The URL can be used to link to this page

Home My WebLink About1000-106.-8-76 = s 'OWN OF SOUTHOLD Rental Permit 1192 Owner Jason Patterson & Tarsha Sanders Occupied as Single Family Dwelling Located at 3010 Stanley Rd Mattituck 106-8-76 Maximum Permitted Occupancy 8 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. 9/3/2024 cad n rce rat Official This Notice must be posted by the main entrance at all times TOWN OF SOUTHOLD—BUILDING DEPA'1 ENT Town Hall Annex 54375 Main Road P. O. Box 1179 South< I4AS, d Telephone (6 1) 765-1 0 Fax ( 1) 76 -9 ��8�_I;�, ','��w�� .�;owhoh_hm�npv a� \ Br t n��1 Department rown of Southold 819-7 lay RENTAL PERMIT APPLICATION ed V--�w W—C-l u��o Rental Permit Fee $300 (Application must be renewed every two years) Section A. Property Information: Rental Pr perty Addre : 4 Ck. Tax Map Number: 1000 SECTION lbco ..-BLOCK R�-LOT_,_76 _ SECTION B. OWNER INFORMATION: /n Property Owner Name: PaA\,ec Property Owner Legal Address: Property Owner Mailing Address: (Cannot be the same as Rental Property Address) GV-- Telephone Number (s): Daytime S?' 'SA'-�± Evening Emergency Property Owner Email Address: woo Page 1 of 4 Section C. Authorized Agent Information: Name of Authorized Agent of dwelling unit, if any: 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: 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: 01 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." 11111� Rental Dwelling Unit Identifier: Requested Maximum number of persons allowed to occupy Dwelling Unit Number of rooms in Rental Dwelling Unit: L Use and Dimensions of each room in Rental Dwelling Unit: * '21% ..........0-- 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. (D I am requesting afire safety inspection to be performed by a Code Enforcement Official /from the Town of Southold EM 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 SUFFOL 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-76 Property Owner's Signature: Xc,,�), Sworn to before me this day of Aug20/ Official Notary Public Signature and Original Notary Stamp E TErr. SOLIS Comm mion#50117456 Nota P'ubfwc,State Of New J 'sty Gcmmi sion free Page 4 of 4 April 27, 2024 19" Town Hall Annex Telephone(631)765-1802 54375 Main Road F Fax(631)765-9502 P.O.Box 1179 pz- Southold,NY 11971-0959m BUILDING DEPARTMENT TOWN OF SOUTHOLD RENTAL PROPERTY CERTIFICATION Form is to be completed by a license architect, licensed engineer or licensed home inspector Separate form is required for each individual Rental Dwelling Unit i ro ssi it seat re uirecl or Architect gar Fn ine f liven d orrac ins ctar Mys_t pr vt coSy o valid current certi ication Rental Property SCTM Number: Rental Property Address: _w 3010 tame attiCi< 11 �� Owner/Name: Jason & Tarsha Patterson Rental Dwelling Unit Identifier: ----- Number & Square footage of each bedroom as depicted in the attached floor plan: (i.e. Bedroom #1 -100 sq., Bedroom #2-90 sq., etc.) Bedroom #1 210w sgft _ Bedroom #3 170 s ft Bedroom #2 155 sqft Bedroom #4. 240 Property Description (Include all improvements indicated on survey) I certify that I have done a physical inspection of the subject rental dwelling unit and find that it fully complies with all the provisions of the Code of the Town of Southold, the Residential Code of New York State,the Building Code of New York State, the Plumbing Code of New York State, the Fuel Gas Code of New York State, and the Energy Conservation Construction Code of New York State. Vic- .: _`�CE1 'fin::; c°� t, _ _.... ..._ ,. Print Name and Title ce u# .12116-0283 j0dialgnature Please place professional seal: �*I D 04&, (AA-v� TOWN OF BOUT OLD BUILDING DEPT. 631-765-1802 lNtirmCTlqAjp6'kN [ ] FOUNDATION 1 ST/ REBAR [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION/CAULKING [ ] FRAMING / STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (F AL) [ ] CODE VIOLATION [ ] PRE C/O [ RENTAL �✓� REMARKS: C0 ` w , DATE _ __ INSPECTOR l 0 0 C,-- TOWN OF SOUTHOLD PROPERTY REC� s = OWNER _ STREET VILLAGE DIST_ SUB_ LOT ZZ ACR. REMARKS r' f TYPE OF BLD. kx h PROP LASS � �� e —1 � J6 °�f �t _ � LAND IMP_ TOTAL DATE (o , I O-)Q) �R 7 Ott C) _ j��,7,1213 a I 3 f FRONTAGE ON WATER TILLABLE ? FRONTAGE ON ROAD WOODLAND I DEPTH a MEADOWLAND f BULKHEAD HOUSE/LOT TOTAL 5 Z J1 efal3 10 heF z I 91 t ~\ \ \ v\ o\ \ ~\ 106.-8-76 2/2/2023 a 3I I I I - I J j 8 U I I M. Bldg. ! Foundation cB Bath -3�5 Dinette I 1t ` lb1 7 I PULL ./ Extension — `= �� 3� 3 Basement SLAB L Floors '; Kit. 5 H a k; �. . Extension `� Ext. Walls Interior Finish L.R. 14 f >� -- - Exte ion - Fire Place _ Heat �� D.R. �a Patio Woodstove BR. Porch F�)cr1�S 1 7s 5 Dormer Fin. B. s j.�f Q a r 1 C Attic Deck L�j y Breezeway Rooms 1st Floor Garage F<-r /em-5 Driveway Rooms 2nd Floor 21— 3 Pool -- Sao ; � 1I04 4� Town of Southold 2/14/2023 P.O.Box 1179 53095 Main Rd Southold,New York 11911 CERTIFICATE OF OCCUPANCY No: 43 850 Date: 2/14/2023 THIS CERTIFUS that the building SINGLE FAMILY DWELLING Location of Property: 3010 Stanley Rd.,Mattituck SCTM#: 473889 Sec/Block/Lot; 106.-8-76 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 3/2/2021 pursuant to which Building Permit No. 45951 dated 3/18/2021 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: sin le-famil dwelling,with unfinished laaseme at cqypre , res�:gt pt or ,,rear deck en and attaches rage s ,p lieO for. The certificate is issued to Brooklyn Timber LLC of the aforesaid building: SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL R-21-0115 8/16/2022 ELECTRICAL CERTIFICATE NO. 45951 11/14/2022 PLUMBERS CERTIFICATION DATED 11/30/2022 Ch Sanders ri. e ignature � 1Ff�l,t Town of Southold 4/4/2023 P.O.Box 1179 53095 Main Rd Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 43971 Date: 4/4/2023 THIS CERTIFIES that the building IN GROUND POOL Location of Property: 3010 Stanley Rd.,Mattituck SCTM#: 473889 Sec/Block/Lot: 106.-8-76 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 6/23/2021 pursuant to which Building Permit No. 46527 dated 7/l/2021 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: accessory in Wqund swunnune vool fenced to code as applied for. The certificate is issued to Brooklyn Timber LLC of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 23-85162 3/18/2023 PLUMBERS CERTIFICATION DATED F-F-,7-IFj. 1V--------- ------------------------ -------------------------- -------------------- -cy Z Z z L" ap . go ----------- ---------- -- ---------- ---------- --------------- ----- ----- ----------------------- L---------------------------- �ICAL KAI�L5ECT�JN d 3iz ZI-M ONL"r A-5 g � ro i •r,. �. � rrs. �$ Q r.7 �C ol -------------- 1 F s g � --.._ ._.. Q € { W w LL . 71 e, a / z �F , $ ° I � p FIRS r-LOOR PI AN i�t z RIR SEAL�N&DETAILS 3�3IIi f � � QI LL -__ -_ t - -_. _I t -�— rcy _ Y � racacn�u_cc I pl 2_ 1 t mow: h! Si s� - -x ----------------------- AM .artazasn 'tee .- �a. h1 CI w'ew-�(� I Q- 3' c �T R x 3 a l ------------ rf n o gg st s Q AIR SEALING NOTES — __ — ---- � I I s sue} S,�OOND r-LOOR F_AN (EfE€ Ot Y d t � a E Ee K,,,r w