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Home My WebLink About1000-94.-1-7 TOWN OF SOUTHOLD g4i C& Rental Permit 0386 Owner Adrienne Landau Occupied as Single Family Dwelling Located at 855 Soundview Ave Mattituck 94-1-7 Maximum Permitted Occupancy 4 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. 1/17/2024 ode fog efnent Official This Notice must be posted by the main entrance at all times TOWN OF SOUTHOLD BUILDING 0 631 -765-1802 TAO IN PEC ION [ ] FOUNDATION 1ST [ ] ROUGH PL13G. [ ] FOUNDATION 2ND [ ] IN LATIOWCA [ ] FRAMING / STRAPPING [ ] INAL [ ] FIREPLACE & CHIMNEY FIRE SAFETY IN [ FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PI L l ELECTRICAL (ROUGH) [ ] ELECTFICAL (F C ] CODE, "'V"IOLAT"ION [ � PRE C/O [ ] REMARKS: INSPECTOR [0 Lop-� DATE 14 to OF SOGlyo6 -f/'J J SV'• lJ" 440 AAl/Y TOWN OF S011THOLD BUILDING D xr,�� 631 .765.1802IN PECTION [ ] 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 M REMARKS: 4tl L �dwl t4Wol Wo� bbw r� � h�✓v�'QiL, . C DATE Y1i Y INSPECTOR C.) 5 ' *' TOWN OF \► 631 -765-180"& INSPEC ION el OUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION/CAI [ ] FRAMING / STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY IN! [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PE [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FII [ ] CODE VIOLATION [ ] PRE C/O [ ] REMARKS: lz-eT -;t 5�, INSPECTOR4, '0000� 4/kIll DATE �,�OF SOUiy� �� TOWN OF SOUTHOI.D BUILDING D cowm�� 631.765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATIOWCAi [ ] FRAMING / STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY IN [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PE [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FI [ ] CODE VIOLATION [ ] PRE C/O �Q REMARKS: ,a ell oX DATE !liblZ,�__ INSPECTOR CY??� * TOWN OF SOUTHOLD BUILD16- 631 -765-1802 INSPEC 101m C l FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION/CAl C ] FRAMING / STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY IN: [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PE [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FII [ ] CODE VIOLATION [ ] PRE C/O oop—f I REMARKS: P //-PC)O/299f.)v'*7" / lleof Lo r 7//8 /Z3 DATE INSPECTOR TOWN OF SOUTHOLD BUILDING DI 631 .765-1802 — INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATIOWCAI [ ] FRAMING / STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY IN: [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PE [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (Fit [ ] CODE VIOLATION [ ] PRE GO �Kl F REMARKS: cc> peellej r1of Ay? C/ 1�19 o mpko (9/ o pco/ 1,7 6)b DATE 2-/2//z 3 INSPECTOR �d'"�� TOWN OF SOUTHOLD a g Rental Permit Permit No. 0386 Owner Adrienne Landau Occupied as Single Family Dwelling Located at 855 Soundview Avenue Mattituck 94-1-7 Village Maximum Permitted Occupancy 4 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. 2/17/2021 John Jarski Date of Issue Code Enforcement Officer 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 � YY x BUILDING DEPARTMENT JPS 2 20 TOWN OF SOUTHOLD RENTAL PERMIT APPLICATION a Rental Permit Fee$200(Application must be renewed every two years) Section A. Property Information: Rental Property Address, 1 855 Soundview Ave I ` �1,ek— Tax Map Number: 1000 SECTION 94 -BLOCK -LOT___I_ SECTION B. OWNER INFORMATION: Property Owner Name: Adrienne Landau Property Owner Legal Address: Property Owner Mailing Address: ' 7(o96 ` X59 Telephone Number(s): Daytime 61 '6 Evening Emergency Property Owner Email Address: -- V/All�CZ Pagel of 5 Town Hall Annexe Telephone(631)765-1802 54375 Main Road �� G Fax(631)765-9502 P.O.Box 1179 Southold,NY 1 1971-0959 BUILDING DEPARTMENT TOWN OF SOUTHOLD Mailing Address of Managing Agent: Telephone Number(s): Daytime_ _ _ _ Evening; __ wEmergency___,_.__, Email Address: _. .e_._.. .... ... SECTION F. PROPERTY DESCRIPTION: Number of Rental Dwelling Units on property:_1 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." 0000— Rental Dwelling Unit Identifier:�urit 1 ,. Requested Maximum number of persons allowed to occupy Dwelling Uni : 4� Number of rooms in Rental Dwelling Unit: ...5� ° " ,,,,,,,,.... Use and Dimensions of each room in Rental Dwelling Unit Bedroom #1 . 171 s.f. Bathroom#1 -44 s.f. e rorarrw#2-11 1 .f Bathroom 2 . 50 J. Page 3 of 5 p Town Hall Annex Telephone(631)765-1802 54375 Main Roads Fax(631)765-9502 P.O.Box 1 179 k < Southold,NY 11971-0959 � � , �� a' Cow rug, 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 ❑ 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) ��t,�t L► ��1�- 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 Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1179 r ; Southold,NY 11971-0959 'Co Nil " � �u BUILDING DEPARTMENT TOWN OF SO HOLD 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: _ � ,.i2 � 1s� ..m.� 1 .." I Property Owner's Signature: Sworn to o is V day of _ �, 202P STEPHANIE CASILIMAS Commission#GG 305131 Of of c Signature and Original Notary Stamp ',, " Exprsenko�y �zo23 oar x411 1 tC�� n Mnsurance 80p38�r7019 Page 5 of 5 TOWN OF SOUTHOLD BUILDING 1) 765*1802 IN PEC ION [ ] FOUNDATION 1ST [ ] ROUGH PLTG. [ ] FOUNDATION 2ND [ ] INSULATION/CA [ ] FRAMING / STRAPPING [),--/FINAL, [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY IN [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PI [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FI [ ] CODE VIOLATION [ ] PRE C/O REMARKS: DATE INSPECTOR Town Hall Annex P �IIr 'v ( 51)765-1802 1 a X765-95(:)2 54375 Main Road nY� fDlf l'li " P.O.Box 1179 Southold,NY 11971-0959 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,sell a crlred qr rch t ct or r� rrl ,_fl r� e l l orlle trr coo erst ralrid +ate"My cif valid cu ren ertrfr Rental Property SCTM Number:_1000-94-1-7 Rental Property Address: 855 SOUNDVIEW AVENUE MATT?TUCK 94-1-7 Owner/Name: ADRIENNE LANDAU.......n.....�.__...._,..M. .._n._...a..�....w...,�.,.—._....,.....�.._......_..._.,....._........_ .. .� .,._...,, Rental Dwelling Unit Identifier: SINGLE FAMILY DEWLLIN- UNIT 1 Number&Square footage of each bedroom as depicted in the attached floor plan: (i.e. Bedroom#.1 —200 sq., Bedroom#2-90 sq., etc..) BEDROOM#1 1 SF, .. ..�......_ ...,.._._��. ...o_#_,. _0, BA'CHROOrA#2 50SF �� ... w... .._ 71 0.... k3P,THRIliV1# 1 44SF ELfaROts�,t#� 1 1 SF' UVING,ROOM 490 SF KITCHEN 160 SF TOTAL ROOMS 5 Property Description (include all improvements indicated on survey) Prul ty;_ y feet in Ir.n with a single slut`y residence,in-tjrl�kjnd arruia �._...��u�� a 9S feel in width t>..3.50....�...�.....�.�_ tk1..w�.......��,,,.�..._.. and connecting decks _ I certify that I have done a physical inspection of t1he 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. Adrienne Landau Print Name and Title Original Signature Please place professional seal: F� SCTM # TOWN OF SOUTHOLD PROPERTY RECO � � - OWNER STREET S�'S � VILLAGE SUB LOT 1 � ' ACR. REMARKS - �/ 7 /,,L"a - 2 i�-? TYPE OF BLD. 34r 7f PROP. CLASS JI LAND IMP. TOTAL DATE _ 700 FRONTAGE ON WATER HOUSE/LOT BULKHEAD TOTAL TOWN OF SOUTHOLD PROPERTY RECOR-D---CARD Aq OWNER ' STREET VILLAGE DIST. ---SUB.- LOT j FORMER OWNER N E ACR. Z S &A, Cj-D 'E:)e,I r i W TYPE OF BUILDING vl RES� FARMISC. Mkt. Value SEAS. :VL COMM.1COMM. CB. LAND IMP. TOTAL DATE REMARKSo Tf t'e, A vn km 4, A; fJr /Ine/7-1y DITI BUILDING CON J Qcw Ll Tc-a 11D- ........... BELOW, E 7 FARM Acre Value Per Vclue Acre -2 Zi M- A Tillable 2 1meq- 0-6 Tillable 3 Woodland rr,,I> 1 FRONTAGE ON WATER 7 Swampland .. ..... C FRONTAGE Brushland I �N ROAD DEPTH House Plot 'BULKHEAD• -5; L �DOCK TotaL- LOP, E = E IM I 1 < t _ - _, I lei t I } } E 4 a t- ' M_ Bldg., _ -�-- _ - I d v Foundation Bath _ 2 l �' � �9 :� C !� � , Dinette Extension _ - Basement Floors I I K. t Ext. Walls — — Interior Finish LR. 1-7 Fire Place Heat i DR. , , . 71 . ., ,25T e Roof Q YP - Rooms 1st Floor gR- av,s Porch _ ZS 14'�( ;Recreation Roorrl Rooms 2nd Floor i 1N• g,i e a I 9,< Dormer Breezeway Driveway _ --- Iq3 O. B. ------------------------------------- 1 Total <Lk �1 T FORM NO. 4 TOWN OF SOUTHOLD N � BUILDING DEPARTMENT I ' TOWN CLERK'S OFFICE SOUTHOLD, N. Y. CERTIFICATE OF OCCUPANCY No-7.4.188.6............ Date ............................ lay.......7.......... 19 1 ... THIS CERTIFIES that the building located at ... .....► .+»t�7,#5 .. 5 ., " ..................... Street Map No. Xxx.............. Block No. .........XXX...... Lot No. XX....... #r#t4tA;A.....IgJt.................. conforms substantially to the Application for Building Permit heretofore filed in this office doted ...................................Sept.......22.......... 19AR.. pursuant to which Building Permit Nola%XA..... dated ..................»......... 0.0....22.......... 1962...., 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 ........ .................. ....................................................................WW The certificate is issued to .. ? ` t.. ' .. .. $ —Ar P. ..';Z ......... C ................. (owner, lessee or tenant) of the aforesaid building. H.D.Approval Zune 307 1,964 by R. Villa ..........."Building inspector..'.. ........... r FORM NO.4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town }-fall Southold, N.Y. Certificate Of Occupancy No. .Z-.1.6.6 5 7Date , , , KKFebKKruary 18 , 1 988. THIS CERTIFIES that the building . ,Construct Addition & r e n ov a twi o n w y Location of Property , . ,855. ,Soundvie,,r Avenue Mattituck? . Ai,ew.Yprk House No. Sireet l/amler County Tax Map No. 1000 Section .0,9 4 . , . . . .BIock .1. , . . . . . . . . .Lot . . . . . . . . . . , . Subdivision . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Filed Map No. . . . . . . . .Lot No. . . . . . , . . . . . » . conforms substantially to the Application for Building Permit heretofore filed in this office dated March w1 7tl,A 4 1987 pursuant to which Building Permit No. .15783. Z dated . , Ma r c h 2 1 , .1.9 8.7 w . . . . . . . . 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 . . . . . . . . . ADDITION & RENOVATION TO EXISTING ONE FAMILY DWELLING AS APPLIED FOR The certificate is issued to . . . . . .li 0 5 NY SEL IM of the aforesaid building. Suffolk County Department of Health Approval . . . . . . . . . . . .N/A . . . . . . . . . . UNDERWRITERS CERTIFICATE NO. . . - - - . . , . , . , . ,N 8 5.1.8.8 9. . . . . . . . . . . . M . . . . . , . . PLUMBERS CERTIFICATION DATED: N/A ✓ JC O.4- « . 4tAl„ Building eInspector . . . . . , u . . . . . Rev.1/81 �N rat' Town of Southold 9/1/2015 P.O.Box 1179 53095 Main Rd Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 37757 Date: 9/1/2015 THIS CERTIFIES that the building IN GROUND POOL Location of Property: 855 Soundview Ave,Mattituck SCTM#: 473889 Sec/Block/Lot: 94.4-7 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 6/24/2015 pursuant to which Building Permit No. _ 39895 dated 6/24/2015Wmmmm 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 to 4ound swlnuui�agp : l fenced t�g9de a a phcd for. The certificate is issued to Landau,Adrienne of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 35800 7/29/2011 PLUMBERS CERTIFICATION DATED _.._.._...__._._._._._._. w.___ Aut ature it//iii,/%sf/i„G ,� u ;�' � �'�i �� j'�r��li��f%��f f �, i� / a f//J�1 �o �/�%/f/ff��f !7 , ff�ffJ fffif//��'fl,�� °� ooh � f �f/�jiil��i�� a /�/fi/ �///f � , r /��%��f��///��l�gj�h ur�t��%%��%fr�j�/�� 11>>r��h� /J///�%/%�%if�f f/`�r,J��jlf� �r�i l �f/%off//off� //�»/f/��li�f l�0�/!/f' � f ry ��/r/i✓/!i/�f��i!/ff/��%!fit%/ff/��1`/l�/%/�f/rJ j '��g/f !/ � / / �i�rjf � � � /� J rf�ii ///�/i/� J i�rif ��rrfpif j r // /o///i/%fi f��/i%// ��// � /r f f fi �i %l��f i/J/i �!/ J �r �/ !// ///i/� if f �� !� / � i/ r/rJ!//�i l i% i /i l/i //ria i %q/ r/ l�%!f//% �/��/ �/ / f//� „ /� /Glffff, l!%f/f/// / !J/i a D � !��/%�i%if%f��/i�fi//�iiif/ //i/ /1!f'Il til r�J�j%!�i/%/%�l�,laiil��if/��i/9i�!f//% ,„ii////�/%�iif/f i/�f��f�/V/i,�/�/��f��%f�%��1�f/%/ /�� f !//,fl�i ;%�/�/f/i�;f/;�jf f�ojff�a///%i% J!�//�/�/, / /i „///� /! ��/eii� ,i,/,/ fid / // /f/ //��/fff//%//ii%ff�f�//fffi lr ��/�� ///%Jfa%i/%af/a ��!%�larlf %if/////if��jfi�l�i/.�i��/iij!�i f%��/��f�%f f��f��i%%/�/l�i f!/,// Jif%J�/�9f%t%f��"%/f;/�%f�/�%�f�%�f/��jif��%;��i��;, ff/�//f��ff/Jiff�o�iiiJii y iirff/%�,j�fil�/1f��o�/�//,f�yfi�f s�ii f%�J�%�fai/J/f�//�1�f%iii f�/i/fl��l l��JI r%j��lfff��/%s1� :�, f /ff f�f f��f f %�/�!�/f/i fr�//�,%/✓i��t%�i%�If�l fr�jl�� i� �/I I /f�%ij j�f�/�f/��l�i//�%�%i/%�f��y��frif��i��f%i%��f��%�1lJ�ri�O', / „///f;,fJ; ,�� /��%,/fif��f%%r f/f�if�lf�/��%flr�/��/i�ilff� �. / 0.3� ! / /i: iii lJ�li! �/f/fi��/�f f f/�%%i!�%�i�f:l�✓��f/�r� r ,,,,,,, �u ,,, ,,,,,�, �.��uJ /!�!/,r,,,�i, /��fel../i/,/!/�i.�%!f�r!i�//e��d�. � // /�� 1 //��/�r ��/Vj/1/ 1 �/ � �/ //i/ / U�� r 1 �� Y ��I IK IMliii D��i � Gid �� /f i l� i Ii�/ f�l/ l/��r�j,��/�i//r�, ��P�1�jl�irr �� .� � � r, a �� , � �, d . . ! , . / ` ` � \� / / � � ° ±( i /�\�/\ , \2 / � � \«; : \/ � � 2 \ / » � ;« §�} � , y< � �\ �» � 2 � \\! ) � � al / i y�i />✓ %'r I �� ? �jif'�%orb�� 1i; O�iH�j / , k,�q, 1�%i l r Af IMr r / /G ✓ / //G fr / rer �„ �� of '� "Al U / / r �l� / %1 r, bHlrr H °' l 'tI'l // l� �'I '� r r i l Vii. r ,j✓ G ii/ 11J�l� �+r � r i �b�/ 1 y dry r / �'/ IJ g %�% / H JAjr G/� MKIN v" p� I r r v/ r E/ a r/ '„ rm T � ay aye r rri" ' >irJ AM/f �', ��i/" " M r r r AS ,�