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Home My WebLink About1000-54.-6-4.3 TOWN OF SOUTHOLD Rental Permit 1523 Owner: Harjot Bassra , Brendan Frederick Occupied as: Single Family Dwelling Located at: 10740 Soundview Ave Southold 54.-6-4.3 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-annual inspection. Issued: 07/21/2026 Expiration: 07/20/2028 ee o m n Official This Notice must be posted by the main entOnceall tim s g TOWN OF SOUTHOLD—BUILDING DEPARTMENT °= Town Hall Annex 54375 Main Road P. O. Box 1179 Southold,NY 11971-0959 Telephone (631) 765-1802 Fax(631) 765-95021i tp :// vN ,sotitholdt°o)Mily. Gov RENTAL PERMIT APPLICATION Rental Permit Fee $300(Application must be renewed every two years) `, a Section A. Property Information: ^ Rental Property Address: Town 10740 Soundview Ave Southold NY 11971 Tax Map Number: 1000 SECTION 54 -BLOCK 6 -LOT 4.3 - SECTION B. OWNER INFORMATION: Property Owner Name: Brendan Frederick & Har'ot Bassra Property Owner Legal Address: Property Owner Mailing Address: (Cannot be the same as Rental Property Address) 732 Macon Street 732 Macon Street Brooklyn, NY 11233 Brooklyn, NY 11233 Telephone Number (s): Daytime 603-686-0454 Evening6�'3�� Emergency 6037686-0454 Property Owner Email Address: brendan.frederickea gmail.com Page 1 of 4 Section C. Authorized Agent Information: Name of Authorized Agent of dwelling unit, if any: N/A 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: N/A 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: N/A 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 SECTKW F. PROPERTY DESCRIPTION: Number of Rental-Dwelling Units ort property:- For each Rental Dwelling Unit set forth the Rental Dwelling Unit identifier (for example, Unit 1, Unit 2, Unit 3 of Apt A, &, 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: Unit Requested Maximum number of persons allowed to occupy Dwelling U y '. 8 1-7 Number of rooms in Rental-Dwelling Unit: « ° Use and Dimensions of each room in Rental Dwelling Unit: Bedroom 1 (18'6"x 16'0"), Bedroom-2(1-2'1"x 10'8"); Bedroom-3-(11'1-"x 13'1"); Bedroom-4-(9'5"x 15'10"); Bathroom-l-(15'3"x 18'6"); Bathroom 2(7'8"x 5'10"), Bathroom 3(5'10"x 10'9"), Bathroom 4(918"x 10'0"), Powder Room 1 (4'0"x 6'9"), Powder Room-2(41-0"x 411"); Living-Room-1-(176''x 18'0"); Study-(13'4'x 13'1"); Kitchen-(15'4'x 146"); Breakfast Room(10'0"x 12'0"), Dining Room(10'9"x 15'3"), Play Room(1415"x 42'1"),Game Room(2410"x 15'6") SECTKM G. INSPECTION: Pu-rsu-ant 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-req-uesting afire safety-inspection-to-be perfefined-by a-Code-Enforcement Official- from the Town of Southold 1� 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 ERFNAkN (Pf-Pe—PCKcertify 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: 8 �� I�el) z l Oc Property Owner's Signature: " Sworn to before meth' day of U _ _ , 20 2 ,am icial Notary Public Signature and Original Notary Stamp Mate of York Jenice Hernandez County of New York Notary Public,State of New York No.01 HE635q264 Qualifk,,d in Bronx,cert. in0�,NY Counties C..ornn®Macon Expires May 22,2029 Page 4 of 4 The VPF d✓ 82 i'i SOr ,OO . TOWN OF SOUTHOLD BUILDING DEPT. 631-765-1802 ,�� -- (p k .3 Oft Now ORO AP%L lNbr =GTlvA"` N [ ] 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 (FI AL) [ ] CODE VIOLATION [ ] PRE C/O [ RENTAL 0 R : AR DATE 1*W INSPECTOR Of Town Hall Annex �� 4 Telephone(631) 765-1802 54375 Main Road Fax(631) 765-9502 P. O. Box 1179 Southold, NY 11971-0959 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 Home Inspector must rovide copy of valid current certification Rental Property SCTM Number: 1000-54.-6-4.3 Rental Property Address: 10740 Soundview Ave, Southold, NY 11971 Owner/Name: Brendan Frederick and Harjot Bassra Rental Dwelling Unit Identifier: Unit 1 Number& Square footage of each bedroom as depicted in the attached floor plan: (i.e. Bedroom#1 — 100 sqft., Bedroom#2—90 sgft., etc.) Bedroom 1 (285 SF), Bedroom 2(130 SF), Bedroom 3(145 SF), Bedroom 4(160SF), Bathroom 1 (205 SF), Bathroom 2 (50 SF), Bathroom 3(205 SF), Bathroom 4(205 SF), Powder Rm 1 (25 SF), Powder Rm 2(25 SF), Living Room (350 SF), Stud 180 SF), Kitchen '165 SF' Breakfast Rm 125 SF), Dining Rm 165SF Play Rm 605 SF),Game Ran 245 SF), Property Description (Include all improvements indicated on survey) Single family dwelling with attached 3 car garage, covered front entry, and swimming pool. 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 Maintenance Code of New York State and the Energy Conservation Construction Cs' ork State. Jonathan Baker, ra AI �, Print Name and Title I ignature Please place Professional Seal: 3o7g4 1 " OF t4 l TOWN OF SOUTHOLD PROPERTY RCvVnr CARD = -OWi R r f; JTREE _ i E VILLAGE DIST.1 SUB. LOT A z r_ FORMER OWNER .N E ACR. S W TYPE OF BUILDING RES. SEAS. VL. FARM I COMM. CB. MILS. Mkt. Value LAND IMP. TOTAL DATE REMARKS LA NO RIJ y a e. g „- r E* i r z_ 1 a _ U ;Z Co Tillable FRONTAGE ON WATER f Woodland FRONTAGE ON ROAD 3 Meadowland I DEPTH House Plot i _ ` ` ,_ � BULKHEAD 1 i Toto I ,--, c E , OR TRIM IT s i I f E s <_ { 3 I I I t -- e 3 j i _ 3 I C 1 I • s , 54.-6-4.3 3/06 - t s 3 :J K ? — — I 1 a 1 1 i 3 ' � s t Extension I f � '7 Extension � _ _I 1 - , i s I Exte �� -- ns3 = {�;� g � •i Foundation I Both Dinette Porch,,Porch,, E E �fl E �• �,, ' Basement G : Floorsj K. f Porch i i Ext. Walls I Interior Finish LR. Cpx,. Breezeway _ Fire Piace \ri Heat \ DR. ara 4f 10- ` Type Roof Rooms 1st Floor BR. i - ' ' Recreation Room Rooms 2nd Floor FIN.LjIL B v)� Dormer I Driveway „ Totalt� 130 - r ` �� J 7 Q FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-31141 Date: 28 31 05 THIS CBBTIFISS that the building NEW DWELLING Location of Property: 10740 SOUNDVIEW AVE. SOUTHOLD (HOUSE NO.) (STREET) (HAMLET) County Tax Nap No. 473889 Section 54 Block 6 Lot 4.3 Subdivision Filed Nap No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated NOVEMBER 7, 2002 pursuant to which Building Permit No. 289"7"6-Z-Z dated DEC ER 5 2002 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 SINGLE FAMILY DWELLING WITH ATTACHED THREE CAR q t3E 6 COVERED FRONT MMY AS APPLIED FOR & AS PER CERTIFICATIONS OF WARREN A. SAMBACH P.E. DATED MAY 11 2005. The certificate is issued to DIANE & ROBERT R. SCHROEDER JR. (OWNER) of the aforesaid building. SUFFOLK COMITY DEPART KW OF HWkLTH APPRML R10-99-0066 03 30 05 EL C ICAL CERTIFICATE NO. 2000682 12 23 04 PLUMBIM CERTIFICATION DATED 05 13 05 RBT.VANETTEN PLUMB.&HEAT. ,r horired i ture 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-32281 Date: 04 10 07 THIS CERTIFIES that the building ADDITION & ALTERATION Location of Property: 10740 SOUNDVIEW AVE SOUTHOLD (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 4733889 Section 54 Block 6 Lot 4.3 Subdivision Filed Nap No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated JANUARY 13 2005 pursuant to which Building Permit No. 30895-Z dated JANUARY 13 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 FIREPLACE BATH ALTERATION & DECK ADDITION TO AN EXISTING SINGLE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to ROBERT R & DIANE SCHROEDER (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. N/A PLM40MM CERTIFICATION DATED N/A t /uthVi ze Signature Rev. 1/81 Town of Southold 8/4/2015 - , P.O.Bog 1179 53095 Main Rd Southold,New York 11971 a� xn CERTIFICATE OF OCCUPANCY No: 37690 Date: 8/4/2015 THIS CERTIFIES that the building IN GROUND POOL Location of Property: 10740 Soundview Ave, Southold SCTM#: 473889 Sec/Block/Lot: 54,64.3 Subdivision: filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 9/17/2014 pursuant to which Building Permit No. 39222 dated 9/29/2014 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: ACCBSS R"Y'IN-GROUND SWIMMING L 6 APPLIED FOR, The certificate is issued to Monterisi Jr,Francis&Monterisi,Darlan of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 39222 07-22-2015 PLUMBERS CERTIFICATION DATED mA igatrc Town of Southold 9/30/2015 P.O.Boa 1179 (r 53095 Main Rd Southold,New York 11971 CERTIFICATE Of OCCUPANCY No: 37806 Date: 9/30/2015 THIS CERTIFIES that the building RESIDENTIAL ALTERATION Location of Property: 10740 Soundview Ave, Southold SCTM#: 473889 Sec/Block/Lot: 54.-64.3 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore Sled in this office dated 7/28/2014 pursuant to which Building Permit No. 39090 dated 8/7/2014 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: ALTERATION EXISTING ONE FAMILY DWELL1N AS APPLIED FOR The certificate is issued to Monterisi Jr,Francis&Monterisi,Dorian of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL 4 ELECTRICAL CERTIFICATE NO. 39090 09-25-2015 PLUMBERS CERTIFICATION DATED 09-10-2015 Mike Jacobi $ sz� s , s At ss\o 1 i jig Ile . � IT 7- ,4 { Oct t _ - - - ry o, e [ 1�b tj iA 9 s v g- - - -`��- .ice-. I"✓ � .,j - n g - t � a Ilk F " t I F � F 7 - KrX -s le'*7 i s t ' �_. P , w ^ v I' f ✓ dt�rt. t t All o � -------------- 771 + � w all, � i .'a' �-Z� S�: w % We ze e° w , u u ;yY 3'a�� T � ;.r� i� �+ ,:�.^ �+ � '. a°• -/�`�r `" � fl �p �w + , ^ �..,- ,w �p a v , ^ , , w t o d r +0 + ^ ^ , ° � . AM Q ww. J � , a ++ r _..............._......................................................... M�...„.�� I HE r i. EW DR IS. PLATE FIT.=63' ..r. y STORAGE/CL SEi ON IEW i was a ratw✓xr ra DOOR. RR 1 + fi d ONil �ro� !E CY n, d r TO� F PoD6E I ....— �e" rw /j, PLATE HT=I C{ r N N O uI m I w If ul "I r o FR521,1 9 1Gloc.. r FLOOR PLANAu EXISTING SCALE; Ir4'-1-0' EXCEPT A5 NOTED.