HomeMy WebLinkAbout1000-100.-1-41 TOWN OF SOUTHOLD
R # Rental Permit
- 0314
Owner Robert Bryan Jr. & Jennifer Lee
Occupied as Single Family Dwelling
Located at 645 Wavecrest Lane Mattituck 100,141
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.
9/26/2024
Code tnfo&1nent Offteal
This Notice must be posted by the main entrance at all times
TOWN OF SOUTHOLD BUILDING DEPT.
631-765-1802 joo- i-
I NSPECTI O N
[ ] FOUNDATION 1ST/ REBAR [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INSULATION/CAULKING
[ ] FRAMING /STRAPPING [ ] FINAL
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL)
[ ] CODE VIOLATION [ ] PRE C/O [ 0"ENTAL
REMARKS: 5111Z
I'
0 � ail ucre� 5 0 ll Oc
DATE INSPECTOR
TOWN OF SOUTHOLD
Rental Permit
0314
Owner Robert Bryan Jr. & Jennifer Lee
Occupied as Single Family Dwelling
Located at 645 Wavecrest Lane Mattituck 100-1-41
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.
6/13/2022
Code Erb rent Official
This Notice must be posted by the main entrance at all times
SOUTHOLD TOWN Town Hall Annex
54375 Main Road
PO Box 1179 Southold,
y, 01
Rental Inspection
P" 'N NY 11971-1179
Tel: 631-765-1802
Fax 631-765-9502
SCTM # 0 U l "' Date Z!Zz
Owner Phone ( 4
Address 6q5— zip
Hamlet' I/V` TU' CK inspector .,....
Address visible from street?
LEVELS SUB 1 2 3
Smoke Detectors (#-bedroom detectors excluded)
Carbon Monoxide Detectors (#)
Fire Extinguishers(#)
Exits (#)
BEDROOMS 1 2 3 _ 4Z z
Smoke Detector Alarms (#)
Carbon Monoxide Alarms (#) (/
Egress(windows) (Y/N)
BUILDING SYSTEMS CONDITION OF PROPERTY Y
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
POOLS Y POOL BARRIERS
Pool present Pool is completely enclosed
Pool surface alarm and/or door alarm Barrier is a min. 48" high
resent
POOL GATES Y/ 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:
0 K70
e
TOWN OF SOUTHOLD
Rental Permit
" Permit No. 0314
Owner Robert Bryan Jr, & Jennifer Lee
Occupied as Single Family Dwelling
Located at 645 Wavecrest Lane Mattituck 100-1-41
Village S/13/1-
Maximum
/B/LMaximum 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.
6/26/2020 John Jarski
Date of Issue Code Enforcement Officer
This Notice must be posted by the main entrance at all times
Tco
Telephone(631)765-1802
Town Hall Annex Fax(631)765-9502
54375 Main Road x
P.O.Box 1179 �b
Southold,NY 11971-0959
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
RENTAL PERMIT APPLICATION
Rental Permit Fee $200 (Application must be renewed every two years)
Section A.
Property Information: AV-Pr 10oi �, °
Rental Property Address:
`.O± �) \r1)V ,�9E- —.�f
Tax Map Number: 1000 SECTION ) d O -BLOCK ' -LOT -
SECTION R.
OWNER INFORMATION:
Property Owner Name:
Property Owner Legal Address: Property Owner Mailing Address:
Telephone Number (s): Daytime _ Evening Emergency
Property Owner Email Address: + CAM LL-1 `
Page 1 of 5
Town Hall Annex Telephone(631)765-1802
54375 Main Road Fax(631)765-9502
P.O.Box 1179 �C�, .
Southold,NY 11971-0959 / ,
fou
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
Section C.
Authorized Agent Information:
Name of Authorized Agent of dwelling unit, if any: 1"
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 8 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
SflVII/-fes
Telephone(631)765-1802
Town Hall Annex Fax (631)765-9502
54375 Main Road iJ
P.O,Box 1179 `
Southold,NY 11971-0959
COW
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."
r
Rental Dwelling Unit Identifier:
Requested Maximum number of persons allowed to oc upy Dwelling Unit
Number of rooms in Rental Dwelling Unit: �� `�t a I✓�
Use and Dimensions of each room in Rental Dwelling Unit:
Page 3 of 5
Town Hall Annex Telephone(631)765-1802
54375 Main Road Fax(631)765-9502
-�
P.O.Box 1179
Southold,NY 11971-0959
i
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 4of5
%\,,`a�F j p�rTy�
�1� • Telephone(631)765-1802
Town Hall Annex t Fax(631)765-9502
54375 Main Road ;
P.O.Box 1179 cy�
Southold,NY 11971-0959 ti
��cQUrart �
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:
Property Owner's Signature.
Sworn to before me this L*-day of 20
�J
• 1 blit ignature and Original Notary Stamp
N
Notary Public State of Florida
Dennis A Van Deusen My Commission GG 106041
Explres 06/14/2021
Page 5 of 5
4VCA `, I
h �D
# TO N OF SOUTHOLD BUILDING DEPT.
765-1802
. -INSPECTION
[ ] FOUNDATION IST [ ] ROUGH PLBG..
f ] FOUNDATION 2ND [ ] -INSULATION/CAUL ING
[ ] FRAMING /STRAPPINGXFIRE
INAL n
FIREPLACE & CHIMNEY SAFE Y INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ° ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL)
[ ] CODE VIOLATION [ ] PRE C/O
REMARKS:
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DATE INSPECTOR
FN A Case N
Building Sketch
Bu to ar JENNIFER L LEE&ROBERT S BRYAN
Pro eM Address 645 Wavecrest Ln SIalB NY Zip Code 11952
GI Ma I uck County SUFFOLK
Client RAYMOND JAMES BANK
zs'
/201
First Floor
Den m (1602 Sq ft] ge eom Bath
j
Di„I q Bedroom
V/' Second Floor
32' N 172i Sq(t)
Laundry S Bath
15' then lo�/eaBem
Master B
ti
a 28'
k car Attache(
(330 Sq ft) Llv q wlce
Master Bedroom
15' 43'
42'
unfinished
N Basement P
11118 5q ft)
25'
unfinished
Basement 43'
(450 Sq ft]
25'
TOTAL Sketch t1'a W mode,iM. Area Calculations Summary
I ivinp A►oa calculation Details
First Floor 1602 Sq R
25'
28'
Firsl Floor
Den m (1602 sq rt] Bedroom Bath Bedroom
N y Dining
ry J�
Second Floor
X32' N X (728 Sq R)
Laundry 5 Bath C
15' Kitchen loft area groom
Master Bath
28'
Car Attache'
1330 Sq ft) Living office
C.-Master Bedroom
15' 43'
42'
X unfinished
ry Basement
(SSSS Sq ft)
25'
unfinished
ti Basement m 43'
(450 So ft)
25' w d5 V sw.. ii
TOTAL Sketch trya la moaa,Inc, Area Calculations Summary
Livlgp;�,rea _ Calculatipn Details,
First Floor 1602 Sq R 26 x 32 832
2S x 22 m 550
10 x 22= 220
Second Floor 728 Sq R 26 x 28 728
Total Living Area(Rounded): 2330 Sq ft
(7on;Ilyitip Brea ' '
1 Car Attached 330 Sq R 15 x 22= 330
Basement 1118 Sq R 26 x 43= 1118
Basement 450 Sq R 25x 18= 450
Form SKU101 "TOTAL"appraisal software by a la mode,Inc,-1-800-ALAMODE
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FO= NO. 4
TOWN OF SOUTHOLD
BUIMING DEPARTMENT
Town Clerk's Office
Southold, N. Y.
Certificate Of Occupancy
No. 4697A . . . . . Date . . . . . . . . . . . . April. . 1.6 . ., 17.6
THIS
THIS CERTIFIES that the building located at Sad 43!4r WV. . k . 3?9 Weet
Map No4I; 44rO. N Block No. . . . . . . . . . .Lot No, . 36 . . . .YAUItuak . .d AX0. . . . . .
conforms substantially to the Application for Building Permit heretofore filed in this office
dated . . . . . ftY. . 13, 19. 15 pursuant to which Building Permit No. .7923.Z .
dated . . . . . . . . . MY. . .1.4 . . . ., 19.75, was issued, and conforms to all of the require-
ments of the applicable provisions of the law. The occupancy for which this certificate is
issuedis . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . .
The certificate is issued to . .01usen. Colstrnction. Corp . . . ter. . . . . . . . . . . . . . .
(owner, lessee or tenant)
of the aforesaid building.
Suffolk County Department of Health Approval . .44A . .27-1976 —by R►. Villa. . .
UNDERWRITERS CERTIFICATE No. - -12471.13. . . . .Sept. . 23 - . 19-7-5. . . . . . . . . . . .
HOUSE NUMBER . . . 645 . . . . . Street . . . Wav6are at la. . . . . . . . . . . . . . . . . . . . . . .
50 Oaltaire Way
. . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
A4
Building Inspector
FORM NO.4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
Certificate Of Occupancy
No. . . . . . . . . Date . . . . . . . . . . . .J.=Q. 3. . . . . . . . . . . . . 19 R3 �l
THIS CERTIFIES that the building .. dfUtiQA . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...( . .
Location of Property . . . WE VWX01at. Zra�4e. . . . . . . . . , . . . .Ma:�ti1;)Z41k. , . . .
House No. StreetHamlet
County Tax Map No. 1000 Section . . . .'100. . . . .Block . .. . .01. . . . . . . .Lot . . . .Q41. . . . . . . . . .
Subdivision .$vltaixe .Zstateo. . . . . . . . . . .Filed Map No. . 4.682. .Lot No. . . . 3a . . . .
conforms substantially to the Application for Building Permit heretofore filed in this office dated
1981. pursuant to which Building Permit No. . .1.114.7.2 . . . . . , . . . . .
dated . . . . . . . Nay. 1,i . . . . . . . . . . . . . 1981. ,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 . . . . . . . . .
. . . . . . . .Addit.a.ou. to .a. one.family Awell.ing. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
The certificate is issued to RICHARD N. MWARD
(owner,lessee or�tenanrl
of the aforesaid building.
Suffolk County Department of Health Approval . . , -So-60 . . .
UNDERWRITERS CERTIFICATE NO. . . . . . . . . . . . . . . . . .
Building Inspector
Rev.1/81
A;
FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No Z-20953 Date AUGUST 1f
THIS CERTIFIES that the building ACCESSORY
Location of Property, 645 WAVECREST LANE MATTITUCK, N.Y.
House No. Street Hamlet
County Tax Map No. 1000 Section 100 Block 1, Lot 41
Subdivision Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated JUNE 29, 1990 pursuant to which
Building Permit No. 19173-Z dated JULY 2, 1990
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 ACCESSORY ABOVE GROUND SWIMMING POOL & DECK WITH FENCING
AS APPLIED FOR.
The certificate is issued to RICHARD & CAROLYN MENARD
(owners)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL K/A
UNDERWRITERS CERTIFICATE NO. H-030378 - AUGUST 7, 1992
PLUMBERS CERTIFICATION DATED NLA
Buil g I spector
Rev. 1/81
5
FQRX NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, K.Y.
CERTIFICATE OF OCCUPANCY
Na 219215 Date LY ib 1990
THIS CERTIFIES that the building ADDITION
Location of Property 645 WAVECREST LANE MATTITUCK
House No. Street Hamlet
County Tax Map No. 1000 Section 100 Block 01 Lot 041
Subdivision Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated MARCH 2, 1988 pursuant to which
Building Permit No. 167942 dated MARCH 11, 1988
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 ADD 2nd STORY ADDITION TO EXISTING ONE FAMILY DWELLING.
The certificate is issued to RICHARD & CAROLYN MENARD
(owners)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A
UNDERWRITERS CERTIFICATE NO. RO04IOU AUG. 1, 1988 _
PLUMBERS CERTIFICATION DATED RICHARD MENARD 7/13/90
iwf Ins ector
Rev. 1/81
FFoc,�
Town of Southold 6/25/2020
P.O. Box 1179
W 53095 Main Rd
y�y o�s Southold, New York 11971
'of
CERTIFICATE OF OCCUPANCY
No: 41208 Date: 6/25/2020
THIS CERTIFIES that the building OTHER
Location of Property: 645 Wavecrest Ln, Mattituck
SCTM#: 473889 See/Block/Lot: 100.4-41
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
3/10/2020 pursuant to which Building Permit No. 44816 dated 5/28/2020
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"air conditioner as applied for.
The certificate is issued to Bryan Jr,Robert&Lee,Jennifer
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 20-66804 4/28/2020
PLUMBERS CERTIFICATION DATED
ho d Signature