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HomeMy WebLinkAbout1000-141.-1-22 'of so TOWN OF SOUTHOLD Rental Permit 1476 Owner: Vincent Palma , Sara Griffin Occupied as: Single Family Dwelling Located at: 335 Oak St Mattituck 141.-1-22 Maximum Permitted Occupancy: 2 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: 05/18/2026 ww-ev Expiration: 05/17/2028 co E forcer ent cal This Notice must be posted by the main entrance at all times TOWN OF SOUTHOLD—BUILDING DEPARTMENT APR 2 Town Hall Annex 54375 Main Road P. O. Box 1179 Southold,NY 11971-0959 Telephone (631) 765-1802 Fax (631) 765-9502 https:/Iw E,,sQutliold�townn RENTAL PERMIT APPLICATION K "..c I Rental Permit Fee $300 (Application must be renewed every two years) Section A. Property Information: Rental Property Address: 335" U,_L SV 1I15r7- Tax Map Number: 1000 SECTION LI -BLOCK d ) -LOT O - SECTION B. OWNER INFORMATION: Property Owner Name: .°nc-cAp Cc �N►` Property Owner Legal Address: Property Owner Mailing Address: (Cannot be the same as Rental Property Address) h I fb' J Telephone Number (s): DaytimeN -711-772c(Eveningj__L�__Emergency < < Property Owner Email Address: V . HOWL bl-4, + 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, C); 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: Use and Dimensions of each room in Rental Dwelling Unit: dK 4 3 Kra a 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. ❑ lam requesting afire safety inspection to be performed by a Code Enforcement Official from the Town of Southold ® 1 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 ;^!6ftv , 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: l•�— Property Owner's Signature: Sw rn to before me this�day of 1 2154 c Offi tal Notary Public Sig a and Original Notary Stamp 7PUBLIC D BUCK NOTATATE OF NEW YORK R .01BU4998698 �t�Co ., alk C uir., Page 4 of 4 Town Hall Annex Telephone (631)765-1802 54375 Main Road »� `t"; Fax (631)765-9502 P. O. Box 1179 :rr N Southold, NY 11971-0959 x; 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 required for Architect or Engineer, Licensed Home Inspector must provide copy of valid current certification Rental Property SCTM Number: ' o Rental Property Address: 33� �F �� S� .1 4, /l �Z-- Owner/Name: r-c. . t . Rental Dwelling Unit Identifier: 3' Number& Square footage of each bedroom as depicted in the attached floor plan: (i.e. Bedroom #1 - 100 sqft., Bedroom#2-90 sgft., etc.) k ti cv Property Description (Include all improvements indicated on survey) 7,_ .. v� 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 Cans uction Cgde of New York State. �C AS !" Print Name and Title al Signature Please place Professional Seal: r TOWN OF SOUTHOLD BUILDING DEPT. 631-765-1802 /W- /- cl� I N S wPE(ft;"T I %jqk 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 (FI L) [ ] CODE VIOLATION [ ] PRE C/O [7 RENTAL I nn REMARKS: - oil 0� rah 'o DATE �' �' _ INSPECTOR TOWN OF SOUTHOLD PROPERTY REcoR, °OWNER STREET VILLAGE DI LOT y � I I F O E � ACR. s ff p SIC{ �tSpf c S W TYPE OF BUILDING RES. /p SEAS. VL. = FARM COMM. CB. MISC. Mkt. Value e LAND IMP. TOTAL DATE I REMARKS I z/� 7D �� �.. y k . ' L` 19 - A �� i ,� � .`ice k ��-_� J,'1 � - C=f'�u`.�.0 %Y;� a.' .f7R �N�i��S �G � e U e _0Li 14a pc a AGE E BUILDING CONDITION ' `10 - NEW NORMAL BELOW ABOVE FARM Acre s, Value Per Value ' Acre Tillable 1 Tillable 2 Tillable 3 _ Woodland I I I Swampland i FRONTAGE ON WATER E FRONTAGE ON ROAD =u Brushland I House Plot DEPTH j BULKHEAD i I i Total ' DOCK I{ _ s E l s I Ov E r- TRIM 1--: - #1 I { s I 141.-1-22 4/ i - 3 2023 I M. g. i ,r + Fndation � , f, Bath Dinette Extension s `Basement Floors K. Extension Ext. Walls i. ' ; Interior Finish LR r l Extension ' ; Fire Place t Heat t _ ; �` I, DR. i E C 1 s s Type Roof Rooms 1st Floor j BR. i - - a Porch Recreation Room4 Rooms 2nd Floo� '. £ FIN. B. Porch Dormer � e s Breezeway; i I Driveway ! I Garage i Patio I _ O. B_ Total FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERKS OFFICE SOUTHOLD, N. Y. CERTIFICATE OF OCCUPANCY No. -Z.-2-006........... gate ..............................Oatabex..28-, 19-6) . THIS CERTIFIES that the building located at -.1/t.1—Oak-St........................................ Street Map No. ...xxZ........... Block No. .......=....... Lot No. .......XR.tt;k.tU0k.0 conforms substantially to the Application for Building Permit heretofore filed in this office dated .........................August.....8....... 19-61. Pursuant to which Building Permit No. -211+6.-Z dated --........ .......-.-AU9.......12..., 19...fil,was issued, and conforms to all of the requirements of the applicable provisions of the low. The occupancy for which this certificate is issued is ......................... .................................... ............. The certificate is issued to ...Mr.o.,...Alf-r-ed.-Ar.mbrus-t-,-,....... .......Owner.. ......................—•.... (owner, lessee or tertant) of the aforesaid building. ........... ................... Building lnspecto FORM NO.4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Clerk's Office Southold, N.Y. Certificate Of Occupancy No. . . . . . Z.10135. . . . . Date . . . . . . .September.8. . . . . . . . . . . .. 19 . THIS CERTIFIES that the building . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Location of Property 335,Oak Street Mattituck* N.Y.. Air)V'o. Street 'Hamlet County Tax Map No. 1000 Section . .141. . . . . . .Block . .91. . . . . . . . . . .Lot . . . .022 . . . w * * rt Subdivision . . . . . . . . . . . . . . . . . . . . . .Filed Map No. . . . .Lot No. . . . . . requirements for a one family dwelling biiiat� prior to conforms substantially to the er as a o � ��` Z10135 . „ ... . .. . . . . . . . . , 1957.pursuant to which . . . . . . . . . . , . . . . . . dated . . . . .Pep; , abet 6. . . . . . . . , , 19 ,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.Farm 1 . Dwelliw. . . . . . . . . . . . . . . . . . . . . . . . . . The certificate is issued to . . . . tobert ► Hawkins. . . . . . . . . . . . . ..• . of the aforesaid building. Suffolk County Department of Health Approval . . . . . . . . . . . . N R. . . . . . . . . . . . . . . . . . . . . . . . . . � UNDERWRITERS CERTIFICATE NO. . . . . . . . . . . . . . . . . . . . N/R. . . . . . . . . . . . .. . . . . . . . . . . . . . Building Inspector Rev 4/ft 16 3650DH 0 0:1 PRIVATE RESIDENCE BATH#1 335 OAK ST MATTITUCK NY 11952 m 6'x8'-3" BEDROOM 9'x11'-3" o ® O UTL.CL. CLOSET VYELL TANK 3 -4" KITCHENtLIVING `? 16'-6"x15-5" [ � It 0 I 00 �f © Scale `"_V-04_. Date 03.05.2026 MAIN FLOOR PLAN �-- 3048DH 3048DH 3M8DH A-100