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HomeMy WebLinkAbout1000-27.-2-2.2 f� TOWN OF SOUTHOLD � R. Rental Permit Permit No. 0315 Owner Vagonda LLC Occupied as Single Family Dwelling Located at 2835 Platt Road Orient 27-2-2.2 Address Village S/13/1- 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. 6/30/2020 John Jarski Date of Issue Code Enforcement Officer This Notice must be posted by the main entrance at all times rl d06-0 Town Hall Anney Tdgphong(()3 1)765=15Q2 54375 Win RQW- (630 76595Q9 P.O.Box 1179 s Tf., Southold;NY 11971=Q959 BUILDING-- DEPARTMENT TOWN OF SOT- -T- -H-0-L—V KAMM PERMIT APPLIC ATOM Rental Permit Fee S-200 (Applicgtign must be rgnowe-d evi?-ry tv g yggf-.S:)"- JAN 1 7 2020 Section A. Property inkrmption: Rental Property Address., � 2F35 ?jai+ Rodd. OKI-eat ► N.Y. Tax Map NumW: 100Q H T1QN t T3 �Fl —=DLQCCK —=LOT--Z -7- z .1 SECTIQQN B. OWNER INFORMATION; Property Owner Name-; 0, ZNJA -f 6 N Q Property Owner Le-g@1 Addr@55,! -Qpe-rty Owner Bailin r@55- !, 14-�-6.1 k Sk ilin r,@55- � ICT Teiephor�e;Num�er (s1 M No's -Daytirn@ �v@n -.g E me-rge-ncy.---- Prgp@rt-y Owner E-mail Address; Ve-V�I z 0 Y) Page 1 of 5 Town Hall Annex Telephone(631)765=1 802 5.4375 M4iri Road _ __ _ -__ � " Fax(631)765=9502 P.O.Box 1179 -• — - - TQwq HO Annex (031)765=1 M 54175 M4in Rqpd F@. -3 , (6-1)765=9502 P.Q.Box_ 1179 5opthqld.NY i 1971=Q959 L3LJjL,PjNQ DEPARTMENT TOWN Off' SOUTHOLD Mailing Address of Managing Agent; Telephone Number (5); Daytime Evenin Ernergengy Email Address; SECTION Ft PROPERTY DESCRIPTION; NumberQf 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, 0, Q-the use of each room in the Rental Dwelling Unit (for @N@rnpl@, Kitchen, Bedroom 1, Bedroom 2, Living Room) and the dimensions of each room. For prQp@rtie-5 with multiple- Rental Dwelling Units use "Rental Permit Application Addendum." Rental Dwelling Unit Identifier; Z235 Nli 900-A Oyl-C111- Requested Maximum number of persons allowed- to -occupy Dwelling Uni.: (0 N u-mb @r of rQQm5 in Rental Dwelling Unit; (0 Use and Dimensions of each room in Rental Dwelling Unit Page 3 of 5 `Down Hall(Annex ;W = Y - +w Tele hone(6-11)765 1802 54375 Main Road - Far.(61 1)7659502 P.O_.Box 1179 Southold,NY 11-997!=0959 BUILDINQ DEPARTMENT TOWN OF SOUTHOL—D SECTION G INSPECTION Pursuant to the Town Code of the Town of Southold Chapter 207 (Rental Properties), a safety inspection by Code Enforc@me_nt Official is required, If the owner chooses not to have said inspection performed by the Town, a cer-tlficatipn from a licensed archlwa, a licensed professional engineer-or a home inspector who has a valid New York State Uniform Fire Prevention Building Code Certification N 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 pf 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, �A I am requesting a fire safety inspection to be performed by a Code Enforcement Official from the Town of Southold D i am submitting a completed Town of Southold certification foram fron`l a licensed architect or a licensed pr-afessional engineer, SECTION H. DECLARATION; S(gnature rnyst bg notarised and MUST be the,ow►nw?e'of the_Owg1 ging y-nitt STATE OF NEW YORK) ) COUNTY OF SUFFOLK) I_MAC&I-e certify under penalty of perjury,the following', 1, i am the owner of the property identified in "Section A" of this application, 2. The property owner's legal add.r-e55 set forth in "Sectjon V of this application N my legal address and I understand the Town will use the address for service pursuant to all Hage g of i Town Hall Annex . Lw_ Telephone(631)765-1802 54 Road ;: _- = (6 )7., 375 Ma111 Fax 631 65_9502 P,o,Box 1179 �: , �v b _ A. soulhold NY 11971=0959 wrf.i.. RUILD—INQ DEPARTMENT TOWN OF SOUTHOLD appligahle laws and rales. 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, 1 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, d, i will notify the Town within fire (5) business days as to any chane to the information regarding Authorized Aunt, Managing Agent, or Site Manager, Property Owner's Name; UU __ ,' �✓� -- Property Qwner€s Signature^,06(r T Sworn to before me this—day of To-n l.'L(./� —\- 20 L 6LNI�A ----- Qf ficial Notary Publie Signature and Original Notary Raw CONNIE D.BUNCH Notary Public,State of New York No.01 BU6185050 Qualified In Suffolk county commission Expires April 14,21�!D Page 5 of 5 gou pF SO(/lyolo * TOWN OF SOUTHOLD BUILDING DEPT. �ycou765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] -I SULATIOWCAULKING- [ ] FRAMING /STRAPPING [ FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION " [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) [ ] CODE VIOLATION [ ] PRE C/O REMARKS: tok,/ (0 k2(ft_0 v ObtA VjVCT n�ca� r DATE INSPECTOR - - -- -------- ' ------------ ------ - it .1 f)a0 IFcoo2 JoctTJ. `- / �� �•�---410���'',,I��I /i' .. ,c•i-----� I it '! :R I j - ,nlc• - �!I�`r;u5 -'�! ,�I qPE�= '-----11 1` ,� -- - 'i— ., II , n !I I I Pilo Id nho „ ICV IIt I I rNmc '+ I cuHlr•nt E1Y�-+_,• a i' t1 � I �tsr+c s°NI I O Ice L 1 ` fM � iJ !! 3oaro 1., SMb 'tCol. o I '— �, •`, ,;r.-=•j: iRA,JINu 36�Nt��a aye, _ I �! 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U1=—"W\FY FOUNDPTT,VON �.'D1M1�1-r5�1©�S I '��P-owe '�XIsTINaG tiu�l—D,t�54 , I i � 1 i 4 I I � tl3=.2° I •{huufhanzed oltenhonu ,' vporesyicr�i l �, I` addiflowtolthmdocumenNit ih nalebanrol—11on 7109 a1 __— —_--_--_--- dlntNaw .:Ya k'S;alo Education—(Z' ducation I �Cep,c rent nal ' •� � �o, . 1' thoann3tTlso ein rochnnkod •yy e 1 caalwr.emSocsd•acel shalhnoT , � A2ssE C� 11 II` I�� E6o coruideruil•vdhd<apioe '��ES A,c c`�� irDUf�[D�IiUaV �PIFitJt�( y; 301�1- II c� , .L"=-E7.niy; M.�e.r;•�v. ..y.... s...`"-�=!„f;.t%`LW'.�,.yl•�3'-�� I' --iP�""'t'k'4"� �:5�_,-'�1.._):,':!•- -•,.� w."'4s.�F'Y+T'�y,!..S.Aa it _ _ •..+-L:•.5.+�.`.., 3' ij� 1-:r.t ri j''1, I -TOWN OF SOUTHOLD PROPERTY -RECORD CARD J OWNER STREET VILLAGE DIST. SUB. LOT LLC, FOR AER OWNER �v E ACR. o, v ar � 6 h `He(^I V\Jct Ira JS W TYPE OF BUILDING t d� RES. 1 (7' SEAS. VL. FARM COMM. CB, MICS. Mkt. Value i CS LAND IMP. TOTAL DATE f REMARKS O o P # �cI z3 0- D O 6106 - r . o Rb ✓ 4 �s .. leas � • E 3(p Q O o o 2 9 /9 90 ' 94oIcr S Q ; u.57✓GL 4e 2L Lea ,5 ji JI-L6 - f~' 4z 00)c6c1, t I43G 60C . Tillable FRONTAGE ON WATER Woodland FRONTAGE ON ROAD Meadowland �-1,66 & i? 06 O 3 L,) DEPTH House Plot c) L,) BULKHEAD Total 3 6 -10 ~ _ 0 ttj- rMs ti m M. Bldg. ! k 2 FoundationN��� Bath -- --- Extension — Basement Floors Extension �6 3 Ste' 5"`Ca Ext. Walls r Interior Finish S Extension 1 �., 3408 Fire Place Heat / , U epL Porch Pool Attic Deck 1�'L „ ^ Patio _ Rooms 1st Floor Breezeway Driveway Rooms 2nd Floor Garage O. B. 2 L FORM NO.4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hatt Southold, N.Y. Certificate Of Occupancy No. -Z 1526,3 . . . . . . . . . Date . . February 10; I987 THIS CERTIFIES that the building . .0 n e f am i Z y dwelling... . . . . . . . . . . . . . . . . . . . . . . ! Location of Property ?8 3 5 P.1.a t t R o a d Orient House No. Street Hamlet i County Tax Map No. 1000 Section . . . ... . . . . . .Block . . , . z. . . . . . . . . . Lot . . . .' 2 . . . . . . . . . . . Subdivision ,Settlers a t o y s t e r p o n d s ,Filed Map No. 2.9. . . .Lot No. 2. . . . . . . . . . . . conforms substantially to the Application for Building Permit heretofore filed in this office dated May 22 , 985 pursuant to which Building Permit No. 14,1 19 Z . 11 dated . :Tu?X. 19 ,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 . . . . . . . . . . . . .One, .fami.ly, dwell ing . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . The certificate is issued to MARTIN SHANKER (owner,fgys1�YXtit of the aforesaid building. Suffolk County Department of Health Approval . .8 5.—A 0-7 0, , .Feb,.. 10,,. , 19 87. , . . . . . UNDERWRITERS CERTIFICATE NO. , . , , , , , _N. 6 7 1 9 0. .S e p t.. ,3 ,. . . .1986, . , • , PLUMBERS CERTIFICATION DATED: June 20, 1986 Buildin Inspector Bay.t/at , FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY NO: Z-30484 Date: 10/04/04 THIS CERTIFIES that the building ACCESSORY Location of Property: 2835 PLATT RD ORIENT (HOUSE NO.) (STREET) (HAMLET) County Tax Map No_ 473889 Section 27 Block 2 Lot 2.2 Subdivision Filed Map No. Lot No_ conforms substantially to the Application for Building Permit heretofore filed in this office dated SEPTEMBER 22, 2003 pursuant to which Building Permit No. 29752-Z dated SEPTEMBER 22, 2003 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 ACCESSORY IIIGROUND SWIMMING POOL WITH FENCE TO CODE AS APPLIED FOR_ The certificate is issued to BRIAN HAGIWAR-A (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. 2024041 09/23/0 PLUMBERS CERTIFICATION DATED N/A utho ized z-ignature Rev. 1/81