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Home My WebLink About1000-100.-1-7 � TOWN OF SOUTHOL Rental Permit 1392 Owner: Maison North Fork LLC Occupied as: Single Family Dwelling Located at: 2850 Reeve Rd Mattituck 100.-1-7 Maximum Permitted Occupancy: 8 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: 10/29/2025 Expiration: 10/29/2027 Code En ment Offic i 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 Telenhone (631) 765-1802 Fax(631) 765-9502 T'IIp ./�/ s tit:' o l<.,)y it,Lgo1^ RENTAL PERMIT APPLICATION ` Rental Permit Fee $300 (Application must be renewed ev 4o years) Section A. 4 Property Information: Rental Property Address: 2850 REEVE , MATTITUCK, NY 11952 Tax Map Number: 1000 SECTION 10 _BLOCK 01.00 -LOT 007 - 000 SECTION B. OWNER INFORMATION: Property Owner Name: MAISON NORTH FORK LLC Property Owner Legal Address: Property Owner Mailing Address: (Cannot be the same as Rental Property Address) 11 L3 10001 ALBANY, NY, 12207 Telephone Number (s): Daytime 9177437097 Evening 91774 70g7 Emergency gl774 7097 Property Owner Email Address: maisonnorthfork@gmail.com 30 ► NY I l Z3 I Page 1 of 4 Section C. Authorized Agent Information: Name of Authorized Agent of dwelling unit, if any: /A 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: /A 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: /A 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 propert°,. 1 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: HOME1 Requested Maximum number of persons allowed to occupy Dwelling Unit: 8 Number of rooms in Rental Dwelling Unit: Use and Dimensions of each room in Rental Dwelling Unit: 1 ( (1 x .7) 11. 1 )/BDR (4 9.10x10.5) 1 Kitchen(10.4x8.11)/1 Living Room(20.2x14.9)/1 Dining Room(13.4x13.9)/1 Library Room with sofa bed(10.1x14.9) Bathrooms. 1 Basement(for Parking and storage only) 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 unit. STATE OF NEW YORK) ) COUNTY OF SUFFOLK) I vlth ftlOAq a►l certify under penalty of perjury, the following: dw 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: CeAal �)LTH fiekuc Property Owner's Signature: " Sworn to before me this 11f day of oL; , 2026- 6 cial Notary Public Signature and Original Notary Stamp MIGUEL MAD- 0� . ca aou l� 1061 f0d teaply a� i Page 4 of 4 TOWN OF SOUTHOLD BUILDING DEPT. 631-765-1802 ', 0- /- 7 limmmSPECTION [ ] 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 (FINAL) [ ] CODE VIOLATION [ ] PRE C/O [ ,»� ENTAL REMARKS: O k- 41Z 8: Atm Itz _ 187.YV �{ BEDROOM BEDROOM } FAMILY ROOM FIT.IDY• r1Y.TOY _. d Ire•.13Y• '�� +ate. BEMOOAt ? ,- - ats A£�n LrVw ROOM DpcR10:ROOM MT.fMV' �P � tQi'a lE9• f • BREWABF MOOII E- FLOOR r 2850 Reeve Rd Mattituck, NY FLOOR 2 Smoke Detector BrsEMEem �'� rrr.�, rn•.rrla �1 (FQj, Town Hall Annex Town of Southold 54375 Main Road Rental Inspection Report PO Box 1179 Southold, NY 11971-1179 Tel: 631-765-1802 SCTM# Date Owner Phone Address o,G C Poe Visible Hamlet Inspector Floor Level Quantities Sub 1 2 3 Smoke Detectors(not located in bedrooms) / Carbon Monoxide Detectors Fire Extinguishers Exits Bedrooms 1 F2 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 o?Oa- Door alarms Pool completely enclosed Self closing/latching gates Pool fence to code requirements CO's for all items present Prior Rental Comments: TOWN OF SOUTHOLD PROPERTY RED —OWNER STREET VILLAGE D15 I'- ��,B. LOT FORMER OWNER N E ACR. n v) S W TYPE OF BUILDING I/m RES. /�j1 SEAS. VL. FARM COMM. CB- MICS. Mkt. Value LAND IMP. TOTAL DATE REMARKS IL-2, AGE BUILDING CONDITION NEW NORMAL BELOW ABOVE FARM Acre Value Per Value Acre Tillable FRONTAGE ON WATER Woodland i FRONTAGE ON ROAD Meadowland DEPTH House Plot BULKHEAD Total DOCK z A t _ _ s = E 100.-1-7 9/1Z/2025 e mension .xtens!on _ Roth 3sern,erit �, - , x . lip H s - _- Ypt Roof v To:Town of Southold-Rental Permit department Re: Rental Permit Application for 2850 Reeve Rd, Mattituck, NY 11952 Oct 14.2025 To whom it may concern. Please find attached the Rental Permit Application for 2850 Reeve Rd,Mattituck,NY 11952 and the following dots: ✓Rental application form signed&notarized ✓$300 check ✓Certificate of occupancy ✓Smoke detector floor map ✓Lot map ✓LLC Operating Agreement . ✓Deed o Thank you, Maison North Fork LLC Member name:Julien Mong 917-743-7097 FORM NO.4 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERWS OFFICE SOUTHOLD, N. Y. CERTIFICATE OF OCCUPANCY No. . . Date . . . . . . . . . . fig! . .�!" ., 19-67. THIS CERTIFIES that the building located at .k _ . . _ . . _ . . . _ . Street Ma". A s . No. . . . _ . . . . . . . .Lot No. 2 _ . _ . . Stti . 3* . . . . . conforms substantially to the Application for Building Permit heretofore filed in this office dated _ . _ . - . Ap3rU . . .4 . _ , ., 19(f_ pursuant to which Building Permit No. *3 6. dated . . . . . . . .AVj4j. . . .14. . . ., 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 _ . Vats Ly.dw*j . . , m . , . . . . , . 1 . . . . . . . . .. . . . . . . . ... . . . . The certificate is issued to . Tlatberlitlad. .Ass Utox . . . .. . . V . . . . . . . . . . . (owner, lessee or tenant) of the aforesaid building. Suffolk County Department of Health Approval . .Sept . .27. -1 - -Re-VUU Building Inspector ro Town of Southold 111000 P.O. Box 1179 53095 Main Rd Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 46234 Date: 06/10/2025 THIS CET ES that the building IN GROUND POOL Location of Property: 2850. ceve Rd 1r attituck NY 11952 See/Block/Lot: 100:1-7 Conforms substantially to the Application for Building Permit heretofore,filed in this office dated: Pursuant to which Building Permit No. 10908 and dated: 08/01/1981 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: accessory in ground swimming pool fenced to code as applied for. The certificate is issued to: Olp Hallman Olga Hallinan Of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL: ELECTRICAL CERTIFICATE: N 489624 07/31/1980 PLUMBERS CERTIFICATION: Au or" Signature 4 , � Town of Southold P.O. Box 1179 53095 Main Rd rn *� Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 46234 Date: 06/10/2025 THIS CERTIFIES that the building IN GROUND POOL Location of Property: 2850 Reeve Rd M:attituck. NY 1195 Sec/Block/Lot: 100.-1-7 Conforms substantially to the Application for Building Permit heretofore, filed in this office dated: Pursuant to which Building Permit No. 10808 and dated: 08/01/1981 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: accessory in ground swimming pool fenced to code as applied for. The certificate is issued to: ,Olga Hallinan Olga Hallinan Of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL: ELECTRICAL CERTIFICATE: N 488624 07/31/1980 PLUMBERS CERTIFICATION: Aut(iorizM Signature y. . . . . . . . . . . . . . . »\ ?. . . . . \ y fill, . z I iililil I��I of4 uu II G