HomeMy WebLinkAbout1000-64.-5-4 of so TOWN OF SOUTHOLD
Rental Permit
1493
Owner: Katharine Mesquita
Occupied as: Single Family Dwelling
Located at: 305 Old Shipyard Ln Southold 64.-5-4
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-annual inspection.
Issued: 06/08/2026
Expiration: 06/07/2028 code me tOff;cial
This Notice must be posted by the main entranc(atall -mes
TOWN OF SOUTHOLD—BUILDING EP RT N
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Town Hall Annex 54375 Wain.Road P. 0. Box 1179 Southold,NY It 9710959
Telephone(631) 765-1802 Fax(631) 765-9502 11ttDS-.0B 'WW,squt of to nay r ov,
RENTAL PERMIT APPLICATION
Rental Permit Fee$300 (Application must be renewed every two years)
Section A.
Property Information:
Rental Property Address: S���
�1�1J 0ICJ a 1
Tax Map Number: 1000 SECTION -BLOCK
SECTION B.
OWNER INFORMATION:
Property Owner Name:
N Y
Property Owner Legal Address: Property Owner Mailing Address:
(Cannot be the same as Rental Property Address)
Z� S�u� P( W_Q� ��� o y
Telephone Number(s): Daytime E�reCin,B �r Emergency
Property Owner Email Address: r /
O C
Page 1 of 4
SECTION F.
PROPERTY DESCRIPTION:
Number of Rental Dwelling Units on property: Onc'-
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 Unit
Number of rooms in Rental Dwelling Unit:
Use and Dimensions of each room in Rental Dwelling Unit:
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)
COUNTY OF SUFFOLK)
W1(I(� Z &ertifV 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:
Property Owner's Signature:
Sworn to before me this P day of f�,/� 20_2
Official Notary Public Signature and Original Notary Stamp CONNIE D.BUNCH
Notary Public,,State of New York
No.01 BU6185050
Qualified in Suffolk County
Commission Expires April 14,2p-,2-1
Page 4 of 4
10,
TOWN OF SO H L,D Eli DING DEPT.
631-765-1802 Jam, Ll
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[ ] FOUNDATION 1ST/ REBAR [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INSULATION/CAULKING
[ ] FRAMING / STRAPPING [ ] AL
[ ] FIREPLACE & CHIMNEY [ to FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PEN RATION
[ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (F AL)
[ ] CODE VIOLATION [ ] PRE C/O [ RENTAL
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TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN CLERK'S OFFICE
SOUTHOLD, NY
BUILDING PERMIT
(THIS PERMIT MUST BE KEPT ON THE PREMISES
WITH ONE SET OF APPROVED PLANS AND SPECIFICATIONS
UNTIL FULL COMPLETION OF THE WORK AUTHORIZED)
Permit#: 47473 Date: 2/2212022
Permission is hereby granted to:
Mes uita, Katharine
24 Stuart PI .__� ..... _�.
Manhasset NY 11030
To: Construct front porch addition to existing single family dwelling as applied for.
Maintain 35 foot minimum front yard setback.
At premises located at: ^} ` /O
305 Old Shi and Ln. Southold V
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SCTM #473889 U,Ltil 4-
Sec/Block/Lot#64.-5-4
Pursuant to application dated 1/28/2022 and approved by the Building Inspector.
To expire on 812412023.
Fees:
SINGLE FAMILY DWELLING-ADDITION OR ALTERATION $281.60
CO-ADDITION TO DWELLING $50.00
Total: $331.60
Building Inspector
Town of Southold Annex 4/3/2014
54375 Main Road
Southold,New York 11971
PRE EXISTING
CERTIFICATE OF OCCUPANCY
No: 36840 Date: 4/3/2014
THIS CERTIFIES that the structure(s)located at: 305 Old Shipyard Rd, Southold
.................................
SCTM#: 473889 See/Block/Lot: 64.-5-4
Subdivision: Filed Map No. Lot No.
...... ....
conforms substantially to the requirements for a built prior to
APRIL 9, 1957 pursuant to which CERTIFICATE OF OCCUPANCY NUMBER Z- 36840
dated 4/3/2014 was issued and conforms to all the requriernents of the applicable provisions of the law.
The occupancy for which this certificate is issued is:
)�L(W ra c n famil�dwql .Ai�th
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._Aj jq� -lip
�LQLe,,JRLI 34515AILcr onL1sq—r-t-Q-byW-g--m eC,07-33730
The certificate is issued to Spitzenberg Jr,Robert
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
*PLEASE SEE ATTACHED INSPECTION REPORT.
ized Signature
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
HOUSING CODE INSPECTION REPORT
LOCATION: 305 Old Shipyard Rd,Southold
SUFF.CO.TAX MAP NO.:- -'�._4.��..� _...._.__..�...�.�.........�.u�..�.�.�..r �.. ...SUBDIVISION: ,_.�...�,_�.,..,� .....�..._...._..........,.,....,� ....�..,...m
NAME OF OWNER(S): Spitzenberg Jr Robert _...
„ . . ............
OCCUPANCY:
ADMITTED BY: Robert Spitzenberg
SOURCE OF REQUEST. Spitzenberg Jr,.R. _ .. _..................... _._w. .... . .. � .._ .,. /3/2014
......... _ .. .w.M........
obert DATE. 4/3
DWELLING:
#STORIES: 1.5 #EXITS: 2
FOUNDATION: cement block CELLAR: full CRAWL SPACE:
BATHROOMS) 2 TOILET ROOM(S): UTILITY ROOM(S):
.... .....
PORCH TYPE: DECK TYPE: PATIO TYPE: stone(rear)
.... .... .. -.—
BREEZEWAY: FIREPLACE: none GARAGE:
DOMESTIC HOTWATER: yes TYPE HEATER. Gas Nat 1 Grid AIR CONDITIONING:
_......, .._ �.... ��.... .......
TYPE HEAT: Gas NatlGrid WARM AIR: HOT WATER: X
#BEDROOMS: .... 4 #KITCHENS.. "I. BA.... '._._ ...
SEMENT TYPE: unfinished
..... __.... ......
OTHER: .._..........vr.._... .. ......_ ...........��._.�w„_.... ...._
ACCESSORY STRUCTURES:
GARAGE,TYPE OF CONST: wood frame 1 car STORAGE,TYPE OF CONST:
SWIMMING POOL: GUEST,TYPE OF CONST:
�.
OTHER:
VIOLATIONS:
REMARKS:
... � ._ _.�... . _._DATE OF INSP...._...... ....�..�...
INSPECTED BY: M I
7 TIME START:INSPECTION: END.
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FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No: Z-33730 Date: 05/22/09
THIS CERTIFIES that the building ALTERATION
Location of Property: 305 OLD SHIPYARD RD SOUTHOLD..„ ,,., ,
(HOUSE NO.) (STREET) (HAMLET)
County Tax Map No. 473889 Section 64 Block 5 Lot 4
Subdivision Filed Map No. Lot No_
conforms substantially to the Application for Building Permit heretofore
filed in this office dated FEBRUARY 23, 2009 Pursuant to which
g l.g..rt.... 2009
Building Permit No. 34515-Z dated MARCH
was issued, and conforms to all of the requirements of the applicable
provisions of the law. The occupancy for which this certificate is issued
R ............. LIVING SPACE IN AN EXISTING ONE FAMILY DWELLING AS
I
is ALTER SECOND FLOOR TO ......._ .. .
APPLIED FOR: .............._
E
The certificate is issued to ROBERT F SPITZENBERG, JR
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEpAR174W OF HEALTH APPROVAL R10-09-00„1.8...... -, 05/04/09
ELECTRICAL CERTIFICATE NO. 4025645 05/06/09
PLUMBERS CERTIFICATION DATED 05 10 09 JOE WHITECAVAGE„
r
Authorized Signature
Rev. 1/81
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--:RnFICATE OF OCCUFAACY
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EXCEED V1 0 OF I%JLEAC. CODES,11'N WYtOF:,STATE.
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CERTIFICATION OF
NAILING&CONNECTIONS
RlEqgftl).
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OCCUPANCY OR
USE IS UNLAWFUL
WITHOUT CERTIFICATE
t OF OCCUPANCY
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APP90VED AS
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