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Home My WebLink About1000-94.-1-12.1 A6 TOWN OF SOUTHOLD Rental Permit 0806 Owner Soundhaus Hldgs LLC Occupied as Single Family Dwelling Located at 2635 Soundview Ave Mattituck 94.-1-12.1 Maximum Permitted Occupancy 6 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. 1/13/2023 Coe f� e official This Notice must be posted by the main entrance at all times Town Hall Annex m Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1179 Southold,NY 11971-0959 " BUILDING DEPARTMENT TOWN OF SOUTHO LD RENTAL PERMIT APPLICATION Rental Permit Fee $200(Application must be renewed every two ye� g1) O 1 . 0 OFS0171`1101,1) Section A. lqvQ Property Information: Rental Property Address: _ t Tax Map Number: 1000 SECTION 91 - LOCK_-A--LOT- LL _- '�)� SECTION B. OWNER INFORMATION: Property Owner Name: :0 Q L!: I kf-1� eL,,�, ` re/tA, � ", Property Owner Legal Address: Property Owner Mailing Address: -, L , ... Telephone Number(s): Daytlrne,,,,JLja " g g y wenln �Enver enc �, �� Property Owner Email Address: �. �t�s C-13 K/\- Page 1 of S Town Nall Annex Y Telephone(631)765-1802 54375 Main Road �^ Fax(631)765-9502 P.O.Box 1179 9 Southold,NY 11971-0959 �� BUILDING DEPARTMENT TOWN OF SO[7THOLD Section C. Authorized Agent Information: Name of Authorized Agent of dwelling unit, if any: Address of Authorized Agent (no P.O. Boxes): Mailing Address of Authorized Agent: Telephone Number (s): Daytime,,,,, Evening Emergency Email Address: Section D. Managing Agent Information: Name of Authorized Agent of dwelling unit, if any: Address of Authorized Agent(no P.O. Boxes):. Mailing Address of Authorized Agent: Telephone Number(s): Daytime Evening Emergency Email Address• SECTION E. L,-(A SITE MANAGER INFORMATION: (required for rental properties containing 8 or more rental units) Name of Managing Agent of dwelling unit, if any: Address of Managing Agent (no P.O. Boxes): Page 2 of 5 ' ,, Town Hail Annex „ Telepbone(631)766-1802 54375 Main Road Fax(631)765-9502 P.Q.Box 1379 Soulhold,NY 11971»0959 3 OutW 'r BUILDING DEPARTMENT TOWN OF SOUTHOLD Mailing Address of Managing Agent: Telephone Number(s):Daytlme Evening Emergency_„ __ Email Address: SECTION F. PROPERTY DESCRIPTION: Number of Rental Dwelling Units on property: (7)U-1L 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:, scs � ��_ w Requested Maximum number of persons allowed to occupy Dwelling Unit: w d� Number of rooms in Rental Dwelling Unit: (cnm s. s Use and Dimensions of each room in Rental Dwelling Unit: V i "' ems. , A t i Page 3 of 5 H Town Hall Annex ; Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1 179 » 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 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 I (A '-Y% Q ,.,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 k 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 a o y change to the information regarding Authorized Agent, Managing Agen or Sit Manager. Property Owner's Name: � tA Property Owner's Signature: Sworn to before me this l—day of 1�6r 2022 Official N4otrvy Public Sig&Ture and Original Notary Stamp �3N"d RYPll� ` T 01 IOWAEWORK �� o.01 N 11fiW In Q 1 �nNsion Page 5 of 5 TOWN OF SOUTHOLD BUILDING DI 631 -765-1802 INSPEC ION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION TND [ ] INSULATIOWCAL [ ] FRAMING STING [ ] F L [ ] FIREPLACE CHIMNEY [ FIRE SAFETY INE [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PEI [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FI [ ] CODE VIOLATION [ ] PRE C [ F REMARKS: TOWN OF: SOUTHOLD BUILDING DI 631 .765-1802 IN PECTION [ ] FOUNDATION 1ST [ ] ROUGH PL13G. [ ] FOUNDATION 2ND [ ] INSULATION/CAU [ ] FRAMING / STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INS [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PEI [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FM I l CODE VIOLATION [ ] PRE C/O [ ] F REM 0 10 DATE lo( - --- , - INSPECTORPt Town Hall Annex ° �� Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.4,Box 1179 ' Southold,NY 11971-0959 NM M W �'ni X BUILDING DEPARTMENT TOWN OF SOUTHOLD 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 Professional seat re ulred for Architect or En lneer licensed Home Inspector must rovide !Lopy of valid current certl cation Rental Property SCTM Number: Rental Property Address: Owner/Name: t 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,J M 0 1 t' Property Description (include all improvements indicated on survey) i 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 Conservation Cqp�4 e of New York State. pt Print Name and Title Od neral " gyp,. , ti3 . Please place professional seal: g .e s - E 4 a f P a _ . I s 4 Fk' a3 jr 046 Ze, a `t 3 a, LA. a r Pc It' wuh flu ttpA.Cob. -Ss Lim, t t J a s ♦� tau sse.®a- .u` Y� l §};cam �� v s L L�1 , TOWN OF S UTH D F 2 CARD .; WNLr ` cuyl STREET ; PILLAGE DIST.l SUB, LOT RM E WNER N E ACR _ . � S 0 U Aj l J.. lAj, U �`/tc7 rnlfl S W TYPE OF BUILDING isT47 = ,� .,.� —,t c�� l7:✓�.��1��: 0 .� RES. „ SEAS. ~' VL. FARM CO CB, MICS. Mkt. Value a LAND IMP, TOTAL ! DATE REMARKS _ lL-Me- 7777 p777 ivic � 7bo g - �; is ry> f 00 ria I I LL A � 4 z � bj i i f 2 step 2 Tillable ' j FRONTAGE ON WATER \- 3 2 3 ' -- - _ Woodland FRONTAGE ON ROAD Meadowland DEPTH s 1 House Plot BULKHEAD Total 1 \\ t COLOR r`1TRIM _ I r` I _ [ _ t r _ f. - f ? 1 { Extension i } i i Extension i I Foundations Both Dinette B semee ent FlDors I i l<a 1 Porch E Ext. Walls _ Interior Finish LR. Breezeway Fire Place Heat DR. Garage Type Roof ,.Rooms 1st Floor Patio Recreation Room 1 Rooms 2nd Floor FIN. B O. B. _ Dormer I IDriveway i Tutal i ! e FORM NO.4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building inspector Town Hall Southold, N.Y. Certificate Of Occupancy No. .1.1.3 g 2. . . . . . . . . , Date . . . . ig( eqA ' 20 . . . . . . . . . . . . . l 9 8 2 THIS CERTIFIES that the building . . . . . „ . . . . . . . . . . . . . . . . . . . . . . . . . . . . . , Location of Property ?635 Sound View Avenue Mattituck House No. Street Hamlet County Tax Map No. 1000 Section . . 94. , . . , . .Block . . .01. . . . . . . . . .Lot . ,012 0.0 1 . . . Subdivision . . . . . X. . . . . . . . . .Filed Map No. .. . . . . . .Lot No. X. . , „ — , . . . conforms substantially to the Application for Building Permit heretofore filed in this office dated April. ,21 . . , . _ , , 19 .82 pursuant to which Building Permit No. . . . 1,1,64 Z , , , , , „ , . „ dated . . . . May 1.0 , , , . , „ , „ , , , , 19 $ ,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 . . . . . . . . . . . . . . I a .PrkK4te, one-family. .dwelling:. . . . . . . . . . . . . . . . . . . . . „ . . . . . . . . . . . . . . The certificate is issued to . , , „ (owner,teswe �ornenantt of the aforesaid building. Suffolk County Department of Health Approval .1 fl SO-15 , ,1,2/16/82 J R o b t. A . Villa, P .E . UNDERWRITERS CERTIFICATE NO. . . . . . . . .N . 5.7.7.6 y 6, . . . . . . , 4 , , . , , . „ „ , „ . „ w 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-27774 Date: Ota27 O1 THIS CERTIFIES that the building ADDITION Location of Property; 2635 SOUNDVIEWgAVE MATTITUCK (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 94 Block 1 Lot 12.1 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated MARCH 22 2001 pursuant to which Building Permit No. 27276-Z dated MAY__1 2001 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 ADDICTION TO AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR.. The certificate is issued to JAMES J MALLEY (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. N/A PL ERS CERTIFICATION DATED N/A "t Au prized Signature Rev. 1/81 Bunch, Connie From: Bunch, Connie Sent: Thursday, February 02, 2023 9:00 AM To: 'Elisabeth Jeremias' Subject: Rental Permit I spoke with the Building Inspector regarding the number of occupants for the rental and he said an inspection would be required for him to make any changes in his decision.The first available date we have for the inspection is March 3rd. Would you like me to schedule that for you? Best Regards, Connie Bunch Southold Town Building Dept. Elisabeth and Allen Jeremias @ S OL1IlClrla,ll5 son 10 Elm Street►Woodbury,New York 11797**1;'hone� 516 2244035 n o m Building Department Town of Southold 54375 Main Road PCS Box 1179 Southold, NY 11971-0959 - � August 15, 2022- RE: o22RE: Rental Permit Application for 2635 Sound View Avenue, Mattituck To Whom It May Concern: Please,find enclosed the rental permit application for 2635 Sound View Avenue, Mattituck. I am best reached via my email ejeremias@hotmaii.com hotmail.com or cell phone(617 3o81713). I appreciate your assistance in this matter. Best Elisabeth Jeremia U G 1 9 2022 BUILDING DEPT. �.c�-0TOWN OF SOUTHOLD Bunch, Connie From: Bunch, Connie Sent: Thursday, September 01, 2022 8:51 AM To: ejeremias a@hotmail.com' - �J�y��: �:.�",r l 'J" Subject: Rental Permit application for 2635 Soundview Avenue, Mattituck Attachments: ###222_20220901084537.pdf Good Morning, Thank you for submitting your rental permit application. Before the Building Inspector can review your file there is some additional information we require.Attached is page 3 of the rental permit application that needs each room listed with approximate sizes. Please do not write "see attached plans." I've also sent you the requirements for the placement of smoke detectors and carbon monoxide detectors. Please mark the attached floor plans with the smoke detectors and carbon monoxide detectors that are required.You can email all of this back to me. Thank you, Connie Bunch Southold Town Building Dept. Bunch, Connie From: Bunch, Connie Sent: Tuesday, October 25, 2022 11:08 AM To. e,jeremias@hotmail.com' Subject; Rental Permit Application for 2635 Soundview Ave, Mattituck Attachments:: ###111_20221025110624.pdf Attached is the information I requested. Best Regards, Connie Bunch Southold Town Building Dept. k 1