HomeMy WebLinkAbout1000-25.-3-4.1 WV
TOWN OF SOUTHOLD
Rental Permit
0866
Owner Sinan Karabas
Occupied as Single Family Dwelling
Located at 260 Orchard St Orient 25-3-4.1
Maximum Permitted Occupancy 4
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.
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4/20/2023
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This Notice must be posted by the main entrance at all times
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Town Hall Annex Telephone(631)765-1802
54375 Main Road Fax(631)765-9502
P.O.Box 1 179
Southold,NY 11971-0959
BUILDING DEPARTMENT
TOWN OF SOUTHOLD :;
RENTAL PERMIT APPLICATION ' MAY 2 2 2019
Rental Permit Fee$200(Application must be renewed every two years)
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Section A.
Property Information:
Rental Property Address:
Tax Map Number: 100 SECTION? -BLOCK . -LOTo�- =P
SECTION B.
OWNER INFORMATION:
Property Owner Name:
Property Owner Legal Address: Property Owner Mailing Address:
Telephone Number (s): Daytime it lkk kl�JKEvening-_e _ Emergency_ -V'\
Property Owner Email Address: "
Pagel of 5
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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
Section C.
Authorized Agent Information:
Name of Authorized Agent of dwelling unit, if any: °f,C'
Address of Authorized Agent (no P.O. Boxes):
Mailing Address of Authorized Agent:
Telephone Number(s): Daytime _Evening_Emergency
Email Address:
Section D.
Managing Agent Information:
Name of Authorized Agent of dwelling unit, if any:
Address of Authorized Agent(no P.O. Boxes):
Mailing Address of Authorized Agent:
o �
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:
Address of Managing Agent (no P.O. Boxes):
Page 2 of 5
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Town Hall Annex Telephone(631)765-1802
54375 Main Road Fax(631)765-9502
P.O.Box 1 179
Southold,NY 11971-0959 1
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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: ` �-
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: e;4-
Requested
; -Requested Maximum number of persons allowed to occupy Dwelling Unit:
Number of rooms in Rental Dwelling Unit:
1 1
Use and Dimensions of each room in Rental Dwelling Unit: Lwincl
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Page 3 of 5
Town Hall Annex Telephone(631)765-1802
54375 Main Road Fax(631)765-9502
Y.O.Box 1 179
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 that1he 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 I y 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.
v �
STATE OF NEW YORK)
COUNTY OF SUFFOLK)
I ,� a���C�5 , 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
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Town Hall Annex AL ALTelephone(631)765-1802
54375 Main Road ir Fax(631)765-9502
P.O.Box 1 179
Southold,NY 11971-0959
e
BUILDING DEPARTMENT
TOWN OF SOUTHOUD
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.
i
Property Owner's Name:
Property Owner's Signature:
r
Sworn to before me thiday of 20.1, /
Official Notary Public Signature and Original Notary Stamp
DENISE A, NAVARRA
NOTARY PUBLIC-STATE OF NEW YORK
No. 01 NA6191 295
Qualified in Suffolk County
My Commission Expires <—1
Page 5 of 5
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TOWN OF SOUTHOLD BUILDING 1
765.1802
INSPEC ION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INSULATION
[ ] FRAMING / STRAPPING [ ] FINAL Awl1,.�
[ ] FIREPLACE & CHIMNEY [v;/FIRE SAFETY I1�
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT P
[ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (F
[ ] CODE VIOLATION [ ] CAULKING
REMARKS:
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TOWN OF SOUTHOLD
OFFICE OF BUILDING INSPECTOR
TOWN HALL
SOUTHOLD, NEW YORK
CERTIFICATE OF OCCUPANCY - NON-CONFORMING PREMISES
THIS IS TO CERTIFY THAT THE YP µTKp PRE CO 11 Z-25914
DATE: August 24, 1998
,_X Land
j Building (s)
/_7 Use (s)
located at 260 Orchard
T R E E.SS t. & 1295 Navy St- __..........._.......... OriHAMLET
en . w_,._._......._...� __
shown on County Tax Map as District 1000, Section 25 , Block 3
Lot 4.1 does riot conform to the present Building Zone Code of the
Town of Southold for the following reasons :
Insufficient total area. Insufficient front yard set back.
On the basis of information presented to the Building Inspectors
Office , it has been determined that the above non-conforming Mv Land ,
/-"-7 Building (s) /J7 Use (s ) existed on the effective date the present
Building Zone Code of the Town of Southold, and may be continued pursuant
to and subject to the applicable provisions of said Code .
IT IS FURTHER CERTIFIED that , based upon information presented to
the Building Inspector 's Office , the occupancy and use for which this
p y y, one family
Certificate is issued as follows : Pro ert contains a two story, _.._......
,.,.,..,
wood framed dwelling with attached porch. Pre rt y also contains an accessory ygarage.
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Pro�ertr situated in the A Residential Agricultural Zone with access to Orient Street
awn
t roads .• ._,..., _ _ ...._�_ �...,_. ..... ..
r h rd Street.,,,troth maanta?,,,,,,,ed,_„, .. ,
This Certificate of Occu ancy replaces Pre C/0 IZ-14005.
The Certificate is issued to John & Jerilyn Woodhouse
..rrar,
of the aforesaid building.
SUFFOLK COUNTY DEPT. OF HEALTH APPROVAL: N/A
UNDERWRITERS CERTIFICATE NO. _ N/A
NOTICE IS HEREBY GIVEN that the owner of th g above e pr _.........w.....�.....� .�
mises HAS NOT
CONSENTED TO AN INSPECTION of the premises by the 'Building Inspector
to determine if the premises comply with all applicable codes and
ordinances . This Certificate, therefore , does not , and�:L�s not intended
to certify that the premises comply with all other applicable codes and
regulations, other than total area of lot.
Soil i g ns,p for
S
FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
" . �
No Z-24303 Date APRIL 24, 1996
THIS CERTIFIES that the building ADDITION
Location of Property 260 ORCHARD STREET ORIENT, NEW YORK
House No. Street _ Hamlet
County Tax Map No. 1000 Section 25 Block 3 Lot 4.1
Subdivision Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated MARCH 29, 1993 pursuant to which
Building Permit No. 21297—Z dated APRIL 1 1993
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 STORY DECK ADDITION WITH RAILINGS TO CODE TO EXISTING
ONE FAMILY DWELLING AS APPLIED FOR.
The certificate is issued to JOHN & JERILYN WOODHOUSE
(owners)
of the aforesaid building. ,
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A
UNDERWRITERS CERTIFICATE NO. N/A
PLUMBERS CERTIFICATION DATED N/A
Building Inspect/
Rev. 1/81
P
w;x„ tlglt Town of Southold Annex 10/24/2011
rya° w.w 54375 Main Road
Southold,New York 11971
CERTIFICATE OF OCCUPANCY
No: 35253 Date: 10/24/2011
THIS CERTIFIES that the building HOT TUB
Location of Property: 260 ORCHARD STREET ORIENT,
SCTM#: 473889 Sec/Block/Lot: 25.-3-4.1
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this officed dated
8/27/2009 pursuant to which Building Permit No. 34958 dated 8/27/2009
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:
ACC'E R_y 11 al," I LA AS AP'Pt.,;il D„FO ..
The certificate is issued to Schultz,Ruth&Schulz Frances Trust
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 6758 11/28/05
PLUMBERS CERTIFICATION DATED
ttt t cdl i—gnat,
......
FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No Z-24425 Date JUNE 12 1996
THIS CERTIFIES that the building ADDITION
Location of Property 260 ORCHARD STREET ORIENT NY
House No. Street Hamlet
County Tax Map No. 1000 Section 25 Block 3 Lot 4.1
Subdivision Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated MAY 23, 1995 pursuant to which
Building Permit No. 22809-Z dated JUNE 7,, -1995
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 AN ADDITION WITH COVERED PORCH AND DECK TO AN EXISTING ONE
FAMILY DWELLING AS APPLIED FOR.
The certificate is issued to JERILYN & JOHN WOODHOUSE
(owner's)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A
UNDERWRITERS CERTIFICATE NO.----, 9306 NOVEMBER 6, 1995
PLUMBERS CERTIFICATION DATED JUNE 71 1996 KING PLUMBING & HEATING INC
�Bui ding Inspecto9
Rev. 1/81
.............- -------------...
Town of Southold 5/16/2018
P.O.Box 1179
53095 Main Rd
Southold,New York 11971
CERTIFICATE OF OCCUPANCY
No: 39643 Date: 5/15/2018
THIS CERTIFIES that the building IN GROUND POOL
Location of Property: 260 Orchard St., Orient
SCTM#: 473889 Sec/Block/Lot: 25.-3-4.1
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
_.._. .w.. _..,.......
2/13/2018 pursuant to which Building Permit No. � 42372 dated 2/13/2018
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:
CCEl MCCUCOCTNCJ" OC M,Pfg,ZABA DECI _#5847� ;'
Q4m l"1-200(),.. API'I.l QXO
The certificate is issued to 260 Orchard Street LLC&ano
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 42372 04-18-2018
PLUMBERS CERTIFICATION DATED
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From: Sinan Karabas gpoggi123@aol.com B ��
Subject:
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Date: April 19,2023 at 1:01 PM '!'`
To: CHARLES DEAN crdorientQgmail.com �gr� tfl
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