HomeMy WebLinkAbout1000-106.-8-74 }3 TOWN OF SOUTHOLD
9 t Rental Permit
1011V
Owner Michael Ferrara
Occupied as Single Family Dwelling
Located at 2555 Stanley Road Mattituck 106.-8-74
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.
10/27/2023
Oofir a ent Official
This Notice must be posted by the main entrance at all times
Town Hall Annexe" °
631)765-1802
54375 Main Road t�,h ��� TOW
Southold,
0�. k31)765-9502
P.O.Box 1179
z
Southold,NY 11971-0959
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
RENTAL PERMIT APPLICATION
Rental Permit Fee$200(Application must be renewed every two years)
Section A.
Property Information:
Rental Property Address:
2555 Stanley Road, Mattituck, NY 11952
Tax Map Number: 1000 SECTION 106 -BLOCK 8 -LOT 74
SECTION B.
OWNER INFORMATION:
Property Owner Name: Michael Ferrara
Property Owner Legal Address: Property Owner Mailing Address:
36 2nd Street, Brooklyn, NY 11231 36 2nd Street, Brooklyn, NY 11231
16-375-0036 516-375-0036 16-375-0036
Telephone Number(s): Daytimes Evening Emergencys
Property Owner Email Address: FERRARAJMICHAEL@GMAIL.COM
4�-8.a0 QC IOS�13
Page 1 of 5
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Town Hall Annex i, ,T l pl one-�5 1)765-1802
54375 Main Road Fax-(631)765-9502
P.O.Box 1179,
Southold,NY 11971-0959
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
Section C.
Authorized Agent Information:
Name of Authorized Agent of dwelling unit, if any:
Address of Authorized Agent (no P.O. Boxe
Mailing Address of Authorized t:
Telephone Number(s . aytime Evening Emergency
Email Addr
Section D.
Managing Agent Information:
Name of Authorized Agent of dwelling unit, if an w
Address of Authorized Agent(no P.O. es):
Mailing Address of Authori Agent:
Telephone Numb s):Daytime _ Evening_, Emergency
Email A ess:.
SECTION E.
SITE MANAGER INFORMATIO:u-nit, ifany.,
(required for r properties containing 8 or more rental units)
Name of Managing Agent of dw
Address of Managin tnt (no P.O. Boxes):
Page 2 of 5
Town Hall Annex k " Telephone(631)765-1802
54375 Main Road �re Fax(631)765-9502
P.O.Box 1 179
Southold,NY 11971-0959 e
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
Mailing Address of Managing Agent:
Telephone Number(s): Daytime Evening Emergency __
Email Address: ...�ww_M..__.... _..
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:. 1
Requested Maximum number of persons allowed to occupy Dwelling Unit: 10
Number of rooms in Rental Dwelling Unit: 4
Use and Dimensions of each room in Rental Dwelling Unit: Kitchen (9'8x13'4")
Family Room (24'8"x16'8"), Dining Room (12'4"x13'9"); Bedroom 1 (12'4"x15'6")
Bedroom 2 (12'4"x13'5"); Bedroom 3 (12'x12'11"), Bedroom 4 (12'4"x13'5")
Lower Level (48'2"x29'10")
Page 3 of 5
Town Hall Annex Telephone(631)765-1802
54375 Main Road S, Fax(631)765-9502
P.O.Box 1179
r
Southold,NY 11971-0959co
k / WN 1
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.
® 1 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)
1 MICHAEL FERRARA ,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 V Telephone(631)765-1802
54375 Main Road N. Fax(631)765-9502
P.O.Box 1179
Southold,NY 11971-0959 ,m � �1
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: MGIAE FERRA
Property Owner's Signature:
Sworn to before me this /-� day of_ G 20 Z3
Off( ial Notary Public Signature and Original Notary Stamp
Notary[�ublio-Slate of Vtew York
mto.01&' 6`.3814 57
a,E¢fied in Ww"fork County
My Gwiffftsion Expires 09/241,1026
Page 5 of 5
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* ' TOWN OF SOhUHok4tU
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631 -765-1802 �()b
INSPEC ION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INSUEATION/CAl
[ ] FRAMING / STRAPPING [ ] FINAL
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY IN;
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PE
[ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (EII
C ]
CODE VIOLATION [ ] PRE C/O ['1od I
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� �1tt Town of Southold 7/13/2023
P.O.Box 1179
53095 Main Rd
S11111,6000W
Southold,New York 11971
CETTIFICATE OF OCCUPANCY
No: 44277 Date: 7/13/2023
THIS CERTIFIES that the building SINGLE FAMILY DWELLING
_.. ". ..-........�...........
.. ..........
---------
_
Location of Property: 2555 Stanley Rd., Mattituck
SCTM#: 473889 Sec/Block/Lot: 106.-8-74
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
3/2/2021 pursuant to which Building Permit No. 46005 dated 3/31/2021
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:
s t ar11flLy.dwellincy with aw rr ita f l basement. cawrpr „a cantap~arch�rear a resp parch Arlo ttag.e3 araag its
applied for.
The certificate is issued to Zenith Property Group LLC
..... .v-
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL R-21-0041 12/27/2022
ELECTRICAL CERTIFICATE NO. 23-85156 4-12-2023
PLUMBERS CERTIFICATION DATED 11/30/2022 s Sander
.�e..A riZ d inatttte... w_...._......�.�.w
. ................................... ....... ...... . ..... ............. ............... .............
Town of Southold 7/22/2023
P.O.Box 1179
53095 Main Rd
IN* Southold,New York 11971
................
CERTIFICATE OF OCCUPANCY
No: 44347 Date: 7/22/2023
THIS CERTIFIES that the building IN GROUND POOL
............
Location of Property: 2555 Stanley Rd,Mattituck
SCTM#: 473889 Sec/Block/Lot: 106.-8-74
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
6/1/2021 pursuant to which Building Permit No. 46412 dated 6/14/2021
..................
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:
qcce in id sxyLimnj�ig" I fenced tq e 41sapplied for.
g�Lqr
y
The certificate is issued to Zenith Property Group LLC
........... .....
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 46412 6/22/2023
PLUMBERS CERTIFICATION DATED
Authoriz id Si t tune