The URL can be used to link to this page

Home My WebLink About1000-114.-10-29 TOWN OF SOUTH OLD Rental Permit 1293 Owner: Starzee Frank J Trt Occupied as: Single Family Dwelling Located at: 345 Youngs Ave Mattituck 114.40-29 Maximum Permitted Occupancy: 4 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. Issued: 04/24/2025 W'aw Expiration: 04/24/2027 c°de ° eat aici This Notice must be posted by the main entrance at all times 6� aa TOWN OF SOUTHOLD—BUILDING DEPARTMENT v , Town Hall Annex 54375 Main Road P. O. Box 1179 Southold,NY 11971-0959 Telephone(631)765-1802 Fax(631)765-9502 htt �� w .s>�il+ ldt" •roe 1�� ' RENTAL PERMIT APPLICATION Rental Permit Fee$300(Application must be renewed every two years) -kb-a5 �a ado (-f-c, i Section A. Property Information: Rental P opera Address: " Tax Map Number: 1000 SECTION I I -BLOCK Q -LOT - SECTION B. OWNER INFORMATION: Property Owner Name:_ Property Owner Legal Address: Property Owner Mailing Address: (Cannot be the same as Rental Property Address) it Telephone Number(s);Daytime3l4-3407 g"—Evenin , -(Q Emergency Property Owner Email Address: 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, 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:_-(;S ... �- Use and Dimensions of each room in Rental Dwelling Unit: 4 10 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. ❑ lam 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 (a � 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: '-Z) 0 Cl (-?ems Property Owner's Signature: /17 Sworn to bef e me this day of 20 Official Notary Public Signature and iginal Notary Stamp CMWL L. Page 4 of 4 NOTARY PUOLIC*STATE OF NEW YoRX NO-o 1 EOGOO803 N QUA rtea Jr4 SOJ#rroLx C+oruwry w" � lwl7 � w " Telephone(631)765-1802 Town Hall Annex 54375 Main Road P.O. Box 1179 „: x Southold, NY 11971-0959 " yC 4,1 BUILDING DEPARTMENT TOWN OF SOUTHOLD RENTAL PERMIT APPLICATION ADDENDUM Rental Dwelling Unit Identifier: Requested maximum number of persons allowed to occupy each dwelling unit: Number of Rooms in Rental Dwelling Unit: Use and Dimension of each room: Rental Dwelling Unit Identifier: Requested maximum number of persons allowed to occupy each dwelling unit: Number of Rooms in Rental Dwelling Unit: -m- Use and Dimension of each room: Rental Dwelling Unit Identifier: Requested maximum number of persons allowed to occupy each dwelling unit: Number of Rooms in Rental Dwelling Unit: _ Use and Dimension of each room: °► t°i Telephone(631)765-1802 Town Hall Annex F: Fax(631)765-9502 54375 Main Road Cz � P.O. Box 1179 % -C 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 rectuired for Architect or,En sneer Licensed Home Ins actor must provide copvt of valid current certification �' Rental Property SCTM Number Rental Property Address: Owner/Name: tS O'r Rental Dwelling Unit Identifier: Number&Square footage of each bedroom as depicted in the attached floor plan: (i.e. Bedroom#1 —100 sqft., Bedroom#2—90 sgft.,etc.) tt Pt 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,the Fire Code of New York State,the Property Maintenance Code of New York State and the Energy Conservation Construction Code of New York State. r Print Name and Title i `�rlQr Original Signature Please place Professional Seal: yso TOWN OF SOUTHOLD BUILDING DEPT. oar rry 631-765-1802 //�_ 10—dl j I N Sk P E T 10 N [ ] 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 (FIN L) [ ] CODE VIOLATION [ ] PRE C/O [ RENTAL REMARKS: a, � ^-S 1 OCCu supace, W4—� DATE INSPECTOR Town Hall Annex k Town Of Southold 54375 Main Road Rental Inspection Report PO Box 1179 Zel Southold, NY 11971-1179 Tel: 631-765-1802 �, 4N SCTM-# — 0— Date 3 Owner Phone Address 3 5_ Visible Hamlet Prispector Floor Level Quantities Sub 1 2 3 Smoke Detectors(not located in bedrooms) 1 Carbon Monoxide Detectors Fire Extinguishers Exits Bedrooms 1 2 3 4 5 6 Smoke Detectors 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 Prior Rental! Comments: 4t TOWN OF SOUTHOLD PROPERTY RECORN OWNERS -- STREET # VILLAGE DISTRICT SUB. LOT FORMIER OV NER N E ACREAGE / TYPE OF BUILDING / �, � VQ j W RES. �� L'fSEAS*' VL. FARM COMM. IND. CB. ? MISC. I LAND IMP, TOTAL DATE REMARKS I I J 3 ia , a AGE BUILDING CONDO lON _ � 7- NEW NORMAL BELOW ABOVE Farm Acre Value Per Acre Value `G2+atv`tci _y Tillable t Tillable 2 Tillable 3 - F Woodland ' Swampland Brushland House PICT- Tota I t i. - a f g l I _ m :Ep - - win �e ,M — � E _.. _air ? s _ I V T / € M g ation ' B Found e ath xei'stn , Basement �U — - Floors Ext. Walls Interior Finish , , 1 Extension Fire Placed Heat - -.e ---v Porch = Attic Porch l Rooms 1st Floor i r �� l - patio Floor 3 Rooms 2nd FI r " x Garage - `- Driveway O. B. I -- - FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. CERTIFICATE OF OCCUPANCY No A. 175........ Date .... August 20. . . 195B... THIS CERTIFIES that the building located at AIS.. .•Xpungg.•,AVB•••••• ••• . . . .. •... Street Map No ............. ............. ..... Block No. ... ... ..... .. .. .............. Lot No Matt Woks . 44Y conforms substantially to the Application for Building Permit heretofore filed in this office dated .,.«.>... ...............A]ril... 2-3.......19 ! ••, pursuant to which Building Permit No.—A... .A.. . ,....... ., dated ...«.... «. ...........«.. . Api-J.1 A...19.56... was issued,and conforms to all of the'requirements . y of the applicable provisions of the low The occupancy for which this certificate is ys uiAd is ............ ...................... ............ ...,�«,......................,...,....................... q« ..................... This certificate is issued to ;$#gmLU.1d• ••WEtsU ,1!�r ::�,.... ( Q4Ftk�1r►#•••• ••• ••• .•.w:•.. .............. (owner, lessee or tenant) of the aforesaid building a ......«.... .. ,{...............««« Building Inspector,, , IA I � � i ; FORM NO. 4 TOWN OF SOUTHOLD BUH DING DWARThOM Town Clerk'e Office Southold, N. Y. Certificate Of Occupancy No' .47.. .. . . . Date . . . .. . . . . .. .MAX...9 .. .. . . ., 1 ?�. . THIS CERTIFIES that the building located at xo=go. A'M"+M. . . . . .. .. . . . . . . . Street Map No. q. . . . . . . . . Block No. XX. . . . . . .Lot No. .X=. . . . .4WA . ..F.Z.. . . . . conforms substantially to the Application for Building Permit heretofore filed in this office dated . . . .. . . . .DOt . , .- . . . ., 19.70. pursuant to which Building Permit No. dated . . . . . . . . . . . . .9t. . �3. ., 100. ., 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 . . , . . ! ! . . (a. . . .. rT. . . . . . . . . . . . . . . . . . . . . . . . . . .. .. .. . . . The certificate is issued to . P`r. . . . .$. :449. . . . ., r . . . . . . . . . . . . . . . .. .. .. . . . . . . . (owner, lessee or tenant) of the aforesaid building. Suffolk County Department of Health Approval . . .11!R! . . . . . . . .. . . .. . . . . . . . . . . . . . . . UNDERWRITERS CERTIFICATE No: 1 . .. . . .. . . r . . " . .. .. . . . . . . . . . . : . HOUSE NUMBER .Al. . . . . . . . . Street . . . . XOUUV .of . . . .. .. .. .. ... . . . . . . . . . . . Building hisp FORM NO.4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold,N.Y. Certificate Of Occupancy L10721 Date . . . . . . .October. 7.t . . . . . . . . . . . . .. 19 £31 THIS CERTIFIES that the building . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . > . . . . . . . . . « . . . . . . 345 Youngs Avenue, Mattitucte, New York Location of Property House No Street Hamlet County Tax Asap No. 1000 Section . . .1 14. . . . . .Block . . . , . . . .1.0 . . . . .Lot . 029. . . . . . . . . Subdivision . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Filed Map No. . . . . . .. . .Lot No. . — . . . . . . confocnis substantially to the Application for Building Permit heretofore filed in this office dated July. 7 b 19 a1 pursuant to which Building Permit No. 1w1268. Z . dated . .July• 3. . . . . . . . . . • . . . . . . 19 8.1. ,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 . . . . . . . . . Tnground Swimming Pool with Fence . « « . . The certificate is issued to Fx'ank 5t8rzee �or,vner, . . " of the afo►esaid building. Suffolk County Department of Health Approval . . .N/R. . . . . . I . . . . . . . . . • , UNDERWRITERS CERTIFICATE NO. . . N529.124 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Building Inspector Rev.1/81 a EXISTING PLANS FORAth Starzee Residence 405 YOUNGS AVE,MATTITUCK NEW YORK Starzee Residence � �� sfs>�Rsa mrox [ SOS Yo•ug.A.s Mdmfr,New SL �. SGTMJt E s s mom Ift .. sUAL 3 f aFe arm SOOT P�! A-1