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Home My WebLink About1000-56.-1-2.26 of l/ TOWN OF SOUTHOLD Rental Permit 1509 Owner: 1450 Laurel Ave LLC Occupied as: Single Family Dwelling Located at: 1450 Laurel Ave Southold 56.-1-2.26 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 arra ing forothebi-annual inspection. Issued: 07/06/20263�e - tAtL- Expiration: 07/05/2028 rce tofficiai This Notice must be posted by the main entr nce at a �J tiz 1 3 TOFSUTD —B MU O Town Hall. An.nex 54375 Main Road P. O. Sox 1179 Southold, NY 11971-0959 e C4?r Telephone(631) 765-1802 Fax(631) 765-9502 l'itt�)s://www.southoldt�owt)ny.,.g�)v 1 >00 RENTAL PERMIT APPLICATION Rental Permit Fee $300 (Application must be renewed every two years) Section A. Property Information: Rental Property Address: 1450 Laurel Ave Tax Map Number: 1000 SECTION 56 -BLOCK 1 -LOT 2.26 SECTION B. OWNER INFORMATION: Property Owner Name: 1450 Laurel Ave LLC Property Owner Legal Address: Property Owner Mailing Address: (Cannot be the same as Rental Property Address) 15 Marcourt Drive 15 Marcourt Drive Chappaqua, NY 10514 Chappaqua, NY 10515 Telephone Number(s): Daytime 732 991 0907 Evening 732 991 0907Emergencyl32 991 0907 Property Owner Email Address: jayamster@gmail.com Page 1 of 4 SECTION F. PROPERTY DESCRIPTION: Number of Rental Dwelling Units on property: 1 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: Requested Maximum number of persons allowed to occupy Dwelling Un . Number of rooms in Rental Dwelling Unit: 3 Use and Dimensions of each room in Rental Dwelling Unit: Master Bedroom 16'-6"x14'-4" Bedroom 1 11'-0"x 13'-10", Bedroom 2 1 1'-0"x1 0'-6", 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. 0 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. 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) Jason Amster , 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: Jason A ter Property Owner's Signature: 'I:2�r= r o before methis dayof 20_ Noa ure and Original Notary Stamp RACHELHOFFMAN Notary Public,State of New York No.01 HO6434407 Qualified in Westchester County Commission Expires 06/06/2026 Page 4 of 4 so TOWN OF SOUTHOLD BUILDING DEPT. 631.765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] 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 [ °' RENTAL r � n-eeds ae, �jt9l c ,rili� ! rS lvi . Am s lu2Aabid �� d > L111)11 DATE INSPECTOR Town Hall Annex ` Town of Southold 5437S Main Road PO Box 1l79 Rental Inspection Report Southold, NY1l971'll79 � Te|: 6]1'765'18OJ `'. Date Phone Visible Inspector Floor Level Quantities Smoke Detectors (not located in bedrooms) Carbon Monoxide Detectors Fire Extinguishers Exits Bedrooms Smoke Detectors Egress Occupant Count Building Systems Maintained &Operational Condition of Property Heating Building inter,iolr Building exterior Hot water Elec I tri 11 c 11 a I I Property clean, maintained &safe Handrails &guards installed &secure Pool on Site Pool Safety Door alarms pool completely enclosed Pool fence to code requirements Self closing latching gates CO's for all items present Prior Rental ' - � ` ' GENERAL SYMBOL KEY: swt Wbw �, L /,LV— _ I l ,e cee,s - as auvw.dr }} 1' 4 W t t I 3 �q..R U C '� _ „e,�,mm^.�—"°•. E(5RE55 WINDOW WELL DETAIL Li FLOOR.PLAN;AS-BUILT SE ROOM 5EGOND FLOOR 4 3 E AMSTER I �7rr 1 ] - - Fr 1450 LAUREL AVE tn __ - SOUT}10LD NY 11971 j G 7g 3 } t _ 1 ;ASaMTPIANS = s A5-EUILT BEDROOM INTERIOR ELEVATION 1 - _ -.v.wroni el muam�'imi,® I --126: 2 OF2 AS-BUIL-EA PLAN f � XION 61 � � 0 o a M ki1�6R— 4E1Me"n L � � A.' S V %loo +� Nell t coy R 0 A gE �I TOWN OF SOUTHOLD PROPERTY OWNER 'RA STREET VILLAGE DCS1 ZiB LOT _ s E a _ CR A _,. REMARK TYPE OF BLD. o� - _ r e, e PROP. CLA _ u x a LAND IMP. TOTAL DATE F a r I " ;. 5 j FRONTAGE ON WATER TILLABLE FRONTAGE ON ROAD WOOOLAND DEPTH MADOWLAND, BULKHEAD _ArIODSE' r T ; ram , � I COLOR z ------- --------- s 55 s € TRIM ` . . 6.-1-2.26 1112 ` It 77' M. Bldg f � l _ ` `; Foundation Bath '' Val_ Dinette t% v xt nsio� ' s _ Basement $�&� Floors Kit. Extension _ Ext Walls = Interior Finish L R s X t Extension ! Fire Place �° Heat D.R. Woodstove BR, Irc j r ,, - Dormer ' 4f r Attic Rooms 1st Floor Driveway Rooms 2nd Floor I O.B. - K FORM No. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-27178 Date: 07/05/00 THIS CERTIFIES that the building NEW DWELLING Location of Prapsrty: 1450 LAUREL AVE SOUTHOLD (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 56 Block 1 Lot 2.26 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated JUNE 21, 1999 pursuant to which Building Permit No. 25914-2 dated AUGUST 4 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 Le ONE FAMILY DWELLING WITH ATTACHED GARAGE OPEN FRONT PORCH AS APPLIED FOR. The certificate is issued to SCHULTZ HOLDING CORP. (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL R10-99-0178 07/01 00 ELECTRICAL CERTIFICATE NO. N-519477 04/04/00 PLUMBERS CERTIFICATION DATED 04/20/00 CHARLES BRUSO Authorized Sig tore 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-29332 Date: 03/26/03 THIS CERTIFIES that the building ACCESSORY Location of Property: 1450 LAUREL AVE SOUTHOLD (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 56 Block 1 Lot 2 .26 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated MARCH 6 2003 pursuant to which Building Permit No. 29194-Z dated MARCH 6 2003 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 SHED AS APPLIED FOR. The certificate is issued to KATHRYN K & THEODORE J BUCCI (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. �N/A PLUMBERS CERTIFICATION DATED N/A Authorized Sig ture Rev. 1/81 Witt Town of Southold 6/15/2020 P.O.Box 1179 ' 53095 Main Rd Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 41183 Date: 6/15/2020 THIS CERTIFIES that the building IN GROUND POOL Location of Property: 1450 Laurel Ave., Southold SCTM#: 473889 Sec/Block/Lot: 56.4-2.26 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 2/4/2020 pursuant to which Building Permit No. 44657 dated 2/4/2020 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: accesM ig around swimming 1 fenced to code as applied for. The certificate is issued to Vicinanza,Timothy&Lisa of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 44657 6/11/2020 PLUMBERS CERTIFICATION DATED Au ho Si uromm ...,__.....�__..._ Of , Town of Southold P.O. Box 1179 53095 Main Rd "cra�wx Southold, New York 11971 CERTIFICATE OF OCCUPANCY No: 47092 Date: 05/28/2026 THIS CERTIFIES that the building AS BUILT ACCESSORY STRUCTURE Location of Property: 1450 Laurel Ave Southold NY 11.971 Sec/Block/Lot: 56.-1�2.2 Conforms substantially to the Application for Building Permit heretofore,filed in this office dated: 08/13/2025 Pursuant to which Building Permit No. 52287 and dated: 09/23/2025 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: "As built" accessory pergola as applied for. The certificate is issued to: 1450 Laurel Ave LLC Of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL: ELECTRICAL CERTIFICATE: 52287 5/20/2026 PLUMBERS CERTIFICATION: Uk 11 Ath ri d guature � f Soo Town of Southold P.O. Box 1179 53095 Main Rd Southold, New York 11971 CERTIFICATE OF OCCUPANCY No: 47179 Date: 06/29/2026 THIS CERTIFIES that the building As built additions/alterations Location of Property: 1450 Laurel Ave Southold NY 11971 S e cB to ck/L o t: 5 6.-1-2.26 Conforms substantially to the Application for Building Permit heretofore,filed in this office dated: 08/13/2025 Pursuant to which Building Permit No. 52288 and dated: 09/23/2025 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: "As built" additions and alterations including a finished basement to an existing single- family dwelling as applied for. The certificate is issued to: 1450 Laurel Ave LLC Of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL: ELECTRICAL CERTIFICATE: 52288 6/15/2026 PLUMBERS CERTIFICATION: T ture `f i k CL i _ V W IQAw : Second Floor Plan p 0 ro Y-g� fr 5 e eI �3 FCL y i 3 I 3 4 s x First Floor Plan N - - 0 i i t - I CL 41c , C1 Fir21 j Tl Y Cellar / Foundation Plan � 3 ILZ t�