIFIES that the building ACCESSORY Location of Property: 580 SOUNDVIEW AVE WEST PECONIC (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 74 Block 2 Lot 6 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated AUGUST 11, 2000 pursuant to which Building Permit No. 26820-Z dated OCTOBER 4, 2000 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 10' X 12' ACCESSORY STORAGE SHED AS APPLIED FOR "AS BUILT" . The certificate is issued to LONNIE B SOURY (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A • � ti /u/horZzed Signature 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-27343 Date: 10 10 00 THIS CERTIFIES that the building ALTERATION Location of Property: _ 580 SOUNDVIEW AVE WEST PECONIC (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 74 Block 2 Lot 6 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated AUGUST 28, 2000 pursuant to which Building Permit No. 26819-Z dated OCTOBER 4, 2000 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 2ND FLOOR BATHROOM ADDITION TO EXISTING ONE FAMILY DWELLING AS APPLIED FOR "AS BUILT". The certificate is issued to LONNIE B SOURY of the aforesaid building. (OWNER) SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. H-068756 08 02 00 PLUMBERS CERTIFICATION DATED 07 21 00 K&K PLUMBING & HEATING VAuorized Signature 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-27240 Date: 08/10/00 THIS CERTIFIES that the building ADDITION Location of Property: 580 SOUNDVIEW AVENUE W PECONIC (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 74 Block 2 Lot 6 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated NOVEMBER 17, 1994 pursuant to which Building Permit No. 22519-Z dated DECEMBER 6, 1994 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 ADDITION TO AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to LONNIE B. SOURY & WF (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. H 068756 08/02/00 PLUMBERS CERTIFICATION DATED N/A ��u orized Signature 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-22313 Date MAY 11, 1993 THIS CERTIFIES that the building ADDITION Location of Property 580 SOUNDVIEW AVENUE W. PECONIC,N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 74 Block 2 Lot & Subdivision Filed Map No. Lot No. conforms substantially to the Application. for Building Permit heretofore filed in this office dated APRIL 9, 1993 pursuant to which Building Permit No. 21337-Z dated APRIL 15, 1993 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 DECK ADDITION TO EXISTING ONE FAMILY DWELLING AS APPLIED FOR The certificate is issued to LONNIE SOURY & MAR7ENE DANN (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A ,Wldin:4 Inspector Rev. 1/81 hoy��of sou Tyo�o Town of Southold P.O. Box 1179 w o 53095 Main Rd Southold, New York 11971 CERTIFICATE OF OCCUPANCY No: 31859 Date: 06/02/2025 THIS CERTIFIES that the building ADDITIONS/ALTERATIONS Location of Property: 580 Soundview Ave W Peconic,NY 11958 Sec/Block/Lot: 74.-2-6 Conforms substantially to the Application for Building Permit heretofore, filed in this office dated: 08/12/2004 Pursuant to which Building Permit No. 30564 and dated: 08/12/2004 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: Addition and alterations, including an accessory apartment over attached garage, at an existing single-family dwelling as applied for,per ZBA#5011 dated 10/25/2001 and ZBA #5835SE dated 2/2/2006. Corrected 6/2/2025 to add accessory apartment. The certificate is issued to: Paula Daniel, Tim Trujillo Of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL: ELECTRICAL CERTIFICATE: 1198581 04/11/2005 PLUMBERS CERTIFICATION: Burts Reliable, Inc. 08/01/2006 "'y )4�n A tho ' ed Signa e s, SURVEY OF ��Q�°�9a LOT 46 6p ae z°�°gig MAP OF 0, e ae G�,G�A�9SO yp ,� P E GONI C' HOMES SECTION TWO FILE No. 5001 FILED NOVEMBER 28, 1967 S 0J6 SITUATED AT PECONIC TOWN 'OF SOUTHOLD �G / / SUFF_OLK COUNTY, NEW YORk �� 0� \ S.C. TAX No. 1000_74 02 06 SCALE 1 =20' D-ECEMBER 12, 2000 syF \ OCTOBER 29, 2002 FOUNDATION LOCATION O \ sr`yoo AREA = 30,331 .56 sq. ff. FAs �A 0.696 ac. o Sr• � WOOD - BOO PLANTER r � 4"'� •� ° A N. >> ��?, sT0 ��$`' p 41Z64� Tl ny do �` ti 2 " C1 Q10 9• G �p y�o 00 \ a . a G O