HomeMy WebLinkAbout1000-27.-1-5 TOWN OF SOUTHOLD
Rental Permit
15
1
Owner Stefan Feuerabendt & Carol Huang
Occupied as Single Family Dwelling
Located at 405 Holyoake Avenue Orient 27-1-5
Maximum i @6
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,Cou6ty 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.
11/29/2021 `
Code Enforc Official
This Notice must be posted by the main entrance at all times
Town Hall Annex
S�UTH�L� TOWN 54375 Main Road
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PO Box 1179 Southold,
Rt1it � �Ct� NY 11971-1179
Tel: 631-765-1802
Fax 631-765-9502
SCTM# —_� S Date 1 Z�
Owner + C Phone
Address 57 �R >ftK f Zip �s
Hamlet Inspector
Address visible from street?
LEVELS SUB 1 2 3
Smoke Detectors (#- bedroom detectors excluded)
Carbon Monoxide Detectors (#)
Fire Extinguishers (#)
Exits (#)
BEDROOMS 1 . 2 3 5
Smoke Detector Alarms (#)
Carbon Monoxide Alarms (#)
Egress (windows) (Y/N)
BUILDING SYSTEMS '41' CONDITION OF PROPERTY
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 YTO
POOL BARRIERS Y/N
Pool present Pool is completely enclosed
Pool surface alarm and/or door alarm Barrier is a min. 48" high
resent
POOL GATES Y/N 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:
75 T
fat
TOWN OF SOUT OL
Rental Permit
Permit No. 0231
Owner Stefan Feuerabendt & Carol Huang
Occupied as Single Family Dwelling
Located at 405 Halyoake Ave Orient 27-1-5
Address
5/B/L
Maximum Permitted Occupancy 6
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.
11/20/2019 John Jarski
Date of Issue Code Enforcement Officer
This Notice must be posted by the main entrance at all times
Town Hall Annex � 7 �� I� �+Y Telephone(631)765-I802
54375 Main Road � � � Fax(631)765-9502
P.O.Box 1 179 �
Southold,NY 11971-0959
4`k
BUILDING DEPARTMENT
TOWN OF SOUTHOILD
RENTAL PERMITAPPLICATION
Rental Permit Fee $200 (Application must be renewed every two years)
Section
Property Information:
Rental Property Address:
405 Halyoake Avenue, Orient, NY
Tai Map umber: 1000 SECTIO 2.7.___.._.__ .-RIOCK 1 -LOT 5.0
SECTION B.
OWNER INFORMATION:
Property OwnerName: Stefan Feuerabendt
Property Owner Legal Address: Property Owner Mailing Address:
1404 Cedar Hill Avenue same
Dallas, Texas 75208
Telephone Number (s): Daytime .2'1 020 7824 Evening_ n� Emergency,,,,_,,_____
Property Owner Entail Address: stefanfeuerabendt@yahoo.com
Page I Of 5
f
Town Hall Annex Telephone(631)765-1802
54375 Main Road Fax(631)765-9502
P.O.Box 1 179
Southold,NY 11971-0959
aamiN�
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
Section C.
Authorized Agent Information:
Name of Authorized Agent of dwelling unit, if any .....Eileen Wingate
Address of Authorized Agent (no P.O. Boxes):,,,_2850 West Mill Rd Mattituck, NY
Mailing Address of Authorized Agent: ,,..,,_......................
Telephone Number (s): Daytime,_516-818-9754.............. Evening,,,,_-- Emergency
Entail Address: eileen@quietmanstudio.com
Section D.
Managing Agent Information:
Name o Authorized Agent of dwelling unit, if an
Address of Authorized Agent(no P.O. Boxes),_ ..�..... ......�_. .. ._._ -----
Mailing Address of Authorized Agent: -------
Telephone
____fele o e e s): a i e.__..w_......_Evening IEmer°gency_......_
EmailAddress:
SECTION E.
INFORMATION:SITE MANAGER (required for rental properties containing 9 or more rental units)
Name o anaging Agent of dwelling unit, if any:
Address of Managing Agent ( o P.O. Boxes):,..
IRage 2 of
Town Hall Annex �ut ,' Telephone(631)765-1802
54375 Main Road Fax (631)765-9502
I1.0.Box 1 179
Southold,NY 11971-0959 �� idil'd
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
Mailing Address of Managing Agent: ,
Telephone Number (s): Daytime__,,,,,,.-. .. .... m.Evening Emergency_____.,
Email Address:
SECTION
PROPERTYDESCRIPTION:
Number of Rental Dwelling Units on property: 1 unit.......--�.
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: 405 B1alyoaVteAvenue,Orient, NY
Requested Maximum number of persons allowed to occupy welling4nit: M 6 persons
4 ,
Number of rooms in Rental Dwelling Unit: 4 rooms '
Use and Dimensions of each room in Rental Dwelling Unit: µ
Bedroom#1-19'x 13'_.�_.�_........_.....__.........._....
Bedroom#2-17'x 10'6", Bedroom#3-11'x 15',Great room 21'x 17'
Page 3 of
Town Hall Annex Telephone(631)765-1802
51375 Main Road �� ' f Fax(631)765-9502
P.O.Fox 1 179
Southold,NY 11971-0959
.P1�,
BUILDING DEPARTMENT
SECTION G.
Pursuant to the Town Code of the Down 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
y the laws adopted by the New York State Fire Prevention and Building Code Council.
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.
SECTION H.
Signature must be notarizedT be the owner of the dwelling unit.
STATE OF NEW YO RK)
COUNTY OF SUFFOLK)
I Slefan Feuerabendt certify under penalty of perjury, the following:
1, I aryl the owner of the property identified in "Section A" of this application,
2. The property owner's legal address set forth i "Section B" of this application is my legal
address and I understand the Town will use the address for service pursuant to all
Page 4 of
��
Town Hall Annex Telephone(631)765-1802
54375 Main Road Fax(631)765-9502
P.O.Box 1179
Southold,NY 11971-0959
BUILDING DEPARTMENT
TOWN OF SO OLD
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. I 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 Manager.
Property Owner's Name: Stefan Feuerahend.t
Property Owner's Signature:
Sworn to before me this day of - � , 20
icial Notary Public Signature and Original Notary Stamp
DENISE A. NAVARRA
NOTARY PUBLIC-STATE OF NEW YORK
No. 01 NA61 91295
Qualified In Suffolk County
My Commission Expire,,,
Page 5 of 5
AWj
TOWN OF SOUTHOLDBUIILDING E
765-1802
INSPECTION
[ '] FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] - -FOUNDATION 2ND [ ] IN SUL TIOWCAULI° I G.
[ ] FRAMING /STRAPPING [/] FI
INAL[ `] °FIREPLACE & CHIMNEY [ E SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL)
[ ] CODE VIOLATION [ ] PRE C/O
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FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Town Clerk's Office
Southold, N. Y.
Certificate Of Occupancy
No,7.. .5299. Date July . 25 1973
THIS CERTIFIES that the building located at Aalyolte Ave Street
Map No.= Block No. . ZZ . . Lot No.X. Qrlent N J
conforms substantially to the Application for Building Permit heretofore filed in this office
dated . . April . 2 , 19 71 . pursuant to which Building Permit No. 520.1.2
dated . , . . . . . April . 2 , 19 71 ., 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. Family. dwelling . . . . . . . . . . . . . . . . . . . . .
The certificate is issued to 'W:L1.11.am. a Virginia QODwyer OTAmers
(owner, lessee or tenant)
of the aforesaid building.
Suffolk County Department of Health Approval . . .41X8 . .15. . 1.971:
UNDERWRITERS CERTIFICATE No. . X .7.Q944. F-010 . . 5. , .1973 .
IIOUSF NUMBER 405 Street .4XY9kip ArtT�
Building Iiis])eLloi
FORM NO.4
TOWN OF SOUTHOLD PIM-5
BUILDING DEPARTMENTko
Office of the Building Inspector
Town Hall
Southold, N.Y.
Certificate Of Occupancy
No. . . ,2.16.473 Date , . , December 14 , 1987n
THIS CERTIFIES that the building , , , .A d d i t ion and a 1 t e r a t i o.n 1 . . * , . . . .
Location of Property 405 Haly_ oake Ave . Orient
House No. Street-
County Tax Map No. 1000 Section . . . ?.. . . . . . .Block . . . . . „ , , , . .Lot . . . 5. . . . . . . . . . . . .
k
Subdivision . , . . , . . , „ . . . . . . . . . . . . . . . . . . . . .Filed Map No. . , „ . , . . .Lot No. . . . . , . . , , . . .
conforms substantially to the Application for Building Permit heretofore filed in this office dated
Aug. 10 , 1 9 7 7 pursuant to which Building Permit No. . . 9.19 7 A , , . . . , . . . .
dated _ A u&: 10, ] 9 7 7 . . . . . . . . . . . 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 : : . . . . . . .
Addition and alteration .on existing dwelling.
The certificate is issued to . . . . . .DORI.S B . MORGAN
(owner, spa' ; %X . . . . . . . . . . .
of the aforesaid building.
Suffolk County Department of Health Approval
UNDERWRITERS CERTIFICATE NO. . Pending l2/ 10/87
PLUMBERS CERTIFICATION DATED : N/A
Building Inspector
Rev.1/81
1 m .
Town of Southold Annex 11/7/2011
54375 Main Road
Southold, New York 11971
CERTIFICATE OF OCCUPANCY
No: 35277 Date: 11/7/2011
THIS CERTIFIES that the building RESIDENTIAL ALTERATION
Location of Property: 405 Halyoake Avenue, Orient,
SCTM #: 473889 Sec/Block/Lot: 27.4-5
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this officed dated
7/6/2011 pursuant to which Building Permit No. 36550 dated 7/8/2011
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:
Alteration to �z gh �a ly�.: we] '� .S• Fill in Bamsemen
Move Electric Service& P1111 bbin Y Crrd [R.epl ccment, as am)lie:l for.
The certificate is issued to Feuerabendt, Stefan&Huang,Carol
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 36550 8/3/11
/2/1 1 l l zio Plumbing a
&Heating
PLUMBERS CERTIFICATION DAT i 1 � _ ...,
r ed , in atr e
... ..... ...........................