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Home My WebLink About1000-123.-8-22.4 �ID � TOWN OF SOUTHOLDfo Rental Permit 0479 Owner Kevin Murphy Occupied as Single Family Dwelling Located at 3265 Park Avenue Mattituck 123-8-22.4 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. 6/23/2021 Code Enforrement Co ica1 This Notice must be posted by the main entrance at all times Town Hall Annex Telephone(631)765-1802 ��° `'� 54375 Main Road Fax(631)765-9502 P.O.Box 1179 Southold,NY 1 197 1-0959 � BUILDING DEPARTMENT TOWN OF SOUTHOLD RENTAL PERMIT APPLICATION Rental Permit Fee $200 (Application must be renewed every two years), Section A. Property Information: , � Rental Property Address: V � Tax Map Number: 1000 SECTION cZ -BLOCK no t� SECTION B. OWNER INFORMATION: Property Owner Name: w n u� h Property Owner Legal Address: Property Owner Mailing Address: t� t c 12vad 21? old ownJ Rods �"v�c .a Y l �lb$ Svc° r,, rr <v") �' C�6�? Telephone Number(s): Daytime2oz-SgO-951-j Evening 2a et- Emergency 9�7 Sys—y 39 7 Property Owner Email Address: i a9 7 1,0 4-0 Page 1 of 5 Town Hall Annex Telephone(631)765-1802 54375 Main Road { Fax(631)765-9502 he P.O.Box 1179 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): Mailing Address of Authorized Agent: Telephone Number (s): Daytime Evening Emergency Email Address: Section D. Managing Agent Information: Name of Authorized Agent of dwelling unit, if any: u s Address of Authorized Agent(no P.O. Boxes): 0 S aim R o aA 'Y' Mailing Address of Authorized Agent: 3 E'v3e Telephone Number(s): Daytime ning Emergency Email Address: OL oc c /lo .. c" . 'heS. r SECTION 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)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1179 # Southold,NY 1 1 971-0959 Owl 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: 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:Ci _ Number of rooms in Rental Dwelling Unit: Use and Dimensions of each room in Rental Dwelling Unit: gAro n, l l3 ` x /d ec�rvv/►-� a 10 X (� ' x Page 3 of 5 d` Telephone(631)765-1802 Town Hall Annex 54375 Main Road p, Fax(631)765-9502 P.O.Box 1179 Southold,NY 11971-0959 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 am requesting a fire safety inspection to be performed by a Code Enforcement Official from the Town of Southold �I I 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 k(d, o' M. Ivi .211 , 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 C � ,. Town Hall Annex Telephone(631)765-1802 Fax(631)765-9502 54375 Main Road P.O.Box 1179 �- Southold,NY 11971-0959xk 'Ire, BUILDING DEPARTMENT TOMN OF SO MOLD 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: u Property Owner's Signature: ff Sworn to before me this 1�day of JPf' . 20 Official No tar Publi Signature nd Original Notary Stamp F FANY J BEREZNY blic-State of New York .01BE6284112 ed in Suffolk County ion Expires Jun 17, 2021 Page 5 of 5 Town Hall Annex �� Telephone(631)765-1802 54375 Main Road ' 1 Fax(631)765-9502 P.O.Box1179 Y . b / � Southold,NY 11971-0959 � �/ BUILDING DEPARTMENT TOWN OF SOUTHOLD RENTAL PROPERTY CERTIFICATION Form is to be completed by a license architect, licensed engineer or licensed home inspector Separate form is required far each individual Rental Dwelling Unit resl+ nq el eir or Architect or EncjLneeira pIf. is_Ittr ast.pri de of yalid current c rti c tkqp Rental Property SCTM Number: 1000.123.00 - 08- 22.004 ......� . m Rental Property Address: arI. e�' . . ............ ..,ww.__ _..... Owner/Name: Kevin M. Murphy Rental Dwelling Unit Identifier: ... .,__...... _ ..w--U. �. _... _..._. ..... ........, _��.. .. _. ..�.�o... ..o..........._......a....... . Number&Square footage of each bedroom as depicted in the attached floor plan: (i.e. Bedroom#1-100 sq., Bedroom#2-90 sq., etc.) Property Description (Include all improvements indicated on survey) 1 STORY SINGLE FAMILY RESIDENCE . .. 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 Conservatiol Constructti n Code of New York State. __.. _. William S light Architect Print Name and Title Signature- Please place professional seal: s OWN OF SOUTHOLD PROPERTYR COrr% OWNER STREET a� VILLAGE �IA T s {1 , w FORMER OWNER f N I E — - REA r jj - - : _ S1 W 1 TYPE G av u = YP OF BUILDING RES_ - � SEAS. �"` , VL FARM comm. IND. CB. MISC. I LAND IMP. TOTAL,' DATE REMARKS y- s d g z dc 3 F 2 0 z AGE U LDING C CyITt N NE � RMAL 1R 1 r G E a t I AB - ' t t'3 q � � Farm � . Acre Value Per Acre Value Tillable - z Tillable l�l� �� = .r r 40 � Tillable. Woodland e� Swampland - - -� d d Brushldnd House Plot Tota I mm - j AA c,wo, t t t 3 i 123.-8-22.4 03/19/2018s-' I _ CO . Bldg. Foundation z tension - '31S0 = 3150 Basement ' Floors xt n i0n( a , _ .r"" � Ext, Walls ` I Interim Fini' , { I Extension Fire Place riea:t j Porch _ 5_ Porch � = Rooms ]st Floor i _ �3 } MY _ 1 spC ) ;2,00 Patio Rooms 2nd Floor 1 Gar oge Driveway � � � L L i 0. B, Val- �y o _ } _ co 3 I tit XI cr _ ! V W ------------ ------------ I . 3 BERNSTEIN Al 02 FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. CERTIFICATE OF OCCUPANCY No. Z 2883. . Date O.Qt0pax .29 19 67. THIS CERTIFIES that the building located at Mrrat00%a point Street Map No. ;= Block No. 1= Lot No. = xattituckp .]*.Y . . . . . conforms substantially to the Application for Building Permit heretofore filed in this office dated 04obruary 6 . , 19 67 , pursuant to which Building Permit No. 3390 z dated Xaxcl-i 7 , 19 67, was issued, and conforms to all of the require- ments of the applicable provisions of the law. The occupancy for which this certificate is issued is I one ftm1ly.dwo'lling . . . . . . . . . . . . . . . . . . . . . . . . . . The certificate is issued to . . . . . . . . . . . . . . . . . . . . (owner, lessee or tenant) of the aforesaid building. Suffolk County Department of Health Approval . . . . . . . . . . . . . Building Ins ecto FORK NO.2 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERKS OFFICE SOUTHOLD, N. Y. f BUILDING PERMIT tTl-[IS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED} N' 3390 , Z Date ...........................YArOk......7.. ..... 19. .. r - „ �ermiis ion is hereby granted to: C.R.Wie .;1t1 .......... ................ ��.,,.,,�...............................,.,................ ..............�tt;Lt 7.a.j.....IIwd....................I........ to, ................................................................................... ..... ... ........................................................................................................... . . .......................I........ ak premises located at .... E --F 4# �c .s + ..� "$�k r 't Bb•• 1 '� w..............................I....... . ............................................. .1�'i e i �s.+ .. . +r r�t..................................... ............................. ................................................................................................................................................................ ,pursuant to application dated .. . .......... . .,$ .... .\.. 19...61., and approved by the a B60ding Inspector. "= Buildipg Inspector FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z18648 Date JAN. 1990 THIS CERTIFIES that the building ADD & ALTER Location of Property, 3265 PARK AVE. MATTITUCK House No. Street Hamlet County Tax Map No. 1000 Section 123 Bloch 008 Lot 22.4 MAP OF 16 Subdivision MARRATOOKA POINT Filed Map No. 331 Lot No._p o 17 conforms substantially to the Application for Building Permit heretofore filed in this office dated APRIL 7, 1989 _ pursuant to which Building Permit No. 18024Z dated APRIL 11 1989 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 ADD & ALTER TO EXISTING ONE FAMILY DWELLING_ The certificate is issued to PHILIP A. MOTTOLA (ownerr, of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL- N/A UNDERWRITERS CERTIFICATE NO. N092611 SEPT; 12,-1989 PLUMBERS CERTIFICATION DATED MATT. PLUMBING & HEATING OCT. 16 1989 Bu1�ld ing Inspector Rev. 1/81 FORM NO.4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold,N.Y. Certificate Of Occupancy No. . .Z14315 . . . . « Date . . . . . . . . . . . .i1. . 8 . . . . . . . . . ., 1986. THIS CERTIFIES that the building . . .Move Dwelling .&.Add .to. .same . . . Location of Property 79.5 . . . . . . . . . . . . . . . . .Bungalow, Lane Mattit:uck House No. Street Hamlet County Tax Map No. 1000 Section . . . 12.3 .Block . . . 08. . . . . . . . . .Lot . . . o 2 2 0 QA . . Subdivision . . . . . . . . . « X. . . . . . . . . . . . . . . . . . . .Filed Map No. . . . . . . . .Lot No. . . . . . . . . . . . . . conforms substantially to the Application for Building Permit heretofore filed in this office dated September 11 19 .84pursuant to which Building Permit No. . . . y134332 . . « « . . , dated . . . . .Se]Ptember . 4 . 121 « « „ « 19 PA ,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 . . . . . . . . . Move Dwelling .& Construct Addition to Same Dwelling..-7— The certificate is issued to . . . . . . . . . . . . . . . . . .it3WAT-W l r« A FAIL ER. . . . . . . . . . . . . . « . . of the aforesaid building. Suffolk County Department of Health Approval . . . . . . . . .N f R . . . . . . . . . . . . . . . . . . . . . . . . . . . . . UNDERWRITERS CERTIFICATE NO. . . . . . . . . . . . . . « . .N.6.96813. . Building Inspector µ Rev.1181