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1000-13.-3-4
TOON- M OF SOUTHOLD Rental Permit g Permit No. 0328 Owner Mark & Elizabeth Villanti Occupied as Single Family Dwelling Located at 1115 S. View Drive Orient 13-3-4 Village S/g/L 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. 8/18/2020 John Jarski Date of Issue Code Enforcement Officer This Notice must be posted by the main entrance at all times Town Hall Annex Telephone(631)765-1802 54375 Main Road '` Fax(631)765-9502 P.O.Box 1179 , . Southold,NY 11971-0959 y � BUILDING DEPARTMENT i��w1 �" JUN 8 201 TOWN OF SOUTHOLD RENTAL PERMIT APPLICATION. I TOWN OF S U Irl1 Rental Permit Fee$200(Application must be renewed every two years) V Section A. Property Information: RentalP Pro ert Address: t Tax Map Number: 1000 SECTION 3C - -LOi xl SECTION B. OWNER INFORMATION: v z11 ,LX-1- Property Owner Name: , w _ � Property Owner Legal Address: Property Owner Mailing Address: p Y g _ A Ll 1212 Telephone Number s : Da y1 Evening__� ` Emergency J✓y�� P t } Y m e .m._: a � T ; Property Owner Email Address:. " a; Page 1 of 5 s E; 1 i� Town Hail Annex k Telephone(631)765-1802 A� �° 54375 Main Road � � Fax(631)765-9502 P.O.Box 1179 �„ fi Southold,NY 11971-0959 a �° BUILDING DEPARTMENT TOWN OF SOUTHOLD SECTION G. Pursuant tot e Town Code of the Town of Southold Chapter 207 (Rental Properties), a safety inspection by Coe Enforcement Official is required. If the owner chooses not to have said inspection performed by the Town, a certification from a licensed architect, a license 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 oft e rental permit application is in compliance with all of the provisions of the code oft e Town of Southold,the laws and sanitary and housing regulations of the County of Suffolk an y the laws adopted y the New York State Fire Prevention and Building Code Council. I am requesting a fire safety inspection to be performed by a Code Enforcement Icial from e Town of Southold ❑ I am submitting a completed Town of Southold certification form from a licensed architect or a licensed professional engineer. DECLARATION:SECTION H. Signature must be notarizedMUST be the owner of the dwellingit. STATE OF NEW Y R ) COUNTY OF S FOL ) certify under penalty of perjury,the following: 1. 1 am the owner of the property identified in "Section A" of this application. . The propertyowner'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 Page 4 of Town Hall Annex Telephone(631)765-1802 5375 Mein Road Fax( 31)765-9502 P.O.Box 1179 t� Southold,NY 11971 59 BUILDING DEPARTMENT TOWN OF SOUTWOLD applicable laws and rules. I further acknowledge that I will notify the Town of Southold Building e a a any changes of address within five(5) days of any changes thereto. . 1 have read and received a copy of Chapter 207 of the Code of the Town of Southold n agreed to abide by the same, 4. 1 will notify the Town within five( ) business days as to any change to the information regarding toriz Managing , or Site Manager. Propertyn is mem;.____,,. .. ._...... . .....w� Property Owner's Signature: rrci f Sworn to before me this� dayof.:.....,.,_ _ ...... ..... aeee ...-_...........�...� 20 Official Notary Public Signature and Original Notary Stamp SHAOJUN YAO Notary Public, State of New York Reg.No.01YA6383929 Qualified in Dutchess County Commission Expires Nov 22,2022 Page 5 of 5 Town Hall Ann Telephone(631)765-1802 54375 Main Road � - � Fax(631)765-9502 P.O.Box 1179 Southold,NY 11971-0959 BUILDING DEPARTMENT TOWN OF SOXYMOLD RENTAL PROPERTY CERTIFICATION Form is to be completed by a license architect, licensed engineer or licensed home inspector Separate form is requiredfor each Individual tat Dwelling Unit _ e lfcensed oe l s e or alas oule Pr e on f t f ar rc o l e p-yofpi n ri Rental r rty SCTIVI Number: ._.�. .... , ,.._ . ,,. .,, _ ..... _... ................................... .,.,,,,,,,,.,,,...................._� Rental Property Address: ��� �ta�. Owner Name. 1 .. .._. .,,,.µ-.,,m_, _ ... . � ,.. .. .. Rental Dwelling Unit Identifier•. Number&Square footage of each era as depictedin the attached orplan: I eBedroom 1—100 sq., Bedroom2-90 sq., etc � ...�....,.,,....,..-- . �� .. .. ..Property Descript on(Include all Improvements indicated on survey) 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 Conservation Construction Code of New York State. Print Name and...Title � µ�N.�,..._.µ�,�. ,.�,,..•,, Original Signature �...� Please place professional seal: Town Hall Annex Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1 179 Southold,NY 11971-0959 BUILDING DEPARTMENT TOWN OF SOUTHOLD RENTAL PERMIT APPLICATION ADDENDUM Rental Dwelling Unit Identifier: w ww — 1 Requested mximum numberof persons allowed to occupy each dwelling unit: Number of Rooms in Rental Dwelling Use and Dimension of each room: 3 Se of Pe oow 1.. .... Kt to e.! .............. ........... ., .....o_..... �.............. �, ....... ......_.o....................... 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: onpw � 765-1802 lNbFmE(;l-loN [ ] FOUNDATION 1ST [ ] ROUGH PL13G. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING / STRAPPING [ ] FINA �44 � [ ] FIREPLACE & CHIMNEY [ IRE AFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) [ ] CODE VIOLATION ( ] CAULKING REMARKS: DATE INSPECTOR T--L, 00k 'D- . ILL i i viu,wil msl� ct-.-f W V I e k) okt*%"r I I qr7 at:(,- . 1-2 I< 11 5 ' mot' g TOWN- OF - _ _ THOLD- - - .. TY RECORD - a <_ VILLAGE I DISTRICT SUF3LOT OP-AE OWNER N _ - ACREAGE 1 toe E— a � is I i4 t _ TYPE OF BUILDING VL, FARM i COMM. lND. CB. 1 MISC. Est. Mkt. Value - TOTAL DATE REMARKS f f f d -+ C, Jr6FM,M 7 1 Z Ll7- CC f I' 01 - -- = gG 4--- ` - I _ AGE BUILDING CONDITION r NEW I NORMAL I BELOW ABOVE I FRONTAGE ON WATER Farm Acre Value Per Acre Value FRONTAGE ON ROAD ` Tillable 1 ! ` A4t __ _ BULKHEAD Tillable 2 I DOCK Tillable 3 Woodland Swampland Brushland House Plot I T ue k m fo _ , a.- ` -.L B ldg - s � Foundation�. = Bath -ension � Z Basement Floors ` ' — _ Walls .EXt L --- e Interior Finish o _ Place V f Heat t — ----— Porch Roof Type Porch Rooms I st Floor -ezeway Patio Rooms 2nd Floor -- -age ------�— Dr' veway Dormer T TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. CERTIFICATE OF OCCUPANCY No ..�,.. ........... Date ...................4 . ..... ..,.»......, 19.f!..... THIS CERTIFIES that the building located at .Asr.6... apC.....�,1c�M�3oi�i,••�t��t.,�i...Y$treet ownsHills#IlBlack No .....slelr�k......... Lot No. ..................itaMwr.......... .................................. °p llt '"�7$+6X1G' conforms substantially to the Application for Building Permit heretofore filed in this office dated .•....••...........AF4 ! mov..11..................... 19-64. pursuant to which Building Permit No. ..........;...X65© dated .....•••]M ►••..,•.�"•Y •• •••• •••••• •. 19...6 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 ........ R .. .. m ..................................................................................... The certificate is issued to .................................... : ;e; r .......... .!�. .....! �.... ..'Omer ..... (owner, lessee or tenant) of the aforesaid building. •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-32162 Date: 01 25 07 THIS CERTIFIES that the building ADDITION Location of Property: 1115 SOUTH VIEW DR ORIENT (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 13 Block 3 Lot 4 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated JANUARY 22, 2007 pursuant to which Building Permit No. 32660-Z-Z dated JANUARY 22 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 ADDITION TO AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR PER ZBA #2447 DATED 1 22 77. The certificate is issued to BEATRICE E EASTMAN (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A Q Aut o ized Sigz ure Rev. 1/81 1ftA" Town of Southold 8/18/2020 P.O.Box 1179 53095 Main Rd Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 41361 Date: 8/18/2020 THIS CERTIFIES that the building HVAC Location of Property: 1115 S View Dr, Orient SCTM#: 473889 Sec/Block/Lot: 13.-3-4 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated p _..______....,. 2/24/2020 ursuant to which Building Permit No. 44750 dated 3/2/2020mmm 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"1IVAC as a lied for. The certificate is issued to Villanti,Mark of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 44750 8/17/2020 PLUMBERS CERTIFICATION DATED _...... Authorized Signature MARK VILLANTI Seasonal Residence Permanent Residence 1115 Southview Drive 408 Waterview Drive Orient, NY 11957 Poughkeepsie, NY 12601 Cell 914-804-5489 LJ- Town of Southold Town Hall Annex (2 PO BOX 1179 Southold, NY 11971 To Whom It May Concern: Enclosed is an application for a rental permit. We have owned this property for over 10 years using it seasonally as a family that includes our adult son and daughter. Due to work requirements, I will not be able to use the home this year. It is our intention to retire in June of 2020 and make Orient our permanent residence. We plan to rent the home for one year through Janet Markarian as I do not want to leave the home unoccupied during the winter months. If you have any questions please let me know. Please note that while I have a PO Box in Orient (133) 1 do not use very often so any correspondence should be sent to Poughkeepsie above. c ely, Mark Villanti