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HomeMy WebLinkAbout1000-17.-2-3.1 _ g TOWN OF SOUTHOLD � 4 Rental Permit 0321 Owner Amory Millard Occupied as Single Family Dwelling Located at 495 Maple Lane Orient 17.-2-3.1 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. 4/17/2023 Code tnfkjrnent ofrVal This Notice must be posted by the main entrance at all times DEPT.01,TOWN OF SOUTHOLD BUILDING 631-765-1802 � . ELECTRICALINSPECTION , FOUNDATION 1ST ROUGH PLBG. FOUNDATION 2ND INSULATION/CAULKING FRAMING / STRAPPING FINAL 7 FIREPLACE & CHIMNEY FIRE SAFETY INSPECTION FIRE RESISTANT CONSTRUCTION FIRE RESISTANT PENETRATION ELECTRICAL (ROUGH) CODE VIOLATION PREC/O V REMARKS: Aro Co (Anus acc . TOWN OF SOUTHOLD CA -112 Rental Permit Permit No. 0321 Owner Amory Millard Occupied as Single Family Dwelling Located at 495 Maple Lane Orient 17-2-3.1 Village S/13/1- Maximum /B/LMaximum 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. A 7/20/2020 John Jarski Date of Issue Code Enforcement Officer This Notice must be posted by the main entrance at all times i Town Hall Annex Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1179 G b Southold,NY 11971-0959 BUILDING DEPARTMENT TOWN OF SOU MOLD RENTAL PERMIT APPLICATION Rental Permit Fee$200 (Application must be renewed ever two years)_„ , f�'`'�j �i�� � •- t;� j���e�}+1�p--'pry+ �-- ' 1 �.. r Section A. J U L 16 2019 Property Information: Rental Property Address: Tax Map Number: 1000 SECTION l� BLOCK o2 LOT 3 ©/ SECTION B. OWNER INFORMATION: Property Owner Name: Property Owner Legal Address: Property Owner Mailing Address: (Cannot be the same as Rental Property Address) _- O©07 Telephone Number(s): 412309 3 F/ -7 Property Owner Email Address: 6?,;17 GIV111 61�;;2 YO-Y Page i of 4 ❑ I 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) I 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: Property Owner's Signature: M Sworn to before me A('01ay of 20 1 - =Official Notary Public Signature and Original Nota Stamp -- CONNIE D.BUNCH Pa e 4 of 4 Notary Public,State of New York g No.01BU6185050 Qualified in Suffolk County __ = Commission Expires Audi 14,2 Section C. Authorized Agent Information: / Name of Authorized Agent of dwelling unit, if any: Address of Authorized Agent(no P.O. Boxes): l S2 Lr Mailing Address of Authorized Agent: Telephone Number (s): �O J� J�v�/ J EZ Email Address: 2,0 7 e /e,e0/" 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: 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: 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: Use and Dimensions of each room in Rental Dwelling Unit: 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 mole, Of 50UT,yo h� {D TOWN OF SOUTHOLD BUILDING DEPT. `ycourrr+,��' 765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PL13G. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING /STRAPPING [ ] NAL /,,,,1 � ,�,� [ ] FIREPLACE & CHIMNEY [ FIRE S FETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) [ ] CODE VIOLATION [ ] CAULKING REMARKS: .o� 0 C��fi M QA V-UltjA,7> 90 4:5 Aov -Iv �— IoC44&. —1 eow- Cl DATE INSPECTOR `` h .. 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Do not open attachments or click on links from unknown senders or unexpected emails. 3 FORM NO.4 TOWN OF SOUTHOLD ND BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy No. . 27.,3569. . . . . . . . . Date . . . . . . . .July . .?. . . . . . . . . . . . . . . .. 19 85 THIS CERTIFIES that the building . . . . . . . . . . . . . .New,Dwelling _ . . , . Location of Property 495 , , Maple Lane Orient HouseVo. Street . . . . . . . . . . � . Hamlet County Tax Map No. 1000 Section . , 017, . , , , ,Block . . . . . . . . . . . . .Lot . , 003.7.. . . . . . combined lots 2 & 3, 7.2/29/82 Subdivision . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Filed Map No. . . . . . . . .Lot No. . . . . . . . . . . . . . conforms substantially to the Application for Building Permit heretofore filed in this office dated 19 5 8,pursuant to which Building Permit No. . . . . 27 4 Z dated . . . . . . . . .A 1]Pr 25 19 , 58 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 . . . . . . . . . , , ----- New Private One Family. Dwelling ---------- _ . The certificate is issued to . . . .REEE VS t. EDWIN K ( STERN, JOSEPH — Pre.owner ) . . . . . . . .(owner,lessee-vrAensy7tJ . . . . . . . . . . . . . . . . . . . . . of the aforesaid building. Suffolk County Department of Health Approval . . . . . . . . N/A, , , , , , , , , , , , , . UNDERWRITERS CERTIFICATE NO. . . . . . . . . . . . . . . . A/? L . . . . . . Building Inspector P r Rev.1181 1� 5 n 1' t� '1 ,j FORM NO.4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy No, z14627 Date THIS CERTIFIES that the building . •QAQ_f . �-' Awelling. Xttb. additimns. . . Location of Property �5 � and alterations House No. la1A .Laria . . , . . . . . . . Qrieut .Xe County Tax Ma No. sr�eec • • ' ' ' ' � w•YQrk P 1000 Section . . .QX 7. . . . . .Block . . .0.2. , , , . . . . . .Lot . DQ3.1. . Subdivision . . . . . ' ' 'Hamlet. . . . . . . . . . . . . . . . . . . . . . . . . .Filed Map No. . . . . . . . .Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated . .July 22 j . . . . 19 85 • • • • . pursuant to which Building Permit No.14182Z dated , August 1.. . . .'. . . . . . . . . . . 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,. . . . . . '"0- .a1tefi4tiPA-9. . . . . . . . ..... . . . . . . . The certificate is issued to . . . , , . , Laurie S. Reeves of the aforesaidbuilding. (owner,!e *Ww.#xX •• • • • • • • . . . . . . . . . Suffolk County Department of Health Approval . . . . . . . . . UNDERWRITERS CERTIFICATE NO. . . . . , N756984 . .i { Building Inspector . . . ' • 4 Rev.1/81 1 a FORM NO. 4 TOWN OF SOUTHOLD BUILDING 'DEPARTMENT Town Clerk's Office Southold, N. Y. Certificate Of Occupancy 28928 February 10 78 No. . . . . . . . . . . Date . . . . . . . . . . . ., 19. . THIS CERTIFIES that the building located at . . . . Maple Lane Street Map No. Block No. Lot No. . . . . . . . . . . . . . . . . . . . : . . . . . . . . . . conforms substantially to the Application for Building Permit heretofore filed in this office May 15 73 65722 dated . . . . 19 . pursuant to which Building Permit No. . . . . . . . . May 15 73 dated . . . . . . . . . . . . . .. 19. . . ., was issued, and conforms to all of the require- ments of the applicable provisions of the law. The occupancy for which this certificate is A PRIVATE SWZN:MING POOL issuedis . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .,. . . . . . . . . . Joseph H. Stern The certificate is issued to . . . . . . . . . . . . . . . . . . . . . . . . . . (owner, lessee or enan of the aforesaid building. Suffolk County Department of Health Approval . . . . . . . . . . . . . . . . . . . (Pending) UNDERWRITERS CERTIFICATE No. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ... . . . . . . . . 495 Maple Dane HOUSE NUMBER Street . . . . . ... . . . . . . . . . . . . . . . . . . . . . . . . . . Orient, New York Building Inspector i 4� FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-19143 Date JUNE 13 1990 THIS CERTIFIES that the building ACCESSORY FENCE Location of Property 495 MAPLE LANE ORIENT N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 17 Block 2 Lot 31 Subdivision Fxled Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated SEPTEMBER 25 1989 -----.Pursuant to which Building Permit No. 18541-Z dated SEPTEMBER 26 1989 was issued, and conforms to all of the requirements of the applicable Provisions of the law. The occupancy for which this certificate is issued 1s NEW FENCE AROUND EXISTING ACCESSORY SWIMMING POOL AS APPLIED FOR The certificate is issued to EDWIN K. & LAURIE s. REEVES (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A P UNDERWRITERS CERTIFICATE NO. PLUMBERS CERTIFICATION DATED N A i1din9 Inspector i . I Rev. 1/81 I c .s FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUpANCy No: Z-30839 Date: 03/31/05 THIS CERTIFIES that the building ACCESSORY Location of Property: 495 MAPLE LA ORIENT (HOUSE NO.) (STREET) County Tax Map No. 473889 Section 17 (HAMLET) Block 2 Lot 3.1 Subdivision Filed Ma No _t Map . Lot No. conforms substantially to the Application for Building Permit heretofore filed in this Office dated MAY 14 2004 pursuant to which Building Permit No. 300328_Z dated MAY 18, 2004 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 NON-HABITABLE, UNHEATED ACCESSORY TWO CAR GARAGE WITH UNFINISHED ATTIC AS APPLIED FOR PER ZBA #5462 DATED 2/12/4. The certificate is issued to EDWIN K REEVES of the aforesaid building. (OWNER) E SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ; N/A ELECTRICAL CERTIFICATE 1U0. 2039391 01/21/05 } PLUMBERS CERTIFICATION DATED —� N/A ` ' J A tho zed Signature s Rev. 1/81 s 1 i - 1 J{I .d i Town of Southold Annex P.O.Box 1179 9/17/2013 # 54375 Main Road + Southold,New fork 11971 CERTIFICATE OF OCCUPANCYY No: 36501 Date: _ 9/16/2013 THIS CERTIFIES that the building ALTERATION Location of Property: 495 MAPLE LANE ORIENT,N.Y. 11957, SCTM#: 473889 Sec/Block/Lot: - - - - - 17.-2-3.1 Subdivision: Filed Map No. Lot No. filed in this - conforms substantially to the Application for Building Permit heretofore s ofliced dated 5/18/2011 pursuant to which Building Permit No. 36400 dated 5/18/2011 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. alterations to an existing accesso gaEne for tem ora artists worksho non-sl in non-cookie with tem ra full bathroom. U on sale/transfer of this ro ert the buildin shall be returned to an accesso stkinora e/ ra e includingremoval of the shower and all lumbin heatingand coolin exc t for half bath shat]be removed and th ara a doors shall be restored as er ZBA#6298 dated 8/27/09. e The certificate is issued to AMORY H.MILLARD (OWNER) r of the aforesaid building. I SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. R10-08-0026 3/26/13 PLUMBERS CERTIFICATION DATED — 36400 _ 12/2/11 I 3/6/12 alter Marczewski f A ed Si atur 5 1' -_ 1 0 'T -1 ----------- 11, I'T 7T VIII FaT, ji ---------------------------- --- - E ,, EXTERIOR GARAGE ELEVATION SOUTH IIT�R12 GARAGE ELEVATION EAST II EXISINLOFT PLAN AT GARAGE 7 7,, 7 --------------------- I r--7 I I A I I Y�5,C I N'A"'E R RCO OI i L----------------------------------------------J --------------------- EXTERIOR,�ARAGE ELEVATION NORTH billings turoff A H C H I I E C T 3 W 1.1.I'll a,,NE.11 GARAGE 495 MAPLE LAN ORIENT, NY 11907 UE16-08 0011 RLVII W �2 f 07-29-08 H-D SEI NEW(ON�YRUC1108 MANS LUER101? MITI. Gracing NwMn ------------------------------------------------ G01 FLUOR PLAN AT GARAGE K, CC COMCO5 bL'-1135 ILWJ�1.-c U �X�TR R GARAGE ELEVATION -- WEST MHS RESERVED L I II II I I I I ll I I I p ELECTRICAL PLAN AT LOFT cot sols vl-.L, --- -' '------ ----- ------------- I I I I I I I I I I I H A R R Y 1 Co H N A[P I II c o 9 112 U1C t2 v6�IEi lop:l }IE 910 999](AY±1±90110]m III I billin s turoff 4 A C H 1 } 6 C } 8 j i I Awns.}esa.au± F.[auswn GARAGE a 495 MAPLE LANE ORIENT, NY 11957 ^.1_222 01 311 SEI I i i nK—zz—on rllINr,51 I I I M—A rale I IIUILDING SECIIUN 01) EI P.CIRICAI PI ANS r�i],2G��21Cn5 Fli AS NOI(1] \ Cnm�t5mter I ELECTRICAL PLAN AT LOFT co=rscln VIOR 91111%s r0cn,re Ar 18@AS.,%Well