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HomeMy WebLinkAbout1000-123.-6-12.3 a TOWN OF SOUTHOLD Rental Permit 0365 Owner Joseph Calabrese & Jamie Grady Occupied as Single Family Dwelling Located at 3285 Camp Mineola Rd Mattituck 123-6-12.3 Maximum Permitted Occupancy 6 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. 9/29/2022 ` Code Enfo Official This Notice must be posted by the main entrance at all times � ;;arm ff Town Hall Annex SOUTHOLD TOWN 54375 Main Road � PO Box 1179 Southold, r Rental Inspection NY 11971-1179 , V Tel: 631-765-1802 Fax 631-765-9502 SCTM # a.3 , ` .m Date �.. Owner . t Phone c 1 ,S Address S CZip .� Hamlet rY" Inspector Address visible from street? LEVELS SUB 1 2 3 Smoke Detectors (#- bedroom detectors excluded) / VL Carbon Monoxide Detectors (#) Fire Extinguishers (#) Exits(#) BEDROOMS 2 _ 3 5 Smoke Detector Alarms Carbon Monoxide Alarms (#) Egress(windows) (Y/N) BUILDING SYSTEMS `1(f CONDITION OF PROPERTY 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 t POOL BARRIERS I Pool present Pool is completely enclosed Pool surface alarm and/or door alarm Barrier is a min.48" high resent POOL GATES All openings in barrier less than 4" Self-closing, self-latching i 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: .�oI 'tffol , TOWN OF SOUTHOLD o Rental Permit Permit No. 0365 Owner Joseph Calabrese & Jamie Grady Occupied as Single Family Dwelling Located at 3285 Camp Mineola Rd. Mattituck 123-6-12.3 Village S/13/1- Maximum /B/LMaximum Permitted Occupancy 6 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. 12/2/2020 John Jarski Date of Issue Code Enforcement Officer This Notice must be posted by the main entrance at all times 0, 1 Town Hall Annex 54375 Main Road Telephone(631)765-1802 P.O.Box 1179 Fax(631)765-9502 Southold,NY 11971-0959 ' D DD BUILDING DEPARTMENT A U G - 4 2020 TOWN OF SOUTHOW _RENTAL PERMIT APPLICATION BUMDING D ff. T07)7,1' y� Rental Permit Fee$200(Application must be renewed every two years) Section A. Property Information: Rental Property Address: Tax Map Number: 1000 SECTION -BLOCK _-LOT 2 - SECTION B. OWNER INFORMATION: Property Owner Name: JOSEP Property Owner Legal Address: Property Owner Mailing Address: PW 'r)E CA-LA-&�--- E7 s D �5r tA►2�s �� -i--�fi- Telephone Number(s): Daytime a �i�`12 ing Emergenc Y Property Owner Email Address: D v 4Lg1 (�_ 5 Page 1 of 5 Town Hall Annex 54375 Main Road Telephone(631)765-1802 P.O.Box 1179 Fax(631)765-9502 Southold,NY 11971-0959 ' ,. C®Uf BUILDING DEPARTMENT TOWN OF SOUTHOL D Section C. Authorized Agent Information: Name of Authorized Agent of dwelling unit, if any:1A- 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: �/A Address of Managing Agent (no P.O. Boxes): Page 2 of 5 Town Hall Annex 54375 Main Road Telephone(631)765-1802 P.O.Box 1179 "" Fax(631)76.5-9502 Southold,NY 11971-0959 ' BUILDING DEPARTMENT TOWN OF SOUTHOLD Mailing Address of Managing Agent:_ A� > ,"/ Telephone Number(s): Daytime 7i� //Z3 vening vQ,s'►ti.� Emergency Email Address: lwfAIAJ 'w,tom I A,14Ic4l ndy @ o Ld-loo-k,m y) v 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, R, 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." IVa Rental Dwelling Unit Identifier: Requested Maximum number of persons allowed to occupy Dwelling Unit: �v Number of rooms in Rental Dwelling Unit: Use and Dimensions of each room in Rental Dwelling Unit: �d �(o"YjZ' W tb IM/7/ Opp, 1010XIII� (�1ALL 12/9 /1/g/� J Page 3 of 5 fF' µt� Eh Town Hall Annex Telephone(631)765-1802 54375 Main Road P.O.Box 1179 �'' Fax(631)765-9502 Southold,NY 11971-0959 � ,{{ 11-u BUILDING DEPARTMENT TOWN OF SOUTHOLD SECTION C. 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 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) certify under penalty of perjury, the following: 1. I 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 01i�-Z, Town Hall Annex 54375 Main Road Telephone(631)765-1802 P.O.Box 1179c Fax(631)765-9502 Southold,NY 11971-0959 W 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. 1 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:_ l Property Owner's Signature: Sworn to before me this 301-ay ofd_ 20.2-6 Official Not ry Public Signature and Original Notary Stamp MARYDIANA FOWM Publir,State d New Yak W0.62-4655242 COMM M Suffolk Co" Commission lExpi=Aug.31,90 a-1 Page 5 of 5 4��'a so Town Hall Annex Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1179 A s Southold,NY 11971-0959 � `*� 'K` ✓f"���1,+ .�r�i° �� ,+ ,—z.�, ;F�t 3�)�—'a', �f`,y`�i,'A� �I �^ . BUILDING DEPARTMENT _) N0� 6 2020 TOWN OF SOUTHOLD RENTAL PROPERTY CERTIFICATION �� •- rY,.1 `� r Form is to be completed by a license architect, licensed engineer or licensed home inspector Separate form is required for each individual Rental Dwelling Unit Professional seal required for Architect or Enaineer, licensed Home Inspector must provide copy of valid current certification 22 Rental Property SCTM Number: " 6IJ� Rental PropertyAddress: 32ECz 0MAP1AAA9QL Owner/Name: L /Ai�� C— Rental Rental Dwelling Unit Identifier: UN/LT— 9 Number&Square footage of each bedroom as depicted in the attached floor plan: (i.e. Bedroom#1 -100 sq.,Bedroom#2-90 sq., etc.) I P PA -4:�L-Z' S Sfd 0 P Property Description (Include all improvements indicated on survey) cs2- Dv S 32C,�-e o 1 certify that I have done a physical inspection of the subject rental dwelling unit and find that it fully complies with all the provisions of the Code of the Town of Southold,the Residential Code of New York State,the Building Code of New York State,the Plumbing Code of New York State, the Fuel Gas Code of New York State, and the Energy Conservation Construction Code of New York State. Print Name and Title ��'�Pi tq Original Signature r � Please place professional seal: �T° e�,0 F PN 1 ,/ TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 : INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION/CAULKING [ ] FRAMING /STRAPPING [ ] AL pot� [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) [ ] CODE VIOLATION [ ] PRE C/O REMARKS: DATE v INSPECTOR 58' " � a I � 11t� a ro f3_1 I-3/4'9c 9 I/2'LVL I Tvam M12032 ITKU46-2 PS6161IR FL SR V'M 1 7-10" a 5 ro FAMILY ROOM m i I- a in o o =1 Q 2868 DEN 2668 y ry Q • ro '1 41411 fY _ F-- (2)1-9/4*X q•IP2'LVL GL05ET �aos n ro - FW5FI F{EADER a KIT. m 2 B ro • ® ® - al 5/8" X GYP.Bo m (4)2W P05T d ro �-1 in FROM F OOR To CEILING. 5068 3068 c7 (?113/4'X 4 V LVL � � � )2'X4' r (5)2'X4'F103r ' T_-- _-_--' o a 4' 12' 1 10.10.\ 5! 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I/4°=I'-0^ ti a TOWN OF SOUTHOLD PROPERTY - RECORD Ian /6o� /�23 - e -- I-� e 3 _OWNE rose t"�+ �-�a �mac- STREET �J VILLAGE DIST. SUB. LOT Ca rca d. c .nd Des O¢RMER OvvyyN�ERI N c kd-s j. ACR. l Ivavic am Ho'mm�� 1�2nUr� t23 :O;rS, S W } TYPE OF BUILDING f}ff�;oo �j 4'"'r,� � �t�.`�+/� d CL�j d. L�a!-�'OY COY 1y f k'1 rL e RES. SEAS. VL. FARM COMM. CB. MICS. Mkt. Value LAND IMP. TOTAL DATE REMARKS - �ye«t , r4 d6ya"i-,-? 14 ®tri 6�2 vk a �-,I. ia f�d �/a oao L t 66o S ,. SOD 000 $ '00 / ,30 ,07 SCJ D 9�SOO 7/4® /s // `� _ y��i � -�' p Z- 73004 3 - - rr •. m f _ Q�'�lair� —d` �,_� © ,� t�1 �° � � a�rQY7r � 0.110, n c- ; 8 6 P, P 1 3 h ` dwe Ilei ®c_� sola 31c _ Tillable FRONTAGE ON WATER Woodland FRONTAGE ON ROAD Meadowland DEPTH House Plot ,3 I6t7t� BULKHEAD Total INNIONOM ■■ r - MEMO■■■■■■■■�MNNMM1' ®■■� ■■ ■■■■ _ ■■■■ s -� �� � ■■■■■■■■III FA ,CAIRENE No■ ■M■■■■■ :■:�`� a_ _ DIN ■■■!■■':■■■■■ ■■■■■■lN!_I.1■!IBM■■■l!■■■■■■■■■■■■ r_ : • ■ ■■MN■■■■■MEN■■ 1111■■■■■■■■ ■■ ■■■■■■■■■■■■■ ■■■■■■■■■MEN Town of Southold - PO.Box 1179 o x 53095 M • 10!22/2015 am y • � Rd Ak Southold,.New York 11971 CEItT.�ICATE OF OCCUPANCY No: 37851 Date: 10/22/2015 THOS CERTURS that the building SINGLE FAMILY DWELLING Location of Property; 3285 Cap Mineola Rd.,Mattituck SCTM#: 473889 Sec/Bock/Lot: 123.-6-12.3 Subdivision: Ned Map No. conforms substantially to the Application for BuDdin p �-- Lot No. g ermit heretofore filed in this office dated�- 2/23/2006 Pursuant to which Building Permit No. 31833 . was issued,and conforms to all of the Was 3/8/2006 regniremei�of the applicable provisions of the law. which this certificate is issued is: The occupancy for one dwellin with attached one car 12/27/2005. a and covered front orch as a lied for er ZBA#581 dam This Certificate of O jr ��u to of COZ-31900 ' issued 10/5/2006. The certificate is issued to Righi,Alan&Nancy Of the aforesaid building. SUFFOLK COUNTY DEPARTIVIENT,HF HEALTH APPROVAL PRO'VAI' ELECTRICAL CERTIFICATE NO. R10-05-0193 9/28/2006 PLUMBERS CTIbTCATION DAA 2100954 9/18/2006 9/5/2006 Azzarra Plumb, t ' A S- nater ��g11FFD1�� � Town of Southold 6/30/2016 o - P.O.Box 1179 53095 Main Rd 58� Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 38373 Date: 6/30/2016 THIS CERTIFIES that the building IN GROUND POOL Location of Property: 3285 Camp Mineola Rd,Mattituck SCTM#: 473889 Sec/Block/Lot: 123.-6-12.3 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in'this office dated 12/1/2015 pursuant to which Building Permit No. 40412 dated 1/19/2016 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 in ground swimming pool with fence to code as applied for. _ The certificate is issued to Raymond Yeung&Wing Yee V Foo of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 40412 5/24/2016 PLUMBERS CERTIFICATION DATED P AuthoAz6d Signatur 4 FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICA'T'E OF OCCUPANCY No Z-18165 Date JULY 5, 1989 THIS CERTIFIES that the building ACCESSORY Location of Property 3285 CAMP MINEOLA ROAD MATTITUCK, N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 123 Block 06 Lot 12.3 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated MAY 3, 1989 pursuant to which Building Permit No. 18097-Z dated MAY 5, 1989 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 SHED AS APPLIED FOR. The certificate is issued to ANNE HOMMEL (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A i Building Inspector Rev. 1/81