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HomeMy WebLinkAbout1000-122.-4-23 TOWN OF SOUTHOLD Rental Permit Y h 0565 Owner Robert & Jan Munier Occupied as Single Family Dwelling Located at 3650 Ole Jule Lane Mattituck 122.4-23 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. 1 12/19/2023 Co En o ce et Official This Notice must be posted by the main entrance at all times e4f so TOWN OF SOUTHOLD BUILDING D � �-Ar 631765-180 -- INSPECTION FOUNDATION 1ST j ] ROUGH PTBG. FOUNDATION 2ND [ ] INSULATION/CAl [ ] FRAMING / STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY IN; [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PE C l ELECTRICAL (ROUGH) [ ] ELECTRICAL (F1� j ] CODE VIOLATION C ] PRT C/O C REMAR, w 4-7 lY A4 v DATE INSPECTO Robert S. C. Munier 200 Moorland Rd Falmouth, MA 02540 fin ` Cell: 508 524 0975 D V rscm@optonrine.net , WA November 17, 2023 Town of Southold Building Department Town Hall Annex 54375 Main Rd P. 0. Box 1179 Southold, NY 11971-0959 Subject: Rental Permit 3650 Ole Jule Lane, Mattituck To Whom it May Concern: Enclosed please find a check for$300 to renew the rental permit for the subject property. Please contact me to schedule the inspection. Thank you. Sin erel , Robert S. C. Munier TOWN OF SOUTHOLD 3 Rental Permit 0565 a Owner Robert & Jan Munier Occupied as Single Family Dwelling Located at 3650 Ole Jule Lane Mattituck 122-4-23 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. 11/29/2021 � "%N —TIJe arc a Official This Notice must be posted by the main entrance at all times Town Hall Annex Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 ry P.O.Box 1179 Southold,NY 11971-0959 BUILDING DEPARTMENT AUG "TONM OF S0UM0LD 0119 I119 RENTAL, PERMIT APPLICATION � � ��,� � 7'� Rental Permit Fee $200(Application must be renewed every two years) Section A. Property Information: Rental Property Address: Tax Map Number: 1000 SECTION �z 2- BLOCK SECTION B. OWNER INFORMATION: Property Owner Name: Property Owner Legal Address: Property Owner Mailing Address: (Cannot be the same as Rental Property Address) OnIR0041,61vo Re )W ?ML Telephone Number(s): d' -SzQ2 Property Owner Email Address: i',SCJN e lIQhnLZe- •nP/ Page 1 of 4 Section C. Authorized Agent Information: Name of Authorized Agent of dwelling unit,if any: � 1 Address of Authorized Agent (no P.O. Boxes): - 17 r- Mailing Address of Authorized Agent: `/ I Telephone Number(s): 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): 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): Mailing Address of Managing Agent: Telephone Number(s): Email Address: Page 2 of 4 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: 094 el Requested Maximum number of persons allowed to occupy Dwelling Unit: Number of rooms in Rental Dwelling Unit: Use and Dimensions of each room in Rental Dwelling Unit: fL-,� I'L ILS t2- CAN 4.1--? 2CA14.1--? ; x 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 NYS licensed architect, a NYS 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 bythe New York State Fire Prevention and Building Code Council. IBJ I am requesting a fire safety inspection to be performed by a Code Enforcement Official from the Town of Southold. Page 3 of 4 ❑ 1 am submitting a completed Town of Southold certification form from a licensed architect,a licensed professional engineer,or a licensed home inspector who has a valid New York State Uniform Fire Prevention Building code Certification. SECTION H. DECLARATION: Signature must be notarized and MUST be the owner of the dwelling unit. STATE OF NEW YORK) ) COUNTY OF SUFFOLK) I J s ,, C. n- H u.; t 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 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 s to any change to the information regarding Authorized Agent,Managing Agent, or Site Manager. Property Owner's Name: J"" t P Mme^ (7]:Property Owner's Signature: Sworn..to before me this3l qday of 20 y Official N Public Signature and Original Notary Stamp MARYOUMFOOM Page 4 of 4 d m&=4655M' oug"ed in ft"couriv 1,20-2- Iam- TOWN OF SOU"fiHOLD BUILDING DEPT. 765-1802 P Om Am" T I %Ajw& EL 0 rm G IN [ ] FOUNDATION IST [ ], ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATIOWCAU KING [ ] FRAMING /STRAPPING [ ] INAL �� [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) ' [ ] ELECTRICAL (FINAL) [ ] CODE VIOLATION [ ] PRE C/O REMARKS: ,: ... IV DATE INSPECTORYV FLOORPLAN SKETCH Borrower.Robert Munler FINe„Nw A�C911 rDLerYAdd rp_s .36507Ln .T.�_ ...mm.... Case _ i 5r NOX6975665 7ji 1 1152 L _ . _ K.ender.WELLS FARGO BANK N,A CD•IN2 i 12.0' Deck 12.0' I 50.0' i 36.0' x L Z !L >( I S• Master Beth Dining Room Living Room Bedroom r� I �J Beth WID Kitchen Den © O LXX Bedroom Bedroom Pantry (Z 7` Li � >` I a sx s 240 60.V S�Mdke. <<e,�e�aE �II 20.0' 2 Cor Garage 20.0' 24.0' SKETCH CALCULATIONS parinat4r Al” A1:60.007.0= 115200 e� AtlacledQaroge OD Find F1mr 16200 Total Living Arno 1000 A3:2l.Ox2Q0= 41110 ea AluftdCArego 4811D TOW ONWAM 4WD A4:35.Ox 12.0= 4320 A4 ON* 4= TotolPallOpdcAm 4220 FLOORPLAN SKETCH BorAC9 Ftt2"rt Attl s 385D Old Jule Lrr.. _ pmmaseND 6597�5..� cawwet Robert MunWr -- !tijy:MattRuck _ Stale, NY 7r X1952 ..... Lender:WELLS FARO SANK NA CIO•IN2 12.0' Deck 120' i eD.D' I , 38 0' 27.0' i 80.0' 20.0' 2 Car Garage 20.0' = SahCdl ,I,,i 1 C b d�,.YFcfr 24.0. i SKETCH CALCULATIONS Parinalar Ma Al,BD.Dx27.0= MOD Al Attached Curage DD Fird Fkar 1emn TotalLhdngArr law A3:21.0x200= 48DD YYY Ax Ab dedGerage 40DO TotwQw"OAm 4WD M:w.Ox 120= 432D A{ Du 432D ToW PaBaD�kAwa 4M 6, I )0J18 OWNER STRE]ET Y: VILLAGE i DISTRICT ` SUB. LOT r c r FORMER OWNER N 6 3 Ez ACREAGE ; /� f - I �1 S W TYPE OF BUIL DI NG 3 eV f9 etj' a ES'�1 _ SEAS. {` FARM COMM. 1ND. CB, Mist. Esta Mkt. Value _ LAND IMP. TOTAL DATE R EMA RK,S,, 4 _ . J 6Q �vJ � � a a A BUILDING01DITION _ '� € I FRONTAGE O NI<W (N_QRRMAL � BELOW Q�V E i FR N WATER F .ems Frr _ Acre lue Per Acre Value FRONTAGE 0'N ROAD a �`f �7. �'�S. 3 T Itab' tBULKHEAD 5'00 00C /fog = - i Tillable 2 DOCK ,2 g P Tillable 3 Woodland Vz 1 ` Swampland ; Brushland w -. _ - J � 7 _ House Plot a > t 5 v _ �M>4 ��_� a r r m z in: -� — = ; 23 - - .rr _ -A---- r a _ a _ I _ d _ I x ve .._ 122,-4-23 3/2014 L - x— M. Bldg Founda bath Jj Foundation Extension Basement° Floors Fesio ? ;i / �� Ext. WVIM— alls Interior Finisht �. xt r r I Fire Place ` Heat vJ _ 6 Porch Roof Type t s i Porch Roams 1st Floor � F Breezeway ;" Patio P, om .._ roe d F — - 10 i _ O s Garage Driveway Dormer n O. B. I - ' 4 _ r• r N 7 e . FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. CERTIFICATE OF OCCUPANCY No. ...."�..-� �afa......... 4 63 Date ......................... D.�13�tk� x,.,.,. 19... THIS CERTIFIES that the building located at .Old �7U10 La. • I�iattituck Street Map No. ........ °k......... Block No. ..... ,*'*� ....... Loi- No. ........---......... .... ....„.,..,... conforms substantially to the Application for Building Permit heretofore filed in this office dated septembe 19 19.....``.. pursuant to which Building Permit No. . ., � .. dated ........................Sept or...2.4..., 19...�' ., 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 ONE FAMILY DWI LLING The certificate is issued to (owner, lessee or tenant) of the aforesaid building. Building Inspector J rt FORM NO.4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy No. , WZ- 17033 Date . . June 27 , 41988 . THIS CERTIFIES that the building , , M ALTERATION & ADDITION . . . . . „ . . . . Location of Property , 3650 Ole Julep Lane Matti.tuckY, New York House Street Hamler County Tax Map No. 1000 Section . . .12 2. . . . . .Block , „ .04 , . . , . . , . . .Lot . . .23 Subdivision . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Filed Map No. . . . . . . . .Lot No. . . . . . . . . conforms substantially to the Application for Building Permit heretofore filed in this office dated June23 , 1 988 pursuant to which Building Permit No. , .�.1. 5 . Z . . . . . . . . . . dated . . . June 24., 1988 . . . 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 . . . . . . , . .. ENYCLOSE OPEN EXISTING PORCH & DECK ADDITION TO EXISTING ONE FAMILY DWELLING Tlie certificate is issued to . . . . . . . . . ,DOROTHY. KLEID (owner'NSE lirlR. . . . . . . . . . . . . . .. . . . . . of the aforesaid building. Suffolk County Department of Health Approval . . . . . UNDERWRITERS CERTIFICATE NO. . . . . . . . . . . . . . . .NIA . . . . . . . . . . . . . . . . . PLUMBERS CERTIFICATION DATED: N/A Building Inspector Rev.1/81 FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No 215203 Date JULY 25E 1989 THIS CERTIFIES that the building ADDITION' Location of Property 3650 OLE 3ULE LANE MATTITUCK House No. Street Hamlet County Tax Map No. 1000 Section 122 Block 04 Lot 23 Subdivision Filed Map No. Lot No.� conforms substantially to the Application for Building Permit heretofore filed in this office dated MARCS 234 1989 _______pursuant to which Building Permit No. 179572 dated MARCH 27,e, 1989 was issued, and conforms to all of the requirements of the applicable provisions of the law. The occupancy for which this coortificate is issued is ADD DECK TO EXISTING ONE FAMILY DWELLING. The certificate is issued to ROBERT & ELISA BELSTEN (owner, ) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A Building Inspector Rev. 1/B1 Town of Southold Annex 4/27/2012 P.O.Box 1179 54375 Main Road Southold, New York 11971 at ": n�a" CERTIFICATE OF OCCUPANCY No: 35564 Date: 4/27/2012 THIS CERTIFIES that the building WINDOWS Location of Property: 3650 Ole Jule Ln, Mattituck, SCTM #: 473889 Sec/Block/Lot: 122.4-23 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this of6ced dated 2/14/2012 pursuant to which Building Permit No. 37002 dated 2/16/2012 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: r 9nacernent of onewindow as_ITapplied for. The certificate is issued to Munier, Robert S C&Munier, Jan C P (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED _,,.. _.................. jl ign ure