HomeMy WebLinkAbout1000-141.-4-22 (2) TOWN OF SOUTHOLD
ental Permit
_ Permit No. 0330
Owner N N, Radian Gems Ltd.
Occupied as 0
Single Family Dwelling
Located at 560 Pacific Street Mattituck 141-4-22
Village s/13/1-
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.
8/20/2020 John Jarski
Date of Issue Code Enforcement Officer
This Notice must be posted by the main entrance at all times
Tu"�WWWN OF SOUTHOLD
Rental Permit
Permit No. 0331
Owner Radian Gems Ltd.
Occupied as Accessory Cottage
Located at 560 Pacific Street Mattituck 141-4-22
Village s/13/1-
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.
8/20/2020 John Jarski
Date of Issue Code Enforcement Officer
This Notice must be posted by the main entrance at all times
,0 '
Town Hall Annex R Telephone(631)765-1802
54375 Main Road "` Fax(631)765-9502
P.O.Box 1179 W
Southold,NY 11971-0959
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
RENTAL PERMIT APPLICATION
Rental Permit Fee $200 (Application must be renewed every two years)
Wnw
Section A. �.
Property Information: JUL
r " T)r,f
Rental Property Address: V- .E,. '^
Tax Map Number: 1000 SECTION o? -BLOCK -LOT
SECTION B.
OWNER INFORMATION:
Property Owner Name: fvsci,L
Property Owner Legal Address: Property Owner Mailing Address:
c>
�1
L;31--131 - 16Cl1:1
Telephone Number (s): Daytime Evening_ rr�w _ Emergency 52vr �-
Property Owner Email Address: I I C�
1 14.q_ 1`
Page 1 of 5 Q-
C
Town Hall Annex Telephone(631)765-1802
54375 Main Road Fax(631)765-9502
P.O.Box 1179
A0
Southold,NY 11971-0959
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
Section C.
Authorized Agent Information:
Name of Authorized Agent of dwelling unit, if any:
Address of Authorized Agent (no P.O. Boxes); � 00 ------- I l�i�i�
_.... _w......
Malting Address of Authorized Agent: 9. 6. cY� 3 L- ra_.._..__.�_
Telephone Number (s): Daytime Si-75/4,71 Evening Se-w-t Emergency_,,,
Email Address: .,, - 9 .�.... e D S
Section D.
Managing Agent Information:
Name of Authorized Agent of dwelling unit, if any: _ emm__
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: _ N r . ..... ..........
Address of Managing Agent (no P.O.
Page 2 of 5
Town Hall Annexy Telephone(631)765-1802
54375 Main Road Fax(631) 765-9502
P.O. Box 1 179
Southold,NY 1 1971-0959
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
Mailing Address of Managing Agent: ._.------
Telephone Number (s): Daytime Evening_,___ Emergency__,,,,,,,,,,,,,,,,,._.._
Email Address:
SECTION F.
PROPERTY DESCRIPTION:
Number of Rental Dwelling Units on property: ... 1Z
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: G✓ ` _.........
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: ry
Page 3 of 5
Town Hall Annex 'r Telephone(631)765-1802
54375 Main Road Fax(631)765-9502
P.O.Box 1179
Southold,NY 11971-0959
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
RENTAL PERMIT APPLICATION ADDENDUM
Rental Dwelling Unit Identifier: -� �"►
Requested maximum number of persons allowed to occupy each dwelling uni
Number of Rooms in Rental Dwelling Unit: � cc ._.._ _..__ �t; lr .... ...
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: �ww
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:
Town Hall Annex . Telephone(631)765-1802
54375 Main Road Fax(631)765-9502
P.O.Box 1179
Southold,NY 11971-0959 "
w
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.
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.
SECTION H.
DECLARATION: Signature must be notarized and MUST be the owner of the dwelling unit.
STATE OF NEW YORK)
COUNTY OF SUFFOLK)
1 1 � 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
Town Hall Annex ,M Telephone(631)765-1802
54375 Main Road ' Fax(631)765-9502
P.O.Box 1179
Southold,NY 11971-0959
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
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 thiVWday of M 201Y
a
Official Notary Publi Signature and Original Notary Stamp
t 1�.NfIiTTAI.1
704
l�1►.
i11
Page 5 of 5
' TOWN OF SOUTHOLD. BUILDING DEPT.
765-1802
INSPECTION
[ ] FOUNDATION 1ST [ ] 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
REMARKS:
�t Or W tv��
DATE �� INSPECTOR
�f (p/l,g��
A
tat s �
TOWN OF SOUTHOLD BUILDING DEPT.
765-1802
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] IN , LATION
[ ] FRAMING /STRAPPING [ ] NAL
1�'4
[ ] FIREPLACE & CHIMNEY [ FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL)
[ ] CODE VIOLATION [ ] CAULKING
REMARKS:
gorv,- 4L Lin t
0 406 t 5R W
�vfcc ' �I
000
1-0
Am Asi
t
DATE INSPEOTO
r.
L ,A " d r blti �1(n
r
"Ok
M
c�.m 8r ,.
T41
COFT
rr rig
. °
(NbT M .. f
M6gt# 5-6 1 CCU 5 / TIfi-U K� .H`f
(Nod- TO s Ali)
.e�a .������� � C� T
d
Ew b�
(J i&&6DH
t4o&pKjjK,-
0 11orf�
0100 ti
mom,
.. ,. f
LL
O
LU
02
■o■
ILU
1 Cie
f m k a
Ts
IL
s
e
"W
m
w i °" z z
O O
lJ to Cw7 wL
IL 1
=� w 3 � Q Q
.. ��
�M
2 2
a . L.LjU
Lu
Aft ..u, _ �........ ....... ..�..,. ' . . LLL LLL [gyp _
T .Li
L; f w
Q
D Z m a
O
r
` T
w Z
fir _.
a
w �Q
V)
a �... , tV
w C Z7 _D
� . w c.j Z Q a� m e� o —° CL
a o
tn
.. _
O O Cl � Z w F- f- 1- cn c`c 2 F0-
....� -+
� f
'
o _ o in LL
-71
0
0 0°
a LL 9
ii
Ln
4A O O a) E E
t—�d
Z 0
__ »...
a
A 1
_. OWNce
I
inO o 0
c o
v j CY O N 3
>
_.,..,,
wa _
LOL
,
1-3
MUM
e
r
r
r w" vy o o c
v � N s rn o m v
�o a p
TOWN OF SOUTHOLD
OFFICE OF BUILDING INSPECTOR
TOWN HALL
SOUTHOLD, NEW YORK
CERTIFICATE OF OCCUPANCY
NONCONFORMING PREMISES Date: July 18, 1984
THIS IS TO CERTIFY that the
Pre C.O. #Z12611
Land
/g/ Building(s)
%/ Use(s)
located at 560 Pacific Street R.O.W. Mattituck
Street Hamlet
shown on County tax map as District 1000, Section 141 .00, Block 04.00
L,ot 02 o , does{not�conform to the present Building Zone Code of the
Town of Southold for the following reasons:
Insufficient total area.. In zff 2i
conforming second dwelling with insufficient side & backvard setbacks.
n n
On the basis of information presented to the Building Inspector's Office,
it has been determined that the above nonconforming /�/Land /_X/Building(s)
/ /Use(s) existed on the effective date the present Building Zone Code of the
Town of Southold, and may be continued pursuant to and subject to the appli-
cable provisions of said Code.
IT IS FURTHER CERTIFIED that, based upon information presented to
the Building Inspector's Office, the occupancy and use for which this Certifi-
cate is issued is as follows: A one story wood framed one family dwelling
and a one story wood framed cottage,
The Certificate is issued to Ro
(owner, h4 ` pRXtf_3 Ht.)
of the aforesaid building.
Suffolk County Department of Health Approval N/A
UNDERWRITERS CERTIFICATE NO. N/A
NOTICE IS HEREBY GIVEN that the owner of the above premises HAS
NOT CONSENTED TO AN INSPECTION of the premises by the Building Inspec-
tor to determine if the premises comply with all applicable codes and ordin-
ances, other than the Building Zone Code, and therefore, no such inspection
has been conducted. This Certificate, therefore, does not, and is not intended
to certify that the premises comply with all other applicable codes and regula-
tions.
Buildit: oa.pector
Town of Southold 8/6/2020
P.O.Box 1179
3095 Main Rd
Southold,New York 11971
.. ..........
CERTIFICATE OF OCCUPANCY
No: 41328 Date: 8/6/2020
.............
..........
THIS CERTIFIES that the building ELECTRICAL
..........
Location of Property: 560 Pacific St, Mattituck
...............----........... ....... ..................... ........
SCTM#: 473889 Sec/Block/Lot: 141.-4-22
......................
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
7/8/2020 pursuant to which Building Permit No. 44955 dated 7/8/2020
...........--.........
..............
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:
I
"as built,"electrical u�)Tadgj!jare existing.geattr�g .
The certificate is issued to Radiant Gems Ltd
........................... ........... ...........—....... ............
of the aforesaid building.,
SUFFOLK COUNTY DEPARTMENT OF]HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 44955 8/5/2020
PLUMBERS CERTIFICATION DATED
............ ..................
.................
Authorized Signature
Town of Southold 8/20/2020
P.O.Box 1179
53095 Main Rd
Southold,New York 11971
CERTIFICATE F OCCUPANCY
No: 41370 Date: 8/20/2020
THIS CERTIFIES that the building ADDTTIONIALTERATION
Location of Property: 560 Pacific St,Mattiuck
SCTM#: 473889 Sec/Block/Lot: 141.-4-22
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
1/6/2020 pursuant to which Building Permit No. 44910 dated 6/24/2020
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"covered ant and alterratio inludin non-habitable stora c lofl as a lied for.
The certificate is issued to Radiant Gems Ltd
4
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 44910 8/5/2020
PLUMBERS CERTIFICATION DATED 8/18/2020 Mattutick Plumbing
� _�.._M.._._.... ..�... Authorized.S .at ...._ w.......... .....
gn ure
LAW OFFICES
WICKHAM, BRESSLER&GEASA, P.C.
13015 MAIN ROAD, P.O.BOX 1424
MATTITUCK,LONG ISLAND
ERIC J.BRESSLER NEW YORK 11952 WILLIAM WICKHAM(06-02)
ABIGAIL A.WICKHAM
JANET GEASA 631-298-8353
TELEFAX NO.631-298-8565
awickhatn@wbglawyers.com
October 9, 2019
Att: John J. Jarski, Sr. Building Inspector
Town of Southold Building Department
P.O. Box 1179
Southold,New York 11971
Re: 1. Rental Permit application-560 Pacific Street, Mattituck,NY 11952
SCTM#1000- 141-4-22 (i -"cLr'�4- &,4Y 1 S
2. Rental Permit application— 3600 Main Road, Laurel,NY 11948
SCTM#1000-125-3-9
Dear Mr. Jarski:
Ms. Lundstedt has consulted me to review your requirements for issuance of a rental
permit. We have been working on addressing them. However, we ask that we be given
a WAq extension of the period in which to address these matters as they require
applications for regulatory approvals and physical work which will take, ill the best of
circumstances, far longer than 30 days. Our clients' clear intention was to comply with
the Code, and as to both of these properties, they inherited them without knowledge of
their compliance status.
I have examined the Town files on these properties and have met with Eileen
Wingate to expedite the necessary applications and work required. She will help my
client coordinate the physical corrections necessary with a contractor in the next few
weeks.
We will keep you updated as matters progress. If a further extension is needed, we
will advise.
Thank you for your assistance in this matter.
Very t ily yours,
g AAW/dm
Abigail A. Wickham
re/Lund/LtrBDept s
)'
r I 1
L4.4DAa nub
SBdOS' f}
r-�1-1b� I,
oy
V �•
gqIMI •i-. r � Q � J _ mow,,,
11 d m.....-...,«.«.. `.'^.." ....„. •J
I L �
� -r,�„Cr"BaZ,Ba �
V to �c
•• J f � rl o� X
J
r
L
a r�
GGG M•
o
a s
pit, ...�.._............._�."........�,g..y..».,....,..., t`:.".Y"! ai ... ...�. ...._