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HomeMy WebLinkAbout1000-90.-3-19 A TOWN OF SOUTHOLD Rental Permit 1180 Owner Azmoun WJ QPRT Occupied as Single Family Dwelling Located at 425 Cedar Point Dr. E. Southold 90-3-19 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. 8/5/2024 Cod of c rat Official This Notice must be posted by the main entrance at all times 2e c c v6bo-�� � 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) 765-95021t1 s:��w .soutloidownn . cv RENTAL PERMIT APPLICATION Rental Permit Fee$300(Application must be renewed every two years) Section A. Property Information: Rental Property Address: 412 5 Ceda✓ P- - 16r, t_ 57oc.L Tax Map Number: 1000 SECTION �a -BLOCK 3 -LOT - SECTION B. OWNER INFORMATION: Property Owner Name: wekld Z-ti Oct o Property Owner Legal Address: Property Owner Mailing Address: (Cannot be the same as Rental Property Address) �5-t� 9 Telephone Number(s): Daytime5�� 30 2- Evening g m Emergency Property Owner Email Address: ZVVI oLtV1i ' C� Page 1 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, 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: Number of rooms in Rental Dwelling Unit: /Z— Use and Dimensions of e ch room in Rental Dwelling Unit: ro m5 46 1-3 ly 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. JZI 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. 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 SUFFOLK) 21110 61 Gi,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: 4, r 42 71-1 Z m a" (-A Property Owner's Signature: w ^' "' � Sworn to before me this d y of V' 20.a Official Notary Public Signature and Original Notary Stamp Page 4 of 4 sarry � , Oe TAWN OF SOUTHOL D BUILDING DING DEFT. 631-765-1802 INSPECTION [ ] -FOUNDATION 1 ST/ REBAR [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION/CAULKING [ ] FRAMING /STRAPPING [ ] NAL [ ] FIREPLACE & CHIMNEY FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FI L) [ ] CODE VIOLATION [ ] PRE C/O [ RENTAL. REMARKS: DATE IO INSPECTOR so * ,TOWN OF SOUTHCI►LD BUILDING DEPT. • 631-765-1802 INSPECTION [ ] FOUNDATION 1 ST [ ] ROUGH PL13G. [ ] FOUNDATION 2ND [ ] INSULATION/CAULKING [ ] FRAMING /STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) [ ] CODE VIOLATION [ ] PRE C/O [ q-14'ENTAL REMARKS: 5ee josc. ft 1h d tj hdkMAC5 . k5kll boli i- 4el-V J Gh t 1 Deb R !1 je A c�ooQS `ATE j400l ASV, ,o,- Apt US74 Ok- R Town Hall Annex Town of Southold 54375 Main Road Rental Inspection Report PO Box 1179 Southold, NY 11971-1179 Tel: 631-765-1802 USCTM# Date f v� Owner . .� fy- JOvr7 N .J...w � .._. w. . _. Phone W ..... __ .. Visible Addressmet 5 C-'csZ �/2 v 'Hamlet P i '._ wale _.s .,......... .w ._.' .M.�� �....... ._.. �.._ _ .....� �.. _ k�ns ecto.....� �.__,.�..a.......__. w ..._._ ...a... Floor Level Quantities Sub 1 2 3 Smoke Detectors(not Ipcated in bedrooms) �' . ., �.,. Carbon Monoxide'Detectors .� d . ........ .... .. . Fire Extinguishers Exits Bedrooms 1 2 3 4 5 6 �1 Smoke Detectors / Egress g _-; Occupant Count �' +�'.�... .. .. .... _ . Building Systems Maintained ined.,&Operatio.. Operational �.... ..a.._ ... ..... ®_...M nal Condition of Property Heating Building interior ;Hot water Building exterior Electrical Property clean,maintained&safe Men g ,.�. chaical�..�.... �....� _..�.._ . .�.v.._.....W..... .... ... ......._ , ._.�..._...... .....,..__....,.,..,,,.__.Handrails&wards mstalled&secure. ...�...._..._.. .......... ..._ . Pool Safety Pool on Site Surface water alarm Date of CO issuance � _ ..... ... ww.. ..... ....�.... � .�,m w .. ... .. ... ... _. EDoor alarms i Pool completely enclosed Self closing/latching gates Pool fence to code requirements ._..... .. ._w. CO's for all items present Prior Rental ._ . Comments: ____....... _.... _. ,... . ........... ..._ _ .. _ . ....... .. w.._. ... _. .._ ... . . _ ...... . _. _..._,_ _.k....., ou bc TOWN OF SOUTHOLD PROPERTY RECORD CI a� OWNER STREET ° VILLAGE DIST SUB. LOT � ¢x -. ACR. r _ REMARKS TYPE OF BLD � zxrl 0 q5 � t) 9 �E ' jt, �- PROP.CLASS 3V]/)p L / r b" l6 € LAND IMP, TOTAL DATE _` 7 7c;tY - �z- _ a_ E a t �( s � - FRONTAGE ON WATER HOUSE/LOT BULKHEAD 1 TOTAL �.� r TOWS 4F S UTHOLD PROPERTY RECO RD OWNER STREET ua VILLAGE DISTJ SUB. LOT n v FORMER OWNER N E ACR. I V a4s 5 W TYPE OF BUILDING RES. - SEAS. VL. FARM COMM. CB. MISC. Mkt. Value � I LAND£ IMP, TOTAL DATE REMARKS a r. AGE BUILDING CONDITION, N, tt t ST, - _ - r Tillable 2 � =a - Tillable 3via - • s Woodland -b e_P f Swampland ' FRONTAGE ON WATER ti Brushland FRONTAGE ON ROAD House Plot DEPTH,'` N s . BULKHEAD _ DOCK —� Total � �a'� •� J ���� r /' —`y/}/ ,s 4 I COLOR ' 3 � 3 s , TRIM - u f i 4 •1 �� 3 v� F t 4, A - I t 4- _ i r F M. 1 T g.p! r r � t F, Foundation s Bath j a ; Dinette '4e a-� �#ens' rto ^��, i1� -Basement Floors 1 Exter sio a Ext. Walls Interior Finish = LR. a _ _ - v tes t 9 u "� �_ C i' f ' �. + !Fire Place Heat DR. !i ndcl.r++vr— 's plc Z•' r ' Type Roof Rooms 1st Floor 1BR. f Porch v l,� �;, !Recreation Room :Rooms 2nd Floor FIN. B. \ a z 1 Dormer ar""wey + " ,ref � i -s° �0 Driveway E7V Garage 1 4,71 I ve pp r e i = t 3 Tots# ' - f t -- a FORM NO.4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold,N.Y. Certificate Of Occupancy No. . . .Z J 5.1.?? . . . . . . . Date . . . December .24... . . . . . . . . . . . . . .. 19 . .86 One family dwelling, . . with attached THIS CERTIFIES that the building . . . g'arAg'V cle'ckA. , ,425 Cedar Point* DkirveW WW WWWwW Southold , WNew ,YorV Location of Property W House%Vo. µ . . W W . . � � � tv^eet Hamlet County Tax Map No. 1000 Section . . .?9 . . . . ..Block . 03 . . . . . . . . . . .Lot . . .19. . . . . . . . .. . . Subdivision . M/o. C,e d a r .B e a c. . W . , . , „ ,Filed Map No. .9 . . .. .Lot No. .64 conforms substantially to the Application for Building Permit heretofore filed in this office dated Apr i 1 . 15.. . . . . . . . . . . . 19 . .g�ursuant to which Building Permit No. . . 14.7.8 7 Z. . . . . .. . . . . . dated . . , F r i 1 2,5 ; . . . . . . . , . 19 . $6 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 garage & decks The certificate is issued to . . . . . , W'�INDSWAY. BUILDING CORP er,� V"XV M . . , . . . . . W . . . . . , fo rc of the aforesaid building. 06 Suffolk County Department of Health Approval . . . . . W . .1. ._. . ' . . . . . W . . . . . W . . . . . . W . . . . . PENDINUNDERWRITERS CERTIFICATE NO. . . . . . . . . . . . . W , . . . . . . . . . . * . µ . . . . . . Plumbers Certification dated November 24 1986 . « » . . . . . . . . . . . . . . . . . . . . . ..B ii1ding Inspector Ray.1{6Z ............................ .... .......................................... Town of Southold 9/18/2019 P.O.Box 1179 53095 Main Rd Southold,New York 11971 .......... CERTIFICATE OF OCCUPANCY No: 40701 Date: 9/18/2019 ........... I THIS CERTIFIES that the building IN GROUND POOL ............. Location of Property: 425 Cedar Point Dr E, Southold ................. ...........--- - ____............___...... SCTM#: 473889 See/Block/Lot: 90,3-19 .................. .................. .......... Subdivision: Filed Map No. ........ Lot No. conforms substantially to the Application for Building Permit heretofore filed,in this office dated 5/18/2018 pursuant to which Building Permit No. 42730 dated 5/29/2018 ...........--.............................. ........ .......--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: ACCESSORY1 )FOR The certificate is issued to Azmoun,Ali&Wendy ...........—.......... ................ ........ ............ of the aforesaid building. SUF#OLK COUNTY DEPARTMENT OF HEALTH APPROVAL .......... ELECTRICAL CERTIFICATE NO. 42730 10-03-2018 .......... PLUMBERS CERTIFICATION DATED ...................... tho Signature ,,41t'f Town of Southold 1/31/2022 P.O.Box 1179 53095 Main Rd Southold,New York 11971 CERTIFICATE E OF OCCUPANCY No: 42725 Date: 1/31/2022 THIS CERTIFIES that the building ADDITION/ALTERATION Location of Property: 425 Cedar Point Dr E.,Southold SCTM#: 473889 Sec/Block/Lot: 90.-3-19 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 4/10/2020 pursuant to which Building Permit No. 45098 dated 8/11/2020 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: alit rer f ns and add do ns�ng r�t� t �p5.��tc?exig n sin fl -f na ably dwelli�� s ataolied t'c�r The certificate is issued to Azmoun,Ali&Wendy of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 45098 8/30/2021 PLUMBERS CERTIFICATION DATED YW FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-24926 Date MARCH 17 1997 THIS CERTIFIES that the building ADDITION Location of Pzoperty 425 EAST CHAR POD DRIB SOUTHOLDHamlet House No. Street County Tax Map No. 1000 Section 94 Block 3 Lot 19 Subdivision Filed Map No. Lot No.__. conforms substantially to the Application for Building Permit heretofore filed in this office dated JONS 19 1996 __pursuant to which Building Permit No. 23572-Z dated JULY 11 1996 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 ADDITION TO EXISTING ONE FAMILY DWELLING AS APPLIED FOR The certificate is issued to ALEXANDER H. WILLIAMS (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N-411580 - FEBRUARY 20 1997 - - PLUMBERS CERTIFICATION DATED MARCH 7 1997- HARDY PLUMBING & �CATING lop il, ing Inspector Rev. 1/al V\1 LAX-- 3 <f4�o 1 s f 067 am.._. 6 to - I f E i i c[je�v jejez4t v Cot Z' tax ;K NAQ-ZLNT rwjoi4 LL WA vI, X-r II � y. _ g I - Y �._ m q P —­77— �> _ _ F e Via a a I� € + _ I _ sa - _ FIRST& _ 233d = --- — - _ SECOND FLOOR PLANS Wa �e = — a 11 zi 777-7 3 - _ 3 x } BASEMENT . — PLAN ROOF PLAN 2O v?' ve.^--.ta�'y �GG"�i Vt�.l✓.�i}P.�:\ "r'�,A lei �..� 3 ; . � !������.�»�y\ y ! . , � )( ° � - � .�� � S \ ? � ° : \ \ . . � \\ ., . p a.. , . ;: . l[ > : . « §. »J . . - «e - , . \ . ][ - . 2 . � . . � � �K ^ � - ° � , _ � )( }\ > 2: s` _ � \ �\ : ! , lr » \ � \ a . . � � = e , , . , - . ` : . g![ � : � . ; y, l���..�� . .�£»t©«-: a. . ; �z ; . . . � . � - . . .� : « !|� �� ` - - - . i }[ � � �. © § - \ , - . . 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