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HomeMy WebLinkAbout1000-123.-3-7 � � z TOWN OF SOUTHOLD Rental Permit f. 1127 Owner 505 Bungalow LLC Occupied as Single Family Dwelling Located at 505 Bungalow Ln Mattituck 123.-3-7 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. 5/10/2024 Cod nr e_ nt Official This Notice must be posted by the main entrance at all times 23 2,X � Town Hall Annex � � Telephone(631)765-1802 �� t, 54375 Main Road r Fax(631)765-9502 P.O.Box 1179 Southold,NY 11971-0959 � 3 JUN 2 9 202 BUILDING DEPARTMENT TOWN OF SODOLD RENTAL PERMIT APPLICATION Rental Permit Fee$200(Application must be renewed every two years) Section A. Property Information: Rental Property Address: 505 Bungalow Lane, Mattituck, NY 11952 Tax Map Number: 1000 SECTION 1231 -BLOCK 3 -LOT 7 - SECTION B. OWNER INFORMATION: Property Owner Name: 505 Bungalow LLC Property Owner Legal Address: Property Owner Mailing Address: 42 Turtleback Road 42 Turtleback Road Califon, NJ 07830 Califon,NJ 07830 Telephone Number(s): Daytir 908-507-3248 Evenin Emergency Property Owner Email Address: g,en42@comcast.net Page 1 of 5 A4 Town Hall Annex Telephone(631)765-1802 54375 Main Road „ Fax(631)765-9502 P.O.Box 1179 ,q Southold,NY 11971-0959 -�. BUILDING DEPARTMENT TOWN OF SOUTHOLD Section C. Authorized Agent Information: Name of Authorized Agent of dwelling unit,if any:_ Michael D'Angelo Address of Authorized Agent (no P.O. Boxes): 12 Little Neck Rd, Suite 201, Centerport, NY 11721 Mailing Address of Authorized Agent:_— Telephone Number(s): Daytime 631-626-4005 Evening Emergency Email Address: mike@newhamptonhomes.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� n�ti )765-9502 P.O.Box 1 179 a Southold,NY 11971-0959 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: One 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: Primary Rental Unit Requested Maximum number of persons allowed to occupy Dwelling Unit: 6 Number of rooms in Rental Dwelling Unit: 9 Use and Dimensions of each room in Rental Dwelling Unit: Family Room (15' - 5" x 31' - 8") Kitchen (18' -4"x 16' - 9"), Bedroom 1 1 `- 2"), Bathroom 1 (10' - 11" x 7'- 8") Bedroom 2 (11'-1" x 13' - 3"), Bathroom 2 ( °- 10" x 7% Bedroom 3 (10' -8" x 11' - 3") Laundry Room 13' - 10" x 15' - 1" , Lower Level Family Room 14' -4"x 34' - 9" Page 3 of 5 Town Hall Annexe Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1179 Southold,NY 1 1971-0959 g �� {� BUILDING DEPARTMENT TOWN OF SOUTxOLD 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/ 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. SECTION H. DECLARATION: Signature must be notarized and MUST be the owner of the dwelling unit. STATE OF NEW YORK) ) COUNTY OF SUFFOLK) 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 4of5 J Town Hall Annex deli Telephone(631)765-1802 54375 Main Road n �a Fax(631)765-9502 P.O.Box 1179 Southold,NY 11971-0959 ��� BUILDING DEPARTMENT TOVIN OF SOUMOLD 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 S Mana er. Property Owner's Name: tm Property Owner's Signature: 400!S5X MA Sworn to before me this day of 0�. � ;« ' STATE e OF NEW Yt18K `•O -___ � , NOTARY PN� K: QWfftedin »' Official Notary Public Signature and Origi { Notary Stamp -.w 4S a, `. at 1 "•,p* ' " P 1w7� ��` , A,A�/W114 M4 bWN Page 5 of 5 vV)� 6x) t Arlo-, (YA 410 TOWN OF S66THOLD BUILDING I 631 7G5►-18O2 -- INSPEC�T100m'km [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INS LATION/CAl [ ] FRAMING / STRAPPING [ ] INAL [ ] FIREPLACE & CHIMNEY [ FIRE SAFETY IN! [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PE [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (F1 [ ] CODE VIOLATION [ ] PRE C/O [ I a : � AAq 1F k Kitchm Matc,Bcd,-, Z I-V J, V . Bedroom 1rr?z ss EXISTING FIRST FLOOR PLAN EXISTING SECOND FLOOR PLAN • Scale: 1/4" 1'—0' Scale: 1/4" i 1 0 IN-AM LAUIM aeur j it PLUMBING RISER DIAGRAM M-h —d!j it KY. L-_3 BEAN RES1 Dv-Scr, Ix 5,5 UNGALOW—M—TUCF, NEWYORK E. JAMES DR LUCA ARCHITECT EXISTING LOWER LEVEL PLAN Scale: 1/4" = 1'-0" FILE NAME:bean mattit,ck ae built 5 9 23--r dwg PLOT DATE:Thursday, 7073 2 �e k IJ ' Q[ N Z"y�eT8 ock 1. FK �pp zf NO 14 JOB su�€r'na Of _ I ChLGYttW" CXE w BY - mn f 3 ✓✓✓III ... fr � ..� .,,„w.....„.„„„„„.„„„ w } Fl k ti N Y{ I J, " ab M 4 n n �t C) Ov FEIR Cl t` U rab's s I r i I TOW WN _ R 11 L SOT , r> , ,ACREAGE TYPE OF BUILDING VLF FARM F Comm, � IND, GB_ MISC. A N D iM"P, T OTAL D TE REMARKS r. m z x e _ E g , L ' 0 ° F fi . AGfa e_ Lo T I[cb I able '�Won!Dfond cnd Ay f _ e - 1 T '-- -- -i ' ! ----�e - - ta---'-- � - f z I 123.-3-7 03/13/2017 i E E I _ Foundation �� _ Both Extensionr Basement Floors 4 � Extension Ext. Walls Interior Finish Extension -3' Fire Place Heart rc t - Po Attic I Porch Rooms Ist Floor t,o � Rooms " d F cr g`' rieo _ ._� _,a �_ s - �- 5 F i TOWN OFSOUTHOLD OFFICE OF BUILDING INSPECTOR TOWN HALL SOUTHOLD, NEW YORK CERTIFICATE OF OCCUPANCY NONCONFORMING PREMISES THIS IS TO CERTIFY that the lx]f Land Pre C.O. #- - /x71 Building(s) Date- _XAX h,,M_ -,,,,, 1987 rl Use(s) located at 505 BUNGALOW LANE MATTITUCK Street Hamlet shown on County tax map as District 1000, Section 1 23 , Block 03 Lot 07 does{not conform to the present Building Zone Code of the Town of Southold for the following reasons; Insufficient total area. Insufficient side yard set-back. On the basis of information presented to the Building Inspector's Office, it has been determined that the above nonconforming %xkLand /x$Building(s) /_/Use(s) existed on the effective date the present Building Zone Code of the Town of Southold. and may be continued pursuant to and subject to the appli- cable provisions of said Code. IT IS FURTHER CERTIFIED that, based upon information presented to the Building Inspector's Office, the occupancy and use for which this Certifi- cate is issued is as follows: Property contains a one story, one family, wood framed dwelling with attached garage and all situated in the A residential zone with access to Bungalow Lane. The Certificate is issued to BERTHA SEH (ROBERT SEH) (owner, I751KRffiNil1 of the aforesaid building. Suffolk County Department of Health Approval N/A UNDERWRITERS CERTIFICATE NO. N/A NOTICE IS HEREBY GIVEN that the owner of the above premises IiAS NOT CONSENTED TO AN INSPECTION of the premises by the Building Inspec- tor to determine if the premises comply with all applicable codes and ordin- ances, other than the Building Zone Code, and therefore, no such inspection has been conducted. This Certificate, therefore, does not, and is not intended to certify that the premises comply with all other applicable codes and regula- tions. iiuiiding inspector FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATS OF OCCUPANCY No E-23186 Date AUGUST 30 1994 THIS CERTIFIES that the building ADDITION AM ALTERATION Location of Property 505 f4 LANE MATTITUCK NY House No. Street Hamlet County Tax Map No. 1000 Section 123 Block 3 Lot 7 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated JULY 28 1992 pursuant to which Building Permit No. 20952-S dated SEPT EMBER 11 1992 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 A PARTIAL SECOND STORY ADDITION AND ALTERATIONS TO EXISTING ONE FAMILY DWELLING AS APPLIED The certificate is issued to JANES & JANET NII,LONEY (owner's) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. B034278 APRIL 12r 1993 PLUMBERS CERTIFICATION DATED TANDY PLUMBING & BEATING 4 1994 7",'d, C, A?,e /Oailding Inspector 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 2-24006 Date NOVEMCBER 2r 1995 THIS CERTIFIES that the building ADDITIONS Location of Property, 505 BUNGALOW LANE HATTITUCK01 N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 123 Block 3 Lot 7 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated JUNE 29 19,94 ursuant to which Building Permit No. 22192-Z dated JULY 18 1994 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 COVERED PORCH ADDITION & DLCK ADDITION TO EXISTING ONS FAMILY DWELLING AS APPLIED FOR. The certificate is issued to JAMES MALONEY (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. H-047433 - OCTOBER 19 1995 PLUMBERS CERTIFICATION DATED N/A uk1ding Inspector 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-31643 Date: 06 28 06 THIS CERTIFIES that the building PORCH ENCLOSURE Location of Property: 505 BUNGALOW LA MATTITUCK (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 123 Block 3 Lot 7 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated JANUARY 7 2005 pursuant to which Building Permit No. 30884-Z-Z dated JA UARY 7, 2005 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 FRONT PORCH ENCLOSURE TO EXISTING SINGLE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to JAMES A. & JANET HUGHES MALONEY (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL _ NA ELECTRICAL CERTIFICATE NO. N/A PLUM CERTIFICATION DATED /A r thorized Signature Rev. 1/81 Town of Southold 3/4/2017 P.O.Bog 1179 53095 Main Rd ` Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 38848 Date: 3/3/2017 THIS CERTIFIES that the building SOLAR PANEL Location of Property: 505 Bungalow Ln,Mattituck SCTM M 473889 Sec/BloddLot: 123.-3-7 Subdivision: Filed Map No. Lot No. conforms substantially to the Application,.for Building Permit heretofore filed in this office dated 11/18/2016 pursuant to which Building Permit No. 41190 dated 11/23/2016 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: roof mounted solar vanels on existingpne amity dry i fbr. The certificate is issued to Maloney-Hu es,Janet&James of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 41190 12/28/2016 PLUMBERS CERTIFICATION DATED Autbori ed S taature eh Town of Southold 9/1/2022 P.O.Box 1179 53095 Main Rd Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 43392 Date: 9/l/2022 THIS CERTIFIES that the building AS BUILT ALTERATION Location of Property: 505 Bungalow Ln,Mattituck SCTM#: 473889 Sec/Block/Lot: 123.3-7 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 6/24/2022 pursuant to which Building Permit No. 48087 dated 7/19/2022 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: "as-built"oqtdomushpmerr,as wliqd,for. The certificate is issued to Maloney James A Rev Trust of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED 8/2612022 am loney .. "z tyre E