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HomeMy WebLinkAbout1000-107.-9-10 s TOWN OF SOUTHOLD Rental Permit 0426 Owner Patrick Thomas Occupied as Single Family Dwelling Located at 3445 Wickham Avenue Mattituck 107.-9-10 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. 11-�A )�4� 7/30/2024 Code E cue eat Offi ` This Notice must be posted by the main entrance at all times so TOWN OF SOUTHOLD BUILDING DEPT. CO 631-765-1802 /off J—/O INSPECTION [ I 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 (FI AL) [ I CODE VIOLATION [ ] PRE C/O [ RENTAL Town Hall Annex Town of Southold 54375 Main Road Rental Inspection Report PO Box 1179 Southold, NY 11971-1179 Tel: 631-765-1802 a SCTM# 0 - - Date...... r .......... .. l _�. 9 /_a _ _ _ _m_ _ _ Owner Phone Address ,36Ls�,(/�p /�, . Visible ... _._ Hamlet Inspector 1J', �- _., ,,,, p,.. _. .. _..._, __, Floor Level Quantities Sub 1 2 3 Smoke Detectors (not located in bedrooms) r. C Carbon Mo. noxide Detectors � Fire Extinguishers ,Exits ! Bedrooms 2/ 3 4 5 6 Smoke Detectors i� 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 r..._........, m ,_ a., __ .... ..._ _ Door alarms Pool completelyenclosed _.. _ _..._.., ....... g/ g g.a Self closin latchin tes Pool fence to code requirements ......._ CO's for all items present Prior Rental Comments: .... ...... . _. _._._.. . _ __ ,.,,__......._,, TOWN OF SOUTHOLD NMIRental Permit i Permit No. 0426 Owner Patrick Thomas Occupied as Single Family Dwelling Located at 3445 Wickham Avenue Mattituck 107-9-10 Village Maximum Permitted Occupancy 6 Is in compliance with all of the provisions of the code of the Town of Southold, the laws and sanitaryand 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. l 4/30/2021 Co E o c tent Official This Notice must be posted by the main entrance at all times Y 1 d i I S����,��r Town Hall Annex � , Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1179 ' , Southold,NY 11971-0959 ,? 'Cou , { BUILDING DEPARTMENT t- a{ L �l 0-1 TOWN OF SOUTHOLD J OCT 1 5 2020 RENTAL PERMIT APPLICATION Rental Permit Fee $200 (Application must be renewed every two years) Bz.JILD`+f--TG,DLvFfl-. T0vv1 Section A. Property Information: Rental Property Address: ku�A v e, Zkl Tax Map Number: 1000 SECTION 117 -BLOCK I -LOT b SECTION B. OWNER INFORMATION: Property Owner Name: Property Owner Legal Address: Property Owner Mailing Address: �v z Z Telephone Number (s): Daytime P?`66'�3Evening Emergency Property Owner Email Address: i21 " a s 16 bGG�- q cl r D b im-e. �' !- 0 A 1\(CA.,,3 Vol, 10013 Page 1 of 5 a)Utlffl Town Hall Annex I „�-t i Telephone(631)765-1802 54375 Main Road CA ? Fax (631)765-9502 P.O.Box 1 179 ���&- • �6' Southold,NY 1]971-0959 � '®Uf19 BUILDING DEPARTMENT TOWN OF SOUTHOLD Mailing Address of Managing Agent: ? 7 Ea: ? t''5-t-, 0,c-r6! �U,A r IG S �1 Telephone Number(s): Daytime/0-3'&T-aWEvening Emergency Email Address: ;cfL o S �p kKa �, Go'yt". SECTION F. PROPERTY DESCRIPTION: Number of Rental Dwelling Units on property: 1 Home, 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: oA I ` Requested Maximum number of persons allowed to occupy Dwelling Unit Number of rooms in Rental Dwelling Unit: S Use and Dimensions of each room in Rental Dwelling Unit: k1/�c et- it VX 16V"zliylf I X 2 'S' 6o- iv*! 7'1" '3t/ - -ce 13'7XS�3a. sa 4 15-'Z X10 J /,�edr.am,Z t� G, x17 l2 64iy'oo"^,317 7 ,x 3 , /. iy 2 ft' x�'�'` Page 3 of 5 r . lie Town Hall Annex ? t�; Telephone(631)765-1802 54375 Main Road +' Fax(631)765-9502 P.O.Box 1179 Southold,NY 11971-0959tr \ 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. LpJ I 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 P`VVIZ L't Me� , 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 ems•'""'_..Lf:it:tv Town Hall Annex Telephone(631)765-1802 54375 Main Road y ? Fax(631)765-9502 P.O.Box 1179 Southold,NY 11971-09594 � �, XX 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: i —�' r Property Owner's Signature: Sworn to efore me this day of A66 2020 Official otary Public Signature and Original Notary Stamp JASON DARREN RUBINSTEIN Notary Public-State of New York NO. 01 RU62617.22 Qualified in Suffolk Co ty My Commission Expires 1 / 2©'Z Page 5 of 5 UF so 344 vV 1 �/aom 4e, # # TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 = INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] `INSULATION/CAULKING [ ] FRAMING /STRAPPING YFINAL p4?4-,4- *t- CHIMNEY [` ] FIRE SAFETY INSPECTION FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] :ELECTRICAL (FINAL) [ ] CODE VIOLATION [ ] PRE C/O ,REMARKS: v\— (d u�✓ f DATE Cy° �� _ INSPECTOR - 3445 Wickham Ave 1 st Floor Porch 19' 9" x22' 8" �3 Kitchen 11' 6" x 16' 4" Living 12111 17' 6" x21' 3" C1 C1 Bath L 12' 4" x 181811 • C1 CC:4 I1 Bedroom Office 15' 2" x 10' ' 7" x8' 3" C1 8edrovM) Iq ;, Fi fe A I ArA Scale in Feet.Floor plan is an estimate of existing structures&features.All measurements are approximate&not guaranteed to be exact or to scale.Design by ShanPlan 3445 Wickham Ave 2nd Floor 1 Bedroom Z 13' 6" X17' 9" f • C1 1 Bath C1 Bedroom .3 1717" X 13' 4" • Five A laom Scale in Feet.Floor plan is an estimate of existing structures&features.All measurements are approximate&not guaranteed to be exact or to scale.Design by ShanPlan 2 TOWN OF SOUTHOLD PROPERTI D OWNER -fri — —fAO STREET VILLAGE ViJI JVB. LOT � � �l (I'1 I FORMER OWNER � ,I ACR.,�r pE I l� �Q l= lit i`� n/N i u�1� / / S W TYPE OF BUILDING / z SEAS. VL. FARM COMM. CB. MICS. Mkt. Value LAND IMP. TOTAL DATE REMARKS 0 dJ 0 63 7 t Flame S. A o Wf io jr" Y4- to. Avo. P 31 G ; c4p,01' ► - Y � 1 00 00 70 2 z - _ 31 �►_ Z��z Kura Jrus' ` -� _ J AGE BUILDING CONDITION — NEW NORMAL BELOW ABOVE FARM Acre Value Per Vclue Acre Tillable FRONTAGE ON WATER ; c� FRONTAGE ON ROAD 4� Woodland '; ( � �' _� � Meadowland I DEPTH House Plot ! BULKHEAD K -Total y i DOCIjeS i x: SEEN MENEM 1MMwMEMAl NOMEMONE ENEENLp,mll amossomm looms M loom & MIN 1111,M1,1111111 NINE= 001 MIN � isnii■■n��a ■� ■t q TOWN OF SOUTHOLD OFFICE OF BUILDING INSPECTOR TOWN HALL SOUTHOLD, NEW YORK CERTIFICATE OF OCCUPANCY NONCONFORMING PREAVIISES THIS IS TO CERTIFY that the fx/ Land Pre C.O. #-Z15499 / / Building(s) Date- December 12, 1986 F/ Use(s) located at 345 Wickham Ave. Mattituck Street Hamlet shown on County tax map as District 1000, Section 107 , Block 09 Lot 10 does!not)con£orm to the present Building Zone Code of the Town of Southold for the following reasons: Insufficient total area; width; side-yard setback on house and _accessory building. On the basis of information presented to the Building Inspector's Office, it has been determined that the above nonconforming )X/Land F/Building(s) /_/Use(s) existed on the effective date the present Building Zone Code of the Town of Southold, and may be continued pursuant to and subject to the appli- cable provisions of said Code. IT IS FURTHER CERTIFIED that, based upon information presented to the Building Inspector's Office, the occupancy and use for which this Certifi- cate is issued is as follows: Property contains two story; one family, wood framed dwelling with two one story extensions; an accessory 2 car "rage: sea wall (concrete) asphalt driveway with cement curb and all situated in the A Residentail Agricultural zone with access to Middle Road; a town highway. The Certificate is issued to THOMAS R. YASSO (owner, �c��txtRx of the aforesaid building. Suffolk County Department of Health Approval N/A UNDERWRITERS CERTIFICATE NO. N/A NOTICE IS HEREBY GIVEN that the owner of the above premises HAS NOT CONSENTED TO AN INSPECTION of the premises by the Building Inspec- tor to determine if the premises comply with all applicable codes and ordin- ances, other than the Building Zone Code, and therefore, no such inspection has been conducted. This Certificate, therefore, does not, and is not intended to certify that the premises comply with all other applicable codes and regula- tions. inspector FFO(�-` Town of Southold tigU 'too-_n 3/24/2015 P.O.Box 1179 53095 Main Rd o Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 37478 Date: 3/20/2015 THIS CERTIFIES that the building RESIDENTIAL ALTERATION Location of Property: 3445 Wickham Ave,Mattituck, SCTM#: 473889 Sec/Block/Lot: 107.-9-10 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 4/18/2014 pursuant to which Building Permit No. 38871 dated 5/8/2014 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: ALTERATIONS TO AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR The certificate is issued to Kelvin Kubo Trust (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 38871 01-12-2015 PLUMBERS CERTIFICATION DATED 02-27-2015 112 Mattituck Plumbing oriz d Sign ure