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%.
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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
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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
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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
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2-I►0) 2--5
TOWN OF SOUTHOLD PROPERTY RECORD CAS
OWNER - � T � � r VILLAGE DiST. _ .SUS. LOT
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FORMER E _
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RES SEAS. VL. FARM COMM CB. miss. Mkt. Value
LAND IMP. TOTAL DATE REMARKS
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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
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Extension -
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!Foundation Both
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Porch ;Basement Floors
!Ext. Walls Interior Finish
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Breezeway Are Place Heat CDR
Garage + ` - ,r �r 1 fe Roof lRooms Ist Floor FR.
Patio Recreation Room Rooms 2nd Floor -- IN1- B -
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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
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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
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V i1M92Y RRE6f1OOM UNIXLL
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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