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Home My WebLink About1000-99.-3-19 - Y -'V--- OWN OF SOUTHOLD Rental Permit r Mi0264 Owner Robin McCoy & Mark Alberici Occupied as Single Family Dwelling Located at 115 E Side Avenue Mattituck 99-3-19 Maximum Permitted Occupancy 2 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. 12/20/2021 , j � Code EnforcerAnt Official This Notice must be posted by the main entrance at all times Town Hall Annex SOUTHOLD TOWN 54375 Main Road PO Box 1179 Southold, a, Rental Inspection NY 11971-1179 1 Tel: 631-765-1802 Fax 631-765-9502 SCTM # Date 7 / Owner 14 �'- ` m, Phone 7-2 6 Address � if n VC Zip l Z Hamlet � �r L Inspector < Address visible from street? d' " LEVELS SUB 1 2 3 Smoke Detectors (#-bedroom detectors excluded) Carbon Monoxide Detectors (#) Fire Extinguishers(#) Exits(#) BEDROOMS1 3 4 5 Smoke Detector Alarms (#) Carbon Monoxide Alarms (#) Egress (windows) (Y/N) BUILDING / CONDITION Heating system maintained/operational Building Interior is clean/maintained Hot water system maintained/operational Building Exterior is clean/maintained Electrical system maintained/operational Property is clean/safe/maintained Mechanical system maintained/operational Handrails &guards present POOLSY/N POOL BARRIERS Y/ Pool present Pool is completely enclosed Pool surface alarm and/or door alar Barrier is a min.48" high resent POOL GATES Y/NAll 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: UO - OF SOUTHOLDF 3 _ Rental Permit v Permit No. 0264 Owner Andrew & Malgorzata Lowry Occupied as Single Family Dwelling Located at 115 E Side Ave Mattituck 99-3-19 Address S/B/L Maximum Permitted Occupancy 2 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. 12/31/2019 John Jarski Date of Issue Code Enforcement Officer This Notice must be posted by the main entrance at all times P Town Hall Annex Telephone(631)765-1802 54375 Main Road ZW Fax(631)765-9502 P.O.Box 1179 q� Southold,NY 11971-0959 BUILDING DEPARTMENT TOWN OF SOUTHO i RENTAL PERMIT APPLICATION JF 201 Rental Permit Fee $200 (Application must be renewed every two ya�rs � � , •,' ,,.y,w��l° J,iu . Section A. Property Information: Rental Property Address: 1 t Tax Map Number: 1000 SECTION BLOCK 3 LOT 0 I SECTION B. OWNER INFORMATION: Property Owner Name: AlrvA\-Qw Property Owner Legal Address: Property Owner Mailing Address: (Cannot be the same as Rental Property Address) c R... R I�, 4)1 Telephone Number (s): d Property Owner Email Address: Page 1 of 4 Section C. Authorized Agent Information: Name of Authorized Agent of dwelling unit, if any: SSy 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. SITE MANAGER INFORMATION: (required for rental properties containing 8 or more rental units) 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 roperty;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 DwellingUnit Identifier: 1 Requested Maximum number of persons allowed to occupy Dwelling Uni Number of rooms in Rental Dwelling Unit: Use and Dimensions of each room in Rental Dwelling Unit: ►�t CJ` I I r � m �q-V1 E I ' m 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. I am requesting a fire 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) , 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 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, l''rgent, or Site Manager.. Property Owner's Nane,,;�— Pro ert Owner's Signature: ' .. Sworn to before me thisday of 4 20A( NOTARY PUBLIC STATE OF NEW YORK SUFFOLK COUNTY ?3GLO—A LIC.# 1 DiE 3149898 Official Notary Public Signature and Original Notary Stamp COMM. EXP. Page 4 of 4 n Town Hall Annex i� '= Telephone(631)745-1802 54375 Main Road "u Fax(631)765-9502 P.O.Box 1179 Southold,NY 11971-0959 BUILDING DEPARTMENT TOWN OF SOUTHOLD RENTAL PERMIT APPLICATION ADDENDUM Rental Dwelling Unit Identifier: -c ( 0,9tv - Requested maximum number of persons allowed to occupy each dwelling unit: Number of Rooms in Rental Dwelling Unit: 4- 6ayi Use and Dimension of each room: LtuvnCl, room �4 - .. 1C K m .,., [ p 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: M Use and Dimension of each room: r TOWN OF SOUTHOLD o 765-1802INSPECTION [ ] FOUNDATION IST ROUGH PLBG. [ ] FOUNDATION 2ND INSULATIOWCAULKING [ ] FRAMING /-STRAPPINGINAL 4pviA( �"i� [ ] I L I [ [ FIRE RESISTANT CONSTRUCTION [ ] fIRE RESISTANT [ ] ELECTRICAL (ROUGH) I I VIOLATIONCODE [ ] PRE C/O �& I ` DATE 01 INSPECTOR a,vz.o.e 20'4" „Z-,9 wA oa b OO0mp-1 0 o0 O ti OZ C� p:7000 tb 8'mpoo0�- O� 77] o� w_ 8-0 w 6'-0" CD Cy, O 20'4" - N °N 5'-4" 5 8, .; 2' i co r Ai u�7'...,pi�" h vi"...,W'" - 3.-0•x4�_B. (DO I' i- o O z 12'-8" m� Lp T 0 o ° 0 0 o fl h Ll 0 o o m co C - Z yID Fj q D CD D cm „ ��mK... m rn m CD -n j b t A UJ „ w a �- � m� m „ r � Z , , t e r OI C� �� m m n �1 C> A i T m —� W 9 + �,„ E , "fin i op � w I xx _:.. O w k � n w I i „ ft'•. os� Rt � 1� o Ir T1 't ,.a .„•.. �` •• � I,,,,V. �,� ��(//��J� r��,ui;��; w ' m�wa�k, 1 I, U 1 , CID � _ —. �No� w�wwo rt CD CD u O O wow„�,o I wo 00 w s� w � N 4 K r G i I 0 0 rt rt Ln w. .. '' v d r” 1 1 A� A a WI i I � 1 I I 0 J "Fµ cv O O t;r w4 ti. wj • vI OL Y , C 1 P + 4 1 f 4 4 B, 1I � PI y I � A I Wq�N P" N 14P A { f IiY I �t a ia. p {t v1 w 7 N i p m m m CD T w c 3 m w a m m �+ mCo ' p J � � I I vn — IT N � 4 fD � p Oa O UI TI r Ll W � I � q I W 0 N w cop w J m c .* ]] J ? � N I ............. I � FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. PRE EXISTING CERTIFICATE OF OCCUPANCY '° d No: Z- 30594 a Dte: 11/03/04 THIS CERTIFIES that the building DWELLING Location of Property 115 EAST SIDE AVE MATTITUCK Count Tax Ma No. 473889 Section 099 (HOUSE NO Block 0003 Lot (STREET) (HAMLET) County p 019 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-30594 dated NOVEMBER 3, 2004 was issued, and conforms to all of the requirements of the applicable P rovisions of the law, The occupancl, for which this certificate is 1 .. R issued 1S I• n �r"�a y REACCESSORY COTTAGE The certificate is issued to FRED J MEINHART _ ER) of the aforesaid building. (OWN SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A *PLEASE SEE ATTACHED INSPECTION REPORT. Authori edITSignat :e Rev. 1/81 BUILDING DEPARTMENT TOWN OF SOUTHOLD HOUSING CODE. !M§9112N ERRMT LOCATION: 115 EAST SIDE AVE MAl."IITUCY SUBDIVISION: MAP NO.: LOT (S) NAME OF OWNER (S) - FRED J MEINHART OCCUPANCY: SINGLE FAMILY DWELLINGFRED J MEINHART .......... ......................... ADMIT`TRD BY: KIMBERLY MUELLER — ACCOMPANIED BY: SAME KEY AVAILABLE: SUFF. CO. TAX MAP NO.: 99-3-19 . .. ...... .............................. SOURCE OF REQUEST: GERTRUDE DONDERS 10/13/04 DATE: 11/03/04 ..................... ............... -DWEf..JJNG TYPE OF CONSTRUCTION: WOOD FRAME # STORIES: 2.0 # EXITS: FOUNDATION: CONCRETE BLOCK CELLAR: 2/3 CRAWL SPACE: 1/3 TOTAL ROOMS: 1ST FLR.: 3 2ND FLR.: —3 3RD FLR.: BATHROOM(S): 1.0 TOILET ROOM(S): 1.0 UTILITY ROOM(S): PORCH TYPE- DECK TYPE- PATIO TYPE: COVERED CONCRETE REAR BREEZEWAY: FIREPLACE- ONE GARAGE: DOMESTIC HOTWATER: YES TYPE HEATER: OIL AIRCONDITIONING: TYPE HEAT: HW-STEAM* WARM AIR: HOTWATER: OTHER: ACCESSORY STRUCTURES! ...........- . . - -- GARAGE, TYPE OF CONST-.- BLOCK WALLS-WOOD RAFTERS STORAGE, TYPE CONST.; SWIMMING POOL: GUEST, TYPE CONST.: WOOD FRAME OTHER: **GAS HOTWATER HEATER, GAS HEATER,WALL TYPE, CRAWL SPACE ............... ........ —-----................. Vr.0T..,A'FI0NS: CHAPTER 4S N.Y, STATE UNIFORM FIRE PREVENTION & BUILDING CODE LOCATION DESCRIPTION ............. ------ ....................ART, I II RJ24ARK,S- (REINSPECTEE) ON 11/2.9/04.) .......... ...... .... -Zd INSPECTED BY: DATE ON INSPECTION- 11/03/04 -7*-� MICHAEL J. VERITY TIME START: 10:15 AM END: 11:15 AM ..m... FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-33848 Date: 07/23/09 THIS CERTIFIES that the building ALTERATIONS Location of Property: ....--- �115 EAST AVE_ MATTITU....CK (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section q99 _ Block 3 Lot 19 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated APRIL 24, 2009 pursuant to which Building Permit No. 34636-Z dated APRIL 28, 2009 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 GA " O '"w'EAND REPLACE WINDOWS AND DOORS IN AN EXISTING ACCESSORY COTTAGE AS APPLIED FOR. The certificate is issued to 343 EAST 18 LLC (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N RT CTRICAL CERTIFICATE NO. IKNIA PLUMBERS CERTIFICATION DATED �� r 21tLzed Signature Rev. 1/81 FORM NO. 4 ter„` TOWN OF SOUTHOLD � BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY NO: Z-3m0593 Date: 11/30/04 THIS CERTIFIES that the building ADDITION Location of Property: 115 EAST" SIDE ANTE MATTITUCK (HOUSE NO. ) (STREET) (HAMLET) County Tax Map No. 473889 Section 99 Block 3 Lot 19 Subdivision Filed Map No. Lot No_ conforms substantially to the Application for Building Permit heretofore filed in this office dated -NOVEMBER BER 21, 2004 pursuant to which Building Permit No. 30797-Z dated NOVEMBER 24, 2004 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 LT" DECK ADDITION TO EXISTING SINGLE FAMILY DWELLING AS APPLIED FOR & AS PER CERTIFICATION OF ROBERT O'BRIEN, P.E. DATED 11/21/04. The certificate is issued to FRED J MEINHART (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A Authors d Si nati r'e Rev. 1/81 FORM NO. 4 TOWN OF SOUTHOLb „. BUILDING DEPARTMENT 44 f m3 ' Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-33705 Date: 05/13/09 THIS CERTIFIES that the building NEW DWELLING Location of Property: 115UCK 115 EAST SIDE AVE MATTI ._... _ ......... .., _... ___.. .. (HOUSE NO. ) (STREET) (HAMLET) County Tax Map No_ 473889 Section 99 Block 3 Lot 19 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore . filed in this office dated MARCH 19, 2007 pursuant to which Building Permit No. 32841-Z dated MARCH 26, 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 G WITH COVERED FRONT PORCHFIRST AND SECOND FLOOR is ONE FAMILY DWELLIN , ....._ _m. ENCLOSED DE, AND ATTACHED TWO CAR GARAGE DECKS, INDOOR SWIMMING POOL TO CO _.., ....._........... �........ .E FORPER ZBA 4....... . ....... ............_.,..w_�. ,. ..._..... _ The certificate is issued to 343 EAST 18 LLC (OWNER) of the aforesaid building.. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL R10-05-0201 03/30/09 ELECTRICAL CERTIFICATE NO. 3056256 02/05/09 PLUMBERS CERTIFICATION DATED 02/13/09 MIKE JACOBI PLUMBING w rthorized Signature Rev. 1/81