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HomeMy WebLinkAbout1000-70.-9-10 Rental Permit 1344 Owner: D&G 3930 LLC Occupied as: Single Family Dwelling Located at: 3930 Oaklawn Ave Southold 70.-9-10 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. Issued: 06/30/2025 Expiration: 06/30/2027 c° forcern nt cial This Notice must be posted by the main entrance at all times � 7oVS � TOWN OF SOUTHOLD—BUILDING DEPARTMENT Town Hall Annex 54375 Main Road P. 4. Box 1179 Southold, NY 1 1971-09 v1d1n Oe merit own I Satlol Telephone(631) 765-1802 Fax (631)765-9502 https,. vwNy.southoldtowRIZ c RENTAL PERMIT APPLICATION Rental Permit Fee$300 (Application must be renewed every two years) Section A. Property Information: Rental Property Address: (l V SZ 5 ' Tax Map Number: 1000 SECTION_j L9 -BLOCK -LOT o SECTION B. OWNER INFORMATION: j Property Owner Name: `✓ "� Property Owner Legal Address: Property Owner Mailing Adddrelsv� (Cannot be the same as Rental Property Address) w Y a � � w Telephone Number(s): Daytime_d _ Evening Emergency Pro a rtYOwner Email Address: oC ..� Page 1 of 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:., /►a, For each Rental Dwelling Unit set forth the Rental Dwelling Unit identifier(for ex ple, 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 Ream) and the dimensions of each room. For properties with multiple Rental Dwelling Units use"Rental Permit Application Addendum." - Rental Dwelling Unit identifier: W1► o 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: a oo rA 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 o I am submitting a completed Town of Southold certification form from a licensed architect or a licensed professional engineer. Page 3 of 4 SECTION H. i DECLARATION: Signature must be notarized and MUST be DECLA the owner of the dwelling unit. STATE OF NEW YORK) COUNTY CIF SUFFOLK) ) 1 1 certify under penalty of perjury,the following: 1. 1 ern the owner of the property identified in"Section A"of this application. 2. TI a property owner's legal address set forth in"Section 6"of this application is my legal address and l 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: 6 6 0 P�operty Owner's Signature: Sworn t0 b e�me this�day of �2�� Michael F Henry Official Notary Public Signature and Orii • ota Stamp s Public" 60 of Now York 8 ry o.g1FlEC�fl g tatiified in Queens County Commission ,tuner 14 0.2 Y Page 4 of 4 ,(1F Soy TOWN OF SOUTHOLD BUILDING DEPT. " coo, 631-765-1802 10 INSPECTION [ ] FOUNDATION 1ST/ REBAR [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION/CAULKING [ ] FRAMING / STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FIN L) [ ] CODE VIOLATION [ ] PRE C/O [ RENTAL REMARKS: a oN- f ✓� � � D� dU r ELATE 114SPECTOR M Town Hall Annex ° Town of Southold 54375 Main Road �y Rental Inspection Report PO Box 1179 F Southold, NY 11971-1179 " Tel: 631-765-1802 SUM# Date Owner Da Phone Address ''M;0 Visible Hamlet Inspector Floor Level Quantities Sub 1 2 3 Smoke Detectors(not located in bedrooms) Carbon Monoxide Detectors / Fire Extinguishers 1 Exits IL Bedrooms 1 2 3 4 5 6 Smoke Detectors Egress Occupant Count Building Systems Maintained&Operational Condition of Property Heating Building interior Hot water Building exterior Electrical Property clean, maintained&safe Mechanical Handrails&guards installed &secure Pool Safety Pool on Site Surface water alarm Date of CO issuance Door alarms Pool completely enclosed Self closing/latching gates Pool fence to code requirements CO's for all items present Prior Rental Comments: 5 A 1 } a qx� rNj -A-4- �DC� \ �,t a BEDROOM 21'2" x 257" { IF PRIMARY BEDROOM 157 x 12'4' i € DECK 72 8'x 25'5" BATH BATH 1711'x 47Pi .4'2'x 4'8" HALL 1'1(Y'x `4` 1 — BEDROOM � 16'8'x 12'3" BATH 4'11"x 77 BEDROOM KITCHEN GARAGE STUDY OM 10'7"x 11'3" 1$'3'x 25'7" 175'x 25'r ROOM 8�P'x 9'2' 7 x- HALLA Y+ 11'3"x W2' • OININGAREA " SUNRONol LIVING ROOM � 12'4'x 11'S" 11'4'x 13'5' 22'B'x 1374' TOWN OF SOUTHOLD ARo E TY RE 'CORDl0 5 I$ � WEE STREET VILLAGE DISTRICT ——SU�B- LOT &n 11(42613 Iff-�f ACREAGE FORMER OWN, N Z2 ER, 11 17 17 S TYPE OF BUILDING RES. SEAS. VL. FARM comm. I IND� CB. MISC. Est. Mkt. Value LAND IMP. TOTAL DATE REMARKS 0 r) 66 f L4 AGE BUILDING CONDITION NEW NORMAL BELOW ABOVE FRONTAGE ON WATER Form Acre Value Per Acre Value FRONTAGE ON ROAD Tillable I BULKHEAD -Tillable 2 m ; DOCK Tillable 3 Woodland Swampland Brushland House Plot Total e - - Will - gm tnlll rg �► � II .� ;�i ;fib 70.-4-10 03/15/2017 a � _ M. Bldg. Foundation Both Extension sement Floors X.oo, E t En Cxt. Wallinterior Finish T Extension �� k —I 0 z�I L Fire Place Heat ----- Ga 1,4� 7j S � Porch.. Roof Type PO Porch- Rcoms 1 st Floor ?� Patio Rooms 2nd Floor r Garage = .13�C �C.�U _ �j i , �� Driveway ; Dormer 4. B. 15 r AU } 1 TOWN OF SOUTHOLD OFFICE OF BUILDING INSPECTOR TOWN HALL SOUTHOLD, NEW YORK CERTIFICATE OF OCCUPANCY NONCONFORMING PREMISES THIS IS TO CERTIFY that the /X/ Land Pre C.O. #- Z14148 /X/ Building(s) Date- Jan. 13,1986 F/ Use(s) located at 3930 Oaklawn Ave. Ext. Southold Street Hamlet shown on County tax map as District 1000, Section 070 Block 09 Lot 010 doesfnot)conform to the present Building Zone Code of the Town of Southold for the following reasons: Insufficient total area. Insufficient front yard set-back. Non-Conforming accessory shed in side yard. On the basis of information presented to the Building Inspector's Office, it has been determined that the above nonconforming /X/Land /X/Building(s) /_/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 appli- cable 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 Certifi- cate is issued is as follows: Property contains a one story, one family, wood framed dwelling; two accessory sheds and accessory green- house. Property also contains hedges and stockade fence. Pro erty situated in the A-Residential-Agricultural Zone with access to both Oaklawn Ave. Ext. & Custer Ave. The Certificate is issued to 'I fi JEAN (owner, 21ermvawxzxbec&ie4 of the aforesaid building. ' Suffolk County Department of Health Approval N/R UNDERWRITERS CERTIFICATE NO. N/R NOTICE IS HEREBY GIVEN that the owner of the above premises HAS NOT CONSENTED TO AN INSPECTION of the premises by the Building Inspec- tor to determine if the premises comply with all applicable codes and ordin- ances, other than the Building Zone Code, and therefore, no such inspection has been conducted. This Certificate, therefore, does not, and is not intended to certify that the premises comply with all other applicable codes and regula- tions. liuiidin, inspector 8 Town of Southold 8/2R017 P.O.Box 1179 53095 Main Rd Southold,New York 11971 CERTCATE OF OCCUPANCY No: 39096 Date: 8/=017 THIS CERTIFIES that the burg ADDITION/ALTERATION Location of Property: 3930 Oaklawn Ave,Southold SCTM#: 473889 Sec/B1ock/Lot: 70,-9-10 Subdivision: Piled Map No. Lot No, ,=forms substantially to the Application for Building Permit heretofore Hied in this office dated 4/1 8120 1 6 pursuant to which Building Permit NO. 40658 dated 4/29/2016 was issued,and conforms to all of the requirunmts of the applicable provisions of the law. The occupancy for wbich this certificate is issued is: The cerl is issued to DeNicola,Joseph ?f the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL eLECTRICAL CERTIFICATE.TE NO. 40658 07-05-2017 PLUMBERS CERTIFICATION DATED 05-08-2017 P a x° VOXX NO. s TOWN OF SOUTHOLD Bunxim; DEPARTMENT Town Clerk's Office Southold, N. Y. Certificate Of Occupancy No. 17W..».. , Date ... ... . .. ...+��... THIS CERTIFIES that the building looted at A"- Street Map No. , C.. ^. .. .. . Block No. . . atZ.....Lot NO- . .zs ,.8oatkold •M.Y..... ..... conforms substantially to the Application for Building Permit heretofore filed in this office dated ... . . . ..%Tuft. .'6. . .. .. 19.?y pursuant to which Building Permit No. .7986a- dated . .. . . . . . .JUMS. .6_,. .. ., 19.75., was issued, and conforms to all of the require- meats of the applicable provisions of the law.The occupancy for which this certificate is issued is ...Prftxto.asoovs,sar7.. .stomp .budding . . .. .............. .... .... . The certificate is issued to , .Xcbert.Ls_Alkinion. . . .QWMX... ..,.µ•. ....... (owner, lessee or tenant) of the aforesaid building. Suffolk County Department of Health Approval .N..R•• . ., «. .. ..•..•.• .... ... . UNDERWRITERS CERTIFICATE No. pondins. . .... .. HOUSE NUMBER . . . 3930..... Street . :0sk1& ., wt•.i;at.............. . ...... Buil fi i/ lir r ice% I �p Milli /�� � iiiouuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuip li i �tl 1 ��� ��,�, � ,,,r i r o o�ii r f.r„" N fY�i!'I v y��„I'f h of v.t ��� I u v Ypv r: �I ��I�� � 1 �I�I� ���u III' v �I, IlSlllllu YNuYry"' IIIIIIIIII IyY VVY ul 4� II � tlll IIVII � I �i��ui� u ��� r i riiiriirrric-.,„ri%r riri, %%�l r����� ����r `' %s�r %r �l r,r ���r r71�,%I r�/ ���/i / ��,�1 rr rri i� rrrr/r��r r, �,,, l ,,/r� r� /, / ,/,/ �, //o/,� � /////// Grr/rrr�,. „u/��,r �.�sriru.,.,..�Rta�� f�.. ,r,��.