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
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MAR AM1A17 V'aCF l�a7
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Page 4 of 4
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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
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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
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-
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.
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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
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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
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