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HomeMy WebLinkAbout1000-106.-1-35.1 § a TO WN OF SOUTHOLD Rental Permit e 0326 Owner 1400 Sound Beach Dr LLC Occupied as Single Family Dwelling Located at 1400 Sound Beach Drive Mattituck 106-1-35.1 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. 10/18/2024 :o nfo c nt Official This Notice must be posted by the main entrance at all times , TOWN OF SOUTHOLD—BUILDING DEPARTMENT �r Town Hall Annex 54375 Main Road P. O. Box 1179 Southold,NY 11971-0959 P ) ) �,.1,:.,.. .�,,; ,,,,, ,,,,,,w�,., .,._. --- � I -y� Telephone 631 765-1802 Fax 631 765-9502 k '� a¢h t _wµ_ RENTAL PERMIT APPLICATION Rental Permit Fee$300 (Application mast be renewed every two years) LC Section A. Property Information: 0 C T 1 Rental Property Address: 140,0 SOVNO SleActt- D fZ• VYtA VT(Tuc%L Tax Map Number: 1000 SECTION l p(o -BLOCK -LOT s SECTION B. OWNER INFORMATION: Property Owner Name: Property Owner Legal Address: Property Owner Mailing Address: (Cannot be the same as Rental Property Address) 31— 19 NEW'rOWN same. Fly Telephone Number (s): Daytime Evening Emergency Property Owner Email Address: e-�l ho'5 @ c5t tcco-c l ks - COm Page 1 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." 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. ❑ I am requesting afire 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) I ff,tV- <, t r . �—, 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: it/00 ` �Nb .e L ' �e � °`' " ... .. Property Owners Signatur Swor of re Wmeis ��"day of Official Notary Public Signature and Original Notary Stamp Victor 1. Bota Notary Public, State of New York Reg, No, 02BO6339830 Qualified in Queens County Page 4 of 4 Commission Expires April 4, 2028 so �q to 4WVA WoA)r, TOWN OF SOUTHOLD BUILDING DEPT. co 631-765-1802 t p&,- l — � • 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 (F AL) [ ] CODE VIOLATION [ ] PRE C/O [ RENTAL Xft � 1 DATE 10W INSPECTO � Telephone Tele 631 765-1802 Town Hall Annex ^ fir„ P ( ) 54375 Main Road Fax(631)765-9502 P. O.Box 1179 CZall Southold, NY 11971-0959 BUILDING DEPARTMENT TOWN OF SOUTHOLD RENTAL PROPERTY CERTIFICATION Form is to be completed by a licensed architect, licensed engineer or licensed home inspector Separate form is required for each individual Rental Dwelling Unit Professional seal required for Architect or Engineer, Licensed Home Inspector must provide copy of valid current certification Rental Property SCTM Number: 1000 ^ I©4 " C �JSi Rental Property Address: t405 5DUND BCACH D tyE LLC Owner/Name: tk Rental Dwelling Unit Identifier: H-0 U Sc— Number&Square footage of each bedroom as depicted in the attached floor plan: (i.e. Bedroom#1 —100 sqft., Bedroom#2—90 sgft., etc.) WV -K I luo fkrl �2 L�l7 r►1 3 L 2v f�► 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 Gss Code of New York State,the Fire Code of New York State,the Property Mainter nc od of faFew York State and the Energy Con anon Construction Code of New York Mate. �I Ph, Print Name and Title Original Signature Please place Professional Seal: 'd" � � s OF SOUTHOLD POOPERTY� OWNER STREET ,`-, VILLAGE DISTRICT SUB- LOT ( _ 3, t FORMER OWNER ' N E ACREAGE 1 W TYPE OF BUILDING v � RES. SEAS. VL. FARM Comm. IND, CB, MISC. LAND IMP. TOTAL DATE REMARKS — - g L D .? _ F 4 a C _ _ 1 /1- e - PA _NE1 NORMA �ELOW OE _._ z��Farm Acre Yqlue PejvAcr Value 16 coo __ - - Tillable 2 ` - - - - - L 7p tyTillable 3 _ P ® _ - _. Woodland _�� s I �' 3 I� -{ f _ -_ Swampland P 3�`-IS'1 Brushland House PEot`J _ I k -ni _ �T.71 i s E _ E Sr- 1 V _ t 61 2L oo _- f L�4 , ii t f M. Bldg Foundation Bath r i [ r Extension Basement f Floors / - �d I f w lhx Extension Ext. Walls I interior Finish Extension — Fire Place Heat ( V �J Porch Ate7 IV tic Parch --- _ - . Rooms lst Floor i Breezeway3 i Patio t Rooms 2nd Floor Garage Driveway Q. B. I } t 5 3 R a s { COLOR 172-1 T pit _ t 7s TFItt � 106 1-351 11/07 0 : 1 SSCy +c +P� 7 S Foundation Bath `Dinette M. Bldg . '2-4 E sion I `t-- Floors I Kit_ 2(c XZH = �Q T 6Sz3 Basement SLAB t it a � - '�� 5 CC&ow cla I-xtensto 3 _ �� Ext. Walls P Interior Finish 5� L.R. Extension Fire Place DES Heat D.R Woodstove BR. Patio e _ Dormer 6 Fin B. 125" = §. .S � Attic Rooms 1st Floor Breezeway _ � g Driveway Rooms 2nd Floor e O.B. Pool I FORM NO, 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hail Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-34493 Date: 08 03/10 THIS CERTIFIES that the building PERGOLA & PATIO ADDITION Location of Property: 1400 SOUND BEACH DR MATTITUCK (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 106 Block 1 Lot 35.1 Subdivision q Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated APRIL 6 2010 pursuant to which Building Permit No. 35489-Z dated APRIL 19 2010 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 PERGOLA COVERED PATIO ADDITION TO AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR PER ZBA #6326 DA"�D 12 3 09 The certificate is issued to CHRIS & MARYANN MESKOURIS (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A - EM KL'TrtICAL CERTIFICATE NO. N�p+ PLLVH3ERS CERTIFICATION DATED N A &t on ed S gnature 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. .�14335 ff. . . . . . . Date . .April .15. . . . . . . . . . . . . . . . . . . . .$ 19 B6 THIS CERTIFIES that the building . . . l.441 t,o11. . . . . . . .. . . . . . . . . . .. . . .. .. . . . . . . . .. Location of Property .114 tAtVpjk . .. H Na. c Msf&WOt County Tax Map No. 1000 Section . 10 6. . . . . . .Block .. . .t . ... . . . .. .Lot . . . ..3 5. . . . . . . .. . Subdivision. . . .. . .. . . . . . . . . . . . . . . . . . .. . . ..Filed Map No. . . . . . . . .Lot No. .. . . . . . . . . . . . conforms substantially to the Application for Building Permit heretofore filed in this office dated ,Dec; .§. . . . .. . . . . . 1976.pursuant to which Building Permit No. .9.4 4 Q?. . . . . . . . . . . . .. . dated . Dec. 8 . . . . . . . . .. . . . . . . . . 19?6. ,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 . .. . . . .. . .. . .AAdIt kon .tQ. .4u. PXA QtiA ..PP.e .f;LA ly, dwelling:. . . . .. . ... . . .. . . . . . . . . . The certificate is issued to . H.etrbex t .GrA 10011. . . . . .. . . . . . .. . . . . . . . . . fcMWI�4t�w S o o of the aforesaid building. Suffolk County Department of Health Approval . . . . . .N/A . . . . . .. . . . . . . .. . . . . . . . . . . . . .. . UNDERWRITERS CERTIFICATE NO. . . . . . ... . .. . .P 9 A d#9. . . . . . . . . . . . . . . . . . . . . . . . . . .. . w ♦rt . . ar + . rt w w rt ♦ . w . .. b ... . ♦ ♦. . .. . .. . wBuilding Inspector Rw.1/a1