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Home My WebLink About1000-107.-4-5 Falk TOWN OF SOUTHOLD Rental Permit g. # 0169 Owner Albert Leutwyler Occupied as Single Family Dwelling Located at 4573 Wickham Ave Mattituck 107.4-5 Maximum Permitted Occupancy 4 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. 9/12/2023 _ Code nor r� Official This Notice must be posted by the main entrance at all times TOWN OF S 631 -765-1802 /0� IN PECTION [ ] FOUNDATION IST [ ] ROUGH PLE3G. [ ] FOUNDATION 2ND [ ] INSULATION/CAI [ ] FRAMING 1 STRAPPING [ ] FINAL [ ] FIREPLACE ,& CHIMNEY [ ] FIRE SAFETY IN! [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PE [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FI j ] CODE VIOLATION [ ] PRE CIO [ REMARKS: �4" 0/6 ,1175 al,a-g e,�- DATE � � INSPECTOR Town Hall Annex Town of Southold 54375 Main Road =' Rental Inspection Report PO Box 1179 Southold, NY 11971-1179 !lbw . Tel: 631-765-1802 e. � Date SCTM # Phone Owner e ,.,._.. w. � _.. _. _.._- __ .. �� 1 .. , ._ ...... �. + � Visible Addre - ss `! M �._ Hamlet Inspector Floor Level Quantities Sub 1 2 3 Smoke Detectors(not located in bedrooms) Carbon Monoxide Detectors Fire Extinguishers Exits Bedrooms 1 2 3 4 5 6 Smoke Detectors Egress Occupant Count Building Systems Maintained & Operational Condition of Property Heating Building interior Hot water Building exterior, Electrical Property clean, maintained &safe Mechanical Handrails & guards installed &secure Pool Safety Pool-on-Site. Surface water alarm Date of CO issuance Door alarms Pool completely enclosed Self closing/latching gates Pool fence to code requirements CO's for all items present Prior Rental Comments: Falk TOWN OF SOUTHOLD Rental Permit g. # 0169 Owner Albert Leutwyler Occupied as Single Family Dwelling Located at 4573 Wickham Ave Mattituck 107.4-5 Maximum Permitted Occupancy 4 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. 9/12/2023 _ Code nor r� Official This Notice must be posted by the main entrance at all times TOWN OF S 631 -765-1802 /0� IN PECTION [ ] FOUNDATION IST [ ] ROUGH PLE3G. [ ] FOUNDATION 2ND [ ] INSULATION/CAI [ ] FRAMING 1 STRAPPING [ ] FINAL [ ] FIREPLACE ,& CHIMNEY [ ] FIRE SAFETY IN! [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PE [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FI j ] CODE VIOLATION [ ] PRE CIO [ REMARKS: �4" 0/6 ,1175 al,a-g e,�- DATE � � INSPECTOR Town Hall Annex Town of Southold 54375 Main Road =' Rental Inspection Report PO Box 1179 Southold, NY 11971-1179 !lbw . Tel: 631-765-1802 e. � Date SCTM # Phone Owner e ,.,._.. w. � _.. _. _.._- __ .. �� 1 .. , ._ ...... �. + � Visible Addre - ss `! M �._ Hamlet Inspector Floor Level Quantities Sub 1 2 3 Smoke Detectors(not located in bedrooms) Carbon Monoxide Detectors Fire Extinguishers Exits Bedrooms 1 2 3 4 5 6 Smoke Detectors Egress Occupant Count Building Systems Maintained & Operational Condition of Property Heating Building interior Hot water Building exterior, Electrical Property clean, maintained &safe Mechanical Handrails & guards installed &secure Pool Safety Pool-on-Site. Surface water alarm Date of CO issuance Door alarms Pool completely enclosed Self closing/latching gates Pool fence to code requirements CO's for all items present Prior Rental Comments: ice, TOWN OF SOUTHOLD Rental 016 Owner Albert Leutwyler Occupied as Single Family Dwelling Located at 4573 Wickham Ave Mattituck 107-4-5 Maximum Permitted Occupancy 4 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. 9/15/2021 I - ' 3- Code Enfore Official This Notice must be posted by the main entrance at all times Town Hall Annex SOUTHOLD TOWN w � 54375 Main Road PO Box 1179 Southold, Rental Inspection NY 11971-1179 ' . a ' Tel: 631-765-1802 R' „a Fax 631-765-9502 SCTM # — �f'` Date Owner kr'F ZeQT-Wvle,( Phone 6q6 - F3_911? Address ,7 Zip �a2 Hamlet M4L Inspector. Address visible from street? LEVELS SUB 1 2 3 Smoke Detectors (#-bedroom detectors excluded) C� � Carbon Monoxide Detectors (#) Fire Extinguishers (#) Exits (#) BEDROOMS 1 2 3 4 5 Smoke Detector Alarms (#) Carbon Monoxide Alarms (#) Egress (windows) (Y/l' ) BUILDING SYSTEMS N CONDITION OF PROPERTY '°'N Heating system maintained/operational Building Interior is clean/maintained Hot water system maintained/operational Building Exterior is clean/maintained 11,111, Electrical system maintained/operational 1 Property is clean/safe/maintained Mechanical system maintained/operational Handrails &guards present POOLS Y POOL BARRIERS YIN Pool present Pool is completely enclosed Pool surface alarm and/or door alarm Barrier is a min. 48"high resent POOL GATES Y/N All openings in barrier less than 4" Self-closing, self-latching Max. 2"clearance @ bottom of barrier Latch on pool side of gate, meets height Barrier capable of being locked &child- requirements proof when unattended .............. COMMENTS: CC CD O O G V µ4 N fD rD rD " CD CL IN, LA o v) CD m c 0 N CD CD in o w� o s W -3 CD Q CD -� m Q' o 0. o O X N 25- U) �. o m _o m C 3 CD 3 CD oC o CD =r CD CD ccDD CD o a) z CD 0 o CD cDrF V� Q O CL 0- 0 . =n 0- O O rD 0 ro C/) CD -- 3 =3o Lu. se m f7 7 It CD (D m - �, CD � r o CD C7 `H �"' ■ CccCD =3 CD � CP 9 N �--• o v CD W CDv LT Q C) fD 0 n `� 3 0. c ML a' Q Q r+ m O CD cn 0 �--` Z 0 = - N (D Cc0 m0) • m CD 1 � Cc O o in- o Town Hall Annex ��` s Telephone(631)765-1802 54375 Main Road �, �� Fax(631)765-9502 P.O.Box 1179 Southold,NY 11971-09590 I � w"w CoU BUILDING DEPARTMENT TOWN OF SOUTHOLD RENTAL PERMIT APPLICATION Rental Permit Fee$200(Application must be renewed every two74h JUL 1 0 2019 Section A. PIjr Property Information: p y Address 7 A un ,Z Rental Proert A �� U � � �Y �� Tax Map Number: 1000 SECTION -7 _--BLOCK -LOT—F--- SECTION LOT _-SECTION B. OWNER INFORMATION: Property Owner Name: Property Owner Legal Address: Property Owner Mailing Address: IM I Telephone Number (s): Daytime W 3 Bening Emergency Property Owner Email Address: S i' fa(fiV0 � Pagel of 5 m lbo i4�l�q� F ., UJ1�M�w �d4'✓�r � d� � (� Town Hall Annex °ira Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1179 , Southold,NY 11971-0959 u� � �,� � BUILDING DEPARTMENT TOWN OF SOUTHOLD Section C. Authorized Agent In, or ion: Name of Authorized Agent of dwellini unit, if z6y: Address of Authorized Agent (no P.O. e Mailing Address of Authorized ens ^ t. µ, Telephone Number (s): gime__ Evenings Emergency Email Address: Section D. Managing Agent I for tion. Name of Authorized Agent of dwelt/ti' nit, if any: " Address of Authorized Agent no P.O. Boxes a� g ( s`, Mailing Address of Authorized Agent: i g m _... Telephone Number(s): Daytime Evenin Emergency Email Address: �7'W_ _ .................. --- . SECTION E. SITE MANAGER INFORMATION: (reqs Iced for e tal properties containing 8 or more rental units) Name of Managing Agent of dwelling unjt;„�if any ,N Xg g g "" Address of Managing Agent (no, . Boxes): Page 2 of 5 Town Hail Annex °�` Telephone(631)765-1802 54375 Main Road u' Fait(631)765-9502 P.O.Box 1179 Southold,NY 11971-0959 A BUILDING DEPAR NT TOWN OF O Mailing Address of Managing Agent: Telephone Number(s): Daytime ... Ing Emergency 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: 5 7 6 / 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: MBF, �'�3 Page 3 of 5 u 'rw u r �ilhtinU�p �yJ Town Hall Annex �ldTele hone(631)765-1802 Fax(631)765-9502 54375 Main Road P.O.Box 1179 &"u'Ae' Southold,NY 11971-0959 r�✓� °�� pl �✓ �� `" 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. XI am requesting a fire safety inspection to be performed by a Code Enforcement Official from the Town of Southold ❑ I 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) COUNTY OF SUFFOLK) IA � certify 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 Page 4 of 5 d� B h1�11W1 Town Hall Annex Telephone(631)765-1802 � 54375 Main Road Fax(631)765-9502 P.O.Box 1179 f 7 r Southold,NY 11971-0959 BUILDING DEPARTMENT TOUN OF SOUTHOLD applicable laws and rules. I further acknowledge that I will notifythe Town of Southold Building Department of any changes of address within five (5) days of any changes thereto. 1 I 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. Property Owner's Name: Property Owner's Signature: Sworn to before me this day of , 20_qAjl -- — � Official Nota y lic Si nature and Original Notary Stamp THERESA M,vATTAjj Notary Public Scala of Now No.0144832984 aaar l'QuIlam lrJanuaryed in Suffolk,co��37, Page 5 of 5 o -- so 765-1802 I NSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING /STRAPPING [ ] F AL iT [ ] FIREPLACE & CHIMNEY [V FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) [ ] CODE VIOLATION [ ] CAULKING REMARKS: C"knu&&; DATE y Ni"` S EXISTING DECK ., _ .. _ _ — — — ..— _, T COMMENT INSTRUCTED STOVE RPE TO I, GO PAST ROOF.NOTTHROUGEL II WATERPROOF DECK II WILL NOT WORK DUE TO INTERFERENCE WITH STAIRCASE NOT CHANGED UNTIL ABOVE FPDM.FLASHED CLARRFFIED m L. .I RERACE E:IS. .yy RERACE HDR.W%W ML AS2nIR�R.r � 'RIR 1R➢R.pl%lYJmt x. I VIF- T .64'CIEARANCE SIaSr «,,,1L'4 SLSL� STAIRTRFADPER Fa1mal BJaa»4�`Z7.5m I 4 `1V5 0.6.CODE TSMtAp Rxal I0r 7.375 Rlaro-)Sc+IdkN;0 7.375' a g—Trwd MAN 9.ax11➢' I N.14W.4 Akm,IS la REPLACE STATRd206AS REQUIRED - ExlmNc Iei 0 0 GC TO BID WOOD TRUSS ALTERNA7RIVE L ,,TORDORJO1STSFOR2ND.FL(STRJCTURETOBEDESIGNEEXISTING DKD FOR SUPPORTING OFFSET BEARINC W AND 70 BE REVIEWED ANDAPPRONEDARLHTTEcr 1nIOR ro oRDeRINGwww wwl EX-KITCHEN q®r8yd.e'egwQlad,KwlullgN i 4 ro NI I T_.. i d aei rva RFASCiVE I W Rv�aNsr��uvu R111NAL6TUW3Rf arwrRy. �S' DOORWAY It Q)2XB OFR y I ) mm FII+ RFJHOVE.Ex_LJ!GOR EXIST- PANTRY CLOSE OFF OPNG. JEXOOR \/ BA MQ IZIQ MMAIN mm D) -.. ...- ? NEWSTAIRS N cY Say, � , •, SFJ(VKmE ..... SIMPLY/RETURN N1 - "", DUCTS TO2)NO Fd'.� ir"1. O PRMANE HEAT 5 I�F94 ) k ON,.DEMAND GASB RAISEBUIL-E IEA 4 �hNOT WATER - BENCH IRnL FLOoa a saa gar ML ndT 16-3 B �.. FLOOR PLAN r-ed or (E) PROJECT NORTH PROPOSED SCALE: i . 1).REMOVE EX.ROOF-DEMOUSFI INTERIOR FINISESESAS REQUIRED FOR B),INSTALL FIRE BLOCKING FIRE COUARI CAUU(DIC elc IN CEILINGS 1 NEW 2ND.FIDOR. (MAX 10 OC)AND INTERSECTING WADS-LOAD43EARLNG WADS- ... „_a, % FRAMED CNNWEY/DUCT CHASES.VENTS.RPE PENETRATIONS.Cc 6161 r(YOM IaSJ7,m�+R4 xl 2).HOUSE TO BE RAKED TO NEW FINISHED ROM OF 11.0. PFR CODE 3).USE 3 rTSG ADVANTECH ENGINEERED SUBFLOORING INSTALLED WITH 91.ALL EXTERIOR OPENINGS TO HAVE DEStGN-PRESSURE UPGRADES WHERE RING SHANK OR SCREW SHANK NAILS AND SUBFLOOR ADHESIVE PER APPUCABLE.PROVIDE DEBRFPROTECTION PANES WITH FASTENING e-kcwl MANUFACTURE'S INSTRUCTIONS. HARDWARE UNLESS OPENINGS HAVE IMPACT GLAZING 4)-MATCH IXISTING WALL HEIGHT WITH NEW WALLS(Ir-T . 10).ENERGY COMPLIANCE PER PRESCIUP TVECODE DESIGN.0.402.2015 IECC. 13'-6" — — — — — — — — — — — — — 14"_81 " BALCONY 3 -SHEAR cx%xn6.4 CVA6 FVVG6061IR EZ(SEE L�U PLT. EGRESS CM6 HE P)1-3/4X9-I2 ML HEADER STRAP EACH STUD TO wis.—(3)1-3/4X9.1/2 ML HEADER IST.FLOOR STUDS AT SHEAR WALL ol Pf Ovlo XONNV-CfiON F UAtW STOVE, 0) LIBRARY yy c? c9f+ U) 3 1-3"' ........... C) I I c*4 -------- --------- _00 r V4 4 pp 2X HDR R (,1 2 HDA i Nd WALL (2)2XIO HDR OEM IL 2XIO IR 2 = co BATH I dl HYDRONIC W-2" RAMANTHEAT 5' 1 a lb." Mi- 0 ; TOW,Ir-al ar .----0 H J2S ( 1 H ............ E AN61 AN61a Z L X V — — — — — — — — — — — — 7........ E I r a WALK-IN S CLOSET j KYDRON RADIANT HEAT to; 0 of VIF) (3)7.1'/4 AM MR AN61 Tb 12'PLL HT I L 4'—11 1N2"" 4'-2- 5 1 o vl" 5"-10112"" ,-10112" f 'or- '00' o D z � ;� ,p �. rn � — •o Lon rn +, ZCD n I� i c 0 s cAo Ln -,o GZl R r cn -i o �..r, v IM � m �-4 j n ud � ID � m .N� � mw :� O 0 mIM ., fb u�w m 7v% 7IZ z I D D f� �. O w � , ��, � i w � � � Gl Gl ) �' ¢ " lb" � � Z iIn 0 °'q. _ ' 6 I W m o m � J. t In \ � co rc I Cd �1 o "' W CN n p ILI- � r �4 mit 6L tt"' (I C9)YMW y p a;a S � Z(" i-gg Q Imre q�&oIw1�. l � �r I IIS A 4 p v G) vor v ria O CD i � 1 PN k7" � 4 "�" µu w n �lJ' rm ¢inad 1 /LB ;� ; w.of thoic'.�.,NY' 11. 1 4 I 597',, V 1 �f 1hVx y,.✓ �`, c�,,'� I�, a i B611-DING, DEPARk IIS To " OF SbUT w + N i ....., a .... ...m...... -..,wm.,�, . I,e� ... N v ry � �1 • a y P h » t ...,.....__...e,�.__.._.�. _ ..,. ..,._.,_.w... __ .r. m -n V A ( Q (D 0 N O w J f w m. T C]0 Z 8 g o o °o y O0 _ d n O N+ —' —• I 0 0 .. .. .� 1711 C 1 RI _ FORM NO, 4 TONIN OF SOUTHOLD BUILDING DEPARTMENT TOWN N CL'ERK'S OFFICE SOUTHOLD. N. Y. CERTIFICATE OF OCCUPANCY No.Z. P-979 . . . . Date . . . . . . . . . . . ....January . . . '1.1 ., 19.67. THIS CERTIFIES that the building located at . i+/end. )Pvt. load,, 'Off N. x 1j& &m .Ave Map =. R+,Ti)t2.:L.j,j Block No. . . . . . . . . .Lot No. xxx. . . .Mx3ttItuiakt. 141.. . . . . . . conforms substantially to the Application for Building Permit heretofore filed in this office dated . . . .. . . . . 341.).y . . . .1.0. . . . ., 19.65 pursuant to which Building Permit No. .274iz. . dated . . . . . . . . .jVza7. . .11. . . . . . .. 19_65, 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 . . .One. f.o t-j, .y. —atmme�F i'$3ttag$ . . . . The certificate is issued to . .. .. • • • • . . (owner, lessee or tenant) of the aforesaid building. ,Suffolk County Department of Health Approval . . . 44.11 . . 9.6 . . .by . . xlet. . . . . . Building Inspect . ................................... .................... ............................... .. .............. ,F04 Town of Southold Annex 12/7/2012 P.O.Box 1179 4, got 54375 Main Road Southold,New York 11971 ................. ------- CERTIFICATE OF OCCUPANCY No: 36074 Date: 12/7/2012 THIS CERTIFIES that the building ADDITION/ALTERATION ........... ......................... Location of Property: 4573 WICKHAM AVENUE,MATTITUCK, ................................................. ................. SCTM#: 473889 Sec/Block/Lot: 107.4-5 .. . ............................................ Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this officed dated 8/28/2009 pursuant to which Building Permit No. 37068 dated 3/15/2012 .................. 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: 1Das bUflt"altcralion and deckaddition to all existingRpq ibaii1ildw IVi I a4a led /1810'9. P The certificate is issued to DIANE DELUCIA&ALBERT LEUTWYLE ........................... --.1-11,--------.......................................... (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 37068 12/3/10 PLUMBERS CERTIFICATION DATED 3/27/12 Mattituck Plumbing& Heating ...................... ... Aufl�Vized Signature .............................. tt r Town of Southold 5/18/2018 P.O.Box 1179 An 53095 Main Rd " Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 39652 Date: 5/18/2018 THIS CERTIFIES that the building RESIDENTIAL ADDITION Location of Property: 4573 Wickham Ave,Mattituck SCTM#: 473889 Sec/Block/Lot: 107.-4-5 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 5/11/2017 pursuant to which Building Permit No. 41698 dated 6/5/2017 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: alterations and additions,, :tcludi�lq � vgll.in�for llc tl e,)napliangpjedk, -fi-oqLqq.ry deck, second stgly bal gray end outdoorA__� owe.r stall ¢1rc to s.tar: qne Jam _il d r llzng : ap11tt #7Q22, dated 2/16/2017, The certificate is issued to Leutwyler,Albert of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 18-46932 1/24/2018 PLUMBERS CERTIFICATION DATED 3/20/2018 To Cola( t tsar , Signature.... —........ a