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HomeMy WebLinkAbout1000-122.-6-7 TOWN OF SOUTHOLD ik Rental Permit 1162 Owner 265 Factory Ave LLC Occupied as Single Family Dwelling Located at 265 Factory Avenue Mattituck 122.-6-7 Maximum Permitted Occupancy 4 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. 7/2/2024 ` rye nfor Official This Notice must be posted by the main entrance at all times - U�N � � �M�� ~° TOW�JK�F &K�01[l�OLD—BUILDING D���PART��EN'U� =°'' � ^ �""° TonozBul�/�zucx54375 ��ab�I�oud� K} Bnxll798outbnkL��� ll97l - P. � '-' ~'kMDING DEPT. - Telephone (63l) 765-l802 Fax (63l) 765-9502 jQW-N F SOM1,01 RENTAL PERMIT APPLICATION Rental Permit Fee $]DO (Application must be renewed every two years) Section A. Property Information: Rental Property Address: 205 FACTORY AVENUE, MATT|TUCK. NY11052 Tax Map Number: 1OOOSECTION 122.00 -BLOCK 0800 -LOT 007000 SECTION B. OWNER INFORMATION: Property Owner Name: 265 FACTORY AVE LLC Property Owner Legal Address: Property Owner Mailing Address: (Cannot be the same as Rental Property Address) 8500NASSAU POINT ROAD, CUTCHOGUE, NY 11935 PO BOX 1056. CUTCHOGUE, NY11Q35 516-805-2486 516'805-2486 516-805-2486 Telephone Number (s): Daytime G31-445-787O Even|n 631446-7879Emmergem 831-445-7879 Property Owner Email Address: C [)UDCOM Page 1of4 Section C. Authorized Agent Information: Name of Authorized Agent of dwelling unit, if any: MARTIN D. FINNEGAN, ESQ. Address of Authorized Agent (no P.O. Boxes): 13250 MAIN ROAD, MATTITUCK, NY 11952 Mailing Address of Authorized Agent: PO BOX 1452, MATTITUCK, NY 11952 Telephone Number (s): Daytime 631-315-6070 Evening 631-315--6070 Emergency N/A Email Address: MFINNEGAN@NORTHFORK.LAW Section D. Managing Agent Information: Name of Authorized Agent of dwelling unit, if any: CHERYL CORAZZINI AND RICHARD CORAZZINI JR. Address of Authorized Agent (no P.O. Boxes):8500 NASSAU POINT ROAD, CUTCHOGUE, NY 11935 Mailing Address of Authorized Agent: PO BOX 1056, CUTCHOGUE, NY 11935 516-805-2486 516-805-2486 516-805-2486 Telephone Number(s): Daytime 631-445-7879 Evening 631445-7879 Emergency631-445-7879 Email Address: CAC68@ME.COM; RWC65@ICLOUD.COM 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):N/A Mailing Address of Managing Agent: N/A Telephone Number (s): Daytime N/A Evening N/A Emergency N/A Email Address: N/A 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, 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: 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: 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. l/ I 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) RICHARD CORAZZINI JR., MEMBER OF 265 FACTORY AVE LLC 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: 265 FACTORY AVE LLC Property Owner's Signature: �"`" Sworn efore me thisO?Oday of Una , 2024 Official Notary Public Signature d Original Notary Stamp Michele D.Lyorm k Notary Public,State of New York No..OlLY6 91518 Suffolk County Term Expires October 15,202 Page 4 of 4 s Ave.,. 44 �m RO N' OR SOUR OLD BUILDING R NMI& I ARNI 3 765 8 low& N Ec; 0 [ ] FOUNDATION 1 ST / REBAR [ ] ROUGH PL13G- [ ] FOUNDATION 2ND [ ] INSULATIOWCAl [ ] FRAMING / STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY IN! [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PE [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FI [ ] CODE VIOLATION [ ] PRE C/O [ REMARKS: A.-- 6, QA f-ivv/ DATE INSPECTOR PRIMARY BEDROOM 19'4"x 11'6" (sivvotp- ► BATH BEDROOM HALL 8'8"x 6'10" 127'x 9'8" 10'4"x 5'4" BE BATH 5'0"x 7'9" DINING AREA 1 14'0"x 6'11 DECK 4 5'3"x 5'5" KITCHEN LIVING ROOM 5'4"x 131" 14'0"x 137' IIIIIIIIIIIIIIIIIIINEEEEAM TOWN OF SOUTHOLD PRIPIERTY RECORD CARS OWNER _ STREET �,.. VILLAGE DIST.; SUB. L � . e f M FORMER OWNER _ i. N E ACR. S W TYPE OF BUILDING ES. r SEAS. 1 VL. :FARM COMM. CB. MISC. Mkt. Value LAND i IMP. I TOTAL DATE REMARKS - y t rJ 3 w, s . r a AGE BUILDING CONEiIT ON NEW NORMAL BELOW ABOVE FARM Acre I Value Per Value Acre illable 1 s illable 2 illable 3 /oodland i Nampland ' FRONTAGE ON WATER rushland I FRONTAGE ON ROAD ouse Plot DEPTH BULKHEAD I :)tal DOCK j COLOR } f I -- TRIM 17 -+7ir 11 E x €€ . I � 1 3 1 M. Bldg. 2 Z 1�/ �J© Foundation oth _$ Dinette _ � Extension asement Floors K. Extension Ext. Walls 1 LI ,;a Interior Finish `, L - i " R Extension `Fire Place Heat DR. ; Type Roof, z � � ,. !Rooms ist Floor i �BR. 0, 1 Porch t Recreation= 'Rooms 2nd Floor FIN B. } ormer LLP i J Breezeway .Driveway Garage I 1 I Patio i O. B. k 3 � _ I Total Town of Southold 7/2/2024 53095 Main Rd Southold,New York 11971 PRE EXISTING CERTIFICATE CATE OF OCCUPANCY No: 45324 /2024 Date: 7/2/2024 THIS CERTIFIES that the structure(s) located at: 265 Factory Ave, Mattituck SCTM#: 473889 Sec/Block/Lot: 122.-6-7 Subdivision: Filed Map No. Lot No. conforms substantially to the requirements for a built prior to p 532 4 APRIL 9 1957 pursuant to which CERTIFICATE OF OCCUPANCY NUMBER Z- 4 ... dated 7/2/2024 was issued and conforms to all the requriements of the applicable provisions of the law. The occupancy for which this certificate is issued is: r rcac mfr nie ssi 1.glfam The certificate is issued to Mid Atlantic LLC (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED *PLEASE SEE ATTACHED INSPECTION REPORT. Au m. Signature uree BUILDING DEPARTMENT TOWN OF SOUTHOLD HOUSING CODE INSPECTION REPORT LOCATION: 265 Factory Ave,Mattituck SUFF.CO.TAX MAP 122.-6-7 .......... SUBDIVISION: NAME OF OWNER(S): Mid iianiic LLC.....—­—, .......... OCCUPANCY: ADMITTEDBY: .. ... ....... .................................................. .........i... DATE: 7/2/2024 SOURCE OF REQUEST: Mid Atlantic LLC DWELLING: #STORIES: I #EXITS: 2 FOUNDATION":................. ceme n t-block-- CELLAR: partial CRAWL SPACE: partial .................. ... . ................ ... ........ BATHROOM(S): 2 TOILET ROOM(S):—,,",, ...... UTILITY ROOM(S): PORCH TYPE: ........... ........... .... ............. ....... DECK TYPE: PATIO TYPE: BREEZEWAY: FIREPLACE: GARAGE: ... ........... ............yes DOMESTIC HOTWATER....... yes TYPE HEATER: gas AIR CONDITIONING: TYPE HEAT: WARM AIR: forced hot air HOT WATER: #BEDROOMS: 2 #KITCHENS: 1 BASEMENT TYPE: OTHER: ACCESSORY STRUCTLDRES: GARAGE,TYPE OF CONST: STORAGE,TYPE OF CONST: SWIMMING POOL: GUEST,TYPE OF CONST: OTHER: VIOLATIONS: ........... REMARKS: .......... .. .... .... INSPECTED BY: JOHNJ DATE OF INSPECTION: 7/2/2024 TIME START: END: ........... .............. ................ Town of Southold 6/20/2024 P.O. Box 1179 53095 Main Rd kiv�00OV, Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 45290 Date: 6/20/2024 THIS CERTIFIES that the building ADDITION/ALTERATION Location of Property: 265 Factory Ave, Mattituck SCTM#: 473889 See/Block/Lot: 122.-6-7 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 5/5/2023 pursuant to which Building Permit No. 49454 dated 7/7/2023 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 1) and applied for. The certificate is issued to Mid Atlantic LLC of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 49454 6/18/2024 PLUMBERS CERTIFICATION DATED 6/3/2024 T Haines oriz- "ignature 2 0 v 2FINNEGAN LAW, P.C. [b) 13250 MAIN ROAD �� 2 5 2024 P.O. BOX 1452 MATTITUCK,NEW YOKK 11952 (631) 315-6070 BITx1 I' MARTIN D. FINNEGAN, ESQ. MFINNEGAN@NOR.THFOKK.LAW By Hand June 24, 2024 Town of Southold Building Department 54375 Main Road PO Box 1179 Southold, NY 11971 Re: Rental Permit Application Applicant: 265 Factory Ave LLC Premises: 265 Factory Avenue, Mattituck, NY 11952 SCTM 1000-122.00-06.00-007.000 Dear Tracy/Sue: In connection with the above-referenced application, enclosed please find the following documents along with a check in the amount of $300.00 representing the filing fee: 1. Rental Permit Application with Owner's Authorization. 2. Copy of Current Deed. 3. Certificate of Occupancy. 4, Floor Plans with smoke and CO detector locations. Please advise our office when the property inspection is scheduled. Thank you for your consideration. e or�;�rs, Mart: Finnegan MDF/as Encl.