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HomeMy WebLinkAbout1000-108.-4-7.41 TOWN OF S UTH LD Rental Permit a 1196 �s �g Owner Derek McLean Occupied as Single Family Dwelling Located at 515 Gabriella Ct Mattituck 108.4-7.41 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. 9/13/2024 Co norc ent Official This Notice must be posted by the main entrance at all times Owe Pd ac 14 o '00TOWN OF SOUTHOLD—BUILDING DEPARTMENT �' " Town Hall Annex 54375 Main Road P. O. Box 1179 Southold, NY 11971-0959 Telephone (631) 765-1802 Fax(631) 765-9502 lLtww .souloBat: a RENTAL PERMIT APPLICATION Rental Permit Fee $300 (Application must be renewed every tFr" � 4 E ' 3 92 � Section A. BUTIMING DETYr. Property Information: TOW' a-)F SCYT T��I Rental Property Address: Tax Map Number: 1000 SECTION Q L2 --BLOCKS 9 1 -LOT OO 7 - C SECTION B. OWNER INFORMATION: Property Owner Name: ' C --- Property Owner Legal Address: Property Owner Mailing Address: (Cannot be the same as Rental Property Address) �. 2627Z:� �t 33- 1 1�7 Telephone Number(s): Daytime 3 22�j venin Emergency ( 11 Property Owner Email Address: `a rtw° � , 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: 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, 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: -1� Use and Dimensions of each room in Rental Dwelling Unit: L U �� �0 sc F'-t 'lBi.. -edlrij, 23 S � 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 ❑ 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) I "D e e J ( ��e�. , 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: Property Owner's Signature: Sworn to before me this day of a, '�" Lt4 20 �} L'o-i'v r Official Notary Public Signature and Original Notary Stamp CONNIE D.BUNCH Notary Public,State of New York No.01 BU6185050 Qualified in Suffolk County Commission Expires April 14,2-0-x� Page 4 of 4 TOWN OF SOUTHOLD BUILDING DEPT. 631- 765-1802 INSPECTION [ ] FOUNDATION 1ST/ REBAR [ ] 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 [4*RENTAL -A-0 a DATE INSPECTOR /Jw ; o erg�� 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 Owner Phone Address Visible .. �. . . 5�'s.. -. Hamlet ',/ L Inspector .. r �. Floor Level Quantit ies Sub .....1 2 Smoke Detectors3 (not located in bedrooms) Carbon Monoxide Detectors �.. Exits �........._ Bedrooms _... 4 ).. ...w.. . . . .. _. _ .W. w. � 2 3 5 6 Smoke Detectors _. ..... . w... ..w �...... .... .. Egress C a Occupnt Count �..�. .... _..__ ... ..._.. . .......�,....... .�... _. .... .. ... ........... . .....�_ .. ... .�. .� .. ... �.,..... B uilding Systems Maintained &Operational Condition Property g y p tion of Prope y Building interior ......... ......w,_. ..... Hot water Building exterior Electrical Property clean, maintained &safe ..... .. _ �..... .........� Mechh. . �.,,. . . ,,... �.......� _..,._g,uarr .. installed alle cure anical Handrails&guards nst d &se� � w „ �Pool Safety Pool on Site Surface water alarm .Date of CO issuance . . .. .... �.. .. a._...... ..� ., �.. Door alarms Pool completely enclosed ._ _._...._.�. . .....t requirements m tchin ates Self closing/ latching g � � Pool fence to code . ��... ....................... .... ....�mm�..,..................�.�.�....._��...� ,.......�...., ........ ..........�... �.�.�.�.�.�_..,.,.....w._ .....�.�......�.�.�..._......w�.. �� ...._�_,.. _._, ......................................�.�...._��__......_ �.. t ms present Prior Rental ...NCO s for al I items e.. ......�.�...��.��..........._ ...�.�.��,.... �..�� ..��.. .... .�_��..w.._. �� ...aaa_... ..�.. .... ...��._....�... .. ................_. . ., ...,.� ,.. ..... ,.......... .�. as.... Comments /(�.� ..� D7tJyN/L dN'" C',.•+��" ..... .... ..... ........ .�.........._ ....�...w. ..... . TOWN OF SOUTHOLC `� 'ECORD CARD OWNER STREET VILLAGE DIST SUB LOT I j' k ACR. REMARKS _ TYPE OF BLD .> � .v =3 - PROP. CLASS - '� Il a LAND IMP, TOTAL DATE ° L J - �_ Icy-,I --Ee r _ aA g S - 3, > — ® 'rl Linct _jj — 7� 0 _ �0 700 30 _ ono TILLABLE 0 � �E -: .a.. z ! S FRONTAGE ON ROAD WOODLAND 7300 3�� c DEPTH MEADOWLAND - jilt ( 3 BULKHEAD HOUSE/LOT TOTAL 7 1 1 1,2-lv— 6 36 96, g z (,ULQ ` � ` — ' _ 1 108.4-7.41 3/06 - - - M. Bldg. Foundation �s Bath Dinette FULL � s G- Extension = Basement CRAWL .•T f/r Floors l / Kit- SLAB - SLAB Extensln OQ /Gk'3 � Ext. Watts Interior Finish - /0-_., L.R. �/Sg 3, _ __ ;a ate Extenst n� Fire Place / Heat p /_ �A f D.R� -0 _ Patio Woodstove BR.�I� Porch��. � � � 'r � " /!` �} P��� Dormer Fin B_ Deck s — �itic -- 707 S s�' 41 a a -- 1`l� � - ° Brze � 5¢'DT11- 4;�- Rooms 1st Floor _ ; f 1 ,'-(v k�l�s y� Lj Garage ,,741 - � ay � t Rooms 2nd Floor 1A r' 1 4 i FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-25973 Date: 08/26/98 THIS CERTIFIES that the building NEW DWELLING Location of Property: 515 GABRIELLA CT MATTITUCK (HOUSE NO. ) (STREET) (HAMLET) County Tax Map No. 473889 Section 108 Block 4 Lot 7.41 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated MARCH 4 1997 pursuant to which Building Permit No. 24021-2 dated APRIL 1, 1997 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 ATTACHED GARAGE AS APPLIED FOR. The certificate is issued to ELE DEVELOPMENT CORP. (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL R-10-97-0034 08/1.9/98 ELECTRICAL CERTIFICATE NO. N-464265 09/04/98 PLUMBERS CERTIFICATION DATED 08/26/98 WILLIAM DOOLEY //rng Inspector Rev. 1/81 FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-32201 Date: 02/15 07 THIS CERTIFIES that the building ADDITIONS ALTERATIONS Location of Property: 515 GABRIELLA CT MATTITUCK (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 108 Block 4 Lot 7.41 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated FEBRUARY 27 2006 pursuant to which Building Permit No. 31811-Z dated FEBRUARY 27, 2006 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 ADDITIONS & ALTERATIONS TO AN EXISTING SINGLE FAMILY DWELLING AS APPLIED FOR.. The certificate is issued to DEREK MCLEAN (OWNER) of the aforesaid building. SUF70LK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. 2019310 11/03/06 PLUMBERS CERTIFICATION DATED 02 14/07 LI SUNRISE PLUMB.&HEATING Authorized Signature Rev. 1/81 # . .. Town of Southold Annex 8/26/2011 54375 Main Road � Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 35176 Date: 8/26/2011 THIS CERTIFIES that the building ADDFFION/ALTERATION Location of Property: 515 Gabriella Court, Mattituck,NY 11952, SCTM#: 473889 Sec/Block/Lot: 108.4-7.41 Subdivision: Elijah's Lane Estates Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this officed dated 12/30/2010 pursuant to which Building Permit No. 36234 dated 3/11/2011 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: ,Additions Alterations to a Single Famil Dwelling or 2nd sto A artment:Livi�r R.w_t1r�I j!pltetl,.I3 oom,Bath 2nd story deck with steps. The certificate is issued to Mclean,Derek (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 36234 7/29/11 PLUMBERS CERTIFICATION DATED 8/22/11 crrek Mcl. Si Lure _A.. ��,1fltp Town of Southold 1/21/2024 P.O.Box 1179 . ? 53095 Main Rd Southold,New York 11971 ... ........................ CERTIFICATE F OCCUPANCY No: 44883 Date: 1/21/2024 THIS CERTIFIES that the building SOLAR PANEL Location of Property: 515 Gabriella Ct,Mattituck SCTM#: 473889 See/Block/Lot: 108.-4-7.41 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 9/7/2023 pursuant to which Building Permit No. 49789 dated 9/27/2023 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: Lgof Mounted solar nanels to exi tin ,single family dwelling asa1 abed:�qr. The certificate is issued to, Mclean,Derek of the aforesaid building. SUFFOLK'COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 49789 12/14/2023 PLUMBERS CERTIFICATION DATED _. Au o zed i Lure _ Town of Southold — Fire Safety ' a '` s operating Permit Accessory Apartmentco Known As McLean Residence _.. Name of CStablishment Conducted As Accessory Apartment Type ofE _ _.. Located At Gabriella Court Mattituck, 11952 108-4-7.41 _.. Address MAXIMUM OCCUPANCY ,Aftwed Capacity) Area Acc. Apt Total 3 Is in compliance with the requirements of the New York State Uniform Fire Prevention and Building Code and thru ordinances of the Town of Southold applicable thereto and rules adopted thereunder.The Owner/Operator is responsible for arranging the inspection 15-Oct-20 15-Oct-21 James Easton Expiralion Data - - F spa _.. nis Notice to be pasted by the main entrance at aii!sees ........... ........................ Town of Southold 1/21/2024 P.O.Box 1179 53095 Main Rd Southold,New York 11971 ............................... CERTIFICATE OF OCCUPANCY No: 44883 Date: 1/21/2024 THIS CERTIFIES that the building SOLAR PANEL ................................. ... ................ ...... Location of Property: 515 Gabriella Ct,Mattituck ......................... ---------- ......... SCTM#: 473889 See/Block/Lot: 108.-4-7.41 ............-------—---------------------------------------------—--------- Subdivision: Filed Map No. Lot No. —--—-------------- conforms substantially to the Application for Building Permit heretofore filed in this office dated 9/7/2023 pursuant to which Building Permit No. 49789 dated 9/27/2023 ............ 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: ,A9Ltp_qqnted solar panels to exis�n jLtng lei_f Applied for. The certificate is issued to, Mclean,Derek of the aforesaid building. SUFFOLK"COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 49789 12/14/2023 .......... PLUMBERS CERTIFICATION DATED ............ Au, o zed i nature FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-32201 Date: 02/15 07 THIS CERTIFIES that the building ADDITIONS ALTERATIONS Location of Property: 515 GABRIELLA CT MATTITUCK HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 108 Block 4 Lot 7.41 Subdivision Filed Map No_ Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated FEBRUARY 27 2006 pursuant to which Building Permit No. 31811-Z dated FEBRUARY 27, 2006 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 ADDITIONS & ALTERATIONS TO AN EXISTING SINGLE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to DEREK MCLEAN (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. 2019310 11 '03/06 PLUMBERS CERTIFICATION DATED 02 14 07 LI SUNRISE PLUMB.&HEATING Authorized Signature Rev. 1/81 OFW4,Nit Town of Southold Annex 8/26/2011 54375 Main Road Southold,New York 11971 u CERTIFICATE OF OCCUPANCY No: 35176 Date: 8/26/2011 THIS CERTIFIES that the building ADDITION/ALTERATION Location of Property: 515 Gabriella Court, Mattituck,NY 11952, SCTM#: 473889 Sec/Block/Lot: 108.-4-7.41 Subdivision: Elijah's Lane Estates Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this officed dated 12/30/2010 pursuant to which Building Permit No. 36234 dated 3/11/2011 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: A06Qnis&Alterationsto a gain ie Familv Owellin liar 2nd sto A rtaient: I ivin-�1 por tc 11 Bedroom.Bath 2nd sto d�k with st s. The certificate is issued to Mclean, Derek of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 36234 7/29/11 PLUMBERS CERTIFICATION DATED 8/22/11 _..... .. .. ..,.,._ �... )erek. _mc_l .......... ,.... ® Sigure.... . FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-25973 Date: 08/26/98 THIS CERTIFIES that the building NEW DWELLING Location of Property: 515 GABRIELLA CT MATTITUCR (HOUSE NO. ) (STREET) (HAMLET) County Tax Map No. 473889 Section 108 Block 4 Lot 7.41 subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated MARCH 4 1997 pursuant to which Building Permit No. 24021-2 dated APRIL 1p 1997 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 ATTACHED GARAGE AS APPLIED FOR. The certificate is issued to ELE DEVELOPMENT CORP. (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL R-10-97-0034 08/19/98 ELECTRICAL CERTIFICATE NO. N-464265 09/04/98 PLUMBERS CERTIFICATION DATED 08/26/98 WILLIAM DOOLEY i ing Inspector Rev. 1/81 m --------- It < ci W Z C) lug FLOOR-.LAYOUT SCALE:1/8' Ln na LLI U O 06 DRAWN BY:MH IMay 03, oll SCALE:ll4" SHEET NO: 1ST FLOOR LAYOUT I AtAi=mnMF-NT' AMENDMENTi