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Home My WebLink About1000-26.-4-4 a TOWN OF SOUTHOLD Rental Permit At i 0268 Owner Sevan & Elvon Armagan Occupied as Single Family Dwelling Located at 885 Old Farm Road Orient 26.4-4 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. 9/16/2024 C III e71E fficial This Notice must be posted by the main entrance at all times ocwk TOWN OF SOUTHOLD BUILDING DEPT. W 631-765-1802 INSPECTION [ ] FOUNDATION 1 ST/ REBAR [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] IN ULATION/CAULKING [ ] FRAMING / STRAPPING [ ] INAL [ ] FIREPLACE & CHIMNEY [ FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANYPE ETRATION ELECTRICAL (ROUGH) [ ] ELECTRICALAL) CODE VIOLATION ] PRE C/O [ ENTAL ICE ARKS tv A- 07,� Al�lv kv DATE INSPECTOR TOWN OF SOUTHOLD Rental Permit , � z Permit No. 0268 Owner Sevan & Elvon Armagan Occupied as Single Family Dwelling Located at 885 Old Farm Rd Orient 26-4-4 Address S/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. 1/8/2020 John Jarski Date of Issue Code Enforcement Officer This Notice must be posted by the main entrance at all times Town wn I1.I A011flex � Telephone(631)765-1802 54375 Ninin Rood Fax(631)765-9502 ]b O.Box 1 a"19 ,�a�a�r}rar9c�,r+81`11�$7t t.Y��:3 BUILDING DEPARTMENT TOWN Or SOUTHOL,D I IwUTAL PE11MI'T APPLICATION, o , Rental Permit Fee$200(Application must be renewed every two year.o Section A. Property Information: Rental PropertyAd&ess: Tax Map Number:10.00 SECTION;.. , - 0 .� W '.. SECTION B. OWNER INFORMATION: Property Owner tdar :, _ - LJeiI 1 — � Property Owner Legal Address: rj ertY 0imer Mailing Address: YAQ. Telephone Number(s);Day+tamQ,F- Evening,". 11 v omAProperty Owner Email Address: � pqq� _ � ry, �� ( 1, Page 1 of 5 2, T Town liall Annex Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P,O,Box 1 179 Southold,NY 1 197 1-0959 BUILDING DEPART'MFNT 'OWN OF SOUTHOLD Section C. Authorized Agent Information: Name of Authorized Agent of dwelling unit,if any: _ Address of Authorized Agent(no P.O.Boxes)` Mailing Address of Authorized Agent: ? _51 Telephone dumber(s):Daytima ft M 1210 Email Address. � � Section D. Managing Agent information: Name of Authorized Agent of dwelling unit,Kany:, w ,... _, _�� <:t> Address of Authorized Agent(no P.O. Boxes) Mailing Address of Authorized Agent;_ Telephone Number(s);DaytimeL._ Evening .Emergendy. _ Email Address{„ P _. . .,. SECTION E. SITE MANAGER INFORMATION:(required for rental properties containing 8 or more rental units) l' n l Name of Managing Agent of dwelling unit,if any:`.............. ......._ Address of Managing Agent (no P.O_ Boxes):_. _. _..... _..._. Page 2 of 5 s a Town Vasil Annex TelelrPec>ne(Fx31)765-I 802 5437.5 Main Road ' Fax(631)765-9502 P.O.Ban 1179 a Soothold,NY 11971-0959 BUILDING DEPARTMENT TOVVN OF SOUTHOLD Mailing Address of Managing Agent _.._ .Tele hone dumber{s :Da time. \ ^ 1 ' Erner el! Email Address: SECTION E. PROPERTY DESCRIPTION: Number of Rental Dwelling Units on For each Rental Dwelling Unit set forth the Rental Dwelling Unit Identifier(for example, z Unit 1,Unit 2,Unit 3 or Apt A, B,c);the use of each room in the[Renal 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 PerriiitApplicition Addendum." Rental Dwelling Unit Identifier: Regalested Maximum number of persons allowed to . :cupy Dwelling Uni Number of rooms in Rental Dwelling Unit: Use and Dimensions of each room in Rental Dwelling Unifi f - . �... ..mmm .... .. _� _ _ �� l� Patom,e 3 of 5 Town Hall Annex Telephone(631)765-1802 5437S Main 12oced Fax(631)765-9502 P_O.Box 1179 3oulhoWNY 1 1 97 1-0959 BUILDING DEPARTMENT TOWN OF SOU'rHOLD Mailing Address of Managing Agent:..A� p )` � Telephone Number s .Da i1pSP „ Email Address-,- am 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 in the Rental Dwelling Unit (for example,Kitchen,Bedroom 1, Bedroom 2,living Room)and the dimensions of each room. For properties with,muitiple Rental Dwelling Units use"Rental Perrrtit=Applicatlon Addendum." r f Rental Dwelling Unit Identifier: . ._.... �. .., mm.,„ Requested Maximum number of persons allowed to occupy Dwelling Unit: Number of rooms in Rental Dwelling Unit;_._. 1 Use and Dimensions of each room in Rental Dwelling UnW1, l a. ,.. .. ...._._................._.. ..._...�. Par(.gal 5q n 0, �0 Town Hall Annex Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1 179 Southold,NY F 1971--0959 BUILDING, (DEPARTMENT TOWN OF SOUTHOLD SEC'"l-ION G. INSPECTION: Pursuant to-t e Town Coyle of the Town of Southold Chapter 207(Rental Propertles)„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 a 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 ofthe 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.thQ County.of,Su#folk and by the laws adopted by the New York State Fire Prevention and Building Code Council. I am requestilig a fire safety inspection to be performed by a Code Enforcement Official from the Town of Southold r O lam submitting a completed Town of Southold certification form from a,licensed architect or a licensed professional engineer. r f SECTION H. DECLARATION: Signoture must be notarized and MUST be the owner of the dwelling unit. STATE OF NEW YORK) COUNTY OF SUFFOLK) 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 fi"of this application is my legal address and I understand the Town will use the address for service pursuant to all i n i Pale 4 of S i d Town Hall Annex "telephone(631)765-1802 54375 Main(toad F-ax(63I)765-9502 P.O.Box 1 179 Southold,NY 11971-0959 BUILDING•DEPARTMENT TOWN OF'SOUTHOLD applicable laws and rules; 1 further acknowledge that I will notify the Town of Southold r i ilding lj�partment of any changes cif address within five(5)days 6f any changes n thereto, 3. 1 have read and received a copy of Chapter 207 of the Code of this ToWn of Sduthold'and agrel'd t®abide by the same.` 4, [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 Narnet,. Property Owner's Signature:.. �� - Swc rn to before me this o$ '20 Ca f'icial NVarPtt�Iilit,Si nature and ,in l NotaryStamp TRACEY L.DWYER NOTARY PUBLIC,STATE OF NEW YORK NO.01 DW6306000 QUALIFIED IN SUFFOLK COUNTY COMMISSION EXPIRES JUNE 30, Page 5 of 5 DEPT.TOWN OF SOUTHOLD BUILDING 765-1802 . INSPECTION [ ]- FOUNDATION 1 ST [ ] ROUGH PLBG. FOUNDATION 2ND, [ ISULATIO GAULII FRAMING /STRAPPINGe L ]"FIREPLACE & CHIMNEY7 , FIRE SAFETY INSPECTION ION FIRE RESISTANT CONSTRUCT FIRE RESISTANTPENETRATION CODE VIOLATION PRE C/O Y6%Y%./ELECTRICAL-(ROUGH) ELECTRICAL (FINAL) ry pA1\1 DATE INSPECTO RFXkj I h � c o o — = 1 'e 717,.p, .. .. :... t " w f, ,1 x i , a� 10 �. i� a e � y ` M EM � .a r y II s ik ra ,� �m , r ......... r I �w m , O m C LO 7 Z Z p m m O n i Z Z 00 rn O 70 Ln 77 < p C N O ,» C_ IT r � m O C M m cD o x x x N CD ID to va va n-- O._. O O ... .� ....._..,..,,e ..�.. . P, ' y7� p O�l 4Y CD [d3 C5 D CD - I r° i CD 3 CDzy _ T T 7 d,W a �C E 31 , FORM NO 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy No Z- 16506 ' Date December 16 , 1987 . . THIS CERTIFIES that the budding Construct One Family dwelling with attached garag& &*a'tEkBed wood dick Location of Property 885 Old Farm Road Orient, New York House No Street Hamlet County Tax Map No. 1000 Section 026 Block 04 Lot 04 . . . . . . Subdivision . . . . . .Filed Map No. . Lot No. . . . . . . . . . . . conforms substantially to the Application for Building Permit heretofore filed in this office dated November 7, 19 15483 Z pursuant to which Building Permit No. . . November 10, 1986 dated . . . , . . . . , , was issued, and conforms to all of the requirements of the applicable provisions of the law The occupancy for wluch this certificate is issued is . ONE FAMILY DWELLING WITH ATTACHED GARAGE & ATTACHED 1400D DECK AS APPLIED FOR LEVON & SEVON ARMAGON The certificate is issued to . . . . . . iow ner of the aforesaid building. Suffolk County Department of Health Approval 86-SO-7 96 UNDERWRITERS CERTIFICATE NO N827332 . . , . PLUMBERS CERTIFICATION DATED: August3, 1987 - K & K Plumbing & Heating Building Inspector Rev 1/81