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Home My WebLink About1000-18.-5-13.7 TOWN OF SOUTHOLD Rental Permit r 0303 Owner CJB Florida Ptners Occupied as Single Family Dwelling Located at 223 Tabor Road Orient 18-5-13.7 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. 7/13/2022 1 Code Enforce Official This Notice must be posted by the main entrance at all times SOUTHOLD TOWN Town Hall Annex 54375 Main Road Rental Inspection PO Box 1179 Southold, NY 11971-1179 N. Tel: 631-765-1802 �.0 Fax 631-765-9502 rEjl I/ 2 S �y l r e, '(c,.. �. x�pf�t,� P l,r r r/}' �Yr// �O�%% /%///Ni/✓///%f/r%%///!!/%%/ rr � »,,,,�...: „,.,:�J. r„/, �,,.,,+ J� v, , %�amol�e,DetepZo�;s(#;lrbedroam defectorsexclt�tled} , "ol a/ai®OprrUi r/rrL n i�/» � r / / a - ;,,/h? w , r /// :: „�,r nir// i✓rj ri ,,,,a� F r�„ ,d, /i�r / / BUILDI + SY TE S f/ 'i/; % C4NDITIOhI'4FPROPERTY viiliur/c,/e,ry✓/,f�,i/i�haii/yiaii/�n✓f/v�%/�rYUlra,�n irunn�/1!(t�� ,r,,,,, ,,r„ A, „ a ,,,,,',; r,,, ,,,,,,cry„ry n/i,,, rrr r:.ui?�liJ ,rar �iri I7I`"p , ,�„/i ?#�� s to a1„ acne eratlonalSu�ld�, 1, ter or rs clean/maintaid HptvafrYtel�nma�rttanac!/aperatanal% ualdmg;Feet asp r? n J rr ar �r„»rrrr�,aeiy�ir r/rirou r gri/rn sNN r �/rr/ .. D a irk /G�,,. / irrrvr`. %rro/fJ/. El��trlc�ly�t„e�%�a�n#��r��:d/crpera, c�naC/,��„ V?reperky,is„elear�/„safe;l!ma�r�tain„ed'�� MJ/r r/ir all ri JrG/f rr..irA�r np raY ry r VrNr r / r1r / r r r;rr�ir r r /r / r phenrca(� r "Sgye ndraalsr&'�/yuar/�s'{�resenf/%iJ��'�'/ r�, f..r.....,,�icv/��+t£��,ra.�l�u.lN '7'2 frm,w.,._F Nl. �,�.v,� ,,,,e�o� .,,,✓i�. 121.r,,,,�.,,r�!,IIY .r„n�Gl'%/ Uu��I� -r- ,l� � //, , (3pL,BARRIERS ,,, %J1 r,AG/i+,i>rc//N,✓, r � /, 1 7r /v � „� � r,, ,rr ,,, r rr,rrr„ ,r,rr„ jG /0�%%%//lel;,. '. Pool Pop!sue ace alaC ” n, 111 doa alarrn�� ;�1/a' rlr Opma //rj r;� L / i �/r.1/�f,;,%i r,/ % �/ ,/ Ir BafrlerlS a rT1Il1 $/ ii tl o //r✓D%�/,o�ll/ Y/ % ll / /1 � Lf��c%/r,��/� '„ ,,; r ///,r //r� ,o %//, ,✓Ir�iY/�//pg i. IPI All openings,�n barrier less than 4rr ,, f: r OttOTll„O, ba)rler// �/ i �ryb rm /r rrL r%/diel p/�Orir �/f�c�o�/rril//�/ oiNi r r �,L� gP ✓r r y r....r r r t ora,, ac�lld r e�rlmets�be�ght;� Barnercapab(e beCl C� eh d ” , / hi pm ,,.,,,. /Q when Inet , IIBIE111 w � Town Hall Annex n % ' / j ,, Telephone(631)765-1802 54375 Main Road �, / Fax(631)765-9502 P.O.Box 1179 Southold,NY 11971-0959 BUILDING DEPARTMENT TOWN OF SSC UTHOLD 3 �\ RENTAL PERMIT APPLICATION 'j. & a 202 Rental Permit Fee$200(Application mtist be renewed every two yearsk TI Section A. Property Information: Rental Property Address: 223 Tabor Road,Orient,NY 11957 Tax Map Number: 1000 SECTION_ 18 -BLOCK 5 __-LOT 13.7 - SECTION B. OWNER INFORMATION: Property Owner Name: CJB Florida Partners LLC Property Owner Legal Address: Property Owner Mailing Address: 4 E Riverside Dr,Jupiter,FL 33469 223 Tabor Road,Orient,NY 11957 Telephone Number(s): Daytime 412-596-U94 Evening 412-596-6894 Emergency_4iZ q6_Rq Property Owner Email Address:_ 223taborOgmaii.aom Page 1 of 5 J°k i Town Hall Annex Telephone(631)765-1802 � �e �� 54375 Main Road >/ � Fax(631)765-9502 P.O.Box 1179 Southold,NY 11971-0959x, BUILDING DEPARTMENT TOWN OF SOlUrHOLD Section C. Authorized Agent Information: Name of Authorized Agent of dwelling unit, if Address of Authorized Agent(no P.O. Boxes): ., ____... .,,, . Mailing Address of Authorized Agent: ............... Telephone Number(s): Daytime....... w 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):._mm-_ w—,,_ —..- Mailing Address of Authorized Agent: .��., .. _ _ _ .._ ._.........,,— Telephone Number(s): Daytime_ Evening Emergency„ „ , ,_ EmailAddress: w__mm_.._.___...._a..._................ . ........ ..w ww. _ .. ... � w_. ._ w�_. _v. 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. Page 2 of 5 Town Hall Annexi Telephone(631)765-1802 'A 54375 Main Road ° v ' Fax(631)765-9502 P.O.Box 1179 Southold,NY 11971-0959 , %i///l//llii�� Ory . BUILDING DEPARTMENT TOWN OF SO SOLD Mailing Address of Managing Agent: . .._�._. ._.�._......._.__.... _ . _� Telephone Number(s): Daytime Evening Emergency. „w... ... _..., .., ... Email Address:.m .. ... _ _..._ __.......w _... ._._. . _�. 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: . _�....__..� ._ _. ... . ..w..... .,.. www ........_......� Requested Maximum number of persons allowed to occupy Dwelling Unit: Number of rooms in Rental Dwelling Unit: 10 Use and Dimensions of each room in Rental Dwelling Unit: _ www_.................... _ . BASEMENT.(40'8"x 29'8") FIRST FLOOR:Kitchen(15'1.12"x 26'9 1)2')Den(i1'S 314"x 14'314')Bathroom 1 (8'6"x 4'10" Living Roam(29'9 1/2"x 14) 2nd FLOOR:Bedroom 1(10'3"x 13'11.5')Bedroom 2(10'3"x 14'4.5')Bathroom 2(12'T21/4"x T2 1/4') Allain Bedroom,((8'4 Page 3 of 5 Telephone 631 765-1802 Town Hall Annex � � �/�� P � ) 54375 Main Road / � Fax(631)765-9502 . ° J/lllli�l P.O.Box 1179 Southold,NY 11971-0959 r P", ,"J�" BUILDING DEPARTMENT TOWN OF SOUTHOLD 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. W I 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. SECTION H. DECLARATION: Signature must be notarized and MUST be the owner of the dwelling unit. STATE OF NEW YORK) COUNTY OF SUFFOLK) 1 Brittany Beyer 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 Page 4 of 5 Town Hall Annex "1 � ill Telephone(631)765-1802 54375 Main Road / �/ � y Fax(631)765-9502 P.O.Box 1179 � � io Southold,NY 11971 g, 0959 �J t rr la(,l`ry 4 BUILDING DEPARTMENT TOWN OF SOUTHOLD 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 as to any change to the information regarding Authorized Agent, Managing Agent, or Site Manager. Property Owner's Name: RA&TTANY CA Property Owner's Signature: Sworn to before me this L41 day of (ficial Notary Pu Signature an riginal Notary Stamp TaylorKuriowicz Notary public,state of New York No,OIKU6404083,Suffolk County Commission Expires,February 10,211 Page 5 of 5 Town Hall AnnexII� Telephone(631)765-1802 54375 Main Road �� „ Fax(631)765-9502 P.O.Box 1179 Southold,NY 11971-0959 , rz� BUILDING DEPARTMENT TOWN OF SOUTHOLD RENTAL PROPERTY CERTIFICATION Form is to be completed by a license architect, licensed engineer or licensed home inspector Separate form is required for each individual Rental Dwelling Unit fro + clonal seal re Ixired or, rchitect or Fnging e licensed dome lns ector rnustw pCgyy ide copy f valid current certi ication Rental Property SCTM Number: Rental Property Address: Owner/Name: _. Rental Dwelling Unit Identifier: Number&Square footage of each bedroom as depicted in the attached floor plan: (i.e. Bedroom#1-100 sq., Bedroom#2-90 sq., etc.) Property Description (Include all improvements indicated on survey) 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, and the Energy Conservation Construction Code of New York State. Print Name and Title Original Signature Please place professional seal: 1 Pe j r �d Town hall Annex 1� r� JAM5,, Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1179 Southold,NY 1197141959 BUILDING DEPARTMENT TOWN OF SOUTHOLD RENTAL PERMIT APPLICATION ADDENDUM 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: 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: 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: 2021 FLORIDA LIMLTED,LIAIII LITY COMANY AMEN DE12 ANNUAL REPOR FILED DOCUMENT#L16000031639 Jun 15, 2021 Entity Name:CJB FLORIDA PARTNERS, LLC Secretary of State 8812675975CC Current Principal Place of Business: 207 KILLANE DRIVE JUPITER, FL 33458 Current Mailing Address: 207 KILLANE DRIVE JUPITER, FL 33458 FEI Number: NOT APPLICABLE Certificate of Status Desired: Yes Name and Address of Current Registered Agent: GLICKMAN,GARRY M 1601 FORUM PLACE STE 1101 WEST PALM BEACH, FL 33401 US The above named entity submits this statement for the purpose of changing its registered office or registered agent or both,in the State of Florida. SIGNATURE: GARRY GLICKMAN 06/15/2021 Electronic Signature of Registered Agent Date Authorized Person(s) Detail Title MGR Title MGR Name BEYER,CHERYL Name BEYER,JOSHUA Address 207 KILLANE DRIVE Address 244 39TH ST City-State-Zip: JUPITER FL 33458 City-State-Zip: PITTSBURGH PA 15201 Title MANAGER Name BEYER,BRITTANY ELIZABETH Address 258 BROADWAY 9E City-State-Zip: NY NY 10007 1 hereby certify that the information indicated on this report or supplemental report is we and accurate and that myWoc tonfc signature shall have the same legal effect as if made under oath;that I am a managing member or manager of the limited liabiW company or the receiver or trustee empowered to execute this report as required by Chapter 605 Florida Statutes;and that my name appears above,or on an attachment with all other Ike empowered. SIGNATURE:CHERYL BEYER MANAGER 06/15/2021 Electronic Signature of Signing Authorized Person(s)Detail Date �-c5T �FL oc) !_ sun- w„ ._... wsa � mgr n.„ r po arr au ��,+rs• ,�„ � � ,�..�'.a„`�,q a� ^r oar � ,..M.„ ..��, ,.. .,.� �....,.._.��._ ._...,._. !_..,��"�iia• ., m wIpn` �. ..w. ....... .. � F {t i mw� fI ne �P.'a9�� CL41QVA OSET Ds ,,.,ITIdo „ ..,:�M •MwwW,,..,6m1�,,. .. y. �,.�. sad .,... � �_. ! .....,,,. ...... _ ... ._.....7�x,„�_ ..,.. .. w� ..._... " n n V � .G"Y t�'•xa 9-aµ � .%3 �' ..� .. ..Z I V.0 Sr a KA x ^ yp w x m z ... ..., � � I LtA8 4 � �- 'w5 LIS LL f m j ')_ l] ❑ { E CI 0z n lh cc,), rm Ddl ell 15 O � � R t I N PB w i a i i _ w ih L Ji s m pJA ri-wX1. W ui m Cm L J G A m' m & I n to � P G I i p tl .; FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-31520 Date: 04/11/06 THIS CERTIFIES that the building NEW DWELLING Location of Property: 223 TABOR RD ORIENT (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 18 Block 5 Lot 13.7 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated DECEMBER- 8 2003 pursuant to which Building Permit No_ 30024-Z dated JANUARY 22' 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 SINGLE FAMILY DWELLING WITH ATTACHB'D DECK A.S APPLIED FOR. The certificate is issued to JOHN E. & FRANCES MCARTHUR (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL R10-03-0099 04/03/06 ELECTRICAL CERTIFICATE NO. 1206776 11/21/05 PLUMBERS CERTIFICATION DATED 03/28/06 MARK BAXTER .ELUMBING r Ate o�li ed Signature Rev. 1/81 3`�1�1pp�iffi4��gc ��m�i��3mm im ;;ppnn m m Los O m �yfj�or�7�mpp ..... � 4 x pgrp3��mo �� 3�P✓P x �'m�Om�rm m 3t�ppO Sa O�m �p f El �« .. .. ..... .... r p � _ a„ a a t� A.... 3»a 1!J ;u co { a . c m �, cD Ela OOA `jT ° ......._� i m O W .........., �, c7 O��0� n�� E{� pd O� r p Om m p ren� � •� �. , 5 � .� �.�.�..�.. � ��fi mZ Il � y. y� ! w z ...^.^� R p r a ........ .......... aa� em -i m ..... v k 4 �m � V. �.."..�..... P�d.,Wu"'"..�..._...?�.,,d,.�� ....}Y.,k0T 1dP�............ ...°«"W$/R'.........................wW�.�.�.. .,..,.. �. rn .... ...................mm...........__ ...... ... ,.,. .... ...ww......_.._.._..... .. .._._.�.. C) m . z C) m o z 4 N z ` m .. ....... _. +_'tw._. ..__a»�s................ JUT On e7 �jim� O' �� R r i L U T7u— M � 0> 6 w V z° w namb Z N � ., I f �.. . m w le w R , u °... t _..... I 92!1-01 p 8 m Ili (N m �— n4r e a s w Mtr E aA m r r " M � El O Z t t� JMr'dMWrJ 1I BY THIS CERTIFICATE OF COMPLIANCE THE NEW YORK BOARD OF FIRE UNDERWRITERS BUR OF ELECTRICITY BUREAU 40 FULTON STREET — NEW YORK, NY 10038 CERTIFIES THAT Upon the application of upon premises owned by LOWELL ELECTRICAL CONTR. JOHN MC ARTHUR 138 OREGON AVENUE 223 TABOR ROAD MEDFORD, NEW YORK 11763, ORIENT, NY 11957 Located at l 223 TABOR ROAD ORIENT, NY 11957 Application Number: 1206776 Certificate Number: 1206776 Section: Block: Lot: Building Permit:30024 BDC' nsl1 Described as a Residential occupancy, wherein the remises electrical system consisting of i y' p electrical devices and wiring, described below, located in/on the premises at: Basement,First Floor,Second Floor,Outside,Attic, A visual inspection of the premises electrical system, limited to electrical devices and wiring to the extent detailed herein, was conducted in accordance with the requirements of the applicable code and/or standard promulgated by the State of New York, Department of State Code Enforcement and Administration, or other authority having jurisdiction, and found to be in compliance therewith on the Day of 21st November,2005. Name QTY Rate qty Circuit Tvpe Alarm and Emergency Equipment Sensor 2 0 Carbon Monoxide Sensor 5 0 Smoke Appliances and Accessories Dish Washer 1 0 1.2 KW Exhaust Fan 3 0 F.H.P. Pump/Motor 1 0 1 H.P. Wiring and Devices Outlet 53 0 Fixture Fixture 40 0 Incandescent Fixture 13 0 Fluorescent Outlet 78 0 General Purpose ' Receptacle 47 0 General Purpose Switch 44 0 General Purpose Receptacle 1 0 20 amp Laundry Receptacle 1 0 30 amp Dryer seal Receptacle 1 0 20 amp Appliance Receptacle 8 0 GFCI Continued on Next Page 1 of 2 This certificate may not be altered in any way and is validated only by the presence of a raised seal at the location indicated, C BY THIS CERTIFICATE OF COMPLIANCE THE NEW YORK BOARD OF '"IRE UNDERWRITI RS BUREAU OF ELECTRICITY 40 FULTON STREET — NEW YORK, NY 10038 CERTIFIES ES THAT Upon the application of upon premises owned by LOWELL ELECTRICAL CONTR. JOHN MC ARTHUR 138 OREGON AVENUE 223 TABOR ROAD MEDFORD, NEW YORK 11763, ORIENT, NY 11957 Located at 223 TABOR ROAD ORIENT, NY 11957 Application Number: 1206776 Certificate Number: 1206776 I Section: Block: Lot: Building Permit:30024 BDC: nsl1 Described as a Resri �tt t occupancy, wherein the premises electrical system consisting of electrical devices and wit scribed below, located in/on the premises at: Basement,First Floor,Second Floor,Outside,Attic, A visual inspection of the premises electrical system, limited to electrical devices and wiring to the extent detailed herein, was conducted in accordance with the requirements of the applicable code and/or standard promulgated by the State of New York, Department of State Code Enforcement and Administration, or other authority having jurisdiction, and found to be in compliance therewith on the Day of 21st November,2005. Name IZ Rate Rating Circuit J)W Service I Phase 3 W Service Rating 200 Amperes Service Disconnect: 1 200 cb Meters: I seal 2 of 2 L certificate may not be altered in any way and is validated only by the presence of a raised seal at the location indicated. FIELD INSPECTION REPORT DAYE COMMENTS ro FOUNDATION(1ST) FOUNDATION(2ND) .., O x ROUGH FRAMING& PLU'M'Pk G 77 3 0, INSULATION PER N.Y. -1 STATE ENERGY CODE ,° r „ FINAL CA ADDITIONAL COMMENTS Qy� O P� X O � z J�N �O tdn v m 0y 9 � W O p- ci I Lo kWOJ`oIlo�, o � 4 Qyy'" ��yO�j ¢hyo LL LL LUQ�v0�1» Q� UO h �Q2 N "j v6y •� vJ ~vJ _��Jh QO W �yOW WUyO W Zo� � U y 0 0 2 I.2 W p B994 aS W O OFILE ly 8 9" 0 0 12000 g i� i � 5.2• 3 � ti V,zyl�3 o L to _ W F- o O m Iz 4 0 N m Azm° o o0 pq a a N a W m 3° g � ") M 64 z . 308.85' N. 6'56'10" W. 16 Ix OVObl HOBV1 w � 1 . °"'. .. Town of Southold Annex 8/27/2013 P.O.Box 1179 54375 Main Road Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 36461 Date: 8/27/2013 THIS CERTIFIES that the building IN GROUND POOL Location of Property: 223 Tabor Road,Orient, SCTM#: 473889 SecBlock/Lot: 18.-5-13.7 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this officed dated 6/17/2008 pursuant to which Building Permit No. 38165 dated 7/10/2013 was issued,mand conforms to all of the requirements of the applicable provisions of the law. The occupancy for which this certificate is issued is: c gs5rr. in rg 2qp 5�vlrnrt�in oc The certificate is issued to John&Frances McArthur (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 38165 7/29/13 PLUMBERS CERTIFICATION DATED Iz d _.... ..tur a � uj LL w a ¢ O m8 cz fco U) 4 ! 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