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HomeMy WebLinkAbout1000-122.-2-15 TOWN OF SOUTHOLD } Rental Permit Q V5 Permit No. 0144 Owner Thomas Mercier Occupied as Single Family Dwelling Located at 10530 Sound Ave. Mattituck 122.-2-15 Address Village S/13/1- Maximum /B/LMaximum 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. 8/8/2019 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 Fax(631)765-9502 P.O.Box 1179 Southold,NY 11971-0959 BUILDING DEPARTMENT TOWN OF SOUTHOLD RENTAL PERMIT APPLICATION Rental Permit Fee $200 (Application must be renewed every two years) Section A. Property Information: Rental Property Address: Lk w n .� Tax Map Number: 1000 SECTION `7 .--BLOCK ` _ _-LOT 2 - SECTION B. OWNER INFORMATION: Property Owner Name Property Owner Legal Address: P rt Owner Mailing Address: � i1 tl .m .. �. v nin ..... .�__.. . .._ .�.� e Telephone Number (s): Dayti � . ._��.�. E e g_ Emergency .. �.....�..�. ..... ,..,..—� �f Property Owner Email Address: _ � _ .,w 0 Page 1 of 5 � m �� Town Hall Annex Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1179 Southold,NY 11971-0959 BUILDING DEPARTMENT TOWN OF SOUTHOLD Section C. Authorized Agent Information: Name of Authorized Agent of dwelling unit, if an Address of Authorized Agent (no P.O. Boxes): Mailing Address of Authorized Agent: Telephone Number (s): Daytime eM Evening_ Emergency,,,,___ 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): 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: —IV Address of Managing Agent (no P.O. Boxes):._ Page 2 of 5 Town Hall Annex Telephone(631)765-1802 54375 Main Road Fax (631)765-9502 P.O. Box 1 179 Southold,NY 11971-0959 BUILDING DEPARTMENT TOWN OF SOUTHOLD Mailing Address of Managing Agent: Telephone Number (s): Daytime,-,-- Evening„ Emergencyw Email Address: _ .. ... .... ..._... . ., 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: . ho' M 1 � ,, w Requested Maximum number of persons allowed to occupy Dwelling Uni f Number of rooms in Rental Dwelling Unit: w :..: �qS Use and Dimensions of each room in Rental Dwelling Unit: c � Cl ( Page 3 of 5 t, Town Hall Annex Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1 179 Southold,NY 11971-0959 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 ❑ 1 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) '1 COUNTY OF SUFFOLK) 1 tet 4o" certify under penalty of perjury, the following: 1. I 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)76.5-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1179 Southold,NY 11971-0959 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. W ° nw Property Owner's Name: —,,-�. �..._ .......... . _s �. a � .. � fit Property Owners Signature: �5� �:� Sworn to beforeme this da'y of � , 2019 Official Nod rSi 4 , d Original y Public na g tureq, Notary Stamp Page 5 of 5 Town Hall Annex Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1 179 Southold,NY 11971-0959 BUILDING DEPARTMENT TOWN OF SOUTHOLD RENTAL PERMIT APPLICATION APPENDUM W Rental Dwelling Unit Identifier: Requested maximum number ofpersons allowed to occupy each dwelling un t: Number of Rooms in Rental Dwelling Unit: _ Use and Dimension room: ��... 4l"�'i 1170-- I a tz � " ..... Rental Dwelling Unit Identifier: Requested maximum number of persons allowed to occupy each dwelling unit; Number of Rooms in Rental Dwelling Unit: Use and Dimension of each room: Rental Dwelling Unit Identifier:...... Requested maximum number of persons allowed to occupy each dwelling unit: Number of Rooms in Rental Dwelling Unit: . ......................_.,.. _�.. _.... .... _....__�___ ____ Use and Dimension of each room: TOWN OF SOUTHOLD 13UILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING /STRAPPING [ ] INAL 4ivrW [ ] FIREPLACE & CHIMNEY [ FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) [ ] CODE VIOLATION [ ] CAULKING .�WAI /ZO-OW\ 141 �r r2 6-0 —7 o X11ketok i R7-/e i „� 63, � � 4/1 Tit PA � . r W o a a J o m i lD Z m O 'r i Imn p w � < 0 s L�. co D I I CD Zi O � k � Go r < D < 6 m n ,, i i' mro m f F4 O �e .www. m o � M ww. W c .m v � 77K Z Z n) � w IC, Z Z m� mo 0 n b �r d k u a w ,. Ln e pm , �s fi q .-r t �y G p Q , fl (D (D (D W N 9kM t .:V vii Ln W E: Ro NYMPH 7t CA CD µ " °p m A f1 ff I � P a i f r 1 I 1 �f J � p N„ r O U �0 U CLG m , x (D _ q AA d C 1 J111-1111 9� (C _ v y j 0 � 1111 Y , r f v1 1 �'• r o n o v iu ,. 1 � EA { I I41GnG'11 '7fii"J'YLJDI am. '7111 ,nR) Ti „ I r a_ F t "I c" I f FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT office of the Building Inspector Town Hall Southold, N.X. PRE EXISTING CERTIFICATE OF OCCUPANCY No Z-23415 Date DECEMBER 15, 1994 THIS CERTIFIES that the building ONE FAMILY DWELLING Location of Property 1555 FACTORY AVE.&10530 SOUND AVE. MATTITUCK, N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 122 Block 2 Lot 15 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-23415 dated DECEMBER 15, 1994 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 BUILDING The certificate is issued to BLAISE DiPAOLO (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A *THIS UPDATES CO Z-5415 DATED AUG. 31, 1973. ilding mnap ctor Rev. 1/81 HOUSING CODE INSPECTI0N August 30, 1973 19530 Sound Ave. , & 1555 Factory Ave. R-1 Mattituc, I.Y. Tax Roll: E. Russell Johnson & Wf. 0:_cupied: Owner Upon request of the Southold Town Building Department, I made inspection of this two story framed dwelling and found the following violations of Local Law #1, Housing Code, Town of Southold. I was admitted to east side, front entrance by rears. Johnson who accompanied me on inspection which began at approximately 10:40 a.m. The first floor consists of enclosed front entrance poach which is unheated, living room, dining room and kitchen, heat is furnished to' these rooms. Near enclosed porch, unheated, access to cellar through trap door in porch floor. Kitchen: gas range, no shut off valve at unit-Section 500 Front Entrance: no switch to control light in room on entry. Section 529b. Cellar; water supply pipe to kitchen sink leaking at elbow to riser. Section 502b. Ceiling light in sectioh of cellar near furnace wired with lamp cord. Section 528a. The second floor contains three bedrooms and bathroom and walk in closet-heat is snpp lied to bedrooms only. The ceilings are under seven foot six inches, in violation of The Building and Zoning Ordinance, Article I, Section 101, Floor area livable. Accessory building-stable, tool and work shop with hay loft. Roof has several missing shingles. Section 302C. Inspection completed at approximately 11:05 a.m. Respectfully submitted, Edward Hindermann Building Inspector EH: jk FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. UPDATED CERTIFICATE OF OCCUPANCY No Z-23414 Date DECEMBER 150, 1994 THIS CERTIFIES that the building_ ADDITION & ALTERATION Location of Property 1555 FACTORY AV13, & 10530 SO AVE. TTITJJ N- . House No. Street Hamlet County Tax Map No. 1000 Section 122 Block 2 Lot 15 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated APRIL 27, 1960 ____pursuant to which Building Permit No. 1117-2 dated • JUNE 24, 1960 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 & ALTERATION TO EXISTING ONE FAMILY DWELLING The certificate is issued to BLAISE DiPALOLO (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL UNDERWRITERS CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED /A *THIS UPDATBS CO Z-918 DATED NOV. 25, 1960. 02 B ding Inspector Rev. 1/81 Town of Southold 8/8/2019 P.O.Box 1179 53095 Main Rd ' qy Southold,New York 11971 CEIT'IFICAE OF OCCUPANCY No: 40602 Date: 8/8/2019 THIS CERTIFIES that the building AS BUILT ALTERATION Location of Property: 10530 Sound Ave.,Mattituck SCTM#: 473889 Sec/Block/Lot: 122.-2-15 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 8/1/2019 pursuant to which Building Permit No. 44047 dated 8/8/2019 was issued, and conforms to all of the requirements of the applicable provisions of the law. The occupancy for which thi's certificate is issued is: as built,alterations to,ap emsting dwellingat,gpplip The certificate is issued to Mercier,Thomas&Barbara of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED _. Auer ped S" attire .