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HomeMy WebLinkAbout1000-100.-1-27 TOWN OF SOUTHOL Rental Permit yY 0498 Owner Ambookan M. Revoc. Trt. Occupied as Single Family Dwelling Located at 1330 Saltaire Way Mattituck 100.-1-27 Maximum Permitted Occupancy 7 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. 512012023 do orcennent Official This Notice must be posted by the main entrance at all times 4G19Y'�88 RY� 631-765-11802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG., FOUNDATION 2ND INSULATIOWCAULKING FRAMING /STRAPPING FINAL CHIMNEYFIREPLACE & [ { INSPECTION CONSTRUCTIONFIRE RESISTANT { { PENETRATION ELECTRICAL (ROUGH) [ ] ELECTRICAL VIOLATIONCODE / [ RENTAL REMARKS: TOWN OF SOUTHOLD 13UILDING DEPT. , 631-765-1802 [ FOUNDATION 1ST [ ] ROUGH PLBG. , [ ] FOUNDATION 2ND INSULATION/CAULKING [ ] FRAMING /STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) [ ] CODE VIOLATION [ ] PRE C/ORENTAL C) Z DATE '91161 -3 . ���� Visser III, Fredric From: Paulson Ambookan <ambookan@me.com> Sent: Saturday, May 27, 2023 8:25 PM To: Visser III, Fredric Subject: Photos as requested ATTENTION:This email came from an external source. Do not open attachments or click on links from unknown senders or unexpected emails. M f n a wrntr r r v a r r a c I���1 "Jg ✓�f 4 ^�,W f d"I k� lnm ����➢p �3� �"1�� J � „��FN'iP ti� f � .p � X �k l�d I N• j `�f9 Zi" ii jr, "'Tfu 1 III��I'1 �I�III��Ih�� "IVIWIIM s k � r/ ✓% / ol ysN�"'P -r^.I °VIII IIVI� � Ii MI J wm 1 I r >. ,'f`.`µ A Z rrrr��ii/� I �I a rrr � � xti i` r o �I lilll LII i k I 3 a i i buOtt r 4 TOWN OF SOUTHOLD CO ar Rental Permit 0498 Owner Marianne Ambookan Occupied as Single Family Dwelling Located at 1330 Saltaire Way Mattituck 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. 7/12/2021 ` Code Enfor nt Official This Notice must be posted by the main entrance at all times o�o�uFFo���o SOUTHOLD TOWN Town Hall Annex 54375 Main Road o Rental Inspection PO Box 1179 Southold, c z _ +ys NY 11971-1179 O� • �`� Tel: 631-765-1802 '11Q1 �a® Fax 631-765-9502 SUM # p . — _ V7 Date Owner • 6 8K0. Phone Address 133o ZiP a�� Hamlet M M_qT(' C_ 11,rispector Address visible from street? LEVELS SUB 1 -2 3 Smoke Detectors(#-bedroom detectors excluded) Carbon Monoxide Detectors (#) Fire Extinguishers (#) Exits(#) BEDROOMS 1 2 . 3 4 5 Smoke Detector Alarms (#) Carbon Monoxide Alarms(#) Egress(windows) (Y/N) BUILDING SYSTEMS ° CONDITION OF PROPERTY N Heating system maintained/operational Building Interior is clean/maintained Hot water system maintained/operational Building Exterior is clean/maintained Electrical system maintained/operational Property is clean/safe/maintained Mechanical system maintained/operational Handrails&guards present POOLS Y POOL BARRIERS Y Pool present Pool is completely enclosed Pool surface alarm and/or door alarm Barrier is a min.48" high resent POOL GATES N All openings in barrier less than 4" Self-closing, self-latching' Max. 2"clearance @ bottom of barrier Latch on pool side of gate, meets height Barrier capable of being locked &child- requirements proof when unattended COMMENTS: { (-1- 70 0 <-G >. S0 � fit►, UT,� -�- �ii Town Hall Annex 6S .' �;', Telephone(631)765-1802 54375 Main Road �� Fax(631)765-9502 P.O.Box 1179 Southold,NY 11971-0959 A{ LES BUILDING DEPARTMENT SEP 1 g 2020 TOWN OF SOUTHOLD RENTAL PERMIT APPLICATION TOV'71 t rA, 1-TT-t D Rental Permit Fee$200(Application must be renewed every two years) Section A. Property Information: Rental Property Address: 13�;p S p�L-T -A-I ILC OA-y A I �1 Ty C K- Tax Map Number: 1000 SECTION 100 X00 -BLOCK © 1 • n O -LOT - ©da SECTION B. OWNER INFORMATION: /� Property Owner Name: co (� �( l Q �n >n {� A nnz CD o X11 Property Owner Legal Address: Property Owner Mailing Address: a(D 5 0 c u c f PO\t ao 5r U C 'e pc,\J-1( osSe 1 iyY ! [-7 5 1rusSe i w `/ 11- Ci S! (0 r � �� Telephone Number(s): DaytimeJ(a7-Slag Evenings - 3 Emergency ao S-VT Property Owner Email Address: GLM Y3-0 6 IC 0.l'\��rfr Ca 1 _ C-0 M Pagel of S Jr, Town Hall Annex '• Telephone(631)765-1802 54375 Main Road 1 Fax(631)765-9502 P.O.Box 1 179 4 � Southold,NY 1 1 971-0959 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: 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 Unit: Number of rooms in Rental Dwelling Unit: Lo Use and Dimensions of each room in Rental Dwelling Unit: o W n S�C\ 6_ �\ 1 a•a x �� Den II- (� x a3_ `I UPsA-c- Cs 1 i� x l�( 63(x- a )ax to K -0L4 P 10 I ob x 1 a U p s is , r- b X � L) w n S+0' k r 5 cLn !'0 X S' Page 3 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 SOLTTHOLD 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. I am requesting a fire safety inspection to be performed by a Code Enforcement Official from the Town of Southold 0 lam 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 MC I cA n yi-e A(4 O- 061- 1 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 1 SUM, Town Hall Annex Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1179 Southold,NY 11971-0959 tow 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: (q C LICA V) V A-- n D C 01C CA Property Owner's Signature: Sworn to before me this I4 4 day of }-Mj2Z,,- 20 R L7' D Official Notary Public Signature and Original Notary Stamp . SHANNON DAVIS Not"Public,State of New York No.02 DA6290411 Qualified In Nassau County Commission EWres 10/07120P a 0 Page 5 of 5 gym.. •--..-•.•--r.-^-ac AMR t "•� `drrd^1�S',�� . �'fQ��'-r./.."(�.{y.:'�•:.t�a_y"'=/cb,_—'r'E;�.7.�w3..r��-�'i1.7p7e•-:.L.2�7-Iy.r t-r�i'r�•�t.�s�Ro.�L'-_i''"a.u•I�Y•,•t."`1I;.�L.•Z.I�3.I 3f�Uo¢—.r"oT•i../;Ir,`:-r�l-i.!lU�-`:-7.p•',=0`."i_!.e.�tiIel�o�>vky+�Y,CyIA�(Mi+!'rrf.-tx!9I:�u2_..r��`.I'r _S�t4i:7'..3-�'.��r0Lru��-�1{r/.-�i-p�-lIr.��,;��3e!;���np r6Y!�—X'/!�2;���9M,oc-Ou•aCs5.X�tr'.Co6M"0.•tet`r"S�tT�I•-y-i.'2fI�M�-LRS:wI.Y:B.r�1d6.4vE,e�•1-^''•-• •�,iI.iTi yi It��,• .�' /•I1Vr�htI�zM.t�-xfrP7ar'.l�^.}e'�o^'{r..c,.wfye ..._4..._w.1dhv.�In l_CiZN.tixrImb.�t�„o.1�.�•q°'oct..al,i�+nvu�n:r..Ti''suo-D}fs'4-.N••;r,aw•nJ1�k,•1A��y�'�'rrs-b_�'—i'`�.l�e-h-.'.1—"..`1—I i•..'''�w•d.._:v_A4�.tL_.+,.!.,'.r`Y.f,n✓,if•I;'.•�'7�Jr_�e..''';� 1.s=,r.,a(H.�...algs_►Vy.t_re�`" 29 rV 4vi . y.:t,_•q1,le+,_4S.-" ,..•v♦.r`"r.,,t.'.•,r'' t�tp _t.1�..,I.,,�,r• M'w.:%•'.�'�;y"Y'I:,.:f j�1 L-IvwYy9 h ' I' row 44 Ned Y.d 9.uN.siw T4 ' : .:, I,..' .+ `a 'h ...�. G�::n1/M•d:.i9MnM'ner,� �� ;,•,s,. • I., _ - - - :�C'`. .,:YT's :' •J` ' r�:TEv'S i�c,::;rsAk�i;S� 'ii' •r•AP{+y?s ,'< ,s� �r �• � o4:NBu.rlt`:ii:.Etr•arNft�1;,;.:-+� �ss} { .3� - _•r7;.iF:'•. A ..efL•�.�'�[,R:•: :r:,•:�k� -t i.cC'•'.Gr•.". n� yV.. 'lar. t .. .. _ ,. r.1'i�,, .• j'?kW. •!•' ° •i .:.c:i,`r,r,,. ^•1. ii"r - .1�,, ., .,4•,. ._ •..y: � i .. TOWN OF SOUTHOLD PROPERTY RECORD OWNER STREET VILLAGE DIST. rSUB. LOT I Ali9 7-7—/ FORMER OWNER? -"%;p A.Ferw.o N E ACR. S w TYPE OF BUILDING 'CAULn ur /7 i4J RES. SEAS. VL. FARM COMM. CB. MICS. Mkt. Value LAND Imp. TOTAL DATE REMARKS 01 /0 6 5 loo6 '3S0 C) Z�e�71 2 9123 ScL b 4f ?�000. Dell ©LL 7; ,tj, 77 Jj,,Is 7 `31.- 1121ZL"'y cl*pfo /—* �. R. i 3 810c Z26,FC0 V 3 1 9 Ai-b'qif,/Vc'�- C�AD 7 .69ak"-�—y I I b f /Vs 7 91 1 Sd L �Y�2-s eq 14/7 6- L (144c) 4f HQyk'is A FrtAYN cLyet i�(c AGE i BUILDING CONDITION 33- Yn/� NEW NORMAL BELOW ABOVE FARM i Acre Value Per ValueV7 Acre c? aO� ,�tl '7 e7le Tillob;e r FRONTAGE ON WATER Woodland FRONTAGE ON ROAD 6 Meadowland j DEPTH //'A House Plot BULKHEAD Toto DOCK Vis:1c."� •I �• ` fgti�= y M !". . is w ■ , - ONE ■ ■ ■ ■■■ ■■ r ., ■ONO■■ ■ ■■■IN ■ MENNEN IN Ion ONI NONE a, w LIR M BMW W7.1 01 ■■■ t ■■■ ■■■��� _ ME== ■ SSSS ■■� ■!E!■©■■■■I■■■■� ■■ ■ w� ta- ■MEN■ � ■■■■■■■■■■ ■ ■■■ ■SEEN ■E■■■ ■■ ON ■■ OEM■S■SOME■■■■■■■■■ undation Both Basement F "Floors 'Interior Ffnis • 'Heat . Recreation Room, • FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Clerk'e Office Southold, N. Y. Certificate Of Occupancy No. y.5713. . . . . Date . . . . . . . . . . . . .Dec . . . . 2B. . . ., 19.73 THIS CERTIFIES that the building located at . . . VStree � Saltaire• Way-& -Sauna Map No.Salt. Alre. Efbck No. . . . . . . . . . .Lot No. . . 2 . . . . . conforms substantially to the Application for Building Permit heretofore filed in this office dated . . . . . . . . . . . Wt. . .7- ., 19 73 . pursuant to which Building Permit No. . 68487. dated . . . . . . . . . . sept. . 7 . . . ., 19.73., 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 . .Prixate. Ane. f Awily. .dwe:!.1ing. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . The certificate is issued to . M.S.T; Con tructuin .Corp. . . . . .Ownerrbuild_ er . (owner, lessee or tenant) of the aforesaid building. Suffolk County Department of Health Approval UNDERWRITERS CERTIFICATE No. . 1. 132419. . . . . Sap t. . .1.1 . . 1973. . . . . . . . . HOUSE NUMBER . . . . .159:0 . . . . Street . . . . Sa1t ,Aire.'Va1r. . . . . . . . . . . . . . . . . . . . . . 490 Sound View Ave . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . B ' ding Inspe `r FOt,r Town of Southold 1/15/2019 y P.O.Box 1179 V 53095 Main Rd o��l Southold,New Fork 11971 CERTIFICATE OF OCCUPANCY No: 40167 Date: 1/15/2019 THIS CERTIFIES that the building ELECTRICAL Location of Property: 1330 Saltaire Way,Mattituck SCTM#: 473889 See/Block/Lot: 100.4-27 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 8/15/2018 pursuant to which Building Permit No. 42947 dated 8/15/2018 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: ELECTRIC SERVICE CHANGE TO 200A UNDERGROUND The certificate is issued to Ambookan,Marianne of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 42947 01-07-2019 PLUMBERS CERTIFICATION DATED Authorized Signature Town of Southold 1/23/2021 ' P.O.Box 1179 53095 Main Rd Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 41763 Date: 1/23/2021 THIS CERTIFIES that.the building WINDOWS Location of Property: 1330 Saltaire Way,Mattituck SCTM#: 473889 Sec/Block/Lot: 100:4-27 Subdivision! Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office"dated 11/9/2020 pursuant to which Building.Permit No. 45480 dated 11/23/2020 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: . window replacements to existing;single-family dwelling as aptlied for. The certificate is issued to Ambookan,Marianne of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED A&\)r-\ t rite ature