The URL can be used to link to this page

Home My WebLink About1000-122.-4-36 Rental Permit 1362 Owner: Timothy Longua Occupied as: Single Family Dwelling Located at: 250 Kraus Rd Mattituck 122.4-36 Maximum Permitted Occupancy: 7 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: 08/06/2025 Expiration: 08/06/2027 de for emen official This Notice must be posted by the main entrance tall es I Oo,001,4"'Olk I'OWN OFSOU1411011,11)—BUI WING I)EPARTMEN'r Town Hall Annex 54375 Main Road 1". O. Box 1179 Southold, NY 11971-09% Telephone (631) 765-1802 Fax (631)705-9502 lit 1p� %k.soul ljohft VTO RENTAL PERMIT APPLICATION oc, Rental Permit Fee$300(Application must be renewed every two years) 'I -1 1,;o1 as P6 iatoo Qec*k,0�5 Section A. Property Information: Rental Property Address: A-1 Tax Map Number: 1000 SECTION BLOCK 0 U --LOT 03 0 0 0 otf3 00" SECTION B. OWNER INFORMATION: Property Owner Name: , Property Owner Legal Address: Property Owner Mailing Address: (Cannot be the same as Rental Property Address) I/ q-73.,7iv -4-7 Telephone Number(s): Daytime 0 3.4 S Evening_ 12 4, Emergency. 9k;7. Property Owner Email Address:-4/b',4, ri t , ec"-M 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:� �"'`�( "'A 11,17 Telephone Number(s): Daytime &V ° ,o" Evening Emergency Email Address: �. CA-�—: Ivl Coe Icif Cz ,rY, 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: a 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): 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 Unite Number of rooms in Rental Dwelling Unit: Use and Dimensions of each room in Rental Dwelling Unit: fG O ; /o r6 X 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 ❑ I 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 unite S1A-1E OF NEW YORK) ) COUNTY OF SUFFOLK) 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. i11 . Lo _ UPro Property Owner's Name: Property Owner's Signature° (.!" �a�� Sworn to bea�16i rye Ck i y f ._`. . 9tar y P i P'Signature and Original Notary Stamp SALLY E MACKEN Notary Public,State of New York No.01 MA6262231 Qualified In Suffolk County Commission Expires May21,20u:�O Page 4 of 4 r I �wwl 10 Sell ' .x 631 Telephone 765-1802 Town Hall Annex f P ( ) 54375 Main Road Fax(631)765-9502 Cz P.O.Box 1179 Southold, NY 11971-0959 p BUILDING DEPARTMENT TOWN OF SOUTHOLD RENTAL PROPERTY CERTIFICATION Form is to be completed by a licensed architect, licensed engineer or licensed home inspector Separate form is required for each individual Rental Dwelling Unit Professional for Architect gn9inoorHome 1 0 _E mull rovidle co v Iici cur nt certification Rental Property SCTM Number: Rental Property Address: a 1-' Owner/Name: v '" Rental Dwelling Unit Identifier: 7" / W Number&Square footage of each bedroom as depicted in the attached floor plan: (i.e. Bedroom#1 -100 sgft.,Bedroom#2-90 sgft., etc.) QljEa,eoe / - /lo �� '�e '' — //�? t�T Property Description(Include all improvements indicated on survey) �' nf;ra '" ,� „� o a✓,+"�'..�" «„�°" .I'll" ,fir�°✓Y)f" d/LG.� Aga 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,the Fire Code of New York State,the Property Maintenance Code of New York State and the Energy Conservation Construction Code of New York State. e kw#'Vee Print Name and Title Original 4nature Laz_ Af�kce�v Please place Professional Seal: a str, )A4AVok TOWN OF SOUTHOLD BUILDING DEPT. 631-765-1802 INSPECTION [ ] FOUNDATION 1ST/ REBAR [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION/CAULKING [ ] FRAMING /STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FI I [ ] CODE VIOLATION [ ] PRE C/O [ RENTAL REMARK r DATE ► INSPECTO " TOWN OF SOUTHOLD PROPERTY I0 116,MiD OWNER STREET , VILLAGE DISTRICT 1 SUB. LOT FORMER 6WNER N E A&EAGEwc €• _� � IYI�'�=5 S 1W . TYPE OF BUILDING RES � SEAS. VL. FARM COMM. IND. CB. MISC. Est. Mkt. Value LAND IMP. TOTAL DATE 1 REMARKS 7 a� ' fit 7.2 �F °mac. . , d 0O , 64 4t! i b;� SoLD ��v nr0,pile P.Y.'LL.6 /b s � /' ��,£ AGE C i''4 B DNG CO `Ll _ Jr FRONTA }� WATER /S`•� `T 1 �' `� 1'c� r�.' �f� I/ Z C� t Acre V r cre� j Value FRONTAGE ON ROAD o ' Tillable 1 BULKHEAD C 3-2-X Tillable 2 DOCK is c 7 4`7 2- Tillable, 3 _ Woodland G0aj'D$ bh, � 1 �� y / - lei lt"', Swampland QII /L'� — T 4 � Brushland = _ I House Plot Tota I L I - lay. - 14 -3 y b e a LPL_ i r 122.4-36 10/08 M. Bldg. Foundation �, Bath Extension Basement _ Floors _ _ �- Extension �_ .'�.f� � _ Ext. Wolfs' Interior Finish Extension Fire Place Heat �� 1 Porch y Roof Type _ z F Porch Rooms 1 st Floor Breezeway j Patio Rooms 2nd Floor rc ge riveway Donner c O. B. /.� Y / ( m� f C1 mom S e OF SOWWOLD SUMDERG DZPAXTSMT d 1'OVEr1ii c=raC'S OFFICE SOUTMLD. N. It. d CE=M 8 4 C= OP OCCUPAXOT r Date ....,.... '19..a� a TWS CMTW= that the bu Wug boated at SOX. ..A.A ...AgA.' . ..:. street Map :CIO. ... r............ mock, No.VOL...............lot 140.09......... . .�....�!:7!.............. w cord,'oms gubstantlaIly to the Application for FM=U hereteforo flied in this ot'liee adated .a...wa...w,......a.. ....10..... 19. i ;, M=44t to vWUch Building Permit No, dated ...................... 19..fil, was UOUO& and oa►UtOdVS to all- of the reguke. merits of the a0licable provisions 4f the law. The oo tVaucy for which this gaMeate ie a NN................... .,.... .....,....., ....w...r . .w., m . This certifleate Is issued to ............. ... .. ... ......�....«....„ (per, lessee or ) of the aforesaid building. R o- bM�wlp�#np�w'��.�ni�au.��.�Yy4.w��°,�r...M BuDding Inspector A FORM NO. 4 TDw OF SobTa= BDIILD33IG A9R f Office of the Building Inspector sown Hall Southold, B.Y. C MTIFIC:A= OF OCC.UPA= No: Z-33130. tee 01 •01• d �S CMMMr 8B that the t,umunv .Y aLocation,me rtyn 280 MUM itD - Coaatg 2UM SUP M. 47.4869 Seatioa 122 030ok 4 Lot 36 Sabdiviolaft Tiled Nor MD. Lot Ab. CMczw substantially to the ]application for Building Perihit heretofore Mad. 3n. this Office dated JDM 18 Z008 pavaunat to *tick BmUdi g ftxnit 116. 33992-E dated AM 'Is' 2201 wan issued, and conforms to all of the requirements of the applicable provisions of the Tarr. The occupancy for which this certificate is issued is M ,BdglB A"P W %ha cortificate i8 isapuewd to !TRW NXL=Wit (D ) of the aforesaid building. 9 bpanummT Cv mnwu Amomm N/A MUMM" CXRTXFICRM 140. N 189540 10 24 74 31111 3 A « iAi �i tmare Bev.. 1/81 or FORM NO. 4 Tom OF SOOTROLD BDIL4 m vRPARTMlw Office of the Building Inspector Tom W1 Southold, N.Y. CBRTMCILTE OF OCCUPARM No; Z-33131 Date: .O 61..06 YS[[s C�lIF268 that the building A_CCROSMY Location c E Property: __ E -... - ( *0-) (S M ), (N' T) County s= NOV *. 473889 Section 1222Slack 4 Lot 36 Subdivisian Filed JWp.Mo. Lot NO. confospis substatit-lally to the Application for Building Pesmit heretofore filed in this office dated JMM 18 .Z 8 9rMw nt to which Building Vexalt no. 33.991-E dated MOM 18 ARM was issued, and conforms to all of the requirements of the applicable provisions of the -lavr., The occupancy for which this certificate is issued Is aggggWY SHBD AS aVLM FOR. Me aestificate is issued to MM (Owl) of the aforesaid building. swv= co vAvsww OF NXUM AVMMS& --------� _- �� A isc Si !ure Rev. 1/81 FORM NO. 4 i q q { a T0WN OF SOUTSOM DvxwMPD DSBARTMENT office of the Building Inspector Torn Ball sduthold, N.Y. CERTIFICATE OF OCCQFA�TCY w So: A-33174 Date: NASA iffiS CowrM that the b.4�aim As W= ALTZRA=Co Location of pz pertyl. 250 RD Coasty Tsjs MWV mo. 373889 Section 122 EMAwk 4 TAM 36 a 81bd:LVISLM p3.]..ed so. Lot Ift. a conforms substantially to the AW!Lcaticn for Building Permit heretofore o filed in this office dated JMW 12. 2008 P=0061ftt to Which BRIMS peernit No. .33994-S dated J00 ,20, 2008 suss issued, and conforms to all of the requiredmts of the applicable provisions of the law. The occupancy for which this certificate is issued is n RNMO AS RM FOR- "M crx*ti ficate is issued to MARY =_LWAW 4 D of the aforesaid building. xmrvmx "k" pswaaftow�OF mom= AIlF18 t & i1 I rilij I " I I I NO. 4006824 IM 2 , !T A Rev. 1/61 BEDROOM 14'x 12' DENIBEDROOM _ ; CEILING HEIGHT.e' 18'W x 12'6" T i LIGHT w 6'x 20' SHED CEILK46 HEIGHT-12'5" _,__ 12W x 16'3' LIVING ROOM CEILING HEIGHT 11' '----' 20'x12'6" CL CEILING HEIGHT.8' p CL REF BEDROOM C13LI HT a, DINING ROOM BED:12 M 2 uGxr 13'3"x 194" 14'15'X 10'6° �i e -- CEILING HEIGHT:8'CEILING HEIGHT:8' p KITCHEN BATHCELNIG HT 8' 1 rx Y, ENTRY Q \ I N <' FIRST FLOOR CEILING HEIGHT T11' 3 CARS GARAGE 22'x 30' CEILING HEIGHP.13' 196'x 14' WORKSHOP MECHANICAL 25'3'x 22'6' CEILING HEIGHT:TV 19'6"x 12'3" w 1I FIRST FLOOR INT: 1,800 SQ FT SHED:202 SQ FT FIRST FLOOR OUT. 596 SQ FT TOTAL INT: 3,679 SQ FT BASEMENT CEILING HEIGHT:7'1" GARAGE: 660 SQ Q FT TOTAL OUT: 596 S FT BASEMENT: 1,017 SQ FT TOTAL:4,275 SQ FT , ;tale in feet. ndicative only.Dimensions are approximate.All information contained herein is gathered from sources we believe to be reliable.However,we cannot guarantee its accuracy and interested persons should rely on their own inquiries. ?50 Kraus Road, Mattituck ¢ D uglasE an