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Home My WebLink About1000-122.-4-25 �� eOWN OF SOUTHOLDT" 0-1 Rental Permit 0287 Owner 3830 Ole Jule Lane LLC Occupied as Single Family Dwelling Located at 3830 Old Jule Lane Mattituck 122-4-25 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. 2/9/2022 _ . Code Enfr nt Official This Notice must be posted by the main entrance at all times Town Hall Annex SOUTHOLD TOWN 54375 Main Road PO Box 1179 Southold, q F R"ent"al Inspection NY 11971-1179 Tel: 631-765-1802 � F Fax 631-765-9502 5 SCTM # , „ _ „, , � � Date �2 Z Owner c� L Phone A�idress zip Hamlet l ' Inspectors Ares Vlslble from street? LEVELS SUB 1 2 Smoke Detectors (#- bedroom detectors excluded) Carbon Monoxide Detectors (#) Fire Extinguishers (#) ' Exits (#) BEDROOMS1 2 5 e Smoke Detector Alarms (#) V�z 4L Carbon Monoxide Alarms (#) LZ Egress (windows) (Y/N) 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/safe/maintained Mechanical system maintained/operational Handrails &guards present POOLS ( �` 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: 0l= 7-0 �/ TOWN OF SOUTHOLD ®�®�vfFO��►�®� z � ; Rental Permit 4 Permit No. 0287 Owner 3830 Ole Jule Lane LLC Occupied as - Single Family Dwelling Located at 3830 Ole Jule Lane Mattituck 122-4-25 Address S/B/L 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. 2/7/2020 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 Southold,NY 11971-0959 BUILDING DEPARTMENT ' TOWN OF SOUTHOLD RENTAL PERMIT APPLICATION- , - - Rental Permit Fee $200(Application must be renewed every two years) i Section A. Property Information: Rental Property Address: M l? (Nl e�T(.kCCC r Jit 1 7 2019 i— Tax Map Number: 1000 SECTION �d� BLOCK _ WT" SECTION B. r F OWNER INFORMATION: Property Owner Name; M0 044� JU-1-C LASE, L-L—(�— Property Owner Legal Address: Property Owner Mailing Address:, ; (Cannot be the same as Rental Property Address) LAY ' /J 4& c af? 3310Y 0 3310-Y Telephone Number(s): Property Owner Email Address: L•� Page 1 of 4 D-o® t �-:y,i� VV VV aljy" y H Town Hall Annex #aM Telephone(631)765-1802 54375 Main Road, Fax(631)765-9502 P.O.Box 1179. - Southold,NY 11971-0959 Y �8 BUILDING DEPARTMENT TOWN OF SOUTHOW RENTAL PERMIT APPLICATION. NSTRUCTIONS • Rental Permit Fee $200 (Application must be renewed every two years) J .,t :The items IistedAaelow are required to-be submitted with the completed "application. a� t Floor Plans: Detailed floor plans of;each Rental.Dwelling Unit, please show location ; of all smoke&carbon monoxide detectors a Certificates of Occupancy and Pre-Certificates of Occupancy: Provide copies of _ Certificates of Occupancy or Pre-Certificates of Occupancy for each rental dwelling unit -. ❑ Certification of Code Compliance(form enclosed):Applicant has the option of having a rental dwelling unit inspected by the Town of Southold'or by an architect, engineer or home inspector of their choosing. If the Applicant elects not to have the ``' rental dwelling unit inspected by the Town,the Applicant must submit a Certification of Code Compliance completed by•a NYS licensed,architect or NYS licensed engineer or a licensed home inspector who has a valid-New York State Uniform Fire Prevention Building Code Certification. - IV Rental Permit Fee: $200.00 (Please Note:The Building Department does not accept cash. Payment must be in 'the form of a Check,Credit Card or Money Order.) t Section C. Authorized Agent Information: Agent of dwelling � Name of Authorized Age g unit if any: Y - , Address of Authorized Agent (no P.O. Boxes):-. 13-1k Auemue---6rr;le- Aa M-, `` .33:7o Mailing Address of Authorized Agent: Telephone Number(s):. Q b —/3 ZI � L-�q c� �,g l A , Email Address: Section Managing Agent Information: Name of Authorized Agent of dwelling unit, if any: Address of Authorized Agent(no P.O. Boxes): ' 1�41A Mailing Address of'Authorized,Agent: Telephone Number(s):. _ 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: _ A AA Address of Managing Agent(no P.O. Boxes):- _ Mailing Address of Managing Agent:" Telephone Number (s):,. 1A , Email Address: Page 2 of 4 SECTION F. PROPERTY DESCRIPTION: Number of Rental Dwelling Units on property: d 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." i Rental Dwelling Unit Identifier: . v Requested Maximum number of persons allowed to ocZl(o DwellingUnit: J Number of rooms in Rental Dwelling Unit: . u VL, a S Use and Dimensions of each room in Rental Dwelling/Unit: o4rot�i•�— �I a�®�2� �Z- ar 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 NYS licensed architect, a NYS 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 inspection to be performed by a Code Enforcement Official from the Town of Southold. Page 3 of 4 t ❑ 1 am submitting a completed Town of Southold certification form from a licensed architect, a licensed professional engineer, or a licensed home inspector who has a valid New York State Uniform Fire Prevention Building code Certification. SECTION H. _ DECLARATION: Signature must be notarized and MUST be the owner of the dwelling unit. STATE OF NEW YORK) COUNTY OF SUFFOLK) Sc f 1Gc 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 1 address and I understand the Town will use the address for service pursuant to all ; i 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. s 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 Sit Manager. Property Owner's Name: Property Owner's Signature: - Sworn to before me this 5 day of= " _ 20!7 5�0yp°* 4WMDAVALOS —._..._ x Ott#GG2140M Official No)try Public Signature and Original Notary Stamp FVF�oe s4" �D', t gs Page 4 of 4 ®f Sofa: Town Hall Annex .Telephone(631)765-1802 ; 54375 Main Road Fax(631)765-9502 P.O.Box 1179 , Southold,NY 11971-0959 ' ��Du19 t ti r�� i BUILDING DEPARTMENT TOWN OF SOUTHOLD RENTAL PERMIT APPLICATION ADDENDUM , Rental Dwelling Unit Identifier: Requested maximum number of persons allowed to occupy each dwelling unit: . Number of Rooms in Rental Dwelling Unit:, ` - s Use and Dimension of each room: Rental Dwelling Unit Identifier: Requested maximum number of persons allowed to occupy each dwelling unit: Number of Rooms in Rental Dwelling Unit:;:- - Use and Dimension of each room: Y t 1 Rental Dwelling Unit Identifier: Requested maximum number of persons allowed to occupy each dwelling unit:- Number of Rooms in Rental Dwelling Unit: Use and Dimension of each room: , oE soulyOlo # .TOWN-OF SOUTHOLD'BUILDING DEPT. 765-1802 _ INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLSG. [ ] ,FOUNDATION 2ND [ ] INSULATION/CAULKING [ ] FRAMING /STRAPPING [ FINAL 2i .� potlen, [ ] FIREPLACE & CHIMNEY [/]"'FIRE-SAFETY INSPECTION [ ] FIRE RESISTANT,CONSTRUCTION [ ] FIRE RESISTANT PENETRATION, [ .] "ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) [ ] CODE VIOLATION [ ] PRE C/O REMARKS: AeAVIVAti 'cam.. Surb iA-vr� V164 vV6 W i h !,:� DATE INSPECTOR .. 3830 gk3Wt LANE-_mATTI-,VcK, NY r_I9SZ - S�CoNo �, ,. ., ••�.,w..... ----- 56`02" - ApS 7 MAMIL BANAODVK gEoAaopA �Sfr - W a«w� Fily� rhASRA #E0RooM Dlwlkl��tia Roo{hi� pow t-iyi0G Rootn Le&A LL nIGE - - Co►��REi£ S'��P5 -[Sl - SMOKF OETECToR �ts't w 701' - 3�; c� o��"auC� �A1J� NI ATr�TUcK, Ny 7S •_____ G R o M niD FLOOR WT TIn T3'10" o � Yv ra F 1S 10" uT,�.�,.. F 2'4" I' m iv z T N N .O LoomGame CtmSL.a fV 7Bedwm n CAI�'80l� �1f�O1�bKI0t" DE I EC OA ,atFoor • r TOWN OF SOUTHOLD PkOPERTY RECORD 5I'A lz Iq � OWNER I 014 -T I STREET ( VILLAGE DISTRICT LOT FORMER OWNER N E ACREAGE 1/: $ W TYPE OF BUILDING r4 H RES. , �� A SEAS. VL. FARM COMM. I IND. CB. I MISC. LAND IMP. TOTAL DATE REMARKS -- -- - �k? -----r-- 7 % 1 x! D D - l�Ai 2 4A :, ILDIN OhV�I 72 `?%a �� r •" �'e NEW NORMAL _-IL ABOVE I ^. . r. Farm Acre Value Per Acre Value — _— �'C o o o . ' r Tillable 1 r. It Tillable /256-9 S 60 a 71 a s i $77r O lCf --- T.- 5-70 ' Sg47 ; t 1 � ► Woodland 3 X11 ewcQ aWA c.N t f" < .r Ville— Swampland --- ----- ------- - --�— ";--k-C/� �p �� J if �,ly 12y, 1 Brushland — I lfl -Z' -;'Y9 -B(umoars 7o-3F3�GV��'v1e-�%c House Plot Tctol i I I I i _ a AIA M. Bldg. - yrt '7 U' 3.� FoundationK Bath Extension Basement e i Floors 4 K�- y i- Extension --- — -- _ -- - - Ext. Walls ! J:,, Interior Finish Extension Fire Place - 47 Heat B Porch Attic Porc'- Rocros ]st Floor - -— _. -- - - - -- -- ------ -I Breezeway Patio Rooms 2nd Floor Garage brr,fr, Driveway O. B. 1 L .0 7 FORM NO. s �d TOWN OF SOUTHOLD c 0 BUILDING DEPARTMENT i Town Clerk's Office Southold, N. Y. Certificate Of Occupancy No. . . .Z945.3 . . . Date . . . March .2. . . . . . . .. . . . . . . 19. 79 THIS CERTIFIES that the building located at . 3810 Ole Jule Lane x Map No. . . . . . . . . . . . . Block No. . . . . . . . . . .Lot No. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . conforms s�.b�sy eylty&Application for Building Permit heretofore filed in D3976Z dated . . .April 18, 19 77. pursuant to which Building Permit N July 31 , 1968 dated . . .Apri3.. .1.8i • • • • • • • • 19.77., was issued, and conforms to all of thements 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 . . . . . George F. Schaedel k wf. (owner, (owner, 1xsnv--vxxbn=}x of the aforesaid building. Suffolk County Department of Health Approval . . . . . 9�?. 7.�. . .--:: .R. Villa . . UNDERWRITERS CERTIFICATE No. N847668, N424130, N381619 . . _ . . . . HOUSE NUMBER . . 3810 . . . Street . . . . . . . . . . Ole Jule Lane. .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . .. . . Mattituck . .New York . . . . . . . . . . .. . . . . . . .. . . . . . . . . . . . . Building Inspector �o��g11EFa�k�G Town of Southold 2/4/2020 a P.O.Box 1179 o v' . ' 53095 Main Rd Southold,New York 11971 CERT'IFICA'TE OF OCCUPANCY No: 41039 Date: 2/4/2020 THIS CERTIFIES that the building AS BUILT ALTERATION Location of Property: 3830 Ole Jule Ln,Mattituck SCTM#: 473889 Sec/Block/Lot: 122.4-25 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 11/8/2019 pursuant to which Building Permit No. 44549 dated 12/20/2019 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: "AS BUILT"HVAC SYSTEM AS APPLIED FOR The certificate is issued to 3830 Ole-Jule Lane LLC of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 44549 01-10-2020 PLUMBERS CERTIFICATION DATED CX Authorize Signature ■ i t ��, � � � .� i .�: Y i, dj f k. # 1 f r � � \ � y . . . . �� ..:....��,�� . �� .. . , . . .. . � , �. . \ . < � . . ��. \� - \� � � ` \ :�� \ » _ �, , . . . ; ��/ � � � � »�ƒ � �\ . . .�\» . . � \�� : , °�� . . :�� ƒ � \ \ ��. , � \ \�\ . � \�\ . , � � 2\ 7\ � �^ \ % } : � �� . �