The URL can be used to link to this page

Home My WebLink About1000-25.-3-19 T U NU r6j" UTHOLDW F EwiRental Permit 0112 Owner 805 Navy Street LLC Occupied as Single Family Dwelling Located at 805 Navy Street Orient 25-3-19 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. 7/19/2021LAI Code Enforce f Official This Notice must be posted by the main entrance at all times �N'9 SOUTHOLD TOWN Town Hall Annex 54375 Main Road PO Box 1179 Southold, Rental Inspection NY 11971-1179 Tel: 631-765-1802 Fax 631-765-9502 SCTM # �.�.— 3 "" Date Owner O 8 L o,_f\K rD w Phone 6 Address V So r4o 5`r, Zip Hamlet 11nspector' Address visible from street? LEVELS SUB 1 Smoke Detectors (#-bedroom detectors excluded) Carbon Monoxide Detectors (#) Fire Extinguishers (#) Exits (#) BEDROOMS 1 2 3 5 Smoke Detector Alarms (#) Carbon Monoxide Alarms(#) Egress (windows) (YIN) BUILDING SYSTEMS ISI CONDITION OF PROPERTY 9 Heating system maintained/operational (Building Interior is clean/maintained Hot water system maintained/operational Building Exterior is clean/maintained Electrical system maintained/operational Property is clean/safe/maintained Mechanical system maintained/operational Handrails&guards present POOLS POOL BARRIERS Y Pool present Pool is completely enclosed Pool surface alarm and/or door alarm Barrier is a min.48" high resent POOL GATES All openings in barrier less than 4" Self-closing, self-latching Max. 2"clearance @ bottom of barrier Latch on pool side of gate, meets height Barrier capable of being locked &child- requirements proof when unattended COMMENTS: TOWN F SOUTHOLD Rental i Permit No. 0112 Owner 805 Navy Street LLC Occupied as Single Family Dwelling Located at 805 Navy Street Orient 25-3-19 Address Village S/13/1- Maximum /B/LMaximum 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. 7/12/2019 John Jarski Date of Issue Code Enforcement Officer This Notice must be posted by the main entrance at all times Town Hall Annex NlTelephone(63 I)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box ]179 IMPAIR Southold,NY 11971-0959 1 BUILDING DEPARTMENT TOWN OF SOUTHOLD RENTAL PE IT APPUCATIGN � 'Y o, Rental Permit Fee$200(Application must be renewed every two y 5), 1 2019 ." Section A. Property Information: p y Renta Property Address: Tax Map Number: 1000 SECTION -BLOCK -LOT SECTION B. OWNER INFORMATION: Property Owner Name: Property,Owner'Legal Address: Property Owner Mailing Address: �5 Te[epbone Number 4sA: Daythnel%a__101 Evenin 5/9me- Emergency 3q 7 qoZ3_3a� Property Owner Email Address: ve- ... " V-O s " °' Page 1 of 5 ��pp ,ryqN pp Town Flail Annex r� Telephone(631)765-1902 54375 Main Road ® Fax (631)765-9502 P.O. Box 1 179 Af 0'r; Southold,N Y I'A 971-W)59 2 BUILDING DEPARTMENT TOWN OF SOUTHOLD M�aif rvg Address of Managing Agent: - Telephone Number(s): Daytime — Evening_. .... Emergency. __ Email Address: 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,is the Rental'DweRi'ng Urmit (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: ' dw . WAN Requested Maximum number of persons allowed to occupy Dwelling Unit: (� Nufnber of"rooms in;Rental Dwelling Unit: g � . Use and Dimensions of each room in Rental DweYlin Unit: _.- Page 3 of 5 � ��➢n i�� h�4��der Town Hall Annex ��1 � "Telephone(631)765-1802 54375 Main Road Fax (631)765-9502 11_0.Box J 179 „ Southold,NY 11971-0959 V4, BUILDING DEPAR"I'MEN'T TOWN SOUTHOLD SECTIONIG. INSCTIOW Pursuant to the Town Code of the Town of Southold Chapter 207 (Rental Properties), a safety inspection b.y 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 irspectionto be performed by aCode Enfarcement 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. SE IG H. -DEC RATION: signature rust be notarized and MUST be the owner of the dwelling unit. STATE OF NEW YORK) ) COUNTY OF SUFFOLK) certify under penakty of perjury,the fogowing: 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.,useth.e address for service pucsuant to a#1 Page 4 of 5 f {G , Town flail Annex ` Telephone(631)765-1802 54375 Main Road �Y Fax(63l)765-9502 P.O.Box 1179 Southold,NY 1 1 97 10959 F BUILDING DEPARTMENT TOWN OF SOUTHOLD applicable laws and rules. 1"further acknowledge that l 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 as to any change to the information regarding Authorized.Agent, Managing Agent, or Site M,anager. Property Owner's Name: Property Owner's Signature: Sworn to efore met is day of 20t Official" otar ubli Signature and Onginal'Rotary Stamp P L STAIM OF WW WOK .01PA0318W COM allglilled in EXPOW Kings C*'An"y Page 5 of 5 TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] It FRAMING /STRAPPING [ ] NAL 44f4f r [ ] FIREPLACE & CHIMNEY [ FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) [ ] CODE VIOLATION [ ] CAULKING I REMARKS: .. i dpe DATE ��..... f V � v ' L_ � I v I i e c� i rte ' 6 Y I'r Y � F e � i i p ti 1 f 4 4 ir � p J w �g LL O l Mr „f a W 141, fMA PIC: a V IN w D ul ,` Z Z O O g m t U En 4A w w p Z Z F- Y U - .� ' w CL COO .. O r 16 .��..LL w WWAw�� ll.. Ll. j � W ggql c ol Q/ Lu LU z O j m o T um w LLLL Z O C9 — w —Q O ;fie E 00 0 H � m > CS o rx J N rte L6�� ., f W �( i 4117 G _..... _..... .... QR, y Iv, C14 cv) W w � w „, � I � " a i � 0 � O Z � Z —CL o ; _ _ w Il �f ti """�"„ u qp "� 'p E W`` °�„,�, +w j Z Ln in ¢L O O 3 i O O ice �- .. —Ae m i I � ro � ._ f _ Ly 00 o L LL LL C ...mw- N L ._ �O p '�' O O iiii.......i..,.._,..... m..�..�,. ,....�,. c// ,0 , if W ^C 2\ Of C .� C kg U 0 `fix4 0N ce- O N _ N N C V > V � N P" L x a 0a L7 p I- 0 4yy w L J O J.. I I x � w 3 n cc Ch Ln 9 dbd: m p p O a N I " m C Cc V UP p 2 CO O ww a° a ��, �° p o FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. CERTIFICATE OF OCCUPANCY No. .2..3286............ Date ...........$ p oFi ?Pr ..7. c............ .. 19.0... THIS CERTIFIES that the building located at .W/3-MaNy..stre-E3t................................ Street Map No. ...................... Block No ...................... Lot No. ...OxIent.,...Neter...y k,..........................,. conforms substantially to the Application for Building Permit heretofore filed in this office dated ............6 Ptember..26.,.... ....... .. 19..6 '. pursuant to which Building Permit No. 3234 2 dated ..........6eptember 26,............. 19.. 66, 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 ........ ...Privatise...one...fM;n Y...c .ipj L4�!q........... ............. ...... ... ................. . ..................I. ........... The certificate is issued to ....TQbLn...BoX,id=amck........ ...,.,. ............. .......... (owner, lessee or tenant) of the aforesaid building. Health Dept. Approval, October 9, 1967, Robert Villa �� Building Iinspector � F Town of Southold 9/21/2017 P.O.Box 1179 53095 Main Rd Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 39233 Date: 9/21/2017 THIS CERTIFIES that the building AS BUILT ALTERATION Location of Property: 805 Navy St, Orient SCTM#: 473889 Sec/Block/Lot: 25.-3-19 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 1/31/2017 pursuant to which Building Permit No. 41339 dated 2/2/2017 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: "AS BUILT"m :L 11:RN—FIO ' T Ali�NIS 11 Cx,�),N FAMILY DWELLING ASAPPLIEDFOR The certificate is issued to Olsen,David of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 41339 09-13-2017 PLUMBERS CERTIFICATION DATED 08-30-2017 J , r1 11ra .tl r zcd ignaftire