HomeMy WebLinkAbout1000-25.-1-18 TOWN OF SOUTHOLDRental Permit
0276
Owner JOTIS Corp
Occupied as Accessory Apartment in a Commercial Building
Located at 1000 Village Lane Orient 25-1-18
Maximum Permitted Occupancy 2
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.
1/18/2022 Az—
Code
z -.-Code Er4;r6eMent Official
This Notice must be posted by the main entrance at all times `" £
FOLK�
SOUTHOL TOWN Town Hall Annex
54375 Main Road
� � PO Box 1179 Southold,
C Rental Inspection
�� NY 11971-1179
Tel: 631-765-1802
� � Fax 631-765-9502
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LEVELS `l;SUB;,,°
Smoke Detectors (#-bedroom detectors excluded)
Carbon Monoxide Detectors (#)
Fire Extinguishers (#)
Exits (#),
112
BEDROOMS 1 , ,,,
Smoke Detector Alarms (#)
Carbon Monoxide Alarms(#)
Egress (windows) (Y!N)
MENEM
BUILDING SYSTEMS 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/ afe/maintained
Mechanical system maintained/operational Handrails &,guards present
111�111!1111�ljlil 01, 1 lig
POOLS V 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 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:
�..: v
TOWN OF SOUTHOLD
Rental Permit
ti�ol �ao� Permit No. 0276
Owner JOTAS Corp
Occupied as Single Family Dwelling
Located at 1000 Village Lane Orient 25-1-18
Address S/B/L
Maximum Permitted Occupancy 2
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.
1/17/2020 John Jarski
Date of Issue Code Enforcement Officer
This Notice must be posted by the main entrance at all times
so
Town Hall Annex Telephone(631)765-1802
54375 Main Road - Fax(631)765-9502
P.O.Box 1179 i5i�
Southold,NY 11971-0959 c®O (
BUILDING DEPARTMENT 7 S ; ; � Y;` '4j^y�r„�• j E; a i ;
TOWN OF SOUTHOLD
DN"\ D-EC 1 0 2019 L
RENTAL PERMIT APPLICATION
;y-
Rental Permit Fee$200(Application must be renewed every two years)'''"�
Section A.
Property Information:
Rentaperty Ares s:e Q Qk
Nj
Tax Map Number: 1000 SECTION -BLOCK Oo® -LOT
co a s
SECTION B.
OWNER INFORMATION: l
Property Owner Name:
Property Owner Legal Address: Property Owner Mailing Address:A
t I 7:f
..3a3`�3o0
Telephone Number(s): Daytime 6 3 Evening Emergency
Property Owner Email Address:
�aoC�
Page 1 of 5
Town Hall Annex d ? i, Telephone(631)765-1802
54375 Main Road Fax(631)765-9502
P.O.Box 1 179 ,
Southold,NY 11971-0959 ;G !'
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
Mailing Address of Managing Agent: s f l-e Aldi tq' ��►�+e �.
Telephone Number(s): Daytimef?/-?,)?co Evening Emergency'0 i)-Dy.1-a4' ?-L,
Email Address: ,\OiASR eAr&L,h k, Iti
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, 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:
Requested Maximum number of persons allowed to occupy Dwelling Un 02
Number of rooms in,Rental Dwelling Unit: 4 7z
Use and Dimensions of each room in RentalcDwelling unit:
iklh p4m 1-1 VI Ah
�5 J—Z)
Page 3 of 5
Town Hall Annex Telephone(631)765-1802
54375 Main Road Fax(631)765-9502
coo
P.O.Box 1179
Southold,NY 11971-0959
t
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
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 I s adopted by the New York State Fire Prevention and Building Code Council.
7I 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.
DECLARATION: Signature must be notarized and MUST be the owner of the dwelling unit
STATE OF NEW YORK)
)
COUNTY OF SUFFOLK)
I , 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
Page 4 of 5
Town Hall Annex ' Telephone(631)765-1802
YriF.
54375 Main Road , Fax(631)765-9502
Ci
P.O.Box 1179 9<� O
Southold,NY 11971-0959 Q��caUl➢tl ����
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
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 as to any change to the information
regarding Authorized Agent, Managi
ng Agent, or Site Manager.
Property Owner's Name: �
Property Owner's Signature: l
Sworn to before me this l�day of 2Q0
�-�WP L &W\C l
Official Notary Public Signature and Original Notary Stamp
CONNIE D.BUNCH
Notary Public,State of New York
No.01BU6185050
Qualified in Suffolk County
Commission Expires April 14,2 -V'
Page 5 of 5
Let
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# TOWN OF SOUTHOLD BUILDING DEPT-m-
765-1802
EPT.765-1802
INSPECTION , ,,
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INSULATIOWCAULKING, -
[ ] FRAMING /STRAPPING [ ]
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[ ] FIREPLACE & CHIMNEY � �� [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [= ] FIRE
`RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL)
[ ] CODE VIOLATION [ ] PRE C/O
REMARKS: .
r)4DATE (0 INSPECTOR
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cationBathExt
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Extension Fire Place
PorchType Roof Rooms Ist Floor BR.
lRecreation Room Rooms 2nd Floor
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Breezeway Driveway
Garage
Patio
Total
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FORM NO. 4
TOWN OF SOUTHOLD (�
BUILDING DEPARTMENT
Office of the •Building Inspector Q �
Town Hall �1
Southold, N.Y.
UPDATED
PRE EXISTING
CERTIFICATE OF'OCCUPANCY
No: Z 25718 Date: 05/11/98
THIS CERTIFIES that the building BUSINESS STRUCTURE
Location of Property 1000 VILLAGE LA ORIENT '--__ `--
(HOUSE NO.) (STREET) I (HAMLET)
County Tax Map No. 473889 Section 025 Block 0001 Lot".018
Subdivision Filed Map No. Lot No.
conforms substantially to the Requirements-for a BUSINESS STRUCTURE -
built prior to APRIL 9, 1957 pursuant to which CERTIFICATE OF
OCCUPANCY NUMBER Z- 25718 dated MAY 11, 1998
was issued and conforms to ,all of the requirements of the applicable
provisions of the iaw. The occupancy for which this certificate is
issued is BUSINESS STRUCTURE IN HAMLET BUSINESS DISTRICT WITH A PRE-EIXITING,
NON-CONFORMING APARTMENT & ACCESSORY GARAGE
The certificate is issued to 1010 VILLAGE LANE, INC.
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A
ELECTRICAL CERTIFICATE NO. N/Ai
PLUMBERS CERTIFICATION DATED N/A
*PLEASE SEE ATTACHED INSPECTION REPORT.
HAildind Inspector
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
HOUSINg CODE INSPECTION REPORT
LOCATION: 1000 VTLLAGE SA- ORT .NT
SUBDIVISION: MAP NO.: LOT (S)
NAME OF OWNER (S) : 1010 VILLACE LANE. INC,
OCCUPANCY: HAMLET BUSTNESS 1010 VILLAGE LANE, INC.
ADMITTED BY: ROBERT HUGHES ACCOMPANIED BY: SAME
KEY AVAILABLE: SUFF. CO. TAX MAP NO.: 25.-1-18
SOURCE OF REQUEST: ROBERT HUGUES. ATTY 4/23/98 DATE: 05/11/98
DWELLING:
TYPE OF CONSTRUCTION: WOOD FRAME # STORIES: 1.0 # EXITS: 6
FOUNDATION: CELLAR: 2/3 CRAWL SPACE: 1/3
TOTAL ROOMS: 1ST FLR.: 2ND FLR.: - 3RD FLR.: _Q
BATHROOM(S) : O.0 TOILET ROOM(S) : UTILITY ROOM(S) :
PORCH TYPE: ENCLOSED DECK TYPE: PATIO TYPE:
BREEZEWAY: FIREPLACE: GARAGE:
DOMESTIC HOTWATER: YES TYPE HEATER: LILCO GAS AIRCONDITIONING:
TYPE HEAT: OIL WARM AIR: HOTWATER: STEAM
OTHER: REAR gNTRY SLAY
ACCESSORY STEU=RES:
GARAGE, TYPE OF CONST.: _ 2 CAR WOOD FRAME STORAGE, TYPE CONST.:
SWIMMING POOL: GUEST, TYPE CONST.:
OTHER:
VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE
LOCATION DESCRIPTION I ART I SEC
(
i
REMARKS: BP #359-CO Z-1,98 (ADDITION)
INSPECTED BY: DATE ON INSPECTION: 04/24/98
GAR . F SH TIME START: 11:05 AM END: 11.45 AM
FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
NO: Z-33138 Date: 07/03/08
THIS CERTIFIES that the building ALTERATION
Location of Property: 1000 VILLAGE LA ORIENT
(HOUSE NO.) (STREET) (HAMLET)
County Tax Map No. 473889 Section 25 Block 1 Lot 18
Subdivision Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated JULY 7, 2006 pursuant to which
Building Permit No. 32199-Z dated JULY 11, 2007
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 AN ICE CREAM PARLOR IN AN EXISTING COMMERCIAL BUILDING AS
APPLIED FOR.
The certificate is issued to JOAN TURTURRO
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A
ELECTRICAL CERTIFICATE NO. 4003009 06/20/84
PLUMBERS CERTIFICATION DATED 06/11/08 KING PLUMBING & HEATING
9, /"�/'
A hor'zed Signature
Rev. 1/81
4
FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No: Z-33667 Date: 04/22/09
THIS CERTIFIES that the building ALTERATION
Location of Property: 1000 VILLAGE LA ORIENT
(HOUSE NO.) (STREET) (HAMLET)
County Tax Map No. 473889 Section 25 Block 1 Lot 18
Subdivision Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated JUNE 13, 2006 pursuant to which
Building Permit No. 32108-Z dated JUNE 13, 2006
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 AND RENOVATION OF AN EXISTING POST OFFICE IN A COMMERCIAL
BUILDING AS APPLIED FOR.
The certificate is issued to JOAN TURTURRO
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A
ELECTRICAL CERTIFICATE NO. N 474289 12/15/98
PLUMBERS CERTIFICATION DATED N/A
o
Authorized Signature
Rev. 1/81
Town of Southold
8/6/2019
t: P.O.Box 1179
53095 Main Rd
Southold,New York 11971
si
CERTIFICATE OF OCCUPANCY
No: 40594 Date: 8/6/2019
THIS CERTIFIES that the building HVAC
Location of Property: 1000 Village Ln., Orient
SCTM#: 473889 Sec/Block/Lot: 25.4-18
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
5/8/2019 pursuant to which Building Permit No. 43862 dated 6/13/2019
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:
HVAC SYSTEM AS APPLIED FOR
The certificate is issued to JOTAS Corp
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 43862 08-02-2019
PLUMBERS CERTIFICATION DATED
Authorized Signature
Town of Southold 8/6/2019
O G
P.O.Box 1179
53095 Main Rd
pt Southold,New York 11971
17V Lb
CERTIFICATE OF OCCUPANCY
No: 40592 Date: 8/6/2019
THIS CERTIFIES that the building FOUNDATION
Location of Property: 1000 Village Ln., Orient
SCTM#: 473889 Sec/Block/Lot: 25.4-18
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
2/26/2019 pursuant to which Building Permit No. 43524 dated 3/5/2019
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:
FOUNDATION REPAIR TO AN EXISTING COMMERCIAL BUILDING AS APPLIED FOR
The certificate is issued to JOTAS Corp
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
O? L L
tr* ed Signature
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