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Home My WebLink About1000-80.-1-16.1 of so TOWN OF SOUTHOL Rental Permit 1542 Owner: Philip Cilio Occupied as: Single Family Dwelling Located at: 1900 Paradise Shore Rd Southold 80.4-16.1 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: 09/03/2026 Expiration: 09/02/2028 c eE em t official This Notice must be posted by the main entra oceat11 time y° .. 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) 765-9502tt s:/' .soutodtovan o RENTAL PERMIT APPLICATION Rental Permit Fee $300(Application must be renewed every two years) (� � 3oa �ec�-►I a,ys 0 � � Section A. Property Information: b" Rental Property Address: e 1900 Paradise Road-Southold,NY 11971t11 t n Tax Map Number: 1000 SECTION 80 —,-BLOCK 1 -LOT 16 -1 SECTION B. OWNER INFORMATION: Property Owner Name: Philip).Cilio Property Owner Legal Address: Property Owner Mailing Address: (Cannot be the same as Rental Property Address) 400 Nokomis Rd Southod,NY 11971 a Telephone Number (s): Daytime516.474.9585 Evening516.474.9585 Emergency516.474.9585 Property Owner Email Address: PJCilio@gmail.corP Page 1 of 4 SECTION F. PROPERTY DESCRIPTION: Number of Rental Dwelling Units on property: 1 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: 1 Requested Maximum number of persons allowed to occupy Dwelling U Number of rooms in Rental Dwelling Unit: 4 Use and Dimensionf each room in Rental Dwelling Unit: Bedroom 1 (10'-2"x1 '4'), Living Room/Kitchen �23'-4'WO'-0"), LL Bedroom 2 (16'-2"x13'-11"), Bedroom 3 (11'-0"x15'-8"), Bedroom 4 (11'-2"x11'-0") 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. A 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 Ho DECLARATION: Signature must be notarized and MUST be the owner of the dwelfing unit STATE OF NEW YORK) ) COUNTY OF SUFFOLK) 1 certify under penalty of perjury,the following: I. I am the owner of the property identified in"Section A" of this application, 7. 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. '. thave 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: /0 h Property Owner's Signature: Sworn to before me this tf> clay of `� �' 20�t-h ublt , tta N'Bw � Ab1fBfi Official Notary Public 5 Anatured Original Notary Sta Bled In Nassau CCU Cammf"cn �r Page 4 of 4 so TOWN F S&IOLI IL.. INS D! PT. coo, 631-765-1802 _ b, ?of— 1 l 1 1N Sih P On" %ow";6 T 10 N [ ] FOUNDATION 1 ST/ REBAR [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [J] FINAL SULATION/CAULKING FRAMING / STRAPPING [ FIREPLACE & CHIMNEY [ RE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL INAL) [ ] CODE VIOLATION [ ] PRE C/O ] RENTAL REMARKS: DATE ::�W>04 INSPECTOIAR 5 TOWN OF SOUTHOLD PROPERTY RECOI OWNER ;STREET VILLAGE DIST. SUB. LOT FORMER OWNER N E ACR. € i S 1w TYPE OF BUILDING _ RES=, ' SEAS. VL. h FARM COMM. CB. MICS. Mkt, Value LAND IMP. TOTAL DATE REMARKS } 164 x- // - 7 ° 3[ y a :ram I _ 72 f 3 17� � I t —7 t r �II a - AGE BUILDING CONDITION NEW NORMAL BELOW ABOVE FARM Acre Value Per Value 1 Acre i �ma Tillable FRONTAGE ON WATER ' Woodland FRONTAGE ON ROADe t Meadowl.and DEPTH ' House Plot BULKHEAD DOCK Total - r a C) - F O • TRIM z p � S } x I I F s � 80.-1-16.1 3/08 _ f E I i i Extension - r _ Extension .21 - i Extension 3 } ;Foundation r T. ; Bath ; Dinette Porch ;Basement l/ Floors K. Porch _- - Ext. Walls Interior Finish1 LR Breezeway Fire Place !Heat D.R. Garage `type Roof Rooms 1st Floor jI BR. Patio !Recreation Room Rooms 2nd Floor =FI N B O. B. Dormer - } D rivewCy Total ; I FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. CERTIFICATE OF OCCUPANCY No. Z...22.64............. Date ..........October..11.................... , 1965... THIS CERTIFIES that the building located atp� ;{, �..g; � ee.. o�, Y... p� ,� Street MapNo. ..XC.......... Block No. ...X=......... Lot No. .............X..=.......................... conforms substantially to the Application for Building Permit heretofore filed in this office dated ...... ........................................ 19k5_ pursuant to which Building Permit No. .2?$2..?. dated ...] ..Joak a,..3.............................. 19.65-,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 ........ ..............................I...... dwelling.................................................................... ....,.,. The certificate is issued to ..............Rejeri...pv .. ;k"tj ..,......»...............-ieni». ij............ .....».......... .. owner, lessee or enant) of the aforesaid building. Building Inspector FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Clerk's Office Southold, N. Y. Certificate Of Occupancy No. . . Date . . . . , . . . . . . .•TVA . . 1.0 Q. . . . ., 19.77. THIS CERTIFIES that the building located at .Par4dt.84 .6her%s. did. . . . . Street Map No. ?F. . . . . . . . . Block No. . X4. . . . Lot No. . .= . .$0t1.tbQ3,d . .N..%#. . . . . . . . . conforms substantially to the Application for Building Permit heretofore filed in this office dated Apr . ��? . , 1973 . pursuant to which Building Permit No. .b5. 4 dated may. 7 . ., 19 ? ., was issued, and conforms to all of the require- ments of the applicable provisions of the law. The occupancy for which this certificate is issued is Priy&ItO.O . . . . . , ,;F. dwr el ling .w t 4ddl tiQtt . . . . . . . . . . . . . . . . . . . . . The certificate is issued to Helen. f`* .l fit . C4�ra�x OA.application. .) . . . . . . . . . (owner, lessee or tenant) of the aforesaid building. Suffolk County Department of Health Approval H•R+. . . . ,. . . . . . . . . UNDERWRITERS CERTIFICATE No. ' . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . HOUSE NUMBER . . 19ao. . . Street _ Paradise. Shorea .Road . . . . Southold. . 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-32524 Date: 08 10 07 THIS CERTIFIES that the building SECOND STORY ADDITION Location of Property: 1900 PARADISE SHORE RD SOUTHOLD (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 80 Block 1 Lot 16.1 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated DULY 12 2007 pursuant to which Building Permit No. 33240-Z dated JULY 12, 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 SECOND STORY ADDITION TO AN EXISTING SINGLE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to WILLIAM E & DOROTHY MARTIN (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/� ELECTRICAL CERTIFICATE NO. 3040481 07 27 07 PLUMBERS CERTIFICATION DATED 007 07 PECONIC PLUMBING&HEATING .lei 10 on ed Signature Rev. 1/81 m C ZOV RED EN DE STD OP 1250 EVERGR CUTVMUE.I PHONE.63.L ------- --- ------ -DINING ROOM NO. ISSUE 01 PERMITSE 02 REVISION 03 PERMIT SET-F F- CO R 0-011,m VE T 1 RED PA0 Hi 4, .. ................. BEDROOM x 13 LAUNDPY ------- ----- ---- 044i BA-14 I CIL RESIDI T 1900 PARAU SOUTHOW,I S.C.T.K#1000- SCALE: INISH DATE ED DRAWN SY: FIRST FLC 0 OUTDOOR -o�S�H 0 W Eff,R I H pmsmx.a^ts`� dW'tl mM� ISSUE 1 PERMIT SET ... i REVI 09.: 02 SIOR 05. Og PERMIT SET-REV1 7 � e � � } ti {} ( ( 5 li l E ' i F -6_ — �� Caan' FF�=N1 CILSO 1 1 RESIDER OW SCAM F - - DATE S SEC i FLoov s 1 � ' 3 i 4