HomeMy WebLinkAbout1000-126.-9-3 of so TOW N OF S UTH LD
Rental Permit
0394
Owner: Charles Mauro , Dorothy Mauro
Occupied as: Single Family Dwelling
Located at: 400 Wells Rd Laurel 126.-9-3
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.
Issued: 03/11/2025
Expiration: 03/11/2027 code�orc4ento = iai
This Notice must be posted by the main entrance at all times
TOWN OF SOUTHOLD BUILDING DEPT.
631-765-1802
INSPECTION
[ ] 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 7RENTAL
L)
CODE VIOLATION [ ] PRE C/O [
REMARKS: ke 4 '
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eP
DATE INSPECTOR
Town Hall Annex
Town Of Southold 54375 Main Road
Y
Rental Inspection Report PO Box 1179
` Southold, NY 11971-1179
1Y Tel: 631-765-1802
SCTM # Date
Owner 0 Phone
Address �Iaa well Visible
Hamlet Inspector
Floor Level Quantities Sub 1 2 3
Smoke Detectors (not located in bedrooms)
Carbon Monoxide Detectors
Fire Extinguishers
Exits
Bedrooms 1 2 3 4 5 6
Smoke Detectors
Egress
Occupant Count
Building Systems Maintained &Operational Condition of Property
Heating Building interior
Hot water Building exterior
Electrical Property clean,maintained &safe
Mechanical Handrails&guards installed &secure
Pool Safety Pool on Site
Surface water alarm Date of CO issuance
Door alarms Pool completely enclosed
Self closing/latching gates Pool fence to code requirements
CO's for all items present Prior Rental
Comments:
TO wwff = N OF SOUTHOLD
i6
Rental Permit
AV
0394
Owner Charles Mauro Jr. & Dorothy Mauro
Occupied as Single Family Dwelling
Located at 400 Wells Road Laurel 126.-9-3
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.
3/13/2023
Code E -r e er4'Wficial
This Notice must be posted by the main entrance at all times
v ,
TOWN OF SOUTHOLD BUILDING DEPT.
631-765-1802
INSPECTIO,N
1 �
FOUNDATION 1ST I ROUGH PLBG.
FOUNDATION 2ND I INSULATIOWCAULKING
FRAMING /STRAPPING I FINAL
FIREPLACE & CHIMNEY -FIRE SAFETY INSPECTION
FIRE RESISTANT CONSTRUCTION FIRE RESISTANT PENETRATION
ELECTRICAL (ROUGH) ELECTRICAL
[ ] CODE VIOLATION [ ] PRE C [ (RENTAL
REMARKS:
4,c (ins.
TOWN OF SOUTHOLD
Rental Permit
Permit No. 0394
Owner Charles Mauro Jr. & Dorothy Mauro
Occupied as Single Family Dwelling
Located at 400 Wells Road Laurel 126.-9-3
Village
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.
3/12/2021 John Jarski
Date of Issue Code Enforcement Officer
This Notice must be posted by the main entrance at all times
Town Hall Annex w. Telephone(631)765-1802
,.
54375 Main Roada Fax(631)765-9502
P.O.Box 1179
Southold,NY 11971-0959
BUILDING DEPARTMENT y
TOWN OF SOUTHOLD DEC 1 4 2020
RENTAL PERMIT APPLICATION ,
Rental Permit Fee$200 (Application must be renewed every two years)
Section A.
Property Information:
Rental Property Address: ®® We
I�_ Pd .
r re I �jf l T6
Tax Map Number: 1000 SECTION 1410C) -BLOCK 00 °®o LOT ®63° ®CV
SECTION B.
OWNER INFORMATION: �,- f _6/�
Property Owner Name: n� R L� Pro` Marr
Property Owner Legal Address: Property Owner Mailing Address:
3205 OcCan qclrbof b6ye' �s
2
4-Th6 663 07I Z 1688�-7 22 '4`117-6 6 2-7S3-T
Telephone Number(s): Daytime Evening Emergency
Property Owner Email Address: C m ay✓`® (e dalaRacefille , CoA
C� 9
Page 1 of 5
Town Hall Annex bg° Telephone(631)765-1802
A
54375 Main Road Fax(631)765-9502
P.O.Box 1179
Southold,NY 11971-0959 `, �wf
t
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
Section C.
Authorized Agent Inf ation:
Name of Authorized Agen we m u ' , an �Lr
Address of Authorized Agent (no P.O. Boxes): (r� NcAM A 6re-en4 jffw
Mailing Address of Authorized Agent: s(k� okS a*fe"
63j- 77�ap13 � 631-qC �25�"7
Telephone Number(s): Daytime Evening Emergency
Email Address:
Section D.
Managing Agent Information:
Name of Authorized Agent of dwelling unit, if a II �(h �-�' oQ Address of Authorized Agent(no P.O. Boxes): 23 0� U�9cEw ` � WXt'
11
Mailing Address of Authorized Agent: OcamyDE IVY 11-97J,
Telephone Number (s): Daytime �6 D�O�Eve ing 662--75-EmergencyS��/ ����T
Email Address: Ab(A da�ajface, I / e o CM
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
Town Hall Annex Telephone(631)765-1802
54375 Main RoadFax (631)765-9502
P.O.Box 1179
Southold,NY 11971-0959 "
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: ®l/
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 Uit:
Number of rooms in Rental Dwelling Unit: 7- 9
Use and Dimensions of each room in Rental Dwelling Unit: X-1 1-r 1 ��� f�
` I V [A1 � oan� C��6X �� DiIVlA1� ®l .� 8
R l n &&z �� �X
Page 3 of 5
off;
� �<Y.rgNY
Town Hall Annex r , Telephone(631)765-1802
54375 Main Road ° ° ' €° Fax(631)765-9502
,
P.O.Box 1 179
Southold,NY 11971-0959
BUILDING DEPARTMENT
TOWN OF SOUTHOLID
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 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)
I cGI.G-rkl !V autrolr. , 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 ;. Fax(631)765-9502
P.O.Box 1179 V
Southold,NY 11971-0959 n, '
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 rAgent, or Site Manager.
Property Owner's Name: CT���ws MAAM
Property Owner's Signature:
Sworn to before this 2 day of DECD I�-er— , 20 2O
Official Notary ublic Siglhaffure and Original_Notary p
" 'b0ROZ'�11f"MAfaIQ ,°;�
lTjbV oilBl.iCr SZA7E 6F Al
}t`Q6IAG�lED W NASO,%U.CAI1
llu�l$SION E?EP{RES f35H1t,��► '
I ,
Page 5 of 5
Nov 21, 2020
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 SOUTHOLD
RENTAL PROPERTY CERTIFICATION
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 seat required for A'rclaitect,or Engineer,.licensed Home inspector must provide
copy,of valid,current certification a ,
Rental Property SCTM Number: ))ISF�ICT MOO S&CTION (2.6 L-0 I 4TJ
Rental Property Address: 400 Wells Rd., Laurel NY 11948
Owner/Name: Charles Mauro
Rental Dwelling Unit Identifier:
Number &Square footage of each bedroom as depicted in the attached floor plan:
(i.e. Bedroom##1-100 sq., Bedroom#2-90 sq., etc.)
B-edroom #1 140 sgft Bedroom#3 125
Bedroom #2 160 sqft
Property Description (include all improvements indicated on survey)
sinalo faMmly home
I 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.
Victor Cornelius III CEO Inspector
Print Name and Title Ceo# 1216-0283 Original ig ure
Please place professional seal:
o��OF 50UTyO vitl ) I/W_WXL",4
—
TOWN OF SOUTHOLD BUIL-DING DEPT. s
°`ycaurmN�`' 765-1802
INSPECTION
[ ' ] FOUNDATION 1 ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] IN LATIOWCAULKING
[ ] FRAMING/STRAPPING [ ] INAL
[ ] FIREPLACE & CHIMNEY [ FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL)
[ ] CODE VIOL AT N ] PRE C/O
REMARKS: O�
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TOWN OF SOUTHOLD PROPERTY RECORD �.�►Kv
OWNER STREET VILLAGE DIST. SUB. LOT
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M,'11 G
FORMER OWNER N ,/y b E ACR.LJ
S W TYPE OF BUILDING
Yaw
RES. I SEAS. j VL. FARM CON4M. CB. MICS. Mkt. Value
LAND IMP. TOTAL DATE ! REMARKS
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5 �t� a Qo 5�t o0 2 9 a - - �- —
Sin11 - E 1`q » , Aj B!"Jelk
AGE ; BUILDING CONDITION
NEW NORMAL BELOW ABOVE —
FARM - Acre Value Per Value
Acre
Tillable _ _ - �_- FRONTAGE ON WATER -
oodland FRONTAGE ON ROAD 98
---- --- - +
Meadowland DEPTH
House Piot I BULKHEAD
Total- I DOCK j
I
b 1
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Foundation
Basement
..
Rooms Ist Floor
Rooms
. Floor
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FORM NO. 4
TOWN OF SOUTHOLD
BUILDINGDEPAXtTMENT
Office of the Building Inspector
Town Half
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No S-25156 Date_ JULY 24, 1997
THIS CERTIFIES that the building NEW DWELLING
Location of Property 400 WELLS ROAD LAUREL, N.Y.
House No. Street Hamlet
County Tax Map No. 1000 Section 126 Block 9 Lot 3
Subdivision Filed Map No. Lot No.
conforms subet ntially to the Application for Building Permit heretofore
filed in this ffice dated FEBRUARY 20, 1997 pursuant to which
Building Permit No. 23974-8 dated [ARCH 11, 1997
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 ATTACHED ONE CAR GARAGE & REAR DECK
APPLIED FOR.
The certifica a is issued to JOSEPH a CAMILLE NOBLE
(owners)
of the afores id building.
SUFFOLK COUNT DEPARTMENT OF HEALTH APPROVAL R10-97-0005-JULY 17, 1997
ELECTRICAL CE TIFICATE DATED JUNE 25, 1997 - #15414
PLUMBERS CERT FICATION DATED APRIL 10, 1997-BERTSAND PLUMBING a HEAT.
Builds g Inspector
Rev. 1/81
1% To4Maiu
ld Annex 12/27/2011
543ad
Southold,Nw York 11971
CE TIFICATE OF OCCUPANCY
No: 35363 Date: 12/27/2011
THIS CERTIFIES that the build' g ABOVE GROUND POOL
Location of Property: 400 WE LS RD LAUREL,
SCTM#: 473889 Se lock/Lot: 126.-9-3
Subdivision: Filed Map No. Lot No.
conforms substantially to the Applic ation for Building Permit heretofore filed in this officed dated
10/25/2010 pursuant to hich Building Permit No. 35967 dated 10/25/2010
was issued,and conforms to all of t e requirements of the applicable provisions of the law. The occupancy for
which this certificate is issued is:
access, above Vound swimming cot and hot tub with fence to code as applied for.
The certificate is issued to No le,Joseph&Noble,Camille
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPART ENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE O. 35967 12/27/11
PLUMBERS CERTIFICATION DATED
Aut ed^ gnatu�'e T