The URL can be used to link to this page

Home My WebLink About1000-108.-4-7.25 g TOWN OF SOUTHOLD ar Rental Permit A 1022 Owner Paul & Mercelena Birgy Occupied as Single Family Dwelling Located at 820 Gabriella Ct Mattituck 108-4-7.25 Maximum Permitted Occupancy 7 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. 11/8/2023 Co& EArkennent Of`: This Notice must be posted by the main entrance at all times RA l2 3 mal, 200- rec* Jose426 - Town Hall AnnexTelephone(631) 5-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1179 Southold,NY 11971-0959 `41 �� BUILDING DEPARTMENT SEP 1 1 2023 TOWN OF SOUTHOLD RENTAL PERMIT APPLICATION Building Department Town of Southold Rental Permit Fee $200(Application must be renewed every two years) Section A. Property Information: Pen?-C\o l Property dd ess: cr c k Tax Map Number: 1000 SECTION _ C�_ - LOCI _ -LOT SECTION B. OWNER INFORMATION: P \"nA tf(-(kk-1h +f" Property Owner Name: Property Owner Legal Address: Property Owner Mailing Address: NX �T � � rye , �� Telephone Number (s): Daytime Evening,__. Emergency. Property Owner Email Address: v� \,` V4\k` °'"� Page 1 of 5 Town Hall Annex �� Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1179 " Southold,NY 11971-0959 'd�ayf A BUILDING DEPARTMENT TOWN OF SOUTHOLD Section C. Authorized Agent Information: Name of Authorized Agent of dwellinui' , if any: Address of Authorized Agen,t,(KP.O. Boxes): Mailing Address of ALAorized Agent: Telephone N der(s): Daytime ,, ,___—Evening Emergency Email dress: Section D. Managing Agent Infor, lition: Name of Authorize,d" ent of dwelling unit, if any: o` Address of Authorized Agent(no P.O. Boxes): Mailing XAdress of Authorized Agent: �_ ...�� .... ...-. Telep one Number(s): Daytime Evenine Emergency Email Address: SECTION E. SITE MANAt `R INFORMATION: (required for rental properties containing 8 or more rental units) Name of a�naging Agent of dwelling unit, if any: Address of Managing Agent (no P.O. Boxes):_ ,_ — Page 2 of 5 v r E 11'k, . Town Hall Annex 1 �� 0 Telephone(631)765-1802 54375 Main Road , Fax(631)765-9502 P.O.Box 1179 Southold,NY 11971-0959 �4 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: ?C-S k kc �SP�r r� o�' �A-,( o 17 s J Page 3 of 5 rm u..rody.ti i➢ ,�� SII�� Wv!I�n��y� !p(",i Town Hall Annex �� ,r�(� �� . Telephone(631)765-1802 54375 Main Road P Fax(631)765-9502 P.O.Box 1179 w ;. m Southold,NY 11971-0959 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 ❑ 1 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 k Town Hall Annex Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1179 � Southold,NY 11971-0959 � o-° ➢�N� 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. 1 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: q`� \ �� Property Owner's Signature: Sworn to before me this_&day of —e> 2oa3 (Official N�otary Public Sinahand Original Notary Sta.m.�p . ... DONOVAN JOSEPH LOCKE Notary Public,State of New York No.OIL06018570 Certificate Filed in New York County Qualified in Westchester County Commission Expires January 11,20 Page 5 of 5 Q°6 � TOWN OF SOUTHOLD BUILDING D +cnwm:a� 631 .765-1802 /af �Z• INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION/CAI [ ] FRAMING / STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY IN [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PE [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FI [ ] CODE VIOLATION [ ] PRE C/O REMARKS: 5ehr C,105 ,e hltl�� loe.jweLn house De Y64 Ll��I 8L"--e.3e( �,2p ✓�aCc, c%cv,fi�pir-�v�7on- a f` Co2Ke(�/ DATE INSPECTOR „ S�FF�CK Town Hall Annex Town of Southold 54375 Main Road Rental Inspection Report PO Box 1179 Southold, NY 11971-1179 Tel: 631-765-1802 Date �,SCTM # - Phone i Owner ��O � m.. _ .- _. _ . _/. . . "��a. e . Address &, 14e e” Visi ble i I Inspector Hamlet Floor Level Quantities Sub 1 2 Smoke Detectors(not located in bedrooms) Carbon Monoxide Detectors Fire Extinguishers -- Exits Bedrooms 1 _ 2 3 4 5 6 Smoke Detectors I Egress Occupant Count Building Systems Maintained & Operational Condition of Property Heating Building interior Hot water Building exterior Electrical Property clean, maintained &safe Mechanical Handrails & guards installed &secure Pool Safety Pool on Site Surface water alarm Date of CO issuance Door alarms Pool completely enclosed Self closing/ latching gates Pool fence to code requirements CO's for all items present Prior Rental Comments: g44 M4 t)e4 2 BIT _—_1 9<2. Y ss u �.a'��T �....�� tts TT . t3 _ SS N G4te-o 1 - _ - .-ICN . � s zj Of A. i sic wan, E CLFE Q •` € - 17 A sit 6,o H t A 7a )114 �`�g ft'4: {' RIDGE 19RT - 1K Sat' . - c RA 3 . Lx '^ as t CL All - -40 t oil- rt_ -_ a � �Av C$II = 1i vv,—, rL r jJ'h d" ,n -. mv,aSi - >. .. _ - 2'46 UuYL CauERED yt Rtg fi t o -- �U� --�,�� TOWN OF SOUTHOLD PROPERTY RECORD CARD OWNER STREET VILLAGE DIST. SUB. LOT _7- ck- �' ACR. REMARKS - i - =. TYPE OF BLD. L.-E J�L� PROP. CASs F. - s U TOTAL DATE LAND IMP. o 0 C-0 z vJ 3 i��o Ir vY fi. I FRONTAGE ON WATER TILLABLE ' FRONTAGE ON ROAD _ WOODLAND DEPTH MEADOWLAND BULKHEAD HOUSE/LOT j TOTAL JrC c £ 4' -34 LI Foundation PC Bath Dinette M. Bldg �j (: (�7- %. �/.7S_ C/ c e !' u{SG�GO?�b� V�S FULL Extension Basement CRAWL x"11 Floors Kit. L.R Extension Ext. Walls Interior Finish 1 acfi S�� Extension Fire Place AJO Heat o-, D.R, ( f Patio Woodstove BR_ 7 Fin. B, Porch Dormer � � 1 F"�1 +� a-Fe.t.r Attic Deck Breezeway Rooms 1st Floor { garage yd IV s�d 7 ro ��7 Driveway Rooms 2nd Floor 0.B #` -. Ca o�-: Sinn! �� ✓�15� Pool 4 @ FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-25287 Date SEPTEMBER 30 1997 THIS CERTIFIES that the building NEW D% LLING Location of Property 820 GABRIELLA COURT MATTjTUCX N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 108 Block 4 Lot 7.25 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated MARCH 41 1997 pursuant to which Building Permit No. 24023-Z dated APRIL 11 1997 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 ONE FAMILY DWELLING WITH ATTACHED GARAGE AS APPLIED FOR. The certificate is issued to R.L.K. D LOPMENT CORP. (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL R10-97-0036-SEPT. 8 1997 UNDERWRITERS CERTIFICATE NO. N-431786 - SEPT. 16, 1997 PLUMBERS CERTIFICATION DATED JUNK 3 1997-WILLIA14 DOOLEY /Bu din4 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-29540 Date: 06,123/03 THIS CERTIFIES that the building ALTERATION Location of Property: 820 GABRIELLA CT MATTITUCK (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 108 Block 4 Lot 7.25 Subdivision Filed Map No. Lot No_ conforms substantially to the Application for Building Permit heretofore filed in this office dated JUNE 5 2003 pursuant to which Building Permit No. ,29459-Z dated JUNE 6 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 2ND FLOOR ALTERATION TO EXISTING SINGLE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to ROGER T & CHRISTINE L. FOSTER (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL NA ELECTRICAL CERTIFICATE NO. 1142473 q 3 03 PLUMBERS CERTIFICATION DATED j§Lg3Z03 ROGERT T. D^OSTER, JR, Whor' g azure 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-31455 Date: 02 27 0 THIS CERTIFIES that the building ADDITION Location of Property: 820 GABRIELLA CT MATTITUCK (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 108 Block 4 Lot 7.25 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated SEPTEMBER B, 2004 pursuant to which Building Permit No. 30632-Z dated SEPTEMBER 13 2004 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 TO AN EXISTING SINGLE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to ROGER & CHRISTINE FOSTER (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF BBALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED s Authorized Signature Rev. 1/81 C FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-29603 Date: 07 29/ 3 THIS CERTIFIES that the building ACCESSORY Location of Property: _ 8_20 GABRIELLA CT MATTIT"UCK (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 108 Block 4 Lot 7.25 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated JULY 11 2003 pursuant to which Building Permit No. 29577-Z dated JULY 152003 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" ACCESSORY SHED AS APPLIED FOR. The certificate is issued to ROGER T & CHRISTINE L FOSTER JR (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. —AZA,__ PLUMBERS CERTIFICATION DATED N/A _w.._ ._...�W. gat sized ignatuxe Rev. 1/81