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Home My WebLink About1000-139.-4-2.1 TO WN OF SOUTHOLD Rental Permit } 0629 F Owner Rodulfo Cifuentes Occupied as Single Family Dwelling Located at 1895 Marys Road Mattituck 139.4-2.1 Maximum Permitted Occupancy 8 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. 5/6/2024 Code Erg orc nt Offici This Notice must be posted by the main entrance at all times so TOWN OF SOUTHOLD BUILDING DI 631 7851802 INSPEC ION [ ] FOUNDATION 1ST [ ] ROUGH PLEG. [ ] FOUNDATION 2ND [ ] INSULATION/CAl [ ] FRAMING / STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY IN; [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PE [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FII [ ] CODE VIOLATION [ ] PRE C/O [ REMARKS: � gl a n ,�so� bdzeo DATE SPECINTOR ; a Town Hall Annex Town Of Southold 54375 Main Road y::* "`ry, �a Rental Inspection Report PO Box 1179 Southold, NY 11971-1179 Tel: 631-765-1802 M � .yw _. -�.. .... _.._ _ . ... . . w..... .. .m ,. a�a SCTM# �,� o�. Date, ... ."....._ .. . ...�... ..�.�.�. Owner � � Q;�, S Phon'e �g� Address .� ,S Visible Hamlet�..w.�...� _ _ .... Ins ector _. ............ .. ..... .... _. " .._..." P ._ :..... ............,..... Floor Level Sub 1 2 3 "Quantities Smoke Detectors (not located in bedrooms) Carbon Monoxide Detectors �.....�".. �a.� .. / Fire Extinguishers Exits Bedrooms ... . .. _.._. .. ," . .,.. ... ..._ ..__..,,W, " ...L _... _....... . _ _ _L . ..... .. Bedrooms 1 � 2 . 3 4 5 6 Smoke Detectors .. ,..n� .. � w.. ... �. ��, �..r, . _. ..... . ..G Egress � Occupant....." �... �- �.. . �...m . �" Count _. �w. IBuilding Systems Maintained &Operational Condition of Property �.r.�., r, w. ... -.. .. w,.. ..., Heating I Building interior Hot water Building exterior Electrical Property clean, maintained & safe Mechanical Handrails&guards installed &secure Pool Safety Pool on Site f CO issuance Dooralarms..w.,,, ..._� „ .aa. .. "......._ .... ....... ........ . _.. Pool completely �..,�. .......,,r , ace water alarm .Date o r p ly enclosed rw .. �.. „ [.. g .........�....." �e to code requirements Self closing latching gates _.. . Pool fence o .., .. ...�.requirements n...... .w�.... _. .. .. _....M C. �.. present items O's for all pres Prior Rental � .. . .ew ."...mm" .�... en .... ... . ..... � [w.......,� omments � .....�.. ,.............._. .................... .......... i �....�.................... .... �..,,,. ..�� .... v.. ......... .. . ....., TOWN OF SOUTHOLD 3 Rental Permit 0629 Owner Rodulfo Cifuentes Occupied as Single Family Dwelling Located at 1895 Marys Road Mattituck 139-4-2.1 Maximum Permitted Occupancy 8 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. 5/2/2022 cte f� e �ci�l This Notice must be posted by the main entrance at all times Town Hall Annex p', Telephone(631)765-1802 54375 Main Road 5 Fax(631)765-9502 P.O.Box 1179 �� Southold,NY 11971-0959 BUILDING DEPARTMENT TOWN OF SOUTHO, RENTAL PERMIT APPLICATION Rental Permit Fee$200(Application must be renewed every two year. ) 'w JUN 25 2020 Section A. .. , Property Information: ` Rental Property Address: Tax Map Number: 1000 SECTION -1 LOCI...,,, !2t ._...-LOT_ 2,-_ L . SECTION B. OWNER INFORMATION: Property Owner Name: � j JL� ` p Y Property Owner Legal Address: Property Owner Mailing Address: A44P, v;5'4, -w Telephone Number (s): Daytime "E 17 ningEh�ergency, Property Owner Email Address: Page 1 of S Town Hall Annex : Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1179 Southold,NY 11971-0959JIM ououou ou BUILDING DEPARTMENT TOWN OF SO HOLD Section C. Authorized Agent Information: Name of Authorized Agent of dwelling unit, if any: L Address of Authorized Agent (no P.O. Boxes): 19, `" ItWY A- r, Mailing Address of Authorized Agent: —M-C71 "r-1-)C"k, A, Y Telephone Number(s): Daytlmeening M .. µ Emergency t' Email Address: ` W ( �'= t ra—"es 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): Daytime Evening Emergency 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): Page 2 of 5 Town Hall Annex Telephone(631)765-1802 54375 Main Road �g Fax (631)765-9502 P.O.Box 1 179 Southold,NY 11971-0959 BUILDING DEPARTMENT TOWN OF SOUTHOLD Mailing Address of Managing Agent: A 21 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: 9 Number of rooms in Rental Dwelling Unit: --- - Use and Dimensions of each room in,.Rental Dwelling Unit: Page 3 of 5 m ry ) Town Hall Annex l , Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1179 4 Southold,NY 11971-0959 ,� � gP�p BUILDING DEPARTMENT TOWN OF SO HOLD 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 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 4 �� i ^,�dnder 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 u : Town Hall Annex Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1179 Southold,NY 11971-0959 014 r BUILDING DEPARTMENT TOVIN OF SO OLD 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 as to any change to the information regarding Authorized Agent, Managing Agent, or Site Manager. Property Owners Name: Property Owner's Si natur . ST"A"TE:OF NEW YORK COUNTY OF QUE E:N$ On two day ot, .Z:0- tiNon me am bo me la�own to t»tM l in ad #0WO& Sworn to before me t ay of t1i 20,E Official Notary Public Signat r tidriginal Notary Stamp FABI N MORENO NOTARY PUBLIC-STATE OF NEW YORK No. O1 M06057065 Quolifled In NOW York County Certificate Filed In Queens County My Commission Expires 04.09-202:� Page 5 of 5 TOWN OF SOUTAOLD BUILDING DEPT. 631-765-1802 INSPECTION I FOUNDATION 1ST ROUGH . FOUNDATIONINSULATIOWCAULKING FRAMING / STRAPPING I FIREPLACE & CHIMNEY FIRE SAFETY INSPECTION FIRE RESISTANTI IRE RESISTANT PENETRATION ELECTRICAL (ROUGH) ELECTRICALI VIOLATIONCODE '- rn • TOWN OFIOUTHOLD BUILDINGT. 765-1802 INSPECTION [ ] FOUNDATION 1 ST [ ] ROUGH PLBG: [ ] FOUNDATION 2ND [ ] INSULATION/CAUL ING [ ] FRAMING /STRAPPING [ ] INAL [ ] FIREPLACE & CHIMNEY [ FIRE AFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) [ ] CODE VIOLATION [ ] PRE C/O REMARK rvmbA�-j a u 60 6A k0MIKLIV VIM r DATE INSPECTORfi June 13, 2020 P Town Hall Annex _ '" � �k ro " 6 1 765-1802 �� . �e 54375 Main Road.P.O '130 ,1179 ^�.� Southold,t.`�'" 1'071.-0959 � c-, BUILDING DEPARTMENT TOMN, OF SOUTHOLD RENTAL PROPEFTY 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 Era c s ional,secd required for Architect or F�� l ee licensed Homtns cdor-onust rol�ld�* my of valid current cerci icatior Rental Property SCTM Number: Rental Property Address: 1895 Mars Rd. Mattituck NY 11952 Owner/Name: Rodulfo bavid Cifuentes Rental Dwelling Unit Identifier: Number&Square footage of each bedroom as depicted in the attached floor plan: (i.e. Bedroom#1 -100 sq., Bedroom#2-90 sq., etc.) - s dine7kit-458sq, IvEn -42 178 q9 ., laundry/ba mudrm- 68S i Property Description (Include all improvements indicated on survey) .. n,� � , 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. Victor Cornelius III CEJ Inspector A'.Lkx'_ Print Name and Title ceo# 1216-0283 Or Inal Signature Please place professional seal: RODULFO DAVID CIFUENTES 1895 MARY'S ROAD MATTITUCK, NY 11952 ROOMS AND MEASUREMENTS 1- Master Bedroom 153 sq feet 2- 2nd bedroom 127 sq feet 3- 3rd bedroom 97 sq feet 4- Dining room/kitchen 458 sq feet, 5- 4th bedroom 193 sq feet 6- 5th bedroom 178 sq feet 7- Family/living room 420 sq feet 8- Breeze way 168 sq feet 9- 2 story 2 car garage - 1650 sq feet (including 2nd fl storage room) 10-Master bath 11-Bath 12-Laundry/bath w w e e v roll, „ � v A� J mOMw 00 �lj � o. I w v m, ww�,m wv wvm'-+ wm rye�M n aw vnw,,, ,Hyo«mn+^•�ram'µx+ r ��' !ufWwi�mV'al m.y,!wy±mrm.w w.6 . 9 x "EL Ift R*A q .L 89 o . 'I 5f 1 k w o y y w o r w w e v w {I 00 tcbz X03Q vi 4' CHAD ,33.9 F ' ° ° £ t` 0 3 } ' � Q _ F, 5 APRON �A. rn s L� % i e- _lam I k1p /1-�,� 4 3 = 5 "TOWW OF SOUTHOLD PROPERTY gDz RD IV - OWNER STREET VILLAGE DIST. SUB. LOT _ ; E ACR. e i _a ing SW TYPE OF BUILDING At RES. /� !SEAS. L. PARMOMM. CB. MISC. Mkt, Va Co�� LAND IMP, TOTAL DATE REMARKS A P7 a � k - I z -462 FARM Acre j Value Per slue Tillable cOE Gd ` ;07 Tillableg r ` :,e MVI Tillable ' v Woodland/ono Swampland I FRONTAGE ON WATER Brushland IFRONTAGE ON ROAD i — - - -- House Plot DEPTH ;BULKHEAD 3 f DOCK ; Total i ; i I ys TOWN OF S UTHOLD PROPERTY ;,. ID CA _ OWNER STREET VILLAGE DIST.' SUB. LOT - s y f r - FORMER OWNER N E ASR. S WTYPE OF BUILDING - 7 RES. J� SEAS. VL. FARM COMM. CB. MICS. Mkt. Value LAND. IMP. TOTAL DATE REMARKS a m I y s _1I Jo 7- � fi i g s y - 1 � Tillable FRONTAGE ON WATER Woodland _ FRONTAGE ON ROAD ` Meadowland DEPTH House Plot BULKHEAD Total t Iyoo-l3 . - L)- o2 - I { , COLOR I t , ell - - - I I TRIM I i � _ t I s 3 i i M. Bldg. I£ ndation Both = Dinette Extension as� � � } ement Floors Extension Ext, Walls Interior Finish 'LR. Extension Fire Place Heat DR. i Type Roof 'Rost Floor IBR. Porch Recreation Room Rooms 2nd Floor ; FIN. B. Porch Dormer ! - i Breezeway 'Driveway Go rage Patio O. B. Total i g . a y.1-73 3 t � 4 a E i ! s i i `s ra= 5 t .— 139.4-2.1 3/06 I - m l9 M. Bl l- 3.a2i i [ Extensionl(/j a ,, s2 JI Extension-A � E Extension , { _s 'Fon do !Both Dinette moo' Porch _ aserent ; _ - Floors I K. `7 0- s. E . Porch i 'Ext. Walls Interior Finish LR. v a rem � 61` -fire Place *t 1 'tel , Type Roof Roo s 1st Floor BR. gyp` m- Recreation { f res 2nd Floor B k 0. B. rye Total � a= g _ s a � r 3 P r a STATE OF NEWYORK £ F Be it known that Victor Cornelius has successfully completed the requirements of a Basic Code Enforcement Training Program established by the Minimum Standards for Code Enforcement Personnel (19 NYCRR Part 1208) in ii the State of New York as a: ,U CODE ENFORCEMENT OFFICIAL ' a NEW t $TATE � �� "N� I \� y�y ZZ/ � � ANDCOM i John R.Addario,PE,Director € Divislon of Building Standards and Codes _ Certification No.1216-0283 Issued Date:December 13,2016 \54'r` _ t 1 � To maintain this certification,such person must satisfy annual in-service training requirements and advanceo in training requirements. r t Qa w S FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Clerk's Office Southold, N. Y. Certificate Of Occupancy No. Z . 8 7 Date . . . . . . . . . . . . . . 2. r�. . . ' T., lg7� THIS CERTIFIES that the building located at $ .r-�. . . i A.R Y -'s. . RD AfRreet Map No. . . . . . . . . . . . . Block No. . . . . . . . . . .Lot No. . �. ?-. . . . . ,�?C S c.R'.e t. . . . . . conforms substantially to the Application for Building Permit heretofore filed in this office dated . . . . . . . . . . ( & . FE.13., 197 Z--pursuant to which Building Permit No. .5. 7!.;? Z' dated . . . . . . . . . . 18. . . F.E.I. ., 197 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 . . A. . . . Q N E. . . . - J A L`r . . . U. 1.L. 111.1.6. . . . . . . . . . . . . . . . . . The certificate is issued to T!C.M A'K D. . . . . A G A R E.7 E. �`i (owner, lessee or tenant) of the aforesaid building. Suffolk County Department of Health Approval !O/ZJ/7Z . . . . .�. . Vx,4 �. . . . . . . . . . UNDERWRITERS CERTIFICATE No. . . . . . . W. . .V. Z. 4 7.Y. . . . . . . . . . . . . . . . . . . . . _ . . . . HOUSE NUMBER. Street. . . . . _7k.0 A.D . . . . . . . . . . . . . . . Building Inspector 1� YOM N06 4 TOWN OF SOUTHOLD BUILDING DEPARTBMW Town Clerk's Office Southold, N. Y. Certificate Of Occupancy Date . . . Ot.'Y. . .26. .. .. .. ...119. . 7.9 THIS CERTIFIES that the building located at . :1895.Mary?s. Road.. .. .. . Map No. . . .1184 . . . . Block No. . . . .. .. .. .Lot No. . ,w82 + Lot adjoining .. . . . conforms substantially to the Application for Building Permit heretofore filed in this office dated . . ARS'A . . .�.. . , . , . , ., 19.7A pursuant to which Building Permit No. . dated . „ April 12 ,, 19. 78, 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 . .....Prtvate wOne ill. .M Dwelling.with Addition . . . . .. .. .. . . . . The certificate is issued to . . , Richard.&. lar aret Munch µ rt . . . # . (owner, %=WQ0cW=a)(xxx of the afommid building. Suffolk County Department of Health Approval . . . . . . . . . . . . . . . N/A .. . ., . . . UNDERWRITERS CERTIFICATE No. , » N390953 . .. .. . . . . . .. .. W w . . . . . . HOUSE NUMBER . . .895 . . . . . . . Street , , , µ .Mary's.Road. . . . µ .. M w . . . . . Mattituck, New York .. . .. . .... .. .. .. .. . ... . . . . .. . ... ... .... . . . . . . . .. .... .... . . .. . . . . .. . . .. . . . . ... . . . Building Inspector County Tax Number 1000-139-4-2 Described part 1000-107-9-34 -Lot 82 1,. r "` '' ' FORM NO. 4 i° TOWN OF SOUTHOLD � BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCC9PANCY No Z-20067 Date .1ULY 11 1991 THIS CERTIFIES that the building ADDITION & ALTERATION Location of Property 1895 MWIS ROAD TUN.Y. House No. Street Hamlet County Tax Map No. 1000 Section 159 Block 4 Lot 2.1 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated JULY 11 1990 ______pursuant to which Building Permit No. 19185-Z dated JULY 1111-1990 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 BREEZEWAY & ATTACHED TWO CAR GARAGE ADDITION TO EXISTING ONE. FAMILY DWELLING & ALTERATION TO COVERT EXISTING GARAGE TO A BEDROOM. The certificate is issued to RICHARD & MARGARET MUNCH (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH PPROVA.L N A UNDERWRITERS CERTIFICATE FO.—N-158255 - OCTOBER :11 1990 PLUMBERS CERTIFICATION DATED N A BuMdtfig Inspector Rev. 1/81 FORM NO. 4 � 1 �F TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-31673 Date: 07/12/06 THIS CERTIFIES that the building ADDITION AwLTERATION Location of Property: 1695 MARYS RD MATTITUCK (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 139 Block 4 Lot 2.1 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated JUNE 27 2006 pursuant to which Building Permit No. 32160-Z dated ONE 27 2006 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 ADDITION & ALTERATION ENCLOSE BREEZEWAYJ TO AN EXISTING SINGLE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to RICHARD W & MARGARET A. MUMCH (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTPEMT OF HEALTH APPROVAL N/A SLBCTRICAL CZRTIFICATE NO. 2076173 06Li_6Z 06 PLUbMERS CERTIFICATION DATED NLA Authorized Signature Rev. 1/81 , t10t" ,p Town of Southold 4/30/2022 P.O.Boz 1179 53095 Main Rd Southold,New York 11971 CERTI '"ICA" E OF OCCUPANCY No: 43027 Date: 4/30/2022 THIS CERTIFIES that the building ALTERATION Location of Property: 1895 Marys Rd.,Mattituck SCTM#: 473889 Sec/Block/Lot: 139.-4-2.1 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated �. .. 2/18/2022 pursuant to which Building Permit No. 47579 dated 3/22/2022 mmm ^ YY µ 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: IteratiotLs-t"° an%x gt ! laedroom sia� le fain dwellin as, ppliggi for. The certificate is,issued to Cifuentes,Rodulfo of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED tUre