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Home My WebLink About1000-126.-9-3 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� d\/ lsoy""- DATE 1/�DATE INSPECTOR P'OL rLf me�rHR I ROOM psmnt � HRL<LW QR�2 pp�3 LiVINR40m l FaoNr P0" �'R � N c.H s-ry �E r-romE - 1 SrUPY.� (s+or�ge) WAS�{�I.DR��R � A�RVn ERA ti —� (SToRA6r--) 'o ( BAICAtNT LEvEL - ,'• •'-Vi=i - `�"��'�-'$��- � _ �''�'� � � � . -�`�1�_�.�'*a.��;,___''''�' T` ? � �:^�•� rte__ �,�.�., F �zd�r"y _� � ' i- S 1 t�� 1� �e� 1 � '�� (�• � x 117 ��A ; , - =4' � --.ar} t y -•-�-�- --�'-..�...-�-----.may...••-'-�.....,' - _ ._ _...- p_ :_ _ .. ._ ,�..:....•�.�..,._..,...,�_�, a t 'IS f Tom„ _F' � r _V. ... .. �� ,-_. j•� r i t�� w 7�-r -, _ ,�, t ,/�c� dl �•r--7e r-�ya', ?'r'f'- P' # •.-1 `,,..•t p- ;P - "T Ile- -41 � �AB ear ,t '�•g, v 1p: f� ' lh ;fes _ �' {� µ�-'.� ry/fes �,P`,' Viz, if a i..d�f `lam t c 4`3►� t • =� � — .�4�,� _.�_; ; � o o• i '., 's• :�"�, s • '� ,s_,+txn}:r �_ I '»•7�'$z«K 't'` .... .•w,`.�f ��` y''' —'•l," � � , r •'tom ` •� 4, � +:., Ili Y .tai ? � \1� ..f��p�#ka._�."4-'f�+�+'��'- p, 5-4 r ♦;,>e.:l � '# `�_+_ ' f ' s '♦7+' i<'' - �,F AL3.��. H t ,-�L:��ec�4 14 ..t.e3. 1=r A1,r y.ol r"-"_ - • ,k 'r �' i.dt �'.:;k. ... i ', �`; �` 1 fig'. d i-� , ft 7 Fes-.•r( ' �` � '�J ' - ��f , � �m �` I AJ OF— , - ------'-=_ ...»-..-^_�!''�-•� �� -•- •1 - � 1 �.� '� � _+ ' -�--_•-_- — -��... `-1 {�. �. _, ! ..,,,.}� { � � is � %_- ) TOWN OF SOUTHOLD PROPERTY RECORD �.�►Kv OWNER STREET VILLAGE DIST. SUB. LOT c 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 4-z) ffarlC = l s�yoo 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 F' ■■■■■■■�� fir■ ■■■■ IN 7■ ■■ Ml 111111111 M ME ■■■■■■s ■■s■Q! MIEMM ■�i ■■■ KENNE01 IMMEN ■ ■■■■■■�I�l■ ■■■■■�■■ ME MEN IMIN Foundation Basement .. Rooms Ist Floor Rooms . Floor vewoy I • 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