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HomeMy WebLinkAbout1000-123.-2-10 TOW N OF SOUTHOLD Rental Permit } 1341 Owner: Christopher England , Christine England Occupied as: Single Family Dwelling Located at: 385 Center St Mattituck 121-2-10 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: 06/27/2025 Expiration: 06/27/2027 Code(nfo ret offi 1 This Notice must be posted by the main entrance at all times : . ..) 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) 765-95021ittRs / ww so tholdtownn RENTAL PERMIT APPLICATION LA M AY 0 Rental Permit Fee $300 (Application must be renewed every two years) Section A. Property Information: Rental Property Address: Tax Map Number: 1000 SECTION -- -BLOCK SECTION SECTION B. OWNER INFORMATION: L Property Owner Name: , ' W e t t v Property Owner Legal Address: Property Owner Mailing Address: (Cannot be the same as Rental Property Address) A. Are-/ (54S S"1�) Telephone Number (s): Daytime 65 `�-9IS- -Evening -tc3S Emergency 0 Property Owner Email Address: a ? - .. Page 1 of 4 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: Address of Authorized Agent (no P.O. Boxes): Mailing Address of Authorized Agent: Telephone Number (s): Daytime Evening Emergency Email Address: SECTION E. r/ I A 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): Mailing Address of Managing Agent: Telephone Number(s): Daytime Evening Emergency Email Address: Page 2 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: 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: c4 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. l 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) 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: C 61 C Property Owner's Signature: Sworn to before me this 23 day of )iyk� � ' 20_a"S Official Notary Public Signature and Original Notary Stamp Page 4 of 4 rrFat Town Hall Annex Town O Southold54375 Main Road �> PO Box 1179 Rental Inspection Report V " Southold, NY 11971-1179 ot ip Tel: 631-765-1802 A" SUM # 023—off— / v Date Owner 14+-d— Phone Address , . Visible Hamlet Inspector Floor Level Quantities Sub 1 2 3 Smoke Detectors(not located in bedrooms) Carbon Monoxide Detectors r 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 Door alarms Pool completely enclosed Self closing/latching gates Pool fence to code requirements CO's for all items present Prior Rental Comments: f op � TOWN OF SOUTHOLD BUILDING DEPT. 631-765-1802 /a3 -a 4 o INSPECTION [ ] FOUNDATION 1 ST/ REBAR [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION/CAULKING [ ] FRAMING / STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FIN L) [ ] CODE VIOLATION [ ] PRE C/O [ RENTAL DATE 5� INSPECTOR �� TOWN OF SOUTH OLD PROPERTY CARD _ 4/!y/ as OWNER i STREET s - — VILLAGE "T = =_ - _ 3 \ LOT FORM,ER OWNER, N E 3 C E GE no S W TYPE OF BUILDING REFS ; SEAS. VL. FARM COMM. 1 IND. CB. MISC. Est. Mkt. Value LAND IMP. TOTAL DATE REMARKS 3 t L to 3 s a .R a a ' AGE BUILDING CONDITION NEW NORMAL BELOW ABOVE FRONTAGE ON WATER _— - ------------ Farm Acre Value Per Acre Value FRONTAGE ON ROAD Tillable 1 BULKHEAD _ em -- _ Tillable 2 ' DOCK I Tillable 3 , Woodland f Swampland a . Brushland I House Plot 3 —�--.«— Total ti 2 c 121-2-103/29/2023 s a f a F nerior Fire PlIcce oHcct m. � p DarC crash, 1 ,... 1 s� Roor v;Wcge a av Dormer FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-17253 Date AUGUST 31F 1988 THIS CERTIFIES that the building NEW DWELLING Location of Property 385 CENTER STREET MATTITUCK NEW "YORK House No. Street hamlet County Tax Map No. 1000 Section 123 :Bloch 2 Lot 10 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated FEBRUAR'Y 16 1988. ______pursuant to which Building Permit No.16758-Z dated F'EBRUY 26 198S 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 ONE FAMILY DWELLING AS APPLIED FOR The certificate is issued to ANDREA J. BUONAIUTO {owner, } of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL 87-SO-188 UNDERWRITERS CERTIFICATE NO. N-014533- JUNE Ic 1988 PLUMBERS CERTIFICATION DATED JULY 20 1988-INNOVATIVE PLUMBING Building lbkpector Rev. 1/81 � 11Ftdltf Town of Southold 10/15/2022 P.O.Box 1179 53095 Main Rd " " ey Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 43503 Date: 10/15/2022 THIS CERTIFIES that the building WINDOWS Location of Property: 385 Center St,Mattituck Mattituck SCTM#: 473889 Sec/Block/Lot: 123.2-10 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 7/11/2022 pursuant to which Building Permit No. 48200 dated 8/23/2022 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: ALlik rplal en t e ci in sin lc- argil dweClin as a lied for. The certificate is issued to England,Christopher&Christine of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED Au sari acl Sign t 24 3 ` : _ Lo Iol/2 IO �I ® q 4L s6o .Pans I THIS MODEL APPROVED UNDER © MASTER SERIES 83 SYSTEMS I � APPROVAL N.Y. 00125 AM-29 AUG. 4, 1986 - - — 1 �� ih�✓T^ Dur �aE �N T7ZA✓cE rLQJ1D ;REV'� � ° SUPERIOR BUILDERS + +` OWN BY JDATE- SCALE: 11 IPAGE: O r BUILDER/DEVELOPER AUTHORIZATION GATE P x ^_ � SUPERIOR AUTHORIZATION D0.TE WNX :--A � =— a yaw€�r (tt 3e, = t+ ia� n ems.4uE,n (-.se rloTcgt,�cc v¢ e S V5 'g s Z2CL'i _. - _ pusTsc 4.�-E _. z_ ,.'zap'- 1.,rr; 41± ;fTss-Paz-.tea z� " x ST pJi 4�° ka a �� FOUNOi��¢ ON DETAIL 1Es ebie°5 ty-+w.a. a � �. _d< } % ,.Uvtx' ON PL:IiV CGLCAti xS�CM DETAIL COLUMN SPACCING SPAN k _yam is c. F Y T c� s.sec � `z= P x s.-..-, acre m aPAenv ra Fe° s� sa s ae € u 3a .n 2. Y to a ax?asv s��i{e ERY sca3 ¥aa-- f F , - f 1!V- MONDELS 3 4 x 2 z s�. r - ; ON ' v p 3 eT x 6 , air x 2 w s a A€rtaY§" F`mF�,, z 4'4u=u n ..a.s L c,,.v ert tom.. was"OF WKY s 14 TYP FOUNCY0,-ION "NALL COLUMN uETAiL Bl-LEVEL FRONT 4AE_ Rk t .