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HomeMy WebLinkAbout1000-100.-1-17 TOWN OF SOUTHOLD Rental Permit 1454 Owner: Daniel Ferrara Occupied as: Single Family Dwelling Located at: 405 Saltaire Way Mattituck 100.4-17 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: 05/04/2026 ?Vd"qn Expiration: 05/04/2028 °de °' 'e" cial This Notice must be posted by the main entrance at all times a 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) 765-9502htt.s://www,southoldtownnv. ov RENTAL PERMIT APPLICATION J Rental Permit Fee $300 (Application must be renewed every two years) Section A. Property Information: Rental Property Address: `/0 C Fr4 t Le 9-rr/ c- A.J/t7 Tax Map Number: 1000 SECTION /oZ), -BLOCK SECTION B. OWNER INFORMATION: Property Owner Name: Property Owner Legal Address: Property Owner Mailing Address: (Cannot be the same as Rental Property Address) a o � ° C . Telephone Number(s): Daytime IN 'J�o DEvening Emergency Property Owner Email Address: Page 1 of 4 Section C. Authorized Agent Information: Name of Authorized Agent of dwelling unit, if any: 1 Address of Authorized Agent (no P.O. Boxes): Mailing Address of Authorized Agent: Telephone Number (s): Daytimd - °.i 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 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: Z Use and Dimensions of each room in Rental Dwelling Unit: 6d- 0 ReA177%. � I J L / 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) �� � , .,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. 1 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: �n Sworn to before me thiday of r; , 20�6 MARIA PRIKAS GANLEY Notary Public-State of New York NO.01 PR5003206 Qualified In Suffolk County Official Notary Public Signature and Origi I Notary Stamp My Commission Expires Oct 19,2oz6 Page 4 of 4 ;arexs „ TOWN OF SOUTHOLD BUILDING DEPT. v �� 631-765-1802 AW- I No S P E C T I UA"hN [ ] 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 REMARKS: o� ���- � ��on ���� has-e•�. ern �, . DATE / INSPECTOR Telephone(631)765-1802 Town Hall Annex Fax(631)765-9502 54375 Main Road P. O. Box 1179 Southold, NY 1 1 971-0959 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 aired for Architect or En ineer Licensed Rome Ins actor rinust rovie co of valid crrrent certification Rental Property SCTM Number: Rental Property Address: "� _...... : �,. ----�-- _--� Owner/Name: 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.) Bedroom 1 -323 SF Bedroom 2-305 SF Bedroom 3-243 SF Bedroom 4-205 SF Property Description (Include all improvements indicated on survey) 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. Louis Schwartz —;�� Of NEWw. o Sa. f4 Print Name and Title ` Original Signature Please place Professional Sep p 0 0obA ops% 2-I►0) 2--5 TOWN OF SOUTHOLD PROPERTY RECORD CAS OWNER - � T � � r VILLAGE DiST. _ .SUS. LOT s FORMER E _ N � .. W : TYPE OF BUILDING �. - RES SEAS. VL. FARM COMM CB. miss. Mkt. Value LAND IMP. TOTAL DATE REMARKS f _ — _ a o e� L AGE BUILDING CONDITION NEW NORMAL BELOW ABOVE FARM Acre Voka Per Value Acre Tillable FRONTAGE FRONTAGE ON WATER Woodland FRONTAGE ON ROAD Mtrfand DEPTH House Pkit BULKHEAD To#va! DOCK z �` 17�LO e a LO TRIM - — — — — as i_ E - s --- - _ A,,_ _. .... - - 100:1-17 Z/4/2025 E _ _¥ _ _ E _ _ �.. - -- -d . e �. /q owl ? t� I .�D ' - �� Extension - Extension !Foundation Both Dinette Porch ;Basement Floors !Ext. Walls Interior Finish LR. ! I Breezeway Are Place Heat CDR Garage + ` - ,r �r 1 fe Roof lRooms Ist Floor FR. Patio Recreation Room Rooms 2nd Floor -- IN1- B - 0. B. x orme r rRv ! _4 t _ ewoy Total tt Town of Southold 2/16/2024 P.O.Box 1179 53095 Main Rd Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 44993 Date: 2/16/2024 THIS CERTIFIES that the building HVAC Location of Property: 405 Saltaire Way,Mattituck SCTM#: 473889 Sec/Block/Lot: 100.-1-17 I - Filed Map No. Lot No. Subdivision: conforms substantially to the Application for Building Permit heretofore filed in this office dated 1/5/2024 pursuant to which Building Permit No. .....- 50285 dated - 1/31/2024 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: AC s stem to V It le-Wil 1,i 1 dwelli as a tied f r int i ro er cle The certificate is issued to Gardiner Matthew of the Aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 50285 2/14/2024 PLUMBERS CERTIFICATION DATED -�=Autho ized nacre FORM NO.4 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. CERTIFICATE OF OCCUPANCY No. Z. 2910. . . . . Date . . . . . . . . . . .October. • 23. . . ., 19.67- THIS CERTIFIES that the building located at W/3- . Saltalze.WXY • • • • • • . Street Map No.Salt. Aire 11sAk No.YZ. . . . . . . . . .Lot No.20,0. . . . atti k9- X*Y.. . . . . . . . conforms substantially to the Application for Building Permit heretofore filed in this office dated . . . . . . . . .fy1,,c. . . . 29 19. b7 pursuant to which Building Permit No. 3.559.Z dated . . . . . . . . . ALLy• • . • •2& •, 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 Private.one .family. 4V012 R6 . . . . . . . . The certificate is issued to . J.php. Nelson Owner. . . .• . . . . . . . . . . . . . . . . . ` (owner, lessee or tenant) of the aforesaid building. Suffolk County Department of Health Approval. *at.. .23 V• 1969• • -VY- 11• •9JL-na Buff g lr pecto Home report 405 Saltaire Way, Mattituck, Suffolk County, New York, United States, 11952 4 / G9ta 9Ii 1 q nnuia KI'I r„rllfJ RftS MARY tf2 �tlatl. 13'2''x 21,11.7`H" 3"11• GAnwf;E z 12':3"x 19'6" MaNU ROOM 21V 15'1" d F @:7KOi Room dimensions Floor 2 Total:1153sgft Excluded: 289sgft # Max Dimensions sgft Included 2 Porch 7,4"x 3'4"' 37 sq.ft No 3 Garage _ 12'3"x 19'6" 227 sq.ft No 4 Dining Area 79"x 12'3" 95 sq.ft Yes 5 Laundry P 12'5"x 57' 70 sq.ft Yes 6 Hall 5'8"x 3"8" 21 sq.ft Yes 7 Bath 78"x T " 39 sq.ft Yes 8 Living Room; 21'4"x 15'1" 359 sq.ft Yes 9 Kitchen t 12'1"x 12'3" 148 sq.ft Yes 10 Primary Bedroom 13'2"x 278" 317 sq.ft Yes 11 Bath - 54"x 6"9" 36 sq.ft Yes Scan captured on Thu,24 Jul 2025 19:43:28 GMT Home report 405 Saltaire Way, Mattituck, Suffolk County, New York, United States, 11952 m �o BEDROOM HALL 1131.x 6 5" BEDROOM 13'2"x 21`11' BEDROOM 21'10" W'LC. 811"x 7'1" Room dimensions Floor 3 Total:383sgft Excluded: 615sgft # Max Dimensions sqft Included 12 Bedroom f 13'2"x 21'11° 272 sq.ft No 13 Bedroom c 14'0"x 11'1" 143 sq.ft Yes 14 W.I.C. a 8'0°"x 71" 44 sq.ft Yes 15 Hall 8'3"x 8"5" 84 sq.ft Yes 16 Bath 8`3"x 6"8°" 48 sq.ft Yes 17 Bedroom 21'10"x 15'1" 252 sq.ft No Scan captured on Thu,24 Jul 2025 19:43:28 GMT Home report 405 Saltaire Way, Mattituck, Suffolk County, New York, United States, 11952 BEDROOM I-IVC I NKF-- w., f V i1M92Y RRE6f1OOM UNIXLL G1U4PGE tSGDIXWM �pq l2'Tx1A'n" 1.31"u,Z11Y" Ne 11�f I, 5EDFUOM 2Y'tU'r.I5'L" l9tvfNG RPMk9 Y w f W.iG WH4N RM FLUOR 1 UASEME^Pf kHA'MUmb A. Total Area: 1536 sq. ft Below Ground: 0 sq. ft, Floor 2: 1153 sq. ft, Floor 3: 383 sq. ft Excluded: Basement 1078 sq. ft, Porch 37 sq. ft, Garage 227 sq. ft, Embeddedwindow 13 sq. ft, Fireplace 12 sq. ft, Low ceiling 91 sq. ft, Bedroom 524 sq. ft, Walls: 228 sq. ft Property summary ftfl3 � 4 fc, 2 a1Floors Bedrooms ti -� Bathrooms Garages Scan captured on Thu,24 Jul 2025 19:43:28 GMT