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Home My WebLink About1000-108.-4-7.29 TOWN OF S UTH LD Rental Permit 1326 Owner: Ignacio Varela , Claire Holmes Occupied as: Single Family Dwelling Located at: 1420 Gabriella Ct Mattituck 108.4-7.29 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. Issued: 06/03/2025 Expiration: 06/03/2027 Col Ens ment This Notice must be posted by the main entrance at all times tl u � TOWN 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 lilt :",NN,NvN'�r.sout'lioldtoN rin 121 RENTAL. PERMIT APPLICATION Rental Permit Fee$300(Application must be renewed every two years) Section A. Property Information: Rental Property Address: 0(5 Tax Map Number: 1000 SECTION�Q8.00 -BLOCK 04-00 -LOT 001 _- 0201 SECTION B. OWNER INFORMATION: Property Owner Name: 6tAlRe VAREGA Property Owner Legal Address: Property Owner Mailing Address.- 4 2k GA - 5Z Telephone Number(s): Daytime 631 365'.V3 vening 1 363-36'3Emergency 1 36 6636 Property Owner Email Address: . IC°�P�l,� C,10; C�'�� 4» Ak.... Page 1 of 4 SECTION F. PROPERTY DESCRIPTION: Number of Rental Dwelling Units on property: For each Rental Dwelling Unit set forth the Rental Dwelling Unit identifier(for example, Unit 1, Unit 2, Unit 3 or Apt A, B, Q the use of each room in the Rental Dwelling Unit (for example, Kitchen, Bedroom 1, Bedroom 2, Living Room) and the dimensions of each room. For properties with multiple Rental Dwelling Units use "Rental Permit Application Addendum." Rental Dwelling Unit Identifier: 142- Requested Maximum number of persons allowed to occupy Dwelling Unit: 6 Number of rooms in Rental Dwelling Unit: i- t"t � at �► Use and Dimensions of each room in Rental Dwelling Unit: it r ,, S► � a¢" ' `'� � ' " 221101 " 1z ` ►' �o. 2 �'q'►X��1'� J Ki� ,� �b'��''x �7��0`►J �ii " Orefi 1 ► ' 'I 1�'S �I�'$" . 1-A\VIA) Too,„ Z�`�►"� � toll, i3ase�.�.� 3� � �� 2t) 2 SECTION G. '� , I INSPECTION: �a"'�`�'J 1 2 1,11 2 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. Id I am requesting a fire 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) Clw��chth �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 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: elairt Flol+n es t( r Property Owner's Signature:Sworn to to before me thiso lI day of , 20 BARBARA H.TANDY Notliry Public,State Of New York No. OI TA6086001 Official Notar Public Signature and Original N ar Stamp tualitid pr►Suffolk taurri Commission Expires ... Page 4 of 4 TOWN OF SOUTHOLD BUILDING DEPT. co 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 [ r /RENTAL REMARKS: a.-sola XcUlXAC DATE `� _ INSPECTOR Town Hall Annex Town Of Southold 54375 Main Road Rental Inspection Report PO Box 1179 � Southold, NY 11971-1179 q ( � Tel: 631-765-1802 U SUM# — — a Date a/9S Owner A-, Phone Addresses Visible Hamlet Pnspector Floor Level Quantities Sub 1 2 3 Smoke Detectors (not located in bedrooms) 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 0?00? Door alarms Pool completely enclosed Self closing/latching gates Pool fence to code requirements CO's for all items present Prior Rental Comments: r TOWN OF SOUTHOLD PROPERTY RECORD CARD OWNER STREET 1fILLAGE DIST SUB LOT 7arm - F ACR.� REMARKS PEOFBLD. 4 TY t S PROP,OLA5S LAND IMP TOTAL DATE t = _ -zq J i —, 5-5;bo 700,D _ /L ,_ L ta7( �fQ FRONTAGE ON WATER TILLABLE FR ---F ONTAGE ON ROAD WOODLAND I DEPTH MEADOWLANDI I BUL9CHEAD HOUSE/LOT TOTAL, n � o ------------- F � - - I r � 1 . .29 09/2016 t E ' t Baths Dinette M. Bldg Foundation f Basement Floors tCif VT xt , m srn - �, - �� Ext Walls Interior F ish 1 L F� Ltd si t }f', f� Fire Place I Heat Ca R Woodstove BR ' , r P h � Dormer _ Fin B ore 7 ��- Deck - f Attic Rooms tst Floor _ y - ..- -- Garage _' ` Driveway �----- _�. Rooms 2nd floo€ D — I a e e -4 a e L Town of Southold 12/16/2016 P.O.Box 1179 53095 Main Rd Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 38716 Date: 12/16/2016 THIS CERTIFIES that the building SINGLE FAMILY DWELLING _ mmmM4. Location of Property: 1420 Gabriella Ct.,Mattituck SCTM#: 473889 Sec/Block/Lot: 108.-4-7.29 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 3/11/2016 pursuant to which Building Permit No. 40588 dated 4/1/2016 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: t3Nl —F Il Y DW 1?I.LIG INCLCIDING FRU141VERED 1'DRCII BAR DCI ANUsTl'eC 11ED "�" �? �— �G RAGE AS APPLIED F ►R The certificate is issued to Aliperd Family 2012 Irry Trt of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL R10-11-0025 12-02-2016 ELECTRICAL CERTIFICATE NO. 40588 11-30-2016 PLUMBERS CERTIFICATION DATED 12-13-2016 Charles R.Nagy ..www. ...w. _ u �`�zed Signature ...,___.._...._wwM �ftt 4, Town of Southold 3/2/2024 P.O.Box 1179 53095 Main Rd Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 45026 Date: 3/2/2024 THIS CERTIFIES that the building ADDITION/ALTERATION Location of Property: 1420 Gabriella Ct.,Mattituck SCTM#: 473889 Sec/Block/Lot: 108.44.29 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 10/12/2021 pursuant to which Building Permit No. 47035 dated 10/26/2021 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: addition and alterations inchtdin rear deck and finished basement toexist*n si,_gle family dwcllin,as apAlied for. ._ 1 The certificate is issued to Trant,Stephen&Lindsay of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 47035 2/14/22&8/14/23 PLUMBERS CERTIFICATION DATED t 0 ".. Signature..._..w._.._...�_.........__.. Town of Southold 9/l/2023 P.O.Box 1179 53095 Main Rd Southold,New York 11971 .................... .......——------------ I CERTIFICATE OF OCCUPANCY No: 44522 Date: 9/l/2023 .................... THIS CERTIFIES that the building IN GROUND POOL ............. I...."I'll .............. Location of Property: 1420 Gabriella Ct.,Mattituck .. ................--................ ......................... SCTM#: 473889 Sec/Block/Lot: 108.4-7.29 ............. ................. Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 5/10/2022 pursuant to which Building Permit No. 47945 dated 6/10/2022 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 around swimming pool f4ticegil�tocode code as f r. The certificate is issued to Trant Stephen&Lindsay ...... ...... ..... .... of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 47945 /16/2022 ........... PLUMBERS CERTIFICATION DATED i .......... Atitli rig d ignature _..... �� ......_.... .. . _ ._..,.,_. _. . _._ ............................ .....w ..... .... w_ Town of Southold 9/12/2024 P.O.Box 1179 53095 Main Rd Southold,New York 11971 CERTIFICATE OF OCC ANCY No: 45543 Date: 9/12/2024 THIS CERTIFIES that the building ACCESSORY Location of Property: 1420 Gabriella Ct,Mattituck SCTM#: 473889 Sec/Block/Lot: 108.4-7.29 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 3/13/2024 pursuant to which Building Permit No. 50958 dated 7/16/2024 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: acces <ar°p yil on a aap-Pjjed,f r The certificate is issued to Trant, Stephen of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 50958 09/09/204 PLUMBERS CERTIFICATION DATED �..... _............� __.... ......... . . ...„ _ .., __........�.._._.........._ ...... A o ize .. nature 1420 GR3RtE1-GA COURT Ba �> Rlmary Bath Bedroom 'I h L 126"x 7'9 OFFICE/FAMILY Room ` ---- _ 13'9"x 9'7" Bates m. z' 11'9"x 11'6" Kitchen " Dining Area �-_—-� 16'1g'x 11'10" 11'8"x 11'9" - (g z 1 . - H 6 5 zI 4 B" i Primary Bedroom Bedroom ` �= 14'11"x 174" Living Room = 11'8"x 15'6" '---1 17'9"x 13'4" ` =-_- Bedroom ---- Foyer —i— 1010"x 12'5" Garage 1015"x 13'8" _---- 23'10"x 207' Floor 3 Floor 2 CA(-boo M 0Y)o"'1 a d- JL+Pc+-a- }: FAMILY/RECREATION Room i= I AL Floor 1 Total scanned area: 3441 sq. ft 'sizes And Dlmenslons Are Approximate,Actual May Vary" t e ' Cn 4 _ Primary Bath -xk B X Bedroom Bath 1216" "x 7'9 v n 13'9" x 9'7" 7' 11CO, } ® ® o 3 Hall 161511 x 41811 77) Primary Bedroom Bedroom 14'11" x 17'4" 11`8" x 15'6" Bedroom 10'10" x 12'5" r Total scanned area: 3441 sq. ft 'sires And Dlmenslons Are Approximate,Actual May Vary' � . . � : . . . . . . ( \ § ; ! » . , , �q��.��.. ............. . x ) ° ` ) ° _~ ) Bath ( | x5' � , ! OFFICE/FAMILY Rom )C` Kitchen , Dining Area 11 9" x !£§" 16 1O" x 1 y 10" 1 y 8" x 11 g" . ! ----------,---} / Living Room . . , . � § 1/9" x 13 4" . Foyer ) Garage 1E5" x13'8" : 2ƒ!O" x 20 7" \ Total scanned area: 3441 s. R 'sizes And__e_ em maw . D �£ .P C Ii Z � v x N C 4PI --I N ~ FAMILY/RECREATION Room 35'4" x 247" Total scanned area: 3441 sq. ft "sizes And Dimensions Are Approximate,Actual May Vary" pp \\ \\\\ I"Al ex \ \`~ miAV \ \ u i � I � \\ \\ Strnl ld20 �. \` \ \\ �� \ � off\ \��\ �de�t�PA�t��ut ►e`re ue �e�t�s eta` '1'A��2 0 \\\ \ \\\ o \\ \