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Home My WebLink About1000-120.-3-8.20 TOWN OF SOUTHOLD Rental Permit 0925 �n Owner Emilce Cacace & Fabio Gomez Occupied as Single Family Dwelling Located at 265 Oldfield Court Mattituck 120.-3-8.20 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. 6/8/2023 Code Enfor nt Officia This Notice must be posted by the main entrance at all times f " "w Town Hall Annex - Telephone(631)765-1802 54375 Main Road * F"(631)76:5-9502 P.O.Box 1179 Southold,NY 11971-0959 BUILDING DEPARTMENT TOWN OF SOUTHOLD RENTAL PERMIT APPLICATION �� 2023 Rental Permit Fee $200(Application must be renewed every two years) C :__ n J�LIIVII Ms Property Information: Rental Property Address: V( A Tax Map Number: 1000 SECTION a C' -BLOCK :;jI -LOT S - ao SECTION B. OWNER INFORMATION: Properly Owner Name: 9M l�" � ' ' Me Z. Property Owner Legal Address: Property Owner Mailing Address: Telephone Number (s): Daytime /5- bgeningEmergency—2/ "' Sees 9 Property Owner Email Address: �Yy l�C „CIT� ,Vzal. - Page 1 of 5 �rjf S qu A hone(G31}765-1802 Tele Town Hall Annex P 54375 Main road Fax (631)765-9502 P.O.Box 1 179 Southold,NY 11971-0959 w^ COUWN 't" 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, Q 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: Use and Dimensions of each ro m in Rental Dwelling Unit: �.1iz- L lzo1 Page 3 of 5 soot "town Hall Annex Telephone(63 I)765-1802 54375 Alain Road Fax(631)765-9502 P.O.Box 1179 Southold,NY 11971-0959 01 BUILDING DEPARTMENT TOWN OF SOUTHOLD SECTION C. 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 El 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) r ��if P ds penalty of perjury,the following: om:.. i C1A�_ . certify an 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 wiil,use the address for service pursuant to all Page 4 of 5 Town Hall Annex y ' Telephone(631)765-1802 54375 Main road Fax(631)765-9502 P.O.Box 1179 Southold,NY 11971-09.59 " w '' race,",°�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, or Site Manager, Property Owner's Name: e7m(-104 _..(�c� I. wcr t Property Owner's Signature: CMACe— C.QCCaC� C) � Sworn to before me this LV-day of 20 _Wgge fficial No ry Public Signature an rigin Notary Stamp � a JOHN DAILY " ,. Notary Public- State of New York NO, 01DA6389694 ps 20 ,.„ Qualified My CorT7rnision}Expires Apr 1 County Page 5 of of so M TOWN OF SOU"I"HOLD BUILDING DEPT. 631-765-1802 /20-3- f'..;;o INSPECTION [ ] 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/O [RENTAL REMARKS: JJ �— CO cad AcG� DATE I SPE TO R Town Hall Annex �a q®U-! , T0WN 54375 Main Road b PO Box 1179 Southold, Rental In� diction NY 11971-1179 Tel 631-765-1802 Fax 631-765-9502 SCTM # Date . ,.._ ,,.. Phone Owner ... .w.. .._ Zip Address '�i ...._. � ._... .. �...__..m_ _... ._. Cit}r _ ... Inspector LEVEL ._ ..�.m._�......� _w S U g 2 _..,._............ 3___.._.. Smoke Detectors (# - bedroom detectors exaludedy � ,, _. _.___ ._....,_....-w._. Carbon Monoxide Detectors #} .°'""`" ""w Fire Extinguishers (#) _ .. ..._..._ __._._......_..,. _.Exits B2 3 _._ 4 ,_..._ J... .. ww_.. _ _ . ...E�oO�Ml-ecto„�....___ w_ .. Detector Alarms (#) .._...._. ... ... ....... ... .... ... Cg Carbon Monoxide Alarms f ✓i �� h%�, 1 ., �„ Egress (windows) Y/ � CONDITION OF PROPERTY,-4 YIN BUILDING SYSTEMS w-..... _ ......_._.. .ne Heatlrt+ y tem m maintain ed/ rerat�onal g � clean / maintained _. clean � main Building Exterior Is Furl ing Interior Is.... � ,,...._... v Hot water system ...in _/o ...... - -- ”- Property is clean / safe ( maintained Eleefrlcal system maintained/o �erational Prop ..... ...� _ _ t .._ a i _ Nan"�_...._� ..w.w. ._.. ..._......M__......._.... "'" drails & guards present Mechanical system maintainedk.)perationai CO M M S _ w......�.,,w._....._.v..... .�w ... w_w� Rentai Inspection Form. a/7/2021 E l j Aj c UNDERWRITERS CERTIFICATEREUDIRED 3 ` If copper tubing Is used for water distributing System;piping shell be of=K or L onto fit= J PLUMBING ALL PLUMBINGWASM `� &WATER LINES NEED TESTING BEFORE COVERING PLUMBER CERf/FICATION � ON LEAD CONTENT BEFORE - CERTIFICATE OF OCCUPANCY SOLDER USED IN WATER SUPFLYSYSTEM SNOT EXCEED 2110 of 1 LEAP. t 00 mo-T� � � EY OF LocATt v AP111m AS 01110X15 , 3 a I'm 7766-1 o PM FO a THE OCCUPANCY OR FOLLOWING INSPECTIONS: ' j f I.FOUNDATION - TWOREDUMED USE IS UNLAWFUL ��, z ; I _. '_ - ----� FOR POURED CONCRETE 3 INSULATION @J [ v S - .' { _ 2.ROUGH-FRAMING S PLUMBING WITHOUT CERTIFICATE - 5 FINAL - CONSTRUCTION b1UST SE COMPLETE FOR CA' OF OCCUPANCY ALL CONSTRUCTION SHALL MEET THE REQUIREMENTS OF THE N.Y. - STATE CONSTRUCTION 14 ENERGY - CODES. NOT RESPONSIBLE FOR - le _ _ �k 3r3 =✓.;>� DESIGN OS CONSTRUC71ON ERRORS I� 'I J € +'orrEPm� PC Cfi s 1A Q s 6 bASE'MEa7-' dog`� 301,S'F c i d= rr^^ r 4 441 i a m .. —� `E a r F � �9 FVK K- _7� TOWN OF SOUTHOLD PROPERTY D OWNER STREET VILLAGE SUB LOT m ACR. REMARKS TYPE OF BLD. PROP. CLA S 77 LAND IMP, TOTAL DATE -4140 Or No x. . 3 t e a g f a — r <,,(j �,I y O a CID W � i f I ' } I - FRONTAGE ON WATER TILLABLE I FRONTAGE ON ROAD WOODLAND =' I DEPTH MEADdWLAND BULKHEAD HOUSE/LOT TOTAL ' t E V r F �4 >S s s a } � ! COLOR I 17 TRIM �- 120.-3-8.20 3/31/2021 M. Bldg, - y Foundation Cs i Bath �r Dinette Extension Z _ _ o Basement SLAB ._ Floors � , _ Kite I . _. .£. SLAB Extension f ° � _ Ext. Walls Interior Finish L,R. Extension I C7 �2- 27-0> � Fire Place Heat D.R- � , �.� r Woodstove BR Porch ' °'- �� - i , Dormer Fin. B. Deck 1 t'z-= Attic E Breezeway Rooms 1st Floor i Garage e 10 Z, { y S 7�7 Driveway Rooms 2nd Floor - O_B, - Pool m FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-24140 Date JANUARY 26, 1996 THIS CERTIFIES that the building NEW DWELLING Location of Property 265 OLDFIELD COURT MATTITUCK N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 120 Block 3 Lot 8.20 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated—FEBRUARY 28 1994 pursuant to which Building Permit No. 21930-Z dated MARCH 4f 1994 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 ONE FAMILY DWELLING WITH ATTACHED GARAGE & COVERED PORCH AS APPLIED FOR. The certificate is issued to NORTH RAY CORP. (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL R-10-94-0015-JAN. 25 1996 ELECTRICAL INSPECTION CERT. #4941 - SEPT. 15,_ 1994 PLUMBERS CERTIFICATION DATED JAN. 25, 1996 JOHN DEACY Building Inspector Rev. 1/81 Town of Southold 8/8/2019 P.O.Bog 1179 53095 Main Rd Southold New York 11971 CERTIFICATE OF OCCUPANCY No: 40605 Date: 8/8/2019 THIS CERTIFIES that the building WINDOWS Location of Property: 265 Old Field Ct,Mattituck SCTM#: 473889 Sec/Block/Lot: 120.-3-8.20 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 6/6/2019 pursuant to which Building Permit No. 43868 dated 6/14/2019 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: "V IM)O ".MLACE ENT TO All EXISTING ONE FAMILY DWELLING AS PPIJED FOR The certificate is issued to Beresford,Harry&Barbara of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED t . . �a............ ut Sl ............w_.. wwwwwww..--_..._ ture ''cglltt `; 4/22/2023 Town of Southold -�' - P.O.Box 1179 53095 Main Rd Southold,New York 11971 CERTIFICATE O " OCCUPANCY No: 44042023 Date: 4/22 2 ....... .. THIS CERTIFIES that the building AS BUILT DECK Location of Property: 265 Old Field Ct, Mattituck SCTM#: 473889 Sec/Block/Lot: 120.-3-8.20 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 11/9/2022 pursuant to which Building Permit No. 48621 dated 12/19/20211 2 was issued, and conforms to all of the requir6ments of the applicable provisions of the law. The occupancy for which this certificate is issued is: Baa mr It"" ,c l ci n tai exist g� tl�rl�mm4 rrcil cl��r ll�rlg. 5...�lppl��c�._� !` The certificate is issued to Cacace, Emilce&Gomez,Fabio of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED Auth i Signature lttt Town of Southold 5/12/2023 P.O.Box 1179 53095 Main Rd Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 48619 Date: 5/12/2023 THIS CERTIFIES that the building IN GROUND POOL Location of Property: 265 Old Field Ct, Mattituck SCTM#: 473889 Sec/Block/Lot: 120.-3-8.20 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated p g 2/19/2022 10/20/2022 pursuant to which Building Permit No. 48619 dated 1 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: pW -b i,lt""w at ce sory..ia .. r a�lald y r III)jLoca[,. gsa c Hca p ,r p lied for. The certificate is issued to Cacace, Emilce of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 48619 3/31/2023 PLUMBERS CERTIFICATION DATED