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Home My WebLink About1000-144.-5-20 � so TOWN F S U` HOL Rental Permit 1406 Owner: Stephen & Nicole O'Grady Occupied as: Single Family Dwelling Located at: 315 Old Salt Rd Mattituck 144.-5-20 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: 12/19/2025 Expiration: 12/19/2027 (Co�nforcemnent c ial This Notice must be posted by the main entrance at all times od" Town Hall Annex Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 c 13 P.O.Box 1179 � 1 Southold,NY 11971-0959 �� „� �� t�� G} zr� m " E E t! V E BUILDING DEPARTMENT TOWN OF SOUTHOLD 5 E P 2 3 20250 12k.c, i 11CJ al RENTAL PERMIT APPLICATION Town of c,**W 1 Permit Fee $200 (Application must be renewed every two years) Section A. Property Information: Rental Property Address: Tax Map Number: 1000 SECTION ._,-BLOCk SECTION B. OWNER INFORMATION: Property Owner Name: a6N6 Property Owner Legal Address: Property Owner Mailing Address: Telephone Number (s): Daytime 31 Z--7999 Evening,Emergency 312--7 Property Owner Email Address: h•1ar(.�`�� vq- Page 1 of 5 Town Nall Annex ° � Telephone(631)765-1802 54375 Main Road ° .� � Fax(631)765-9502 P.O.Box 1179 Southold,NY 11971-0959 � BUILDING DEPARTMENT TOWN OF,SOUTHOLD RENTAL PERMIT APPLICATION INSTRUCTIONS Rental Permit Fee $200.(Application must be renewed every two years) The items listed below are required to be submitted with the completed application. Floor Plans: Floor plans of each Rental Dwelling Unit, please show location of all smoke &carbon monoxide detectors. 52' Certificates of 0 d Pre-Certificates of-Occupancy: Certificates of occupancy or re-Certificates Occupancy for each rental dwelling unit. Pnrit—,aJf- l� ❑ Certification of Code Compliance (form enclosed): Must be submitted by a license architect or engineer or license home inspector if an irispeetion,by Town of Southold Inspector is declined. CR Rental Permit Fee: $200.00 Town Hall Annex Telephone(631)765-1802 54375 Main Road Fax (631)765-9502 P.O.Box 1 179 Southold,NY 1 1971-0959 ^� L BUILDING DEPARTMENT TOWN OF SOUTHOLD Mailing Address of Managing Agent: Telephone Number (s): Daytime Evening_ Emergencyµ, ,,,,__.__ 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 U Number of rooms in Rental Dwelling Unit:�.� ... Use and Dimensions of each room in Rental Dwelling Unit: a{dra,r4 / 01.7 x 13. 2 4 ..__ . .....� �.. _ � _. .. ., � Page 3 of 5 Town Hall Annex `�� w' Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1 l79 Southold,NY 11971-0959 � �.T�. 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: lit 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: Address of Managing Agent (no P.O. Boxes):_ Page 2 of 5 Town Hall Annex �; Telephone(631)765-1802 54375 Main Road a Fax(631)765-9502 P.O.Box 1179 Southold,NY 1 1971-0959 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. ZIm 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. SECTION H. DECLARATION: Signature must be notarized and MUST be the owner of the dwelling unit. STATE OF NEW YORK) ) COUNTY OF SUFFOLK) �6-6,-;v� I certify under penalty of perjury, the following: 1. I 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 Town Hall Annexa << Telephone(631)765-1802 54375 Main Road � � Fax(631)765-9502 P.O.Box 1179 % � h Southold,NY 11971-0959 " w " BUILDING DEPARTMENT TOWN OF SOUTHOLD 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: �(Ca (e `6 a Property Owner's Signature: Sworn to before me this day of 202 j Official Notary Public Signature and Original Notary Stamp LUIS GARCIA Notary Public of New Jersey ID#50169864 Commission Expires Sept.14,2026 Page 5 of 5 f TOWN F SOUTH OLD PROPERTY R � CARD VILLAGE DIST x }y NER s f `-STREET - SUB. LOT 1 S FORMER OWNER - � ' /' '�l�r � �_� �: E ACR _ - � I S = W TYPE OF BUILDING _L RES. `7�/� SEAS. 'VL. FARM COMM. CB. MISC. Mkt. Value � I LAND I IMP, TOTAL DATE 1 REMARKS I i Votf t jt� y Ut.� t� j4 ' �t € L�,^� �,Tt I t '� �7 � AGE BUILDING CONDITION _ NEW NORMAL 1 BELOW ABOVE FARM i Acre ! Value Per Value Acre I Tillable l ,> i F I - Tillable 2 Tillable 3 Woodland I t !FRONTAGE ON WATER Swampland i Brushland FRONTAGE ON ROAD � DEPTH I House Plot I BULKHEAD DOCK Total I - '- � A � COLOR _ x I TRIM f �i a \ \ k M. Bldg Foundation Bath a Dinette i Extension °Basement ;Floors ::: ;K. Extension _ a Fxt. Walls Interior Finish LR. Extension Fire Place Heat DR, s 'Type Roof Rooms 1st Floor IBRr - � Porch s , 'Recreation Room' Rooms 2nd Floor3 FIN. B _ _ .._ i Porch I :Dormer Breezeway Driveway I Garage I y Patio O. B. ; -- 1 1 Tota I _ s Wirt 0 Ci TOWN OF SOUTHOLD BUILDING DEPT. 631-765-1802 Nli �. INSPECTION [ ] FOUNDATION 1ST/ REBAR [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] IN ULATION/CAULKING [ ] FRAMING /STRAPPING [ ] INAL [ ] FIREPLACE & CHIMNEY [ FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PEN TRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL ( AL) [ ] CODE VIOL TION [ ] PRE C/O [ ] RENTAL 1 OE A►OSS■ �.w. C V , " ._..v...........-. II r DATE II' SPECTO oto TOWN OF SOIJTI�I�l►LD B ILDING DEPT. 631-765-1802 IN S P E C T IO N [ ] FOUNDATION 1ST/ REBAR [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION/CAULKING ] FRAMING /STRAPPING [ ] FINAL ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION ] ECTRICAL (ROUGH) [ ] ELECTRICAL (FI AL) CODE VIOLATION [ ] PRE C/O [ RENTAL REMARKS:Oult InSlp r le looI' L `eIlk ciwo - A* 0 oix, nit 1� v DATE _ INSPECTOR _„ FORM NO.4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy No. . . .11.t?497. . . . . . . Date . . . . . . 3ay. 13. . . » . . . . . . . . . . . . . .. 1981. THIS CERTIFIES that the building . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Location of Property .Old. S•a1.t. R.oad,. . . . . Mat.t,ituck, .tlew. York House No. Street N'arn%t County Tax Map No. 1000 Section . . 1.4.4 . . . . . .Block . . . 95. . . . . . . . , .Lot . . . P.90 . , . . . . . . . . Subdivision . .Sal.t .L.ak-a .Vil.iage. . . . . . . . .Filed Map No. . . 1.3.10.Lot No. R . . . . . . . conforms substantially to the Application for Building Permit heretofore filed in this office dated October. .23. . . . . . • • • • • • • . . , 19 .SOpursuant to which Building Permit No. . . . .10945 .Z. . . . . . . . . dated . . . . .OE tuber. 27 . • . • • • • • • . . 19r. .8pwas issued, and conforms to all of the requirements of the applicable provisions of the law. The occupancy for which this certificate is issued is . . . . . . . . . . . . . . . . . . .Addy.tionA .40d. .41te.r!4tl ri .tiP. Pr#.ytsAg. Qp.a ,FAmi2y, rell41g. . . . The certificate is issued to . . . . . .Edwand . and .Ca,t,her ae .8uc,kley. . . . . . . . . . . . . . . . . . . . Corne,r,,,1=j.oi.e. " . ,.. of the aforesaid building. Suffolk County Department of Health Approval . . . . . A/.R, . „ , . „ . . . . . . . . . . . . . .. . UNDERWRITERS CERTIFICATE NO. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Building Inspector Rev.1/81 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Clerk's Office Southold, N. Y. Certificate Of Occupancy No. Z787.E . . . . . . Date . . . . . . . . . . . . . .sept . . . 9. . . . ., 19.77. THIS CERTIFIES that the building located at . •cil C,. „a 1 t,. RG&d. . . . . . . . . . . Street Map NoeA1t akeV31i&eNo. . . . . . . . . . .Lot No. N.Y. . . . . . . . . conforms substantially to thy" code bulAedbef�r� Y'rpr 2} . . . . . . .. 1977. , pursuant to whicl%Jgkii ccupanc� zp878 . . dated . . . . . . . . . . .;�e p t . . g . . ., 19 77 ., 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 private •one• •family dweilitr g' The certificate is issued to .h�.t�,: r. ,r}, I llrielr . . • oi,mer of the aforesaid building. (owner, lessee or tenant) Suffolk County Department of Health Approval pre_ .exd:sting UNDERWRITERS CERTIFICATE Nopre—existing• • . . . . . . . • . . . . • . • . . . • . . • , HOUSE NUMBER . . . . 3-1.5. . . . . . Street . .g}d. galt. Road. . . . . .Eattituck. . . . . . . . Building Ins rW HOUSING CODE INSPECTION September 8 , 1977 315 old Salt Road, R-1 Mattituck, N.Y. Sub Div. : Salt Lake Village, Lot #8 Tax Roll: Arthur H. Ullrich Upon receipt of an application for a Pre-Existing Certificate of Occupancy, I made an inspection of this one-story dwelling. I was admitted to building by Mr. Ullrich who accompanied me during this inspection that began at approximately 1:00 P.M. The dwelling is a wood framed structure constructed on a cement block foundation and consists of three bedrooms, a full bathroom, kitchen, dining and living roo w1 a fireplace and a sunporch. Heat is furnished to building from a gas fired warm air floor furnace located in hallway, connecting living room and bedrooms. A one-car garage is attached and provides utility area for gas fired hot water heater and electric water pump. Crawl space of building' s foundation is accessible from trap door covering pit in utility area. The following violations of the Housing Code, Chapter 52, Code of the Town of Southold, New York, were found: Lamp outlets - located in southwest bedroom and in sun parca on baseboZrd of south wall, Article V, Section 52-56 A 1. (Mr. Ullrich stated he would see that they were removed. ) Inspection completed at appro?r�nately 1:20 M. Res "cfully su atted, war ermann Building Inspector EH:med SATH= CLOSET o\\ \ \ 'SKY- BEDROOM \ . \\ LIGHT= 64 x17 \\\\ \.. _ CEILING HEIGHT,B ' r n DINING ROOM 11 2 x 23 4n vA\y\ v y A\A 21'2 X 11 11n CEILING HEIGHT_11'9 BEDIR 00) CEILING HEIGHT,8 • 11 7" x 13'4" =s \\\\\\ \\\\\ CEILING-HEIGHT;8` LIGHT e E \\ \\ \\ AFL ATTIC SHOWER ~\ \ \\\ \\ \\\ \\ \ \ CLOSET t cLoser KITCHEN - BATH � \\ � MECH. LIVING ROOM n 6 x 7vy�\ � 5'x69 ` O\\ 8E0 FP 12'8" x 12' \\ \ 11 4 X 12 CEILING HEIGHT;8' - \\ \� CEILING HEIGHT 8' � PORCH 26'x 11'5' CEILING HEIGHT: 77" \` ENTRY o \\\ _ \a