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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 ... ...�. ...._