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Home My WebLink About1000-18.-2-19 TORN OF SOUTHOLD Rental Permit g 4£ 1133 Owner Dogan & Karen Baruh Occupied as Single Family Dwelling Located at 400 Youngs Rd Orient 18.-2-19 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. 5/22/22024 Q4 cede fty e e t Official This Notice must be posted by the main entrance at all times Town Hall Annex Y Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1 179 Southold,NY 1 1971 0959 � �In� r E", � a BUILDING DEPARTMENT MAY12024 TOWN OF SOUTHOLD RENTAL PERMIT APPLICATION 'U '' Rental Permit Fee $200 (Application must be renewed every two years) I�`� Pd %30o ce,f lv--I51 Section A. Property Information: Rental Property Address Tax Map Number: 1000 SECTION .. w __ ._ -BLOCK - LOT SECTION SECTION B. OWNER INFORMATION: Property Owner Name: __. ........... O C A�) µV. - ..._...-......_._.. _- _w....__ _ _......... ............... Property Owner Legal Address: 4Property Owner Mailing Address: ..-.�� ._... . �. _ ....... ........ ...w_ _. .4.. i� ...�` . DL Telephone Number(s): Da yt i m e..�...�,-. ..-.. ��.��....w.w .._ Evening,. Emergency.-....._.._.::.—,Ck,� �..._. Property Owner Email Address: -.... ._.... fJ .... ..� ... .k_',L_ ..- .-.. .......__w_.._.... .....�............._. Page 1 of 5 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 Section C. Authorized Agent Information: Name of Authorized Agent of dwelling unit, if any: _...1ITAm_,., m._,.__.... ,,,,,__. ..ww�...._............,,,..... ... Address of Authorized Agent (no P.O. Boxes):..�.. _ww..w.....�....._� ._w�._....... .................. .r....�mm.... .�.... ..��...__........ .. Mailing Address of Authorized Agent: µ„ Telephone Number (s): Daytime _ my Evening Emergency_._,...__,.,,_ EmailAddress: _...._........_..._.w�...��.............�.�.w.wv_.................... .....................��........... ......................_.....��..._._._....... . _.�__ ......._�_ ......m.... ...�.�.�.�_�.�.�..........._....._ Section D. Managing Agent Information: Name of Authorized Agent of dwelling unit, if any: ., w.._. _. - ......... Address of Authorized Agent no P.O. MailingAddress of Authorized Agent:._..... .........u.._.._ .....�..w�w....ww�........__am .. ��...............M.M.M.M.. ...�.._�..�... .�....... ......_......._....�.... � p O Day-time...---- Evening Emergency__.�..�.�.. ..__..w_.. Telephone Number s : Da imeµ,µ,,.... ,,,, .. 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: .. .__n-,......._................�.�.�.... �.............�.__..�._... Address of Managing Agent (no P.O. Boxes):,_,,,.,,,,,,,,.. ��..�..........................�.�._.._..._w_ w_ ...�..... ..._. ._.........v.w�www . Page 2 of 5 ly tll P Town Hall Annex Telephone(631)765-1802 54375 Main Road 8 Fax (631)765-9502 P.O. Box 1 179 Southold,NY 1 1 97 1-0959 BUILDING DEPARTMENT TOWN OF SOUTHOLD Mailing Address of Managing Agent: m . Telephone Number (s): Daytime....-........-.........---- .—...- Evening_ ___. ...... ._........Emergency._a._,____,,—....—....... Email Address: w We 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, 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: -...._. ._.____.,.... Requested Maximum number of persons allowed to occupy Dwelling Unit.a,,,,,_, �,m Number of rooms in Rental Dwelling Unit: .._ ._.........n. o......._.._.. .`u �.. _ a. �ww......w_ Use and Dimensions of each room in Rental Dwelling Unit: ✓ �o �. V ► 1r X 13 � ! 11 ,I 1 u l ►� ..� ..' . ....�Z. . . .1_, ...p 1,p,M .'y. y I x 15 Page 3 of 5 Town Hall Annex i": Telephone(631)765-1802 54375 Main Road " Fax(631)765-9502 P.O.Box 1179 Southold,NY 11971-0959 1 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. ❑ 1 am requesting a fire safety inspection to be performed by a Code Enforcement Official from the Town of Southold V' 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) 1 v-k (Ar n certify under penalty of perjury,the following: So rw 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 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 HOLD 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: L1 o.no►r r'-�` '� Kaccr� L `�`r` Property Owner's Signature: Sworn f re me this oZ7 day of H4�� , 20 arl fficial otary P blic SignTandal Notary Stamp JENNA KOCKIENNIEINOT PUBLIC,STATE OF NNO.01K0 2096 QUALIFIED IN SUFFOLK CW COMMIS-SION E"IIPIRES DECEMB Page 5 of 5 TOWN O)l SO THOLD BUILDING qf ww ware � .,.�" 631 T65► 18G2 �� 2, 1 INSPEC ION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION TND [ ] INSULATION/CAI [ ] FRAMING / STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY IN; [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PE [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL CFI [ ] CODEVIOLATION [ ] P R E C/O [ 1 REMARKS: DATE INSPECTOR Town Hall Annex all Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1179e �Jr 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 Professional seat required for Architect or Engineer, licensed Home Inspector must Lovide copy of valid current certi cation Rental Property SCTM Number: 000 Rental Property Address:le 1�WrO ls�Lf—I--I-15:7 Owner/Name: Rental Dwelling Unit Identifier: Number & Square footage of each bedroom as depicted in the attached floor plan: (i.e. Bedroom #1 —100 sq., Bedroom #2-90 sq., etc.) W ✓ 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 York State, and the Energy Conservation Construction Code of New York State. A C �NA o c s Print Name and Title ° , ign e Please place professional seal: w 03WI ,,,. N r TOWN OF SOUTHOLDPROPERTY RECORD OWNER =STREET VILLAGE DISTi SUB. LOT FORMER OWNER ' [°N E ACR t S I TYPE OF BUILDING RES. ; SEAS, VL. # FARM CO A , CB. MICS. Mkt. Value LAND IMP. TOTAL DATE REMARKS F s — e AGE BUILDING CONDITION NEW NORMAL BELOW ABOVE �a FARM �� — Acre Value Per Value Acre Tillable FRONTAGE ON WATER Woodland FRONTAGE ON ROAD Meadowl.and DEPTH House Plot BULKHEAD Total DOCK ti x NP OLJOR TRIM r FI'C?( m E i � z EA - 3 3 1 E E 18.2-19 11/15/2022 �F � I M. Bid x 9. ` Ot c� gym ' Extension .� . R Extension £� Extension _ -Cj CXx LA e Foundation Bath Dinette Porch 4 1 }Basement :F Floors !<. t � ParcFi Ext. Walls l Interior Finish LR. .. ........... Breezeway iFire Place Heat DR. Garage ;TYpe .Roof - iaocros 1st Floor E 2. ;< Patio Recreation Room' Rooms 2nd Floor _ .<< FIN. B ' Dormer 'Driveway — � Total L Town of Southold 7/14/2022 P.O.Box 1179 53095 Main Rd Southold,New York 11971 ................... CERTIFICATE OF OCCUPANCY No: 43252 Date: 7/14/2022 ............................... THIS CERTIFIES that the building SINGLE FAMILY DWELLING --—-- Location of Property: 400 Youngs Rd., Orient SCTM#: 473889 See/Block/Lot: 18.-2-19 Subdivision: Filed Map No. Lot No. ............ conforms substantially to the Application for Building Permit heretofore filed in this office dated 3/3/2021 pursuant to which Building Permit No. 45997 dated 3/30/2021 ........... 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: gngk4hMfly - ,es nk�ar r R qv _d�jflL)y:&i_unfinished basement covered front at�d e orch entry an(! ALoad bale"a a tied for. Thecertificate is issued to Baruh,Dogan&Karen ................ of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL R-20-1258 7/13/2022 ELECTRICAL CERTIFICATE NO. 45997 6/13/2022 PLUMBERS CERTIFICATION DATED 4/20/2022 J h Adon ........... ut or' e Signature � gIVC,f� Town of Southold 7/14/2022 P.O.Box 1179 53095 Main Rd Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 43252 Date: 7/14/2022 THIS CERTIFIES that the building ACCESSORY GARAGE Location of Property: 400 Youngs Rd., Orient SCTM#: 473889 Sec/Block/Lot: 18.-2-19 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 4/2/2021 pursuant to which Building Permit No. 46114 dated 4/22/2021 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: aceg,s,sory with outdoor shower as a.:pljed, cr The certificate is issued to Baruh,Dogan&Karen of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 46114 6/13/2022 PLUMBERS CERTIFICATION DATED 4/20/2022 t Kph Adon o ..._..�_._._.t1 o Signature ......e�......._...-.-...... ............... ............. Town of Southold 3/23/2023 P.O.Box 1179 53095 Main Rd Southold,New York 11971 P ............ ....... ...... CERTIFICATE OF OCCUPANCY No: 43934 Date: 3/23/2023 THIS CERTIFIES that the building IN GROUND POOL Location of Property: 400 Youngs Rd., Orient .............. SCTMN: 473889 See/Block/Lot: 18.-2-19 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 8/30/2021 pursuant to which Building Permit No. 46792 dated 9/8/2021 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: accessory,In- d whjimi ced to code a� lied for. gtoqtt _Apa!L The certificate is issued to Baruh,Dogan&Karen of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 46792 6/13/2022 PLUMBERS CERTIFICATION DATED Au ii)n g6na t it i r e ttQ1 e Town of Southold 3/23/2023 P.O.Box 1179 53095 Main Rd Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 00878 Date: 3/23/2023 THIS CERTIFIES that the building GENERATOR Location of Property: 400 Youngs Rd., Orient SCTM#: 473889 See/Block/Lot: 18.-2-19 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 9/10/2021 pursuant to which Building Permit No. 46832 dated 9/16/2021 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: g eessor t for as ap,plied for. The certificate is issued to Baruh,Dogan&Karen of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 46832 6/13/2022 PLUMBERS CERTIFICATION DATED c ............................ . __- r�i. ........... ""�u o ,tture.��._._._.. O 10 20 30 40 5.feet .t RED AR t 38'-4" D. 12-p., 26 j r 'r (?F9 A, � y RAIK-ER 3 � 7 i it 'k ia; ' t$ PORCH __ _ ABOVE i� UNFINISHED !i ! • BASEMNT :# TEi#RacEAsovE F r— I # I 3.I I p t i t � t k # # # i # 1 i t i i rzEssw avow' SMOKE DETECTOR-HARDWIRED SO.. r: -• -- AnCwEu Q INTERCONNECTED-BATTERY ram.._- __-_- ' - BACK-UP 'C�: COMBINATION>MOKE�I CARBON �. _=MONOXIDE DETECTOR-HARD CaAIYt SPACE i WIRED'NTERCONNECTED-BATTERY (SON K;bAk ABOVE-) BACK-UP # t f ! 7 21' n BASEMENT PLAN 1600 SQ.FT. SCALE: 400 YOUNGS ROAD ORIENT, NY 6 MAY 2024 O TO 20 30 AO 5O feet ARCyF?� �Tu,+•,t� t II 1 : i , i I If ( $;DE fffff, I PORCH IT § ' UDROOM F BATH : PANTRY - ui v 77r7- (BEDROOMI RITC,d-EEN 3 ;,et zo Vi seF , aoser , I_ ( s FRONT ENTRY FOYER E + PORCH r— Ii t i TERRACE EYING=ROOM FAMILI ROOM i 20`-14E° CE i T.R e a --- — sAFEn Y = j_- -T- IRE-HARD W D --- ----_- SD SMOKE DETECTOR INTERCONNECTED-BATTERY ` BACK-UP P.1;1 pCOMBINATION SMOKE/CAR30N MONOXIDEDETECTOR-HARD WIRED INTERCONNECTED-BATTERY SU 1� BACK-UP 17'-9" 161-7' T � FIRST FLOOR PLAN 2'6" 1436 sQ.Fr_ scALe g =1'-O" 400 YOUNGS ROAD ORIENT, NY 6 MAY 2024 O 10 20 30 40 5o fw �{C eD AR�,�,fT \K�V OONALD ` n 2r_6rr R iyj� a 4y " ` r BAT ROO;# - £ C? � � (BECROOf.R2 66sQ.ET. elf }D. .,o CEO S T BATHRCSOM O I -051 7` I LAUNDRY TO E. I _._. .. g t i t STAIR HALL r U e Eft e ;S CoI _�. Y� _ rvvs ceo (BOM a , _ t CLOS F r .. () W € E BEDROOM 3 O 6e sQ Et. �- E } . E=ICE� "AEEFY DEVICES REOU€RED BAi ROO'9 _ SMOKE DETECTOR-HARD HIRED i I a SNQ. INTERCONNECTED BATTERY :' I BACK UP ___ {µy;t SJ Co' COMBINATION SMOKE/CARBON C =MONOXIDE DETECTOR-HARD ` &41=rNO P`R ---` W!RED INTERCONNECTED-BATTERY ' vs CODE BACK-UP € n SECOND FLOOR PLAN 1212r S.zrr A"'1C}rr I 14`-1 rr + 4485Q.FT. SCALE:g,= .O,. 400 YOUNGS ROAD ORIENT, NY 6 MAY 2024