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Home My WebLink About1000-141.-4-5 N TOWN OF SO T. OL Rental Permit Permit No. 0265 Owner Charles & Jean Zahra Occupied as Single Family Dwelling Located at 140 Pike St Mattituck 141-4-5 Address S/B/L 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. 1/7/2020 John Jarski Date of Issue Code Enforcement Officer This Notice must be posted by the main entrance at all times )yid � q I -� R Town Hall Annex Telephone(631)765-1802 54375 Main Road ` �� Fax(631)765-9502 P.O.Box 1179 s� Southold,NY 11971-0959 4.0 1-4 1 BUILDING DEPARTMENT1 L TOWN OF SOUTHOD a) YG.... r: r...l.r1 RENTAL PERMIT APPLICATIONT? � Rental Permit Fee$200 (Application must be renewed every two years) Section A. Property Information: Address: Renta Property A Tax Map Number: 1000 SECTION 1 -BLOCIIZ.11 -LOT SECTION B. OWNER INFORMATION: Property Owner Name:.,(1- o, Property Owner Legal Address: Property Owner Mailing Address: ,,ray ��. . 7 ' rS Telephone Number(s): Daytime 4d / Evening 1-e- Emergency M Property Owner Email Address: Pagel of 5 o Town Hall Annex �i Telephone(631)765-1802 54375 Main Road f a+ ) Fax(631)765-9502 P_O.Box 1179 ;�� Southold,NY 11971-0959 BUILDING DEPARTMENT TOWN OF SOUTHOLD RENTAL PERMIT APPLICATION ADDENDUM Renta! Dwelling Unit Identifier: 1 Requested maximum number of persons allowed to occupy each dwelling ur t: . Number of Rooms in Rental Dwelling Unit: N Use and Dimension of each room: w Z 00 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: a Town Hall Annex +. Telephone(631)765-1802 rX 54375 Main Road Fax(631)765-9502 P.O.Box 1179 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) 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 Page 4 of 5 � a 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 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. Property Owner's Name: � F �e ; - _t Property Owner's Signature: S� Sworn to before me thi day ofw1 20 10 _... 4fficial 00 ary Public Signature 9 d Original Notary Stamp TRACED L, DWYER NOTARY Pm-ic,ST '1"P Of lII��16f�tc NO.01 D W6306900 Ol1oa'LIFIED IN SUFFOLK COI,lI k"',\r COMMISSION EXPIRES JUNE 30„2-PRVI Page 5 of 5 ItD 765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND ] INSULATIOWCAULKING [ ] FRAMING /STRAPPING [ YFINAL.4�� [ ] FIREPLACE & CHIMNEY [ ] FIRE SfFETYI NSPECTIO [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) [ ] CODE VIOLATI [ ] PRE C/ .WAM . �v� lc-.o i"n xAA k/ UA ry DATE INSPECTOR m Condon En New York State Licensed Professional Engineers 631-298-1986 1755 8igsbee Road Fax 631-298-2651 Mattitu*New York 11952 condonengineering.com December 2, 2019 Mr. John Jarski Senior Building Inspector ) Town of Southold Building Department 54375 Main Road Southold, NY 11971 Re:140 Pike Street Dear Mr. Jarski: The living room conversion to an additional bedroom in the second-floor apartment does not change the septic demand.. Baked on the Suffolk Department of health Services Standards,the septic demand for a commercial building with an apartment above is based on square footage of the apartment and not on the number of'bedrooms. if you have any questions please call me at 631-298-1986. Yours truly, 0 m 0 ig 77 x 0' 0 T. z .......... m —go w03 00 cn M m ;10 -4 M x 0 co M � 0 x 0 ca 0 07 0 z m C, m < 0 ) o ID 0 0 ............ U2 (D (D CL M CL _0 m O 0- Cl OO 0 c 0 ro rs ro St in .......... ;Ma eg col ... ..... ............ 411 ............. co cc _Ia W to: LO llM .......... . .... LA nab PRO TO IJI i......... rill Sit II 01 Io rn ........... C,D rn QUA 8V ........... imp .. ............. . ......... ..... .........II� • --------------- ....... p m fi % -� c x o 3 f OR q '� tllR f , , f rf 1 u OJ -n _. rt 6 J 1 f f P 1 Z f 1 . a T1 p , � i � f wT w to N �J T -Tl N r _ s r 1 19y i I L l W f7. io"i k 1 FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y.. CERTIFICATE OF OCCUPANCY No: Z-26554 Date: 08/13/98 THIS CERTIFIES that the building ALTERATION Location of Property: 140 PIKE ST MATTITUCK (HOUSE O. ) (STREET) (HAMLET) County Tax Map No. 47388.9 section 141 Block 4 Lot 5 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated JUNE 16, 1997 pursuant to which Building Permit No. 24314-Z dated AUGUST 18, 1997 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 ALTER AN EXISTING TWO STORY WOOD FRAME BUILDING TO A CRAFT SHOP WITH AN APARTMENT ABOVE AS PER Z.B.A. SPECIAL EXCEPTION NO. 3701, 9/6/90. The certificate is issued to CHARLES J. & JEAN ZAHRA (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL C10-95-008 07/16/98 ELECTRICAL CERTIFICATE NO. N 482452 3/12/99 N 442963 01/15/98 PLUMBERS CERTIFICATION DATED 08/06/98 CHARLES J. Z Bu" din Inspector r. Rev. 1/81