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Home My WebLink About1000-113.-6-22 wm TOWN OF SOUTHOLD I n Dental Permit 1001 w s Owner Inn the Vineyard Matt LLC Occupied as Single Family Dwelling Located at 900 Fox Hollow Rd Mattituck 113.-6-22 Maximum Permitted Occupancy 8 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. 10/6/2023 _ odei gar rru n Officiai This Notice must be posted by the main entrance at all times Town Hall Annex _ Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1179 Southold,NY 11971-0959 U' ,_ BUILDING DEPARTMENT TOWN OF SOUTHOLD RENTAL PERMIT APPLICATION Rental Permit Fee$200(Application must be renewed every two yearpr Section A. Property Information: Rental Property Address, Ce oc rv)t k L Tax Map Number: 1000 SECTION 1 1 3 -BLOC -LOT SECTION B. OWNER INFORMATION: Property Owner Name: Property Owner Legal Address: Property Owner Mailing Address: �Lg 3q �� Telephone Number(s): Daytime Evening 'Emergency Property Owner Email Address: Page 1 of 5 (XV S111r s Town Hall Annex Telephone(631)765-1802 54375 Main Road N Fax(631)765-9502 P.O.Box 1 179 _ Southold,NY 11971-0959 BUILDING DEPARTMENT TOWN OF SO HOLD 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 room in Rental Dwelling Unit: Page 3 of 5 Town Hall Annex Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1179 Southold,NY 11971-0959 BUILDING DEPARTMENT TOVN 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 VI 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) 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 Fax(631)765-9502 P.O.Box 1179 Southold,NY 11971-0959 3 s BUILDING DEPARTMENT TOWN OF SO SOLD 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: � ) a_ Property Owner's Signature: Sworn to efore me thday of 20 Official Notary Public Signature and Original N ry Stamp ONNIB DBUNCH Notary Public,State of New York No.01 BLJ6185050 Qualified in Suffolk County Commission Expires April 14, V Page 5 of 5 W , Town Hall Annex — Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1179 z Southold,NY 11971-0959 WP BUILDING DEPARTMENT TOWN OF SO OLD 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 Rroesic�r�al seol rewired for�rcbitect or l� filer,licasd iome Inspector must�rovid cop o valid current certi�cation Rental Property SCTM Number: Rental Property Address: Owner/Name: VC s � Rental Dwelling Unit Identifier: Number&Square footage of each bedroom as depicted in the attached floor plan: (i.e. Bedroom#1-100 sq., Bedroom#2-90 sq., etc.) z�s Property Description (Include all improvements indicated on survey) 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 C1 anon Construction Code of New York State. Print Name and Title Drigina aure C g 7� Please place professional seal: LU ` `A SOUty�6 � # TOWN OF SOUTHOLD BUILDING DI 631 .765.1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION/CAI [ ] FRAMING / STRAPPING [ ] NAL [ ] FIREPLACE & CHIMNEY [rFIRE SAFETY IN; [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PE [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (F [ ] CODE VIOLATION [ ] PRE CIO [ REMARKS: � � t DATE '>OY INSPECTOR .............,.. I! i. ..........••. i .{. ...,....,... . . .j. ...,......... .}. ..g..........•. 1' F •••. -■ DECK ABOVE a� eAR Mr P EX.BEDROOM EXIST.RECREATION RDOM N ctG ' EXISTING STORAGE ann BUILT IV .»..r e...... .,.....r ,.«...�• .... ...... .FUMA[E a ,may 'UPf1ACE 4 1� EXISTING STORAGE BASEMENT PLAN SCALE:3/16"=1'-O" RLJTP�` " ro z .w. L1�� rw, DECK IE- LIVIN G ROOM BEDR OM nu cw CiRp ALL � ��, HlN4TIP1 pM*I� xnns TH WALK-IN BATH EN + AffH "BF oxR M OECuae " 01 P ly cc FLOOR PLAN SCALE:3/16"=T-0" uj er " n w, yy „ W ��. , ..,,�—.m..w..,...., .,::.�.+e�w..'4.' ..r.,.,,,.r—„-* w.................:.......................w.,,..,,w..�.,...�...,.�.,.w,,.,.m........,...,.,,,.,. .,„,.....,,.,+w .a..,»r .�..am.�-.........,,.,.w,,......,,...w...,....',.......�.,.�....,.......,,..�„nw.—m..,.....,.,..,_..,.,...,,«.,...a...,,.,.,..,, ,�,... ,. Ogf{ �A 0o 9q qq9 11 b'� p ,n N dMs , ^ d..' 11 1 N f3 ” I q -, SYY,P'1W 4” Nm nw'.✓n nwwuw �Q,f,/'J' i' 3 W " 0 D � Ri' ➢ A a qry m Y ^ rF a r � „ a~ ». .�—�• ,. ,�aux� --' _�_ � ro�»..A„� i . �"" ��✓::7 7.9N r»�,Rfp�� nrr r. .A - �1 - 0 � N Tho »m 4 r � Y .."..w ,^�„• ,._.- �,«.....�,.�,. ,.. ,.�: ,.. M "....� ,..�. � y „.,..,,• ,,, .., ' 'Mbwr.vnw Y'rwi� ��,� a�¢»..+,c, b+,M+'tlF.`.�._... ry � �.�� m FF V C64.t.R)�'. PL.N/V" x...,,,,,».a....waa::,.�...,,,,.....�.,,......�,.._..w�a�..,,,.....,.,.,...w.,�.w".. ,,.._.....m ..._,.,.,,, ..,,.,,......,.,..__,....,..,,,m,m..._,...,„, „_...», ,.. ,,..,.,. .....a.,,,m,. a ..,.,.,.,....,w.,,... _ �.. 1 a )yovn/ G5 'v7T 1P11IT7"/ TVC& N,Y r m n TOWN OF SOUTHOLD NOPERTY t ......._ w....-.___ ._ ORD ( 3oa1........ __. STREET VILLAGE DISTRICTLOT y o v _ w� FORMER OWNER N ACREAGE S W BUILDING TYPE OF U NG � �z C'a a SEAS VL. F ARM COMM. � IND. CB. MISC. Est. Mkt. Value LAND " IMP., TOTAL DATE REMARKS er))r,e," LIrk '4 15 4- a. J .—AG� l �� C`ON _.. .._.. �. . .. NEWW N.��A.L� ... .... . BELOW � ABOVE_....._. , i FRONTAGE ON WATER $7 c Form Acre Value Per Acre Value FRONTAGE ON ROAD Tillable 1 BULKHEAD Tillable 2 DOCK Tillable 3 Woodland _. _.,_.. .._. .... .. . .... ...... _.w„ , _ .._.,_. .. ............ Swampland i , . . _.. . _.., _. ..._.rc.__,_. .. ... .... _,... .„,_w... .w. ............ .. . ..._..........�_ _ ...., ............... _ ...__ Brushland ..._ House Plot Total pr , r m a jj } �M I n, 1 _ " 7- F- Iotion Casement xten3p Floors i _xt. Walls Extension � i r Interior Finish AtensiY1 t Fire Place Heat Porch' Roof j.77C�i r M 164 PorchRooms 1st Floor u Patio { Rooms 2nd Floor Gar e 1 Driveway Y Dormer t d B y tu Li FORM NO.4 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERKS OFFICE SOUTHOLD, N. Y. CERTIFICATE OF OCCUPANCY No. Z..1301*............. Date ...................ftb .....7............, 19..x. THIS CERTIFIES that the building located at .........0/11.. . . ...M. e......•••...•••.......••• Street Map No.W"tehbergBlock No. ... . Lot No. .=........matuvalla conforms substantially to the Application for Building Permit heretofore filed in this office dated ......I................... ........ 19(1... pursuant to which Building Permit No. ..�' !. dated ....................NoVembal 19..61., 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 .......... ........ ..ditell ..........................................................................:........... This certificate is issued to . lllw- t ey..p....,s ............ r--...........................•...... (owner, lessee or tenant) of the aforesaid building. H.D. approval Feb. 7thq 1962 by Ro Till .,,... ..:�.... ,. .. . ........,., Building Inspector FORM NO.4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold,N.Y. Certificate Of Occupancy Z13662 July 23 1985 No. . . . = . _ . _ . - . , . . . . , Date . . = .. . . . . . . . . . . . . . . . . . . . . . . . . .. . , . THIS CERTIFIES that the building . , , , . inground.pool & fence.} . _ _ . . . Location of Property 900 Fox Hollow Rd. Mattituck . . . . . . . . . . . . . .. . . . . . . . . . . . , . . - - - . , . . House X10, -13 t 22 jHamlet County Tax Map No. 1000 Section = _ . , ,�_ - _ . .Block . . . . . . _ _ .•. . . . .Lot . . . . . . . . . . . .. . . . . x Subdivision . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Filed Map No. . . . . x . .Lot No. . . . . . . . . . . . . . conforms substantially to the Application for Building Permit heretofore filed in this office dated . . . =AugustAugust= 1 , . . . 198'.pursuant to which Building Permit No. . . . . . . . . _ _ . _ _ . . . . 7 dated = . . . . . . . . . . . . . . . . . . . • - _ _ _ _ = 19 .8. ,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 , {Inground pool and fence. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . < . . . . . . . . . . . . . . . . . _ . , The certificate is issued to , , , , , , , , , , , , , ,KENNETH & MARILYN RAMSAUERE 4 Co' ',to. . . .or tenant! of the aforesaid building. Suffolk County Department of Health Approval . . . . . . . . . . . . . . . N/A, $ . . . . . . . , . . . . . .. . UNDERWRITERS CERTIFICATE NO. . . . . . . . . . . . . . . . . . . . N 6796 . , Building Inspector Rev.1181 ,�� Town of Southold 10/4/2023 P.O. Box 1179 53095 Main Rd Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 44638 Date: 10/4/2023 THIS CERTIFIES that the building AS BUILT ALTERATION Location of Property: 900 Fox Hollow Rd, Mattituck SCTM#: 473889 Sec/Block/Lot: 113.-6-22 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 9/27/2022 pursuant to which Building Permit No. 48620 dated 12/19/2022 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"alterations including MVAC to existing single family dwcllin�a�a �l or. The certificate is issued to Inn the Vineyard Matt LLC of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 48620 9/l/2023 PLUMBERS CERTIFICATION DATED A o ` d ignature