The URL can be used to link to this page

Home My WebLink About1000-113.-7-19.32 T OWN OF SOUTHOLD Rental Permit 0829 Owner Rick & Diana Sellers Occupied as Single Family Dwelling Located at 515 Royalton Row Mattituck 113.-7-19.32 Maximum Permitted Occupancy 9 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. 3/7/2023 e deal This Notice must be posted by the main entrance at all times e � kulhentisign ID:E4CE704C-DOA7-EDil-9174-005OF2765AB1 ` U / l � ` �ov ,�► re- f o c� o Town Hall Annex Telephone 631 "765.1802 54375 Main Road Fax(631)765-9502 P.O.Box 1179 Southold,NY 11971-0959 ~ BUILDING DEPARTMENT TOWN OF SOUTHOLD RENTAL PERMIT APPLICATION Rental Permit Fee$200 (Application must be renewed eve t ) I II w/ MAR U Z 2023 Section A. Property Information: Rental Property Address: 515 Royalton Row, Mattituck, NY 11971 Tax Map Number: 1000 SECTION 113 -BLOCK 7 -LOT 19 - 32 S1 000-113-00-07-00-019-032 SECTION B. OWNER INFORMATION: Property Owner Name: Rick Sellars Property Owner Legal Address: Property Owner Mailing Address: 9244 Este Lago Drive 9244 Este Lago Drive Boca Raton FL 33496 Boca Raton.FL.33496 Telephone Number (s): Daytime(305)992-0116 Evening Emergency Property Owner Email Address: ricksellars@me.com Page 1 of S Wthentisign ID:E4CE704C-DOA7-ED11-9174-005OF2765AB1 i �/ Town Hall Annex Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1179 a� Southold,NY 11971-0959 BUILDING DEPARTMENT TOWN OF SOUTHOLD Section C. Authorized Agent Information: Name of Authorized Agent of dwelling unit, if any: Mackenzie N d Address of Authorized Agent (no P.O. Boxes): 11 Grand Ave, Shelter Island, NY 11965 Mailing Address of Authorized Agent: Telephone Number(s): Daytime(631)742-5165 Evening Emergency Email Address: mackenzieneedham@danielgale.com 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. 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 Hall Annex Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1 179 Southold,NY 1 1 971-0959 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: "1"-X 10'X,5" "X10'X5" �t X l & + 94wA (0 011 }1 YV� t it AI*V\ IS} l 1r` CI�se� � �y.15' �o��n 1�1'�/2`' x r3``1 Mourn ILI 19` Ige 3 of 5 &y C)o � 15 ' " x 12' 2", eect\(oo v� \5 ` 2'' )(- '202-%1 )' -6 a3l(WO OM q' I b")c q' I D�` w � Aulhenlisign 10:E4CE704C-00A7-ED11-9174-0050F2766AB1 stt Town Hall Annex 4 Telephone(631)765-1802 54375 Main Road 1" Fax(631)76.5-9502 P.O.Box 1179 ' Southold,NY 11971-0959 o 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 thatthe 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 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 Dick Sellars 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 AulhentWgn ID:E4CE704C-DOA7-EDti-9174-0050F2765AB1 "T 1� Telephone(631)765-1802 Tele Town Hall Annex P 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 as to any change to the information regarding Authorized Agent, Managing Agent, or Site Manager. Property Owner's Name: flick Sellars ww_ r Property Owner's Signature: Sworn to b fore me this day of 20a-� cia of ry Pub c Signature and Ori l Notary S amp KATHLEEN ANN DOUGHERTY Co MbftEM 111420 Edea M"30,4025 "^� ,„„ °` BaddlllowTrpXN�Mn 7ihkll Page 5 of 5 TOWN 010 SOUTHOLD BUILDING DI 631 -765-1802 (07 INSPEC ION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION/CAL [ ] FRAMING / STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY IN% [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PE [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FIf [ ] CODE VIOLATION [ ] PRE C/ F INSPECTORREMAR tow DATE Feb 18, 2023 �P Town Hall Annex Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1179 Southold,NY 11971-0959 enu 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 F"ro essir nal seal re aired for architect or En i eer licensed Home Ins ector mustprovide c9py a f!valid current certification Rental Property SCTM Number: Rental Property Address: 515 Royalton flow, M tfltuck NY 11952 Owner/Name: Rick Sellars 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.) Bedroom #1 180 S ft Bedroom #3 180 sqft Bedroom #5 115 sqft Bedroom #2 320 sqft Bedroom #4 220 sqft " Property Description (Include all improvements indicated on survey) fly bQmp 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 Construction Code of New York State. Victor Cornelius III CEO Inspector Print Name and Title ceo# 1216-0283 Original Si na ure Please place professional seal: autnenvsign W:t4c:t=nt4U-uuAr-t=u13-91 t4-Moor-21bb bI Balcony 16'4"X *112" =Smoke Detector =Cain Monoxide Detector Master Bathroom 9'10"X 9'10" Master Bedroom 15'2"X20'2" Closet WaWn ao.N .v iovrxrir Bedroom 15'6"X12'2" T....Cbd rurxrr Closet ` Closet 8'7"X3' Bathroom 10'112"XW4" Laundry/Closet 8'8"X5'6" Open To Below Bedroom 14'X19'8" Living Room 14'1/2"X 13'r lwlnenllsign IU:t4tUtf04U-UUAt-tU11-91 f4-00bUl-2tbbAti1 Masonry Patio Jr.Master Bathroom 9'Ili,Xrio' Jr.Master Bedroom 111616 It Room 2"X11'3' is,2'Xir Groat Room 19'0'x 19' Gasps Walk-In Closet 23X24' 10'3-x3 t i 2 Island 9'X 4' I Cathedral Kitchen i3 wxir 2 Story Foyer 00 0 Study/Library Panby 13'7.�X1r3' !7X9'2' Mud Room Half Bathroom L L[ 9'71X10'3' rxr Raised Masonry =Smoke Detector =Carbon Monoxide Detector Slaps 'Utnentisign IU:t4UL104U-UUA<-tu11-9114-OUbUO-2/bbAt3I =Smoke Detector =Carbon Monoxide Detector UP ff ❑RAGE GARAGE ABOVE MECH UP BEDROOM 16'6X12'6 MECH BASEMENT FLOOR PLAN SCTM # �- _$ TOWN OF SOUTHOLD PROPERTY REQ OWNER STREET '% VILLAGE ura SUB. LOT , 711 ACR. -7L7 yv REMA S t. . . TYPE OF BLD- az LD_c..-- _ PROP S � CLAS � s ' 3 LAND IMP. TOTAL DATE _ L4 -44 c� a 0 to.0 I 3 E i FRONTAGE ON WATER HOUSE/LOT _,F a BULKHEAD 1 � TOTAL COLOR ; TRIM 1 i x , I o 2 3 13 17 1201 i Ir 9 A� 117 Z / i 17 7 r0 3 a � SO. FT. Fin"B" 1 st fl 2nd fl LKTOTAL j s Z ND "£ 1,- i Foundation OT Bath , Dinette f M- BlOg rJ� _.7 7 7t OTHER X136- IxtnSl{n ''� [ Basement SLAB L PARTIAL F{OOfS iA 9 tit. / Extension r Finished B. Interior Finish �" � L.R. r FP WBS Heat D.R. / l t Cts Garage d�f Ext Walls BR. e Porch Dormer %C R� ., Baths _ DecwPatio �� L� 7� ' ��c"' Roof Fam. Rm. j Solar Foyer / Poo{ A,C,/GEN � Laundry ' - Library/ O,B_ Study € '-DeeIF fZ��rt� f f'- t:;rz Town of Southold 5/19/2022 P.O.Box 1179 53095 Main Rd Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 43093 Date: 5/19/2022 THIS CERTIFIES that the building SINGLE FAMILY DWELLING Location of Property: 515 Royalton Row,Mattituck _ �_.............___ .... ..,_..w _._ _..M..... SCTM#: 473889 Sec/Block/Lot: 113.-7-19.32 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated p g 4 dated 5/19/2021 ...... 5/3/2021 pursuant to which Building Permit No. _� 4627 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 W8194—arm-1-YAKOW vv tka, ina bA rnnnt front e ter nd aflo rbglc ny.,tea iq and attkhW asp Ami d.tsar. The certificate is issued to Marratime Cap LLC of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL R-21-0612 5/5/2022 ELECTRICAL CERTIFICATE NO. 46274 3/3/2022 PLUMBERS CERTIFICATION DATED 1/26/2022 ch d Cannar .�........................................._...._ .............. _. .. _.........._......�.�.�.�_ _. ......_ _.._ a ..ori inatrr