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Home My WebLink About1000-120.-3-8.36 - Rental Permit 0872 Owner: 4270 Aldrich Ln LLC Occupied as: Single Family Dwelling Located at: 4270 Aldrich Ln Mattituck 120.-3-8.36 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. Issued: 05/13/2025 Expiration: 05/13/2027 Cod En rce a tOfficial This Notice must be posted by the main entratatm TOWN OF SOUTHOLD BUILDING DEPT. 631-765-1802 ' lmimmSPECTION [ ] FOUNDATION 1ST/ REBAR [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ j INSULATION/CAULKING [ ] FRAMING /STRAPPING [ ] FINAL [ ] -FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENEEEE�TR ATION r [ ] ELECTRICAL (ROUGH) [ j ELECTRICAL (FINAL) [ ] CODE VIOLATION [ ] PRE C/O [ ` RENTAL REMARKS: DATE INSPECTOR ,,,, V` r /m V j V Town Hall A�nel l �� Telephone(631)765-1802 54375 Main lkoad Fax(631)765-9502 P. O. Box 1179 h, Southold, NY 11971"-6959 w : BUILDING DEPARTMENT TOWN OF SOUTHOLD RENTAL PROPERTY CERTIFICATION Form is to be completed by a licensed architect, licensed engineer or licensed home inspector Separate form is required for each individual Rental Dwelling Unit Professional seal reguired for Architect or Engineer, Licensed Hoene Ins ector must provide copy of valid current certification Rental Property SCTM Number: 0 - I'�-'Q-3 - e•36 Rental Property Address: .4 27 D A(.. {Z LC+ L M1I K Owner/Name: 4'L-ja P kC Rental Dwelling Unit Identifier: Number&Square footage of each bedroom as depicted in the attached floor plan: (i.e. Bedroom#1 -100 sqft., Bedroom#2-90 sgft., etc.) Property Description (Include all improvements indicated on survey) ,`l M G-LAE V=� ILL iDW IFLIL.(t,,36 w A17MKItM O 2 a&966E 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,the Fire Code of New York e,t rope aintena oKSt f µ and he EnergyConservation Oonstr ction Code of New S l S ' IN k Print Name and Title ' Original Signature ' Please place Professional S"'; , t� > � � TOWN OF SOUTHOLD Rental Permit 0872 Owner 4270 Aldrich Ln LLC Occupied as Single Family Dwelling Located at 4270 Aldrich Lane Mattituck 120.-3-8.36 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. 4/21/2023 d fo rat Official This Notice must be posted by the main entrance at all times Town Hall Annex � � Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1179 �. Southold,NY 11971-0959 y flu BUILDING DEPARTMENT 4 TOWN OFS RENTAL PERMIT APPLICATION Rental Permit Fee$200(Application must be renewed every two years) Section A. Property Information: Rental Property Address: 2 &L R,(C N PI;--rV1VC Tax Map Number: 1000 SECTION . ZO -BLOCK � � -LOT a ` SECTION B. OWNER INFORMATION: 1-1a70 Property Owner Name: ftK�CR�t �l.. N (�`(S'.� - •• -. Property Owner Legal Address: Property Owner Mailing Address: Telephone Number(s): Daytime_,_-—----,.... Evening._----- Emergenc. _ ___ -- Property Owner Email Address: _ � r—C-CL 0. � lG CO Wl L � c0aC/ o Page 1 of 5 � f E . fV1�1fYuw, 7. °"'"w Town Hall Annexe„i Telephone(631)765-1802 54375 Main Road t Fax(631)765-9502 P.O.Box 1179 Southold,NY 11971-0959 2 Ury 'gmyp pp r r, BUILDING DEPARTMENT TOWN OF SOUTHOLD Section C. Authorized Agent Information: Name of Authorized Agent of dwelling unit, if any: .w �, .. .� " .... _._.._.. Address of Authorized Agent (no P.O. Boxes) m ° o. .. . r v ' A Id 67 Mailing Address of Authorized Agent:.-PUB Telephone Number(s): Daytimemm m vening < fd Emergency, . Email Address: .._.. .� '._. t .. ww . _. .... _� Section D. Managing Agent Information: Name of Authorized Agent of dwelling unit,if any: Address of Authorized Agent(no P.O. 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: _ , .,,_ _..._........ .�,M__ ._. _...�.� _.... Address of Managing Agent no P.O. Boxes):,,,,, .._...._ __. _.. _.. .... ......._. __ _....... _..�...,,._.. _._.._._ w_. Page 2 of 5 Town Hall Annex i^ Telephone(631)765-1802 54375 Main Road , Fax (631)765-9502 P.O.Box 1179 Southold,NY 1 1971-0959 BUILDING DEPARTMENT TOWN OF SOUIvHOLD Mailing Address of Managing Agent:.,_-,,,-.-...... Telephone Number(s): Daytime Evening EmailAddress:......._. . . �__ , . ....._ _..._.......... .. _ ...._. .._.. .._. ..._._ ._._-. _...._.... ...... .- SECTION F. PROPERTY DESCRIPTION: i 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: Requested Maximum number of persons allowed to occupy Dwelling Unit: „ Number of rooms in Rental Dwelling Unit: _ to Use and Dimensions of each room in Rental Dwelling Unit: 14 V_` SeDRm *3 [3'-4: c W-6if y R,edc-M#4- 8`S�x t16.4.. SAiv ;0 - 5-Ox—j " 6" JV-RC"' ...(?!"D_`_.12 . IZ-tT A DIN RM 2�t -9 x [21-toy bEN W-v�c L3`-(O" BAT- H-*l 5�b& cl `-Oy L kV `I Page 3 of 5 Town Hall Annex Telephone(631)765-1802 54375 Main Road � " Fax(631)765-9502 p P.O.Box 1 179 Southold,NY 1 1971-0959 , 91 BUILDING DEPARTMENT TOWN OF SOD OLD 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 V/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) ertify 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 Fax(631)765-9502 r. P.O.Box 1179 Southold,NY 11971-0959 �� BUILDING DEPARTMENT TOWN OF SO OLD 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. I 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: ---,, Property Owner's Signature: ..." MEZAN S KEGAZY Sworn to before me this kday of 7 • 20 NOTARY PUBLIC-STATE OF NEW YORK Queens In No. 01 HE623 9uallflw�s ns ns County Official Notary Public M1Signature and Original Notary Stamp MY Commission Expires Aare 25, 20 , Page 5 of 5 - -� INSPECTION j ] FOUNDATION 1ST [ ] ROUGH PL13G. j ] FOUNDATION TND [ ] INSULATION/CAl [ ] FRAMING / STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY IN! [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PE [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (TII [ ] CODE VIOLATION [ PRE C/O [ ] I RE a cc, DATE INSPECTOR 4 5 Town Nall Annex Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1179 � Southold,NY 11971-0959 7 ,' 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 r vide + e a I o Cps s t fr Rental Property SCTM Number: 1000 - 12,D 3-8'3, Rental Property Address: 4 2 W I--OR(CtF LLANE-yy tylA-- I-uc_K- _- W Owner/Name: " A-K15 `14—eN. (5FKt s Rental Dwelling Unit Identifier: t Number &Square footage of each bedroom as depicted in the attached floor plan: (i.e. Bedroom#1-100 sq., Bedroom #2-90 sq., etc.) E3E0�?m ?.- ... e ± # 3 !4oar s C!n 1-1 V 'Z'0(V tk .t-r-+ ._OW. Rrh. 38oth DES! .(413 Property Description (Include all improvements indicated on survey) I FA IL. w T"I 2 C' � � CoV e9ev PoRCd 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. Print Name and Title 4g�inalnature Please place professional seal: � SCTM # TOWN OF SOUTHOLD PROPERTY RECORD CARD 3�� f OWNER STREET �� _'` VILLAGE DIST SUB LOT F474I CR REMAR KS TYPE OF BLD. PROP. CLASS n _ LAND IMP, TOTAL DATE FRONTAGE ON WATER HOUSE/LOT BULKHEAD TOTAL t w TOWN OFQUTHQLD PROPERTY RECORD CARD OWNER STREET VILLAGE DIST L SUB. LOT 7 ACR REMARKS a a f TYPE OF BLD_T � e n vu PROP CLASS jif LAND IMP, TOTAL DATE 1 _1 15 J 42 s i FRONTAGE ON WATER TILLABLE FRONTAGE ON ROAD OODLANDC. k DEPTH MEADOWLAND I BULKHEAD HOUSE/LOT t _ TOTAL � 3 ,2� _ [ COLOR qy 51 i l r i l � � _ `• TRIM 120.-3-8.36 1/08 ` 77 ` f M Bldg- _ � �� _ �" �" � �� S� � Foundation Ce Bath � �' Dinette [ � ; �- -. - �� .FULL - Extension <. � 210 Basement CRAWL ne L , v Floors Kit. Exte sion Iy! f 3 `2 Ext. Walls �,4 Interior Finish L.R. t Fire Place Heat D.R. rstorT ; . - 1 Woodstove I BR.� � Po Dormer in_ en= -Dec Attic l °_ Breezeway ?C ( x ` IQ Rooms 1st Floor Garage Driveway Rooms 2nd Floor sm - f E Pool 1� - -- y - -� _ ..a4:!✓tf:A ,,5'ifa C,�'�'`'�C4•�'td �''s`'aC. �t F i* 1 FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-25434 Date: 12/16 97 THIS CERTIFIES that the building NEW DWELLING Location of Property: 4270 ALDRICH LA MATTITUCR (HOUSE NO. ) (STREET) (HAMLET) County Tax Map No. 473889 Section 120 Block 3 Lot 8.36 subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated JUNE 26 1997 pursuant to which Building Permit No. 24280. 2. 2 dated JULY 30 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 TWO CAR GARAGE & COVERED PORCH AS APPLIED FOR. The certificate is issued to SCHEMBRI HOMES,1 INC. (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL R10-97-0102 12/10/97 ELECTRICAL CERTIFICATE NO. 18483 12/07/97 PLUMBERS CERTIFICATION DATED 12/06/97 G.A.H. PLUMBING ole \ r- BuildiqVInspect,or 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: 5-27129 Dates 06/09/00 THIS CERTIFIES that the building ADDITION Location of Property: 4270 ALDRICH LA M&TTITUCK (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 47389 Section 120 Block 3 Lot 8.36 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated MARCH 2 200D pursuant to which Building Permit No. 266, 8-f-f dated MAY-23t 2000 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 REAR STOOP WITH STEP ADDITION TO EXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to CHARLES H & MARGARET A. TYLER ( R) of the aforesaid building. SUFFOLK C KINTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE. NO. N/A PLUMBERS CERTIFICATION DATED N/A Au ria signature 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-30612 Date: 1.2 08 0 THIS CERTIFIES that the building ADDITION Location of Property: 4270 ALDRICH LA MATTITUCK (HOUSE NO. ) (STREET) (HAMLET) County Tax Map No. 473889 Section 120 Block 3 Lot 8.36 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated AUGUST 15 2003 pursuant to which Building Permit No. 2656-Z dated AUGUST 18 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 REAR DECK ADDITION TO EXISTING SINGLE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to ROBERT & MONICA KULL (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. NIA PLUNSM CERTIFICATION DATED N/A ri Sig attire 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-33286 Date: 03 2OB THIS CmirrIFIE.S that the building ACCESSORY �kww Location of Property: MATTITUCK 4270 ALDRICH LA w..� (HOUSE NO. ) (STREET) _ (HAMLET) County Tax Flap No. 473809 Section 120 Block 3 Lot 8.36 subdivision Filed Flap No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated APRIL 17, 2007 pursuant to Which Building Permit No. 32905-Z dated _ APRIL 17, 2007 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 ACCESSORY INGROUND SWIMMING POOL WITH FENCE TO CODE AS APPLIED FOR. The certificate is issued to ROBERT J & DENISE KULL ..._._ (OWNER) ........... of the aforesaid building. SUFFOLK COUnY DEPART14ENT OF HEALTH APPROVAL N/A_ �.. gLSCTgICAL CERTIFICATE NO. 4008284 08 0 PIMA CERTIFICATION DATED . .................N., �A Authorized Signature Rev. 1/81 7 P - k a B&scnnerT NoT 'FtRT a �R pwN� sTOKA-&e ONt�Y ONLEADCONnNTSUMV CrgflDtGQE _ M#M12110GFMIZAA A i T"(!!FND FT.Tr;a' y$F 4 , 3 ✓3 u 4- 4M-Td - 5`P-c. °9 — L kr - ' oN V KEe4 "S- •f•- 64K90i tTYR) I. waLv ++ frds� t Isnumufaumam - -� s � '°faxaoT+o«x Iu FT4• flommumumt 81 NE fwcT.G G.w.p _-I = ts$.5T>xP'+iRS 7ER toOE won d t — 1 5=_g« } �,.7., S�.T« G'•i" b'-i° I €V 4' 7 _ .Y r ! � 1 t jig AT'€+P of'+Ttly_ I..?TER �t t i y .fee�aT I 4'a _'e%9 T +e'sex asa t �. f/41ROCR °� 3.wF S - _ Q' a cap.o.�e.�}sa^ -'i_ �E • � � El{ .R� - 's••i'ts -�" v€RI€s #oP'sTaPa Rash- . -9 ( _ y1R"oEEf Pc fT4• p l�rT =�B xv �� j pr acru.L'tvKPTM ap ccaLaR. 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