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HomeMy WebLinkAbout1000-122.-4-8 TOWN OF SOUTHOLD bc Rental Permit 1520 Owner: Ryan Harper , Christine Harper Occupied as: Single Family Dwelling Located at: 2100 Ole Jule Ln Mattituck 122.4-8 Maximum Permitted Occupancy: 7 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: 07/16/2026 6 /I I VIj Expiration: 07/15/2028 CAe no m t Official This Notice must be posted by the main ent onceat 11 tim Us Pet �C/2 � "p 7 TOWN OF SOUTHOLD—BUILDIN'G DEPARTMENT Town Hall Annex 54375 Main Road P. O. Box 1179 Southold,NY 11971-0959 Telephone (631) 765-1802 Fax(631) 765-9502 RENTAL PERMIT APPLICATION Rental Permit Fee $300 (Application must be renewed every two years) Section A. Property Information: Rental Property Address: _ Do 0 LC V l� �i�t'�1 AA A-17i U Tax Map Number: 1000 SECTION -BLOCKS -LOT SECTION B. OWNER INFORMATION: Property Owner Name: Y -0 Property Owner Legal Address: Property Owner Mailing Address: (Cannot be the same as Rental Property Address) t( 5, 2,1 1 C- tt-ee N 1( 2-1 Telephone Number(s): Daytime llg Emergency Property Owner Email Address: ►'► `(1a I- QroLh• "n^ Page 1 of 4 Section C. Authorized Agent Information: Name of Authorized Agent of dwelling unit, if any: 4//r 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." Rental Dwelling Unit Identifier: Requested Maximum number of persons allowed to occupy Dwelling Unit: ........ Number of rooms in Rental Dwelling Unit: r r Use and Dimensions of each room in Rental Dwelli Unit: dt /3 � "" / = by /9 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 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. DECLARATION: Signature must be notarized and MUST be the owner of the dwelling unit. STATE OF NEW YORK) ) COUNTY OF SUFFOLK) I , 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: l- reP� Property Owner's Signature: Sworn to before me this L day of -J k 20 Z6 MARIA PRIKAS GANLEY Official Notary Public Signature and Original Notary Stamp Notary Public-State of New York N0.01PR5003206 Qualified in Suffolk County My Commission Expires Oct 19, 2026 Page 4 of 4 ejf so >to ovi, v e "'I'CI►WN OF SOUTHOLD BUILDING DEPT. �� 631-765-1802INSPECTION [ ] 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 (FI Q [ ] CODE VIOLATION [ ] PRE C/O [ RENTAL RE AR S: 13ti, • A- f DATE INSP CTO �0 �� �� , Town Hall Anne e a /� / j Telephone(631)765-1802 54375 Main Road o /ier ' + w /t Fax(631)765-9502 P.O. Box 1179 wd f °'a Southold, NY 11971-0959 ` fl �%�r „ BUILDING DEPARTMENT TOWN OF SOUTHOLD RENTAL PROPERTY CERTIFICATION Form is to be completed by a licensed architect, licensed engineer or licensed home inspector Separate form is required for each individual Rental Dwelling Unit Professional seal required for Architect or Engineer, Licensed Nome Inspector must rovide cogy of valid current certification ,,// Rental Property SCTM Number: T7 3 fn° (22,"T-i3 Rental Property Address: 2-A t70 OLZ 1VL-6 ('�; MA—r7qVC4 14Y111✓r'Z- Owner/Name: i Rental Dwelling Unit Identifier: GpF-- t/S-C- Number& Square footage of each bedroom as depicted in the aftached floor plan: (i.e. Bedroom#1 —100 sgft., Bedroom#2—90 sgft., etc.) Af7* = Zoo SO& &a Rao 170 S4Fr Property Description (Include all improvements indicated on survey) ° AJ N Gx a2i v 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, the Fire Code of New York State, the Property Maintenance Code of New Y e and the Energy Conservation Construction Code of New York State. ~" � D A / Print Name and Title Crigi al Signs " E Please place Professional Seal: - �« �38 OF t,� SCTM # TOWN OF SOUTHOLD PROPERTY REOI OWNER STREET VILLAGE DIST-1 SUB. LOT 1 (J ACR. REMARKS t � e TYPE OF BLD. _ - �� _ c PROP. CLASS LAND IMP- TOTAL DATEuo o� Cu 1 f 000 _ - �� er700a v F00 3 r i I FRONTAGE ON WATER HOUSE/LOT BULKHEAD r R--) � TOTAL i� aol �s TOW N OF SOUTHOLD PROPERTY "RECORD CARD OWNERIvSTRE I VILLAGE DIST.1� SUB. LOT o - i., olae&,, a it 7-o R OWNER '171 R r Et W N E AIR, S W TYPE OF BUILDING r RES. ,-? / SEAS. VL. FARM comm. CB. MICS. Mkt. Value LAND IMP, TOTAL DATE REMARKS 31 4\1 ------------------ ;v" K irk rl ie),z 6 NAL, y -oA 11 -7 1// Jrf-2 I 7if, 41 11)J1 y!f AGE BUILDING CONDITION Ld 5Q NEW NORMAL BELOW ABOVE FARM Acre I Value Per I Value Acre Tillable FRONTAGE ON WATER 6 Woodland FRONTAGE ON ROAD ( sm� Meadowland DEPTH 2-16 House Plot i BULKHEAD Total DOCK 7/ cA / 19 OWNER STREET VILLAGE DISTRICT SUB. LOT i FORMER OWNER i N E ACREAGE ( S W I1 v� TYPE OF BUILDING RES. SEAS, VL. FARM COMM. IND. CB. MISC. Est. Mkt. Value LAND i IMP. TOTAL DATE REMARKS 17 s j /., ^ f } AGE BUILDING CONDITION NEW NORMAL BELOW Ja '�BOVE FRONTAGE ON WATER �j - o o, zz o Farm Acre Value Per Acre Value FRONTAGE ON ROAD Tillable 1 BULKHEAD Tillable 2 DOCK Tillable, 3 , Woodland 1 i Swampland i Brushland e � _ House Plot - — - I Total I r - x )o 14 - 1� 1 m - 1 122.-4-8 3/25/2014 - r tINS,' Foundation � — Bath tenon , "� B u I% �� X asement Floors � v tension — t. Walls Interior Finish - — - tensiOn ✓ Fire Place Heat f Porch Roof Type /y, _ - Porch Roams 1st Floor _ .� Z4. Rooms 2nd Floor Garage Driveway Dormer 4i _ 7 3//7 Vl� �3 tau 7 q _ _ FORM NO.4 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. CERTIFICATE OF OCCUPANCY No;, + 2.. . . . . . Date . . . . . . . . . , t. .96 . . . . . .. 19. 6 THIS CERTIFIES that the building located at .p3A A& . . . . . . . . . Street Map No. AIM . . . . . Block No. . . . . . . .Lot No. .latta.tuckt. x0-4-4. . . . . . . . conforms substantially to the Application for Building Permit heretofore filed in this office dated . . . . . . . . . . . 44 . •?., 19 b?. Pursuant to which Building Permit No. 3427. 2 dated . . . . . . . . . . Apr .l • •10 • •, 19.e,7., was issued, and conforms to all of the require- ments of the applicable provisions of the law. The occupancy for which this certificate is issued is ftlftts. Me•fami1Y• .d e'3.ing. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . The certificate is issued to .:.1.:.. ,. . .r' ° "!.�:... .Llahelacht. . . . rs. . . . . . . . (owner, lessee or tenant) of the aforesaid building. Suffolk County Department of Health Approval ., -v-ne. .19-2• .19,'C'? . X.Y. .1. •V1111a- Building ins ctor ...._.................................................. _.....�.,.. _.._........, __.._.._......................................................M.._ ....._... _...__M------- � lttit f Town of Southold 10/13/2017 P.O.Box 1179 53095 Main Rd ,q Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 39289 Date: 10/13/2017 THIS CERTIFIES that the building IN GROUND POOL Location of Property: 2100 Ole Jule Ln,Mattituck SCTM#: 473889 Sec/Block/Lot: 122.4-8 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 3/10/2017 pursuant to which Building Permit No. 41463 dated 3/24/2017 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-GROjjD SWIMMING POOL. FENCED TO CODE FOR The certificate is issued to Harper,Ryan&Christine of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 41463 09-20-2017 PLUMBERS CERTIFICATION DATED u� 'igaturu �gt Town of Southold 8/28/2017 P.O.Box 1179 two 53095 Main Rd y, Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 39174 Date: 8/28/2017 THIS CERTIFIES that the building ADDITION/ALTERATION Location of Property: 2100 Ole Jule Ln,Mattituck SCTM#: 473889 See/Block/Lot: 122.-4-8 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 4/4/2017 pursuant to which Building Permit No. _ 41505 dated 4/7/2017 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: d dv llin. as applied The certificate is issued to Harper,Ryan&Christine of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED 8/4/2017 tti , Plumbing&Heating riz Signature C� e FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-22680 Date OCTOBER 27, 1993 THIS CERTIFIES that the building ADDITION Location of Property 210D OLE IULE L TTITUCK N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 122 Block 4 Lot 8 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated DEC ER 20, 1991 __pursuant. to which Building Permit No. 20351-Z dated DECEMBER 30 1991 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 OPEN PORCH ADDITION TO EXISTING ONE. FAMILY DWELLING AS APPLIED FOR. The certificate is issued to EOHDAN ZUK & AND (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N A UNDERWRITERS CERTIFICATE NO. N-291102 - OCTOBER 1 1993 PLUMBERS CERTIFICATION DATED N A B it ing Inspe for Rev. 1/81 fat" fat"" � Town of Southold 8/18/2016 P.O.Box 1179 53095 Main Rd Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 38452 Date: 8/17/2016 THIS CERTIFIES that the building AS BUILT DECK Location of Property: 2100 Ole Jule Ln.,Mattituck SCTM#: 473889 Sec/Block/Lot: 122.-4-8 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 5/16/2016 pursuant to which Building Permit No. 40714 dated 5/24/2016 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"ALjERATIONS AND ADDITIONS.INCLUI.1INQ DFEK ANP..Rt RCII Q0LNYhRTED IQ HABITABLE SPACE.TO AN EXISTING ONE FAA LIL.. DWELLING AS APPLIED FOR The certificate is issued to Oldenburger,Irene of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 40714 08-02-2016 PLUMBERS CERTIFICATION DATED .._.................................................. .._ m_..--------- . .._....... Autho _ Sigraatur __ LEGEND =a O SMOKE/CARBON DETECTOR E STORAGE B®EA O 7! /M�UP F ftttVt4 REr -- B9Fj SOW BOILERROOM imam ` WATER OIL t s BASEMENT PLAN SCALE:3116"=1'-0" OLE JULE LANE RESfDENOE 2100 OLE JULE LANE,MATTITUCK,NY 11952 1 OMS/2024 , > _ , . . LEGEND , _KEIG»_,�aR - . . 7!5 . . / m/ . : / L .. . . . . . . . . . . - Y ROOM _ w 2 KITCHEN \ ! | - .. . _ , > . . . _ . � .. . �, ; FOYER �®; . } e ( � DINING 2 \ y . \ � � . . ~ � UP FIRST FLOOR PLAN ^ � a__.,e OLE JUL.LANE RESIDENCE __wLE LANE,©=rFUCr,v,m ,_, LEGEND -a -.a-__ 4 ------------- ea_4 0) SMOKE(CARBON DETECTOR BEDROOM 0 =CL CL O 1 O - CL @EDRODM RE ROOM f CL SECOND FLOOR PLAN SCALE:3/16"=11-0' OLE JULE LANE RESIDENCE 2100 CLE JULE LANE,MATMUCK,NV 11952 10/08/2024