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Home My WebLink About1000-111.-4-9 { SOWN OF SOUTHOLD Rental Permit 41 1168 Ai Owner Vanston Holdings LLC Occupied as Single Family Dwelling Located at 1450 Vanston Road Cutchogue 111.-4-9 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. 7/9/2024 Code tnfoivment Offi . i This Notice must be posted by the main entrance at all times I TOWN OF SOUTHOLD-BUILDING DEPARTME? D EC E IV E A N 2 0 2024 Town Hall Annex 54375 Main Road P. O. Box 1179 Southold,NY R, 1-0959 Telephone (631) 765-1802 Fax(631) 765-9502 littgs-//ww,wsoutlioldtowtiii yofultding Dopartmer* Town of Southo,ld ?QL (j *300110- RENTAL PERMIT APPLICATION fe e- 0-7-7 ( -7 Rental Permit Fee $300(Application must be renewed every two years) Section A. Property Information: Rent Pf oi5erty Address: 1 7 I 0 Vanston Road, Cutchogue, NY 11935 Tax Map Number: 1000 SECTION 11100 -BLOCK-0-4��t -LOT009000 -0000 F SECTION B. OWNER INFORMATION: Property Owner Name: Matthew J. Saul i,i,�14,et- 1"A,004VAI 6 Lldl Lj Property Owner Legal Address: Property Owner M�,Ilii�n,,Adlre C- (Cannot be the same as Rental Property Address) 700 NE 26 Terrace Unit 3203 700 NE 26 Terrace Unit 3203 ................................11 Miami, FL, 33137 Miami, FL, 33137 Telephone Number (s): Daytime 973-634-8090 Evening Emergency Property Owner Email Address: mattsaull@gmaii.com Page 1 of 4 Section C. Authorized Agent Information: Name of Authorized Agent of dwelling unit, if any: Al Address of Authorized Agent (no P.O. Boxes): Mailing Address of Authorized Agent: d S` b ` o D� Telephone Number (s): Daytin0i gq e q122Evening Emergency*"2 Email Address Section D. Managing Agent Information: Name of Authorized Agent of dwelling unit, if any-v" Address of Authorized Agent (no P.O. Boxes): 1�- Mailing Address of Authorized Agent.:�—V'46 Z) f�Uk \ G Telephone Number(s): Dayt&;; i / -2--?Vening Emergency?/ 60 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: T—T� Address of Managing Agent (no P.O. Boxes): "y Mailing Address of Managing hgen . Telephone Number (s): Daytime Evening Emergency C Email Address: 7 6 ( O Page 2 of 4 SECTION F. PROPERTY DESCRIPTION: Number of Rental Dwelling Units on proper 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: aZ ° _. ECTION 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. VI 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. 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) 1 Matthew J. Saul , certify under penalty of perjury,the following: 1. I 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. 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, Managineor ager. Property Owner's Name: Matt ew J. (�l�l,�o f Property Owner's Signature: Sworn to bef this 4 day of March ,2024 "OP OWATUSA MARSHALL Off vial Notary Pub tc Signature and Original Notary Stamp MY COMMISSION HH24553 EXPIRES:JUL 28,2024 Bonded through let State Insurance Page 4 of 4 � f SO TOWN OF SOUT OLD BUILDING D 631 -765-1802 I M& MON& r% A"oh' ION pjt� rw E C; [ ] FOUNDATION 1ST / REBAR [ ] ROUGH PEBG. [ ] FOUNDATION 2ND [ ] INSULATION/CA! [ ] FRAMING / STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY IN: [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PE [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (EII [ ] CODE VIOLATION [ ] PRE C/O [ I REMARKS: DATE 04SPECTOR Town Hall Annex Town of Southold 54375 Main Road Rental Inspection Report PO Box 1179 „ Southold, NY 11971-1179 Tel: 631-765-1802 SCTM# / " " ,..� Date 7• S Owner / 1 / Phone Address Visible Hamlet Inspector Floor Level Quantities Sub 1 2 3 Smoke Detectors (not located in bedrooms) f Carbon Monoxide Detectors Fire Extinguishers Exits !�! Bedrooms 1 2 3 4 5 6 Smoke Detectors � k Egress Occupant Count Building Systems Maintained &Operational Condition of Property Heating Building interior � Hot water Building exterior Electrical Property clean, maintained &safe Mechanical Handrails &guards installed &secure Pool Safety Pool on Site Surface water alarm Date of CO issuance Door alarms Pool completely enclosed Self closing/ latching gates Pool fence to code requirements CO s for all items present Pryor Rental Comments: f. { i a a � i � f a } N t E } r _ a i s i SUM # z TOWN OF SOUTHOLD PROPERTY RECORD CARD ILA k;� OWNER STREET VILLAGE DIST SEkE w . e �- ACR. REMARKS TYPE OF BLD. PROP. CLASS 1; _ € = Y LAND _ F TOTAL DATE I FRONTAGE ON WATER HOUSE/LOT I BULKHEAD i TOTAL 77 TOWN OF SOUTHOLD PROPERTY RECORI OWNER =STREET VILLAGE - .. i DIST. SUB. SOT k sz s JORMER OWNER N E ACR - a S W TYPE OF BUILDING - L 1 RES. r` SEAS.' L. ;FARM 'COMM. CB. MISC. Mkt. Value LAND IMP, TOTAL DATE REMARKS jp t - � — 114 Zc NEW NORMAL € BELOW ABOVE FARM Acre Value Per Value I Ac re r g— r Tillable 1 Tillable 2 i Tillable 3 I �R Woodland Swampland ? ;FRONTAGE ON WATER ^_ �m -_ BrushlandFRONTAGE ON ROAD House Plot DEPTH i 4- 'BULKHEAD Total :DOCK 3 - GLOB - L e -- �� — 1 a i tI flt F � E i - - _ - s V 4 - 4 i—+ Bath � M. Bldg. c�undation Dinette _. i E i 3 ett Extension Basement iFloors _ K. ExtensionExt. Walls rn ilnterior FinishLR. re Place ,Heat sL CDR. Extension �i i hype Roo, ;Rooms i st Floor HR. Porch =rectien Roam' Rooms 2nd Floor' i-N_ B r� a caw; j Porch Donner Breezeway Driveway Garage Patio t - --_ -_--- — - - O. B. _ Total a- b"` r, -_ TOWN OF SOUTHOLD OFFICE OF BUILDING INSPECTOR TOWN HALL SOUTHOLD, NEW YORK CERTIFICATE OF OCCUPANCY No. Z12461 NONCONFORMING PREMISES May 8, 1984 THIS IS TO CERTIFY that the Land Building(s) Use(s) located at-- 1450 Vanston Road* Cutchogue Street Hamlet shown on County tax map as District 1000, Section 111 , Block 04 Lot 009 , doesknot)conform to the present Building Zone Code of the Town of Southold for the following reasons: theEroperty has insufficient area. On the basis of information presented to the Building Inspector's Office, it has been determined that the above nonconforming %X/Land /`/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: a private one-family dwelling and detached garage. (The garage was constructed pursuant to Building Permit 3169Z, issued 7/25/66; C.O. for same issued 1/31/67, No. Z2644.) The Certificate is issued to MELVIN HERMAN (owner, l- ssee=terrnrt) of the aforesaid building. Suffolk County Department of Health Approval no record UNDERWRITERS CERTIFICATE NO. N294971, 8/27/52 NOTICE IS HEREBY GIVEN that the owner of the above premises HAS 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 Cone 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. * Vanston Road may also be known as Old Cove Road in this area. ,,zz BuEldi-< Inspector m.. FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD. N. Y. CERTIFICATE OF OCCUPANCY No. Z, 2644. 1 . . Date .. . . . .. . „ Pnuary. 3. . . . . . . . .. 19P. THIS CERTIFIES that the building located at . . . VM40n.P00d . . . .. .. .... . Street Map No. . . . . . . . Block No. . . . . . . .Lot No. .304 , cutdhovmp. . .. . . conforms substantially to the Application for Building Permit heretofore filed in this office dated . . .. . . ... . . < Jg1X.25 . . . . .. 19 A§. pursuant to which Building Permit No. 3.16V70. dated . . . . . . . . . ,�7'Ul� • . . . . .. 19r? . ., was issued, and conforms to all of the require- ments of the applicable provisions of the law. The occupancy for which this certificate is issuedis . . R'01."te. 1 ! . . . . . . . . . .. . . . . . . . . .. . . . . . . . . . .. . . . . . . . . . . . . „ , .. .. . , . . .. The certificate is issued to . . . K01Vjn. He?"-`!�ann. • •• • • • -• • • • • • • • • • . . . . . .. .. .. . • • (owner, lessee or tenant) of the aforesaid building. ,Suffolk County Department of Health Approval . . . . . . . . . . . . . . . I . . . . . . .. . . . . . . .. . . . . . . .. . Building„ Inspecto FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-19847 Date APRIL 11 1991 THIS CERTIFIES that the building ADDITION Location of Property 150 VANSTON ROAD C'UTCHOGUE NEW YORE House No. Street Hamlet County Tax Map No. 1000 Section ill Block 4 Lot 9 Subdivision Filed Map No. Lot No.� conforms substantially to the Application for Building Permit heretofore filed in this office dated SEPTEMBER 7 1990 _____pursuant to which Building Permit No. 19388-Z dated SEPTE14BER 13 1990 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 REMOVE CENTER GABLE DORMER & REPLACE WITH SHED DORMER The certificate is issued to CHRISTOPHER BARRISCALE & CRYSTAL SIT OWSKT (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N A UNDERWRITERS CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A B ilding Inspector Rev. 1/81 FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Mall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: z-27192 Date: 07/17/00 THIS CERTIFIES that the building ADDITION & ALTERATIONS Location of Property: 1450 VANSTON RD CUTCHOGUE (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 111 Block 4 Lot 9 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated JUNE 26 2000 pursuant to which Building Permit No. 266 5-Z dated ;.EM26 2000 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 DECK ADDITION AT FRONT ENTRANCE AND ALTERATIONS TO SECOI4D FLOOR OF EXISTING ONE FAMILY DWELLING AS APPLIED FOR AND AS PER CERTIFICATION OF C.BARRISCALE ARCHITECT DATED 7,/5/00. The certificate is issued to CHRISTOPHER BARRISCALE (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A /� A ho zed Sig ature Rev. 1/81