HomeMy WebLinkAbout1000-106.-8-51 4 TSN OF SOUTHOLD
01
Rental Permit
Es
0626
Owner Eric Martz & Tara Striano
Occupied as Accessory Cottage attached to Barn
Located at 3639 Cox Neck Road Mattituck 106-8-51
Maximum Permitted Occupancy 4
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.
4/29/2022
e rr e 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
Na,
P.O.Box 1179 "C""
Southold,NY 1 197 1-0959
BUILDING DEPARTMENT �, 'l 0
Fr
TOWN OF SOUTHOLD
BUILDING DEPT
TOWN OF SOUTHOLD
RENTAL PERMIT APPLICATION
Rental Permit Fee$200(Application must be renewed every two years)
Section A.
Property Information:
Rental Property Address:
3539 COX NECK ROAD M:A'"1°TrrUCI :NY 11952
Tax Map Number: 1000 SECTION 106 -BLOCK 08 -LOT 51 _ 0
SECTION B.
OWNER INFORMATION:
Property Owner Name: ERIC MARTZ+TARA STRIANO
Property Owner Legal Address: Property Owner Mailing Address:
ERIC MARTZ+TARA STRIANO ERIC MARTZ+TARA STRIANO
3539 COX NECK ROAD 3539 COX NECK ROAD
MATTITUCK NY, 11952 MATTITUCK NY, 11952
Telephone Number(s): Daytime 917.916.3724 Evening 17.9166.3724 Emergency 917.916.3724
Property Owner Email Address: ERICMARTZ@MAC.COM
Pagel of 5
Town Hall AnnexTelephone(631)765-1802
54375 Main Road Fax(631)765-9502
P.O.Box 1 179
r ,
Southold,NY 11971-0959
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: _ COTTAGE
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."
UNIT 1 SINGLE FAMILY HOUSE
Rental Dwelling Unit Identifier:
Requested Maximum number of persons allowed to occupy Dwelling Unit:
Number of rooms in Rental Dwelling Unit:_ 4
Use and Dimensions of each room in Rental Dwelling Unit: IJVTNG/DININGRM 16''0" '0"
1UTCHEN 12'4"x8'2"- BEDROOM.19'51.0°x12'4"-BEDROOM 2 12'4"x18'6°
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
71,0
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
IM 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
T Z 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
0
Town Hall Annex Telephone(631)765-1802
54375 Main Road Fax(631)765-9502
P.O.Box 1 l79 r
Southold,NY 11971-0959 �M
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,,/off r Site Manager.
Property Owner's Name:
Property Owner's Signature:
jI h
Swor to before me this aT day of 201
Ofi lal No rPublic Si nature Original Notary Stamp
TRACEY L. DWYER
NOTARY PUBLIC,STATE OF NEW YORK
NO.01 DW6306900
QUALIFIED IN SUFFOLK COUNTY
COMMISSION EXPIRES JUNE 30,2 _
Page 5 of 5
srur
Cox
0 TOaW OF SOUTHOLD BUILDIN PT.
765-1842 o�INSPECTION
— '..
I
[ ] FOUNDATION 1 ST L 1 ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INSULATION/CAULKING
[ ] FRAMING / STRAPPING [ ] FINAL�"\,e 4vw\�
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL(ROUGH) [ ] ELECTRICAL (FINAL)
[ ] CODE VIOLATION [ ] PRE C/O
°" INSPECTOR __....._
Town Hall Annex Telephone(631)765-1802
54375 Main Road �' Fax(631)765-9502
� nw
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
Separate form is required for each individual Rental Dwelling Unit
froessional seal re ,ufred or Architect or En ineer licensed Home inspector must !rqyj#
capLoLvolid current certi lcation
Rental Property SCTM Number: 1000-106-8-51 __.__.......
Rental Property Address: 3539 COX NECK ROAD,MATTITUCK NY 11952
Owner/Name: ERIC MARTZ+TARA STRIANO
Rental Dwelling Unit Identifier: 'COTTAGE
Number&Square footage of each bedroom as depicted in the attached floor plan:
(i.e. Bedroom#1-100 sq., Bedroom#2-90 sq., etc.)
BEDROOM 1- 121 SF _.........
BEDROOM 2-228 SF
Property Description (Include all improvements indicated on survey)
COTTAGE DWELLING IS CONSISTENT WITH C of O DATED JAN. 11, 1993.
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.
AltLM-L
Print Name and T le � ` nature
Please place professional seal.
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TOWN OF SOUTHOLD
OFFICE OF BUILDING INSPECTOR
TOWN HALL
SOUTHOLD, NEW YORK
CERTIFICATE OF OCCUPANCY
NONCONFORMING PREMISES
THIS IS TO CERTIFY that the
Land Pre C.O.
Ix / Builfflng(s) Date-
/—/ Use(s)
located at 3539 (R.O.W.) Cox Neck Rd. Mattituck, New York
Street Hamlet
shown on County tax map as District 1000, Section 106 Block
Lot 51 _j does�not)c onform to the present Building Zone Code of the
Town of Southold for the following reasons:
accessory pump house in side yard
On the basis of information presented to the Building Inspector's Office,
it has been determined that the above nonconforming F1 Land AT/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 a two story, one family wood
Ew.—sh and a barn, A permit 9615z
framed dwelling; two pump sheds; ads;
and C.O. #29642 for alterations to dwellir
_2E24_1_0112a11 situated in A-Residential
Agricultural i—one With R.O.W. to Cox Neck Rd.7a7r_o_wF7TT-gTi—way
The Certificate is issued to r)om,d Creato
(owner,)1mxy.1wx-cxj;jj��)cx
of the aforesaid building,
Suffolk County Department of Health Approval N/A
UNDERWRITERS CERTIFICATE NO. N652460
NOTICE IS HEREBY =TEN 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.
3-0i'din's in=7—pe Cfo—r "-
FORM NO.4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Town Clerk's Office
Southold,N.Y.
Certificate Of Occupancy
NO. . . Z .9642 . . . . . . . Date . . . .August .17,. . . . . . . . . . . . . . . .. 19 -79
THIS CERTIFIES that the building . . . . . . . . . . . . . . . . . . » . » • . . . . . . . . . . . . . . • . . . . . .
Location of Property . . . ,3539 {R.O.W, .Nf Cox Nq , Road. . . . . . . . . .M$.tt1t%1r'C
Housb wo. mwt N Jst
County Tax Map No. 1000 Section . . . .106. . . . .Block . . 013 . . . . . . . . . .Lot . . . 051. . . . . . . . . .
Subdivision . . . . . .XX. . . . . . . . . . . . . . . . . . . . . . .Filed Map No. .X . . . . .Lot No. . . .X. . . . . . . . .
conforms substantially to the Application for Building Permit heretofore filed in this office dated
. . .Jenuary. 30 . . . . . . . 19 .Mursuant to which Building Permit No. . . .9615Z . . . . . . . . . . . .
dated . . . . .January. .30. • . • • • • • • • . 19 .78,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 . . . . . . . . .
. . .alteration.and renovation.of. one. Xamily. .dwealing. . . . . . . . . . . . . . . . . . . .
The certificate is issued to . . . . Willlam.8.. A0. jAbnoon . . . . . . . . . . . . . . . . . .
JAWFW1 I J!t
of the afore"building.
Suffolk County Department of Health Approval . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
UNDERWRITERS CERTIFICATE NO. . . . . . . . . .Pending . . .N65?-460. . . . . . . . . . . . . . . . . . .
. . . . ,V1ru ', . . .
iiii
ding Inspector
Rev VM
r
FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No Z-22092 Date JANUARY 11, 1993
THIS CERTIFIES that the building ALTERATION & REPAIR
Location of Property 3539 COX NECK RO1�D MP,TTITUCK N.Y.
House No. Street Hamlet
County Tax Map No. 1000 Section 106 Block 8 Lot 51
Subdivision Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated JUNE 10 1991 ......pursuant to which
Building Permit No. 19944-Z dated„ JUNE 13 1991
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 & STRUCTURAL REPAIRS TO PORCH AND DWELLING
AS APPLIED FOR.
The certificate is issued to DAVID & MARY ANN CREATO
(owners)
of the aforesaid building_
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A
UNDERWRITERS CERTIFICATE NO. N/A
PLUMBERS CERTIFICATION DATED N A
.r�
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: Z-26514 Date: 06/18/99
THIS CERTIFIES that the building ALTERATION & ADDITION
Location of Property: 3639 COX NECK RD MATTITUCK
(HOUSE NO. ) (STREET) (HAMLET)
County Tax Map No. 473889 Section 106 Block 8 Lot 51
Subdivision Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated DECEMBER 2, 1998 pursuant to which
Building Permit No. 25504-Z dated FEBRUARY 1, 1999
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 ALTERATION & DECK ADDITION TO EXISTING ACCESSORY COTTAGE & BARK AS
APPLIED FOR "AS BUILT" AND AS PER ZBA #3942.
The certificate is issued to DAVID & MARY ANN CREATO
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A
ELECTRICAL CERTIFICATE NO. N-652459 _ 07/19/84
PLUMBERS CERTIFICATION DATED N/A
-� Bu Idin InSp �tor
Rev. 1/81
WOOD DECK
30'-6- 75'-0'ATTACHED BARN 75'-0'ATTACHED BARN
------------------------ -- ----- -
------ — _
•---- ------ -------- --- ---- -------------------------------- ---- -------
BEDROOM]
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121 Salt
18'-10' 124'
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CAi COMBINED CARBON
MQYIOADE+SMOKE DETECTOR T. E
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DHNGAWGROOM 3 I: ----4--� s "--
N 421 Sq Ft, - �BAIH
BEDROOM 2
SWR`13 PANH7t STAR 228 Sq Ft. ;
12 A
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COMBINE CARBON 1
COMBINED CO��CAA ON .. _- — MONOXIDE SMOKE DETECT'. —1
DETECTOR ABOVE ;i 1. — `
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123 Sq.Ft 1
U, 12'd• _t au
____ _ COMBINED CARBON
MONOWE+SMOKE DEIE'TOR
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FIRST fL00R SECOND FLOOR
WOOD DECK
103 AR
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RENTAL PLAN 4�
3539 COX NECK ROAD-COTTAGE
MATTITUCK NY,11952
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SCALE:3/16-=1'-V �TF{?F