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Home My WebLink About1000-140.-2-25 gill -1;' T 04 SN OF SOUTHOLD CM Rental Permit }= 0968 Owner Thomas & Anjuli Eschbacher Occupied as Single Family Dwelling Located at 965 Pike Street Mattituck 140.-2-25 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. 8/3/2023 � ewe (? �cia� This Notice must be posted by the main entrance at all times z� z-7 Town Hall Annex �! .-1 812 54375 Main Road Fax(631)765-9502 P.O.Box 1179 Southold,NY 11971-0959 ate. f��I,Gd BUILDING DEPARTMENT TOWN OF SOUTHOLD RENTAL PERMIT APPLICATION Rental Permit Fee$200(Application must be renewed every two years) D" ID APR Section A. 1 1 2023 Property Information: F0WN 0F=SCIIM40I.0 Rental Property Address: X65 ,� N q 2, Tax Map Number: 1000 SECTION 1000 _-RLOCI( ) SECTION B. OWNER INFORMATION: Property Owner Name: ' f amA '16ma-s tsdibacke.,K Property Owner Legal Address: Property Owner Mailing Address: 1 Telephone Number(s): Daytime 3o)"325-qm Eveningk1 SEmergency 301-%-9Sol Property Owner Email Address: 11 11 1 Ik tb Page 1 of 5 fl Town Hall Annex Telephone(631)765-1802 L 54375 Main Road' Fax(631)765-9502 P.O.Box 1179 Southold,NY 11971-0959 � ON BUILDING DEPARTMENT TOWN OF SOUTHOLD Section C. Authorized Agent Information: Name of Authorized Agent of dwelling unit, if any: ' ( er"' Address of Authorized Agent (no P.O. Boxes): Y2 Mailing Address of Authorized Agent: °t! Telephone Number(s): Daytime 5b( 326--g3DEvening i-ecld,ct' Emergency 5au-tC �f Email Address: AA(i6 41, 1 &'Out Section D. Managing Agent Information: Name of Authorized Agent of dwelling unit, if any: (,k C 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 Telephone 631 Town Halt Annex 1' � °�� p ( )765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1179 Southold,NY 11971-0959 ou BUILDING DEPARTMENT TOWN OF SOUTHOLD Mailing Address of Managing Agent: Pk Telephone Number(s): Daytime _Evening,__, .w. Emergency Email Address: SECTION F. PROPERTY DESCRIPTION: Number of Rental Dwelling Units on property: ( —)10 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: i Requested Maximum number of persons allowed to occupy Dwelling Uni Number of rooms in Rental Dwelling Unit: _....- Use and Dimensions of each room in Rental Dwelling Unit: 1m I GJ 2--61k � �' t'p" X tom" Q) 13.Z`x U Page 3 of 5 Telephone(631)765-1802 Town Hall Annex 5 Fax(631)765-9502 54375 Main Road P.O.Box 1179 "� i" Southold,NY 11971-0959 k id r BUILDING DEPARTMENT TOWN OF SOUTHO>f D 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 [3 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 LN 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 Telephone(631)765-1802 54375 Main Road Q� Fax(631)765-9502 P.O.Box 1179 ^ Southold,NY 11971-0959 y' BUILDING DEPARTMENT TOWN OF SOUMOLD 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: my E-S 4 bCAA/v Property Owner's Signature: Sworn to before me this day of 20,13 Official N ary Public Signature and Original N Stamp BARBARA H.TANDY Notary Public,State Of Now York No. 01TA6086001 Qualified In Suffolk CountyX� Commission Expires Page 5 of 5 Town Hall Annex Q° + � Telephone(631)765-1802 54375 Main Road „ Fax(631)765-9502 P.O.Box 1179 Southold,NY 11971-0959 r 1"I BUILDING DEPARTMENT TOWN OF SO .ITitOLD 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 l�'ro essia�nal seal re aaired or ArchFtect or Fn ir�eer liaensed lla>me!ns actor must rovide co y of valid current cerci ication Rental Property SCTIVI Number: - 14 — b — 2 a_ Rental Property Address: le, k-)L (' Owner/Name:_ AM J1jli -RA-DUncc.S Rental Dwelling Unit Identifier: !Si L)4j U E LAl- `CJtk) Number &Square footage of each bedroom as depicted in the attached floor plan: (i.e. Bedroom#1 -100 sq., Bedroom#2-90 sq., etc.) (,Sf .' Property Description (Include all improvements indicated on survey) w 4 " t'(o x is i 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 Conser at o Construction Code of New York State. Print Name and Title � i op al Signat e� Please place professional seal: ` i µ, �0 •* /� f so TOWN iF SOII TOLD BUILDING DEFT. 831-765-1802 I No S Ima" E C T I ON` [ ] FOUNDATION 1ST [ j ROUGH PL13G. [ ] FOUNDATION 2ND [ ] INSULATION/CAULKING [ ] FRAMING /STRAPPING [ j FINAL [ ] FIREPLACE & CHIMNEY [ j FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FI [ ] CODE VIOLATION [ ] PRE C/O [ RENTAL REMAR .. ................. DATE I CC RENTAL Ld PERMIT f � o XJ W Ze U .�...... fn .n.w _..w. RESIDENCE q....... E MATTITUCK, NY r 965 PIKE STREET BR #2 BR #3 W 9.4'x13.7' 99x9.0 ARCHITECT -� 120 SF 89 SF m FRANK UELLENDAHL .-. o P.O.BOX 316 GREENPORT, NY 11944 ..... sm/CO TEL 631-477 8624 .w_............. OWNERS ANJUU ESCHBACHER HALLWAY sM/co BATH RM. &THOMAS ESCHBACHER ............. Ol.. 613 BALTIC ST. #4C ....................._......._........__......._._._..� _,_.w.. BROOKLYN, NY 11217 .......�....................... sm�00 3 301-325 9308 M M ........._w...... . .. .www.µ,. _.._,.www......._._.. ...- _ ....W..................... ....... ... w........M sm/CO rr ... BR #1 ....................... ._....._w _ 16.1x 11.5" 188 SF " 6, ..:..._.. ..............:.�. ............ ......... ... .mow GLI µ man ,zs ......... ... ... o DAT. . 04 17 2024 ME 2ND FLOOR PLAN 3 C THE ESCHBACHER RESIDENCE DWG. 965 PIKE STREET, MATTITUCK, NY A-200 SCTM# 1000-140-02-25 8o DWG. NO e� E CC W PERI MT � :c o � CoC HAU RESIDENCE MATTITUCK, NY " ` r7i965 PIKE STREET ARCHITECT m FRANK UELLENDAHL P.O.BOX 316 GR1944 TEL• 7 P631-4718624 w OWNERS ANJUU ESCHBACHER UNFINISHED CRAWL SPACE &THOMAS ESCHBACHER 613 BALTIC ST. #4C UP BASEMENT [ 3 BROOKLYN, NY 11217 m 301-325 9308 BOILER A '* ,° HVAC UP 1.4 CRAWL SPACE "CCNC. HAUNCH-,'. 21 i� CRAWL SPACE 0 0 117 22023 aw o BASEMENT PLAN 1 H E00tMHE o"'IDE CE RWG NAME 965 PIKE STREET, MATTITUCK, NY A-300 DWG. NO SCTM# 1000-140-02-25 e� l ) _ Ju��, F TOWN OF SOUTHOLD PROPERTY I TREET VILLAGE DIST. SUB, LOT € OWNER r -, - _` z ! FORMER OWNER N 1= I ACR _ s S =_W TYPE OF BUILDING RES—, SEAS. VL FARM ; COMM. CB. MICS. Mkt. Value 3 � E LAND IMP. TOTAL DATE E REMARKS -- �€ C3 � 9 0 rz `- _ - C-0 - J f ' t Vt J s _ t E 1 AGE BUILDING CONDITION NE`N NORMAL BELOW ABOVE FARM Acre Value Per Vclue s�e Acre Tillable = FRONTAGE ON WATER WoodlandFRONTAGE ON ROAD t I . a Meadowland DEPTH House Plot BULKHEAD ems_ 3 Total I DOCK i I 6 L0 - ¥ R1 , 41 k m= � i f ` e e a E 140.-2-25 1/2016 M. Bldg. �� — - e. Extension P Extension i t f s�\ 4 � � Extension f s Foundation Bath Dinette Do i _ _� Basement !Floors <. Ext. Walls Interior Finish i LR. Fire Place Heatj DR. Garage - „ _a `Type Roof Rooms Tst Floor BR. Patio Recreation Room Rooms 2nd Floor FIN, B 0. B. Dormer Driveway Total . E F ..........._---................... Town of Southold 10/11/2016 53095 Main Rd Southold,New York 11971 –--—--------------- ........ PRE EXISTING CERTIFICATE OF OCCUPANCY No: 38573 Date: 10/11/2016 THIS CERTIFIES that the structure(s)located at: 965 Pike St,Mattituck -..........-............ .............. SCTM#: 473889 Sec/Block/Lot: 140,2-25 Subdivision: Filed Map No. Lot No. conforms substantially to the requirements for a built prior to APRIL 9, 1957 pursuant to which CERTIFICATE OF OCCUPANCY NUMBER Z- 38573 ............. dated 10/11/2016 was issued and conforms to all the requriements of the applicable provisions of the law. The occupancy for which this certificate is issued is: wood k4me e f —_qn Am.ilydwellitigwiLtti,covered front_parch staid Note-Bl'4104 moiler/mot°mater heat.er.COZ-38572. The certificate is issued to Kelleher,Faye ...........— (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. ............. ............ PLUMBERS CERTIFICATION DATED *PLEASE SEE ATTACHED INSPECTION REPORT. J- –ih- ---W—Siginature BUILDING DEPARTMENT TOWN OF SOUTHOLD HOUSING CODE INSP .'C7'ION EPOR"I" LOCATION: 965 Pike St,Mattituck, ---- ......................................... ..... _- -- ----------- SUFF.CO.TAXw......._.........._.. w ............�.�...................._..... �_....., MAP NO.: 140.-2-25 SUBDIVISION: ,�,.www_..__..........M...._w��._ NAME OF OWNER(S): Kelleher,Faye .........�............... ... ... ................. OCCUPANCY: _ VESTer Faye _..... ..... DATE:._... 10/11 ADMITTED BY: Linda ........__ _........... __._..._.. SOURCE OF REQ... . E wKelleher,___.. ..... .._....,,, �._._ ....�. _._. � .. /201...... .w.w. mda Bur DWELLING: #STORIES: 2 #EXITS: 2 FOUNDATION: concrete block&brick CELLAR: 1/3 CRAWL SPACE: 2/3 BATHROOM(S): 1 TOILET ROOM(S): 1 UTILITY ROOM(S): ....................... ......w_...._.. _.. PORCH TYPE: enclosed porch DECK TYPE: PATIO TYPE: BREEZEWAY: FIREPLACE: GARAGE: DOMESTIC HOTWATER:: yes TYPE HEATER: � street as AIR CONDITIONING:g NDITIONING: no TYPE HEAT: Gas/cast iron WARM AIR: HOT WATER: radiators #BEDROOMS: 3 #KITCHENS:.,_........ .._w....._ _ .................. BASEMENT TYPE: unfinished OTHER: ACCESSORY STRUCTURES: GARAGE,TYPE OF CONST: wood frame STORAGE,TYPE OF CONST: _...............................,. _. ....ww__�......_..................._ _....._...._..._.................m SWIMMING POOL: GUEST,TYPE OF CONST: ........._._....... OTHER: VIOLATIONS: REMARKS: INSPECTED BY: JOHNJ DATE OF INSPECTION: 9/16/2016 TIME START: 10:20am END: 11:15am R i gt1t � Town of Southold 10/11/2016 P.O.Boz 1179 53095 Main Rd Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 38572 Date: 10/11/2016 THIS CERTIFIES that the building AS BUILT ALTERATION Location of Property: 965 Pike St,Mattituck SCTM#: 473889 Sec/Block/Lot: 140.-2-25 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 9/20/2016 pursuant to which Building Permit No. 41042 dated 9/20/2016 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: "as built"bailer/ Zt rter last ,. ied for= The certificate is issued to Kelleher,Faye of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED erized Signature Bunch, Connie From: Bunch, Connie Sent: Wednesday, May 10, 2023 11:49 AM To: 'julie.eschbacher@gmaii.com' Subject: 965 Pike Street, Rental and Building Permit Hello, Prior to us issuing the rental permit for 965 Pike Street in Mattituck, Building Permit#45567 must be renewed as it expired on 12/14/2022.The fee for the renewal is$184.00 which can be a check made payable to the Town of Southold. We also need specifications for the air conditioning. if you don't have the manual for the air conditioning you can take a picture of the sticker on the condenser and mail that in to us with your renewal fee. Once the building permit has been renewed you can schedule the electrical inspection with our electrical inspector and if the inspection passes we can issue the rental permit and certificate of occupancy at the same time. Best Regards, 60016 &o4 r) I rt%ore#10J�lce Afflt�&rt y0a elw1v 46411V4 ,$ Cool" 631-765-7802