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Home My WebLink About1000-121.-3-5.4 T 'WN OF S UTHOL All Rental Permit 1139 Owner Stump Cottage, LLC Occupied as Single Family Dwelling Located at 4350 Sound Avenue Mattituck 121.-3-5.4 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. 5/28/2024 V"' Code o c Mnen o is This Notice must be posted by the main entrance at all times Io�4OL� 004 TOWN OF SOUTHOLD—BUILDING DEPARTMENT ^ � Town Hall Annex 54375 Main Road P. O. Box 1179 Southold, NY, " 119 1-0959 U µ. Telephone (631) 765-1802 Fax(631) 765-9502 lta: : ! sotho�ld1'o in�- 15V RENTAL PERMIT APPLICATION i. � ;. . .. Rental Permit Fee $300 (Application must be renewed every two years) Section A. Property Information: Rental Property Address: kk�sa Tax Map Number: 1000SECTION Ian. .,_ _ -BLOCK 100 _ -LOT OOS -00 SECTION B. OWNER INFORMATION: Property Owner Name: S ' Property Owner Legal Address: Property Owner Mailing Address: (Cannot be the same as Rental Property Address) - Telephone Number (s): Daytim l _ w Evening Sa^eV� Emergency Property Owner Email Address: Page 1 of 4 Section C. Authorized Agent Information: Name of Authorized Agent of dwelling unit, if any:Pev>'C�'v\ v wr\ &v'lqx\ Address of Authorized Agent Ino P.D. Boxes):iMi (—��^ �A ....... Mailing Address of Authorized Agent: �G�t c�ls Telephone Number (s): Daytime V-11VIKh,-%1 Even i n '31Emergency,621'> Email Address: Section D. Managing Agent Information: Name of Authorized Agent of dwelling unit, if any: -Address-of-A-uthatized Agent-(n-o P.O. Boxes): Mailing Address of Authorized Agent: Telephone Number (s): Daytime Evenin 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): 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: `f'tA Requested Maximum number of persons allowed to occupy Dwelling Unit: Number of rooms in Rental Dwelling Unit: Use and Dimensions of each room in Rental Dwelling Unit: AcVin 0 F a 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. 1 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: 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 1 will notify the Town of Southold Building Department of any changes of address within five (5) days of any changes thereto. 3. -i-have read and received a copy oftfiapter 207-ofthe Code ofthe Town-ofSouthol"d 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:7'V -65\® 1 S "m, Property Owner's Signature: Jul Sworn to before me this 25 day of �A4alg . 202-q- &- RRETT Official Notary Public Signature and Original Notary Stamp LORI B. BATE OF g Y P NOTARY PUBLIC-STATIC QI=NEW YORK No. 01 BA6304444 Qualified in Nassau County MY Commission Expires May 27,2026 Page 4 of 4 TOWN OF SOUTHOLD BUILDING DI 531 -765 1802 /a21 - INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION/CAl [ ] FRAMING / STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY IN; [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PE [ ] ELECTRICAL (TOUGH) [ ] ELECTRICAL (F11 [ ] CODE VIOLATION [ ] PRE C/O [ REMARKS: OL Ae cz?s S are ace,a DATE INSPECTOR 7 t --AST Al MLJ�—EL.Ev—A�-ON _o 5 24 SECTION-41. COTTAGE 43�O SOUNLI�AME. N Y- _3 t5 a NOR I F—VALION jz-�VA-nCN V� --Z COMILY WRY ALL CODES OF i —2- aTpPST"N c.66Es ASREQEJT�ED AW CCNOIT!0,YS CP A H A U, n=7i ELECTRICAL pE=oN REOUTM OCCUPANCY OR USEISUNLAWFUL ILL ;,JrTT n' WITHOUT CERTIFICATE OF OCCUPANCY PLANS. ELEVATIONS n,- SECTION, NOTES AMU...I 0 P 1 2 IST FLOOR PLAN LNO FLOOR PIAM ce"Mation -7;7 52418 t ^ � TOWN OF SOUTHOLD PROPERTY RECO ,1 f 24f i STR EET VILLAGE SUB. LOT I Est f e FORMER OWNER N E ACR. a g W TYPE OF BUILDING RE b SEAS. VL FARM COMM, LAND m IMP. TOTAL DATE REMARKS } I j ' - y x _ - I s y A e ap- I }vlq 3_ <, -4 f 4170d FRONTAGE ON WATER I TILLABLE FRONTAGE ON ROAD WOODLAND DEPTH MEADOWLAND' I HOUSE/ I BULKHEALO� 3 r TOTALf s s! \ y COLOR 1-4 i I - � ti E s a f ° ° ° TRIM a 121.-3-5.4 3/20/2019 i p i a l 1 E t M. Bldg, , Foundation Bath Dinette _ f Extension Basements-} � - LA � Floors �� Kit. Extension Ext. Walls Interior Finish '. L.R. _ — Ext�nsion _ f Fire Place Heat Q.R. Patio Woodstove BR. i Porches g - s° Dormer Fin. B. l Deck Y Attic i _ Rooms 1st Floor Garage Driveway Rooms 2nd Floor O.B. 757 Pool l yt 5/28/2024 , 0fllttxt Town of Southold ,� +. 53095 Main Rd Southold,New York 11971 PRE EX IS ING CERTIF1ICAT E OF OCCUPANCY No: 45212 Date. 5/28/2024 THIS CERTIFIES that the structure(s)located at: 4350 Sound Ave,Mattituck SCTM#: 473889 Sec/Block/Lot: 121.-3-5.4 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- 45212 dated 5/28/2024 was issued and conforms to all the requriements of the applicable provisions of the law. The occupancy for which this certificate is issued is apc _(argj dwelli!1Z. pri inal she Note .?r0pl t 1m rrodej,_e cjq1 ..q i re,l3P 42809. The certificate is issued to Masseria Scarola LLC (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED *PLEASE SEE ATTACHED INSPECTION REPORT. Aut.h rim �"i nature. _. g BUILDING DEPARTMENT TOWN OF SOUTHOLD HOUSING CODE INSPECTION REPORT LOCATION: 4350 Sound Ave,Mattituck __. .O.: ..�....... . .......�.._. .......... ._.. SUFF.CO.TAX MAP N .. _.. ........,. _.. .....__.... O.: 121.-3 5.4 SUBDIVISION: NAME OF OWNERSO LLC: Masseria Scarola L WW ......_,._ OCCUPANCY: ADMITTEDBY:_......_..... . ... ........... _..� ... w......�_ .... .. .......... ...a_. SOURCE OF RE UEST:........Masseria Scar. .__.... .. _ ......... DA .. Q ola LLC TE 5/28/2024 DWELLING: #STORIES: 1.5 #EXITS: 2 FOUNDATION. block and brick CELLAR: partial CRAWL SPACE: partia BATHROOM(S): 1 TOILET ROOM(S) .... _...._ ........ ........ ..... ....... .. .._ .......... UTILITY ROOMS) PORCH TYPE: DECK TYPE: PATIO TYPE: BREEZEWAY: FIREPLACE: GARAGE: DOMESTIC HOTWATER. _ ._ _... ........ ..�.._.._ ._ __..... .. TYPE HEATER: AIR CONDITIONING: TYPE HEAT: electric WARM AIR: HOT WATE R: _....... ........_.m...,. . on demandµ. _...... .. #BEDROOMS: ............_ .... ......._ #KITCHENS: 1 BASEMENT TYPE: OTHER: ACCESSORY ST'RI.iCTID'R'ES: GARAGE,TYPE OF CONST: STORAGE,TYPE OF CONST: SWIMMING POOL: GUEST,TYPE OF CONST: ......, . OTHER: VIOLATIONS: REMARKS: INSPECTED BY:.... ... _ NANCYD J�I JY"� . . ...,DATE OF INSP... ...._ ECTIOION 4/24/2024 TIME START: END:. " tl Town of Southold 12/21/2020 P.O.Box 1179 53095 Main Rd Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 41700 Date: 12/21/2020 THIS CERTIFIES that the building AS BUILT AIN TIO Location of Property: 4350 Sound Ave.,Mattituck SCTM#: 473889 Sec/Block/Lot: 121.-3-5.4 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 6/13/2018 pursuant to which Building Permit No. 42809 dated 6/22/201m8...w.... 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"addition a alterat_ � lucliu r red z rc to ut stin a gig-Larofly d r ll r_,g; alrpul The certificate is issued to Masseria Scarola LLC of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 42809 10/26/2019 PLUMBERS CERTIFICATION DATED 12/14/2020 nk S� u Signature