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Home My WebLink About1000-143.-5-14.2 x=s T UA"'W. . N uF S 0 U T H 0 L D eel- Rental Permit a� 1091 Owner Barbara & William Horowitz Occupied as Single Family Dwelling Located at 10 N. Riley Avenue Mattituck 143.-5-14.2 Maximum Permitted Occupancy 2 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 Code f cer��. �Official This Notice must be posted by the main entrance at all times Pao 3, o.....b k� TOWN OF SOUTHOLD—BUILDING DEPARTMENT A"M � eN Town Hall Annex 54375 Main Road P. O. Box 1179 Southold 9' Telephone (631) 765-1802 Fax(631) 765-9502 hlt:�s:// scwtloici , t : ti MAR '1 5 NP/1 L RENTAL. PERMIT APPLICATION roval of FK-Ulh ld Rental Permit Fee $300 (Application must be renewed every two years) Section A. Property Information: Rental Property Address: K Tax Map Number: 1000 SECTION -BLOCK -LOT-- . SECTION B. OWNER INFORMATION: Property Owner Name: �UMD3.>!iLz1► Z Property Owner Legal Address: Property Owner Mailing Address: (Cannot be the same as Rental Property Address) t pia Telephone Number(s): Daytim 0P. vening Emergency �35 Property Owner Email Address: Page 1 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: Requested Maximum number of persons allowed to occupy Dwelling Unit: _ Number of rooms in Rental Dwelling Unit: ,t t Use and Dimensions of each room in Rental Dwelling Unit: lk V, 144 Ar-rft• 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 ❑ 1 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) IAAr*V>ff� , 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 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: Property Owner's Signature Sworn to before me this L day of 20aq F Official Notary Public Signature and Original Notary Stamp Page 4 of 4 o TOWN OF SOUTHOLD BUILDING D1 M 631 -766-1802 � INSPEC�TION I l FOUNDATION 1ST [ ] ROUGH PL13G. [ ] FOUNDATION 2ND [ ] INSULATION/CAI [ ] FRAMING / STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INS [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PE [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (EII [ ] CODE VIOLATION [ ] PRE C/O [ INSPECTOR:Loe- a4e-<�oo oc DATE 156" 120" Sliding door - _ 21 door 33" 33" Bedroom01 Smoke and cop detector 0 31" Smoke and cot detector 24" 73" ao CQ 44" CD 10 N. Riley Ave m U to �S —85" 54" i t+� Shower Bathroom 10 15" � '�� N F S UTHOL PROPERTY ..�,►.. OWNER =� ` -` - - 4 STREET VILLAGE c - DISTRICT SUB. LOTz y m _ t ACREAGE FORMER OWNER i N S W TYPE OF BUILDING i RES. 3d SEAS L m= FARM COMM. IND. CB. MISC. Est. Mkt. Value g. LAND IMP, TOTAL DATE REMARKS I i AGE BUILDING CONDITION a NEW NORMAL BELOW ABOVE FRONTAGE ON WATER - ' Farm Acre Value Per Acre Value FRONTAGE ON ROAD Tillable 1 BULKHEAD Tillable 2 DOCK Tillable 3 Woodland v s Swampland - Brushland I r e House Plot I Total E f em _ M. Bldgy Foundation Both Extension — Basement Floors yen Ext. Walls Interior Finish m- Fire Place Meat Porch Roof Type Porch dooms 1st Floor- Breezeway Patio Rooms 2nd Floor Garage Driveway Dormer D. B ". 3, lltltk , Town of Southold 2/5/2024 53095 Main Rd Southold,New York 11971 PEE EXISTING CERTIFICATE OF OCCUPANCY No: 44937 Date: 2 1 A 2024 THIS CERTIFIES that the structure(s) located at: 10 N Riley Ave, Mattituck SCTM#: 473889 Sec/Block/Lot: 143.-5-14.2 Subdivision: Filed Map No. Lot No. conforms substantially to the requirements for a built prior to APRIL 9, 1957 pursuant to which CERTIFICATE OF OCCUPANCY NUMBER Z- 44937 dated 2/4/2024 was issued and conforms to all the requrrements of the applicable provisions of the law. The occupancy for which this certificate is issued is: woc c) f aine sin Ala:..(*unn,ily c w lmli;w,g, ? 14 ,ar (i 1 11 d/g 1 gµ lxc c gry h g Ilpga q in di;r p4► :* The certificate is issued to Horowitz, Barbara& William (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED *PLEASE SEE ATTACHED INSPECTION REPORT. Anti ariaV ignature BUILDING DEPARTMENT TOWN OF SOUTHOLD HOUSING C0DE INSPECTION-REPORY LOCATION: ION Riley Ave,Mattituck SUFF. CO. TAX MAP NO.: 143.-5-14.2 SUBDIVISION: .................. .......... .................. NAME OF OWNER(S): Horowitz,Barbara& William OCCUPANCY: . ........... ....... ADMITTED BY: Will Horowitz SOURCE OF REQUEST Stack,-- , Wallace, --....... DATE: 2/4/2024 .... ......................... ........ ............-- ................... DWELLING: #STORIES: I #EXITS: 3 FOUNDATION: b-to ck CELLAR: partial CRAWL SPACE: most -- BATHROOM(S): 1 T 1 01 LE T RO OM(S): UTILITY ROOMS): PORCH TYPE: DECK TYPE: PATIO TYPE: bluestone BREEZEWAY: FIREPLACE: 6 GARAGE: .,,,,,,, DOMESTIC HOTWATE'R':-- x TYPE HEATER: gas AIR CONDITIONING: TYPE HEAT: radiators WARM AIR: HOT WATER: ..........9 BEDROOMS: 1 #KITCHENS: 1 BASEMENT TYPE: ............. OTHER: ACCESSORY sTR,UCTURES: GARAGE,TYPE OF CONST: STORAGE,TYPE OF CONST: wood fr I ame ........... -—......... SWIMMING POOL: GUEST,TYPE OF CONST: ........... OTHER: boat house in disrepair VIOLATIONS: .......... ........... REMARKS: .......... INSPECTED BY: NANCYD DATE OF INSPECTION: . ......... 2./12/,20 2 4 TIME START: 12:40pm END: 1:20pm