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Home My WebLink About1000-114.-8-6 TOWN OF SOUTHOLD €' Rental Permit AV 1093 Owner Start Small LLC Occupied as Single Family Dwelling Located at 14605 Route 25 Mattituck 114.-8-6 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. 3/18/2024 %4�� ode E )mafficial This Notice must be posted by the main entrance at all times r '` r TOWN OF SOUTHOLD-BUILDING DEPART ° EN I . E Town Hall Annex 54375 Main Road P. O. Box 1179 Southold,NY ), 1-0959 Telephone (631) 76�4802 Fax(631) 765-9502 I I - /Nnyita m(1 ) ( m- '-. MAH 8 2024, RENTAL PERMIT APPLICATION Rental Permit Fee $300 (Application must be renewed every two years) Section A. Property Information: Rental Property Address: Tax Map Number: 1000 SECTION 1 k 4- _.-BLOCK -LOT - SECTION B. OWNER INFORMATION: Property Owner Name: ��- Property Owner Legal Address: Property Owner Mailing Address: (Cannot be the same as Rental Property Address) L_C, �" Ll k �& 1� Telephone Number (s): Daytime Evening Emergency Property Owner Email Address: k co aj C 60,1 ", �' Page 1 of 4 Section C. Authorized Agent Information: Name of Authorized Agent of dwelling unit, if any: y l 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: N /tnc- 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: N / A Address of Managing Agent (no P.O. Boxes): Mailing Address of Managing Agent: Telephone Number (s): Daytime Evening Emergency Email Address: Page 2 of 4 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: LX Requested Maximum number of persons allowed to occupy Dwelling Un OKI Number of rooms in Rental Dwelling Unit: Use and Dimensions of each room in Rental Dwelling Unit: L 14 , r" 14 ' x Z4 'Via'" Dl•v ru t1 I�' �c 1 . 71 SECTIONG. ,A INSPECTION: �a� r 1 eW i 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. Page 3 of 4 SECTION H. DECLARATION: Signature must be notarized and MUST be the owner of the dwelling unit. STATE OF NEW YORK) COUNTY OF SUFFOLK) I certify under penalty of perjury,the following: t 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 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 s to any change to the information regarding Authorized Agent, Managing Agent, or Site Manager. Property Owner's Name: Ktou CoNamoc]L Property Owner's Signature: JAK Sworn to before e this day of `Ke, , 20 A-7 Official tart' Public Signature and Original Notary Stamp JOHN A. MAKI Notary Public-State of New York No.01 MA6164838 Qualified in Suffolk County My Commission Exp.04/30/202-7 Page 4 of 4 00 Town Hall Annex f � , Telephone(631)765-1802 54375 Main Road " Fax(631)765-9502 P. O. Box 1179 ` Southold, NY 11971-0959 k 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 re aired for Architect or Engineer, Licensed Horne Inspector must provide copy of valid current certification Rental Property SCTM Number: 0 c) d 4' 92 Rental Property Address: O -rTLPL Owner/Name; L . L L C.o 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) 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 of New York State, the Building Code of New York State, the Plumbing Code of New York F Code of New York State, the Fire Code of New York State, the Property Maintenan ate and the Energy Conservation Construction Code of New York State. P>Ai (LA e Print Name and Title Original Signatu 30794 Please place Professional Seal: eoo �v ACL. m 4' TOWN OF SOUTHOLD BUILDING D� 631 765 18 2 1lLI, Z- INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PL13G. [ ] FOUNDATION 2ND [ ] INSULATION/CAt [ ] FRAMING / STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] TIRE SAFETY IN! [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PE L ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FI [ ] CODE VIOLATION [ ] PRE C/O [ I REMARKS: DATErINSPECTO 0 ............... 611� Primary Bedroom 20'x10'6" _. a. e M) Bath 7'6"x10' CL l � P.R. .......... Counter Sunroom 696"x18' Kitchen 10'6"x18'6" 13'6"x14' Ell II El EW Ref Dining Room 17'x12' 10'6"x12' ....... Living Room a �i�'l Foyer 14'x12'6" w, W-1-C 14'x5' Bedroom Z- 14'x15'64)— ...�._.� Bat..... h � Bedroom i1 9'6"x 11'6" 13'6"x 11'6" CL Bedroom# 13'6"x12' CL TOWN OF SOUTHOLD PROPERTY RECOIR OWNER STREET l VILLAGE DIST.� SUB LOT FORMER OWNER_ �J N E ACR. �r TYPE OF BUILDING SEAS. VL. FARM COMM. CB. MILS. Mkt. Value LAND IMP. TOTAL DATE REMARKS 1, _.._...,_.ww_ may, , : /. .n_... w. _..,u.... ._... .... AGE. sILDItG EDITION - N W NORMAL 6FLOW ABOVE FARM Acre Value Per Value •k __ ..^_, ^wmm _ t µµAcre �... �..,_...... w._...,. FRONTAGE ON WATER ATER �. ,./.:'. � ...... .�..,.�..�.._�..�.:._._....___......:`_ ,..�..,.. ..�,,.,_......,....m.,..,_,,..,_ Tillable N Woodland FRONTAGE ON ROAD Mead DEPTH f _.... _ , House BULKHEAD Plot _._. ., ...._. ........ ll. . Total N DOCK j 6 N d p� OR TRIM m � I y - � 1 t n 114-a-6 10i 8 " M. Bldg Extension Extension Extension ., _ ...__ _...... .. ......_. Both �' Dine to Porch .._�. ..._�.._. _ ..._._._._ Basement d n BFloors I<. Porch Walls interior Finish eeezewoy �._...,,. �_._.'.....w _.,,.,,. Fire Plac .,..'... .. . .. 9 Heat Br r DR _ . Garage IType Roof Rco.nn J Floor BR. ' _.._ ... eesaRaoe Rar ,r« .., Poo s 2nd Floor FIN J ..Pori f ..,.., ,.. ....._. _.._..... __ ._ .w._._... bo;_ B 4 - l.5 a d ae � 1, fib. p . ... ..__. .. ..,. ._....._�.�....._.,.�,... Totale I FORM NO.4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Clerk's Office Southold, N.Y. Certificate Of Occupancy Z1C`2Clc Oalo"-•r 17, 19 PCi No. . . Date . . . . . . . . . . . . . . . . . . . . THIS CERTIFIES that the building . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Location of Property ` ?, A,eIn ��.,. . . . . . , . , 14stt! tuck�x r''Y 'a . Ho�pse dltcr, Stree� b Hsrrrrfe County Tax Map No. 1000 Section . . . 1�''— . . .Block . . . . . . . . . . . . . . .Lot . . . . , , , , . . . . . . . . . Subdivision . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Filed Map No. . . . . . . . .Lot No. , . . . . , . . . . rr pQiPe wnta for a one-familywelling built prior to conforms substantially to tl��Srplrafaeltfar-Bml+t rrpenuft-hem *f`ile&frrftr'Of a-ftted- Certificate of Occupancy b . . . .t-Dr.i1. 23. . . . . . . . , 19 .57pursuant to which Eft�tiifffFdMftMP6." ZlC20 . . . . . 7102. . . . . . . . . . . . . . . dated . . . . 0 19 .'3Q,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 . . . . . . . . .. Private One-Family. Dwelling . . . . . . . . . . . . . . . . . . . . . The certificate is issued to . . . . . .=s r a l ."ds l r -3 ae l (owner, ��x. of the aforesaid building. Suffolk County Department of Health Approval . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . UNDERWRITERS CERTIFICATE NO. . . . . . . . . . . . . .l l . . . . . , . . . , . . . . . . . . m . . . . . . . . . . . . . . .�ing I oto. . . . " . . . . . Rov 4179 BUILDING DEPARTMENT TOWN OF SOUTHOLD, N. Y. HOUSING CODE INSPECTION REPORT Location 14605 Main Road, ma ttituck num- er & street Municipality Subdivision Map No. Lots) Name of Owner(s) Carol Waldvogel Occupancy R-1 Owner (type-) owner-tenant Admitted by: Carol Waldvogel Accompanied by Carol Waldvogel Key available Suffolk Co. Tax No. 114-8-6 Source of request Gary Flanner Olsen Date Oct. 15, 1980 DWELLING: Type of construction Wood #stories 2 Foundation Brick CellarPartial Crawl space Trdy Total rooms, 1st. F1 4 2nd. Fl 3k 3rd. F1 Bathroom(s) 1 Toilet room(s) Porch, type Roof Over Deck, type_ Patio, type Breezeway Garage Utility room X Type Heat Warm Air }9ot�� Steam Fireplace(s) No. Exits 2 _. Airconditioning Domestic hotwater Yes Type heater Gas Other Free Standing- Wood Runner Stove ACCESSORY STRUCTURES: Garage, type const. Storage, type const. Swimming pool Guest, type const. Other 2 Story Carrage shed VIOLATIONS: Housing Code, Chapter 52 L cation Description Art. Sec. Cellar Steos --ot equal and no rail II 52-27 A-B Carra~•e Shed" Needs various repairs III 52-31-A-B-C -.. ...... ....._..�.... ...._..........._.._.. -... .,, Remarks Inspected by: __ Date of Insp. Ot..17,._1980 Curtis Horton Time staa"t 'LL:Li�°,•end 12:1 ._._. FORM NO.4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold,N.Y. Certificate Of Occupancy 710785 . Date . , µ 4 November ,1,� . . . » . . » . . . . . . ., 19 81 No. . . . . . . . » . , . . , » , . , . . THIS CERTIFIES that the building . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . » . • . . Location of Property 14605 14ain Road , Mattituck, New York » House No. Street 006 *Hamlet 08 County Tax Map No. 1000 Section . . . . .14 . . . . .Block . . . . . . . . , . . . .Lot . . . . . . . . . . . . . . . . . Subdivision . . . . . . . . . . . . . . . . . » . » . . . . . . . . . . .Filed Map No. . . . . . . . .Lot No. . . . . . . . . . . . . . conforms substantially to the Application for Building Permit heretofore filed in this office dated February 26 19 .t'. pursuant to which Building Permit No. . . I.1.036 .Z. . . . . . . . . . . February 26 81 dated . . . . . . . . . . .. . . . . . . . „ 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 . . . . . . . . . Addition to Private One Family Dwelling The certificate is issued to „ . ,kl nald Schweizer x of the aforesaid building. Suffolk County Department of Health Approval . . . .N 1»R . . . . . . . . . . . . . . . . . . . » . . . . . . . . . . . . . . UNDERWRITERS.CERTIFICATE NO. . . .N 5 2 31 17. . . . . . . . . . . . . » . , . Building Inspector . . . . Rev.1181 FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-34786 Date: 01/10/I1 THIS CERTIFIES that the building ACCESSORY BARN REPAIR Location of Property: 14.605 MAIN RD MATTITUCK ,..... (HOUSE NO. ) (STREET) (HAMLET) County Tax Map No. 473889 Section 114 Block s Lot 6 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated APRIL 21, 2010 pursuant to which Building Permit No. 35535-Z dated MAY 6, 2010 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 RENOVATE AN EXISTING BARN µAS APPLIED FOR. The certificate is issued to VICTOR & BARBARA DIPAOLA _............_......... . (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N� ✓03 11 SLBCTRICAL CERTIFICATE NO- 35535 PLUMBERS CERTIFICATION DATED N�A .... "rized ._.._..- 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. 14 3 3 7. . . . . . . . . . Date . . . . . . . .O FA 1 .9. . . . . . . . . . . . . . . .. 19 8 6 THIS CERTIFIES that the building . . . . A d d,i t i 4 zi, a rl d. a 1 t g r a,t i o n. . . . . . . . . . . . . . . . Location of Property . . . 1.4.6 0$. Ma i ip. Ao 4 0. . . . . . . . . . . . .V a,t t:i tuck. . . . . . . House N. Street Har Wlet County Tax Map No. 1000 Section . . . . . . .Block . . . . .Q$. . . . . . . .Lot . . . .4 . . . . . . . . . . . Subdivision . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Filed Map No. . . . . . . . .Lot No. . . . . . . . . . . . . . conforms substantially to the Application for Building Permit heretofore filed in this office dated . . .0 ar.q h. 2.6. . . . . . . . . , 19$6.pursuant to which Building Permit No. . .?4,71U Z. , , . . . . . . , . . dated . . . .Max.c.b. 2.7. . . . . . . . . . . . . . . 19$�. ,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 » . . . . . . . . �dd .tp. qr)4. enclose ,degk ,attached .to, dwelling: . . . . . . . . . . . . . The certificate is issued to . . . . . . . . .RONALD W. & DOROTHY J .e SCHWEIZER. . . , , (owner, • 36Yi ' r of the aforesaid building. Suffolk County Department of Health Approval . . . . .N!A. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . UNDERWRITERS CERTIFICATE NO. . . . . . . . . . . . .IN/A . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . /*. ,07 " , Building Inspector Rev. 1/81