HomeMy WebLinkAbout1000-24.-2-24 on'
Rental Permit
0293
Owner Edward & Stephanie Guard
Occupied as Single Family Dwelling
Located at 1970 Village Ln Orient 24.-2-24
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.
5/22/2024
Code orc ent Offici
This Notice must be posted by the main entrance at all times
f4f so
' SOUTHOLD BUILDING DI
631 765 1802 OY-, 9_<
IN:� SPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PL13G.
[ ] FOUNDATION 2ND [ ] INSULATION/CAL
[ ] FRAMING / STRAPPING [ ] FINAL
[ ] FIREPLACE 8t CHIMNEY [ ] FIRE SAFETY INE
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PEI
[ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (Fit
[ ] CODE VIOLATION [ ] PRE C/O [
REMARKS:Qk--
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DATE
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INSPECTOR
Town Hall Annex
Town Of Southold 54375 Main Road
Rental Inspection Report PO Box 1179
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Southold, NY 11971-1179
Tel: 631-765-1802
SUM # .� Date w?✓�o?
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Phone
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Visible
Address
Hamlet Inspector
Floor Level Quantities Sub 1 2 3
Smoke Detectors(not located in bedrooms) .�
Carbon Monoxide Detectors
-11 1.- . _. .. .. ..., R, ...R„. _._.. ... ...
Fire Extinguishers ry! ..... _ ....
........... . . _.. . . .. .. .....m.... ...w/l
Exits ......µ., .! ....
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Brooms � 1 2 � 3 � 4 �� 5 � 6
Smoke Detectors � �
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Egress . ..............
Occupant Count... ........ .. ... . .�. _. ... . .a_ .... Nl� �� +� ....., ._ �..... .. ._
.W.
FBuildmg Systems Mainta ined &O a Condition of Property
Heating Building interior
Hot water,,,, Building
.�� .m�.
H exterior
Electrical T Property clean, maintained &safe
�n�..,�. �.�.. ._ .. �.. .,,. ��� _ ._a. ..... �� .. -
Mechanical Handrails&guards installed &secure
Pool Safety Pool on Site
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Surface water alarm Date of CO issuance
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�Door alarms Pool completely enclosed
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Self closing/latching........atese. ..w,�...�.�...._ . .. ._. . Pool fence to code requirements. .........�.. . �... .... ...w�_� .... m.�.... a ...a ,,�.,,, _�
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l items present ,Prior Rental
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TOWN OF SOUTHOLD
IA
Rental Permit
0293
Owner Edward & Stephanie Guard
Occupied as Single Family Dwelling
Located at 1970 Village Lane Orient �.y - Z. - 2-LI
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.
4/22/2022
Code Enfo nt Official
This Notice must be posted by the main entrance at all times
Town Hall Annex
SOUTHOLD TOWN 54375 Main Road
Rental Inspection PO Box 1179 Southold,
NY 11971-1179
Tel: 631-765-1802
Fax 631-765-9502
SCTM# 'eZ2, Dated 2Z
Owner1 " �` Phone
Address jI la ZipLl q
Hamlet '�' Inspector
C2r,k -etAddress visible from street?
LEVELS SUB 1 2 3
Smoke Detectors (#- bedroom detectors excluded)
Carbon Monoxide Detectors (#)
Fire Extinguishers(#)
Exits (#)
BEDROOMS 1 3 4 5
Smoke Detector Alarms (#)
Carbon Monoxide Alarms (#)
Egress (windows) (Y/N)
BUILDING SYSTEMS ON CONDITION OF PROPERTY
Heating system maintained/operational V 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 Nt Y/N POOL BARRIERS Y/N
Pool present Pool is completely enclosed
Pool surface alarm and/or door alarm Barrier is a min. 48" high
resent
POOL GATES Y/N All 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:
�oSufFaUre0 TOWN OF SOUTHOLD
Rental Permit
Permit No. 0293
Owner Edward & Stephanie Guard
Occupied as Single Family Dwelling
Located at 1970 Village Lane Orient 24-2-24
Address s/B/L
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.
2/14/2020 John Jarski
Date of Issue Code Enforcement Officer
This Notice must be posted by the main entrance at all times
�V so
Town Hall Annex Telephone(631)765-1802
54375 Main Road Fax(631)765-9502
P.O.Box 1179
Southold,NY 11971-0959
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
RENTAL PERMIT APPLICATION
Rental Permit Fee$200 (Application must be renewed every two
JA:,' d 2020
Section A.
Property Information:
Rental Property Address:
6TO VILWrF Lhht- QfJENT
Tax Map Number: 1000 SECTION —BLOCK— 2 LOT Z+
SECTION B.
OWNER INFORMATION:
Property Owner Name: 604AQ --f STEPHAME- G-VAY-D
Property Owner Legal Address: Property Owner Mailing Address:
(Cannot be the same as Rental Property Address)
246 CES ANC-C 19 ArTlq-f-
W 1AY0 P V—XK---' km LOT? 61
Telephone Number (s): C4
Property Owner Email Address: �FTHNNIC-G-AYLQ@ K-U!A
0
ate,
Page 1 of 4
Section C.
Authorized Agent Information:
Name of Authorized Agent of dwelling unit, if any: Jm7r MA-KicAyl A
Address of Authorized Agent (no P.O. Boxes); WI EL Vkim WE-t4 K,-X t M I19
Mailing Address of Authorized Agent:
Telephone Number (s): G91 . 4-T-1,
Email Address: 1ANrTMAi-kArQ k ta-t-NL
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):
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: t� R
Address of Managing Agent (no P.O. Boxes):
Mailing Address of Managing Agent:-
Telephone Number(s): .
Email Address:
Page 2 of 4
SECTION F.
PROPERTY DESCRIPTION:
Number of Rental Dwelling Units on property: I_
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: J9+0 i iI m
Requested Maximum number of persons allowed to occupy Dwelling Un .
Number of rooms in Rental Dwelling Unit: J .S Vp �Ohi� ( kth i w
v
Use and Dimensions of each room in Rental Dwelling Unit: D
I i3 X09
sE )E,V.
i
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 NYS licensed architect, a NYS 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.
Page 3 of 4
❑ 1 am submitting a completed Town of Southold certification form from a licensed
architect, a licensed professional engineer, or a licensed home inspector who has a valid
New York State Uniform Fire Prevention Building code Certification.
SECTION H.
DECLARATION: Signature must be notarized and MUST be the owner of the dwelling unit.
STATE OF NEW YORK)
COUNTY OF SUFFOLK)
1 q , 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: 1-&?HWt— GVA`
Property Owner's Signature:' =ba
HOW
te of New York
68156
ond Countyres Aucd 27, 2020rntobef e ethis \=1 dayof �anoG y , 20"Lo
O No tar Signature and Original Notary Stamp
Page 4 of 4
fill
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# TOWN OF SOUTHOLD BUILDING DEPT.
765-1802
INSPECTION
[ ] FOUNDATION 1'ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INSULATION/CAULKING
[ ] FRAMING/STRAPPING [/] FI
NALFIREPLACE &.CHIMNEY [ AL
INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION f ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL)
[ ] CODE VIOLATION [ ] PRE C/O
REM RKS:
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DATE INSPECTOR
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TC 4#VN OF SOUTHOLD PROPERTY amw ZA16
OWN ER Q. VILLAGE DISTRICT SUB. L
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FORMER OWNER N/ E ACREAGE
17 Vth 4G
�G2L:c rSPn S 1A/ ; F Ini_ici K. TYPE OF BUILDING
- - --
RES. VL ` FARM —COMM. I IND. I CB. _—- I MISC. — I Est. Mkt. Value
LAND IMP. TOTAL DATE REM jsjp� *1 S A
' d 0 .� c-J � � ✓ 5 B3 � l3Stxxi EQ +.� 7 �. y �p,Tc taza�etr� L-93s� (%_�z.l -
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L & v�( -ice[rah )r1jr4QU —
—L GE % C - RING DIT �/e4-1 J ', 5 - _ 'l �y }C'f CD;
NEW ORMAL B-FLOW - BOVE FRONTA ER
Farm Acre Value Per Acre Value FRONTAGE ON ROAD
r
Tillable 1 BULKHEAD
Tillable 2 DOCK
Lo-- -- , c
Tillable 3 `SIa14� C> v ✓i, w / 'n �•� G4 rn o oc3
Woodland
Swampland ?/gip 91,E X02%+ 8hOCte,5 6ez -gelon
Brushlarrr-
House Plot <
— � �3 • �..v N-c. 2�2p �f
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I -tp %`D OCO 000
Total
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"4s �
M. Bldg. . , ..Z `I l( l d' — --- Foundation rl�b Sf,$ Bath 3
Extension Basement Floors y� e
Extension Ext. Walls 640d� '^ Interior Finish Se 4v✓
Extension Fire Place I Heat
- / I Porch Roof Type
Porch Rooms 1 st Floor
Breezeway �� ��`U Patio Rooms 2nd Floor
— - -
4-
Garage Driveway Dormer I —
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24.-2-24 1/08
M. Bldg. - 00 oundcticn ;g .o G [lath
Extension J d'x J Basement h o Floorsle
Extension Ext. Walls �'� '° d ` Interior Finish
SCV
Extension Fire Place I Heat i
a
Porch Roof Type
i / Porch Rooms 1 st Floor
2-4
Breezeway g K3 r- -2 IS D — --- Patio Rooms 2nd Floor
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Garage Driveway Dormer
O. B.
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- aidi�N OF SOUTHOLD Pit7/
OWNER STREET VILLAGE DISTRICT SUB. LOT
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FORMER OWNER i N E ACREAGE
is W TYPE OF BUILDING
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RES. SEAS. VL. FARM COMM. CB. MISC. Est. Mkt. Value
LAND IMP. TOTAL DATE eWRKS
Se
AGE BUILDING CONDITION
NEW NORMAL BELOW ABOVE FRONTAGE ON WATER
Form Acre Value Per Acre Value FRONTAGE ON ROAD
Tillable 1 BULKHEAD
Tillable 2 i DOCK
Tillable 3
Woodland
Swampland
Brushland rr
House Plot
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Toto I
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4
TOWN OF SOUTHOLD
OFFICE OF BUILDING INSPECT01:
TOWN HALL
SOUT11Ur•D, NEW YORK
CERTIFICATE OF OCCUPANCY - NON-CONFORMING PREMISES
THIS IS TO CERTIFY -rUAT 'rHE UPDATED PRE CO rl z-19952
DATE: JUNE 6, 1991
Land
L� Building (s)
/-7 Use (s)
located at
1970 VIIJ AGE LANE ORIENT, N.Y.
,
STREET HAMLET
shown on County Tax Dlap as District 1400, Section 24 Block 2 ,
Lot 24 , does not conform to the present Building Zone Code of the
Town of Southold for the following reasons:
Insufficient total area; non-conforming cottage. Set-backs front and side yard
on cottage.
On the basis of information presented to the Building Inspectors
Office, it has been determined that the above non-conforming /a7 Land,
/X-" Building (s) //_t Use (s) existed on the effective date the present
Building Zone Code of the Town of Southold, and may be continued oursuant
to and subject to the applicable provisions of said Code.
IT IS FURTHER CERTIFIED that. based upon information presented to
the Building Inspector's Office, the occupancy and use for wh_ch this
Certificate is issued as follows: Property contains 2 story, one family, wo
framed dwelling, with attached porch and 2nd floor deck over it; 2 family cottagod
e
1-1/2 story wJ h attac a wood pore ; fencing; a situs a in a esi en is
Agricultural zone with access to Village Lane; a town maintained hig ay-
B.P. /143702 C.O. Z-13693 for alteration
The Certificate is issued to KEVIN & MARGARET M. MORIARTY
(Uwner,�J
of the aforesaid building. -
SUFFOLK COUNTY DEPT. OF HEALTH APPROVAL: N/A
UNDERWRITERS CERTIFICATE NO. N680920
NOTICE IS HEREBY GIVEN that the owner of the above premises HAS
CONSENTED TO AN INSPECTION of the premises by the Building Inspector
to determine if the premises comply with all applicable codes and
ordinances. This Certificate, therefore, does not, and is not intended
to certify that the premises comply with all other applicable codes and
regulations, other than total area of lot.
Building nspector
NOTE: THIS UPDATES PRE EXISTING CERTIFICATE OF OCC. #Z-17032 DATED 6/27/1988.
FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No: Z-34826 Date: 02/04/11
THIS CE=FIBS that the building GAZEBO
Location of Property: 1970 VILLAGL LA ORIENT
(HOUSE NO.) (STREET) (HAMLET)
County Tex Kap No. 473889 Section 24 Block 2 Lot 24
Subdivision Filed Sap No. Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated DECEMSER 3, 2010 pursuant to which
Building Permit No. 36070-Z dated DECEMBER 3, 2010
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-GAZEBO AS APPLIED FOR PER ZBA #4209, DATED 1/12/94 ALSO, MEMO
FROM ZBA DATED 7/15/94.
The certificate is issued to WILLIAM L MATASSONI & ANO. {
(OWNER)
of the aforesaid building.
SUFFOLK COUWff DEPARTME11l OF MALTS APPROVAL N/A
n,RCTRICAL CBRTTFICATB NO. N/A
PLUNBSTiS CERTIFICATION DATED N/A
i
I
uth rized Signature
ti
E_
Rev. 1/81
dap
S �
FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
UPDATED
CERTIFICATE OF OCCUPANCY
No Z-19953 Date JUNE 6, 1991
THIS CERTIFIES that the building ALTERATION
Location of Property 1970 VILLAGE LANE ORIENT, N.Y.
House No. Street Hamlet
County Tax Map No. 1000 Section 24 Block 2 Lot 24
Subdivision Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated JULY 14, 1985 pursuant to which
Building Permit No. 14370-Z dated OCTOBER 17, 1985
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 ALTERATION TO EXISTING DWELLING.
The certificate is issued to KEVIN & MARGARET M. MORIARTY
(owners)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A
UNDERWRITERS CERTIFICATE NO. N680920 - MARCH 1, 1985
PLUMBERS CERTIFICATION DATED JUNE 16, 1985
*NOTE: THIS UPDATES CERTIFICATE OF OCC. #Z-13963 DATED 28/85.
CIA,
Building Inspector
Rev. 1/81