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Home My WebLink About1000-127.-6-8 W TOWN OF SOUTHOLD 4�" 95 Rental Permit 0851 4 b ap Owner Richard & Jill Collins Occupied as Single Family Dwelling Located at 1810 N. Oakwood Rd. Laurel 127.-6-8 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. 4/10/2023 VAtw >�� Code Enforcuent Officia This Notice must be posted by the main entrance at all times Town Hall A nex „� �; Telephone(631)765-1802 � - 765-9502 5375 Mir P.U.Box 117 Fax 631 ( ) Southold.N' 11971 BUILDING DEPARTMENT TOWN OF SOLF117HOLD RENTAL PERMIT APPLICATION Rental Permit Fee$200(Application must.be renewed every two years) Section A. Property Information: Rental Property Address: Tax Map Number: 1000 SECTION 9 -BLOCK V (0 -LOT Q SECTION B. OWNER INFORMATION: Property Owner Name: T( I ( Property Owner Legal Address: Property Owner Mailing Address: �15 fi 1,SS I K SSe-( S+ Telephone Number (s): Daytime 42-q-M Z Evening 42-8-133 ZEmergency Property Owner Email Address: , Ky P I T SL K 4�) &H 4 1 L. C,6 RKcL4ZZLP (LV H-OTH A L . Ldm Page I of 5 C)0 U�� Town Hall Annex Telephone(631)765-1802 54375 Main RoadFax(631)765-9502 r�j CP P.O.Box 1179 Southold,NY 11971-0959 F" f.= -01 BUILDING DEPARTMENT TOWN OF SO OLD Section C. Authorized Agent Information: l Name of Authorized Agent of dwelling unit, if any: J m m m `t �'Jh 6)1110S Address of Authorized Agent (no P.O. Boxes): -issq SS Mailing Address of Authorized Agent: 5;0( �( � �� S �j l( 12 Telephone Number(s): Daytime��'�Z�' gs�Lng61u �-L% 4Eme gency _ _ Email Address: J K D I TSC1 Section D. Managing Agent Information: Name of Authorized Agent of dwelling unit, if any: U Address of Authorized Agent (no P.O. Boxes): Mailing Address of Authorized Agent: Telephone Number (s): Daytime Evening Emergency 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: Jam- mo V 1111 Address of Managing Agent (no P.O. Boxes): Page 2 of 5 Town Hall Annex Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1 179 Southold,NY 1 1971-0959Al BUILDING DEPARTMENT TOWN OF SOUTHOLD Mailing Address of Managing Agent: �� A bye, Telephone Number(s): Daytime Evening Emergency. _ _ Email Address: 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 Unit: Number of rooms in Rental Dwelling Unit: Use and Dimensions of each room in Rental Dwelling Unit: Y d(od Y1'1 q IC) 13Zjf ql�o,, gedroc)m Page 3 of 5 Nk Town Hall Annex Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1179AI Southold,NY 11971-0959 oul 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 ws 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 ❑ 1 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) 11�S 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 ; A 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 SO OLD 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: Property Owner's Signature: ?,0 Fi- Sworn to before me this 3 ay of 20L� Official Notary Pu lic Signatgo a and Original Notary Stamp DIANA SONG JACKSON Notary Public-State of New York NO.01JA6247825 Qualified in New York County My Commission Expires Sep 6,2023 Page 5 of 5 TOWN OF SOUTHOLD BUILDING D 631 -765-1802 INSPEC ION [ ] FOUNDATION 1ST [ ] ROUGH PL13G. [ ] FOUNDATION 2ND [ ] INSULATION/CAI [ ] FRAMING 1 STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY IN! [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PE [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL {FII [ ] CODE VIOLATION [ ] PRE C/O [ I REMARKS: AIA 3pt e at"k f DATE INSPECTOR Town Hall Annex SOUTHOLD TOWN 54375 Main Road PO Box 1179 Southold, Rental Inspection NY 11971-1179 � - Tel: 631-765-1802 Fax 631-765-9502 SCTM # ��` Date a-7- 93 OwnerPhone Address zip City Inspector LEVELS SUB 1 2 3 Smoke Detectors (#-bedroom detectors excluded) Carbon Monoxide Detectors (#) Fire Extinguishers (#) Exits(#) BEDROOMS 2 3 4 5 Smoke Detector Alarms (#) Carbon Monoxide Alarms (#) Egress (windows) (Y/N) BUILDING SYSTEMS Y/N CONDITION OF PROPERTY YIN pie hn s stem maintained/operational I Building Interior is clean/maintained Hot water system maintained! perational _ Building Exterior is clean/maintained Electrical system maintained/operational Property is clean/safe/maintained I Mechanical system maintainedloperational Handrails & guards present COMMENTS: Rental Inspection Form 4/7!2021 aaaaaaaa._._._.................._......_W._..._W--_____ __ ___ ________wwww_....wM..Mw.._.....ww_._. CI0. r� Kitchen Bedroom#1 ° Dining DO CIO. CIO. CIO. 1.......111...., T fD Na R°rkAon/Msir aol� a Bedroom#2 Bedroom# CIO. ....„.,.._._..._�..,.. 1810 Oakwood Dr. Laurw.NY CtD / Porch coin..”.°__.... ...... LLz„o, z3A 1 _...M_..._,,,._., ,w.._w_ _ _......M._...._.._......._�. _._._......_...rv_..._M v,,,,,,,,,,,,,m .., _.w....w......._.. ........................... WS .. ........ .............. . . ....w.__.......w. rv_.. ............................ ._...............................w.. .....___-_____ ____....__....._..rv_._._v........__.._M_.__.___________ _____ _ ._m.___�_ _.._._.rt.._444444444444......................_.._............._................................. N. 171 1�L'i BASEMENT co D 2e C;�) ,a,a�.� � d LouW,MY Wa- -2„0/2023 Al W4_ ..__...._.w..................._........._._........mmm......�.._.,._.......................................M wawa._ ...... ._w_....................�._M .._.M.....—__rr—._......................_. . .._MMM..__.,.._.... ...W................_..._.............MMMM._M.m..... ... --;� TOWN OF SOUTHOLD PROPERTX ,,RECC OWNER STREET VILLAGE 15T. SUB LOT ! 9 _.m..; FORMER I O kIEI ,„ m;N N E ACR. S W TYPE OF BUILDING RES. 9SEAS. VL. FARM COMM. CB. MICS. Mkt. Value ... ..�... � .... � .. __.._M _ ....... _. _.. W. ... ,._.-._. .... _ ._ ......__ _.,. ......... __,_ __M. _., ......�. LAND IMP. TOTAL DATE REMARKS ,r _...._MM._...............................____..... ..... ........ »�...-.--...m..,..,....,.,, ......_.�......_...___...,, ..,.,,M,,.,„.,..,......„.. ,.,,. M...,. r�_.,......,...,.,,.... __,.........»..._..._.... „...„ _I.SJ 0 - _. .w ,. � . ti.. _ m . _� . - � ,�� , �� w � f Tillable FRONTAGE ON WATER Woodland __... F..m..,_. RONTAGE ON ROAD a Meadowland DEPTH House Plot a :, ,. ... . ... . t . ....._BULKHEAD .............._a.__ Tota I /i �a. y y�ipp mm^ ��01 I III I ' m f i Mpg 8 M.....Bldg ��.. '� ' �' Foundation / Bath Extension Basement Floors Extension Fxt. Walls Interior Finish Extension Fire Place Heat Porch j m Pool Attic Deck �. f - � �� , , � 5�� , � �",� Patio Rooms 1st Floor � i Breezeway Driveway Rooms 2nd Floor Garage 0. B zlctS pca?`" 1 1 � �. � 41 0.5� FORM NO.4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold,N.Y. Certificate Of Occupancy No. 2.1.122f , . , , . . . . Date . . . Agptpmber. A$ . . . . . . . . . . . . . .. 19$2. THIS CERTIFIES that the building . . . . . . . . . . . . . . . . . . , , . . , . . . . . . . . . . . . . Location of Property . . . . . . . . . . . . . .Vont.h .ppkW9p0. ,QCT Ve, . . . . . . . . LA-tgrel. . . House No. Street Hamlet County Tax Map No. 1000 Section . .127. . . . . . .Block . .06. . . . . . . . . .Lot . . .00.8 . . . . . . . . . . Subdivision . . .lrau re 1. FArl�. PAO, , . . . , . . . .Filed Map No. .21?. . . .Lot No. 1, .4 .i. of .2 conforms substantially to the Application for Building Permit heretofore filed in this office dated . . . . . . . . . . . . . 19 U pursuant to which Building Permit No. .11.7.6.Q . ;. . . . . . . . . . . . dated . . . JUB?. 3-Q . . . . . . . . . . . . . . . 19 R2 ,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 . . . . . . . . . •. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . The certificate is issued to . .dolzn. .4 . 8. , ' . . . . . . . . . . . . . _ . . . . . . . (owner,l rpt of the aforesaid building. Suffolk County Department of Health Approval . .1,2-V;»1Qv. A/,2,xZ/ ?v. A,o b P... A! . V !1 ilk., P.E. UNDERWRITERS CERTIFICATE NO. . . . . . . . . PBn0yng. . . . . . . . . . . . . . < . . . . . . . . . . . . . . . . . { 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-32520 Date: 06/08/07 THIS CERTIFIES that the building ADDITION Location of Property: 1810 NORTH OAKWOOD DR LAUREL (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473869 Section 127 Block 6 Lot 8 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated JUNE 7, 2007 pursuant to which Building Permit No_ 33136-Z dated JUNE 154 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 "AS BUILT" DECK & OUTDOOR SHOWER ADDITION TO All EXISTING SINGLE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to ESTATE OF ELEANOR BASTONE (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A �th,�ried Signature Rev. 1/81 ,, ,, %ilii � /,,. ,rrr, / %%o . ;;,,,� �i,� VIII , // /iia/� ,i ,,,/// ///� ,/ �� , / �%iii// /ii ,,�� /, / �//// � % ,,,i%%%/ fir' ,, / /,,,;ilii,,,,,,,,,,,,,,,,,,,, ,,,,, i,,,,,, ;maal ;ori/%/��i !f �// f VIII 'I /%'t i /�� f F� � r %r //,,� l j 1� �� ;iii/ �,iii/i/'iiiii �/��%/i%////' II '�� ulll III II I ul i,l IIIII� uuuul0 .r. �1�' ��, 0'��l �� " , ��' i�; �' ,� ��'� � j; �� r, � J M � �, �r1 t 1 �, ,,,, � ;i l� ,�% ,� � dJ� ,��r,1ii� � ��? � </% / �� ( 2� i2 ;\ �� . :2 �d / </ � \ �ƒ : � �{ :2 ) � \�)��/ � \ ..ƒ\� /\ �` � � � ? { } t / ƒ j \ \ ��\ \ � ^�