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Home My WebLink About1000-117.-7-21 A fat TOWN OF SOUTHOLD Aa Rental Permit 0282 Owner Gloria Baume & Russel Robert Occupied as Single Family Dwelling Located at 640 Orchard Street New Suffolk 117.-7-21 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. !) 1/29/2024 Ode E fore m t (ficial This Notice must be posted by the main entrance at all times q S, -Y '�4 R-C-c) j9tt 0 ()( 4" ejA) TOWN OF SOUTHOLD BUILDING D 031 765 1802 C .. IN PECT �10mmm' � [ ] FOUNDATION 1ST [ ] ROUGH PL13G. [ ] FOUNDATION 2ND [ ] INSULATION/CAI [ ] FRAMING / STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ wleo*FIRE SAFETY INN [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PE [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL {FI [ ] CODE VIOLATION [ ] PRE C/O REMARKS: V DATE tl* INSPECTOR TOWN OF SOUTHOLDRental Permit1 0282 s Owner Gloria Baume & Russel Roberts Occupied as Single Family Dwelling Located at 640 Orchard Street New Suffolk 117-7-21 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. 1/27/2022 AA ode Enfg4rnent Official This Notice must be posted by the main entrance at all times Town Hall Annex SOUTHOLD TOWN 54375 Main Road ' PO Box 1179 Southold, Rental Inspection � qNv - NY 11971-1179 Tel: 631-765-1802 Fax 631-765-9502 SCTM,# DateZ V Z Z Owner, Phone 11 39121- _... . Address S� Zip Inspector Hamlet e \A/ p Address visible from street? LEVELSsuli1 10"Smoke Detectors (#-bedroom detectors excluded) Carbon Monoxide Detectors (#) V1 v Fire Extinguishers Exits (#) BEDROOMS 1 Smoke Detector Alarms (#) t Carbon Monoxide Alarms Egress(windows) (Y/N) BUILDING SYSTEMS CONDITION OF PROPERTY Heating system maintained/operational Building Interior is clean/maintained Hot water system maintained/operational Building Exterior is clean/maintained Electrical system maintained/operational Property is clean/safe/maintained Mechanical system maintained/operational Handrails&guards present POOLS C) Y/N POOL BARRIERS / Pool present Pool is completely enclosed Pool surface alarm and/or door alarm Barrier is a min.48" high resent POOL GATES Y/N 1All openings in barrier less than 4" Self-closing, self-latching Max. 2"clearance @ bottom of barrier Latch on pool side of gate, meets height Barrier capable of being locked &child- requirements proof when unattended COMMENTS: 0 � r TOWN OF SOUTHOLD Rental Permit y�® ®41 Permit No. 0282 4 1 Owner Gloria Baume & Russel Roberts Occupied as Single Family Dwelling Located at 640 Orchard St New Suffolk 117-7-21 Address S/B/L 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. 1/28/2020 John Jarski Date of Issue Code Enforcement Officer This Notice must be posted by the main entrance at all times c Town Hall-Annex Telephone(631)765-1802 54375 Main,Road Fax(631)765-9502 P.O.Box 1179 w ` Southold,NY 11971 0959 •�U�;�iNG'17,L-LAK 1_iVt�-N 1' s TOWN QF_$0UTH0LD s RENTAL_,PERMIT APPLICATION t Rental-Permit Fee:$200.(Application,imust be�renewed eve ry1tw,p years) Section A. Property Information: Rental Property Address: t ;.> : ,._ Tax Map Number: 1000 SECTION 3 SECTION B. OWNER INFORMATION: - - i Property Owner Name:, Property,;Owner Legal Address: +„ Property,Owner Mailing Address: (Cannot be the same,as Reltal Property,Address), G t)� v` _ lam - Telephone Number(s): Q 4 16 ?A42— Property Owner Email Address:, - C 1V' O—.b(��w✓�Q�� Vn Cz) - - Page 1 of 4 ,P { Town Hall Annex Telephone(631)765-1802 54375'Main Road Fax(631)765-9502 P.O.Box 1179 Southold,NY 11971-0959 BUILDING DEPARTMENT t TOWN',• FF'`S0U_ IUbLD I t RENTAL PERMIT APPLICATr'OW[NSTRUCT[ON'S - Rental Permit Fee $200 (Application must be renewed every two years) The items listed below are required to be submitted with the completed f application. }f ,: -V ❑ Floor Plans: Detailed floor plans of each Rental Dwelling Unit,please show location .-_ of-all smoke_&carbon.monoxiae'dete_ctors j� i ❑ Certificates of Occupancy and Pre-Certificates of Occupancy: Provide copies of Certificates of Occupancy or Pre-Certificates of Occupancy for each rental dwelling` unit _ - l ❑ Certification of Code Compliance(form enclosed):Applicant has the option of fiavirig a rental dwelling unit inspected by the Town of Southold or 6yjan architect; engineer or home inspector of their choosing. `ifthb Applicant elects'not td-have the ` rental dwelling unit inspected by the Town,the Applicant must submit a Certification -of-Code-Compliance completed by a NYS-licensed architect-or NYS licensed engineer or-a licensed-home inspector who has•a valid New-York State Uniform Fire Prevention Building Code Certification. ❑ Rental Permit Fee:$200.00 (Please Note:The Building Department does not accept cash. Payment must be in the form of a Check, Credit Card or Money Order.) Section C. Authorized Agent Information: Name of Authorized Agent of dwe ling,unit,ifany:, J 'S - Boxe�)-- Ad--- Agent('n'b k 0. �11 Mailing Address of Authorized Agent:. j Telephone Number(s).-, Email Address F;,4 Ti-,l Section D. Managing Agent-Informatidn.,.. N -6 of Agent',of ame dwelling unit, if any: Address of Authorized Agent (po P.O. Boxes): Mt 17 57;i�j t(, Mailing Address of Authorized Agent: Telephone-Number(s):. ifinaff Addr-es-s- SECTION E. SITE MANAGER INFORMATION: (required for rental properties containing 8 or mor eqt I"Units, Narnie,ofMan-agip'g,Agent of dwelllng.qqit,if any:,, - Address of Mapqgipg-Agent--(no P.O.-Boxes). Mailing-Address of Managing Agent.---�. Email Address-.-..:,., Pagie 2,of 4 SECTION F. PROPERTY DESCRIPTION: 'r1 , ,� - 0 Number of Renta! D-welling Units on.-property:.; S� y ; t For each Rental Dwelling Unit set forth the.Rental Dw,elli9gzUnitJdentifler_(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 s room. _,--.For properties with-mu ltiple.Rental_Dwelling.Units use "Rental Permit Applicatign, ,r ' ,r Addendum." ' Rental Dwelling Unit Identifier: _ l r __ °z-_ :w . <,r,'3 •, r • : Requested Maximum number of persons allowed to cupy Dwelling Uni r� rel.. ,�� r (� .i: � r -a-'• .tlR' Number of rooms in Rental Dwelling Unit: - _'Use and'Dimensions of each"room in Reiff-al Dwellfrig Unit:.._1r1 1r-12 s-1 l SX 12 -Pmh_ - l4 co" cX I SECTION G. INSPECTION: Pursuant to the Town-Code of-the•Town-of Souihbl'd 6apfer`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 febni'a'NYS licensedlarchitect;arNYS 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 fhe'orovisions ofthe co'deSof-tlibl- ' 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 ColiHcil. ®1 am requesting a fire safety inspection to be performed by a Code Enforcement Official from the Town of Southold. Page 3 of 4 ❑ I•'am submitting a completed,Town`cif Southdld certification form from a lic`ensetl architect, a licensed professional,engirrieer;;Ve a:licensed home inspector who has a valid New York State Uniform Fire Preventioi 4„S.(iildjng code Certification. SECTION H. DECLARATION: Signature must be•notar`ized 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 A7 of,this application. 2 The property owner`s legal address set forth in""Stiction B"-of this application is mylegal address and I understand the Town will-use the-address for service pursuant to all- f applicable laws and rules. I further acknowledge that I will notify the Town of Southold s Building Department of any changes of address within five,(5) days of,any,changes thereto. , . I 3. 1 have read and received a copy of Chapter 207 of the'Code of the Town of Southold and i 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: LqLov� B Property Owner's Signature: _ Sworn to before me ` a`day of 20_, 4A&W d Official Vla ry Public Signat and Original Notary Stamp TRACEY L. DWYER Page 4 of 4 NOTARY PUBLIC,STATE OF NEW YORK NO.01 DW6306900 QUALIFIED IN SUFFOLK COUNTY COMMISSION EXPIRES JUNE 30,2v�. f-SQ(/�,0 ' Town Hall,Annex, Telephone(631)765-1802 f 54375 Main Road y # Fax(631)765-9502 P.O.Box 1179 Southold,NY 11971-0959 r ' BUi%)"ui,G DEPAItTivlEI�TT TOWN OF SOUTHOM RENTAL PERMIT APPLICATION ADDENDUM,,- Rental DDENDUM,Rental Dwelling Unit Identifier: Requested maximum nu'mbe'r,of persdrisfallowedito occupy each.dwelling_unit:,. .____ Number of Rooms in Rental Dwelling Unit: Use and Dime nsion'of'"eath'room. ` '`' 'IF -7 , --71177` '.•=`_,�, a� - � � tC- .i,rk t r;j . .,s;.#" ,� . tY`.� i`t .r a. �}_ ��/r,s;:'iJr; ,.�t;1�L`7 t .. •.# # ' 7::r�,t ,,,,.. '�i I Rental--D.We'lling,Uh,itldentifier: l : ,#`�� ,#� •t= s� �,s:- _ _� •- Requested maximum number of persons allowed to occupy each dwelling unit',-,- Number nit:-_Number of Rooms in Rental Dwelling Unit:•:__=_.__,-_____ ,Use and Dimension of each room: t t - Rental Dwelling Unit Identifier: Requested-maximum number of persons allowed to occupy each dwelling unit-.< Number of Rooms in Rental Dwelling Unit: Use and Dimension of each room- �t 1 ' (040 hO��pF SOUTH°!o # f TOWN OF SOUTHOLD BUILDING DEPT. couff 765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] 'ROUGH PLBG. l " [ ° ] FOUNDATION 2ND [ ] INSULATIOWCAULKING [ ] FRAMING /STRAPPING [ ] NAL lk [ ] FIREPLACE & CHIMNEY ] FIRE SAFETY INSPECTION [ ]- FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) [ ] CODE VIOLATION [ ] PRE C/O REMARKS: 00( ?Wt r6 tot LAILM -,6 Wgf;W,"- § :F D-41 �,onvm�k Jr - DATE 0 INSPECTOR 041- TOWN OF-SOUTHOLD BUILDING_DEPT: `yco 765-1802 INSPECTION . = [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION,2ND [ ]- INSULATION/CAU ING [ ] FRAMING /STRAPPING [ Y'INALli�� r L6W1 FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] -FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) [ ] CODE VIOLATION [ ] PRE C/O REMARKS: Ianr DATE INSPECTOR C� cn AM S ------------ _.� _z . � � �. �y �v i - l.� � ) �-- �� ( �" o --- �--( U � � 1 -- �� ----- � �� 1�'-�� l ' S="".p.~." l y `7 ? - t { T- -- r v p -- 1 i17. 1 2ii0 4 � - Y ) � t i M. Bldg. i �:' - Foundation bath ExtensionE Basement Floors l f ' = Extension s , s�' N, Loll' Ext. Walls Interior Finish 1 iI . ....._.._ _ ...... — - ar- ExtensionFire Place heat , - 5 "-4 _ ------ _ _— Porch , fit (,v/Roof Type ... --------- fd ¢, M- w Porch' i i, Rooms 1 st.._Floor t ¢� pA ,L Breezeway i ; Patio Rooms 2nd Floor f ,/TSG- ti .. ® Driveway ! Dormerlof @ O. B r..M- a>s�>_......a.�,..�_;.�...�>..�......�.......� 4a°. .mow`a.:.�.,._..> � �. .. ..-., .. .:: SCTM # 10oo /l-7, - -7 TOWN OF SOUTHOLD PROPERTY RECORD CARD -� OWNER STREET VILLAGE DIST SUB LOT -12Yra# ACR. REMARKS - -- TYPE OF BLD. 'l,.f41C, an d PROP. CLASS to LAND IMP. TOTAL DATE efo J lel o i FRONTAGE ON WATER HOUSE/LOT BULKHEAD TOTAL - I FOBS[ NO l TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Clerk's Office Southold, N. Y. Certificate Of Occupancy No.Z789B. . . . . . . Date . . .September .20 f. . . . . . . . . 977 . s/w cor. of Orchard & THIS CERTIFIES that the building located at Second .Striaets. . . . . . . . . . . t Map No. . . . .XX. . . . . . Block No. .Xx. . . . . . .Lot No. . . . . . . xxx. . . . . . . . . . . . . . . . . . . . . . . requirements for one family dwelli�ng and Housing Code conforms substantially to the �g !� ftMR9B Rftft �� lmkx built before r fi ,o ccupancy dated Apr.i l. 23 r . . . . . . . . . . ., 19.57. pursuant to whichteo (O-Z7898. . . dated September . 2A.,. . . . . . . ., 197.7. ., 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 . . pxivate .one .fami.ly. awelling. .w/.aooe$SQxy.gAeSt. ARPr.tMeJ�t:. . . . The certificate is issued to .G4x.1 .&. A.ngeli.ca.C... .Carxnon . . . . . . . . . ... . . . . . . . . . . . . . . (owner,2M=WML1 t) of the aforesaid building. Suffolk County Department of Health Approval N/ Pre-Existing . . . . . . . . , , . . UNDERWRITERS CERTIFICATE No. . . N/R Pre`Existinc , . . , . , . , . . • . 640 Orchard Street HOUSE NUMBER .1;305. . . . . . . . . Street second. •Street . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . New, Suffolk,. .N . .Yjr. . . . . . . . . . . . . . . . . . . . . . . . . . . . • - • � f lGfi. � �u�;�/.�l��r Building Inspector fteeptionso First floor apt. 2• Vestibules no light switch at point of entry 529b . pantry. loose plaster walla 303c 3. Kitchen. No light swithk at point of entry 529b . Living roam• no light fixture 208b . Bedroom N/Z. no light fixture 20db 5, Front enterance . no light switch at point of entry 529b 6. Stairway to second floor• loos plaster on walls Second floor apt. 1 , p/W bedroom- jury rigget extention cord no outlets 5289 loose plaster on ceiling & walls 3030 2. NIB living room- no light fixture 208b IN loose plasterboard on ceiling 303 Kitchen. . gas range has nes shutoff at fixture 50Fb Hall to bathroom. juryrigged extgption cord cei�_ing fixture to the closet 528a 5. Cellar_ No remote switch to Int fixture & has or.,en o,3tlet box 528b HOUSING CODE INSPECTION August 21, 1972 #640 Orchard Street New Suffolk, New York Tax Roll: Wilfred G. Quail Unoccupied Upon request of the Southold Town Building Department I made inspection of this two story, two apartment dwelling and found the following violations of Local Law #1, Housing Code of the Town of Southold. I picked up key as per instructions in appli- cation from the real estate office of Stanley Waimey, Main Road, Cutchogue, New York. By letting myself into the south entrance of the building I began this inspection at approximately 3:05 P.M. FIRST FLOOR APARTMENT Vestibule- No light switch near point of entry for controlling light in room - Section 529b. Pantry - Off kitchen - loose plaster on walls - Section 303c. Kitchen - No light switch near point of entry at west entrance for controlling light in room - Section 529b. Living Room - No lighting fixture - Section 208b. Bedroom, northeast - No lighting fixture - Section 208b. Front Entrance - Hallway, no light switch at point of entry to control light - Section 529b. Stairway - to second floor apartment - loose plaster on wall - Section 303c. SECOND FLOOR APARTMENT Bedroom, southwest - Lamp cord for outlet - Section 528a. Loose paint and plaster on ceiling and walls - Section 303c. Living Room, northeast - No light fixture - Section 208b. Loose plaster board on ceiling - Sectio, 303c. i i HOUSING CODE INSP September 1 , 1977 640 Orchard St. & 1305 Second St. R-1 New Suffolk, N. Y. Tax Roll: Carl Cannon & wf. Occupied, owner seasonal Upon receipt of an application for a Pre-Existing Certificate of Occupancy I made an inspection of the buildings at this location. I was admitted to dwelling by Mr. Cannon who accompanied me during this inspection that began at apprrox- imately 3 :25 P. M. , A previous inspection was made on August 21, 1972 to which Certificate of Ocuppancy #24768 was issued on August 29, 1972. The dwelling is a wood framed two story building constructed on a red brick masonry and concrete block foundation. Cellar is partial, balance of foundation is crawl space: Dwelling is in the process of being revovate Building has e complete rewired with a ne electri vice. Provisions ave een made in earoom for electric heat. Electrical work was left open for an Un erwri ers inspection. The first floor contains a front entry hallway, bedroom, 1 living room, dining room, kitchen, pantry, laundry room and a �full bathroom. Domestic hotwater is furnished from an electric hotwater heater in cellar. s� Accessory building in rear yard area was moved from its location and a cement block foundation has been constructed for this building. While buildings are in the process of renovation, •it would appear that the dwelling meets requirements of the Housing Code, Chapter 52, code of the Town of Southold, N. Y. for a one family dwelling. There was one violation of this Chapter. The electrical connection made to hotwater heater left the wires exposed outside of junction box without protective cover. Art. V, Section 52-56 A. 1. Inspection completed at approxi ely 3:45 P. M Re ectfully m'toted, war ind ann Building & Housing Inspector EH;eh Page 2 Kitchen - Gas range, no shut off valve � unit - Sectio 508b. Hallway, leading to bathroom - Lamp cord from ceiling fixture to closet =Section 528a. Cellar - Light fixture at bottom of stairway (overhead)pull chain, lamp socket wired to open junction box - Section 528a, b. House has no central heating and cannot be occupied from first of November until the first day of May - Section 513. Small four room building on southwest corner of property used as sleeping quarters, does not meet standards for dwelling. Two rooms are under eighty square feet - Section 206b. No plumbing facilities, Section 505a, b. Romf on north end, shingles missing - Section 302c. Porch floor springy and rotted - Section 301a. No heat Section 513. Interior of building in need or repair and maintenance - Section 303c, d. Outside yard kept nicely and is free of obstructions. I completed inspection at approximately 3 :50 P.M. Res ctfully sub tied, Edward Hindermann Inspector EH:tle