The URL can be used to link to this page

Home My WebLink About1000-114.-11-11.1 TOWN OF SOUTHOLD Rental Permit IN 0969 Owner Marratooka Design LLC Occupied as Commercial Building (Apartment A First Floor) Located at 13100 Route 25 Mattituck 114.-11-11.1 Maximum Permitted Occupancy 2 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. 8/3/2023 Code hfor rpt Official _ This Notice must be posted by the main entrance at all times a TOWN OF SOUTHOLD Rental Permit 0970 Owner Marratooka Design LLC Occupied as Commercial Building (Apartment B Second Floor) Located at 13100 Route 25 Mattituck 114.-11-11.1 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. 8/3/2023 Code Enforcement Official This Notice must be posted by the main entrance at all times 1-z i Z3 4o(-) Town Hall Annex ` 12 �31)765.1112 54375 Main Road �� ` Fax(631)765-9502 P.O.Box 1179 a , m.. Southold,NY 11971-0959r� �i1ii 'JAM Al 1 BUILDING DEPARTMENT ROZ L TOWN OF SOUTHOLD RENTAL PERMIT APPLICATION "I ,"j, S 2!21 .. Rental Permit Fee $200(Application must be renewed every two years) Section A. Property Information: Rental TPperty Address. Coo � :_... wjft� . Tax Ma Number: 1000 SECTION / Map / -BLOCK -LOT SECTION SECTION B. OWNER INFORMATION: l � � SIG �b a °�h _.......... Property Owner Name: ,. ... �`�... ,... ............-.._.. ..-.. ..,.�..L L�_.-....._.�..m�...�....w_.....__�. �.,-�.. Property Owner Legal Address: Property Owner Mailing Address: Telephone Number (s): Daytime 6 / Evening,_— Emergency_,,, Property Owner Email Address: Page 1 of 5 d Town Hall Annex ole � � � Telephone(631)765-1802 54375 Main Road ° 1�� % Fax(631)765-9502 P.O.Box 1179 Southold,NY 11971-0959 BUILDING DEPARTMENT TOWN OF SOUTHOLD Section C. Authorized Agent Information: Name of Authorized Agent of dwelling unit, if any:�1 Address of Authorized Agent no P.O. Boxes Mailing Address of Authorized Agent: _..... _._._._.._......._...ww...ww_._.� . _ ... _............... Telephone Number (s): Daytime® � Evening__.__., Emergency, Email Address: Section D. Managing Agent Information: Name of Authorized Agent of dwelling unit, if any: _..... .v._„ Address of Authorized Agent (no P.O. Boxes):.. _ _._. .._... ....w_..w w._.�.._ w....w_.IT..� . _..ww. ..ww_ Mailing Address of Authorized Agent: __......._ ............._.._._.._.._..._._......_................_.._.._,. a....a .. __._.._ ..Mm..........._...� 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 .ww�...._._......_ _w_._..._..m.._................... ._........�.�.�..�_...____. . M____ . ..... Page 2 of 5 r � 1r �iYlu�uf �F Town Hall AnnexTelephone(631)765-1802 r � 54375 Main Road � i i� �1 Fax(631)765-9502 P.O.Box 1 179 %%'r �,' Southold,NY 11971-0959 BUILDING DEPARTMENT TOWN OF SOUTHOLD Mailing Address of Managing Telephone Number(s): Daytime..._,,._ ..,._,_...._....w.EveningEmergency_, ........................... ....._....�... 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: .........m _....._ ..._wwwwww............_ Requested Maximum number of persons allowed to occupy Dwelling Unit: .,,.-- Number nit: mm--Number of rooms in Rental Dwelling Unit: _,_m----- _.__m_ Use and Dimensions of each room in Rental Dwellingf jU-nniit: Mf„(_ .,,,,, _,_,M____,,,_ LI14C 14C Qt/� 1.7 X „„.L...�... �w��moi. .-2g........................ ...�.........................��... Page 3 of 5 Town Hall Annex / /�j�r� �/��/ fj�i', "� Telephone(631)765-1802 54375 Main Road j j/r l%,f��/ i, Fax(631)765-9502 P.O.Box 1 179 Southold,NY 11971-0959 BUILDING DEPARTMENT TOWN OF SOUTHOLD RENTAL PERMIT APPLICATION ADDENDUM Rental Dwelling Unit Identifier: �. Requested maximum number of persons allowed to occupy each dwelling unit: „ Number of Rooms in Rental Dwelling Unit: e Me a _-w-__w-w_ww u.._ Use and Dimension of each room: _�_.... � _._......... .......__...._.._...._.._._.. ......__w ... .... ......_,_. .A_. . Rental Dwelling Unit Identifier: Requested maximum number of persons allowed to occupy each dwelling unit: Number of Rooms in Rental Dwelling Unit: _o.....__....._. _ .. w_.. __....... _............w.......n_..... ._.............. Use and Dimension of each room: Rental Dwelling Unit Identifier: Requested maximum number of persons allowed to occupy each dwelling unit: Number of Rooms in Rental Dwelling Unit: Use and Dimension of each room: ttyy / jj / %i lif Town Hall Annex /„t,�' ,j Telephone(631)765-1802 54375 Main Road Fax(631)%G765-9502 i �! P.O.Box 1179 Southold,NY 11971-0959 OD/2, r� br 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. 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) 1 .... ,,,, „ wa�C'",d � __, 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 Town Hall Annex ,�� 1/,y��; fr ,, �� Telephone(631)765-1802 54375 Main Road ' � °/ �j� Fax(631)765-9502 P.O.Box 1179 Southold,NY 11971-0959 0, fr 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:_....._., -j _z / d //6144m . . ` ..m....__..._._._ _..... .._....... Property Owner's Signature: Sworn to before me this LAay of ✓ M 20 t!G, *anri .............—..........— IIc Si nat.0 reOficial Notary al Notary Stamp TRACEY L. DWYER NOTARY PUBLIC,STATE OF NEWYORK NO.01 C OLIALI I D 161 SUFFOLK COUNTY COMfASSION E "PIR5S MUNE 0, Page 5 of 5 TOWN OF' SOUTHOLD BUILDING DEPT. 631-765-1802 /A IN *PECTION [ ] 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 [ENTAL REMARKS: �� i2 a So�'1 OGGU ct� Av"zktmJ 13 4 DDATE OGG • - Town Hall Annex ell � Town of Southold 54375 Main Road o Rental Inspection Report PO Box 1179 , o Southold, NY 11971-1179 G Tel: 631-765-1802 SCTM # �.....M.. " , °.. . . //� _. .Z„ �..... ._ Phone . ._..... . ._ ti....'� "_.._. Owner , _.. ..... .��"�....w,.....�.. .�..M_.. ....� / Visible ;Address Hamlet Inspector, _. ..... . ..e.. Floor L _. evel Quantities Sub 1 2 3 Smoke Detectors (not located in bedrooms) Carbon Monoxide Detectors Fir e Extinguishers ......._ . � nam.-_. Exits r Bedrooms 1 2 3 4 5 6 Smoke Detectors Egress 1r" O c�.au i a. n l C. :� �.rl t Building Systems r0afint:liin ed & Operabonal Condition of Property Heating BiAlding interuor. Hot water BuiUng exteroor Electrical Property clean, maintained &safe Mechanical ,..__ _.. _. . Handrails &guards mstalles_ec.u,r.e.. e Pool SafetyPool on Site Surface water alarm Date of CO issuance Door alarms _ Pool completely enclosed Self closing/ latching gates Pool fence to code requirements COsfor all items present Prior Rental _ .. _..�.. Comments: ,/ / " _m ....; ro.. f A ( q 1 w ,......... �...,,�,. a,......w.,.. ,..... Of M „Nn �................. .,.� hw I� f r w„ ........ .. . ........... u e, A TOWN OF SOUTHOLD PROPERTY I StRD G OWNER =STREET VILLAGE SUB= LOT I _ P FORMER OWNER N ACR a S W TYPE OF BUILDING t Va�; _ a ' RES SEAS. € VL. FARM COMM. CB. MICS. Mkt. Value LAS IMP. TOTAL DATE r REMARKS t e 9 s g s _ E a Qtdk� w.._ ' I r' ,t Lf z AGE BUILDING CONDITION Q s I NEW NORMAL BELOW ABOVE FARM Acre Value Per Value Acre Tillable FRONTAGE ON WATER Woodland ! FRONTAGE ON ROAD ' Meadowland DEPTH I House Plot BULKHEAD Total DOCK F r o_ j _ a< ti� a I WIN TIONK pap z 114.-11-ll.1 3/06 _ .F. F , Extension Extension sion F w 'Foundation Both Porch y = moment Floors m; Ext. Walls Inter'sor Finisl; .. •. � F ire Pucee . Garoge T e Room -- °. ROreatison Room Roor'ry 2nd Floor arm r D) ivew,—v Total a FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. PRE EXISTING CERTIFICATE OF OCCUPANCY No: Z- 29176 Date: 01/08/03 THIS CERTIFIES that the building BUSINESS , Location of Property 13100 MAIN RD MATTITUCKwww (HOUSE NO. ) (STREET) (HAMLET) County Tax Map No. 473889 Section 114 Block 0011 Lot 011.001 SubdivisionFiled Map No. Lot No. conforms substantially to the Requirements for a BUSINESS STRUCTURE built prior to APRIL 9 1957 pursuant to which CERTIFICATE OF OCCUPANCY NUMBER Z- 29176 dated JANUARY 8 2003 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 TWO STORY BUSINESS BUILDING WITH RETAIL FLORIST SHOP & TWO LIVING—,,,— UNITS-ONE IVING _____UNITS-ONE ON FIRST FLOOR, ONE ON 2ND FLOOR & ACCESSORY GARAGE * _ o............�.w. .. ...„. The certificate is issued to HARRY M & ARLENE JAC ,�JILLARD (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A *PLEASE SEE ATTACHED INSPECTION REPORT. "hoed ure Rev. 1/81 BUILDING DEPARTMENT TOWN OF SOUTHOLD N06_SIi& mqL....I2«SSpS'CA LP nkw REtIORT LOCATION: 13100 MAIN RD _ MATTITUCK SUBDMSION-. MAP NO.: LOT (S) .__....._ ,, M ...........__._JAC U3'L1.ARD NAME OF OWNER (S)- ,HARRY M & ARLENE �.7",.. .'r..-_._.,�..T,,. -_.................. OCCUPANCY: BUSINESSgggqqµ„ HARRY M & A RLEN'E JACQUILLARD wE JJy( C9'1'd,yARR1 ACCOMPANYED BY: SAME ADMITT® BY: ARLEN.. ..... .�......�........ ., �.��..............».... w...M.._.... KEY AVAILABLE: ....�, SUFF. CO. TAX MAP NO.: 114—.µ'11-, 11.1 SOURCE OF REQUEST: HARRY M. JA UILLARD w 10 22Z22 DATE: 01/08/03 TYPE OF CONSTRUCTION: __WOOD FRAME www 9 STORIES: 2.0 # EXITS: 1 FOUNDATION: BRICK _............... CELLAR: PART. CRAWL SPACE: PART. TOTAL ROOMS: IST FLR.: 6 2ND PLR.: 4 3RD FLR-: 0 BATHROOM(S) 2.0 TOILET ROOM(S): 0-0 UTILITY ROOM(S) PORCH TYPE: DECK TYPE: PATIO TYPE: BREEZEWAY: FIREPLACE: GARAGE: �__ w.ww_..... .... ,_.... DOMESTIC HOTNATER: YES TYPE HEATER: OFF BIOILER,__, AIRCONDITIONING: ......... TYPE BEAT: OIL www_, WARM AIR: HOTWATER: XX OTHER: UPSTAIRS (2ND FL.� APT. ALSO IS klAPT WITH PANTRY _„_........_ ............. .. .. �.......... .... �a ACCESSORY STRUCTURES. GARAGE, TYPE OF CONST.; WOOD FRAME 1-1/2 CAR STORAGE, TYPE CONST-: SHINNING POOL: w GUEST, TYPE CONST-: OTHER: _w_ .... �.__w...... VIOLATIONS: CHAPTER 45 N.Y, STATE UNIFORM FIRE PREVENTION & BUILDING CODE LOCATION DE��R�PTION �. ..ART U � 0 u G � G U I I 1 l I G l I I 8 RDInR S: 13P#55612 COZ-4662 (ADD)-BP#2B730Z-CO2-2900& (GREENHOUSE ADD) ........... � .._.»��. ...www.__,.. „........, .. reinspected Ott 1/7/03« INSPECTED BY. DATE ON INSPECTION: 10/24/02 Yel GARY J. I TIME START: 9:55 AM END: 10:30 AM ....................... Town of Southold 1/9/2019 P.O.Box 1179 53095 Main Rd Southold,New York 11971 ............ CERTIFICATE OF OCCUPANCY No: 40157 Date: 1/9/2019 .................... THIS CERTIFIES that the building AS BUILT ALTERATION ------........... ........................ .......... Location of Property: 13 100 Route 25,Mattituck SCTM#: 473889 Sec/Block/Lot: 114.-11-11.1 ——---------- ......... Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 3/19/2018 pursuant to which Building Permit No. 43371 dated 1/4/2019 ..............................- ................ ...... .. 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: Lift" Llb�jldi;)&;Ls.Appjiged for, The certificate is issued to Hamilton,Jack&Donna .............. of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 43371 1/8/2019 ............ PLUMBERS CERTIFICATION DATED ............. ....... ... ho, ed ignature FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Clerk's Office Southold, N. Y. Certificate Of Occupancy No.84662 Date ;uMe .11972 THIS CERTIFIES that the building located at . $IS Main :road Street Map No. xx . Block No. xxx . . . . .Lot No. xxx . . Matt ituck Ii.Y. conforms substantially to the Application for Building Permit heretofore filed in this office dated Oct 21 , 19 ?J pursuant to which Building Permit No. .5581Z dated . . Oct • • •21 19 V., 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 Mixed• occupancy dwelling•& storey• (garden -center)- The certificate is issued to Marry. Jat>fxtUl>s rd-dc Wife • • . 0.-nets (owner, lessee or tenant) of the aforesaid building. NuTEi subject to compl.etim: of interior steps Suffolk County Department of Health Approval N*R* . UNDERWRITERS CERTIFICATE No Gert. pend#,g . _ . . . . . . . . . . . . . . . . i10USF NUMBER 13e100. . Street Main toad Builclmg hispector FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-29008 Date: 10/22/02 ,. ,»..M..... _,...w_.w.. THIS CERTIFIES that the building ADDITION Location of Property: 13100 MAIN RD MATTITUCK (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 114 Block 11 Lot 11.1 Subdivision __.. Filed Map No. Lot No_ conforms substantially to the Application for Building Permit heretofore filed in this office dated SEPTEMBER 9�._._ 002 pursuant to which Building Permit No. 28730-Z dated SEPTEMBER 9, 2002 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 GREENHOUSE ADDITION TO AN EXISTING DWELLING - BUSINESS BUILDING AS APPLIED FOR. _......... The certificate is issued to HARRY M JAQUILLARD & WF _m _wwvwvwvmm.p (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL NLA ELECTRICAL CERTIFICATE NO. 1080653 09 21/02 PLUMBERS CERTIFICATION DATED N/A � tho ized2(ignature Rev. 1/81