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Home My WebLink About1000-55.-6-15.25 67 T"IAIN OF SOUTHOLD CIO Rental Permit 1163 3� a� Owner John Manesses & Athena Mihailos Occupied as Single Family Dwelling Located at 155 Oriole Drive Southold 55.-6-15.25 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. 7/5/2024 li"UL-1 rc nt Official This Notice must be posted by the main entrance at all times Ido op � TOWN OF SOUTHOLD—BUILDING DEPARTMENT ter; ® �f Town Hall Annex 54375 Main Road P. O. Box 1179 Southold, NY 11971-0959 Telephone (631) 765-1802 Fax (631) 765-9502 htl %://www soij kj 11 o - w RENTAL PERMIT APPLICATION B'ollding Deparfmont Rental Permit Fee $300 (Application must be renewed ev arjojd Section A. Property Information: Rental Property Address: Tax Map Number: 1000 SECTION Q DO -BLOCK ,. DO _ -LOT U SECTION B. OWNER INFORMATION: Property Owner Name: Property Owner Legal Address: Property Owner Mailing Address: (Cannot be the same as Rental Property Address) j R$ °tom ,tA,- f q Q- 30 Cl t'-41 /+L--.t- k J t t(-e-s i�^.e 1 r Al-i t l 3 31 &Lt IL—.ZZo .Z C.2-0 Telephone Number (s): Daytime Evening s Emergency Property Owner Email Address: S wLq vi -e-.s s 1 s Page 1 of 4 Section C. Authorized Agent Information: Name of Authorized Agent of dwelling unit, if any: 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: 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): Mailing Address of Managing Agent: Telephone Number (s): Daytime Evening Emergency Email Address: Page 2 of 4 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." le Rental Dwelling Unit Identifier: u ��E" 4o �, 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: kt��h e,vi 13�r-6-b All 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 Pte ❑ 1 am submitting a completed Town of Southold certification form from a licensed architect or a licensed professional engineer. Page 3 of 4 SECTION H. DECLARATION: Signature must be notarized and MUST be the owner of the dwelling unit. STATE OF NEW YORK) COUNTY OF SUFFMAK O LK) I jd�o _Z-5S iS , 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 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 s to any change to the information regarding Authorized Agent, Managing Agent, or Site Manager. Property Owner's Name: o Property Owner's Signature: Sworn to before me this day of 200� Official Notary Public Signature Original Notary Stamp NA-rA 16 MAR1 1 Notary puc jlaw State of New York peg,No.OlmA6400477 Celawlifled to Nassau County C,om r("iota ire$1111&2Q Page 4 of 4 so Town Hall Annex Telephone(631)765-1902 54375 Main Road Fax(631)765-9502 P.O.Box 1 179 +�✓� Southold,NY 1 1971-0959 " Cr7U01 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 ❑ 1 am submitting a completed Town of Southold certification form from .a licensed architect or a licensed professional.engineer. - r SECTION H. DECLARATION: Signature must be notarized and MUST be the owner of the dwelling unit. STATE OF NEW YORK) ) COUNTY OF SUFFOLK) I t ,_ 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 rrmr �;�r�r Town Hall Annex Telephone(631)765-1802 54.175 Main Road Pax(631)765-9502 P.O.Box 1 l79 Southold,NY 11971-009 ;q BU1LDINO DEPARTMENT TOWN OF SOUTHOLD 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: Sworn to before me this I day of_ 1 207.� Offlclal Notary Public Signature and Original Not, a amp TF1�H N GROS,SMAN Notary Public„State o(Ne�«�' Rog,No,GR6397'135 Glum in Nassau (y` Oommis$m Fxpiros 09 Page 5 of 5 -tn%\v, zlt44e TOWN OF SOUTHOLD BUILDING C 765.1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATIOWCA [ ] FRAMING / STRAPPING [ ] IAL [ ] FIREPLACE & CHIMNEY [vj FIRE SAFETY IN [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT P [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (F [ ] CODE VIOLATION [ ] PRE C/O REMARKS• QcvJil�v�vt . DATE �� INSPECTOR 4 rwt00000 �r' OF SOUTHOD fILDING D 53 1 -E55-1802 IN EC ION [ ] FOUNDATION 1 ST / REBAR [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION/CAI [ ] FRAMING / STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY IN: [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PE [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL7�11 [ ] CODE VIOLATION [ ] PRE C/O [' RE ES 7A QAWj o vv6m DATEAk "Ww INSPECTOR , ............ 4 Ori off. l* ' IV �,r' �wco TOWN T SOUTH OLD T A T NG 765- $ T INS r.0 ION [ ] FOUNDATION 1ST [ ] ROUGH PL13G. [ ] FOUNDATION 2ND [ ] INSULATION/CAI [ ] FRAMING / STRAPPING [/ AL FIREPLACE & CHIMNEY RE SAFETY IN! [ ] [ ] [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PE [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (EI j ] CODE VIOLATION [ ] PRE Q%w REMARKS: (t) wt 11tv, NAM ca" G DATE NSPECTOR �;I A,It F ' E _ f ( it -. _-. 1 £3 F,t1.r fill m = ZZ _ { s s `g o GZ f E� , a _ � 7 j S � S Aw Af Its AN, all "I LVD; g� _ _ F , not f- lit , I - _ t _ , K 3 �s E � ! E , AL Ar , _ , , r. . - 3. ta. s . il a �4 C S S ; ( I �p r I 14 i € T s ova# s 3 +y o a 'h i -a im Al it E g tJ1s'r}E T 6.D dhnl' M'T �' I ti. g r E _ - _ a e t 777 0 a. s _ �< } z . . TOWN OF SOUTHOLD PROPERTY RECORD CAntj - OWNER � STREET , VILLAGE DIST, 9SUB. LOT ckE s - A _ REMARKS v` TYPE OF BLD. n { yr ✓,,< PROP. CLASS-.,- LAND IMP. TOTAL DATE '7 1"S 110 o f15' �,^ c✓` - d �C..11 f ' = _ - c ' d � 1 d FRONTAGE ON WATER TILLABLE e FRONTAGE ON ROAD 4 WOODLAND e DEPTH I MEADOWLAND F BULKHEAD HOUSE/LOT , TOTAL d I \` COLOR - � t i ` I f � 1 TRIM . . 55.-6-15.25 03/2016 s s Foundation _ Bath' � 'Y Dinette M. Bldg. 1(� �(A — _ 3 - Basement Floors Kit. .F Extension SLAB q —oa $C) Ext. Walls Interior Finish L.R. f Extension ¢` Extensio Fire Place Heat m 1- D.R. -4, ve ' k- R Woodstove BR. / , Peter I a� - _ IA Dormer Deck l- r,J Attic I Rooms 1st Floor Breezeway Garage JS 7 b� Driveway s Floor , O.B. R R J'Z4 Le I } r 1 FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-26411 Date: 04/28/99 THIS CERTIFIES that the building NEW DWELLING Location of Property: 155 ORIOLE DR SOUTHOLD (HOUSE NO. ) (STREET) (HAMLET) County Tax Map No. 473889 Section 55 Block 6 Lot 15.25 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated AUGUST 14, 1998 pursuant to which Building Permit No. 25216-Z dated OCTOBER 8 1998 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 ONE FAMILY DWELLING WITH ATTACHED TWO CAR GARAGE AS APPLIED FOR. The certificate is issued to JASON & NOMEKI GLASSTEIN (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL R10-98-0105 04/23/99 ELECTRICAL CERTIFICATE NO. N-480949 02/25/99 PLUMBERS CERTIFICATION DATED 04/27/99 DINGS ZERVOS Building I pector 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-27846 Date: 08/02 011 THIS CERTIFIES that the building ACCESSORYww �w Location of Property: 155 ORIOLE DR _ OUTHOLD _IT - (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 55 Block 6 Lot 15.25 Subdivision Filed Map No_ Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated DULY 10 2000 pursuant to which Building Permit No. 266 '7-Z dated DULY 31, 2000 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 INGROUND SWIMMING POOL WITH FENCE TO CODE AS APPLIED FOR. mmww. The certificate is issued to JASON & NOMEKI GLASSTEIN (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL .. _...,_ 6�._.... 09 01 0 0 ELECTRICAL CERTIFICATE NO. N 536261 _µ_ PLUMBERS CERTIFICATION DATED AL ................. Authorized Sig Lure 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-27845 Date: 08 02g�"",Oj THIS CERTIFIES that the building ADDITION Location of Property: 155 ORIOLE DR _ SOUTHOLD (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 47889 Section 55 Block 6 Lot 15.25 Subdivision µ Filed Map No. Lot Na. conforms substantially to the Application for Building Permit heretofore filed in this office dated JULY 10u_2000 pursuant to which Building Permit No. 6687-Z dated JULY 31, 2000 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 DECK ADDITION "AS BUILT" TO AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR....�. ............_ .......... . .............. _w_ The certificate is issued to JASON & NOMEKI GLASSTEIN (OWNER)pp of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N A ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED �._ NIA__w. ................... /6' °... Author�. d. Signatu Rev. 1/81 riFt , Town of Southold 12/22/2015 P.O.Box 1179 53095 Main Rd Southold,New York 11971 CERTIFICATE OF OCCUPANCY' No: 37979 Date: 12/22/2015 THIS CERTIFIES that the building SOLAR PANEL Location of Property: 155 Oriole Dr, Southold SCTM#: 47388.9._„„__............_... SecBlock/Lot: 55.-6-1,5,:.25 mmw -. ..__....._...wti�........ .w........, .....__...-_ ... ._..„ _..._ Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 11/24/2015 pursuant to which Building Permit No. 40310 dated 12/1/2015 was issued, andW conforms to all of the requirements of the applicable provisions of the law. The occupancy for which this certificate is issued is: "AS BOLT"„ S LII,D FQj IL - '110 Ol �� lk1 lL I N The certificate is issued to Glasstein,Jason&Nomeki of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 8932 07-23-2008 PLUMBERS CERTIFICATION DATED utlaa�at :e�l Sa"gnatt�re Town Hall Annex ��x Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1179 Southold,NY 11971-0959 OUR w BUILDING DEPARTMENT TOWN OF SOUTHOLD A P 9 2 2(,.)21 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 095, O V -BLOCK No • O0 -LOT 616 - V 25 SECTION B. OWNER INFORMATION: Property Owner Name: Property Owner Legal Address: Property Owner Mailing Address: o CC f-'P- Yv t 5 1 Rt��-SI-s4�o 6 ti4— 27 6 2L2,6 Telephone Number (s): Daytime Evening Emergency Property Owner Email Address: • " eS Pagel of 5 Town Hall Annex a Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O. Box 1 179 Southold,NY 1 1971-0959 �� 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: 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 nit: t Number of rooms in Rental Dwelling Unit: Ile . Use and Dimensions of a ro nn Rental Dwelling Unit:) c A; 40&Ion Ac'.S., I�age of 5 �I � �� ► ° . '� V coo 210sg• � � +