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Home My WebLink About1000-115.-6-7 $ � � TOWN OF SOUTHOLD A Rental Permit 1200 Owner We Wo Group LLC Occupied as Single Family Dwelling Located at 19000 Route 25 Mattituck 115.-6-7 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. 9/15/2024 d € Official This Notice must be posted by the main entrance at all times Town Hall Annext�r Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1179 ` Southold,NY 11971-0959 BUILDING DEPARTMENT TOWN OF SO HOLD RENTAL PERMIT APPLICATION Rental Permit Fee $200(Application must be renewed every two years) Section A. Property Information: Rental Propett Address: . Tax Map Number: 1000 SECTION S -BLOCK -LOT SECTION B. OWNER INFORMATION: Property Owner Name: Property Owner Legal Address: Property Owner Mailing Address: Telephone Numbers : Da titt � 3ening Emergency Telep Y ein 0 C-*"-� Property Owner Email Address: Page 1 of 5 m n; Town Hall Annex &�ff, Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1179 Southold,NY 1 197 1-0959 " � k BUILDING DEPARTMENT TOWN OF SOUTHOLD Section C. Authorized Agent Information: Name,of Authorized Agent of dwelling unit, if any: Address cf.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): Page 2 of 5 Town Hall Annex Telephone(631)765-1802 54375 Main Road � Fax(631)765-9502 P.O.Box 1 179 Southold,NY 11971-0959 "&� � f m A2 rz) BUILDING DEPARTMENT TOWN OF SODTHOLD Mailing Address of Managing Agent: Telephone Number(s): Daytime Evening Emergency Email Address: 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: Alt fit" Requested Maximum number of persons allowed to occupy Dwelling Unit: <9- two. Number of rooms in Rental Dwelling Unit: Use and Dimensions of each room in Rental Dwelling Unit: Page 3 of 5 " Town Hall Annex �M", Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1179 Southold,NY 11971-0959rip � BUILDING DEPARTMENT TOWN OF SOUTHOLD 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. 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. 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 Page 4 of 5 ua Town Hall Annex k Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 INC P.O.Box 1179 a Southold,NY 11971-0959 BUILDING DEPARTMENT TOWN OF SOUTZ3OIM 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 as 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 20 22 Official Notary Public Si nature knpiglnal Notary Stamp ' Evelyn K Golz . -., ti Notary Public-Stab of New York �a " No.01GO8205435 Quallk-d in Suffolk County •'.a`.:'- My Commisgion F xj-ie: nme 29.2025 Page 5 of 5 TOWN OF SOUTHOLD BUILDING DEPT. Coo 631-765-1802 INSPECTION [ ] FOUNDATION 1ST/ REEIAR [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION/CAULKING [ ] FRAMING /STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL I [ ] CODE VIOLATION [ ] PRE C/O [ (F RENTAL REMARKS: DATE INSPECTOR N TOWN OF SOUTH OLD PROPERTY RECORI OWNER STREET ILLAGE DIST.;! SUB. LOT y Al --f-QRMER OWNER ACR�,- -As f I" S w TYPE OF BUILDING c 7�q 72:;s RES, SEAS. VL. FARM COMM. CB, MICS. Mkt. Value LAND lmp,- TOTAL DATE REMARKS r 1 4- V! e "o I P _r9le4rf AGE BUILDING CONDITION NEW 3NORMAL BELOW ABOVE FARM Acre Value Per Vclue Ac re Tillable FRONTAGE ON WATER Woodland FRONTAGE ON ROAD Meadowl-and DEPTH House Plot I! BULKHEAD Total I I A DOCK Q I TOWN OF SOUTHOLD PROPERTY RECOR OWNER ` STREET J VILLAGE DISTJ SUB. LOT _ -QRMER OWNER I ACRE a 1 � t --` S W _ TYPE OF BUILDING Jk RE , SEAS. VL. FARM COMM. CB, MICS. Mkt. Value s LAND IMP, TOTAL DATE REMARKS -37 I _ ' s 34 = -3a �� Z - ' - I r r a r-.n. AGE BUILDING CONDITION NEW NORMAL BELOW ABOVE FARM Acre Value Per I Value Acre Tillable FRONTAGE ON WATER Woodland _ FRONTAGE ON ROAD j Meadowl.and ' DEPTH House Plot _ BULKHEAD Totol `� DOCK l � _ ' X a IsOR TRIM = . _ OWN M. 7 � 1 �l�il_. �. 1i1��1J lfll�llll�il�fl��l11I € 1 � �i{(t �' t a 115.-6-7 11/19/2020 -_€* • Val.LZFI LU1D M. Bldg n � 14ervs€on Extension I Extension nett ° 3 ' Foundation Bath 3 s Dinette t -Poch y ' , Bc�rnert rs F loo I< f Porch — —7` Ext. Walls Interior Finish R_ Breezeway Fire Place Heat DR. Garage Type �c� P Roof Rooms 1 st Floor E BR Patio Recreation Room' Rooms 2nd Floor FIN. B I G, B. Dormer Driveway Total - e e : r _ p fil y - - ILOR TRIM _ \ _ E 7777 ir l - 4314. 115.-6-7 11/19/2020 a i b E M. Bldg. } I � - t xter sor /J - 7 0 R 7 E g Extension Extension Foundation Y Bathf,' Dinette 6 QQ rch _ Basement Floors K. , Parch �:I I � � 3 Ext. Walls Interior Finish LR. Breezeway ; Fire Place Heat DR, I Garage #Type Roof zI Rooms 1st Floor BR. _ t - Patio Recreation Room'= I Rooms 2nd Floor FIN. B ® _ r � ' / b. I O. B. _ Dormer Driveway : r Total f 3��} 3 o Town of Southold;� ,FItNtA'�„ • 9/15/2024 53095 Main Rd Southold,New York 11971 PRE EXISTING CERTIFICATE OF OCCUPANCY No: 45550 Date: 9/15/2024 THIS CERTIFIES that the structure(s) located at: 19000 Route 25, Mattituck SCTM#: 473889 Sec/Block/Lot: 115.-6-7 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- 45550 dated 9/15/2024 was issued and conforms to all the requriements of the applicable provisions of the law. The occupancy for which this certificate is issued is: wood frain ccesso°y The certificate is issued to WeWo Group LLC (OWNER) __................_. of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED *PLEASE SEE ATTACHED INSPECTION REPORT. th ri BUILDING DEPARTMENT TOWN OF SOUTHOLD HOUSING CODE INSPECTION REPORT LOCATION: 19000 Route 25, Mattituck .................. -"' -,. .............. .............. .......SUFF.CO. TAX MAP NO.: 115"-6-7 SUBDIVISION: .... ................................................NAME OF OWNER(S): WeWo Group LLC .................. ......... .......... OCCUPANCY: ... ................. .................. .. .................... ADMITTED BY: SOURCE OF REQUEST:........ E4 ES'...T': W'e'Wo Group L'—LC.......................... . ............................................... DATE:----------9"/,-1"5,,/'2'0'2',-'4', ............ .......... DWELLING: #STORIES: #EXITS: ............. .............. FOUNDATION: CELLAR: CRAWL SPACE: BATHROOM(S): TOILET ROOM(S): UTILITY ROOM(S): -----------PORCH TYPE: DECK TYPE: PATIO TYPE: . .. .......... .............. -.......... .... BREEZEWAY: FIREPLACE: GARAGE: DOMESTIC HOTWATER: TYPE HEATER: AIR CONDITIONING: TYPE HEAT: WARM AIR: HOT WATER: ..............- #BEDROOMS: #KITCHENS: BASEMENT TYPE: .. ........... ....... ... .... ... ...... .... OTHER: ...................... .......... ACCESSORY STRUCTURES: GARAGE,TYPE OF CONST: wood frame STORAGE,TYPE OF CONST: SWIMMING POOL- GUEST,TYPE OF CONST: .. ............. OTHER: I - -- ............ .......... VIOLATIONS: .. ........ REMARKS: .................... .......... .......... .......... ........ ............... INSPECTED BY: JOHNJ DATE OF INSPECTION: 1/24/2022 ............. ...........-......—...... TIME START: END: ................ Fltlt %°.„ Town of Southold 9/15/2024 P.O.Box 1179 53095 Main Rd ,ru Southold,New York 11971 ,u CERTIFICATE OF OCCUPANCY No: 45549 Date: 9/15/2024 THIS CERTIFIES that the building GENERATOR Location of Property: 19000 Route 25, Mattituck ..... .. ._ .. .... ... ...............w.�............ .........._. _ _........ SCTM#: 473889 Sec/Block/Lot: 115.-6-7 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 7/20/2021 pursuant to which Building Permit No. 46707 dated 8/18/2021 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: "as built" accessory!ggtj�LEa Q asMapplied for, The certificate is issued to WeWo Group LLC of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 46707 9/l/2021 PLUMBERS CERTIFICATION DATED .... P ............ Aut orb .� i �a 5� 0009, 9o,rc h t en Z 1 f �s _47 ��` r 1 { ooryl . . . k V3 ul� c r Iwo ------------ ,g Y r y C fD i