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HomeMy WebLinkAbout1000-55.-6-15.33 ffi4 TOWN OF SOUTHOLD Rental Permit z � e 1079 Owner Gulbahar Donn Occupied as Single Family Dwelling Located at 1185 Oriole Drive Southold 55.-6-15.33 Maximum Permitted Occupancy 7 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. 2/28/2024 Code Enforcement Official This Notice must be posted by the main entrance at all times TOWN OF SOUTHOLD—BUILDING DEPARTMENT ��� Town Hall Annex 54375 Main Road P. O. Box 1179 Southold,NY 11971-0959 Telephone (631) 765-1802 Fax(631) 765-9502 11�1 2024, RENTAL PERMIT APPLICATION Rental Permit Fee $300 (Application must be renewed every two years) , Section A. Property Information: Rental Property Address: 57 OR 1 OLE PRkVE So Tax Map Number: 1000 SECTION S� -BLOCK -LOT, f S . 3 3 SECTION B. OWNER INFORMATION:�+ Property Owner Name: G V L_'BA K&E, t>ON N Property Owner Legal Address: Property Owner Mailing Address: (Cannot be the same as Rental Property Address) B - I a 223 sr 6 me e� t4 Telephone Number(s): Daytime Evening Emergency Property Owner Email Address: e' a qiq 00. c m IV Page 1 of 4 SECTION F. PROPERTY DESCRIPT10'N: Number of Rental Dwelling Units on property: For each Rental Dwelling Unit set forth the Rental Dwelling Unit identifier(for example, Unit 1, Unit 2, Unit 3 or Apt A, B,C);the use of each room in the Rental Dwelling Unit (for example; Kitchen, Bedroom 1, Bedroom 2, Living Room) and the dimensions of each room. For properties with multiple Rental Dwelling Units use"Rental Permit Application Addendum." Rental Dwelling Unit Identifier: UPJ IT S Requested Maximum number of persons allowed to occupy Dwelling Unit: Number of rooms in Rental Dwelling Unit: Use and Dimensions of each room in Rental Dwelling Unit: K[Tctic-N r r t 0 f YDW 1aE R► (ZM--5'L-0%C l-b VeN-17-0 sc t5-to' t.t u.fkrnl W'O.W t5-D Fo`( •1i g�x t3 2 gEaM• '1 - 14'-D'�ar� IZ':a " BE�n�Q- t<,,'-8��c t, �fit" {#.$ 12'-8�x tOt-a r eF M r 0 r !. r tot-off L,p rjDRN( IZ(d. b "x 1'0'-$'f wA;1.V--W (%oser. 7'-co"� 1vr-8 It SECTION G. INSPECTION-- Pursuant NSPECTION-: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. ❑ 1 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. Page 3 of 4 n . SECTION H. i DECLARATION; Signature must be notarized and MUST be the owner of the dwelling unit. STATE OF NEW YORK) i COUNTY OF SUFFOLK) I I 6-LS4 9 o� �LX// certify under penalty of perjury,the following: 1. 1 am the owner ofthe property identified in"Section A"of this application. I 2. The property owhel's log-81 address set forth in "Section B" of this application is my legal address and I understand the Town will use the address for service pursuaht 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 (S) days of any changes thereto. I , 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 regardipgAuthorized^Agent, Managing Agent, or Site nager. " Property Owner's Name: Property Owner's Signature: Sworn to before me this ay of "20 Official Nd'bTJI5ubHc Signature and Original Notary Stamp XIAOSHUAI LIU NOTARY PUBLIC,STATE OF NEW YORK Registration No.01LI6427438 Qualified in Queens County t Commission Expires December 27,20Xe Page 4 of 4 I TOWN OF SOUTHOLD BUILDING 1) 631 -765-1802 INSPEC ION [ ] FOUNDATION 1ST [ ] ROUGH PL13G. [ ] FOUNDATION 2ND [ ] INSULATION/CA [ ] FRAMING / STRAPPING [ ] FINAL [ ] FIREPLACE &. CHIMNEY [ ] FIRE SAFETY IN [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PI [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FI [ ] CODE VIOLATION [ ] PRE C/O [ b P r Telephone Tele 631 765-1802 Town Hall Annex P ( ) 54375 Main Road ° Fax(631)765-9502 P. O.Box 1179 Southold, NY 11971-0959 u BUILDING DEPARTMENT TOWN OF SOUTHOLD RENTAL PROPERTY CERTIFICATION Form is to be completed by a licensed architect, licensed engineer or licensed home inspector Separate form is required for each individual Rental Dwelling Unit Professional seal re uired for Architect or Engineer, Licensed Home Inspector must provide copy of valid current certification Rental Property SCTM Number: I QOo — 55 — l S• 3 3 Rental Property Address: 1 ( 8)5- OR ( DLle D1zk�,W— Owner/Name: G UL BA"A1Q j)bNN Rental Dwelling Unit Identifier: ( L$S D RtoU'E D9, 1 U� Number&Square footage of each bedroom as depicted in the attached floor plan: (i.e. Bedroom#1 -100 sqft., Bedroom#2-90 sqft., etc.) $emm l — 1572- ch '3a g Et w► t 2 ^ 1:`2 Property Description (Include all improvements indicated on survey) 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 Yor tate Fir Code of New York State Jhe Proms, 'Maintenance Code of New York State and'th e n r C se ation Constructio e of New York State. Print Name and Title in Si nater kjf-, Please place Professional e ym e 71 TOWN OF SOUTHOLD PROPERTY RECORD t OtEF STREET ; - VILLAGE DIST SUB, LOT E Oar A-1 1�321 was ACR. RE�AIRKS k"- TYPE OF BLD. a #< PROP CLASS rf r LAND IMP. TOTAL DATE 6-7 rn ' — j I — —' r 17 2L FRONTAGE ON WATER TILLABLE FRONTAGE ON ROAD WOODLAND DEPTH - MEADOWLAND BULKHEAD HOUSE/LOT - - TOTAL I igin �� ` COLOR F_ TRIM 55.-6-15.33 11/2015 l IE ¢§- - C-1 M. Bldg. s Foundation _ Bath Dinette ` Floors t € � Kit Basement �E�ZteS'-IC�T� � � - � � SLAB �€ _.. Exteltrt RE _ Ext. Walls Interior Finish L.R: Extension Fire Place t - = _; Heat D.R_ Patio Woodstove BR_ 4 Porch Dormer Deck b ' - Attic _ Rooms 1st Floor Garage44 Driveway Rooms 2nd Floor 0 t Pool t ' ... C. r FORM No. 4 TOWN OF SOUTI#OLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-2� Dates 10/06/99 THIS CERTIFIES that the building NEW DWELLING Location of Property: 1185 ORIOLE DR SOUTHOLD (HOUSE NO. ) (STREET) (HAMLET) County Tax Map No. 4"73889 Section 55 Block 6 Lot 15.33 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated FEBRUARY 5,_ 1999 pursuant to which Building Permit No. 25561-Z dated FEBRUARY 24 1999 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 SINGLE FAMILY DWELLING WITH ATTACHED TWO CAR GARAGE AS APPLIED FOR. The certificate is issued to JORDAN HANDLER (OWNER) of the aforesaid building. SUFFOLK COUN'T'Y DEPARTMENT OF HEALTH APPROVAL R10-99-0004 09/ ELECTRICAL CERTIFICATE NO. 29922 09/ 22/99 PLUMBERS CERTIFICATION DATED 02�H/2/9' O.A.H. PLUMBING 6i HEA'D'ING BU ding Ins or Rev. 1/81 Town of Southold 10/20/2015 P.O.Box 1179 , 53095 Main Rd Southold,New York 11971 CERTMCATE OF OCCUPANCY No: 37844 Date: 10/20/2015 THIS CERTHUS that the building IN GROUND POOL Location of Property: 1185 Oriole Dr, Southold SCTM#: 473889 Sec/Block/Lot: 55.-6-15.33 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 9/10/2015 pursuant to which Building Permit No. 40075 dated 9/10/2015 was issued, and conforms to all of the requirmnents of the applicable provisions of the law. The occupancy for which this certificate is issued is: A ESSOR `[N43ROU D S jKKj t QQ ,E IC CED TO Q DE AS APPLIED FOR The certificate is issued to Rizzo,John&Rizzo,Margaret of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 4057 05-13-2004 PLUMBERS CERTIFICATION DATED .-Xa li-o Simlatu 1-3,C s C2, 52 ? � PWp tb��" ti GL" 10-'0" it � N r' `tea KIT HEN ° BKFST 4 li a E DEN p �I OAK , 0 \ o o;,' 0 '� 'ova r� O J�j �►. t' !2T e L %�" PLUl1 a lJvg - _ nuscu.s,-� t s►.+r eocx ,� Pts' b c� = t���=8* cnmmoN W AtL.S ArWA wf Je-J3 A4UL O s t 2�L* 1 s Srarr .x'FiFe�2A�&C? r, n -O r� sJrc�c o eXGARAGE DINING 3 LIVING � V2-CMCSLN& OAK �,j, �, = I -�awoey 2i I 0" oil FOYER jiOA K x = 11 '0 STeA-P is 0066, $Tt P rb +2t (2 3o 5 Z C2}Z* 12 2 _ 17" �- s/a°xre"CGA 1866- 3 1868 � 2''?C�"C+rtC.9N5�f6t3� 2"k "C�tLt3tfS$!6'DCfi""'`rz" tl1SH _ (2)2`k S" H 0R 'lr -7akIC�'QFi,GA G� uJ� 4"K4"CR�Sts t7yP� _ 02,3052 126E AE1� 2� 2"X12' tel`/yPi.%fwo 96ADM- A60uc Z 2" IV WUZ Alm FIRST FLt�+ q-0 LD (2�2 8 46 AR21 2032 my 4 " a 0" $a 5 15iC} , W 7-j0 1 d s 0 , C,TILE LINO ! 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