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HomeMy WebLinkAbout1000-120.-3-8.19 TOWN OF SOUTHOLD Rental Permit 0280 Owner Michael & Kerri Spieler Occupied as Single Family Dwelling Located at 145 Old Field Court Mattituck 120.-3-8.19 Maximum Permitted Occupancy 8 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. 8/28/2024 Code E o e ent oi�i This Notice must be posted by the main entrance at all times JZOW4� f so TOWN OF SOUTHOLD BUILDING DEPT. 631-765-1802 Apik INSPr%;TION [ ] FOUNDATION 1ST/ REBAR [ j ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION/CAULKING [ ] FRAMING /STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ j ELECTRICAL (FINAL) [ ] CODE VIOLATION [ j PRE C/O [Pf'RENTAL REMARKS: I -#aSc; su if- �QL �3•� � �AT� IN'�"rPErl fiO Town Hall Annex Town 8f Southold 54375 Main Road Rental Inspection Report PO Box 1179 Southold, NY 11971-1179 Tel: 631-765-1802 SCTM# Date Owner �, Phone Address .., �.. oC�....... Visible _. .. � . ......... _....�. ... . . .. , ,..,,_. .....v Hamlet I_............. ......,.� . .......... a ...._... Inspector Floor level Quantities ....... ..... ......... _....._ __...... ............ .... ....... Sub 1 2 3 �.. ( n bedrooms) . ...._._.Smoke Detectors not located,.'..,....... ,._.�..�._. ....� a _�,_ ._._._ ...__.... �a. .a� . .��... . ._.u��. .. . Carbon Monoxide Detectors _-..—.._...... ..... .... ..v.._. ........_. Fire Extinguishers ........ ...�.....�aa Exits Bedrooms 2 1/ Smoke Detectors Egress Occupant Count _,.u.. + ... Building stems S Mamtamed &0. y Operational Condition of Property Heating �. Building interior Hot water Building exterior r Electric...aw�...�_�.,_..�....�_.... _w.. _ e. .............. Property clean, maintained me,. d &safe Mechanical Handrails&guards installed & secure Pool Safety Pool on Site Surface water alarm ........Date of CO is ��. �..� ..���_�....�...�._�....P,._,... .......a�.� suance of p„Ar ...w_ � .........�Pool completely....� Door alarms enclosed Self closing/latching gates Pool fence to code requirements . ....... Pr10-.w. ...... .. [C� or �m ,�. . CO s f all items present � � r Rental � �. .rcm Comments I i TOWN OF SOUTHOLD } Rental Permit 0280 Owner Michael & Kerri Spieler Occupied as Single Family Dwelling Located at 145 Old Field Court Mattituck 120-3-8.19 Maximum Permitted Occupancy 8 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. 6/29/2022 Code Enforcement Official This Notice must be posted by the main entrance at all times TOWN OF SOUTHOLD Rental Permit o � yam' oo�¢ Permit No. 0280 Owner Michael & Kerri Spieler Occupied as Single Family Dwelling Located at 145 Old Field Ct Mattituck 120-3-8.19 Address S/B/L Maximum Permitted Occupancy 8 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. 1/22/2020 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 11 971-0959 oqufffox BUILDING DEPARTMENT TOWN OF SOFT HO SEP 2 5 2019 RENTAL PERMIT APPLICATION rn j 11,I)V P Rental Permit Fee$200(Application must be renewed every two years),,,-, -.y"';" Section A. Property Information: Rental Pro ert Addre - car A4k -hluc, Tax Map Number: 1000 SECTION --LOT__? 11W SECTION B. OWNER INFORMATION: Property Owner Name: r Property Owner Legal Address: Property Owner Mailing Address: I - !S\o)nnnav1 Av& gpLV_kr,y1 ,e_ Telephone Number(s): Davtime. 0.4S(I 5_[ _ '&ening Emergency Property Owner Email Address: r Page 1 of 5 ,;< Telephone(631)765-1802 Town Hall Annex s 54375 Main RoadCV3 Fax(631)765-9502 P.O.Box 1179 Southold,NY 11971-0959 I BUILDING DEPARTMENT TOWN OF SOUTHOLD RENTAL PERMIT APPLICATION INSTRUCTIONS Rental Permit Fee $200 (Application must be renewed every two years) The items listed below are required to be submitted with the completed application. Floor Plans: Floor plans of each Rental Dwelling Unit, please show location of all smoke&carbon monoxide detectors. Certificates of Occupancy and Pre-Certificates of Occupancy: Certificates of occupancy or Pre-Certificates of Occupancy for each rental dwelling unit. [7�Certification of Code Compliance(forth enclosed): Must be submitted by a license architect or engineer or license home inspector if an inspection by Town of Southold Inspector is declined. [� Rental Permit Fee: $200.00 so Town Nail Annex Telephone(631)765-1802 v= « A1,1 54375 Main Road Fax(631)765-9502 P.O.Box 1179 Southold,NY 11971-0959 t <.�,z BUILDING DEPART ENT TOWN OF SO OLD Mailing Address of Managing Agent: Telephone Number(s): Daytimevening 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: 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: �aDeh (91 ISS, v 21- Page Page 3 of 5 Telephone(631)765-1802 Town Hall Annex 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 any: Address of Authorized Agent(no P.O. Boxes): .............. Mailing Address of Authorized Agent: Telephone Number(s); Daytime 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 or more rental units) Name of Managing Agent of dwelling unit, if any: 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 l79 Southold,NY 11971-0959 F BUILDING DEPARTMENT TOV;N 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. 1�J I 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) 1iC�aGC certify under penalty of perjury,the following: A i 1. 1 am the owner of the property identified in "Section-A"of'this ap lica'tion. 2. The property owner's legal address set forth in"Section`B"`of this`40p'li6tion is my legal address and I understand the Town will use the address for service pursuant to all Page 4 of 5 Town flail Annex Telephone(631)765 1802 Pax(63!)705'nJ02 54375Main Road P.C".Box ll?9 Southold,NYl|97l-0959 BUILDING DEPARTMENT TOWN OF SOUTHOLD applicable laws and rules. Ufurther acknowledge that Iwill notify the Town ofSouthold Building Department of any changes of address within five (5) days of any changes thereto. ]. 1 have read and received a copy of Chapter 207 of the Code of the Town of Southold and agreed toabide bythe same. 4. |will notify the Town within five (5) business days as to any change tothe information regarding Authorized Agent, Managing Agent, orSite Manager. Property Owner's Name. ^ Property Owner's Signature: ^~-' _ Sxvo tm before nnethisc >�*� ay of ZO/ � Official Notary Public Signature and Original Notary Stamp so # TOWN OF SOUTHOLD BUILDING DEPT. co 765-1802 -INSPECTION , [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ` ] FOUNDATION 2ND [ ] INSULATION/CAULKING [ ] FRAMING /STRAPPING [ ] NAL &VW ptll- [ ] FIREPLACE & CHIMNEY [ FIRE SAFETY INSPECTION [ ] FIRE RESISTANT-CONSTRUCTION' [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) =[ ] ELECTRICAL (FINAL) [ ] CODE VIOLATION [ ] PRE C/O REMARKS: lov,ol 126, Owu DATE /Akt-400 INSPECTOR m4mlvck, r4f soo`o * # -TOWN OF SOUTHOLD BUILDING DEPT. �ycou765-1802 . . INSPECTION - j [ ] FOUNDATION 1ST [ ] ROUGH PL13G. [ ] `FOUNDATION-2ND [ ] INSULATIOWCAULKING [ ] FRAMING /STRAPPING [7] FIRE INAL/4w"FIREPLACE & CHIMNEY " [. 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J FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-27762 Date: 06/20/0 THIS CERTIFIES that the building NEW DWELLING Location of Property: 145 OLD FIELD CT MATTITUCK (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 120 Block 3 Lot 8.19 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated OCTOBER 23, 2000 pursuant to which Building Permit No. 26906-Z dated NOVEMBER 6, 2000 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 COVERED FRONT PORCH AND ATTACHED TWO CAR GARAGE AS APPLIED FOR. The certificate is issued to BRIAN & SUSAN DE RIDDER (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL R10-00-0222 06/04/0 ELECTRICAL CERTIFICATE NO. 1737 06/05/01 PLUMBERS CERTIFICATION DATED 06/15/01 WARREN KEANE ut orized Signature Rev. 1/81 N FORM NO. 4 i TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY NO: Z-27762 Date: 06/20/01 THIS CERTIFIES that the building NEW DWELLING Location of Property: 145 OLD FIELD CT MATTITUCK (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 120 Block 3 Lot 8.19 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated OCTOBER 23, 2000 pursuant to which Building Permit No. 26906-Z dated NOVEMBER 6, 2000 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 COVERED FRONT PORCH AND ATTACHED TWO CAR GARAGE AS APPLIED FOR. The certificate is issued to BRIAN & SUSAN DE RIDDER (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL R10-00-0222 06/04/01 ELECTRICAL CERTIFICATE NO. 1737 06/05/01 PLUMBERS CERTIFICATION DATED 06/15/01 WARREN KEANE ut orized Signature Rev. 1/81 FORM NO. 3 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Hall Southold, N.Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) PERMIT NO. 26906 Z Date NOVEMBER 6, 2000 Permission is hereby granted to: JOAN M CRON PO BOX 953 CUTCHOGUE,NY 11935 for CONSTRUCTION OF A NEW SINGLE FAMILY DWELLING WITH ATTACHED TWO CAR GARAGE & COVERED FRONT PORCH (CONFORM TO R40 SETBACKS AS PER PLANNING) . at premises located at 145 OLD FIELD CT MATTITUCK County Tax Map No. 473889 Section 120 Block 0003 Lot No. 008 . 019 pursuant to application dated OCTOBER 23 , 2000 and approved by the Building Inspector. Fee $ 732 . 20 Author' d Sign ure ORIGINAL Rev. 2/19/98 �o�0S11FFBI&COG Town of Southold '7/18/2018 �� P.O.Box 1179 o - T 53095 Main Rd Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 39778 Dake: ' 7/18/2018 THIS CERTIFIES that the building IN GROUND POOL Location of Property: 145 Old Field Ct,Mattituck SCTM#: 473889 Sec/BIock/Lot: 120.-3-8.19 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 6/18/2009 pursuant to which Building Permit No. 39062 dated 7/28/2014 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: accessornground swimming pool with fence to code as applied for. The certificate is issued to Deridder,Brian&Deridder,Susan of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO., 39062 7/13/2018 PLUMBERS CERTIFICATION DATED Authod Signatur �oo TOWN OF SOUTHOLD �SUFFOI�4 o BUILDING DEPARTMENT TOWN CLERK'S OFFICE y • o�� SOUTHOLD, NY BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES WITH ONE SET OF APPROVED PLANS AND SPECIFICATIONS UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) Permit#: 39062 Date: 7/28/2014 Permission is hereby granted to: Deridder, Brian & Deridder, Susan 145 Old Field Ct Mattituck, NY 11952 To: REPLACES EXPIRED B.P. # 34816 CONSTRUCTION OF AN INGROUND SWIMMING POOL IN THE REAR YARD, FENCED_TO CODE. At premises located at: 145 Old Field Ct,Mattituck SCTM #473889 Sec/Block/Lot# 120.-3-8.19 Pursuant to application dated 7/28/2014 and approved by the Building Inspector. To expire on 1/27/2016. Fees: PERMIT RENEWAL $125.00 Total: $125.00 Building