HomeMy WebLinkAbout1000-99.-1-26 g TOWN OF SOUTHOLD
Rental Permit
-V 0784
Owner Chris & Kristen Neimeth
Occupied as Single Family Dwelling
Located at 735 Sound Beach Dr Mattituck 99.-1-26
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.
12/6/2022
rc4nIffid'i
This Notice must be posted by the main entrance at all times de; r
Town Hall Annexe ;�`ti Telephone(631)765-1802
54375 Main Road { VAP ( I 6
P.O.Box 1179
Southold,NY 11971-0959
MAR flni
1 4 202?
V„VpLDII\IG ILrr:.:,P V:
BUILDING DEPARTMENT TOWN GJf`':'C�U ii-6._D
TOWN OF SOUTHOLD
RENTAL PERMIT APPLICATION
Rental Permit Fee$200 (Application must be renewed every two years)
Section A.
Property Information:
Rental Property Address:
735 Sound Beach Drive Matkituck NY
Tax Map Number: 1000 SECTION 099 _-BLOCK 01 -LOT 026 -
SECTION B.
OWNER INFORMATION:
Property Owner Name:-Christopher Neimeth
Property Owner Legal Address: Property Owner Mailing Address:
1230 Watersedge Wall, Southold NY 11971 1230 Watersedge Wad/
�qouthold NY 11 q71
Telephone Number (s): Daytime 9174469760 Evening9174469760 Emergency 9174469760
Property Owner Email Address: kneimeth(Mg mail.com
ID(I.r
Page 1 of 5
Town Hall Annex ;r Telephone(631)765-1802
54375 Main Road Fax(631)765-9502
P.O.Box 1179
Southold,NY 11971-0959
J
F
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
Section C
mow"
Authorized Agent Information:
Name of Authorized Agent of dwelling unit, if any; . one
Address of Authorized Agent (no P.O.,,Bo a ):
Mailing Address of Authofiz dµAgent:
Telephone N
p um r(s): Daytime Evening Emergency
Em, i " ddress:
Z
Section D.
Managing g "
�n Agent Information: �
Name of Authorized Agent of dwelling unit"jf° rly: None
Address of Authorized Agent(n .d Boxes):
Mailing Address of Au rized Agent:
Telephone �
Ns): Daytime Evening Emergency
Ile
Em dress:
SECTION E.
SITE MANAGER INFORMATION: (req rd f for rental properties containing 8 or more rental units)
Name of Managing Agent of duvetl ng unit, if any: None
Address of Managing Agent(no P.O. Boxes):__M
Page 2 of 5
All
Town Hall Annex " di Telephone(631)765-1802
54375 Main Road Fax(631)765-9502
P.O.Box 1 179 4
,,
Southold,NY 11971-0959N
VY'
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: 1
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: whole building: 735 Sound Beach Drive
Requested Maximum number of persons allowed to occupy Dwelling
Number of rooms in Rental Dwelling Unit: 10
Use and Dimensions of each room in Rental Dwelling Unit:
south bedroom adjoining bathroom1" 7" central bakhrotm 11'x "2"` south bat r m T°x11" "
SECOND FLOOR: master bedroom 16'3"x21', adjoining bathroom 10'x13'2"
Page 3 of 5
r
Town Hall Annex Telephone(631)765-1802
54375 Main Road F� ;S Fax(631)765-9502
P.O.Box 1179
'R, �
N',
Southold,NY 11971-0959 r �("* Y
71
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)
I Christo her Neimeth , 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 1 Fax(631)765-9502
P.O.Box 1179 m <
Southold,NY 11971-0959 j
BUILDING DEPARTMENT
TOWN OF SOUT,iI'~IIOLD
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: Christoph N meth
Property Owner's Signature:
Sworn to before me this)Tday of- March 202
Official No a y Public Signatu a nd Original Notary Stamp
TRAOEY L.DWYER
NOTARY pURLIC,STATE CE NEW YORK
NO 1yvG30690 s
OUALIF"IEI IN`' C,U I=()LIC COUNTY
COMMISSION EXPIRES JUNE
(yp
b
Page 5 of 5
# TOWN OF SOUTHOLD BUILDING DI
631 -765.1802 qlq IOWA
INSPEC ION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INSULATION/CAL
[ ] FRAMING / STRAPPING [ ] FINAL
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INS
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PEI
[ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FI
[ ] CODE VIOLATION [ ] PRE C/O [
REMARKS:
IX
rte` Rtil $� �
kk000q 0
DATE vY INSPECTO0
Town Hall Annex `m Telephone(631)765-1802
54375 Main Road ' Fax(631)765-9502
P.O.Box 1179 h
Southold,NY 11971-0959 � u
BUILDING DEPARTMENT
TOWN OF SOUTHOILD
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
'ro sslonal seal a ufred �rr,�Irchltect or n fneer Ilensed ffonle fns actor rarll.rst rovlde
copy of valid current certl catlo
Rental Property SCTM Number: 000 - (-)qq
Rental Property Address: 735 Sotnd " -
Owner/Name: Gtir� �' ,' +
Rental Dwelling Unit Identifier: 23 6ovJ 6 e,,ic 6 06 v
Number& Square footage of each bedroom as depicted in the attached floor plan:
(i.e. Bedroom#1 -100 sq., Bedroom#2-90 sq., etc.)
'4101-1 &I-dal"/ l V. r /---liS4
� r 37-
Property Description ((include all improvements indicated
on sur )
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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 Conservatia onstruction Code of New
York State. A '
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Print Na In e a Or g Signature
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TOWN OF SOUTHOLD PROPERTY RE
OWNER �m = STREET VILLAGE I DIST SU13. LOT
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FORMER OWNER s N E ACR.
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RES, SEAS. VIL, FARM `COMM. CB. MISC. Mkt. Value
LAND IMP. TOTAL DATE REMARKS
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FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Town Clerk's Office
Southold, N. Y.
Certificate Of Occupancy
No. 3389?. . . . . . Date . . . . . . . . . . . . .J . . .g7. . . ., 19.70
THIS CERTIFIES that the building located at .Soy- Beach .Read. . . . . . . _ Street
Map No.Capt Kidd• . Block No. . . . . . . . . . .Lot No. .part. N,attituck. • • •W*Y4
conforms substantially to the Application for Building Permit heretofore filed in this office
dated . . . . . . . . . . . .June. . . .22 19. .70 pursuant to which Building Permit No. . .4816Z
dated . . . . . . .June . . . . . .�3. . ., 19. .70 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 •Private• ane- family, -dwelling . . . . . . . . . . . . . .
The certificate is issued to . Andrew•Cyprus• • • • • • Owner. . . . . . . . . . . . . . . . . . . . . . . .
(owner, lessee or tenant)
of the aforesaid build"
Suffolk County Department of Health Approval July - •91 1'970- - ,by* R': 'V111a
� r
Building Inspector
FORM NO.4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold,N.Y.
Certificate Of Occupancy
No. 212.948 . . . . . . . . Date . . . . . . October .30. . . . . . . . . . . . . .. 19 84.
THIS CERTIFIES that the building . . . . . Addition . M . Y . . . * . .
Location of Property . . . X35„Sound Beach, . . .. . , . , , , . . . . Matti, .
tuck
House No. Street fiamlet
County Tax Map No. 1000 Section . 0.9.9 , . . . . . .Block —0.1. . . . . . . , . .Lot . . . ?b . . . . . . .
Subdivision . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . .Filed Map No. . . . . . . . .Lot No. . . . . . , . . . . . . .
conforms substantially to the Application for Building Permit heretofore filed in this office dated
. . , . .Nov.. , 2. . . . . , , , , , 103. pursuant to which Building Permit No. . .1.2769A _ . . . . . . . . .
dated . . Nov;. .2$ . . . . . . . . . . . . . 103. ,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 . . . . . . . . ,
. . . Addition .to existing, one family dwelling . . . . . . . . . . . . . . . . . . . . . . . . . .
The certificate is issued to . . . . . . . . . . .L a m b r o s B al l a s
of the aforesaid building.
Suffolk County Department of Health Approval . . . . N.f A. . . . . . . . . . . . . . . I . . . . . . . . . . . . . . . . . .
UNDERWRITERS CERTIFICATE NO. . . . . . . . . . . . #.N6603.99. . . . . . . . . . . . . . . .. . . . . . . . . . . .
. , . . » . . � . . . . . . . . . . . . . .. . . . . . . .
Building Inspector
Rev.1/81