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Home My WebLink About1000-26.-2-47 ry 'TOWN OF SOUTHOLD Rental Permit 0496 Po du Owner Oriental Unicorn LLC Occupied as Single Family Dwelling Located at 860 Willow Terrace Ln Orient 26.-2-47 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. 7/17/2023 Code E t rcrfnt Official This Notice must be posted by the main entrance at all times -TOWN OF SOUTHOLD BUILDING DEPT. F 631-765-1802 v?b-OR INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION/CAULKING [ ] FRAMING / STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) [ ] CODE VIOLATION [ ] PRE C/O [ 4 RENTAL REMARKS: - -,61- a V ey& o n4l v a 4� DATE 7-13--a-3 INSPECTOR Town Hall Annex Town of Southold 54375 Main Road Rental Inspection Report PO Box 1179 Southold, NY 11971-1179 Tel: 631-765-1802 SCTM # 69 Date 7./3• 3 'Owner � _/PAY /li'1/l r e.2t? =Phone =Address 4o W///� � 7eet _ =Visible Hamlet 2/?/1�,f Inspector ,.. Floor Level Quantities Sub 1 2 3 Smoke Detectors(not located in bedrooms) 1 �/ Carbon Monoxide Detectors e Fire Extinguishers T Exits � Bedrooms 1 2 3 4 5 1 6 Smoke Detectors — Egress Occupant Count :Building Systems Maintained &Operational 'Condition of Property Heating Building interior Hot water Building exterior Electrical Property clean, maintained &safe 'Mechanical Handrails&guards installed &secure Pool Safety :Pool on Site _ > Surface water alarm Date of CO issuance � � _Door alarms _ i Pool completely enclosed Self closing/latching gates !Pool fence to code requirements CO's for all items present Prior Rental Comments: g TOWN OF SOUTHOLD Rental Permit 0496 Owner Oriental Unicorn LLC Occupied as Single Family Dwelling Located at 860 Willow Terrace Ln Orient 26-2-47 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. 7/12/2021 de for Mr t Official This Notice,must be posted by the main entrance at all times so Town Hall Annex Telephone(631)765-1802 54375 Main Road CP Fax(631)765-9502 P.O.Box 1179 Southold,NY 11971-0959 IOU BUILDING DEPARTMENT MAR 1 7 2021 TOWN OF SOUTHOLD RENTAL PERMIT APPLICATION Rental Permit Fee$200 (Application must be renewed every two years) Section A. Property Information: Rental Prop"Address: Tax Map Number: 1000 SECTION BLOCK LOT 2 SECTION B. OWNER INFORMATION: Property Owner Name: tA,C Property Owner Legal Address- Property Owner Mailing Address: (Cannot be the same as Rental Property Address) gD6 me gT "o N�\N 6hj 1001-3 N L;:U YcY V— Lor 13 Telephone Number(s): Property Owner Email Address: . er M'L L - com Page 1 of 4 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: Telephone Number (s): Email Address: Section D. Managing Agent Information: Name of Authorized Agent of dwelling unit, if any: N�. Address of Authorized Agent (no P.O. Boxes): 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: Address of Managing Agent (no P.O. Boxes): Mailing Address of Managing Agent: Telephone Number(s): Email Address: Page 2 of 4 SECTION F. PROPERTY DESCRIPTION: Number of Rental Dwelling Units on property: OWE, � Y 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: i ` L A6AIE Requested Maximum number of persons allowed to occupy Dwelling Unit: Number of rooms in Rental Dwelling Unit: (0 1 Use and Dimensions of each room in Rental Dwelling Unit: P_Q6 NA SECTION G. INSPECTION: Pursuant to the Town Code of the Town of Southold Chapter 207 (Rental Properties), a safety inspection by Code Enforcement Official !s 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 Bu;ldin-Code Certification is required stating that the property which is the subject b -1 b ♦ p.vra.. � 1... 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 taws adopted by the New York State Fire Prevention and Building Code Council. ❑ 1 am requesting a fire safety inspection to be performed by a Code Enforcement Official from the Town of Southold. Page 3 of 4 ❑ 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. SECTIO! H. DECLARATION: Signature mast be notarized and MUSTbe the owner of the dwelling unit. STATE OF NEW YORK) COUNTY OF SUFFOLK) I _kA53�J , 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 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 s to any change to the information regarding Authorized Agent, Managing Agent, or Site Manager. K Property Owner's Name: Za ,ozm G Property Owner's Signature: Sworn to before me this A day of hV54^1/ , 20.?/ Official otary Public gnature an i I Notary Stamp SUSAN A.RIZZO Notary Public,State of New York No.01 816183459 Page 4 of 4 Qualified in Suffolk County Commission Expires March 17,200 SOUIyOIoloij *Yv tt ��-- # TOWN OF SOUTHOLD BUILDING DEPT.' . °`ycourm,��'' 765-1802 INSPECTION ' — [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] I LATIOWCAULKING [ ] FRAMING /STRAPPING [ INAL [ j :FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION- [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) [ ] CODE VIOLATION [ ] PRE C/O REMARKS: V/' Qr 5)',K � Gvv AI DATE 8 INSPECTOR _ or.—:— 7I'•O' Mwo^LL NNLDI�N1f LI Nf{ II • q,yyL ,LY •'.4' V r ♦'_W' Lk' qU' Lf f• �.t4' 4=1Lf' L.r' LIL.• P.�' . AU r I POOL rtoom o � I u I AIr/wIL ALL Mr/ ,I^!•«LL M.L./,IL,L --L «x ',y�• .yL J• 1. •�I Z L.1 1,G ARBA � � t ��MM:'•• D,lf GROOM •':M'N y�� • !i� rl : I - ,N PLL A.ayp 9M.«.� KITCY6N • LI Lt b 1 r Cdr 4y1L1!A.sw � }Fy I �' -i _`es asawir i.-,w Hau w+w- s.•... +�c«�.s 1 .....a�.«.. �A L YL s • 4 E `2 ��✓ 1 0.K.4 FET jl 7 i FL Mo- L . Q' � ALL fn..s.LIONti s+ewN I.reA�a p■■� • I bTlO-TO•!M fAIAWMOI+ , ■ I � yy1 �L�L 6. 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Ylelwoalq.1 ■'� i wwwas r.1aw.w.+o s =Ie.mn.a ■ 1 I ; w IT.OL uMu w•Is+�•qIn I (,' OOTAIL �■ I �Y{e1y1■Ta la IKeNL FOUNDATION PLAN -0• 3!1.sl!• z TOWN OF SOUTHOLD PROPERTY L�v L:12 OWNER STREET VILLAGE U15T. I SUB. LOT LA 0 011,t FORMER OWNER N E ACR, St iS W TYPE OF BUILDING RES. SEAS. VL. FARM comm. CB. MICS. Mkt. Value LAND IMP, TOTAL DATE REMARKS 4 scar 0 (A ,0; �00 Soo —tis-j (�1ua7 ft/6 ce -S W' ,,6 no v f.1 4 1,11 c cl�el tyCc Tillable FRONTAGE ON WATER 7 Woodland FRONTAGE ON ROAD MeadowkwW DEPTH House Plot BULKHEAD Total ^ s L +Y T � . , , . , , ■■iii■iii■■il■■��iiil■■■■■■ ' _ _ - ■■iii■ltlii■i■ til r„ iMEN No i.,........._.�r..r... . ONE ■■■■i■ ONE li■iii■ONE am■il■■l■■MEN `<� lull■iii■l■ll■■lii ■■■■ lull■l■lwM MENNEN illll■■■■■■■■■■■■ 't � - ........ ... ,y.q^p• . °_. .F _ ..,. I �wnG � �■■�■:■■llif�■■ll�''"'■■■ilii■■ll W't M QT ■iliiMEN■■ ■■ilii■■■il ■ lli■iii■i■l■ll■NONE i■■■ ME MEN ■■ll■ENNE■■■■illi■■Viii■MEN ■ ■■■■■■■■■■■■■■■■■■■■■ No ME ■l■■■■■■■■ilii■ Nil■■■li�lli li . ■■i■■■■■■■iliiii■■ilii■■i�■■ C...■■■■■■■■■l■ii■■■MMM.. �eFoundation 13 LtirM Basement • r� Interior Finish . .. _ Floor, FORM NO. S TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Clerk's Office Southold, N. Y. , Certificate Of Occupancy No. 9A47. . . .. . Date . . . . . . . . . . . . .N,ay. . . 29. . . . ., 19.75 THIS CERTIFIES that the building located at 1 dhow. Terme.Q .-a. .. . . . . . Street Map No.willaw .TerrBbek No. . . . . . . . . . .Lot No. t . . . . .Orient. . .N.l... . . . . . . . . . . . . conforms substantially to the Application for Building Permit heretofore filed in this office dated . . . . . . . . . . July. . 3 . . ., 19. .72 pursuant to which Building Permit No. • •5980,Z dated . . . . . . . . .Ju17. . .3 . . . ., 19. .72 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. pan® family. .dwelling . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . The certificate is issued,to . . .Richard. Ila,nfredi• • • • •Deer • • . • • • • • • • • • • • • • • • (owner, lessee or tenant) of the aforesaid building. Suffolk County Department of Health Approval . Na r. . .28. . .1973. . .by—H. . 1lla. . . UNDERWRI'T'ERS CERTIFICATE No. . .D109,7650. . . June. •19• • •x•973• • • • • • • • • . • • • • • HOUSE NUMBER . . 8b0. . . . . . . . Street . .Willow. Terraoe• Le•. . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. .. . . . . . . . .. .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Building Inspector � l FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-20272 Date OCTOBER 9, 1991 THIS CERTIFIES that the building SWIMMING POOL Location of Property 860 WILLOW TERRACE LANE ORIENT, N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 26 Block 2 Lot 47 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated JANUARY 24, 1990 pursuant to which Building Permit No. 18752-Z dated JANUARY 24, 1990 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 INGROUND SWIMMING POOL & FENCE. The certificate is issued to PIERRE-ANDRE GAZARIAN (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. H-024717 - SEPT. 30, 1991 PLUMBERS CERTIFICATION DATEDN/A Building Inspector Rev. 1/81 FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-34265 Date: 04/07/10 THIS CERTIFIES that the building PORCH ADDITION Location of Property: 860 WILLOW TERRACE LA ORIENT (HOUSE NO. ) (STREET) (HAMLET) County Tax Map No_ 473889 Section 26 Block 2 Lot 47 Subdivision Filed Map No_ Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated OCTOBER 19, 2009 pursuant to which Building Permit No. 35080-Z dated OCTOBER 19, 2009 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 COVERED PORCH ADDITION TO AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR The certificate is issued to PIERRE-ANDRE GAZARIAN (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO_ 12189 01/22/10 PLUMBERS CERTIFICATION DATED N/A r Auth riled Signature Rev. 1/81 ��o�aS11EFOt Town of Southold 7/11/2021 0 P.O.Box 1179 o _ 53095 Main Rd 4% �ao� Southold,New York 11971 'xa CERTIFICATE OF OCCUPANCY No: 42146 Date: 7/11/2021 THIS CERTIFIES that the building ALTERATION Location of Property: 860 Willow Terrace Ln,Orient SCTM#: 473889 Sec/Block/Lot: 26.-2-47 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 7/9/2020 pursuant to which Building Permit No. 44989 dated 7/16/2020 was issued,and conforms to all ofthe requirements of the applicable provisions of the law. The occupancy for which this certificate is issued is: alterations for master bathroom to an existing single family dwelling as applied for. The certificate is issued to Oriental Unicom LLC of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 44989 3/16/2021 PLUMBERS CERTIFICATION DATED 5/13/2021 d Pieck] u o z d Signature