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Home My WebLink About1000-140.-2-17 TOWN OF SOUTHOLD i. Rental Permit 0396 Owner Julianna LLC Occupied as Single Family Dwelling Located at 870 Love Lane Mattituck 140.-2-17 Maximum Permitted Occupancy 2 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. 4/17/2023 , gel Code Enforcement Official This Notice must be posted by the main entrance at all tim lOti� TOWN OF SOUTHOLD BUILDING DEPT. 6311-7655.1802 0 fINSPECTION o� FOUNDATION 1ST ROUGH PLBG. � 1.23 [ ] FOUNDATION 2ND [ ] INSULATIOWCAULKING e [ ] FRAMING I STRAPPING FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION �� 2/3 [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ l ELECTRICAL (FINAL) _ f��iu _... [ ] CODE VIOLATION [ ] PRE CIO RENTAL REMARKS: Okl krl) `Piel7m oc vo�fs Y ul DATE z 1Z INSPECTOR TOWN OF SOUTHOLD t Rental Permit 0396 Owner Julianna LLC Occupied as Single Family Dwelling Located at 870 Love Lane Mattituck 140.-2-17 Maximum Permitted Occupancy 2 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. 3/9/2021 John Jarski Code Enforcement Official This Notice must be posted by the main entrance at all times of so TOWN OF SOUTHOLD BUILDING DEPT. 765-1802INSPECTION , ..�...�,...- 1 - t [ ] FOUNDATION 1ST [ ] ROUGH PL13G. [ ] FOUNDATION 2ND [ ] INSULATIOWCAULKING [ ] FRAMING /STRAPPING [/] F'IRE NAL .�,Pw+v!FIREPLACE & CHIMNEY [ AF INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) [ ] CODE VIOLATION [ ] PRE CIO DATE INSPECTORp / Town Hall Annex , Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1179 Southold,NY 11971-0959 "ta N � . BUILDING DEPARTMENT TOWN OF SOU THOL D RENTAL PERMIT APPLICATION INSTRUCTIONS Rental Permit Fee $200 (Application must be renewed every two years) The items listed below are required to be submitted with the completed application. ❑ Floor Plans: Floor plans of each Rental Dwelling Unit, please show location of all smoke &carbon monoxide detectors. ❑ Certificates of Occupancy and Pre-Certificates of Occupancy: Certificates of occupancy or Pre-Certificates of Occupancy for each rental dwelling unit. ❑ Certification of Code Compliance (form enclosed): Must be submitted by a license architect or engineer or license home inspector if an inspection by Town of Southold Inspector is declined. ❑ Rental Permit Fee: $200.00 Town Hall Annex Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1179 „ Southold,NY 11971-0959 R� w BUILDING DEPARTMENT MAIN P1 TOWN OF SOUTHOLD RENTAL PERMIT APPLICATION Rental Permit Fee$200(Application must be renewed every two years) Section A. Property Information: Rental Rr-Qperty Address: Tax Map Number: 1000 SECTION , __-BLOCK SECTION B. OWNER INFORMATION: 1 Property Owner Name. P—L , Z`.�.,1t �,NN�i �S )acv c��q,J,r.�� Z,F►rx,�`� Property Owner Legal Address: Property Owner Mailing Address: w Telephone Number(s): Daytime 31 EveninEmergency Property Owner Email Address: S:R �e_ P':S(4' CZ>Yl/-\ Page 105 Town Hall Hall Annex Telephone(631)765-1802 E 54375 Main Road Fax(631)765-9502 P.O.Box 1179 „ Southold,NY 11971-0959 BUILDING DEPARTMENT TOWN OF SOUOLD Section C. Authorized Agent Information: Name of Authorized Agent of dwelling unit, if any: Address of Authorized Agent (no P.O. Boxes): ��'• �` en1 Mailing Address of Authorized Agent: Telephone Number(s): daytime Emer enc vening g y Email Address:�� e-mstJk-byn 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: rK Telephone Number(s): Daytime Evening S `'- Emergency „ (� Email Address:� l �1 w�� I' r �P1� 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 Road Fax (631)765-9502 P.O.Box 1179 Southold,NY 11971-0959 � "rj"rc BUILDING DEPARTMENT TOWN OF SO ;V'THOLD Mailing Address of Managing Agent: Telephone Number (s): Daytime Evenin 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." Rental Dwelling Unit Identifier: 2 Requested Maximum number of persons allowed to occupy Dwelling Unit: foo 0 Number of rooms in Rental Dwelling Unit: rv� 4 a Use and Dimensions of each room in Rental Dwelling Unit: � t AIX Page 3 of 5 q Town Hall Annex K Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1179Ss Southold,NY 11971-0959 12 + 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. ❑ 1 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. ,. �.µ .. SECTION H. "mac ��°� ,. �� E F, DECLARATION.- Signature must be notarized and MUST b646e 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 4 of 5 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 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: m� �wq1` Property Owner's Signature: - Sworn to afore me this ay farch , 20� Official c►tary Pu lic Signature and Original Notary Stamp JASON DARREN RUBINSTEIN Notary Public-State of New York NO. OIRU6261722 Qualified' Suffolk Oo� ty My Commission res �Expi � Page 5 of 5 n u f y r u. iGJJ � •til/ w,. m w 5 m �r r ^ P e t ,a IN � m .: DATE-4 FE Tla ro 76571802 " E lt7 `„ FOLLOWINC, PFOB PO1, „µ 2. ROU OH3. ; NSULA7 4• a: n BE Cog 3 ac9 ID TOWN OF SOUTHOLD PROPERTI _ I-1,71 _� OWNER 5— STREET VILLAGE S SUB. LOT =_ A r r Jam- FORMER OWNER I t 3 E AGR s � ` S WTYPE OF BUILDING ' ` ' 'RES._ SEAS. VL. FARM COMM. CB. MICS. Mkt. Value LAND IMP. TOTAL DATE REMARKS Dc N V= I a C Ilii s AGE E BUILDING CONDITION NEW NORMAL BELOW ABOVE E FARM Acre Value Per Vclue Acre Tillable FRONTAGE ON WATERT e Woodland i FRONTAGE ON ROAD Meadowland DEPTH If , House Plot BULKHEAD Total DOCK TOWN OF SOUTHOLD PROPERTY RECORD CARD OWNER !STREET VILLAGE DIST.' SUB. LOT f � - - � _ �FORMER OWNER N ,�t 77 R. TYPE OF BUILDING 3.. = � RES. �/� ' SEAS. VL, FARM COM . CB. MICS. Mkt. Value 3 LAND IMP. TOTAL DATE REMARKS t , I I I AGE BUILDING CONDITION NEW NORMAL BELOW ABOVE FARM Acre Value Per �Vnlue Acre Tillable FRONTAGE ON WATER i Woodland FRONTAGE ON ROAD Meadowland DEPTH l House Plot BULKHEAD Total DOCK _ l T SOUTHOLD PROPERTY COR _ CARD OWNER e � STREET - e VILLAGE �— I DIST SUS_ LOT I FORMER OWNER N6 E ACR. S WTYPE OF BUILDING RES. /� SEAS. V _ FARM COMM. CB. MICS. Mkt. Value LAND IMP. TOTAL i DATE REMARKS 9 17 I � 3 g S [ I [j 3 AGE BUILDING CONDITION NEW NORMALBELOW ABOVE i FARM Acre Value Per Vclue Acre i Tillable FRONTAGE ON WATER Woodland I FRONTAGE ON .ROAD f -_ v Meadowland DEPTH House Plot BULKHEAD Total DOCK I ZOLOR - F TRIM c I 3 i e e ,I e f t t e s F 1 s 140.-2-17 3/25/2021 ji v I - M. Bldg. E Extension f� 1 yienstor9 E c Fxtena � . i Foundation , Bath t , _-Basement Floors K rte' ` Ext VVI $� � �Interior Finish ,� Fire Place iHeat j I I` 3 ' Gari e �" �T � !Rooms 1st Floor Patio ? s Recreation Room, i Rooms 2nd Floor Ems; O. B. --, ems �`i_ Dormer Driveway — ' Total s _ - �� -a -3 COLOR TRIM s 3 I M. Bldg I Extension 3 Extension Extension Foundation Bath Dine-le Porch Basement Floors K. l Porch ? Ext. Walls Interior Finish LR, Breezeway Fire Place Heat DR. i Garage - - — Type Roof _ Rooms ist Floor BR. Patio Recreation Room Rooms 2nd Floor FIN. B 1 O. B. Dormer Driveway Total i ................................. ........ .................. Town of Southold 3/15/2016 53095 Main Rd Southold,New York 11971 ''P ..................................... ---—--------- ....................................... PRE EXISTING r CERTIFICArE OF OCCUPANCY No: 38153 Date: 3/15/2016 THIS CERTIFIES that the structure(s)located at: 870 Love Ln,Mattituck SCTM#: 473889 Sec/Block/Lot: 140.-2-17 ............... Subdivision: Filed Map No. Lot No. ................-....... conforms substantially to the requirements for a built prior to APRIL 9, 1957 pursuant to which CERTIFICATE OF OCCUPANCY NUMBER Z- 38153 dated 3/15/2016 was issued and conforms to all the requriements of the applicable provisions of the law. The occupancy for which this certificate is issued is: wood(tame qj)pf, th iL ca tH and accq. r ramp ormigg oof is in ji:pLflydwclling_Ai front covered _jsQy.j.carwoodf npg4 of rqp The certificate is issued to Young, Christopher (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED *PLEASE SEE ATTACHED INSPECTION REPORT. Aut ori ed-"-/&��ire...... BUILDING DEPARTMENT TOWN OF SOUTHOLD HOUSING CODE INSPECTION REPORT LOCATION: 870 Love Ln,Mattituck SUFF.CO.TAX MAP NO.:.....140. 2-17...w..ww.....___...._...._.. ............� .........SUBDIVISIONS.................... _... _._....wk _._. NAME OF OWNER S : Young,..... — _...-..—_.....M........ .w. w.... .. _�.w....� _w_.._... _._.... _._... ( ) g, istopher OCCUPANCY: ADMITTED BY: SOURCE OF REQUEST: Young,Christo her DA _...._.__..w._w.w. ..www_........w__..__...._..._�......___..,...�...wwk.�...�-..._wwwwH.___..........wwwww... ..._.........ww..._.,,._.. ........ p TE: 3/15/2016 DWELLING: #STORIES: 2 #EXITS: 3 FOUNDATION:-'—""". Cement Bl ock CELLAR: Full CRAWL SPACE: BATHROOM(S):. ....._.M.. 1...__.. TOILET ROOM(S): - 1 ..._... UTILITY ROOM(S): Pantry off kitchen PORCH TYPE: Front Covered DECK TYPE: PATIO TYPE: BREEZEWAY: FIREPLACE: GARAGE: DOMESTIC HOTWATER: Yes TYPE HEATER: -Natl Grid Gas AIR CONDITIONING: TYPE HEAT: Natl Grid Gas WARM AIR: �m HOT T WATER: X __w._�_.......v_..ww.w.._ #BEDROOMS: _ 5 #KITCHENS: t mmBASEMENT TYPE: _ Unfinished OTHER: ACCESSORY STRUCTURES: GARAGE,TYPE OF CONST: 1 Car Wood Frame** STORAGE,TYPE OF CONST: Accy.Barn SWIMMING POOL: GUEST,TYPE OF CONST: OTHER: ..�_.__...� .,_._.._ ..�._.. ....�_ _..._._................ .�.�....___�.... _w...._.. VIOLATIONS: **Roof on garage is in need of repair, REMARKS: INSPECTED BY: GARYF DATE OF INSPECTION: 1/12/2016 TIME START: _ END: .� .. ._,..,. _ . _.._ ........ . _ _...a Town of Southold 2/25/2021 1 P.O.Bog 1179 ,r 53095 Main Rd Southold,New York 11971 Y N5f CERT! CATS OF OCCUPANCY No: 41830 Date: 2/25/2021 THIS CERTIFIES that the building ADDITION/ALTERATION Location of Property: 870 Love Ln, Mattituck SCTM#: 473889 Sec/Block/Lot: 140.-2-17 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 1/25/2019 pursuant to which Building Permit No. 43636 dated 4/11/2019 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: a t�Wgjjq j .l eM wbgg converted t Hirst .�� e nd e wnd floor �t 4p �til��ellt �,.apl�l ar tc�l pew ZBA#7096SE and#7097 dated 10/29/2017. The certificate is issued to Julianna LLC of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL C10-17-0014 1/19/2021 ELECTRICAL CERTIFICATE NO. 43636 11/24/2020 PLUMBERS CERTIFICATION DATED 12/4/2020 B t:Qua Fire lir e�A1011 _._............w utl, i ignature OFFICE LOCATION: MAILING ADDRESS: Town Hall Annex P.O.Box 1179 54375 State Route 25 � � � ��, Southold, NY 11971 (cor.Main Rd. &Youngs Ave.) Southold, NY Telephone: 631 765-1938 www.southoldtownny.gov pew. PLANNING BOARD OFFICE TOWN OF SOUTHOLD February 9, 2021 s Mr. Steven Racanelli 175 Oxford Boulevard Garden City, NY11530 Re: Approved Site Plan for 870 Love Lane Professional Office and Apartment 870 Love Lane, s/e corner of CR 48 & Love Lane, Mattituck SCTM#1000-140.-2-17 Dear Mr. Racanelli: The Planning Board has found that the requirements of the above-referenced Site Plan have been completed based on the site inspection made February 5, 2021 and the subsequent work session discussion on February 8, 2021. The site is now in conformance with the Approved Site Plan entitled "Proposed Office & Apartment at the Racanelli Building" prepared by Donald G. Feiler R.A. dated August 30, 2017 and last revised January 19, 2019; and supports the issuance of a Certificate of Occupancy. This letter does not condone any other changes from the approved Site Plan and approvals from other agencies; Planning Board approval is required prior to any � L the site. significant chars g o �,specl ,L) Donald J. Wilcenski Chairman cc: Michael Vei ily, Chief Building Inspector Michael Collins, Town Engineer TOWN OF SOUTHOLD Rental Permit � y Permit No. 0396 Owner Julianna LLC Occupied as Single Family Dwelling Located at 870 Love Lane Mattituck 140-2-17 Address Village s/B/L Maximum Permitted Occupancy 2 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. 3/9/2021 Date of Issue Code Enforcement Officer This Notice must be posted by the main entrance at all times *of SOUTyoI ( 0� Town Hall Annex Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1179 G Q Southold,NY 11971-0959 6 f BUILDING DEPARTMENT MAR - 5 2021 TOWN OF SOUTHOLD RENTAL PERMIT APPLICATION , ' Rental Permit Fee$200(Application must be renewed every two years) Section A. Property Information: Rental r eraty Address: \,—A 6--� Tax Map Number: 1000 SECTION -BLOCK _ y SECTION B. B. OWNER INFORMATION: cc._(... Property Owner Name. - Property Owner Legal Address: Property Owner Mailing Address: &\J f5ATelephone Number(s): Daytime` � 31�'� �EveninA � _ Emergency Property Owner Email Address: S3ZA 1L- Q. \)A:S CZ>M Page 1 of 5 p�— 0 pf Out,. Town Hall Annex l Telephone(631)765-1802 54375 Main Road 02- Fax(631)765-9502 P.O.Box 1179 Y@ Southold,NY 11971-0959 ` BUILDING DEPARTMENT TOWN OF SOUTHOLD RENTAL PERMIT APPLICATION INSTRUCTIONS Rental Permit Fee $200 (Application must be renewed every two years) The items listed below are required to be submitted with the completed application. ❑ Floor Plans: Floor plans of each Rental Dwelling Unit, please show location of all smoke &carbon monoxide detectors. ❑ Certificates of occupancy and Pre-Certificates of Occupancy: Certificates of occupancy or Pre-Certificates of Occupancy for each rental dwelling unit. ❑ Certification of Code Compliance(form enclosed): Must be submitted by a license architect or engineer or license home inspector if an inspection by Town of Southold Inspector is declined. ❑ Rental Permit Fee: $200.00 of so�r�Q, . Town Hall Annex Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1179 ; Southold,NY 11971-0959 Q l�OUNT� BUILDING DEPARTMENT TOWN OF SOUTHOLD Section C. Authorized Agent Information: Name of Authorized Agent of dwelling unit if any: --- --- -- -- - - -------- - Address of Authorized Agent (no P.O. Boxes):'. �<+o��yi' I Mailing Address of Authorized Agent: Telephone Number(s): DaytimeU 6 vening Emergency EmailAddress:_ Section D. Managing Agent Information: r Name of Authorized Agent of dwelling unit, if any: .b r Address of Authorized Agent(no P.O. Boxes): - - 0 Mailing Address of Authorized Agent:,- Telephone Number(s): Daytime _Evening Emergency; Email Address:, A&)A iA Cjr Ax i I � ' Al 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 f SO�ry®� 0 Town Hall Annex l�i Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1179 • G • 4 Southold,NY 1 1 971-0959 `'® UNN, BUILDING DEPARTMENT TOWN OF SOUTHOLD Mailing Address of Managing Agent: _- Telephone Number(s): Daytime Even in 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, Q 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: p � Requested Maximum number of persons allowed to occupy Dwelling Unit: Number of rooms in Rental Dwelling Unit: Cv�r�, J �r`'�'� 1 �'`�"� vla�►��5�1 #� Use and Dimensions of each room in Rental Dwelling Unit: AJ ,Ni t--i V)N' Page 3 of 5 ��pF:S01/Ty® Town Hall Annex J 9�t Telephone(631)765-1802 54375 Main Road ; cp-.' Fax(631)765-9502 P.O.Box 1179 Southold,NY 11971-0959 Q 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. ❑ 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. c--- �Y V-t('��Zr� 1 W3 C3,11A F A SECTION H. -e-lof LKAV\ q4� DECLARATION: Signature must be notarized and MUST b6,dk owner of the dwelling unit. STATE OF NEW YORK) ) COUNTY OF SUFFOLK) I S I ).r.Q d 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 crj%f so Town Hall Annex Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1179 Southold,NY 11971-0959 l�Qy s� 1 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. f Property Owners Name Property Owner's Signature: d Sworn to efore me this ay farch ;20� Official otary Pu lic Signature and Original Notary Stamp E RREN RUBINSTEIN-State of New York1RU6261722in Suffolk Co myn Expires I ZOZ� Page 5 of 5 * * TOWN OF SOUTHOLD BUILDING DEPT.- 765-1802 EPT:765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION/CAULKING " [ ] FRAMING /STRAPPING [ ] INAL p ;� I [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL(ROUGH) [ ] ELECTRICAL (FINAL) [ ] CODE VIOLATION [ ] PRE C/O REMARKS: 0 DATE INSPECTOR 'o— ..e -_..-...�.w•ti.�w.....-.•-,r,,,.�....+.�.. - �'1y� 4 •+i='R }st -i- r � � wiJ.... •�:l . . ^ � -�� N-- - (fJ '• •'�"i� �:��,;�'_`�'-''- -'�•'= _�tom' - _'. �, _ .. , _ .!- ill � � �" 4t. _r• r{"� _� '�� '77 _. � reatY APP �- DATE:090 I i 1 w IE C NOTlF t 766-1802 _ FOLLOWINC i. FOUNDA` I FOR POi f 2. ROUGH i 1 3. INSULAT .K :� - "fes< '• A. FIN- l", l BE COM . - .r awl •��Nt�� e Rt.. t Y-�3 T Y r. TOWN OF SOUTHOLD OWNER: - STREET ��,77� ) VILLAGE DIST SUB. LOTS �f ad �al-Lax, {FORMER O NEJz N jf «� E� fACR' . �y Y J�.�f�I"' � ^�'�` L F^,*. ��r-t l.,a � " �� l�C:P�i f�Y'."' .� t'^i 11 � 4%S.1 ,'�'a��i? �1``t _...✓ �°i�� }. # S W f - TYPE OF BUILDING ` t SEAS. VL. FARM COMM. CB. MICS. Mkt. Value LAND IMP. TOTAL DATE REMARKS K 7 00 OBJ AGE BUILDING CONDITION NEW NORMAL BELOW ABOVE FARM Acre Value Per Velue Acre Tillable FRONTAGE ON WATER Woodland _ FRONTAGE ON ROAD f �a �J fes; Meadowland _—_ _-_ DEPTH f House Plot BULKHEAD_ _ Total DOCK , TOWN OF SOUTHOLD PROPERTY RECORD CARD OWNER STREET VILLAGE DIST. SUB. LOT 64-4C L-1 `�-F=Ek OWNER R E ye ACR. TYPE OF BUILDING douoj RES. _31 2 I SEAS. VL. FARM CO CB.CB. MICS. Mkt. Value LAND IMP. TOTAL DATE REMARKS 7 AGE BUILDING CONDITION NEW NORMAL BELOW ABOVE FARM Acre Value Per Value Ac re Tillable FRONTAGE ON WATER Woodland I FRONTAGE ON ROAD Meadowland DEPTH House Plot BULKHEAD Total y DOCK E T,O OF SOUTHOLD PROPERTY RECORD CARD el L-) et OWNER STREET VILLAGE DISM SUB. LOT FORMER OWNER E ACR. L S TYPE OF BUILDING RES. -3111 SEAS. / FARM COMM. CB. MICS. Mkt. Value 1 LAND IMP. TOTAL DATE REMARKS , AGE BUILDING CONDITION - ' .--- ,—a----` ,�--�"---•` • __._.�________ NEW NORMAL BELOW ABOVE r - FARM Acre Value Per Vclue Acre Tillable FRONTAGE ON WATER -Woodland ^_ FRONTAGE ON* ROAD .�, n. Meadowland DEPTH House Plot BULKHEAD Total DOCK /C)oo - tf-I C)m ► COLOR TRIM <5� , s 1�,r;. �� n�=��a�-'Tta,�v�"�a t4y..i� •-,Me`..n�€.�, �e�j�si � �`\S��' I � 140.-2-17 3/25/2021 Extensi_an ' Extension cmc � I ExteSzo -9 Bath Foundation ( - - L —P-arch' _ _ ��—t �.Basementri- , Floors I K. I j --Pereh' �; ,. Ext. Wall�� , Interior Finish Bi Fire Place I ± Q� (� `T"(�(� �r Heat Gor g�_ _ <_�, J� T�13e-Reaf �o-- _ Rooms 1,st Floor T — I BR. —Patio -Recreation Room Rooms 2nd''Floor 0. B— ��` 3 =y C� Q �I j`t'Q Dormer Driveway � '.. Total .. .._...,..........."..... - e_-.. �_..--.._-__• •-« __' __ ... .......-........-.._<.w.,_..,.....,........rower......a.,,..�-.-"�.-�.--..--. .... —.-w.r ..—..n"..�V:f1°i.».P'��..ow_,....t.-�... ....w �....a. ....... .......:."��».n � +.—..."ew,«--_ .s.«...-..Y.,"�..0.,.-� .....xa..a.t.,, `..s"it��'..�.. ..n..._:.. ........_...s�A...,.^-.. .e� I i COLOR TRIM' i I I ' I I I M. Bldg. Extension I ! -- — —�— -- I Extension Extension �' E t Foundation Bath i Dinette: _ Porch ; Basement I Floors Porch i Ext. Walls (Interior Finish LR. Breezeway Fire Place Heat DR. j Garage ! , i ` d !Type Roof Rooms 1st Floor i BR. Patio i i ! Recreation Room Rooms 2nd Floor I FIN. B O. B. ! Dormer Driveway Total i �s SUFF04 Town of Southold 3/15/2016 53095 Main Rd x Southold,New York 11971 PRE EXISTING CERTIFICATE OF OCCUPANCY No: 38153 Date: 3/15/2016 THIS CERTIFIES that the structure(s)located at: 870 Love Ln,Mattituck SCTM#: 473889 Sec/Block/Lot: 140.-2-17 Subdivision: Filed Map No. Lot No. conforms substantially to the requirements for a built prior to APRIL 9, 1957 pursuant to which CERTIFICATE OF OCCUPANCY NUMBER Z- 38153 dated 3/15/2016 was issued and conforms to all the requriements of the applicable provisions of the law. The occupancy for which this certificate is issued is: wood frame one family dwelling with front covered porch rear entry and accessory 1 car wood frame garage(roof is in need of repair), and accessory barn.* The certificate is issued to Young, Christopher (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED *PLEASE SEE ATTACHED INSPECTION REPORT. a Auto ' ed S' ature BUILDING DEPARTMENT TOWN OF SOUTHOLD HOUSING CODE INSPECTION REPORT LOCATION: 870 Love Ln,Mattituck SUFF.CO.TAX MAP NO.: 140.-2-17 SUBDIVISION: NAME OF OWNER(S): Young,Christopher OCCUPANCY: ADMITTED BY: SOURCE OF REQUEST: Young,Christopher DATE: 3/15/2016 DWELLING: #STORIES: 2 #EXITS: 3 FOUNDATION: Cement Block CELLAR: Full CRAWL SPACE: BATHROOM(S): 1 TOILET ROOM(S): 1 UTILITY ROOM(S): Pantry off kitchen PORCH TYPE: Front Covered DECK TYPE: PATIO TYPE: BREEZEWAY: FIREPLACE: GARAGE: DOMESTIC HOTWATER: Yes TYPE HEATER: Natl Grid Gas AIR CONDITIONING: TYPE HEAT: Natl Grid Gas WARM AIR: HOT WATER: X #BEDROOMS: 5 #KITCHENS: 1 BASEMENT TYPE: Unfinished OTHER: ACCESSORY STRUCTURES: GARAGE,TYPE OF CONST: 1 Car Wood Frame** STORAGE,TYPE OF CONST: Accy.Barn SWIMMING POOL: GUEST,TYPE OF CONST: OTHER: VIOLATIONS: **Roof on garage is in need of repair. REMARKS: INSPECTED BY: GARYF Ap DATE OF INSPECTION: 1/12/2016 /t, 1-�� TIME START: END: Town of,Southold: ' 2/25/2021 P:O,Box 1179 . Main Rd Southold;New York T1971' CERTIFICATE OF OCCUPANCY '1070:' = 41830 Date: 2/25/2021 'THIS',CERTIFIES that the'bWIding'� ADDTI ION%ALTERATION ' Lo,ca_tion of Property: 870'-LoveLn;Mattituck" ' M 473889 • Set/Bloc",",of:." ` 140:=2=17 S"I[ivision:` F eii lOZap No. I�ot No= onforms substantially to the Application for Building Permit heretofore filed in`this office dated' " '1/25120.19 pursuant to which Building Petihit No.. 43636 'd'ated ,4/1.1/201,9, wa's'issued,and conforms to all of the requirements-of the applicable provisions of the law. The-occupancy,for -,*,Ngh.this,certificate,is'issued is: existin sin Ie fgp&dwelling converted'to•first•floor office and second floor accessor�ap_artment as applied for per i #7096SEaud• 7097._dated'l0/29`/2017. ;The�certificate is issued'to .Juliana LtQOff - 'of"the aforesaid building. i �,'k FOLK COUNTY,DEPARTMENT OF'HEALTH APPROVAL; C10-1776014 ' 019%2021 i�ECTRICAL CERTIFICATE NO',' 43636 :11/24/2020 } =I'LUMBkRS'CERTIFICATION'DA`f*0 , -12/4'%2020 B t,, F re'Pr, ectitin t I uth; a Ygriature.- _ OFFICE LOCATION: MAILING ADDRESS: Town Hall Annex P.O.Box 1179 54375 State Route 25 ®�� /y®. Southold, NY 11971 (cor.Main Rd. &Youngs Ave.) Southold,NY Telephone: 631765-1938 jW www.southoldt ownny.gov l�MUM�� PLANNING BOARD OFFICE TOWN OF SOUTHOLD February 9, 2021 Mr. Steven Racanelli 175 Oxford Boulevard Garden City, NY11530 Re: Approved Site Plan for 870 Love Lane Professional Office and Apartment 870 Love Lane, s/e corner of CR 48 & Love Lane, Mattituck SCTM#1000-140.-2-17 Dear Mr. Racanelli: The Planning Board has found that the requirements of the above-referenced Site Plan have been completed based on the site inspection made February 5, 2021 and the subsequent work session discussion on February 8, 2021. The site is now in conformance with the Approved Site Plan entitled "Proposed Office & Apartment at the Racanelli Building" prepared by Donald G. Feiler R.A. dated August 30, 2017 and last revised January 19, 2019; and supports the issuance of a Certificate of Occupancy. This letter does not condone any other changes from the approved Site Plan and approvals from other agencies; Planning Board approval is required prior to any significant Chang sito the site. `spec ul6 � / _`�/ ac Donald J. Wilcenski Chairman cc: Michael Verity, Chief Building Inspector Michael Collins, Town Engineer