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Home My WebLink About1000-113.-9-7 h< TOWN OF SOUTHOLD Rental Permit 0419 Owner Tallywood SP Inc. Occupied as Single Family Dwelling Located at 1605 Meday Avenue Mattituck 113.-9-7 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 insL ection 4/28/2023 n t Official This Notice must be posted by the main entrance at all time- If Stift . _ 631-76S-1 802 INSPECTI I ow FOUNDATION INSULATION/CAULKINGFOUNDATION 2ND FRAMING t STRAPPING FINAL . . FIREPLACE & CHIMNEY ,�FIRE SAFETY INSPECTION FIRE i i RESISTANT PENETRATION ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) CODE VIOLATION [ EI K— RENTAL REMARK TOR DATE t a INSPEC TOWN OF SOUTHOLD Q-- " Rental Permit Permit No. 0419 Owner Tallywood SP Inc. Occupied as Single Family Dwelling Located at 1605 Meday Avenue Mattituck 113-9-7 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. 4/23/2021 John Jarski Code Enforcement Official This Notice must be posted by the main entrance at all times Town Hall Annex Tel phone(631)765-1802 54375 Main Road in Fax(631)765-9502 P.O.Box 1179 Southold,NY 11971-0959 t'ouw: MAR BUILDING DEPARTMENT 8 2021 TOWN OF SOUTHOLD RENTAL PERMIT APPLICATION Rental Permit Fee$200(Application must be renewed every two years) D C Section A. 2020 L Property Information: SEP Rental Property Address. B 11605 Meda y Ave Maffituck, NY 11952 % Tax Map Number: 1000 SECTION 1473889 I-BLOCK 113-9-7 -LOT SECTION B. OWNER INFORMATION: Property Owner Name: Tall wood SP Inc. Property Owner Legal Address: Property Owner Mailing Address: 11605 Meda y Ave 1183 Beach 131 st Street IMaftituck, NY 11952 jBelle Harbor, NY 11694 Telephone Number(s): Daytime 1631 831 0870 Evening Emergency Property Owner Email Address: Itallywoodsp@gmail.com �'�� c11 a�5� iI. �� Page 105 - ,�o !o Town Hall Annex Telephone(631)765-1802 54375 Main Road : Fax(631)765-9502 P.O.Box 11790 Southold,NY 11971-0959 BUILDING DEPARTMENT TOWN OF SOUTHOLD Section C. Authorized Agent Information: OU-) N t�L Name of Authorized Agent of dwelling unit, if any: 1 Ag-00,4/ Address of Authorized Agent(no P.O. Boxes): =z6o maw //o Mailing Address of Authorized Agent: �L Telephone Number(s): Daytime -7-3; -?-6Q= 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: Address of Managing Agent (no P.O. Boxes): Page 2 of 5 a 80 Town Hall Annex Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1 179 Southold,NY 11971-0959 Q Cnit ou BUILDING DEPARTMENT TOWN OF SOUTHOLD Mailing Address of Managing Agent: Telephone Number(s): Daytime Evening Emergency l I Email Address: SECTION F. PROPERTY DESCRIPTION: Number of Rental Dwelling Units on property: 1 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: 1 Requested Maximum number of persons allowed to occupy Dwelling Unit: 6 Number of rooms in Rental Dwelling Unit: 6 Use and Dimensions of each room in Rental Dwelling Unit: kitchen=20.6°x1211 ',bedroom#1=12'6^x146^ bedroom#2=13'6"x 14'6", bedroom#3=11'2"x 10', living room=18'2"x25`6",sunroom 17'8"x 121511 Page 3 of 5 r so Town Hall Annex l 1�[ Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1179 G O Southold,NY 11971-0959' OJ` cou 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. SECTION H. DECLARATION: Signature must be notarized and MUST be the owner of the dwelling unit. STATE OF NEW YORK) COUNTY OF SUFFOLK) , / L L� .fd�tify 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:. Property Owner's Signature: J Li Sworn to before me this day of gh, 20o2p Official Notary Public Signature and Original Notary Stamp commonwealth of Pe7ab tary Seal Carol Pawlowslic MontgomMy commission ex2023 Commission n4 Member,Pennsylvania Association of Notaries Page 5 of 5 ®�Sil Sept. 14, 2020 Town Hall Annex Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1179 CA Southold,NY 11971-0959 - COU ,{ Y BUILDING DEPARTMENT TOWN OF SOUTHOLID 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 seal required for Architect or Engineer, licensed Home Inspector must provide copy of valid current certification �j Rental Property SCTM Number: I ( 3 — 6 7 Rental Property.Address: 1605 Meday Ave., Mattituck NY Owner/Name: Kevin Galligan Rental Dwelling Unit Identifier: Number&Square footage.ofeach bedroom as depicted in the attached floor plan: (i.e. Bedroom#1 =100 sq.,.Bedroom#2-90 sq., etc.) Bedroom #1 240 sgft Bedroom #2 130 sqft Bedroom #3 115 sgft Property Description (Include all improvements indicated on survey single family 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 igi al Signa ure Please place professicnal seal: r ALM ep�y RD l OWNER 7� vl �"� STREET VILLAGE DISTRICT SUB.LOT � " I , L¢ FORMER OWNE N YE ACREAGE ' 4z ES. SE `\/L. FARMCONI�vI CND i, I . CB. I MISC. n 1 LAND lM TOTAL DATE RKS / -- ti r4l'- ---. dxOR Forrn Acre ValuePer Acre �%atue k - ry .. Ti`tlable 3 � hA ,y zN Til able. r Y� I t S I Woodland � s- '' w p , BruWand '" ' ` � � Of House'Roof a t Toti I 1_ " vs-l� Z .r...r E� �^rx^ ,�. 4 yr'� Yrt.-S'� -"�,}i,•'.:w-" K�1 a�i;,i s '�?8�.. r^`':i!vy bx,C'+++aa ..,a"'��`z ' �,, �Pf�. s> '� , . n , ti.y..,. 2a - �- � - .. .. I _ I. LOAMIM . - 6T 0- _ O _ / I - ` t6 } 113.-9-7 2/2014 t — _. T 4<. . 1a M.fijdg. /Q K 3$- 72-2- Foundation Both , . I Extens' n /,4 23 = 34-? IF" 3� � � e s� Basement �QY-'�'� � Floors ��a/. Exte n )t35 Ext. Walls i Interior Finish �? Extension 4,K 7 Fire Place J i Heart 6o Porch Attic e Porch _ Rooms 1st Floor 5 Breezeways Patio Rooms 2nd Floor i Garage i Driveway j: O. B. t V ar '1. BEI uooM J t 40 I , bw.d J 1+ l.rvtat6' Poaa�) Z1,- 1 .` 'dALL -` Lat1Y0(ty N Roop V' . � AMA APPROVED AS NOTED m .rAT! �ls�s r 'ELp . s? a'6 NCmFV WRDwr- L*';ARTVPAT AT i G�e,St 1 �J Sgin 7!61!02 S A(u ry, a PM KIN int ~~ AVN FOU.OWgiG INRVPCTItt&St t nArnlw wn NFOU"" Room MP 0M)RO' _M W,.Vitnt(i «!•CUMP.I.,ti� ^ ID FII �r �. I 1W'•n.,, •tcfi M.V ( ® •RTI n a...,n •(�.,.s .,4;pgy, or ^ , R •.�iN'.M::s:)1,'!ttiORS• KLn+tEN VALLIGANSraw— ati�e+e,+4 ' aaY,ua ra. I OCCUPANCY OR • __ I i USE IS I INI AWR It I 71 t G4z 6 6 064o ic,b,,5 )�Ne-l'Ez-ror-5 '♦ --•�-•-•� La...:a_T_ _ _�.7 ..t\t l�w .�r..r.•`., �r •-' f t ..r 'C YL. Oh i„•��.', -r.:6 W..�C• ,..v P „�_;L••.• ' •,},-,ar,,... ' '•,'% ,^� draw �t!1• c.il ,�a•Cl�►a � � ' 4 z E O i5 `neIR ll, int s t allo a arta 1 G�1 rN WA L 3 �c a �•�s•rs 1R S CAN i' a 24L UPP a'$ Y of °�LEAD i "i�wtic�ERY'� t +i... CATNF 1 r 1 1 TAMT 71 �1 A- c P 1 LI Nti. �(Y` C5E p !.'riE I tl} i 1 1• A•2uA � s�R RTfFICA�FOR4'L? •� C le-'r 7,�' v4,& /Lrlr PUP48" N=ENr B NCy ; ;llrr .gip N:w ALP. AICJ_M •�-;k - '-�� of oCCUPA .!t 4 11 1 �.,.. c3.i�' / 'e v + /--�' rl L s, r, I"'Y ll'f i•t• :ui1':4s AT ' e. „�� r;•:': f 1 Z,:i THSMteti�;p tta9� �•i'4Y ��llf.'W J1'1.11 ••�"•��1f '', v / ��' 1 .1 f • (, r•),.S $�� , �L!•I+f a ;ti'y�Lrt -v ..no C ��i~C�w'' , � {I �'�Q8jJi 9 n1 `� � ,A."Wet r'',:ir�,ti,•, r �1`:?t�lCi "' ,a rm 1 I Y I •lG ,•.� IQ•r"r rr•A•�f' '�, 1 � G,��/�,� 4 + 1 V fir• '! ,•'J SUFF04 Town of Southold 4/17/2021 53095 Main Rd y a Southold,New York 11971 o � PRE EXISTING CERTIFICATE OF OCCUPANCY No: 41966 Date: 4/17/2021 THIS CERTIFIES that the structure(s)located at: 1605 Meday Ave,Mattituck SCTM#: 473889 Sec/Block/Lot: 113.-9-7 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- 41966 dated 4/17/2021 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 sunroom and concrete patio.* Notes:BP 15848 additions(inc.deck)and alterations COZ-16575:BP 45989"as built"mini-split systems COZ-41965. The certificate is issued to Tallywood SP Inc (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED *PLEASE SEE ATTACHED INSPECTION REPORT. r A )zVgn;ture BUILDING DEPARTMENT TOWN OF SOUTHOLD HOUSING CODE INSPECTION REPORT LOCATION: 1605 Meday Ave,Mattituck SUFF.CO.TAX MAP NO.: 113.-9-7 SUBDMSION: NAME OF OWNER(S): Tallywood SP Inc OCCUPANCY: ADMITTED BY: SOURCE OF REQUEST: Tallywood SP Inc DATE: 4/17/2021 DWELLING: #STORIES: 1 #EXITS: 2 FOUNDATION: cement block CELLAR: partial CRAWL SPACE: BATHROOM(S): 1 TOILET ROOM(S): UTILITY ROOM(S): PORCH TYPE: DECK TYPE: PATIO TYPE: concrete BREEZEWAY: FIREPLACE: 1 GARAGE: DOMESTIC HOTWATER: yes TYPE HEATER: oil AIR CONDITIONING: TYPE HEAT: oil WARM AIR: HOT WATER: baseboard #BEDROOMS: 1 #KITCHENS: 1 BASEMENT TYPE: OTHER: ACCESSORY STRUCTURES: GARAGE,TYPE OF CONST: STORAGE,TYPE OF CONST: SWIMMING POOL: GUEST,TYPE OF CONST: OTHER: VIOLATIONS: REMARKS: INSPECTED BY: JOHNJ DATE OF INSPECTION: 2/11/2021 TIME START: 10:06am END: 10:32am `pgOEF�t,f�oG. Town of Southold 4/17/2021 �o 0 P.O.Box 1179 o • 53095 Main Rd 'yfj�l �Aao� Southold,New York 11971' CERTIFICATE OF OCCUPANCY No: 41965 Date: 4/17/2021 THIS CERTIFIES that the building HVAC Location of Property: 1605 Meday Ave.,Mattituck SCTM#: 473889 Sec/Block/Lot: 113.-9-7 Subdivision: Filed Map No. Lot No. ' conforms substantially to the Application for Building Permit heretofore filed in this office dated 3/8/2021 pursuant to which Building Permit No. 45989 dated 3/26/2021 was issued,and conforms to all of the requirements of the applicable provisions of the Iaw. The occupancy for which this certificate is issued is: "as built"mini split units as applied for. The certificate is issued to Tallywood SP Inc of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 45989 3/30/2021 PLUM 3ERS CERTIFICATION DATED i�\ n Aut o ' e Signature FORM NO.4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold,N.Y. Certificate Of Occupancy No. 216575. . . . . . . . . . Date . . . January. ]2, 1988 . . . . . . . . . THIS CERTIFIES that the building . . , . ,Ad.d i t i o.n LocationofProperty1605 MEDAY AV-E-- MATTITUCK House No. Street Hamlet County Tax Map No. 1000 Section . . 1.13. . . . . . .Block . . .0 9. . . . . . . . . .Lot . . �. . . . . . . . . . . . . Subdivision . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Filed Map No. . . . . . . . .Lot No. . . . . . . . . . . . . . conforms substantially to the Application for Building Permit heretofore filed in this office dated March 3 1 , 1987 . pursuant to which Building Permit No. . .1.5.848Z. , . , . . . _ dated . . . . .A p r i 1 3 , 19 8 7 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 . . . . . . . . . Addition to an existing one family dwelling, as applied for . The certificate is issued to . . . MR; & MRS . THOMAS GALLIGAN (owner,)Ws1��Y�€YWV . . . . of the aforesaid building. Suffolk County Department of Health Approval . . . . . . . . . , N/A UNDERWRITERS CERTIFICATE NO. . . . . . . . . ... . . . . . . . N8453.89 . . . PLUMBERS CERTIFICATION DATED: John E . Walters Plumbing & Heating Dec . 1 , 1987 A�'rev I B ng Inspector Rev.1/81 pF SO(/r��l . Town Hall Annex ~ Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1179 Southold,NY 11971-0959 �UUN'f`I,� BUILDING DEPARTMENT TOWN OF SOUTHOLD October 30, 2020 Kevin Galligan 183 Beach 131St Street Belle Harbor, New York 11694 Dear Mr. Galligan: Your rental permit application is incomplete. There is no Pre-Existing Certificate of Occupancy on file for the original dwelling so I have enclosed the application for that. All of the instructions are on the form. For the rental we need floor plans with each room labeled and approximate dimensions with the smoke detectors and carbon monoxide detectors located on the floor plans. Respectfully, Southold Town Building ,Dept. Connie Bunch