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Home My WebLink About1000-115.-3-6 R� TOWN OF SOUTHOLD 4 Rental Permit Permit No. 0313 Owner Richard Sachs Occupied as Single Family Dwelling Located at 260 Sunset Avenue Mattituck 115-3-6 Address Village s/B/I. 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. 6/23/2020 John Jarski Date of Issue Code Enforcement Officer This Notice must be posted by the main entrance at all times Telephone(631)765-1802 Town Hall Annex 54375 Main Road Fax(631)765-9502 P.O.Box 1 179 Southold,NY 11971-0959 BUILDING DEPARTMENT TOWN OF SOUTHOLD RENTAL PERMIT"APPLICATIft Rental Permit Fee$200 (Application must be renewed every two years) r Section A. Property Information: Rental Property Address Tax Map Number: 10.00 SECTIONL `LOT SECTION B. OWNER INFORMATION: Property Owner Name:,,. Property Owner Legal Address: Property Owner Mailing Address: d um ,� Telephone Number (s): Daytime _Even'ing� Emergency' * _ L '1 Property Owner Email Address: ' Page 1 of 5 Town Hall Annex msGr Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1179 Y Southold,NY 11971-0959 BUILDING DEPARTMENT TOWN OF SO ,)"T IOLD Section C. Authorized Agent Information: Name of Authorized Agent of dwelling unit, if any:_ 1 _ Address of Authorized Agent (no P.O. Boxes): o' Mailing Address of Authorized Agent: ...„ w w� Telephone Number(s): Daytimek931 ll05 y3b0Evening Emergency Email Address: '7 Section D. Managing Agent Information: Name of Authorized Agent of dwelling unit, if any: Address of Authorized Agent(no P.O. Boxes): , N Mailing Address of Authorized Agent: Telephone Number(s):Daytime Evening Emergency Email Address: SECnON E. SITE MANAGER INFORMATION:(required for rental properties containing 8 or more rental units) Name of Managing Agent of dwelling unit,if any: Address of Managing Agent(no P.O. Boxes):. Page 2 of 5 Town Hall Annex - Telephone(631)765-1902 54375 Main Road y Fax(631)765-9502 P.O.Box 1 179 "S Southold,NY 1 1971-0959 couff 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. " 1 aril 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. SECTION H. DECLARATION: Signature must be notarized and MUST be the owner of the dwelling unit. STATE OF NEW YORK) ) COUNTY OF SUFFOLK) 1 C certify under penalty of perjury,the following: ��,. �. 1 amithe owner ofth roperty identified in "Section A' of this application. 2. The property owners legal address set forth in "Section 8'of this application is my legal address and I understand the Torn will use the address for service pursuant to all Page 4 of 5 Town Hall Annex Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1179m� , Southold,NY 11971-0959 :a BUILDING DEPARTMENT TOWN OF SO :SOLO 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: � S W before me thi da of ' , ' _ 201b blic Sig ature and Original Notary Stamp BETSY A. PERKINS Notary Public, State of New York No. 01 PE6130636 Qualified in Suffolk County Commission Expires July 18, Page 5 of 5 Town Hall Annex Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1179 � �� Southold,NY 11971-0959 .4d BUILDING DEPARTMENT TOWN OF SO"UTHOL D RENTAL PROPERTY CERTIFICATION Form is to be completed by a license architect, licensed engineer or licensed home inspector Separate form is required for each individual Rental Dwelling Unit Pro ssiional seal re aired forArchitect or Engineer licensed Horne lns ector must rovide cggv of valid"'current certi cation Rental Property SCTM Number: Rental Property Address:2kL i Owner/Name: Rental Dwelling Unit Identifier: Number&Square footage of each bedroom as depicted in the attached floor plan: (i.e. Be Bedroom#1-100 sq.,Bedroom#2-90 sq., etc.) "y I Proerty Description (Include all improvements indicated on survey) N r �6-16 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, and the Energy Conservation Construction Code of New York State. Print Name and Title Or , i ell • gianature Please place professional seal: Sack% S I P-(Ck" �Z�OJFS�tll6e+ A-4, MkM1tkcA so TOWN 'OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION/CAUL G [ ] FRAMING / STRAPPING [ j yINAIf L Z4& [ ] FIREPLACE & CHIMNEY [ FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) [ ] CODE VIOLATION [ ] PRE C/O REM RSom ...........A 116V f� C O DATE 3 '�" INSPECTOR ga . a TOWN OF SOUTH OLD PRO � � � � )RD CARD OWNER , _ STREET 7 `�� VILLAGE DIST SUB. LOT - S�►NS�T Iia 7 i> i Jc_ ' Z-15 FORAGER OWNER N E Z ACR.S W ; TYPE OF BUILDING S- ,S� r�1 �J^ � � �"fi�•=� '/hC' !Y/a�Jl?C L�[}NStA°Vfinit/' RES�y SEAS. VL. FARM COMM. CB. MICS. Mkt Value LAND IMP. TOTAL DATE REMARKS ate ; - � L � � I � �-7 a ot> Er ¢3 _ az -7 c-,3-N o?n I ''-t' ,:-�c� _ A '; lu AGE BUILDING CONDITION Y _ NEW NORMAL BELOW ABOVE FARM Acre Value Per Vclue Acre Tillable FRONTAGE ON WATER Woodland - FRONTAGE ON ROAD _1 _ /'`;r' 4 o Meadowland DEPTH House Plot BULKHEAD Total DOCK } //M -tip I COLOR k1 H i 7 6' TRIM f -------------- I i [ I i p s i ZC � 1 , 115.-3-6 3/13 ? E M. Bldg o �? X z s Extension Extension Extension 'Foundation Bath / G Dinette Porch3 asemen# F v t_ iFloors Porch Ext. Walls Interior Finish LR, C C" Breezeway I Fire Place Heat ' DR Al o Garage �c►7� I �„� ! s `Type Roof Rooms 1st Floor BR. Patio 'Recreation Room. Rooms 2nd Floor FIN. B 0. B. 'Dormer ` ` Driveway SrCc � Total 3cTx5 S 5F -3/r3 a _ 1 r r - „' ' " Town of Southold Annex 8/24/2012 54375 Main Road Southold, New York 11971 PRE, EXISTING CERTIFICATE OF OCCUPANCY No: 35907 Date: 8/24/2012 _ THIS CERTIFIES that the structure(s) located at: 260 Sunset nset Ave, Mattituck SCTM#: 473889 Sec/Block/Lot: 115.-3-6 Subdivision: Filed Map No. Lot No. conforms substantially to the requirements for a built prior to APRIL 9, 1957 pursuant to which CERTIFICATE OF OCCUPANCY NUMBER Z- 35907 ^...... dated 8/24/2012 was issued and conforms to all the requriements of the applicable provisions of the law. The occupancy for which this certificate is issued is: cement.block,one fa�nit dwellin .* t164 g .ition C C�129, I P L7479 enolo§e<1 orch COZ-35848., The certificate is issued to Sobieray, John&Sobieray,Hazel _ .. _..p_..._.�www_.......-........... (OWNER).. ......._....._ .... .. .. .... .,.„ . ._,... ,µw. of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED *PLEASE SEE ATTACHED INSPECTION REPORT. ............... BUILDING DEPARTMENT TOWN OF SOUTHOLD HOUSING CODE INSPECTION REPORT LOCATION: 260 Sunset Ave,Mattituck —-—-------------- BUFF.CO.TAX MAP NO.: 115,-3-6 SUBDIVISION: ...... NAME OF OWNER(S): Sobieray, John&Sobieray,Hazel OCCUPANCY; ADMITTED BY: SOURCE OF REQUEST: Sobieray,John&Sobieray,Hazel DATE: 8/24/2012 DWELLING; TYPE OF CONSTRUCTION: #STORIES: 1.5 #EXITS: FOUNDATION: cement block CELLAR: full CRAWL SPACE: TOTAL ROOMS: 1ST FLR.: 2ND FLR.: 3RD FLR.- BATHROOM(S): I TOILET ROOM(S): UTILITY ROOM(S):-....-- PORCH TYPE: DECK TYPE: PATIO TYPE: BREEZEWAY: FIREPLACE: GARAGE: .............. DOMESTIC HOTW,AT ER yes TYPE BEATER: Nat'l Grid AIR CONDITIONING: TYPE HEAT: WARM AIR: x HOT WATER: yes #BEDROOMS:.... ...........3 #KITCHENS: I BASEMENT TYPE: unfinished OTHER: ACCESSORY STRUCTURES: GARAGE,TYPE OF CONST: STORAGE,TYPE OF CONST: SWIMMING POOL: GUEST,TYPE OF CONST: .. .............. OTHER: VIOLATIONS: ........... REMARKS. ........... INSPECTED BY: GARYF DATE OF INSPECTION: 8/20/2012 TIME START: END: u FORM NO.4 TOWN OF SOUTHOLD C4,` BUILDING DEPARTMENT Office of the Building Inspector Town Halle Southold,N.Y. �J Certificate Of Occupancy No. , 129w95 Date . . Noyember—U . . . . . . . . . . . . . . . .. 1984 THIS CERTIFIES that the building Location of Property 260 Sunset Lane Mattituck House No. Stree[ .Ham/ei County Tax Map No. 1000 Section . ? 5. . . . . . . .Block . .0 3. , . . . . . . , . .Lot . . OM6 . . . . . . . . , . . Subdivision . . . . . . . . . , . . . . . . . . . . . . . . .Filed Map No. . . . . . . . .Lot No. . . . . . . . . . . . . . conforms substantially to the Application for Building Permit heretofore filed in this office dated A p r i.1. 2.0 , _ . , , , , 190.. pursuant to which Building Permit No. . .1.3.064.Z. . . .. . w . w , . dated . . AP r?1, ,2 6 , , , , , . , , , , . . 10 4 , ,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 . . . . . .. . . . , , ,Garage, addition to„exis tiny dwelling; „ , , , , , , n , , , , , . . . , , The certificate is issued to . , . , J O H N. & ,H A Z,E G, S O B I E R A Y „ , , , , (owner, r �iY X X of the aforesaid building. Suffolk County Department of Health Approval ... . . . . . . . I N/A . . . . . . . . . . . . . . . . . » . . . « . „ . . . . . UNDERWRITERS CERTIFICATE NO. . . . . . . , , , , , , , , , , , , , , , , , , , , , v� . ry Building Inspector Rev.1181 t' Town of Southold Annex 8/24/2012 P.O.Box 1179 54375 Main Road Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 35848 Date: 8/24/2012 THIS CERTIFIES that the building PORCH Location of Property: 260 Sunset Ave, Mattituck, SCTM #: 473889 Sec/Block/Lot: 115.-3-6 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this officed dated l/l/1900 pursuant to which Building Permit No. 37469 dated 8/24/2012 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: t o ......,,pq. ch dlticala,,,tq n x% twin e>a family d lli�ng.' u5 cLmi1 r c .s E 8 9 ssugd 10/18/70. The certificate is issued to Sobieray,John&Sobieray,Hazel (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED ur