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Home My WebLink About1000-123.-4-5.1 TOWN OF SOUTHOLD Q GA 4 Rental Permit `A, 0699 Owner Christopher & Elizabeth Austin Occupied as Single Family Dwelling Located at 2200 Deep Hole Dr. Mattituck 123-4-5.1 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. 7/13/2022 dfornt fficial This Notice must be posted by the main entrance at all times Town Hall Annexe Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1179 Southold,NY 11971-0959 A BUILDING DEPARTMENT TOWN OF SOUTHOLD RENTAL PERMIT APPLICATION F E B 1 4 2022 Rental Permit Fee$200(Application must be renewed every two year0'-T-'--,- Section A. Property Information: Rental Property Address: 2 20-c-a Tax Map Number: 1000 SECTION. Z :1 -BLOCK--. -LOT_ SECTION B. OWNER INFORMATION: Property Owner Name: �q\-C'r- Property Owner Legal Address: Property Owner Mailing Address: 91s- %00 MC6"� _VCO Telephone Number(s): Daytim .7qi4-0/4c/Evening_ !�!A Emergency #'Vlld- Property Owner Email Address: Aus� *o-- Ckr *% 0 'E0^4Va14 lopq� Page 1 of 5 Town Hall AnnexTelephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1179 : _ Southold,NY 11971-0959 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, 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: Number of rooms in Rental Dwelling Unit: Use and Dimensions of each room in Rental Dwelling Unit: . Page 3 of 5 zl*w . Town Hall Annex Telephone(631)765-1802 54375 Main Road .: Fax(631)765-9502 P.O.Box 1179 Southold,NY 11971-0959 t 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. 00"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) n 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 5 300 Town Hall Annex a. Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1179 Southold,NY 11971-0959 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: Property Owner's Signature: ell Sworn to before me thisl�—day of Fel r1/l .20 QL Official Notary Public Signature and Original Notary Stamp CONNIE D. BUNCH Notary Public,State of New York No.01BU6185050 Qualified in Suffolk'County Commission ExpiiresApril 14, 20d\?S Page 5 of 5 SOUTyOIo # # TOWN OF SOUTHOLD BUILDING DEPT. y o,rm��'',� 765-1802 beq 61 e INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ]: FOUNDATION 2ND [ ] INSULATION/CAULKING [ ] FRAMING/STRAPPING [ ] F AL [ ] FIREPLACE-& CHIMNEY [X FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) [ ] CODE VIOLATION [ ] PRE C/O REMARKS: v . DATE 0 �Z� INSPECTOR 1 st Floor i3 ro� Llvina Room 2 `�' 1t'6" —24' —� m Bedroom i H .N y Liuina Room 1 IT a•i f'7 aJ A 1'B clomt2 J 641 710" Tpinlna Z I l•r �I 5'10'—j 1 5 A. e 9GMroem 2 m rp3a I 11.6° 8 10 177' 11 1st Floor 60419AA 7/22/2014 Page:61 TOWN OF SOUTHOLD' PROPERTY R5CORD CARD DIST.OWNER STREETVILLAGE SUB. LOTt,-lea t ACR. REMARKS j 'TYPE OF BLD. -pQ ftue r PROP. CLASS CA no vvv-,�,-s a(� 74 LAND IMP. TOTAL DATE -7 0 FRONTAGE 0NwATE,A TILLABLE FRONTAGE ON ROAD WOODLAND DEPTH MEADOWLAND BULKHEAD' 'HOUSE/LOT TOTAL QP und 'L STREET� _ I VILLAGE', DISTRICT SUB. LOT RA �,7.r y�`? L�Ye /Pa' ,('. '�(.t^ � 7 � ^ _ / �':rn /• _Tm..',•"""-" ('� .I y0'l ��` =,v�"1"CL�4'i`>C.f^a/Z{.•d"✓- � � `. L �f r ��,' rrs Fe `7• fit' j e�'G:.1 F•_<.. .. IC; , .c:?< + , / l r' --- `'� ,ryt:¢ ;{ ------ r,~� - ... �`'1``-;A �`� -- -T----�'-�%C4...-•- ,.�•Lx. e,JL ��:•�..�titi.":fY1t�:K- .�:.' _l�_.__is...__._. _ t t./,fr�f,/ FORMER gWNER - t N ' �j E � f � � ACREAGE � �� t� '"f..: ✓ 1' J/9_?.*wa� 4 �t%�t '°� ! 7�1"j 1J Vn � �"1� {7" C •{,�r F c1, �7=Y S t'" h -- W I TYPE OF BUILDING ----� •'i '!'- " /-•' .) f F. I � ! aux:• f`• ,Y , _ ''i%% _ ,.';i:•�f,9.� J' .,^ " %Yrs";•--'''"�;- tr�.r�+�r•'�`Y"�,^. �T':""p'.':C::lli`�' t"'^1,�.4�0' C.. It "�..Y...., :'.-�s'".S:r-•�.cy�.:•; RES. J SEAS. -C -- - VL. FARM COM-.1% IND. I CB.. LAND IMP. TOTAL DATE REMARKS J � -T 76e) Cog t�c�G� %f U a �' a` 3 � es- '�� !t'��rr�,art �;c3�.-i_i • � n 114210 n5/: oe?rao `L3UIL fj�lGE �� T DING 'CONDII '01 /tri (LQ 9(--L.�..1 P.3 �"O': a rn J- :' �,, �.,,,, syr-� :�–•`r–•—F-,°; NORMAL LOQ r'AB � �. _ j f _ T-5 r -- .. _._ _b6 r � {r.. t -=` b ; `l,-D L Tillable I c' Woodland ;� ; O'' ) c; c~�" ....•'- Swampland r�' ;q. ti Brusnland 4 House Plot C ; _y l ' !f — , `k: {,3 -I . 1?C� .S` �'�^,1 r•,as` +vim, it Jh -7-13Y r. M. Bld r a %Foundation Bath Extension' �' ,, .- kt1' U�t� 3 .16`` ..-Base.meht � � Floors � j xte4rision �C jk? — a j j'� Ext. Walls �Jy�ali{ Interior Finish wf r 1 L-) 0 �n � rte_xtension L x;(O = ?v f Og Fire Place v� Heat � . e�ka 2. !C J Z. 3 9 Porch Attic .;�a Po A Porch Rooms 1st Floor �— k rj9(D Patio Rooms 2nd Floor ---- Gcrage L) ?- el U Driveway y ; r •+ �':�+M,^P� �'Ta 4 ' '•t ; .,.. �,,ti sFit`� ,y o; 'f. >✓ .•y' i' i:�",-a.t.. dei'-- �j...y-, :•r . i� =`,'-.,,�i�'•�.; _ :t ,' .c • ; _ �. S �s r I�x3l:t - -r"n/af1 l0001f .1-1 _..S-1 _ :t — ` �^,:r.:c. "•� .c:.i4�- A>:- —_.gra. _ _ p `'"vas :r•.{, ,s� •�.,• '�.?-- �a-• �.: �Tny'^-i,S-7'_"'�-1�-`5,.. C-::3:�-i'i.> 'a'la's Yr`l:k�S ' � .-•:3.: 1ha'•'• Si,wt_r. ,.•�9Mt"'-3�,y}^:•}.:r"_,w:-,:sly 4.t�: �F::;= :is�L fi•-�"fxY�-'+,�;:�2ti:' ;:✓�-,'�.,,-''. =:?"'",l{;jF„�••yi",.:'�:� 'i{"•;.,;•..'w':>�%i,'"y`.:.,r�c"' -' --- - � S .e�v� Y•' Y",.a:�"'{'?its;:;�„��..;�'.:,�. '�. '7'•... :' . r' d 123.-4-5.1 3/11/2019 n _214 Z :Foundation I .Bath: i I L)2I !� Extension° " �' ,' �l �:=�' '. � Easement �. "- -"". Floors r-E'xtenslon - - �: Ext. Walls K� �' �. /_�-_p Interior Finish L� Jam ._ _.___.__. _.____------•- ----- __.__ j�JEYfension {� p 7� 00 Fire Place a:t } - n �: 3 ��' _ + Porch f:f Attic, 1 1.�r 1i K 1 ✓ art. f - Porch Rooms 1st Floor i eteez�Wa -Patio Rooms 2nd Floor ...., Driveway ! ,,� a s-�,��.,..i..-•-„. �'-t� • • , .5 _ . 4 , osufc Town of Southold 7/14/2022 K 53095 Main Rd h ' Southold,New York 11971 PRE EXISTING CERTIFICATE OF OCCUPANCY No: 43243 Date: 7/13/2022 THIS CERTIFIES that the structure(s)located at: 2200 Deep Hole Dr,Mattituck SCTM#: 473889 Sec/Block/Lot: 123.4-5.1 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- 43243 dated 7/13/2022 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 frame single family dwelling.* The certificate is issued to Austin,Christopher&Elizabeth (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED *PLEASE SEE ATTACHED INSPECTION REPORT. � 6 o z d Signature BUILDING DEPARTMENT TOWN OF SOUTHOLD HOUSING CODE INSPECTION REPORT LOCATION: 2200 Deep Hole Dr,Mattituck SUFF.CO.TAX MAP NO:: 123.4-5.I 1 SUBDIVISION: NAME OF OWNER(S): Austin,Christopher&Elizabeth OCCUPANCY: ADMITTED BY: SOURCE OF REQUEST: 2200 Deep Hole Dr LLC DATE: 7/13/2022 DWELLING: #STORIES: 1 #EXITS: 2 FOUNDATION: cement block CELLAR: partial CRAWL SPACE: BATHROOM(S): 2 TOILET ROOM(S): UTILITY ROOM(S): yes PORCH TYPE: DECK TYPE: PATIO TYPE: BREEZEWAY: FIREPLACE: 1 GARAGE: DOMESTIC HOTWATER: yes TYPE HEATER: electric AIR CONDITIONING: TYPE HEAT: oil 'WARM AIR: HOT WATER: baseboard #BEDROOMS: 2 #KITCHENS: 1 BASEMENT TYPE: OTHER: ACCESSORY STRUCTURES: GARAGE,TYPE OF CONST: STORAGE,TYPE OF CONST: SWIMMING POOL: GUEST,TYPE OF CONST: OTHER: VIOLATIONS: REMARKS: INSPECTED BY: JOHNJ DATE OF INSPECTION: 4/8/2022 TIME START: 10:10am END: 10:40am gUFMi,fco Town of Southold 2/7/2019 M ' P.O.Box 1179 o • 53095 Main Rd ��j�l �•aof� Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 40201 Date: 2/6/2019 THIS CERTIFIES that the building RESIDENTIAL ALTERATION Location of Property: 2200 Deep Hole Dr,Mattituck SCTM#: 473889 Sec/Block/Lot: 123.4-5.1 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in'this office dated 10/23/2017 pursuant to which Building Permit No. 42281 dated 1/8/2018 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: RAISED DWELLING FOR FEMA COMPLAINCE, COVERED FRONT ENTRY AND REAR DECK ADDITION TO AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR The certificate is issued to Palmer Thomas A Irry Trust of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 42281 11-08-2018 PLUMBERS CERTIFICATION DATED 10-29-2018 TJ AWcaro P bing l tho ' Signature i` FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of-the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY l No Z-19396 Date SEPTEMBER 27 1990 THIS CERTIFIES that the building ACCESSORY Location. of Property' 2050 DEEP HOLE DRIVE MATTITUCK, N.Y. House No.: Street Hamlet County Tax Map No.- 1000,:`Section 123 Block .: 4: Lot !i Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated. OCTOBER 24, 1988 pursuant to which Building Permit No. 17580-Z dated NOVEMBER 2, 1988. 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 ACCESSORY SHED IN REAR YARD AS APPLIED FOR. The certificate is issued to THOMAS A. PALMER (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A wilding Inspector Rev. 1/81 FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.X. CERTIFICATE OF OCCUPANCY No Z-19450 Date OCTOBER 16, 1990 THIS CERTIFIES that the building ADDITIONS Location of Property 2050 DEEPHOLE DRIVE MATTITUCK, NEW YORK House No. Street Hamlet County Tax Map No_ 1000 Section 123 Block 4 Lot 5 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated OCTOBER 24, 1988 pursuant to which Building permit No. 175807Z dated NOVEMBER-2, 1988, 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 ATTACHED GARAGE, AN ADDITION, & DECK ADDITION PARTIALLY ROOFED TO EXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to THOMAS A. PALMER (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. H-018135 - SEPTEMBER 18, 1990 PLUMBERS CERTIFICATION DATED OCT. 12, 1990 - K & K PLUMBING & HEATING Building Inspector Rev. 1/81 FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-25078 Date JUNE 10, 1997 THIS CERTIFIES that the building ADDITION & ALTERATION Location of Property 2200 DEEPHOLE DRIVE MATTITUCK, N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 123 Block 4 Lot 5.1 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated DECEMBER 1, 1995 pursuant to which Building Permit No. 23177-Z dated DECEMBER 13, 1995 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 DECK ADDITION & ALTERATION TO EXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to THOMAS A. PALMER (owner) of the aforesaid building. • SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N-390114 - JULY 1, 1996 PLUMBERS CERTIFICATION DATED N/A Building Insp for Rev. 1/81 Sl1FF�(� Town of Southold 2/7/2019 P.O.Box 1179 • . ' 53095 Main Rd Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 40201 Date: 2/6/2019 THIS CERTIFIES that the building RESIDENTIAL ALTERATION Location of Property: 2200 Deep Hole Dr,Mattituck SCTM#: 473889 Sec/Block/Lot: 123.4-5.1 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 10/23/2017 pursuant to which Building Permit No. 42281 dated 1/8/2018 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: RAISED DWELLING FOR FEMA COMPLAINCE, COVERED FRONT ENTRY AND REAR DECK ADDITION TO AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR The certificate is issued to Palmer Thomas A Irry Trust of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 42281 11-08-2018 PLUMBERS CERTIFICATION DATED 10-29-2018 TJ AWcaro Ppnbing JA^ r' Signakture Otho