The URL can be used to link to this page

Home My WebLink About1000-143.-5-7.2 TOWN OF SOUTHOLD Rental Permit 0673 Owner Iannolo Maria Irrv. Trt. Occupied as Single Family Dwelling Located at 1405 Bay Ave. Mattituck I q-O)-5 --7 ,3 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 inspecti 6/14/2022 ode orceM; � �t This Notice must be posted by the main entrance at all times l o Town Hall Annex Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1179 Southold,NY 11971-0959lyA'U � �4 BUILDING DEPARTMENT TOWN OF SOUTHOLD RENTAL PERMIT APPLICATION. Rental Permit Fee$200(Application must be renewed every two y narsl MAY 0 9 2022 U I Section A. BUILDING DEPT. LD Property Information: TOWN OF SOUTHOLD Rental Property Address: 1405 84V AVEM-UE , MATriTUGK- 14.4. 11952. _ Tax Map Number: 1000 SECTION /43 -BLOCK _0005 -LOT 007 - 002 SECTION B. OWNER INFORMATION: Property Owner Name:- Property Owner Legal Address: Property Owner Mailing Address: Telephone Number(s): Daytime Oh Evening Emergency- Property mergency _Property Owner Email Address: S�l 1 C& r �ofy\ , Page 1 of S saUr�� . Town Hall Annex Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1179 Southold,NY 11971-0959 O enum BUILDING DEPARTMENT TOWN OF SOUTHOLD Section C. Authorized Agent Information: Name of Authorized Agent of dwelling unit, if any: '\ Address of Authorized Agent (no P.O. Boxes): N Mailing Address of Authorized Agent: Z& Telephone Number(s): Daytime Eve g Emergency. 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: A A Telephone Number (s): Daytime. Eve g 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 � Fax(631)765-9502 P.O.Box 1 179 ! ,y0 Southold,NY 11971-0959 or�COU BUILDING DEPARTMENT TOWN OF SOUTHOLD Mailing Address of Managing Agent: Telephone Number (s): Daytime .Ev mg Emergency. Email Address: - SECTION F. PROPERTY DESCRIPTION: Number of Rental Dwelling Units on property: . ame 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: 410 'C D 'ELL.I �. Requested Maximum number of persons allowed to occupy Dwelling Uni :j _ Number of rooms in Rental Dwelling Unit: 5 HAisir LE QooLA Use and Dimensions of each room in Rental Dwelling Unit: �CI1'CiNE1J - 11 �55/�• x 1.4�-13�8� $E QOOM 1 c�k x I8-103Wa,.-� 1 iyi1J4 IxoM 1DIu113 Doom 21, 27a"x 10-W/e SirriN Boort 21'.5% "x 6.75/8 ' '- 8F.Z2Do H 2 - 2l%034..y2, Page Page 3 of 5 � qSOUryo Town Hall Annex f� Telephone(631)765-1802 54375 Main Road 'NC Fax(631)76.5-9502 P.O.Box 1179 �% Y Southold,NY 11971-0959C®Ut�� r-tY'rzrr.� 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 X 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) CO�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 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 S �► 0 SO(I�'y0 Town Hall Annex Telephone(631)765-1802 54375 Main Road en Fax(631)765-9502 P.O.Box 1179 G a Southold,NY 11971-0959 Ca `a 60 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, Managent, or Site Manager. Property Owner's Name:. `- Property Owner's Signature. Sworn to before me this -5day of /1_'l a i/� 20 Official Notary Public Signature and Original Notary Stamp BRIAN A. ANDREWS Notary Public, State Of New York No. 02AN5014509 Qualified In Suffolk County / Commission Expires 07/15/ '702 Page 5 of 5 QVsot 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 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 Professional sea!"required for Architect or Bnaineer, licensed Home inspector must provide copy of valid current certification Rental Property SCTM Number: 1000 — 143 — 000S — 00?.00'2— Rental 02Rental Property Address: 1405 BAu AV"UF— , MATT;Tur—L- M.Y. 11952- Owner/Name: MQ 101EPW LaaaaL� Rental Dwelling Unit Identifier:. MA iQ DW6:LL1'1JG-. Number& Square footage of each bedroom as depicted in the attached floor plan: (i.e. Bedroom#1 -100 sq., Bedroom#2-90 sq., etc.) _ EDROOM t I - 17q c<ZUAQFE E # 2 - 230 v E _ Property Description (Include all improvements indicated on survey) O►JE S-mi 4 Si"LL 'gM)+-N D �1Cr- ,/ / / - ;&jAcd.&Ss . Sra-jc-r 0 irm SE .fob QLLjge, UsE. L I certify that I have done a physical inspection of the subject rental dwelli g 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 Co of New York State, the Fuel Gas Code of New York State, and the Energy Conservation Constr ion Code of New York State. Affi, I&eW W;L6Ad5gJ — A&.4 f I r,r Print Name and Title Origin c igr� r� Please place professional seal: 3y. SOUIyO TOWN OF SOUTHOLD BUILDING DEPT. �ycourm, 631-765-1802 /y ?7 . INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION/CAULKING [ ] FRAMING /STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTAN/(FIL) TION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICALCODE VIOLATION [ ] PRE C/O [ L REMA KS: POW �t DATE l INSPECTOR Uj 71 70 C` 17777771 s 1D= 0QE" l8 l03�ar i vn CSS ,___ p c,• ]� " s p p OO D 77 7 00 L--F !' 01 b o V -n ! SEL.FIx Cit o E n ° Co O -� 0 3 N� d ED gRCy��E` 3 _ l5 �o�z" Q• rJIGEL gofRl p� ------_------_ N N Sj. 557-1 �}- -- FN W� lannolo 1405 Bay Avenue Mattituck, N.Y. 11952 Nigel Robert Williamson Architect S.C.IM, 1000-143-0005-007.002 P.O. Box 1758 Southold N.Y. 11971 Phone 631 .834.9740 ," • , .._�, �7/ail ao�g � . � - -, OWNER STREET ;' VILLAGE DISTRICT SUB. "LOT O?ivtEi; OW I E R nQ 0 �iT 00Y�. N F' E �" ACREAGE S 0 W TYPE OF BUILDING tr — .. .;,i: .•,y l -�_.' /! -, ;% - -'i'.I:. it RES. �, SEAS. VL. FARM COMM. I IND. CB. _— MISC. - ---ND I IMP. TOTAL DATE RE (ARJ<S_ / .L — , -1-4_�� 1 L.''1 R , �-^ ! I��• n��^I�� i 'i" f -- "---`---`-==4—I '- °'" � h t�i.Y r��a P)�f ,,r'.�'•^•''• ( �I��(�f�'� -1-�`. �"�._',�-i Ff{i �__ W'�, a ��....% I:.. +`,-t 1 o-:�..G) '••_': :,' k-. Cil. � //�` ��"") :✓0/,}',_;i'Il. �, 1';/,c�Y f "e: I•r�✓!= ,+�{"l �� ._;�I B u Illrrr i• '� i�� I....f�:t^:rJ '7 ..c7 n1�.•• 5' �.�S..r. ?(a• pi AGE i BUILDING GONDITION NEW, _•,NORMAL �- BELOW ' ABO EV Farm Acre Value Per Acre I Value _ Tillable 1 I 1 Tillable 2 Y V_Cy'v�v._ �_D��O � _.-�.}_1_i�•G°L1' .�l.�i_ /,�f')'117___t__ '-•� n t— I I Tillable 3 Wcodland r _Jo Oq CSI �.� �,. `�'- 9_ ,f j �4�1� ' ,;C, i�j' r 't�.�•R Swampland i r�/�_1 I_ _la -' ' 1Q_1'1L12��>_ 2�5U�G�✓1Q '- - 1 �' ""� �7 Brushland j House Plot fi — -- I -- ---- ------ --- -- — - - TOWN OF S®UTI-!OL® PROPERTY L( OWNER STREET VILLAGE DISTRICT SUB. LOT,} ' ? 7- FORMER OWNER N E ACREAGE ' E S W TYPE OF BUILDING. RES.3 11 SEAS. VL. FARM COMM. I IND. I CB. MISC. Est. Mkt. Value LAND IMP. TOTAL DATE REMARKS L L _ - ,� r,! : ,. �, :� �? ,��, ;Qr (� ' ��z -a C`,die ��r 4 7�(nN/Ir�a:rf AGE BUILDING CONDITION NEW _- NORMAL BELOW ABOVE;' FRONTAGE ON WATER Farm Acre Value Per Acre Value FRONTAGE ON ROAD Tillable 1 ' BULKHEAD Tillable 2 DOCK Tillable, 3 Woodland ---- Swampland Brushland House Plot Tota I i dTAll - - I r_1� L4-- i i - -- � � i-I9 - - r- -1 - -- _ - M. Bld X-Y'Y' j Y — Foundation -_ - I i �a Bath 1 Extension _ yt ' ,,, i I Basement I r=U l ,? Floors I -- --—� -Extension S X GI_-- y� I J``�p t� �� i'� fit• Walls Interior Finish Extension`1 3 , " Fire Place — ��_ Heat - ---- - - - --' 1 X Porch y:t% Attic i Porch ' i Rooms lst Floor Breezeway -, r Patio Rooms 2nd Floor - C vsF vafi�H Driveway / 76C FORM NO.4 .. TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Clerk's Office Southold,N.Y.. Cedgicate Of Occupancy No. . . . -2102?8- - - - - - Date . . . . . - -October 30,. . . . . . . . . . . .. 19 .80 THIS CERTIFIES that the building $. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Location of Property .'1405 Bay Avenue,- , - - . . - . . . . . Mattituck, N.Y. House No. Sneer Ham /et County Tax Map No. 1000 Section .1. . . . . . . .Block . . . .5. . . . . . . . . .Lot . . . . . T'2. . . . . . . . Subdivision. . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Filed Map-No. . . . . . . . .Lot No. . . . . . . . . . . . . . requirements for a One—Family Dwelling built prior to conforms substantially to the- ie�tio�—€or-Btill�ir� ztttit- crefefete-fiied-ia-this-vffiae-dated'�— Certificate of Occupancy 19 . .5�ursuant to whi+eisZddiagf�crosit-ido. . . . Z'I 0228 . . . . . . . . . . dated . ,October 30, . 19 . 80 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 . . . . . . . . . A, One-Family Dwelling and a Pre-Existing Accessory Building with Seasonal Dwelling Use. Clara Weber_ & Ors. The certificate is issued to . . . . . . . . . . . . . . . . (owner, of the aforesaid building. Suffolk County Department of Health Approval . . .N111 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . UNDERWRITERS CERTIFICATE NO. . RM. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . &11#23fi0Z - CO#Z2586 - Addition to I)wellinZ BP#39347 - CO#Z3267 -- addition to Accessory, Structure . . . . . . . . . . . Building Inspector Rev 4/78 FORM NO.4 TOWN OF SOUTHOLD BUILDING DWARTMENT) TOWN CLERKS OFFICE11 SOUTHOLD, N. Y. CERTIFICATE OF OCCOPANCY No. x,..3267............. Date .......... ' ..September..li............. 19...66.61. THIS CERTIFIES that the building located at ................................................. Street t Map No. ...................... Block No. ....... .............. Lot No. ...198 ' ifi3LtC .3►Y .. Qkh'..................... conforms substantially to the Application for Building Permit heretofore filed in this office dated ....................ju1.y...is#............................ 19.611.. pursuant to yvhich Building Permit No. .19,94.Z. dated .......... 4;Z.&............. , 19.6 , was issued,and conforms to all of the requirements of the applicable provisions of the low. The occupancy for which this certificate is issued is ........ .pxfveta. .............................:. ............................................I........... The certificate is issued to ............Cl=.a...Webber.................i•..••.•....:.............................................. (owner, lessee or tenant) of the aforesaid building. ........./../f ..J«. ..................................... • .... Building Inspector i Xi I ' 3 i t I � FORM NO. 4 TOWN OF SOUrTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. CERTIFICA'T'E OF OCCUPANCY No. . . Z .2586. . Date .... ...9942-0100,V. -V . . . . . . . .. .. 19. .6C THIS CERTIFIES that the building located at BAT AWBAUO.. . . . . . . ... . . . .. Street Map No. .)=. . . . . . Block No. .=.... ...Lot No. . W.. . tt4:i 14**..N•.Tp. . . . . . . .. conforms substantially to the Application for Building Permit heretofore filed in this office dated . . ... .4VP%;0*9;C AX .. ., 19.60 pursuant to which Building Permit No. . Akg9 dated .. . .. S�FQQ '• , 1965., 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 :.. ..�4�t1o ¢• OYI@• ,i3. •Y:,tw�1n�.. .. . . .. .... .. .. .. .. .. .. .... . . . . . The certificate is issued to . . . .W:4 s. I!er @i;.GJq'*!kY •..•• •• •• .• •. •• • • •• •••• •. (owner, lessee or tenant) of the aforesaid building. .Suffolk County Department of Health Approval .... . .. . . . .. . . .. .. . . . . .. . . .. . . . . . . . . . . . . Building Inspecr