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HomeMy WebLinkAbout1000-111.-4-26.3 TOWN OF SOUTHOLD Rental Permit - 1263 Owner: Svetlana Vaisman , Eugene Granovsky Occupied as: Single Family Dwelling Located at: 1265 Vanston Rd Cutchogue 111.4-26.3 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-annu ` spection. Issued: 03/25/2026 Expiration: 03/24/2028 ode fo - Official This Notice must be posted by the main entrantOat11 times - f �.e TOWN OF SOUTHOLD—BUILDING DEPARTMENT MA r,;, ° Town Hall Annex 54375 Main Road P. O. Box 1179 Southold,NY 11971-0959 Telephone (631) 765-1802 Fax(631) 765-95021i , '/j. Vww.southoldton RENTAL PERMIT APPLICATION Rental Permit Fee $300 (Application must be renewed every two years) 8 U Section A. MAR 1 2 2026 �u Property Information: ' Rental Property Address: `2M Tax Map Number: 1000 SECTION _. BLOCK --LOT SECTION B. OWNER INFORMATION: Property Owner Name: �t Property Owner Legal Address: Property Owner Mailing Address: (Cannot be the same as Rental Property Address) 3 �-k. 41- R P J jk 11Z Telephone Number(s): Daytime°I Evening Emergency Property Owner Email Address: oc"\Swa1. Page 1 of 4 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: QA 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): 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, C);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 Uni Number of rooms in Rental Dwelling Unit: Use and Dimensions of each room in Rental pDwelling Unit:p a 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 afire 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) 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: Sv�,i t �a'Srv.ax� Property Owner's Signature: Sworn to before me this S day of N\yrGU . 20 2-6 Official Notary Public Signature and Original Notary Stamp F A S [ lic-State&flew York 01 SH5080343 in New York County Expires Dec.04,2Ci_�� Page 4 of 4 rjk soot, mi T N OF SOUTHOLD E► IL INO DEPT. 631-765-1802 [V rh,`� I N bA'Pft mpapk E(dw;sh' T 10 N'm [ ] FOUNDATION 1 ST/ REBAR [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION/CAULKING [ ] FRAMING /STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPE TION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PE TRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL ( NAL) [ ] CODE VIOLATION [ ] PRE C/O [ RENTAL REM KS: y DATE INSPECTOR __. Town Hall Annex Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P. O. Box 1179 Southold, NY 11971-0959 r BUILDING DEPARTMENT TOWN OF SOUTHOLD RENTAL PROPERTY CERTIFICATION Form is to be completed by a licensed architect, licensed engineer or licensed home inspector Separate form is required for each individual Rental Dwelling Unit Professional seal required for Architect or Engineer, Licensed Horne Inspector must provide copy of valid current certification Rental Property SCTM Number: 1000 ' ( (,-• O ' Z(p,3 Rental Property Address: ( �7' V/- (' � &9 C Icc_(4 Owner/Name: 0VtRT Jf1t Rental Dwelling Unit Identifier: -Gd)L-LI; (�t t CVv Number& Square footage of each bedroom as depicted in the attached floor plan: (i.e. Bedroom #1 - 100 sgft., Bedroom#2-90 sgft., etc.) l ( I 5(� .? Property Description (Include all improvements indicated on survey) i e,'�4S' . �'K 6` 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, the Fire Code of New York State,the Property Mai f, nc o e of New York State and the Energy Conservation Construction Code of New York State bJC---, CA6L,4a " D Print Name and Title Original Sig ture Please place Professional Seal: 0216 c „ ,,., TOWN OF SOUTH OLD PROPERTr ORS 1 411,11, - I OWNE ; STREET -VILLAGE DIST. SUL5. k- k FORMER OWNER N E ACR. S W TYPE OF BUILDING RES, SEAS. VL. FARM comm. CB. MICS. Mkt. Value 9 LAND IMP, TOTAL DATE REMARKS 1 61-L Lt r j" IL 0ar Tillable FRONTAGE ON WATER Woodland FRONTAGE ON ROAD Meadowland DEPTH House Plot BULKHEAD Tota I _ - .n l t 3 I! g e E TRIM I - 1a i P it - 1 11.4-26.3 2/08 < F € _ g -i-- M. Bldg. r--_. § - a xtrlSlo#1 Extensioni 1 - Foundation a� _ £ B th ,<� � Din ette Porch Basement l F(uors s Ext. Walls Interior Finish LR F I Brea -- I Fire Place Heat DR Garage i — -Type Roof - Rooms Ist Floor --_ ER. Patio �s` s.' Recreation Room Rooms 2nd Floor FIN. r _ ' ! i a. B. ; Dormer 1[driveway -�-- _ _ Total � .............. ...... _ .......,,....................... ......._.. ........ .. ........ ..... .. .... r, - FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N-Y. CERTIFICATE OF OCCUPANCY No: Z-33222 Date: 08/14/08 SWIMMING POOL THIS CERTIFIES that the buildingINGROUND MmGtiF µ Location of Property: �www 1265 VANSTON RD _.. ...mm wn CUTCHOGUE (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section Ili Block 4 Lot 26.3 Subdivision Filed Map No_ Lot No conforms substantially to the Application for Building Permit heretofore ..............wPRIL filed in this office dated A 13, 2007 pursuant to which_ Building Permit No. 32923-Z dated APRIL 19 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 �m FENCE TO CODE AS APPLIED FOR. i8 ACCESSORY INGROUND SWIMMING POOL WITH m The certificate is issued to ARON & HILLARYCHWARTZ (OWNER) of the aforesaid building. SUFFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. 3065410 0 05fC8 PLUMEYS CERTIFICATION DATED N A C A horized 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-33009 Date: 04 30/08 THIS CERTIFIES that the building INTERIOR ALTERATIONS Location of Property: 1265 VANSTON RD CUTCHO_GUE (HOUSE NO.) _ (STREET) (HAMLET) County Tax Map No. 473889 Section ill Block 4 Lot 26.3 Subdivision _ _ Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated FEBRUARY 20, 2007 pursuant to which Building Permit No. 32745-Z dated FEBRUARY 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 INTERIOR ALTERATION TO AN EXISTING SINGLE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to ARON & HILARY SCHWARTZ (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HBA,LTH APPROVALN/A ELECTRICAL CERTIFICATE NO. 115744C 04 14L08 PLUMERS CERTIFICATION DATED Q4/01/ 8 EASTWAY PLUMB.& HEATING A horized Signature Rev. 1/81 FORM NO.4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town ball Southold,N.Y. Certificate Of Occupancy No. . .Z- I6997 Date . June 14 , 1988 . . . . . . . . . . . . THIS CERTIFIES that the building , , CONSTRUCT ADDITIONS. . . . « . . . . . . . . Location of Property , 1265 Vans ton Road Cutchogue , New York House No. Streei Hamlet County Tax Map No. 1000 Section . . > >). . . . . . .Block . .04 , . . . . . . . . . .Lot . . .2 6. .3. . .. . . . Subdivision . . . . . . . . . . . . . . , . . . . . . . » , . .Filed Map No. . . . . . . . .Lot No. . . . . . . . . . . . . , conforms substantially to the Application for Building Permit heretofore filed in this office dated A u g u.s t 1 2tl,M . 1987 pursuant to which Building Permit No. , 1634 8 Z dated . , , August :2 0 19 8 7. 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 . . . . . . . . . Attached 2 car garage, attached wood deck, and addition to existing one family dwelling as applied for . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . The certificate is issued to . .ALBERT J. & VIOLET H . ROMERIL . . . . . . . . . . . . . . .{owner,eli51�elil� �IlC1l�"�l X of the aforesaid building. Suffolk County Department of Health Approval . . . . . . . . . . N f A . . . . . . . . . . . . . . . . . . . . . . . . UNDERWRITERS CERTIFICATE NO, , , , , , , , , , , , , , , , , , ©�8 7. 7 - A. r i 1 5 , 19 8*8 PLUMBERS CERTIFICATION DATED: May 19, 1988 - Mattituck Plumbing & Pleating Corp . . . , 124 0�.,w. . . . . . . « » . . . . . . . . . Building Inspector 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. . . . . . . . . Date . . . . . . . . March. . . . . . . . . . . . , 19K THIS CERTIFIES that the building . . . , New,Dwell:LRq . . . . . . . . . . . . . . . . . . . . . . . . . . . . Location of Property 6'. . . . . . . . . . . . . . . . .Vanston Rd. .Cutc.hoc j! i-,Ouse NO. ; tree Harniet County Tax Map No. I000 Section . . . 11r1 . . . . .Block . . . 04. . . . . . . . , .Lot . , . . .0.26:3 Subdivision . . . . . Pt. . .Filed Map No. M8 . . . .Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 19. , , , , , , 19 ,84pursuant to which Building Permit No. . . . A3627.Z dated . . . . . . .DecRmber .13. . . . . . . . 19 A 4,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 . . . . . . . . . . .---.-. .New. Private One Family Dwell.itac rt -„ ..- -rt , „ . . . . . . The certificate is issued to . . . . . . . . . . . . .ROMERIL, r1 LBERT J. , Jr.' ` (owner X e .). of the aforesaid building. Suffolk County Department of Health Approval „ . . . . I.4-SD-234. . . . . . . . . . . . . . w UNDERWRITERS CERTIFICATE NO. . . . . . . . . . . . . N6 9 8 017 . . , , . . . . . . . . . . . . . . .. Building Inspector Rev, 1/81 jig :41,11 ANSAONTUO '&M IHI 01 A13MS013X3 OEM Sl SNVId 3SM MM 38010FW 3NO AINO MIAG 01 ON 3R1 ICU MGM aRDIONd 3W SWIVA313 Ow SWd NOM TW 4 Y'N Iwouran'm NNm Hoz moiwm a OETQw as -S. -El nn IE :1 [E :3 00 O FJ-0 t= NOIIVDnddY Mk WMA R OO CO :'m4- -c 'n 7 A)lSA0NVHD old w IF— '83ma JHt oi Aimsmou dioNion Sl SWId 3S3M NOW AMflM 3NO AINO(nIAG 01 1H518 3lu 'OQ x 1V'AY1 NIHMOD M303A HaNn 0103108d AV MOUVA313 ONV SINVId 800-U TIV -%NN YN IHVONTn30 A XM 99OZ 11031d00 9E o FVll L---------------------- + -----------------------