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HomeMy WebLinkAbout1000-63.-7-3 TOWN OF SOUTHOLD
Rental Permit
g�
0844
3.
Owner Trifecta BBG LLC
Occupied as Single Family Dwelling (Unit 1)
Located at 1035 Oaklawn Ave. Southold 63.-7-3
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.
4/4/2023
This Notice must be posted by the main entrance at all times e Enrjrt 7cial
� � Y TOWN F SOUTHOLD
s Rental Permit
�. 0845
4-4
Owner Trifecta BBG LLC
Occupied as Accessory Cottage (Unit 2)
Located at 1035 Oaklawn Ave. Southold 63.-7-3
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.
4/4/2023
o � r� or � Official Notice must be posted by the main entrance at all times
.£ TOWN OF SOUTHOLD
- Rental Permit
084;
Owner Trifecta BBG LLC
Occupied as Accessory Garage with Apartment (Unit 3)
Located at 1035 Oaklawn Ave. Southold 63.-7-3
Maximum Permitted Occupancy 1
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.
4/4/2023
���, �� en o ��ai
This Notice must be posted by the main entrance at all times
Town Hall Annex Telephone(631)765-1802
54375 Main Road Fax(631)765-9502
P.O.Box 1179
Southold,NY 11971-0959
0"
BUILDING DEPARTMENT Au` (� a '4
TOWN OF SOUTHOLD w,•an ar9r �,n y� �f`,
RENTAL PERMIT APPLICATION
Rental Permit Fee$200(Application must be renewed every two years)
Section A.
Property Information:
Rental Property Address:
1035 OAKLAWN AVE - SOUTHOLD NY 11971
Tax Map Number: 1000 SECTION 63 -BLOCK 7 -LOT 3 -
SECTION B.
OWNER INFORMATION:
Property Owner Name: :0 kA(-) LA C-L L �-
Property Owner Legal Address: Property Owner Mailing Address:
S 5 00 K A
`1
Telephone Number(s): Daytime 76-3.5& /Evenin 3 6 30 Nmergency
Property Owner Email Address: al -ft i_1_.4_Z M a i L
,
file
d .
Pagel of5
Town Hall Annex u, Telephone(631)765-1802
54375 Main Road 41 c�� Fax(631)765-9502
P.O.Box 1 179
Southold,NY 11971
-0959
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
Mailing Address of Managing Agent:
Telephone Number(s): Daytime Evening„_____ ,_Emergency
Email Address:
SECTION F.
PROPERTY DESCRIPTION:
Number of Rental Dwelling Units on property: 3 UNITS
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 multiple Rental Dwelling Units use "Rental Permit Application
Addendum."
Rental Dwelling Unit Identifier: UNIT 1
Requested Maximum number of persons allowed to occupy Dwelling Unit: 8
Number of rooms in Rental Dwelling Unit: 4 BEDROOMS, BATHROOMS
Use and Dimensions of each room in Rental Dwelling Unit:
SEE DIMENSIONED FLOOR PLANS
Page 3 of 5
q 0
Town Hall Annex Telephone(631)765-1802
54375 Main Road
m �, Fax(631)765-9502
P.O.Box 1179
b
& a.
Southold,NY 11971-0959 .
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 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
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)
L b 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
�ryy'ss
so
Town Hall Annex , Telephone(631)765-1802
54375 Main Road Fax(631)765-9502
P.O.Box 1179
Southold,NY 11971-0959
w
BUILDING DEPARTMENT
TOWN OF SO :SOLD
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, Managing Agent, or Site Manager,
Property Owner's Name: ,:�o� � ��� ." ,. „� (� � L L C.
Property Owner's Signature: _-
4
Sworn to before me thi 4 day of rY)0�j 6 „�
e �
1
i„ . ,� —K kw–,q U--�
Official Notary Public Signature and Original Notary Stamp
CONNIE D. BUNCH
Notary Public,State of New York
No.01 BU6185050
Qualified in Suffolk County `
Commission Expires April 14,2�ct
Page 5 of 5
SoTown Hall Annex Telephone(631)765-1802
54375 Main Road Fax(631)765-9502
P.O.Box 1179 �� r
Southold,NY 11971-0959
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
RENTAL PERMIT APPLICATION ADDENDUM
Rental Dwelling Unit Identifier: UNIT 2
Requested maximum number of persons allowed to occupy each dwelling unit: 2
Number of Rooms in Rental Dwelling Unit: 1 BEDROOM 1 BATHROOM
Use and Dimension of each room:
SEE DIMENSIONED FLOOR PLANS
Rental Dwelling Unit Identifier: UNIT 3
Requested maximum number of persons allowed to occupy each dwelling unit: 2
Number of Rooms in Rental Dwelling Unit: 1 BEDROOM 1 BATHROOM
Use and Dimension of each room:
SEE DIMENSIONED FLOOR PLANS
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:
solm
Town Hall Annex K
Telephone(631)765-1802
54375 Main Road Fax(631)765-9502
P.O.Box 1179 "A �
Southold,NY 11971-0959 '
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
RENTAL PROPERTY CERTIFICATION
Form is to be completed by a license architect, licensed engineer or licensed home inspector
Separate form Is required for each individual Rental Dwelling Unit
Pro esslonal seal required for Architect or Engineer, licensed Nome Inspector must provide
co oI valid current certification
Rental Property SCTM Number: 1000-63-7-3
Rental Property Address: 1035 OAKLAWN AMIE - SOUTHOLD NY 11 971
Owner/Name: JOHN LAPOLLA- TRIFECTA BBQ LLC
Rental Dwelling Unit Identifier: UNIT 1
Number&Square footage of each bedroom as depicted in the attached floor plan:
(i.e. Bedroom#1 -100 sq., Bedroom#2-90 sq., etc.)
BEDROOM #1: 139 SF BEDROOM #2: 155 SF BEDROOM #3: 146 SF
BEDROOM #4: 111 SF.
Property Description (Include all improvements indicated on survey)
SINGLE FAMILY - STICK FRAME - DWELLING
I certify that I have done a physical inspection of the subject rental dwelling unit and find that it
fully complies with all the provisions of the Code of the Town of Southold,the Residential Code
of New York State,the Building Code of New York State,the Plumbing Code of New York State,
the Fuel Gas Code of New York State, and the Energy Conservation Construction Code of New
York State.
ZACKERY E. NICHOLSON RA
Print Name and Title Original Signature
w ED "ApC,
Please place professional seal:
� 44421 1,
fJ:an9
4'4
,N
Town Hall Annex 6 Telephone(631)765-1802
54375 Main Road Fax(631)765-9502
P.O.Box 1179
Southold,NY 11971-0959
Col
i
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
RENTAL PROPERTY CERTIFICATION
Form is to be completed by a license architect, licensed engineer or licensed home inspector
Separate form is required for each Individual Rental Dwelling Unit
Fro essio al seryl re uired for Architect or Engineer,licensed Horne tns ector must provide
copy oI valid current certification
Rental Property SCTM Number: 1000-63-7-3
Rental Property Address: 1035 OAKLAWN AVE - SOUTHOLD NY 11971
Owner/Name: ,JOHN LAPOLLA - TRIFECTA BBG LLC
Rental Dwelling Unit Identifier: UNIT 2
Number&Square footage of each bedroom as depicted in the attached floor plan:
(i.e. Bedroom#1 -100 sq., Bedroom#2-90 sq., etc.)
BEDROOM #1: 130 SF
Property Description (include all improvements indicated on survey)
SINGLE FAMILY - STICK FRAME - DWELLING
I certify that I have done a physical inspection of the subject rental dwelling unit and find that it
fully complies with all the provisions of the Code of the Town of Southold,the Residential Code
of New York State,the Building Code of New York State,the Plumbing Code of'New York State,
the Fuel Gas Code of New York State, and the Energy Conservation Construction Code of New
York State.
ZACKERY E. NICHOLSON RA
Print Name and Title Original Signature
Vkf.D Ac,
Please place professional seal:
0 04442'1
OF
S 004
Town Hall Annex Telephone(631)765-1802
54375 Main Road � Fax(631)765-9502
P.O.Box 1179 .,
Southold,NY 11971-0959 ^�
rp..r
BUILDING DEPARTMENT
TOWN OF SO HOLD
RENTAL PROPERTY CERTIFICATION
Form is to be completed by a license architect, licensed engineer or licensed home inspector
Separate form is required for each individual Rental Dwelling Unit
Ergessional seal re aired or Architect or Engineer, licensed dome Ides ector must rovide
goggy o valid current cert( cation
Rental Property SCTM Number: 1000-63-7-3
Rental Property Address: 1035 OAKLAWN AVE - SOUTHOLD NY 11971
Owner/Name: JOHN LAPOLLA - TRIFECTA BBG LLC
Rental Dwelling Unit Identifier: UNIT 3
Number&Square footage of each bedroom as depicted in the attached floor plan:
(i.e. Bedroom#1 -100 sq., Bedroom#2-90 sq., etc.
BEDROOM #1: 106 SF.
Property Description (Include all improvements indicated on survey)
SINGLE FAMILY - STICK FRAME - DWELLING
I certify that I have done a physical inspection of the subject rental dwelling unit and find that it
fully complies with all the provisions of the Code of the Town of Southold,the Residential Code
of New York State,the Building Code of New York State,the Plumbing Code of New York State,
the Fuel Gas Code of New York State, and the Energy Conservation Construction Code of New
York State,
ZACKERY E. NICHOLSON RA
Print Name and Title Original Signature
G L A,
S.rare:
0 �
Please place professional seal:
,,. 0444'
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* TOWNF S UTHOLD BUILDING DI
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631 -765-1802 -'
INESPEC ION ''
FOUNDATION 1ST E ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INSULATIOWCAL
FRAMING I STRAPPING [ ] FINAL
FIREPLACE & CHIMNEY [ ] FIRE SAFETY INS
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PE
ELECTRICAL (ROUGH) [ ] ELECTRICAL AFI
CODE VIOLATION [ ] PRE C/O [ 1
OwnC�Q601tool
LEGEND
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ZEN DESIGN
1250 EVERGREEN DRIVE
CUTCHOGUE,NY 11435
PHONE 6315138584
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TRIFECTA BBG LLC
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(; UNIT 1
1035 OAKLAWN AVE
SOUIHOLD,NY 1191
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1000437-3
SCALE 1f8a®1'-0'
DATE 022723
PRAWN 6Y: ZEM.
UNIT 1
FLOOR PLANS
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CUTCROGUE.NY 13935
PHONE 631533.6589
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UNIT
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SCALE 1(B"-t-0'
DATE: 022723
DRAWN BY: LEN.
UNIT 3
FLOOR PLANS
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LEGEND
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CUTCHOGUE,NY 11935
PHONE 63L512L6589
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UNIT 2
1035 OAKLAWN AVE
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SOUTHOLD,NY 11471
1000-63-73
SCALE _----_...... 1/0, X.O•
DATE: ---0227.23
DRAWN BY: ZE.N.
UNIT 2
FLOOR PLANS
—2 0 ,. so �I
TOWN OF SOUTHOLD PROPERTY RECORD ��� x
OWNER-- STREET VILLAGE DIST.!' sU'B. LOT
FORMER OWNER N E ACR.
N) a
S w TYPE OF BUILDING
Z
FARM COMM.ECB. Mkt. Value
SEAS, �VL. MISC.
LAND lmpTOTAL DATE REMARKS
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!77,5
—AGE--� BU ONIIJITIbN�)l
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FARM Acre Value Per v,]IU
L
Tillobl
Tillable 2
L4 0 �L-
Tillable 3
Woodland 3kl I IZ46
Swampland FRONTAGE ON WATER
FRONTAGE ON ROAD�OAD
nd
House Plot DEPTH
BULKHEAD
DOCK
Total
CALOR - — -
3
TF
3
4
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TRIM
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1-4 tt
•
E
i
M Bid � f Bath
Foundation
_ --
Dinette
Extension _ 'Basement K,
! Floors
Extension Ext. Walls Interior Finish _ _ LR.
Extension Fire Place Heat DR,
=Type Roof -T ;. Rooms 1st Floor BR.
-
Porch :Recreation Roomil Rooms 2nd Flmd F.N. B. '
Porch .�,:' Dormer
I
Driveway
Y
Garage
i
0. B. i
Total `
1 2
3
COLOR 1 f
f
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63.-7-3 2/1/2022 1
M. Bldg. €4 GuQ 1 � G� � y�� I ? �� €Foundation � �� Bath � 1 Dinette
v
Extension �, �' F� � � Basement Floors K. i
t � i
Extension � � Ext. Walls Interior Finish �, LR.
,.! I Fire Place Heat DR.
T �
Extension X g _ eS i
9
stype Roof i Rooms 1st Floor BR.
Porch i recreation Room Rooms 2nd Floor FIN. B.
� � I
Porch ?Dormer
;Driveway I
y
LA
age -
Pati
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i
0. B.
Total _ '
diamu=
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TOWN OF SOUTHOLD PROM CAR[
OWNER = STREET VILLAGE DIST. SUB. LOT
. i
FORMER OWNER N E ACR. ��
S W TYPE OF BUILDING
RES. SEAS. VL. FARM COMM. CB. MISC. Mkt. Value
LAND IMP. E TOTAL DATE REMARKS
I
i
x
3
v�
i
AGE BUILDING CONDITION
NORMAL 1 BELOW ABOVE
FAIfM Acre ! Value Per f Value
kk Acre I
Tillable i -3 _
Tillable 2 !
Tillable 3
Woodland
Swampland [ FRONTAGE ON WATER
Brushland FRONTAGE ON ROAD
House Plot DEPTH
_ 'BULKHEAD
Total !DOCK
FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Town Cleric's Office
Southold, N. Y.
Certificate Of Occupancy
No. . Z51-37 • . . . Date . . . . . . . . . . . . .May . . . . . .8 . . . ., 19.73.
THIS CERTIFIES that the building located at . .a.g .Oak.layn. .Avs. . . . . . . . Street
Map No. . .XX . . . . . . . Block No. . fix,. . . . . .Lot No.=m . .8outhold. . .X J... . . . . . . . . . .
conforms substantially to the ttqr e f l wel ist *.Housing*.Hqgs#g Code
Built er fi gate. off occupanclr
-before- April- • .23- 19 57 pursuant to which �� o• 25137-
dated . . . . . . . . . . . . 8 . . . . .. 19.73., 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• one. family. .dwelling . (2)."mai.n .Hous4".&.".CQttage". . & naceessory
building
The certificate is issued to . .Charles- 8c .Kathe ryn. . .VanDumm. . . . .QyMoF4 . . . . . .
(owner, lessee or tenant)
of the aforesaid building.
Suffolk County Department of Health Approval Pre-P. ,axisting. ) . . . . . . . . . . . . . .
UNDERWRITERS CERTIFICATE No. . . Pre..Existing .(2). . . . . . . . . . . .
HOUSE NUMBER. . . .1-035. _ .Street. . .Oaklavn. Ave. . . . .(slain .Hotiae)
1115 " " (coftaiieY
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . I . . . . . . . . . . . . . . .
. . . . � . , . . . , . . .
Exception to housing codes
Main Houses No light switch at point of entry 52
Cellar— open elec. June. box 52?
Cottage: No pressure relief valve on water heater 52%ild"'g I"spe t"r
HOUSING CODE INSPECTION
May $, 1973
#1035 & 1115 Oaklawn Avenue
Southold, N.Y.
Tax Roll: Charles F. & Kathryne Van Duzer
#1035 Main House - occupied
#1115 Cottage, rear - unoccupied
Upon reems„ of the Southold Town Building Department,
I made action these dwellings and found the following
viol crus of Local aw #1, Housing Code, Town of Southold.
Main House - tw story framed dwelling with partial
ce far and crawl ,so ce, central heating system. I was met
by A151._Van..,DuMz161F in driveway and was accompanied by him on
inspection, which began at approximately 2 : 05 p.m.
FIRST FLOOR
Front Entrance: to living room, no light switch or
means to control light in room on entry - Section 529b.
Cellar: Open, square, electrical junction box - Section
528a.
First floor consists of kitchen, family room, living room,
dining room one bedroom and full bath.
SECOND FLOOR - three bedrooms and one full bath - no
violations. He'�-a—t���Wirs.--'s'UprtrLglr.to each room of this
building.
Accessory Building - garage with green house attached -
no violations
Cottage - rear of premises. This building has foundation
with crawl space . Rooms consist of kitchen, living room,
be oo 4 ull bath and utility room.
Utility room: Hot water heater does not have r&lief
valve- Section 521a.
Free standing gas heater is located in living room, 45, 000
BTU, source of heat for dwelling, adequate for size of
building.
Inspection completed at( Lpproximately 2 :30 p.m.
"Respectfully ubmitted,
Edward Hindermann
Building Inspector
EH:tle
FORM Na. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Town Clerk's Office
Southold, N. Y.
Certificate Of Occupancy
No. 2 (1� . . . . . Date . . . . . . . . . . . . . . .qty.. 6. . . . . ., 19.r�7.
THIS CERTIFIES that the building located at 1/6 . . . . . . . . Street
Map No. =X . . . . . . . , Block No. X . - . . .Lot No. . . .Southold. . .N:Y . . . . . . . . . .
conforms substantially to the Application for Building Permit heretofore filed in this office
dated . . . . . ., 1975 . pursuant to which Building Permit No.
dated . . . . . . . . . . . . Oat. . 1. . . ., 195., 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 . frigate •aaesaa.ory-building' with' Garage,'and 'sleeving' 'VOOK 'elte
The certificate is issued to . . cess h 'Mi3Qii3 h a 'V4 e" 'd 1d► " ` " . . . . ` . . . .
owner, s• or tenant)
of the aforesaid building.
Suffolk County Department of Health Approval N:R.. . . . . . . . . . . . .
UNDERWRITERS CERTIFICATE No. N:R.. . . . . . . . . . . . . . . . . . .
HOUSE NUMBER . . . . 103 . . . . . Street . . .001e'wtu-AVO . . . . Vou ol& . . . . . . . • .
Bulling µrispcto
Will=NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN CLERK'S OFFICE N6 I)LAN:)
SOUTHOLD, N. Y.
ryxi(N kzm!��
CERTIFICATE: OF OCCUPANCY
Z 162
No. ..... ....0.... Date ...............................I.......njune1719-63
onklawn Avenue, SoUthold
THIS CERTIFIES that the building located at ........—........ ........................ ............... Street
MapNo. ...... Block No. ......it Lot No. , .....................I...........I.....................
conforms substantially to the Application for Building Permit heretofore filed in this office dated
.............. ................$9j*j*.0t"....4.7., 19_09- pursuant to which Building Permit No.
septombox 17 62
dated ....................•.......»...., 19........, was issued, and conforms to all of the requirements,
of the applicable provisions of the low. The occupancy for which this certificate is issued is ........
PRIVATE 01M PAXILY MMMING
................................. ... ... ...... ..... .......................... .....................
The certificate is issued to ........ AUAPW*...WAPAX ............... .......... ....... ........
(owner, lessee or tenant)
of the aforesaid building.
... . ................I.........
Building Inspector
FORM NO. 2
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN CLERK'S OFFICE
SOUTHOLD, N. Y.
BUILDING PERMIT
(THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL
COMPLETION OF THE WORK AUTHORIZED)
N° 1883 Z Date ..............„,.......$!p r.....],7.. 19.02..
Permission is hereby granted to:
►�Allth0].d ....................».».......,.,,...........,.........
to .. I a,S�...&A..�di iozl..at�••#I f.� Wi iZi ............................... ...............,.
.......... ............„.....................,................ ......... ..... ........,
at premises located at ./5......Q&k1&wm.,A,* ..................................................................„:'...,.»......,..„.
.....................................„,.„.............
..,....”
pursuant to application dated ...............„............8e kB 19and approved by the
Building Inspector
Fee 0.,00,_.... ...... ,
Building Inspector
FORM NO.4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
Certificate Of Occupancy
No. Z1.1.498. , . . . . . . . , Date . . . . . e bruarY. 24 . . . . . . . . . . „ . . ., 19 .83
THIS CERTIFIES that the-btiAd Rg-. . .P.Q 0 2. . . . . . . . . . . « . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..
Location of Property1115 Oaklawn Avenue Southold
House No. . . . . . . . . . . . . . Street IHamler
County Tax Map No. 1000 Section . .Q63. . . . . . .Block . . .Q7. . . , . . . . . .Lot . . . .003. . . . . . . . . .
Subdivision . X . . . . . . . . . . . . . . . . . . . . . . . . . . . .Filed Map No. X . . . . . .Lot No. . X. . . . . .
. . .
conforms substantially to the Application for Building Permit heretofore filed in this office dated
, , , August„19, . . . . . . , 19 8 2 pursuant to which Building Permit No. .? !8.7,3 , Z. . , . . . , , , , „ ,
dated . , , A u,g u s t .214 1 „ , , , 19 8? ,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 . . . . . . .
. . , , . .ar, i,ngroupd , pwimming . Pool . . . . . . . . . . . . . . . . . „ „ . . . „ . . . . . . . . . . . . . . . . . . . .
The certificate is issued to . . . . J 0,5,E P H & L O R R A I N E MIL 4 V I C H„ ,
(owner,/esssa er�rrtsat#
of the aforesaid building.
Suffolk County Department of Health Approval . . .nja. . . . . . . . . . . . . . . . . .
UNDERWRITERS CERTIFICATE NO. . . . . . . . . . .N. 5.7.626, . . . . . . . . . . . . . . . . . . . . . . . . . . . „ „
aet
Building Inspector
Rev.1/81
IFt Town of Southold 1/23/2023
P.O.Box 1179
.� 53095 Main Rd
Southold,New York 11971
CERTIFICATE OF OCCUPANCY
No: 43775
Date: 1/23/2023
,,.....
THIS CERTIFIES that the building WINDOWS
Location of Property: 1035 Oaklawn Ave., Southold
SCTM#: 473889 Sec/Block/Lot: 63.-7-3
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
12/2/2021 pursuant to which Building Permit No. 47260 dated 12/23/2021
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:
lmpwllrntltio-
rames .it _ illarlt �3ac,llill ..apflcw! tmca.�::
The certificate is issued to Trifecta BBG LLC
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
tho ize Si nature
FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Town Clerk's Office
Southold, N. Y.
q ..
Certificate Of Occupancy
71
No. .744335 . . . . . Date . . . . . . . . . . . . . . .�`. . . . .ug 1 3. . . ., 19. — .
THIS CERTIFIES that the building located at R S. Oaklawn .Ave. . . . . . . . . . Street
Map No. .xx . . . . . . . . Block No. . .xx . . . . Lot No. . . .T4. . . .Southold. . . .
conforms substantially to the Application for Building Permit heretofore filed in this office
dated . . . . . . . 14ar• 30, 19. 71. pursuant to which Building Permit No. .51924 .
dated . . . . . . . . . . .Ylareh• • • •3A 19.7-1 , 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 . x r1W t Q_ail
cce s sory.5udina .
. . . . . . . . . . . . . . . . . . I . . . . . . . . . . . . . . . . . . . .
The certificate is issued to .Chas . .V.anDuzer. d Wifa . . . .?wnars. . . . . . . . . . . . . . . . . .
(owner, lessee or tenant)
of the aforesaid building.
Suffolk County Department of Health Approval Ti...R.. . . . . . . . . . . . . . . . . . . . . . • . • . . . • . .
House # 1035AAA
Building Insp for