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HomeMy WebLinkAbout1000-107.-2-15 T`WN OF SOUTHOLD V, Rental Permit 0542 Owner Melania & Joseph Suchanek Occupied as Single Family Dwelling Located at 705 Maple Lane Mattituck 107.-2-15 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. 4/18/2024 er �n Official This Notice must be posted by the main entrance at all times ode � fo TOWN OF SOUTHOLD 3 Rental Permit I its _ 9 0542 Owner Melania Suchanek & Melania Mosny Occupied as Single Family Dwelling Located at 705 Maple Lane Mattituck 107-2-15 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. 10/5/2021 Code fo ce est Official This Notice must be posted by the main entrance at all times tat so 14-'o�, m Apte, Ll"e,-, *I TOWN OF SOUTHOLD BUILDING 7651802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATIOWCAULKING [ ] FRAMING I STRAPPING [ VFINALD 14 lot.- Q�eon i [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) [ ] CODE VIOLATION [ ] PRE CIO REMARKS: d@\�kbkk Ale dw DATE r 1�1�ho-lv - INSPECTOR isf s kp� TOWN S OUTHOLD �611LDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] tNS L TI CA L ING [ ] FRAMING / STRAPPING [ ] FINAL ZmAwv [ ] FIREPLACE & CHIMNEY [ FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) [ ] CODE VIOLATION [ ] PRE CIO REMARKS: �^ r P 'i'own Hall Annex 54375 Main Road P.O.130x 1 1'79 Telephone(631)755-1802 Southold,NY 11971-09_59 Fax ( 1)76 63 5-9502 JUN 2 3 2020 BUILDING DEPARVVIENT TOWN OF 80T 'H6LD REIIIT�I. PERMIT APPLICp,TIOI<I Rental Permit Pee$200(Application must be renewed every two years) Section A. Property Information: Rental Property Address: Tax Map Number: 1000 SECTION 07. DoD-L0 �BLOCIc .2; SECTION B. OWNER INFORMATION: Property owner Name: (Jo-�t14 'cG/CHAluElt Property Owner Legal Address' Property owner Mailing Address: Mo6iL.4FS r a Telephone Number(s): Daytime :Z_ ^ Evening 1 Emergency C(7 3 *9 375-6 2 (�iOr3/4_�—A,�1� Property Owner Email Address: �~� �. �� Page 1 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 Section C. Authorized Agent Intoe tion: Name of Authorized Agent of dwelling it,if any: Address of Authorized Agent (no P.O. Boxes)* Mailing Address of Authorized Agent: Evening Emergent Telephone Number(s): Daytime; _. _. Email Address: Section D. Managing Agent I ation: Name of Authorized Agent of dwe .;unit, if any: _..---------- ; Address of Authorized Agent(no P.O. Boxe _. Mailing Address of Authorized Agent: _. k W p Telephone Number(s): Daytime.. Evening Emergenpy Email Address:. - SECTION E. SITE MANAGER INFORMA (required for rental properties containing 8 or more rental units) Name of Managing Agent of dwelling unit, l y: Address of Managing Agent (no P.O. Boxes):; �.w_._..... - - Page 2 of 5 r Town Hall Annex Telephone(631)765-1802 54375 Matin Road Fax(631)765-9502 1-'_0. Box 1179 cl, ro . Southold,NY 11971-0959 r, BUILDING DEPARTMENT TOWN OF SOUTHOLD Mailing Address of Managing ent: .,q _, 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: --kv/e In �m Requested Maximum number of persons allowed to occupy Dwelling Unit: (�Z2 Number of rooms in Rental Dwelling Unit: t" if1 Use and Dimensions of each room in Rental Dwelling Unit: 'r" Ix PINI NCr R&H k --M/O'x- t©' Page 3 of 5 o ✓i l a 'I own Rall Annox I`c lephorio(6a 1)765-1802 54375 Mairr Ro<r<.1 Fax(631)765-9502 FIX). Box It 79 Southold,NY 1 197 1-0959 s BU11_DING DI P ARTMEN'I" 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. I;ml I am requesting a fire safety inspection to be performed by a Code Enforcement Official from the Town of Southold C: 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) 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 13" 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)765-18112 54375 Main Road Fax(631)765-9502 11.0.Box 1 179 � 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, l 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: Sworn to before me this�day of 20Z Official Notary Public Signature and 0 igil1 �' dt� y� a� 1F.�' y My Cvimss,or Evves Ocl 25 2:;22 Page 5 of 5 t �u Ei.,Pnt1 lh- { e 3 QM T ._) 305 MALE ' N E A mo :r WITH � y� {j iW\/ RARi7 �2 Z N moWxioe 'RaG im LWir win+ 10 V WAUAN-ie l - 'oo ISL t-A - (c Fg) { o Nell 66 „f, Sly WIC -iVZ - i V�, 8�3 Y �/ - �--3 t�. . 14 ' db `�d' � � � -im ` WWW+ i ye, W .Amv,� � y Dec !Q YE12 Cii�sU�{ Sl�tokc Ourt - 71513 TOWN OF SOUTHOLD PROPERTY ASCO RD CARD Al- OWNER STREET VILLAGE DIST) SUB. LOT . ..........z 7 RMER OWNER N E ACR. v At I S, W TYPIf OF BUILDING ,RES 21,0 SEAS. VL. FARM COMM. CB. MISC. Mkt. Value i LAND IMP. TOTAL DATE REMARKS f vi 6cc je j7/1/7! / 3 4" b 7 AGE BUILDING CONDITION 't-7" 4-v NEW NORMAL BELOW ABOVE -s 16,r FARM Acre i Value Per Value Acre 0! z�, Tillable 1 Tillable 2 Tillable 3 Woodland Swampland [FRONTAGE ON WATER Brushland 'FRONTAGE ON ROAD House Plot DEPTH BULKHEAD 'DOCK Toto I COLOR TRIM 4-1 i i € € - - 3 Foundation Bath Dinette M. Bldg, �. C'�� l b — ' Basement �lJ: Floors K. Extension Extension 0 Walls Interior Finish LR. I Fire Place I t Heat Extension DR. I I ;Type Roof Rooms 1st Floor BR. _ r s _ Porch �( / rr o d Recreation Roo Rooms 2nd Floo ; FIN. B, € 1 f-r c` Porch a 5 ° 'Dormer Breezeway ` r � t Criveway 1 Li �L l C _ _ Garage -- -- - �� Parto _ d € Total s . t On c L FORM NO. 4 TOWN OF SOUT14OLD BUILDING DEPARTMENT TOWN CLERKS OFFICE SOUTHOLD, N. Y. CERTIFICATE OF OCCUPANCY No. ..Z.., :L.98............ Date ...............................A r.....6.., 1945, THIS CERTIFIES that the building located at ... ...gip �..�lClt� {I ) r�3a ra.. Street Map No. ...XXC........... Block NO.XXX............... Lot No"J ............ ttititQk ..�j,'ys............. conforms substantially to the Application for Building Permit heretofore filed in this office dated y.. 16----, 1961}., pursuant to which Building Permit No, .211 Z. dated ...........»«.... —.......J'U,�t.... .......... 19..6.4., 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 ........ .Private..ozie...family.-4VAt .l-Ing...........................................».,...,..,.,.....,..,».................,............. The certificate is issued to ..'.JkMber.3.and..A .5,300 : :' ...: ................... 'i yller•..,,...•,., owneressee or tenant) of the aforesaid building. H.D.Approval April 23, 1965 by 89 V1 1 . ...... i,.!....,»....`" ........, Building Inspector