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Home My WebLink About1000-106.-3-2 4�3 TOWN OF SOUTHOLD Rental Permit 0289 Owner Nako & Sose Rizo Occupied as Single Family Dwelling Located at 400 East Road Mattituck 106.-3-2 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. 2/11/2020 John Jarski Code Enforcement Official This Notice must be posted by the main entrance at all times PaO Town Hall Annex �,• J41 ones(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1179 . Southold,NY 11971-0959 _ BUILDING DEPARTMENT 3 TOWN OF SOUTHOLD DEC - 4 2019 _ - RENTAL PERMIT APPLICATION- Rental seffiit PPLICATION- Rental;Permit Fee$200(Application must be renewed every two years) Section A. Property Information: Rental Property A dress- �4 - . , . . Tax Map Number: 1000 SECTION, )0�-BLOCK 3 -LOT -_ SECTION B. OWNER INFORMATION: Property Owner Name:, Property Owner Legal Address: Property Owner Mailing Address: ce GI Telephone Number(s): Daytime . Evening Emergency Property Owner Email Address: ��5cc a �jb Page 1 of 5 r 2Z 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 SOUTHOLID Section C. Authorized Agent Information: Name of Authorized Agent of dw ling unit, if any: Address of Authorized Agent(no P. Boxes); Mailing Address of Authorized Agent: M Telephone Number(s): Daytime ening Emergency. -- Email Address: Section D. Managing Agent Information: Name of Authorized Agent of dwe 'ng unit,if any: Address of Authorized Agent(no P.O. B es),: Mailing Address of Authorized Agent: Telephone Number(s): Daytime "Eve g Emergency Email Address: , SECTION E. SITE MANAGER INFORMATION:(required for rental prope "es containing 8 or more rental units) t Name of Managing Agent of dwelling unit, if any: Address of Managing Agent (no P.O. Boxes): ;4 Page 2 of 5 so Town Hall Annex s Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1179 Southold,NY 11971-0959 cou BUILDING DEPARTMENT TOWN OF SOUTHOLD Mailing Address of Managing Agent:, Telephone Number(s): Daytime: Evening_ 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 nit-ICZ Number of rooms in Rental Dwelling Unit: ./ Use and Dimensions of each room in Rental Dwelling Unit:` f39 11 V /0 e v\ Page 3 of 5 U 4 Town Hall AnnexTelephone(631)765-1802 wrs'w 54375 Main Road ,Azo 74r> Fax(631)765-9502 ' > P.O.Box 1179 Southold,NY 11971-0959 � �OUh � 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 awsadopted 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 ❑ 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) 1-Z�-o , 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 Town Hall Annex Telephone(631)765-1802 54375 Main Road m Fax(631)765-9502 P.O.Box 1179 Southold,NY 11971-0959 y 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 a regarding Authorized Agent, Mana ing Agent, or SitM Hager. Property Owner's Name: _ �.' 20 Property Owner's Signature: Sworn to before me this �day oflee- Q 201q Official N ry Public Signature n Original Notary Stamp TRACEY L. DWYER NOTARY PUBLIC,STATE OF NEW YORK NO.01 DW6306900 QUALIFIED IN SUFFOLK COUNTY COMMISSION EXPIRES JUNE 30,2D-� Page 5 of 5 ; i; 'tm _ .. _ -...,_, _. __ _, ..,.,.._«...,._..,.�-.-........—.......-v...,...4.,....,—............«�.._,_.........,-..q.-p......s.-,-.,,,....._v.,,.......e�.n..is..,...w...,.-sw.F-.a...r.,r,>S.en..�«.._...nr:17.:+syo..¢G.xc�ea u-rw..s-�4'w.-....w...w........4 e w..,cn.x.xuv.rw,xv..n:_. -� laF SOOTyolo # } TOWN OF SOUTHOLD BUILDING DEPT. �o • �o 765-1802 INSP=ECTION [ ] FOUNDATION 1 ST [ ] ROUGH PLBG. [ "] FOUNDATION 2ND [ ] INSULATIOWCAULKING [ ] FRAMING /STRAPPING [ ] FINAL4;6� ljtowq- [ ] FIREPLACE & CHIMNEY [ IRE SAFETY-INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL:(FINAL) [ ] CODE VIOLATION [ ] PRE C/O REMARKS: o DATE INSPECTOR aso # # TOWN OF SOUTHOLD BUILDING DEPT. courm, 765-1802 _ = INSPECTION [ ] FOUNDATION 1ST [ ]---ROUGH PLBG. [ ] FOUNDATION 2ND, [ ]' INSULATION/CAULKING [ ] FRAMING /STRAPPING [ 91RE NAL 1004& A��FIREPLACE &-CHIMNEY [ SAFETY INSPECTION [ ] -FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION r [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) [ ] CODE VIOLATI [ ] PRE C/O REMARKS: , a &J-409. Qk4V A,- Lteo _etltia�� .110�09' (S��A 14 DATE > o . INSPECTOR AUU KAILINU _ 6046 SLID.WINDOW ��6 Q DN 4 RI ER @ 8-1 "M C. 10" IN. R DS I AD RA LIN Imo' UNHEATED MUDROOM r _ _ _ _ _ _ _ _ _ _ __ ^ ADDED SINCE 1965 CO LINE OF 2ND STORY BALCONY--- /� Z I cq 3 N 68 C 2832 DH 2030 DH DATE 10.19.14 3452 DH / SCALE AS NOTED £ ¢ / f%/ +6\�>5 / DRAWN BY: JC a F �Qp i 1 / i / uN I -01/1 ! z Z w a j KITCHEN&LIVING SPACE OF/ r /f 10'-9" 10'-102�" 1„ f/ f //!/ �2 / f'18'-4" HALF BATH �'/ / /% /' ■ DN 3 RISES ORMERLY UTILITY RM) @ 8- /2" SINK x --- - - - -- -- - -UNHEATED STORAGE - - ---- - - — -- - - - -- - - i -- - -- - - - - -- - - - -- -- - --- -- /� UNH ED STORAGE m STACKED I WASHER& I // /, REF./ / 0 DRYER I ,'ii 2!-10 704 / co 0/0 N I I o I / co N o 'T F ro6 _ +d r i� % j, / //j 3'-0"X '-8"CLOSET DOORS f Q U EXIST.i3EDROOM AS a _ PE/R CG AT 5/ W m t~n0 /� //oma m UNHEATED STORAGE Lo w N UNHEA ED STORAGE z / / /NEW UF!TOTO MEET NYS BLD CODE��i O M O EXIST.BATHR PER CO DATE 19 �-/S_FCTIC.N R310' / ` / X X w EXIST.ENTRY / / /O ao ? (NO CHANGES) `ri/ NO CHANG S,// � � / �� - 2 111'-0". - ------- --- _- 9'-0"X T-0"OVERHEAD GARAGE DOOR 9'-0"X T-0"OVE LEAD GARAGE DOOR -; /2032 DH /_ 2832 DH x PROPOSED ACCgSSORY APARTMENT-19'0"X 26'-0"=494 SQ.FT STOOP Ll iI 19_01 48 " FIRST FLOOR PLAN SECOND FLOOR-26'-0"X 48'-0"=1248 SQ. FT( . HABITABLE SPACE 1/4"=1'-0" FIRST FLOOR- 26'-0"X 48'-0"= 1248 SQ.FST. LINE OF 2ND FL BALCONY TOTAL SQ.FT.OF HOUSE 2496 SQ.TjT i L - - - - - - - - - ----- FIRST FLOOR ACCESS APARTMENT- 19'-0"X 26'-0"=494 SQ.FT. FIRST FLOOR MINUS APARTMENT(494 2Di.)AND GARAGE(579 SQ.FT)= 175 SQ.FT. TOTAL HABITABLE SPACE IN PRIMARY RESIt7ENCE(175+ 1248)=1423 SQ.FT. APARTMENT(494 SQ.FT.)IS 35%OF HABITABLE SPACE(1423 SQ.FT.) i TOWN OF SOUTHOLD PROPERTY %offi4mll) /I - 3,? OWNER STREET VILLAGE DISTRICT SUB. LOT / 0-3 Zf;i-J-,�- IfO -d Q� FORMER OWNER N E ACREAGE SW I TYPE OF BUILDING- RES. SEAS. VL. FARM i comm. I IND. CB. misc. Est. Mkt. Value LAND IMP. TOTAL DATE REMARKS 30 o 3 0 0 o 0 L.) to 11169 ao,5trKoL4 es4. 4v CN Pr(.A!S 04- N/ -r) 0 17/� 1 dwud 143ho- 9 ACE__ LUILDING �C4&&Uy f/ If -------------- A es, q/0'r-- � -dw d, yOONEW 44tj()!eRMAL z1 ELO�V AE�VE FRONTAGE ON WATER Form Acre j Value Per Acre Value FRONTAGE ON ROAD f Tillable I �1 1 r e i Tillable 2 DOCK Tillable 3 751- L Woodland 700 Swampland evle S-1- A4W j90:?s Brushland House Plot Total i r x i t I Al 7-- 106-3-2 106.-3-2 1/2016 _,_indotion C�wvMJ� Bath Exten' bn a` 3 x j r Basement Floors Extension I Ext. Walls /^ j Interior Finish G C Fire Place , Heat -- - - '� - -- -- --- - t -- ---- - - - — . --��p rt- 1B t Porch Roof Type } i PorchRooms 1 si F r 40"-15)d Q _ &0 ' Patio Rooms 2nd Floor Garage Driveway Dormer o. B. - - - i L4 o�C"�V� 5- 353 1116 r FORINT NO. 4 TOWN OF SOUT14OLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. CER'T'IFICATE OF OCCUPANCY No.Z...2y 24 ............. Date ......................... .Dec umber... .. rj, 196.5... THIS CERTIFIES that the building located at . ;.. .. ... �.. .y, ................... Street Map . ..KIM. ... Lot No. JQ 14,ttiti ck .. Block No. ................... �.......... y.....X...y,............. conforms substantially to the Application for Building Permit heretofore filed in this office dated .............................. ..AU-L11.9t. . , .3....... ., 19.6.5.. pursuant to which Building Permit No.28-32...Z... dated A-ug-us�....3 ., 19..6.5., 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 ........ •Fx'iv te...One--Tam-13 7..aTrerl- ing............................................................................................... The certificate is issued to ..... :3,..•i; lx' .0 ALrar,Id on.................Own t?3?........................... (owner, lessee or tenant) of the aforesaid building. — H.D. Approval Dec. 10 1965 by R. Villa it Building Inspector r o�OgUf�Ot,fcOG Town of Southold 7/22/2016 P.O.Box 1179 a d' x 53095 Main Rd G4w'4 �o� Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 39399 Date: 7/22/2016 THIS CERTIFIES that the building AS BUILT ADDITION Location of Property: 400 East Rd,Mattituck SCTM#: 473889 See/Block/Lot: 106.-3-2 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 6/11/2015 pursuant to which Building Permit No. 39893 dated 6/24/2015 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 BUILT"MUDROOM ADDITION TO AN EXISTING ONE FAMILY DWELLING PER ZBA DECISION #6836,DATED 04/02/2015,AS APPLIED FOR The certificate is issued to Rizo,Nako&Rizo,Sose of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 39893 07-06-2016 PLUMBERS CERTIFICATION DATED AuthcWed Signatu Town of Southold 7/25/2016 P.O.Boz 1179 '- 53095 Main Rd ,i 4, Southold,New'York 11971 ;41 CERTIFICATE OF OCCUPANCY No: 38398 Date: 7/22/2016 THIS CERTIFIES that the building ADDITION/ALTERATION Location of Property: 400 East Rd,Mattituck SCTM#: 473889 Sec/Block/Lot: 106.-3-2 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore fated in this office dated 6/11/2015 pursuant to which Building Permit No. 39894 dated 6/24/2015 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: ALTERATION TO AN EXISTING ONE FAMILY DWELLING(ACCESSORY APARTMENT)AS APPLIED FOR The certificate is issued to Rizo,Nako&Rizo, Sose of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTHAPPROVAL ELECTRICAL CERTIFICATE NO. 39894 07-06-2016 PLUMBERS CERTIFICATION DATED 04-25-2016 Carlos Jaramillo Aut orized SignatlGe