The URL can be used to link to this page

Home My WebLink About1000-123.-2-25 TOWN OF SO T O D Rental Permit Permit No. 0143 Owner William Dougherty Occupied as Single Family Dwelling Located at 2705 Marratooka Rd. Mattituck 123.-2-25 Address Village S/B/L Maximum Permitted Occupancy 6 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. 8/6/2019 John Jarski Date of Issue Code Enforcement Officer This Notice must be posted by the main entrance at all times Town Hall Annex � , Telephone(631)765-1802 54375 Main Road ; n Fax(631)765-9502 F.O.Box 1179 ; Southold,NY 11971-0959r � � 1 00 a 141 ,.. f BUILDING DEPARTMENT TOWN OF SOUTHOIM APR 2 5 2019 APR 2(�� T. �� RENTAL PERMIT APPLICATION " " JD Rental"` erm t Fee $200(AppPieot on must be renewed every two years) " Section A. Property Information: Rental Property Address: Tax Map Number: 1000 SECTION 16J& BLOCK_f 2 3 j LOT SECTION B. OWNER INFORMATION: Property Owner Name: / b-g-1 e -J Property Owner Legal Address: Property Owner Mailing Address: (Cannot be the same as Rental Property Address) +r ryy Telephone Number (s): Property Owner Email Address: VVI //m m/1 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): Email Address: Section D. Managing 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): Email Address: SECTION E. SIT E MANAGER INFORMATION: (required for rentai properiies can rining�s or more renta! 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): -- 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 Ur Number of rooms in Rental Dwelling Unit: Use and Dimensions of each room in Rental Dwelling Unit: ti " ` xlCi I0 X (QC qy e 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 NYS licensed architect, a NYS 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. lI am requesting afire safety inspection to be performed by a Code Enforcement Official from the Town of Southold. Page 3 of 4 ❑ 1 am submitting a completed Town of Southold certification form from a licensed architect, a licensed professional engineer, or a licensed home inspector who has a valid New York State Uniform Fire Prevention Building code Certification. SECTION H. DECLARATION: Signature must be notarized and MUST be the owner of the dwelling unit. STATE OF NEW YORK) COUNTY OF SUFFOLK) I , certlfr under penalty of pe ury,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: p a � Property Owner's Signature. Sworn to before me thisA day of L ' _, 20j_q THERESA M.KATTAU Official Notary Public ignature and Original Notary Stamp Notary Public tato of New York No.O1A4832984 Qualified in Suffolk Coounty Commission Expires January31,VaA Page 4 of 4 TOWN OF SOUTHOLD BUILDING ari04 765®1802 INSPECTION [ ] FOUNDATION 1ST [ ]I ROUGH PLBG. [ ] FOUNDATION 2ND [ ]' INSULATION [ ] FRAMING /STRAPPING [ ],,FINAL AM,(*f [ ] FIREPLACE & CHIMNEY [Vf FIRESAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) [ ] CODE VIOLATION [ ] CAULKING jwwA� 0 yo4p!�- 0&AI "`�� DATE INSPECTOR r i a r Q s 9. �m IIl X 4^ P N !" ] {X A �R RIE i u n x MCC0 PAGE �' MAIN ROAD GREENPOR7 NEW YORK ' 11944 . 'j,N✓ AlQ1WIIltXl'LVV1181'WV'I..eJ:J.%�i JuAB.r.] ,., 631-dTT-D903" .:FA%031-41T 0518• ..-. v' ey i ...yr z 0.5 P, 2^ Ca � F �F A m u Cl 'IF . ......... I) C% - -------------- vm ................................... . 7 7.GT F 0_1(Y'-"\K( a OC o Z , ,,N1 Q a I V Nr, O �4 CD a Qn w nCDO N.. fD C> or (1 r- N Z -i ., , O I 3 co in o'° n C 1 9 N.. n O O J c� Z Z � , r 'n G) f o� N O m m chi Z Z , ° mI C • Q'I G a, • ., ep m, c rn W , T 1 N r C w' I CAI J. s Fl �' r u -I „ „ d � e r Qf " w; C n iN I 4 —1 ao 'n 9 N O CL i y, n O P. A F . ...... . t Fin fL- dA Y O O AN CD ❑ " O O qq _ -* �.. .__, .., ..,,6 ,..,. .... i ❑ N —� C a T7 T{ rA p O O i mm CD 7 � � m C G1 p FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. PRE EXISTING CERTIFICATE OF OCCUPANCY No Z-22357 Date MAY 25 1993 THIS CERTIFIES that the building ONE FAMILY DWELLING Location of Property 2705 MARRATOOKA ROAD MATTITUCK, N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 1.23 Block 2 Lot 25 Subdivision Filed Map No_ Lot No. conforms substantially to the Requirements for a One Family Dwelling built Prior to: APRIL 9, 1957 pursuant to which CERTIFICATE OF OCCUPANCY NUMBER Z-22357 dated MAY 25 1993 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 WITH ACCESSORY TWO CAR GARAGE The certificate is issued to HENRY SEIFERT (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL NLA UNDERWRITERS CERTIFICATE NO. NLA PLUMBERS CERTIFICATION DATED N/A *PLEASE SEE ATTACHED INSPECTION REPORT. 2#'l'ldiKq Inspector Rev. 1/81 BUILDING DEPARTMENT TOWN OF SOUTHOLD HOUSING CODE INSPECTION REPORT LOCATION: tx e str ROAD HATTITUCK N.Y. �IT.,..2705 MARRATOOKA_._ P h reet Y -� _ rrzc�nrc> a1'. NO. LOT (s) SUBDIVISION... 'MAP�....�... .._.. m_ ..-...... .. _ _ ...-.... - -- NAME OF OWNER (s) HENRY SEIFERT OCCUPANCY A-] RES. t e, owner-tenant) ADMITTED BY:� Hr. Seifert's brother ACCOMPANIED BY: SAME KEY AVAILABLE SUFF. CO. TAB MAP NO_ 1000-123702-25 SOURCE OF REQUEST: RUSSELL J_ SEIFE RT DATE: MAY 12, 1993 .�-._.-... DWELLING: -....... TYPE WOOD FRAME STORIES ONE # 0 EXITS_ 3 0 CONSTRUCTION m. FOUNDATION CEMENT BLOCK CELLAR FULL CRAWL SPACE""��m ..... TOTAL ROOMS• IST FLR_ 5 2ND FLR.mX 3RD F... -- - LR. BATHROOM (s) 1 FULL TOILET ROOM (s) ONE UTILITY ROOM _ PORCH TYPE DECK, TYPE PATIO, TYPE CONCRETE RE .- �_ AR OF HOUSE BREEZEWAY FIREPLACE NONE GARAGE DOMESTIC HOTWATER YES HEATER R R ELECTRIC AIRCONDITIONING � _ _ TYPE HEAT OIL OTHER: WARM AIR AOTWATER ACCESSORY STRUCTURES: GARAGE, AWOOD FRAME STORAGE, TYPE CONST. E OF CONST. 2 CR..._ SWIMMING POOL GUEST, TYPE CONST_ OTHER- WISHING WELL CONST-__.__,,, - VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION 6 BUILDING CODE -- _--- DESCRIP.� _.. .._ ART. SEC LOCATION TION REMARKS: BP #4322Z-CO Z-3738, & BP #7916 co Z-2223 FOR ADDITION INSPECTED BY:--- Y:— Gly DATE ON INSPECTION 193 . ' ...._. MAY 24, 9 ...._�._ ..-. .... TIME START 9..10 END 9:25 Town of Southold ...... _._... ..._ ,__ m 10/7/2016... 4....... .. . ...—_. P.O.Box 1179 53095 Main Rd NO Southold,New York 11971 CERTIFICATE'TIFICATE OIC" OCCUPANCY No: 38548 Date: 10/7/2016 THIS CERTIFIES that the building RESIDENTIAL ADDITION Location of Property: 2705 MARRATOOKA RD MATTITUCK SCTM#: 473889 Sec/Block/Lot: 123.-2-25 Filed Map No. Lot......._ _ ..._......_ ... Subdivision: No. conforms substantially to the Application for Building Permit heretofore filedin this office dated 10/1/2001 pursuant to which Building Permit No. 27799 dated 10/17/2001 was issued and conforms to all of the requirements of the applicable provisions of the law, The occupancy for .......... ' P Y which this certificate is issued is: ADDITIONmm"I�00N E I TING OHNE fAKT�� II�WI L l JC O A A1��T.1F1 The certificate is issued to WILLIAM P DOUGBERTY of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL 2019-15 ELECTRICAL CERTIFICATE NO. 27799 09-15-2016 ...... .......... PLUMBERS CERTIFICATION DATED 08-23-2016 William Dougherty ,.. , � eliilor' "d, Sig,nat;u FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-22232 Date MARCH 30, 1993 THIS CERTIFIES that the building ADDITION Location of Property 2705 MARRATOOKA ROAD MATTITUCK NEW YORK House No. Street Hamlet County Tax Map No. 1000 Section 123 Block 2 Lot 25 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated MAY 12 1975 pursuant to which Building Permit No. 7916-Z dated MAY 12 1975 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 ADDITION TO EXISTING ONE FAMILY DWELLING The certificate is issued to HELY SEIFERT (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. NLA PLUMBERS CERTIFICATION DATED N/A jHlda.ng Inspector Rev. 1/81 , ylFlQ(,� Town of Southold 8/1/2019 P.O.Box 1179 ,A 53095 Main Rd �i Southold New York 11971 CERTIFICATE OF OCCUPANCY No:. 40577 Date: 8/1/2019 THIS CERTIFIES that the building AS BUILT ALTERATION Location of Property: 2705 Marratooka Rd,Mattituck SCTM#: 473889 Sec/Block/Lot: 123.-2-25 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 2/6/2018 pursuant to which Building Permit No. 43717 dated 5/7/2019 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: "°as built"finished basement in anexiste tarnIlydwellitig as applied for, The certificate is issued to Dougherty,William of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 43717 7/22/2019 PLUMBERS CERTIFICATION DATED 7/5/2019 + illi Dougherty �t w ri-ed 1 ignature Ft�t Town of Southold 8/8/2019 P.O.Box 1179 s 53095 Main Rd Southold,New York 11971 CERTIFICATE ICATE OF OCCUPANCY No: 40601 Date: 8/8/2019 THIS CERTIFIES that the building HVAC Location of Property: 2705 Marratooka Rd.,Mattituck SCTM#: 473889 See/Block/Lot: 123.-2-25 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 7/22/2019 pursuant to which Building Permit No. 44012 dated 7/26/2019 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: "as built"HVAC unit as applied for. The certificate is issued to Dougherty,William of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 44012 7/22/2019 PLUMBERS CERTIFICATION DATED Authorized Signature FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Clerk's Office Southold, N. Y. 4 Certificate Of Occupancy No. Z .367.7. . . . Date . . . . . . . . . . . . . . .Doo.. .5. . . . . ., 1p, .69 THIS CERTIFIES that the building located at -Y/S -Mechanic, St. So. . . Street Map No. . .zs . . . . . . . Block No. . . . . . .Lot No.sz. . . Southold.. .1V.Y.. . . . . . . . conforms substantially to the Application for Building Permit heretofore filed in this office dated . . . . . . . . . . . .Apr.a. . 2t, 19. .69 pursuant to which Building Permit No. . .4222 .Z f' dated . . . . . . . . . . .A pr1l- . 2. . ., 19. 6'9, was issued, and conforms to all of the require- ments of the applicable provisions of the law. The occupancy for which this certificate is i issued is o*s"ry- build-in . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . The certificate is issued to . . .Rsy.Df.c-kerxon . . . . . .Owner . . . . . . . . . . . . . . . . . . . . . . . . (owner, lessee or tenant) of the aforesaid building. Suffolk County Department of Health Approval . . . . . . . . . . .N.R.. . . . . . . . . . . . . . . . . . . . . � Building Inspector 4, k House # 720 '