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Home My WebLink About1000-61.-4-34 TOWN OF SOUTHOLC Rental Permit 1441 Owner: Jacob Wylie , Allison Israel Occupied as: Single Family Dwelling Located at: 140 Mechanic St Southold 61.4-34 Maximum Permitted Occupancy: 5 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: 04/14/2026 Expiration: 04/13/2028 Lode€ rcement OffiUal This Notice must be posted by the main entrance at all times r1�� NMCk,��ro TOWN OF SOUTHOLD—BUILDING DEPARTMENT '5V1 Town Hall Annex 54375 Main Road P. 0. Box 1179 Southold,NY 11971-0959 Telephone (631) 765-1802 Fax(631) 765-9502 tt s:L/ynyw.southoldtownn . oy RENTAL PERMIT APPLICATION Rental Permit Fee $300 (Application must 6e renewed every two y am Section A. � Property Information: ' " Rental Property Address: N d CA � Tax Map Number: 1000 SECTION � -BLOCK -LOT Sh - SECTION B. OWNER INFORMATION: Property Owner Name: U Gu s oN Property Owner Legal Address: Property Owner Mailing Address: (Cannot be the same as Rental Property Address) .. 0. C'g'P_1 5L � 5" Telephone Number(s): Daytime Evening Emergency, Property Owner Email Address: Q-"-MAI ° Page 1 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: t 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: 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 Y I am submitting a completed Town of Southold certification form from a licensed architect or a licensed professional engineer. Page 3 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. 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 H. DECLARATION: Signature must be notarized and MUST be the owner of the dwelling unit. STATE OF NEW YORK) COUNTY OF SUFF`O,LK4) N f�CO v�► V 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: Property Owner's Signature: Sworn to before me thisl-b ay of ..; r`/ , 20,�L Official Notary Public Signature and Original Notary Stamp CONNIE D.BUNCH Notary Public,State of New York No.01BU6185050 Qualified in Suffolk County Commission Expires April 14,29QA Page 4 of 4 TOWN OF SOUTHOLD BUILDING DEPT. 631-765-1802 �/- C T lo' INSVE N [ ] 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 (FINAL) [ ] CODE VIOLATION [ ] PRE C/O [ RENTAL I REMARKS: JZ-�.4 ' I DATE 'I3• ;7- INSPECTOR i Town Hall Annexes 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 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 seal re uired for Architect or Engineer, Licensed Horne Inspector roust provide copof valid current certification Rental Property SCTM Number: i Rental Property Address: «0-711 Owner/Name: s �) C Rental Dwelling Unit Identifier: Number&Square footage of each bedroom as depicted in the attached floor plan: (i.e. Bedroom#1 - 100 sgft., Bedroom#2-90 sgft., etc.) Property Description (Include all improvements indicated on survey) a ., +• 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 , Property Maintenance Code of New York State and the Energy Conservation Constructi ork State. Print Name and Title inal Signature ,..,, Please place Professional Seal: Igoe, O OF Ne TOWN OF SOUTHOLD PROPERTY RECORD 2() -)QL OWE IE R STREET VILLAGE DIST.! SUB. LOT k, -A L V FORMER OWNER , N E ACR. 14, S L TYPE OF BUILDING � .2—p W R I SEAS. VL. IFARM °COMM. CB. MISC. Mkt. Value LAND lmp. TOTAL DATE REMARKS 7J ------------ -1H 'C T AGE BUILDING CONDITION 0 -7 NEW NORMAL BELOW ABOV E ...... U. -�ILA c( FARM Acre Value Per Value Acre 'D 7:� Tillable 1 74 Tillable 2 Tillable 3 Woodland Swampland FRONTAGE ON WATER Brushland FRONTAGE ON ROAD .................. House Plot DEPTH Total DUCK 1-V COLOR FAM" TRIM 4L -4-4� 1 .j7 M. Bldg. Foundation Bath Di nette C7 17 13 Basemen t Floors K. 94-nv -D 7 0 Interior Finish LR Extension Ext. Walls —4-4 ........... Heat DR. n !Fire Place Extension .........------------------ 7 ............ !T e Roof Rooms 1st Floor BR. yp Porch i2 1 Recreation Room! Rooms 2nd Floor FIN. B. Dormer C) 1-4 zS ------------------ Breezeway f��)TI4 Driveway Garage I So I 12-3 Patio 0. B, Total FORM NO.4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Clerk's Office Southold, N.Y. Certificate Of Occupancy No. . . . . . Z10229 . . . . Date . . . .October 31 80 . . . . 19 . . . . . . „ . , . . . ., THIS CERTIFIES that the building . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . „ , . , . Location of Property '40. Mechanic Street Southold, N.Y. House%1%c. ,S'treet ,drrte2 County Tax Map No. 1000 Section . . . .. . . , . . . .Block . . . . . . . . „ „ . . . . .Lot . . . . . .... . . Subdivision . . . . . . . . . . . . . . . . . . . . . .Filed Map No. . . . . .Lot No. . . . . . . . . . . . . . requirements for a one family dwelli_1'l; built prior to conforms substantially to the Certificate ��f ceupancy April . . . 1957.pursuant to which � No. Z10229 dated . , October 3 „ µ 198d. ,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 . . . . . . PRIVATE ONE .MiLY 13.dl,,LING W✓.ONE. .QAR. DST 4 CFFU.GARAGE. The certificate is issued to . . . . . . . .William J. Mil.usich of the aforesaid building. Suffolk County Department of Health Approval . . . . . . . , . . . . N . . . . . . . . . . . UNDERWRITERS CERTIFICATE NO. . . „ , . „ . , , ,, . , „ , „ . „ . . .N%R. . . „ uilci g Rev VM BUILDING DEPARTMENT TOWN OF SOUTHOLD, N. Y. HOUSING CODE INSPECTION REPORT Location 140 Mechanic Street Southold, N.Y. number street M 3Mpal1t7y Subdivision Map No. Lot(s) Name of Owner(s) William J. Milusich Occupancy R-1 unoccupied type owner-teIII t�� Admitted by: self Accompanied by: self Key available Suffolk Co. Tax No. 1.000-61-4-34 Source of request R 10 ensselaer G. Terry, Jr, Esq. Date October 29, 1980 DWELLING: Type of construction Wood stories 1 1/2 Foundation cement block Cellar full Crawl space Total rooms, 1st. F1 3 2nd. F1 2 3rd. F1� __ Bathroom(s) Toilet room(s) 1 Porch, type front/glassed Deck, type Patio, type Breezeway Garage Utility room Type Heat oil fired Warm Air steam Fireplace(s) No. Exits Airconditioning Domestic hotwater yes Type heater gas Other - ACCESSORY STRUCTURES: Garage, type const. Wood/1 car Storage, type const. Swimming pool Guest, type const. Other --- VIOLATIONS: Housing Code, Chapter 52 Location Descri tion Art. 1 Sec. Garage Garage doors need repairing III 52-31-B Kitchen Gas stove - no shut off V 5 ,52,E6 Porch/rear Sills are bad III 52-30A w Remarks: Inspected by: ' - Date of Insp._ Oct. 1980 ur s orto'n Time start 3:30 end 3 µ�tlQt"f Town of Southold 11/4/2021 P.O.Box 1179 53095 Main Rd A*-"Iot ban� Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 42494 Date: 11/4/2021 THIS CERTIFIES that the building ADDITION/ALTERATION Location of Property: 140 Mechanic St., Southold SCTM#: 473889 Sec/Block/Lot: 61.4-34 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 2/17/2021 pursuant to which Building Permit No. 45885 dated 3/5/2021 ........ 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: alterations and add itioijs�jnc lud in ,.a.lry lldirM,tc an., t rtZ s ngl f , it ,c�wellin a.s a2plied LKt. BA 512 issued 7/15/2021. The certificate is issued to Wylie,Jacob&Israel,Allison ....... ....._. ..... ... ............. _ .. ...................... ... ........... .. .... �.. of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 45885 10/18/2021 PLUMBERS CERTIFICATION DATED 8/19/2021 Th in s Mateo _......w.....w ........... _... ..m . .. .... w. .... . tit or" o Signature. eriWfat't Town of Southold 12/14/2020 "^ P.O.Box 1179 " 53095 Main Rd Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 41685 Date: 12/14/2020 THIS CERTIFIES that the building ELECTRICAL Location of Property: 140 Mechanic St, Southold SCTM#: 473889 Sec/Block/Lot: 61.-4-34 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 10/9/2020 pursuant to which Building Permit No. 45317 dated 10/9/2020 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: etc tr c suM for,PSW 1glec9nnectservice. The certificate is issued to Evans,Olive of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 45317 12/14/2020 PLUMBERS CERTIFICATION DATED ..._. _..............._... ...._.._...,.w, Authorized Sipature