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HomeMy WebLinkAbout1000-114.-9-11 of SO& TOWN OF SOUTHOLD Rental Permit 1480 Owner: Joseph Sedotto Occupied as: Single Family Dwelling Located at: 735 Reeve Ave Mattituck 114.-9-11 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: 05/19/2026 W4�it,!a Expiration: 05/18/2028 odg imf rceme t afidall This Notice must be posted by the main entrance at all times 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) 765-9502 https-:///w w.sotil�lioldtowizil -a(-�y RENTAL PERMIT APPLICATION Rental Permit Fee $300(Application must be renewed,everOw years) Vol Il&Z ?L.W*kkkCGLG Section A. Property Information: Rental Property Address: _ a,OD W c�1 k` AVt. u� 1�S £�� Of MAIM G� Tax Map Number: 1000 SECTION 1 _-BLOCK 1 .LOT l - SECTION B. OWNER INFORMATION:T Property Owner Name: UOSC- SE-D01-TO Property Owner Legal Address: Property Owner Mailing Address: (Cannot be the same as Rental Property Address) W- __ Siq - fit Telephone Number(s): Daytime 63) 41g-(MI-Evening�51 q1q 6 Emergency Property Owner Email Address: T '667r P, WAIC o I� Page 1 of 4 Section C. Authorized Agent Information: Name of Authorized Agent of dwelling unit, if any: Address of Authorized Agent(no P.O. Boxes): 141 �X w eOftc WB8 Mailing Address of Authorized Agent: cS Telephone Number (s): Daytime% ,,,* Evening Emergency � Email Address: GAAk - 'bELL0 &MA L - Co Section D. Managing Agent Information: Name of Authorized Agent of dwelling unit, if any: T 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: '�) Z--C JCC I Address of Managing Agent(no P.O. Boxes): S /4 /A 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: OQE 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: Q Requested Maximum number of persons allowed to occupy Dwelling Unit: _ _ Number of rooms in Rental Dwelling Unit: Lt P— 6. " Use and Dimensions of each room in Rental Dwelling Unit: bV-O)Ty IL-II Klcg 6 kngp I\xl j JIblt �W%th . ")J16 I 5X In 3��Pb wq Sits 3 J�Za �x 1 L��5 1 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 flaws adopted by the New York State Fire Prevention and Building Code Council. V 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) I TRsf-Pki Sl��ko�tTo , 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: 3�s � 0 Property Owner's Signature: Sworn to fore me this 97 day of 20 Official Notary Public Signature and Original Notary Stamp kpYa4+1w1Kff,, o.0g1 OR62WM , M, �qq� MAR AM1A17 V'aCF l�a7 rFkANf61M1 . Page 4 of 4 ax'+xac TOWN OF SOUTHOLD BUILDING DEPT. u 631-765-1802 ��� INSPECT10" N [ ] FOUNDATION 1ST/ 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 [,j-'RENTAL REMARKS: AoU Jdae A _ -5/Lix— �gokz��ll DATE `���'�� INSPECTOR Town Hall Annex Town Of Southold 54375 Main Road Rental Inspection Report PO Box 1179 Ot Southold, NY 11971-1179 w Tel: 631-765-1802 SCTM # — Date Owner Phone Address Visible If Hamlet Onspector Floor Level Quantities Sub 1 2 3 Smoke Detectors (not located in bedrooms) t Carbon Monoxide Detectors Fire Extinguishers Exits j Bedrooms 1 2 5 6 Smoke Detectors Egress Occupant Count Building Systems Maintained &Operational Condition of Property Heating Building interior Hot water Building exterior Electrical Property clean, maintained & safe Mechanical lHandraiis&guards installed &secure Pool Safety Pool on Site Surface water alarm Date of CO issuance o7�d Door alarms Pool completely enclosed Self closing/latching gates Pool fence to code requirements CO's for all items resent t %y Comments: TOWN OF SOUTHOLD PROPERTY REC OWNER STREET ; VILLAGE DIST. SUB. LOT Xv :. ACR REMARKS TYPE OF BLD. PROP. CLASS I LAND IMP.. TOTAL DATE �no0 7000 t 10 Ali ri I FRONTAGE ON WATER TILLABLE FRONTAGE ON ROAD WOODLAND DEPTH MEADOWLAND BULKHEAD HOUSE/LOT TOTAL 5 -7 TOWN OF SOUTHOLD PROPERTY RECORD CARD OWNER STREET E VILLAGE DIST.1 SUB. LOT J, FORMER OWNER N E ACR. bk�u V v oe �a 0.(00 15 w TYPE OF BUILDS NG z Y vp t,' RES.�M SEAS. VL. FARM COMM. CB. MISC. Mkt. Value LAND imp. TOTAL DATE REMARKS j; ---- ------*- 7' d �Y Y- Y A x o oo it Ls FARM Acre Value Per Value Acre t L Tillable I J, Tillable 2 Tillable 3 U Ir f r' Woodland 1A Swampland FRONTAGE ON-WATER, Brushland FRONTAGE ON ROAD 75 House Plot DEPTH —7BULKHEAD t7� Total DOCK I/e f" L LI s Ra - R , I _s t A PA- m a a r - t c E I t .�I Foundation B ath Dinette n :Basement e t `Floors K test - Ext. Interior Finis LRWalls to trig ; h Fire Place i Heat . DR i ?Type Roof Rooms I st Floor B R. O Porch ' Recreation Roomy iRooms 2nd Floor` IFIN. B 01 Porch Dormer Driveway k � / 0 a Garage \ - a` ,✓ _ __ Patio - i O. B_ Total e - FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. UPDATED PRE EXISTING CERTIFICATE OF OCCUPANCY No Z-24 Date DECEMBER 13, 1995 THIS CERTIFIES that the building ONE FAMILY DWELLING Location of Property 2005 NEW SUFFOLK AVE. & 735 REEVE AVE. MATTITUCK NY House No. Street Hamlet County Tax Map No. 1000 Section 114 Block 9 Lot 11 subdivision Filed Map No. Lot No. conforms substantially to the Requirements for a One Family Dwelling built Prior to: APRIL 9 1957 pursuant to which CERTIFICATE OF OCCUPANCY NUMBER Z-24074 dated DECEMBER 13, 1995 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 ONE FAMILY DWELLING WITH ACCESSORY GARAGE * The certificate is issued to ELEANOR SALOMDN DECEASED (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A *THIS UPDATES PRE CO Z-5223 DATED JUNE 22, 1973 BP #9965-Z CO 9-9461 DATED MARCH 9, 1979 FOR ADDITION. BP #23176-Z 00 Z-24079 DATED DECEMBER 13, 1995 for DECK. Buildin, Inspector Rev. 1/81 FORK NO. s TOWN OF SOUTHOLD BUII.UING DEPARTMENT Town Clerk's Office Southold, N. Y. Certificate Of Occupancy No. . Z9461. . . . . Date . . . . March . .9. . . . . . . . . . . . . .. 19. .79 735 Reeve Ave THIS CERTIFIES that the building located at .2005.New •SuzEfolk. Ave. . . &PAX Map No. • •114 . . . . . Block No. . . . . . . . . . .Lot No. . . . . . . . . 1.9. . . . . . . . . . . . . . . . . . . . . . . conforms substantially to the Application for Building Permit heretofore filed in this office dated . . . . October .2• • • . • •. 19• •78 pursuant to which Building Permit No. . .9965Z. dated . . . . October - 5• • • • . • •, 19. .?g 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-F-amily. -Dowelling-w-:th Addition . . . . . . . . . . . . . . . . The certificate is issued to . . . . . . . . . . . 40A .$9L).aMPn. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (owner, of the aforesaid building. Suffolk County Department of Health Approval V/P . . . . . . . . . . . . . . . . . . . . UNDERWRITERS CERTIFICATE No. . . . . . N421935 . . . . „ . . . . „ . . . . ,. . „ . . „ „ . . . „ 735 Reeve Ave HOUSE NUMBER . .2005 . . . . . . . Street . . . . . .NAw.Sttffolk Ave. . . . . . . . . . . ... . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . .Mattvwa0. New.Xarkc. . . . . . . . . . . . . Building Inspector County Tax Number 1000-114-9-11 t C FORM NO. 4 u ip TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.X. G CERTIFICATE OF OCCUPANCY u No: Z-29953 Date: 01./09 04 r THIS CERT VIES that the building ACCESSORY: Location of Pro y: 2005 NEW SUFFOLK AVE � MATTITUCK (HOUSE NO.) (STREET) (HAMLET) Count 'Tax Map'No. 473889 Section 114 Block 9 Lot 11 V Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated OCTOBER 27 2003 pursuant to which Building Permit No. 29863-Z dated NOVEMBER 12 2003 h U was issued, and conforms to all of the requirements of the applicable provisions of the law. The occupancy for which this certificate is issued f is ACCESSORY INGROUND SWIMMING POOL WITH FENCE TO CODE AS APPLIED FOR. The certificate is issued to JACQUELINE D MURRAY (OWNER) of the aforesaid building. q r a SUFFOLK COUNTY DEPARTMENT OF BEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. 12454 06/19/96 I"I CERTIFICATION DATED N/A i y1 V Authorized Signat . 'e Rev. 1/81 0 a o a FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-25179 Date AUGUST 4 1997 THIS CERTIFIES that the building ADDITION Location of Property 2005 NEW SUFFOLK AVS. HATTITUCK N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 114 Block 9 Lot 11 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated APRIL 3, 1997 pursuant to which Building Permit No. 24052-Z dated APRIL 17 1997 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 DECK ADDITION TO EXISTING DECK OF ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to DANIEL MURRAY (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A Build g In spec r Rev. 1/82 FORM No. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z--24079 Date DECEMBER 13t 1995 THIS CERTIFIES that the building ADDITION Location of Property 2005 NEW SUFFOLK AVE.& 735 REEVL AVE. MATTITUCE N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 114 Block 9 Lot 11 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated DECEMBER 11 1995----_____pursuant to which Building Permit No. 23176-2 dated DECEMBER 12, 1995 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 DSCR ADDITION TO EXISTING ONE FAMILY DWELLING "AS BUILT" AS APPLIED FOR. The certificate is issued to ELEANOR SALOMON DECEASED (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A i u 1di g Inspector Rev. 1/81 E n 1 tboQ Moo t MIA 6 boo �. -00