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Home My WebLink About1000-144.-3-38 Of SOO TOWN OF SOUTHOLD Rental Permit 1541 Owner: James Josef Szende Occupied as: Single Family Dwelling Located at: 2100 Bay Ave Mattituck 144.-3-38 Maximum Permitted Occupancy: 7 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: 09/02/2026 ,401 v4f� Expiration: 09/01/2028 cede E+ment ecd, This Notice must be posted by the main entrance at all times I 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 h1tjLs.LAvnL squllio ldto,r goy RENTAL PERMIT APPLICATION Rental Permit Fee $300 (Application must be renewed every two years) Section A. Property Information: Rental Property Address: Town of Southold 2100 Bay Avenue, Mattltuck, NY 11952 Tax Map Number: 1000 SECTION 1000 -BLOCK 144. --LOT 3 -38 SECTION B. OWNER INFORMATION: James Josef Szende Property Owner Name: Property Owner Legal Address: Property Owner Mailing Address: (Cannot be the same as Rental Property Address) 208 E Broadway,Apt. J704 208 E Broadway, Apt J704 New York, NY 10002 New York, NY 10002 Telephone Number(s): Daytime 646-544-9579 Evening Emergency631-793-0514 Property Owner Email Address: jszende@gmail.com Page 1 of 4 Section C. Authorized Agent Information: Name of Authorized Agent of dwelling unit, if any: Diane Arpaia Address of Authorized Agent (no P.O. Boxes):53935 Main Rd., Southold, NY 11971 Mailing Address of Authorized Agent: 53935 Main Rd., Southold, NY 11971 Telephone Number(s): Daytime 631-902-1222 Evening Emergency Email Address: darpaia@signaturepremier.com Section D. Managing Agent Information: Name of Authorized Agent of dwelling unit, if any: See above 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: 1 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: 1 Requested Maximum number of persons allowed to occupy Dwelling Unit: 8 Number of rooms in Rental Dwelling Unit: 7 Use and Dimensions of each room in Rental Dwelling Unit: First floor: Bedroom (9'4"x11'5"); Bedroom(8'8"x101"); living room (12'2"x12'1"); kitchen (12'2"x107") Bathroom(7'8"x4'5").Second floor: Bedroom (12'x 8'11"); bedroom (12'5"x9'3"); bed room(97'0'4"); Hallway (12'x12'5") 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. V lam requesting afire safety inspection to be performed by a Code Enforcement Official from the Town of Southold ❑ I am submitting a completed Town of Southold certw_J tin f m�o �c�s architect or a licensed professional engineer. ` Page3 of 4 `1, 2 0 L..a SECTION H. DECLARATION: Signature must be notarized and MUST be the owner of the dwelling unit. STATE OF NEW YORK) COUNTY OF b )- James Josef Szende , 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; Property Owner's Signature: Sworn to before m this day of , 20 Official Notary P Sign re and Original Notar Stamp NMI CIV NO NOTARYATE OF NEW YO, . BE636S257 hmond Countyins 101,a, 29 Page 4 of 4 f3f SoUI TOWN OF SOUTHOLD BUILDING DEPT. 631-765-1802 r T 10 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 (FIN [ ] CODE VIOLATION [ ] PRE C/O [ RENTAL REMARKS: —ka—��o—ve, DATE ��'�� 1111RPECTOR " Town Hall Annex Town of Southold 54375 Main Road Rental Inspection Report PO Box 1179 w Southold, NY 11971-1179 Tel: 631-765-1802 SCTM # / — 3 Date �"- Owner Phone Address c�' Visible Hamlet I Inspector Floor Level Quantities Sub 1 2 3 Smoke Detectors(not located in bedrooms) 1 Carbon Monoxide Detectors Fire Extinguishers Exits Bedrooms 1 2 3 4 5 6 Smoke Detectors Egress Occupant Count a, Building Systems Maintained &Operational Condition of Property Heating Building interior Hot water Building exterior Electrical Property clean, maintained &safe Mechanical Handrails&guards installed &secure Pool Safety Pool on Site Surface water alarm Date of CO issuance Door alarms Pool completely enclosed Self closing/latching gates Pool fence to code requirements CO's for all items present Comments: A % ' 0 fore- acr� c� O k d r 0 a d Smoke alarms M O [ oil „ X s g Loh .........1", o Q � G 0 0 K d M l�e d boo r�'i. 2 e- AN a o tA Sec�Nd �oa,� agi ao )8 1 TOWN OF SOUTHOLD PROPERTY RECORD CARD `0 o - 3 -21? OWNER !STREET !-VILLAGE-1 DISTJ SUB. LOT FORMER OWNER N E i ACR.jr fF„ S W 'F TYPE OF BUILDING /9. �2 71,,iP6 AJm I ,RES. SEAS. 1 V VARM COMM. CB. MICS. Mkt. Value. - LAND IMP, TOTAL I DATE REMARKS d __JJ �� TP�Yf a t �3 ,3, 1 3/Q0 i 1/ 0 06 1j9/9 7� . 3700 3 s 7 s t AGE I BUILDING CONDITION NEW NORMAL BELOW ABOVE FARM Acre Value Per Value g Acre _ 1 Tillable FRONTAGE ON WATER - r rya Woodland FRONTAGE ON ROAD /0 Meadowiand I I DEPTH � House Plot i BULKHEAD Total DOCK i 1 COLOR { f � TRIM F I F ( } } _ s s _ i = 1 s j A j f , v z I 3 z S I� ! [ Eicte on U I i I I i L—LIE 6 tens on . f t Extension t � , Foundation bath Dinette Porch 2 D Basement Floors i n Porch, Ext. Walls a, ' Interior Finish �`1 Breezeway .; Fire Place . g A I Heat r�s�7,� R s 6 Garage IType Roof Rooms lst Floor I BR. Patio ;Recreation Room Rooms 2nd Floor ! FIN. B 0. B. 3 1 i Dormer i Driveway Total Y , FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. PRE EXISTING CERTIFICATE OF OCCUPANCY No 5-24235 Date MARCH 25 1996 THIS CERTIFIES that the building ONE FAWLY DWELLING Location of Property 2100 BAY AVENUE MATTITUCK N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 144 Block 3 Lot 38 Subdivision Filed Map No. Lot No. conforms substantially to the Requirements for a One Family Dwelling built Prior to: APRIL 99 1957 pursuant to which CERTIFICATE OF OCCUPANCY NUMBER 8-24235 dated MARCH 25 1996 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 * The certificate is issued to CE MAHONEY (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A *PLEASE SEE ATTACHED INSPECTION REPORT. L"-'&44 lding Inspector 1.91 Rev. 1/81 BUILDING DE'PARTHI:NT TOWN OF SOUTIIOLD HOUSING CODE INSPECTION REPORT LOCATION: 2100 BAY AVENUE MAITITUCK, NEW YORK �.,_w�... number S., street,)_.._.._....__... ..__..�..,....-..._........,-..............�� iici a11 _.... .. ,�,..,..,................w„, SUBDIVISION _�_. .... w...._ _ ........ .. ..___. MAP NO'...,....,.....�.,.._...........— L.O•l'(e). NAME OF OWNER (s),...w.. wFLORENCE MlHONEY" OCCUPANCY A-I RES. OWNER µ` .�...,_,..._.��Y�»� .,_....,_........,....��..�.....w...—..........w._...., owner—L'enant�_._... ..� .www..,_.,......._......, ADM JO ACCOMPANIED BY: SAME KEY AVA1LAl11. �ww....w.-.www_..w. atT1. i5...... AX MAP NO- � ��1 TTED 100 .� � _...... .,. KEY AVAI BY.,, .._ . HN a ER............ .............,_...w, ....a.__ ___ _., ., .....w...,........w. � M, M MARCH 12, 1996 2 � un•rE SOURCE OF RE(11r,ST• MADR �..�.,�_.L.'.......��..,��.��.�.._.........._,.....,.�,.._�.............._.............................._ ,� �._...__ ��..._......w„�..wn.�,..,. .. . _......... _. ,,,., .._. ,. ...._._....,. _.�_._,..., ... ..,.,,,.. _.... UWELLING: .. TYPE OFWCONSTRUCTION WOOD FRAME 1 STORIES 2 1 EXITS 2 FOUNDATION POURED CEMENT CELLAR ....PARTIAL CRAWL. SPACE ,PARTIAL •1.OTAI. ROOMS: IST FI.R. y _2ND FI.II. 3 3RD FI.R. BATHROOM (s) ONE TO I LET ROOM (s) NO U'f l I.ITY ROOM E S PORCH TYPIDE ENCLOSED/FRONT COVERED BECK......._........... � � ...�IO R, TYPEPA1°IO. .�.��. BREEZEWAY FIREPLACE _ GARAGE_ DOMESTIC IIOTWATER .......w..YES.. TYPE HEATER LILCO— AIRCONDITIONING W 'TYPE 11EA'1' OIL WARM Aill %% 110'rWATER OTIIER: ACCESSORY STRUCTURES: GARAGE, TYPE OF CONST. STORAGE, TYPE CONST. , .._......m._....._......_................. SWIMMING POOL--, �....__.ww__..._ ,........... �. _ GUEST,._......._ TYPE CONS3'. IrrurR: VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION t& BUILDING CODE 1OC<AL10N UESI'ltIPLIO .......... ART. SCC. REMARKS: INSPECTED II G J. ��_. .. DATEOF 1.. .. ... _ _.... _,. .. ..__...w. NSPLC•r10N _..~MARCH 20, 1996._w.. ..w. TIME START 9:40 END 10:00 l QO m. r-p N� �4 pp