HomeMy WebLinkAbout1000-106.-11-6.3 j TOWN OF SOUTHOLD
Rental Permit
1143
Owner Thomas Lenz Jr., & Melissa Lovric
Occupied as Single Family Dwelling
Located at 465 Cedar Drive Mattituck 106.41-6.3
Maximum Permitted Occupancy 6
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.
5/30/2024
Code Enfo erne` ffia
This Notice must be posted by the main entrance at all times
" wd w` HOLD BUILDING DEPA T :,N1 Cr
TOWN OF SOUT .
Town Hall Annex 54375 Main Road P. O. Box 1179 Southold,NY 1 1"1-09 %
Telephone(631)765-1802 Fax(631) 765-9502 iiit s:// w. otat.lollti':ovar o'
RENTAL PERMIT APPLICATION
Rental Permit Fee$300(Application must be renewed every two years)
Section A.
Property Information:
Rental Property Address:
465 Cedar Drive, Mattituck, New York, 11952
Tax Map Number: 1000 SECTION 473889 -BLOCK 106. -LOT 11 6.3
SECTION B.
OWNER INFORMATION:
Property Owner Name: Thomas Lenz&Melissa Lovric
Bedroom#2/238 ft2"
Property Owner Legal Address: Property Owner Mailing Address:
(Cannot be the same as Rental Property Address)
515 Cedar Drive 142 East 16th Street
Mattituck, New York 11952 #19G
New York, NY 10003
Telephone Number(s): Daytime 19175452785 Evening Emergency
Property Owner Email Address: meltom@513el2.com
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Page 1 of 4
Section C.
Authorized Agent Information:
Name of Authorized Agent of dwelling unit, if any: N /A
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 /A
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: _House
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:
FIRST FLOOR-Open Kitchen(11'x13')/Open Living&Dining Room(14'x24')/Bathroom(6'x9')/
Bedroom 1 (11'031,
SECOND FLOOR-Hallway(8'x5'), Bedroom#2(14'x17') ,Bedroom#3(11'x17')/Bathroom(8'x5')
BASEMENT-33'x 24'(unfinished with laundry,mechanicals&storage)
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 afire 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.
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 SUFFOUQ
I Thomas Lenz 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: Thomas Lenz
Property Owner's Signature:
Sworn to before me this 199 day of February , 20 24
d
alp 40
Official ary Pu ° ignature and Original Notary Stamp
Shirley daranifflo
Notary u fi , State of New i`
N - t 1 i 18932
()LI0,11fieci 'Irl Queens County
Page 4 of 4 0 � 6Fxnlres Feb. 1, 20 ,�.
TOWN OF SOU THOLD► BUILDING DEPT.
Coo 631.765.1802
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INSULATION/CAULKING
[ ] FRAMING /STRAPPING [ ] FINAL
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL)
[ ] CODE VIOLATION [ ] PRE C/O [ �ENTAL
REMARKS:
S:
DATE INSPECTOR
SoU�y� ,
TOWN OF SOUTHOLD BUILDING DEPT.
c 631-765.1802 106 —
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INSULATION/CAULKING
[ ] FRAMING /STRAPPING [ ] FINAL
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL)
[ ] CODE VIOLATION [ ] PRE C/O [✓ RENTAL
REMARKS:
S:
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DATE INSPECTOR
465 CEDAR DRIVE 1 FIRST FLOOR PLAN
FIREICARBON MONOXIDE DETECTOR
TO
CLST.
BATHROOM
BEDROOM 1
KITCHEN
CLST. CLST.
TO TO
BASMNT FLOOR 2
FRONT
DOOR
OPEN
LIVING 1 DINING
SLIDING DOOR SLIDING DOOR
OUTDOOR DECK
465 CEDAR DRIVE / SECOND FLOOR PLAT
FIREICARBON MONOXIDE DETECTOR
BEDROOM 2
0
CLST.
BATHROOM TO
FLOOR 1
CLST.
BEDROOM 3
465 CEDAR DRIVE J BASEMENT PLAN
FIRE,/CARBON MONOXIDE DETECTOR
TO
BILCO
DOOR
OPEN
BASMENT
TO TO
FLOOR1 BSMNT
OPEN
BASMENT
Town Hall Annex *� �� �y, Telephone(631)765-1802
631
54375 Main Road , "" Fax( )765-9502
P. O.Box 1179 r ar
Southold,NY 11971-0959 a
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 f r Architect or Engineer, Licensed Home Ins a for roust
provide copy of valid current certification
Rental Property SCTM Number: 473889 106.-11-6.3
Rental Property Address: 465 Cedar Drive, Mattituck,NY 11952
Owner/Name: Thomas Lenz
Rental Dwelling Unit Identifier: Entire Home
Number&Square footage of each bedroom as depicted in the attached floor plan:
(i.e. Bedroom#1 —100 sgft., Bedroom#2—90 sgft., etc.)
Bedroom#1 /143 ft2
Bedroom#2/238 ft2
Bedroom#3/187 ft2
Property Description (Include all improvements indicated on survey)
One Family home with 3 bedrooms,2 baths and an unfinished basement
certify that I have done a physical inspection of the subject rental dwelling unit agoW that it fully
complies with all the provisions of the Code of the Town of Southold, the Re (at 0, d �,New York
State,the Building Code of New York State,the Plumbing Code of New Y tafd„tie"Ft�8.Code of
New York State,the Fire Code of New York State,the Property Mainten Code d tate
and the Energy Conservation Construction Code of New York State. ' "
Chien Dao Glasgow R.A.
Print Name and Title Original Signature
Please place Professional Seal:
TOWN OF SOUTHOLD PROPERI RED
io
STREET
SUB. LOT**.jv VILLAGE DIST.
NER
FORMER OWNER L N E ACR-
S W l TYPE OF BUILDING
E
_0 I
RES, SEAS, VL. FARM COMM. CB. MISC. Mkt. Value
LAND lmp. TOTAL DATE REMARKS
v -
-4
AGE 4UILDING CONDITION
NEW N 0 RMLA L BELOW E
'r,7
BOV
FARM Acre Value Per Volue
Acre .....
S
Tillable I
Tillable 2
Tillable 3
Woodland
Swampland FRONTAGE ON WATER
FRONTAGE ON ROAD
Brushland
House Plot DEPTH
BULKHEAD
� DOCK
Total
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z
I
COLOR
s
. I
F �
TRIM — —
Y
i
106.-11-6.3 4/07
_ .
E
�a n ation Bath
��' D'nette
Found .
Extension I Basement ! Floors K.
Extension Ext. Walls Interior Finish LR.
Extension Fire Place Heat DR.
� � Rooms 1 st Floor
BR-
_
Recreation s Rooms 2nd Floor N,
Porch
B _
Dormer
o-o g •. I
e e a Drivewcy
Garage
Patio _. P
e
O. B.
Toto I
F =- -
FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No Z-17572 Date DECEMBER 71 1988
THIS CERTIFIES that the building ONE FAMILY DWELLING
Location of Property 465 CEDAR DRIVE NjATTITUCR NEW YORK
House No. Street Hamlet
County Tax Map No. 1000 Section 106 Block 11 Lot 6.3
Subdivision M o MATT.DEV. O.INC.Filed Map No. 776 Lot No. 26
conforms substantially to the Application for Building Permit heretofore
filed in this office dated MAY 9, 1988 pursuant to which
Building Permit No. 17026-Z dated MAY 25 1988
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 ATTACKED WOOD DECK
The certificate is issued to ELLEN BARKER
(owner, )
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL 86-SO-95-11 25 88
UNDERWRITERS CERTIFICATE NO. N048293- DECE ER 2 1988
PLUMBERS CERTIFICATION DATED DEC. 1 1988 - FRANK MEYER
Building Inspector
Rev. 1/81
Meyer, Nancy
From: Meyer, Nancy
Sent: Friday, May 10, 2024 10:39 AM
To: 'CHIEN DAO'
Cc: Melissa Lovric;Tom Lenz
Subject: RE: [SPAM] - Re: Rental Review for 465 Cedar Drive, Mattituck(Chien + Nancy)
Thank you for this info
From: CHIEN DAO<chiendao@gmaii.com>
Sent:Thursday, May 9, 2024 3:22 PM
To: Meyer, Nancy<nancym@southoldtownny.gov>
Cc: Melissa Lovric<mel@513e12.com>;Tom Lenz<tom@513e12.com>
Subject: [SPAM] - Re: Rental Review for 465 Cedar Drive, Mattituck(Chien+ Nancy)
Hi Inspector Nancy,
Please find below the information for the units at the referenced address. Please do not hesitate to let me know if you
need any further information.
Second Floor:
(Bedroom dimensions are based on a T-0" minimum ceiling height).
Bedroom #2 (12'-10" x 9'-10" / 126ft2) , Bedroom #3 (11'-10 x 9'-10" / 116 ft2)
Thank you and enjoy the remainder of your day.
Chien Dao,AIA LEED GA
226 W 26th Street, 6th Floor
New York, NY 10001
p. 212.645.2137
c. 646.431.3335
CHIEN
Eft) A 0
STIED I O
www.chiendao.com
Co-Chair,Architecture Committee,The National Arts Club
On Mon, May 6, 2024 at 2:35 PM Tom Lenz<tom@513e12.com>wrote„
Hello Chien,
I spoke to Nancy today and she gave me permission to connect us all on an email chain.
Nancy is looking for the square footage for areas of the upstairs Bedroom#2 and Bedroom#3 that have at least a 7'-0"
tall ceiling.
Kind Regards,
/t
1