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Home My WebLink About1000-78.-7-9 TOWN OF SOUTHOLD Rental Permit 1452 Owner: Alexander Chilton , Laura Chilton Occupied as: Single Family Dwelling Located at: 105 Waterview Dr Southold 78.-7-9 Maximum Permitted Occupancy: 12 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-an ual in ction. Issued: 04/29/2026 ' Expiration: 04/28/2028 code no ent fcia' This Notice must be posted by the main entrance (tall ti es 4 43M1_rfJ?. Town Hall Annex � �� Telephone(631)765-1802 Fax(631)765-9502 54375 Main Roadi% P.O.Box 1 179 Southold,NY 1 1971-0959 BUILDING DEPARTMENT 2021 TOWN OF SOUTHOLD RENTAL PERMIT APPLICATION Rental Permit Fee $200 (Application must be renewed every two years) Section A. Property Information: RentalMProperty Address: YE ._ LOT_.... .. Tax Map Number: 1000SECTION w � _.. _....._ ._.-BLOCK SECTION B. OWNER INFORMATION: Property Owner Name: ........ __ w.. Property Owner Legal Address: Property Owner Mailing Address: CvL+ 334 — Telephone Number (s): Daytime ..,.w.ww._._ . Even ing.,___..—_ Emergen y___.—.— Property Owner Email Address: _ .. ........,�__.. __....ww.... Pagel of 5 / %�f l/Gq��r� Telephone(631)765-1802 Town Hall Annex /� � �, 54375 Main Road Fax (631)765-9502 V.U. Box 1 179 Southold,NY 11971-0959 BUILDING DEPARTMENT TOWN OF SOUTHOLD Mailing Address of Managing Agent: .. w_v_.w.ww ........... .._m�.�.ww�..._. _...�_�......��_. ... .�.�.�.�.....� ...... ......_..._...__..m�.__ Telephone Number (s): Daytime. _ ... ._....._... . Evening- _ Emergency._,,._,,_,.-,,- Email Address: _ _ ....... ._.........._....ww�._ ..� _ ._ --_ ......__ 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:Use and Dimensions of each room in Rental Dwelling Unit: o SS- 1 e I 2E>.._. . _ ,..... .. ...... ..... _I.5... ... 3 ' I =�-O SIP. _._.w._.�... 4-1 (00 s 5 1(00 SF Page 3 of 5 y, l Town Hall Annex Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O. Box 1 179 Southold,NY 1 1971-0959 BUILDING DEPARTMENT TOWN OF SOUTHOLD 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 NI/I am submitting a completed Town of Southold certification form from a licensed architect or a licensed professional engineer. SECTION H. DECLARATION: Signature must be notarized and MUST be the owner of the dwelling unit. STATE OF NEW YORK) COUNTY OF SUFFOLK) I (�c u-- ...... � , 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 Page 4 of 5 Town Hall Annex Telephone(631)765-1802 ''1' Fax(631)765-9502 54375 Main Road �,/ P.O. Box 1179 Southold,NY 1 1971-0959 BUILDING DEPARTMENT TOWN OF SOUTHOLD 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 as to any change to the information regarding Authorized Agent, Managing Agent, or Site Manager, Property Owner's Name; ,...._LcxAAyo, ._...ctus ....._ .n.�. Property Owner's Signature: _ _. . ..... .. ....._ ...w :.__ __ w.. .._ _n.... ....... . Sworn to before me this_ y w„ 41 rie- 20 N ifs Official Notary Public Signature and Original Notary Stamp LIM KIM A. Notary Public,State of New York No. 01 L16144154 Oualifled in Westchester county . ornnaissi'on Expires Apr. 24, 20 ' Page 5 of 5 TOWN OF SOUTHOLD BUILDING DEPT. 0 631-765-1802 qfl_ INSPECTION [ ] FOUNDATION 1 ST/ REBAR [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ZFIRE LATION/CAULKING FRAMING /STRAPPING [ L FIREPLACE & CHIMNEY [ SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANX(FAL) ATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICALCODE VIOLATION [ ] PRE C/O [ AL REMARKS: c,# ✓IVA&h^ It, js,\Tq .- 71 (4/ 1 m Cap DATE INSPECTOR _ �. Jan 16, 2021 �, hone(631 765-1802 Town Hall Annex Telephone P ) 54375 Main Road Fax(631)765-9502 P.O.Box 1179 Southold,NY 11971-0959 cou JUN - 9 2021 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 ,pro essionol seat re aired for Architect or Engineer, licensed home Inspector must Provide c v of valid current certi icatian � 0el+!1 Rental Property SCTM Number: AcL? : ' "38 8 q � '• �I o �k Rental Property Address: 105 Waterview Rd. Southold NY 11971 Owner/Name: Alexander & Laura Chilton Rental Dwelling,Unit Identifier: Number & Square footage of each bedroom as depicted in the attached floor plan: (i.e. Bedroom #1 -100 sq., Bedroom#2-90 sq., etc.) Bedroom# 250 soft Bedroom #3 170 Bedroom #5 160 Bedroom #2 150 s ft Bedroom #4 160 Property Description (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. Victor Cornelius III CEO Inspector Print Name and Title ced## 1216-0283 Orl ina Sign ure Please place professional seal: Y TOWN OF S UTHOLD PROPERTY RE A OWNER ;STREET VILLAGE LOT 0' -- FORMER OWNER � N E a_ ACR. . `. W� ! TYPE OF BUILDING S f' 4 RES. ' SEAS, VL. "{ FARM COMM, CB. MICS. Mkt. Value LAND IMP: TOTAL DATE REMARKS s �, d _ f Ll l � T , < _ �1 P F Z : AGE BUILDING CONDITION _ NEW NORMAL BELOW ABOVE FARM Acre Value Per Value Acre Tillable FRONTAGE ON WATER 1 - 00, 75 Woodland FRONTAGE ON ROAD I 3 t Meadowland DEPTH House Plot BULKHEAD Tota l DOCK - - 1777 -.I OR . E � i f 5 As a t 1 3 5 � I R. ( - i f 78.-7-9 4/09 i 78-7-9 3/Ub A. Bldg. Foundation Both Dinette; xtension 56 = Basement ; 4 Floors K. xtension 5b Ext. Walls i Interior Finish L R. 2 le�*l � l�t3z 5a 2 — 358 -6� ; ✓ xtension 2-5n `4 Fire Place t e Heat DR, , , p4,, / !�>C$ = •+{e, s '; 3 o i Type Roof Rooms 1 st Floor, BR. 21 '_orh Recreation Roor : Rooms 2nd Floes FIN. B. 12Z i 'orch 1 23 Dormer 3rc� le.vt-� 1 � , X� 4 JO i - E �t r) Driveway ��cvLti1 V i garage 22 ?2�o Z IQi B�kt� 2, dip 1+0 = 4 .l am J d �.�\ _ r �, �» i "4 -' f' 'r' �r • e3°�"'J �� " z' r - _ FC NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY NO: Z-31754 Date: 2§LL0106 THIS CERTIFIES that the building . DECX ADDITIONw_ ..._.V ................� Location of Property- 105 WATERIEW DR SOUTHOLD„ (HOUSE NO.) (STREET) (HAMLET) county Tax Map No. 473889 Section 78 Block 7 Lot 9 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated MARCH 11 2004 pursuant to which Building Permit No. 30192-Z dated APRIL 12 200 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 ADDIITON TO AN EXISTING SINGLE FAMILY DWELLING AS APPLIED FOR.wwwww_wµ m_......INIC NICOLAZZI The certificate is issued to DOM ...._..__. ........._... (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL _______N A ELECTRICAL CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A f AiAiorized 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-31697 Date: THIS CERTIFIES that the building _NgR,DWELLING Location of Property- 105 WATERVIEW DR SOUTHOLD (HOUSE NO.) (STREET) (HAMLET) County Tax Map No- 473889 Section 78 Block 7 Lot 9 Subdivisioz Filed map mo. Lot NO. conforms substantially to the Application for Building Permit heretofore filed in this office dated DECEMBER 12 2005 pursuant to which Building Permit No. 31668-Z dated DECEMBSR 12, 2005 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 WITJJ GARAGE� UNDER, COVERED FRONT ENTRY WITH 2ND FLOOR BALCONY ry. NON-IL"ITABLE ATTIC AS APPLIED FOR. The certificate is issued to DOMINIC NICOLAZZI (OWNER) of the aforesaid building SUFFOLK COUNTY DEPAR174ENT OF HEALTH APPROVAL RI0-00-0260 07/17/0 6 ELECTRICAL CERTIFICATE No. 202.13472 PLUMBERS CERTIFICATION DATED 05/26/06 T.L. TUTHILL ) ')o 6h hors Si.gnature Rev, 1/81 NVId b00-w 1961-1 s� '�� AJI JIR all .rJ� All .wr 4 a.: al.fl s.s!-+vac Jf aw a . y ` t P NJ { `l h $! 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TAX No. 1000-7 —u7-03 SCz E =50' .i-P-. .A NURI 23, 2002 2Gp _ .S -2.A 4 slj-- AREA . Q It,` c _:;.D.H.S No. RI"J-03-0260 ! 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