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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 Soo Y2..ec do kA?q 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: kbeve- ov � k 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 i C-) — 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