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HomeMy WebLinkAbout1000-94.-3-1.10 v @ IAIN OF SOUTHOLD Rental Permit E 0420 Owner Samuel & Rebecca Lissner Occupied as Single Family Dwelling Located at 3925 Soundview Ave Mattituck 94.-3-1.10 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 Edor a ent Wicial This Notice must be posted by the main entrance at all times s c TOWN OF SOUTHOLD BUILDING DEPT. [ ] 631-765-1 802 INSPECTION FOUNDATION 1STROUGH PLYG. [ ] FOUNDATION 2ND INSULATIOWCAULKING [ ] FRAMING /STRAPPING FINAL [ ] FIREPLACE CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) ELECTRICAL (FINAL) [ ] CODE VIOLATION PRE C/O [ prRENTAL BGG L' /-75— 4, DATE ©s�FF04 TOWN OF SOUTHOLD Rental Permit Permit No. 0420 Owner Samuel & Rebecca Lissner Occupied as Single Family Dwelling Located at 3925 Soundview Ave Mattituck 94-3-1.10 r 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 od of m nt O icial This Notice must be posted by the main entrance at all times f E Town Hall Annex #��Rf Telephone(631)765-1802 54375 Main Road 'Y Fax(631)765-9502'CO . P.O.Box 1179. Southold,NY 11971-0959 M t 4 2021 ; BUILDING DEPARTMENT TOWN OF SOUTHOLD y RENTAL PERMIT APPLICATION. = A x" Rental Permit Fee$200(Application must be renewed every two years) Section A. Property Information: {i i� Rental"Property Address: ?' 3925 SOUND VIEW AVE,MATTITUCK NY 11952. Tax Map Number: 1000 SECTION 94 -BLOCK 03 -LOT 1 _ 10 �E SECTION B. OWNER INFORMATION: Property Owner Name: SAMUEL+REBECCA LISSNER Property Owner Legal Address: Property Owner Mailing Address: r•f SAMUEL+REBECCA LISSNER SAMUEL+REBECCA LISSNER 3100 NEWARK ST.NW 3100 NEWARK ST.NW WASHINGTON,DC 20008 WASHINGTON,DC 20008 Telephone Number(s): Daytime 201.306.6939 Evening 201.306.6939 EmergenCy201.306.6939 , Property Owner Email Address: SAM.LISSNER@GMAIL.COM 1 l .�I ,1 Page 1:of 5 SO Town Hall Annex Telephone(631)765-1802 54375 Main Road -�Far(6-31•)765-9502 P.O.Box 1179. ! i ' Southold,NY 11971-0959 - MAR - 4 2021 BUILDING DEPARTMENT TOWN OF SOUTHOLD J, Mailing Address of Managing Agent: Telephone Number(s): Daytime Evening Emergency .i Email.Address: SECTION F. PROPERTY DESCRIPTION: Number of Rental Dwelling Units on property: UNIT 1 SINGLE FAMILY HOUSE 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." 't UNIT 1 SINGLE FAMILY HOUSE Rental Dwelling Unit Identifier: Requested Maximum number of persons allowed to occupy Dwelling Unit: 8 Number of rooms in.Rental.Dwelling Unit:. t Use and Dimensions of each room in Rental Dwelling Unit: FOYER 7'8"x12'-0 LIVING RM 15'4"x24'10" DINING RM 13'5"x12'0"-FAMILY ROOM 14'4"x17'0"-KITCHEN 11'0"x12'6"-BREAKFAST ROOM 12T'x10'5" MUD RM 6'3"x9'6"-SITTING RM 10'2"x9T'-MASTER BEDRM 15'4"x17'8"-BEDROOM 1 13'5"x12'6" BEDROOM 213'6"x10'10" i i Page 3 of 5 �ft'E r'. S, ;r Town Hall Annex 1'�O h��t Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1 179 Southold,NY 11971-0959 ' 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. SECTION H. DECLARATION: Signature must be notarized and MUST be the owner of the dwelling unit. STATE OF M=-�) COUNTY OF�) Sa'�/" L�SSn e�certify under penalty of perjury,the following: r 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 �a r;9 ��.D�SO(/T�QI �\ o Town Hall Annex !�[ Telephone(631)765-1802 54375 Main Road N , . Fax(631)765-9502 P.O.Box 1179 Southold,NY 11971-0959POVIM 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. I 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:. s� �'" e�k J ° L�SJ'n z-r— Property Owner's Signature: Sworn to before m this22�day of l_ r�t J 2021 Official Notary Pu is Signature and Original Notary Stamp Robert Kotchenreuther it Notary Pudic, District of Columbia _ ;•° '���`� �� �':{` My Commission Expires,130-� `�• ,- tai+i153IC%tl m Page 5 of 5 _ J 5 1 Town Hall Annex { 8t 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 F Separate form is required for each individual Rental Dwelling Unit i Professional seal required for Architect or Engineer, licensed Home.inspector must provide copy of valid current certification a Rental Property SCTM Number: 1000-94-03-1.10 Rental Property Address: 3925 SOUND VIEW AVE,MATTITUCK NY 11952 IJ Owner/Name: SAMUEL+REBECCA LISSNER j Rental Dwelling Unit Identifier: UNIT 1-SINGLE FAMILY HOUSE Number&Square footage of each bedroom as depicted in the attached floor plan: (i.e. Bedroom#1-100 sq., Bedroom#2-90 sq., etc.) t; °i MASTER BED-272 SF BEDROOM 1- 160 SF fi BEDROOM 2- 154 SF ik - 7 f Property Description (Include all improvements indicated on survey) !i .wt 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. A014 CIE tone 2 ®AR Print Name and Atle O\�'tELpp� I Signature k, 4 Please place professional seal: �X 04329 y® TFOF N�� , # # TOWN70F SO-UTHOLD BUILDING DEPT. � � � . °`y�aurm,N�'' 765-1802 Io G`c(,-- 3 — -INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATIOWCAULKING [ ] FRAMING /STRAPPING [ ] FINAL�644 Qtwv, t, [ ] 'FIREPLACE & CHIMNEY [V FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) [ ] CODE VIOLATION [ ] PRE C/O REMARKS: Or S i K Q ►'� Cw IM DATE wINSPECTOR 1%tAlWPiilJ' _ REPAIR WINDOW WELLS AS REQ'D DIG NEW DEPTH+INSTALL 12"MIN GRAVEL 10 0 E�l 0 MONOXIDE DETECTOR Y. ME CARBON UNEXCAVATED AREA ' OPEN UNFINISHED BASEMENT 'R 1310 Sq.Ft. 0 SMOKE DETECTOR 0 ,xl A LO Isc- 043 OF AIMEE LOPEZ ARCHITECT,R,A, 822 LINCOLN PLACE,�2 UNIT I- BASEMENT RENTAL PLAN BROOKLYN,NY 11216 1917.549.4282 3925 SOUND VIEW AVE READE STREET STUDIO,LLC MATTITUCK NY SCALE: 3/16' =1'-O" 177 NORTH 10TH STREET,SUITE F BROOKLYN,NY 11211 1917,909.0365 CLST CLST BEDROOM 1 SITTING ROOM 160 Sq.Ft, 94 Sq.Ft.19 a COMBINED CARBON MONOXIDE cM cMCOMBINED CARBON MONOXIDE +SMOKE DETECTOR SD SD +SMOKE DETECTOR zo MASTER BEDROOM ELEV HALL 272 Sq.Ft. ❑ ❑ ❑ 15'-4° CARBON CLST CLST MONOXIDE . CLST DETECTOR � ` AIR Hij CM SD- x COMBINED CARBON MONOXIDE cM SMOKE ' +SMOKE DETECTOR SD DETECTOR BEDROOM 2 ASTER BATH MASTER CLST o 154 Sq.Ft. Fa co ARCy13'-6" 14'6° �o 8'-01 7'-0" F ,� C9y�a��E rLop F�,� BATH 1 Lj * SECOND FLOOR 043Z �O OF AIMEE LOPEZ ARCHITECT,R.A. 822 LINCOLNN PLACE,#2 UNIT 1-SECOND FLOOR RENTAL PLAN BROOKLYN,NY 11216 1917.549.4282 3925 SOUND VIEW AVE READE STREET STUDIO,LLC MATTITUCK NY SCALE; 3/16" =1'-O" 177 NORTH 10TH STREET,SUITE F BROOKLYN,NY 11211 1917,909.0365 17'-0° FAMILY ROOM 23'-4° 12'�-v11`0' 240 Sq.Ft, d BREAKFAST KITCHEN 125 Sq.Ft. 137 Sq,Ft. o CARBON MONOXIDE DETECTOR Fc-ml HALL GARAGELIVING ROOM 605 Sq.Ft. N sD ELEV CARBON o 380 Sq,Ft. SMOKE CLST 1711 L MONOXIDE N DETECTOR CLST DETECTOR El — cM 15'-4° -3° 13,-6" SD PWDR RM DININGROOM CLST SMOKE MUD ROOM 175 q.Ft. DETECTOR 60 Ft, 0 12'-0° N FOYER 1 '-0" 92 Sq.Ft. oL= AMR 0432 OFN AIMEE LOPEZ ARCHITECT,R.A, 822 LINCOLN PLACE,12 UNIT 1- FIRST FLOOR RENTAL PLAN BROOKLYN,.NY 11216 1917,549,4282 3925 SOUND VIEW AVE READE STREET STUDIO,LLC MATTITUCK NY SCALE; 3/16" =1'-0" 177 NORTH 10TH STREET,SUITE F BROOKLYN,NY 11211 1917.909.0365 a '`t ' i `TOWN OF SOUTHOLD PROPERTY .RE OWNER STREET VILLAGE DIST. ' Sub. - LOT FORMER OWNER N �E ACR S W TYPE OF BUILDING RES. !SEAS. VL. FARM COMM. CB. MICS. Mkt. Value LAND IMP. TOTAL DATE REMARKS 11 i e>>4,• '} f �J'!^^ ✓'�^F,,,w.. '� lrb I, 1 f rte! a i 7 €fir '' tC"7afl S r f If 1a` I cJ' ' r� a5 -13 Tillable FRONTAGE ON WATER ,_ > Woodland FRONTAGE ON ROAD Meadowland DEPTH House Plot BULKHEAD Total j E � F r .pLOR TRIM tRIM ,c Bldg. Extension .. j', �' -, - Extension Foundation Both ? Dinette Poch Basement Floors I K. l Rom '.; `' t Ext. Walls Interior Finish LR. - Brae Fire Place Heat � � �DR. Gar o .�` ' `` a ' � Type Roof Rooms 1st Floor BR. Patio ° Recreation Room Rooms 2nd Floor FIN. B Driveway � O. B k Total ?C( 311 44<' e. bQi l-f ��'� i•.lrsrrt FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Clerk's Office Southold, N. Y. Certificate Of Occupancy Nqi•4247. . . . . . Date . . . . .Ifty. . . . . 28. . . . . . . . . . . ., 1971 . THIS CERTIFIES that the building located at X/S•&mndvUw.Avenue. . . . Street Map No. . .XXX. . . . . . Block No.2XXX. . . . . . .Lot NoXXX . . . . . Jattituck,. .Now. .York . conforms substantially to the Application for Building Permit heretofore filed in this office dated . . . ieptowber . •16. —,, 1910. . pursuant to which Building Permit No. 4968. $ dated . . . September. • .22,. . , 19.70, was issued, and conforms to all of the require- ments of the applicable provisions of the law. The occupancy for which this certificate is issued is . . . pacivate.one -family• d"lling . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . The certificate is issued to . . .Robert b•Jean•Leasser. . • • . . . . • . . . . . • I . . . . . . . . • • . - (owner, lessee or tenant) of the aforesaid building. G 5 / 7 ' .. . . . . . (A Suffolk County Department of Health Approval . . . . . . .y . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . Building Inspector Hauge 0 3928 Soundview Avenue FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-25612 Date: 03/27/98 THIS CERTIFIES that the building ACCESSORY Location of Property: 3925 SOUNDVIEW AVE MATTITUCK (HOUSE NO. ) (STREET) (HAMLET) County Tax Map No. 473889 Section 94 Block 3 Lot 1.5 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated JUNE 22, 1995 pursuant to which Building Permit No. 22877-Z dated JULY 11, 1995 was issued, and conforms to all of the requirements of the applicable i provisions of the law. The occupancy for which this certificate is issued i is REPLACE AN EXISTING INGROUND SWIMMING POOL WITH FENCE ENCLOSURE AS APPLIED FOR AS BUILT. The certificate is issued to DIANE SMITH (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATENO. N421193 05/29/97 PLUMBERS CERTIFICATION DATED N/A F ild' g Inspector Rev. 1/81