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HomeMy WebLinkAbout1000-113.-4-4.1 TOWN OF SOUTHOLD F Rental Permit 0381 Owner Arcadia-5 LLC Occupied as Single Family Dwelling Located at 190 Jacksons Landing Mattituck 113.4-4.1 Maximum Permitted Occupancy 10 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. 3/13/2023 Code EnforocKment Official This Notice must be posted by the main entrance at all times UBI Property Management Box Mount Sinai, NY 11766 P.O. 9 ubipmgtheubigroup.com Office# n n January 20, 2023 Town of Southold 53095 Route 25 P.O. Box 1409 Southold, NY 11971 RE: Residential Rental Permit 0381 190 Jacksons Landing, Mattituck To Whom It May Concern: Enclosed is a check for $200.00 for the renewal of the Residential Rental Permit for 190 Jacksons Landing in Mattituck. Please contact me at the above email or phone number to set up the property inspection. Best regards, nnifer Herron Office Manager BUILDINGDEPT ED, DEPT.TOWN OF SOUTHOLD BUILDING Al 631-765.1802 INSPECTION ' [ ] FOUNDATION 1STROUGH PL13G. FOUNDATION 2ND INSULATIOWCAULKING [ ] FIREPLACE IMNEY FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION FIRE RESISTANT PENETRATION [ ] ELECTRICAL ( ) ELECTRICAL (FINAL) CODE VIOLATION PRE C/O RENTAL S. R;Mr K DATE N INSPECTOR �� �-e-r v soFOUNDATION 'IST ROUGH ar TOWN OF SOUTHOLD BUILDING DEPT. 631-765-1802 INSPECTIOI'N , . [ ] FOUNDATION2ND INSULATION/CAULKING [ FRAMING ®STRAPPING FINAL CHIMNEYFIREPLACE & [ I INSPECTION FIRE RESISTANTI IRE RESISTANT PENETRATION ELECTRICALI ( I VIOLATIONCODE / r n � / P DATE INSPECTOR R _..........._ m ,,, o ".��,waort✓H,F,w�,v na a,i„aw�xa w�„,,, v r, ,»w-wwnma�c;� w�av'v eu�r+wmir.�m,�vwrowrm nw UWursvi�R1>� ��j�Pw � �Nw y TI��►IN �Ti�q° PI�CT CLOTHESDRYER NDUIT T ANSI`IO 3EA3 Of GUIDE GUIDE D` NSTA LATiO N .�::,�uwHHWm!m'wW4`•�"*+,rv'sww.,W rww,�a^rm�7a+n' � ' � � �e`���� � a G s l x gff if J r r„u R r X MW 0 slow r � �7 IM r.. 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TOWN OF SOUTHOLD co Rental Permit �"` •�a �' Permit No. 0381 Owner Arcadia-5 LLC Occupied as Single Family Dwelling Located at 190 Jacksons Landing Mattituck 113-4-4.1 Address S/B/L Maximum Permitted Occupancy 10 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. 1/30/2021 John Jarski Date of Issue Code'Enforcement Officer This Notice must be posted by the main entrance at all times $o��� . Town Hall Annex t �t, �,y—�D)telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1179 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: Rental Property Address: Tax Map Number: 1000 SECTION /IL,3 BLOCK LOT_'- SECTION B. OWNER INFORMATION: Property Owner Name: G%� /.� ,1�1�/�LL/� i�G . zL<�- - Property Owner Legal Address: Property Owner Mailing Address: (Cannot be the same as Rental Property Address) Telephone Number(s):_ C �5� `0(0 Property Owner Email Address: a �1 a-'�-11 Page 1 of 4 4 L 1�55 6 0 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): 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):___ 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): Mailing Address of Managing Agent:- _ Telephone Number(s): _ Email Address:. Page 2 of 4 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 R Unit:- _�1���' 1-7 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 NYS licensed architect, a NYS 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. Page 3 of 4 ❑ 1 am submitting a completed Town of Southold certification form from a licensed architect, a licensed professional engineer,or a licensed home inspector who has a valid New York State Uniform Fire Prevention Building code Certification. 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 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. I will notify the Town within five (5) business days s to any change to the information regarding Authorized Agent, Managing Agent, or Site Manager. Property Owner's Name: _ _ / �//f✓2i�c��Ld Property Owner's Signature �G - Sworn to before me this 7 day f_ 0,40 ,201 ► ROBERT J KEGEL _Notary Public-State of New York Official Notary lic Signa re and Original Notary Stamp NO.01KE6348040 qualified in Suffolk County My Commission Expires Sep 19, 2020 Page 4 of 4 n I.��n.d�i �IJ�all� --- -�p_i it r`I oF souryo — # # TOWN OF SOUTHOLD -BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION 1 ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION/CAULKING [ ] FRAMING /STRAPPING [ ] F AL V wfoj [ ] "FIREPLACE & CHIMNEY [ FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUG [ ] ELECTRICAL (FINAL) [ ] CODE VIOLATI [ ] PRE C/O REMARKS: Iiikk •GIM (SAmwora In/ t w_I �4 ��Vqc (%A YA A n*A& �f.Aja ep 004 Sam P� 1,bM -fir r4 5 &A43"_ a ,3 d� DATE INSPECTOR 190 Jackson Landing Length Width Subtotal First Floor Ft Ft SF Kitchen 14.5 17.5 253.75 Living Room 32 22 704.00 Den 9.5 9.25 87.88 Laundry Room 11.1 8.1 89.91 Master Bedroom 15.5 14.3 221.65 Bed Room no 2 12 14.8 177.60 Second Floor Bedroom no 3 14.5 14.25 206.63 Bedroom no 4 12 15 180.00 Basement Bedroom no 5 13 13 169.00 Family Room 27.5 15.25 419.38 2,509.79 L-- VIM—M1'N1:nom-i�.!L..-1"••.r•.>aa�'•••rtt n^NI•a•`m. ro;Er..�� e•:.rn ,. -...- ...:.,.�..�..�s...:. ,., n...e.:...,:....�. �,s.�,,r,.,sm_ --- ---. _ . ti - --p4LEaHTP�M�R.'icn,AS4TV.1..'a E-iOF-- , ��)��•�r1 �nl�*hAe[-K1As+Alt�++� � Y-�-oitySLsw.19.-. ... .. - t?r.'�d' lyl"�' i�'•d 331.d' 131,d 3',�' 21.Ipr „yu. )�Id c3A 2'•Id �.�� u'd z'J 60° tool �g s vAs S��a.µ.drds, gt�.fF.aAp....)rdt. _ p� - trF• - n - __ $ y .BpwFA•.(�)4alo -� ..b/Crio .9 6A �'—r} lil' _6irrw�i*+.sr7ep yam, �'+i'ti IFYa'Wv._. -- __ — _ _ + �I - � - - 'p 2, 112 S •. .�".. �y rr•�� r i - - -�-..._� I I y;.•3- .� q _ i5 C�St.��°•� �OFd'J�+, ..V' u:� ®wak b�N�wRLL a ', _ yet � I ........ 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Value LAND IMP. TOTAL DATE REMARKS .0, 7W illJ J., A 10/ 01)0. A's)-i—zzl 7a C a A P IFC 7,eD 41 746 36 - - ------------- AGE BUILDING CONDITION NEW NORMAL BELOW ABOVE FARM Acre Value Per Valuer Acre Tillable FRONTAGE ON WATER Woodland FRONTAGE ON ROAD Meadowland I DEPTH House Plot BULKHEAD Total DOCK TOWN OF SOUTHOLD PROPERTY RECORD CARD OWNER STREET C,- VILLAGE DIST.1 SUB. LOT 13`��� MaL�Ins'I bIch L FORMER OWNERW 04 A0 I/r,�s N E AGR. i S W TYPE OF BUILDING RES Jl��n SEAS. VL. FARM COMM. CB. MICS. Mkt. Value LAND IMP. TOTAL DATE REMARKS II 7 r C.Oe tZ r� 12) car _ —o o —L( D4 — �� lira ', — N G. AGE BUILDING CONDITION �1Z Z112 _ 's /O/,/ —NEW -NORMAL BELOW ABOVE (G��l✓r S -1a /t4 il/cs a(v /11� FARM Acre Value Per Value --- Acre ��LS /�- SL t� X3-/3500 - ?y.C3 — 13�1� - 135oD Tillable FRONTAGE ON WATER e ' Woodland ! FRONTAGE ON ROAD Meadowland ( DEPTH House Plot BULKHEAD � IS =�vw(! x I `Total --- i DOCK IbOU - li3. - - � .l �OLOR TRIM LOA NdiN - � _ '_ j � t 9E -1 A.V4 ,;. it 1■. ■■ ■•■ 1111.. •.■■.. . i . ■ t i 113-4-4 02/02 f sr f 6,1 fP M Bldg -22— S' Extension 1/9 v.so 2/6 Extension Extension 3 I Foundation Bath Dinette ; 0, 14;VE5 Nc P� Porch 41 Basement Floors K. Porch yr/3 _ Ext. Wa!!s �t�, Interior Finish Breezaway j I x ( 1 el. 00 �,)�� ;Fire Piace Heat ;DR. forage a � 1. 7S. 7- -moo Roof Rooms ]st Floor BR. -moo �:. 25- •tf Recreation Room j I Rooms 2nd Floor FIN. B I O. B. ,vfi C s ,Dormerlog i D ' aye i Total —--i—I FORM NO. 4 TOWN OF SOUTHOLD r BUILDING DEPARTMENT Office of the Building Inspector r �- Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-28359 Date: 04/19/02 THIS CERTIFIES that ,the building NEW DWELLING Location of Property: 190 JACKSONS LANDING MATTITUCK (HOUSE -NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 113 Block 4 Lot 4 Subdivision Filed Map ,No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated JUNE 3, 2000 pursuant to which Building Permit No. 26581-Z dated JUNE 15, 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 FRONT COVERED PORCHES, REAR DECK, SCREENED PORCH UNFINISHED SECOND FLOOR AND ATTACHED TWO CAR GARAGE AS APPLIED FOR. The certificate is issued to WILLIAM A MALLINS (OWNER) of the aforesaid building. SOFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL R10-99-0207 04/05/02 ET•RZ TRICAL CERTIFICATE NO. N 569038 09110101 PLUMBERS CERTIFICATION DATED 10/29/01 COASTAL PLUMBING & HEAT //Aloorize& Signature Rev. 1/81 Town of Southold 1/30/2021 P.O.Boz 1179 53095 Main Rd Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 41784 Date: 1/30/2021 THIS CERTIFIES-that-the building AS BUILT ALTERATION Location of Property: 190 Jacksons Landing,Mattituck SCTM#: 473889 Sec/Block/Lot: 113.4-4.1 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 3/6/2020 pursuant to which Building Permit No.; 44803 dated 3/16/2020 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"alterations, including finished second floor and partially finished basement to an existing sin leg family dwelling as applied for. i i The certificateis issued to. Arcadia-5 LLC 1 of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 44803 12/16/2020 PLUMBERS CERTIFICATION DATED 11/10/2020 J eph Tuomey th riz d ignature Town of Southold 1/26/2021 P.O.Box 1179 53095 Main Rd Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 41727. Date: 1/7/2021 THIS CERTIFIES that the building GENERATOR Location of Property: 190 Jacksons Landing, Mattituck SCTM#: 473889 Sec/Block/Lot:` 113.-4-4.1 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 9/29/2020 pursuant to which Building Permit No. 45312 dated 10/9/2020 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: accessory"as built"generator as applied for. The certificate is issued to Arcadia-5 LLC of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 45312 12/16/2020 PLUMBERS CERTIFICATION DATED Q Authorized Signature 5