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HomeMy WebLinkAbout1000-15.-6-22 TOWN OF SOUTHOLD 4 Rental Permit Permit No. 0461 Owner 790 3 Waters Lane Property LLC Occupied as Single Family Dwelling Located at 790 Three Waters Ln Orient 15-6-22 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. 6/10/2021 rl,OA nA, LiZ�� Code Enfor a ent Official This Notice must be posted by the main entrance at all times SOUTHOLD TOWN Town Hall Annex 54375 Main Road n` z Rental Inspection PO Box 1179 Southold, na NY 11971-1179 • �'� Tel: 631-765-1802 Fax 631-765-9502 SCTM # Date Zl owner: `71pw��e� In P ll� Phone. t �37q-�'96 Address 770 3 w��eS n Zip Hamlet�. 041 Inspector Address,visible from street? . LEVELSSUB 2 . �3 .. Smoke Detectors (#-bedroom detectors excluded) LZ Carbon Monoxide Detectors (#) Fire Extinguishers (#) Exits (#)_ BEDROOMS' 1 2 3 4; 5 . Smoke Detector Alarms (#) Carbon Monoxide Alarms (#) Egress(windows) (Y/N) BUILDING SYSTEMS N. CONDITION OF PROPERTY /N 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 YIN, POOL BARRIERS. Y/N. 'Pool present . Pool is completely enclosed 'Pool surface alarm and/or door alarm resent . Barrier is a min.48"high 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' Bard er.capable of being locked&child- requirements hild- requirements proof when unattended COMMENTS: T SOS Town Hall Annex A .. F Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1179 ��s Southold,NY 11971-0959 3 q,�` �, j r-;; �✓��q�y �e�;^yy 5�{R.�� �'`•` =�ry GB � �i�r YI1 1 1 -.5�.::.��.-.,-�•b `'b! i_,-..i 1 BUILDING DEPAR'TMEN'T ' TOWN OF SOUTHO� FEE 1 6 2021 RENTAL PERMIT APPLICATION y::_.., ;4 .``:`::` roa Rental Permit Fee$200 (Application must be renewed every two years) Section A. Property Information: Rental Property Address: 790 Three Waters Lane Orient, NY Tax Map Number: 1000 SECTION 15 -BLOCK 0006 -LOT 0 _ 22 . 473889 SECTION R. OWNER INFORMATION: Property Owner Name: 790 3 Waters Lane PrnnPty I I G Property Owner Legal Address: Property Owner Mailing Address: 250 Frost Street 250 Frost Street Brooklyn, NY 11211 _ Brooklyn, NY 11211 917 Telephone Number(s): Daytime 'j74-rg69 Evening Emergency Property Owner Email Address: afaustllc@gmail.com Page 1 of 5 y V,. tai.....u.a, 'L Town Hall Annex r Telephone(631)765-1802 54375 Main Road ; 1 -9502Fax(631) P.O.Box 1179ma Southold,NY 11971-0959 BUILDING DEPARTMENT TOWN OF SOUTHOLD Section C. Authorized Agent Information: Name of Authorized Agent of dwelling unit, if any: N/A 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: N/A 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- N/A Address of Managing Agent (no P.O. Boxes): Page 2 of 5 Town Hall Annex Telephone(631)765-1802 p: 54375 Main Road Fax(631)765-9502 P.O.Box 1179 Southold,NY 11971-0959 3" BUILDING DEPARTMENT ,TOWN OF SOUTHOLD Mailing Address of Managing Agent:- N/A Telephone Number(s): Daytime Evening Emergency Email Address: SECTION F. PROPERTY DESCRIPTION: Number of Rental Dwelling Units on property: Single family home with attached garage For each Rental Dwelling Unit set forth the Rental Dwelling Unit identifier(for example, Unit 1, Unit 2, Unit 3 or Apt A, B, Q 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: Single family home with attached garage Requested Maximum number of persons allowed to occupy Dwelling Unit: 9 Number of rooms in Rental Dwelling Unit: 10 Use and Dimensions of each room in Rental Dwelling Unit: Kitchen 12'X 10' Dinning Room 15'x 12' Living Room 13'x 12' Den 12'x 10' Powder Room 5'x 8' Bedroom 1: 13'x 13' Bedroom 2: 10'x 11' Bedroom 3: 10'x 11' Study 9'x 7' Bath 10'x 7' Page 3 of 5 Town Hall Annex g -, ,, ;~' Telephone(631)765-1802 54375 Main Road , er> '^ Fax(631)765-9502 P.O.Box 1179 � ys{ Southold,NY 11971-0959 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. 0I 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) 1 790 3 Waters Lane Property LLC , 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 z �Y Town Hall Annex y,,.e% „ r', Telephone(631)765-1802 54375 Main Road � �� Fax(631)765-9502 P.O.Box 1179 Southold,NY 11971-0959 BUIiLDING DEPARTMENT TOWN OF SOUTHOL D 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: Amanda Faust Property Owner's Signature: Sworn to befor me this d V of / �% 20,,Z—/ Offici rMYCommission Pu 'c ' ture and Original Notary Stamp LUIS BATISTA otary Public-State of New York NO.01BA4'62723 Qualified in New York nth, Expires 5 Page 5 of 5 NmEs ' ce oe,lw.mm..opaw� IrP w.VMmmRu ere.mrsmmmmvumn MFsvofr r/MMcm W WmnOuigV/ pvlwNw�gb pNaa 6nCvnemfw.nmvwW.ucwn5wnme.lm Am maiCsn o-CmgN m��Levmem vI�F.�dnem xaV+n rn nwwne mrvmmaamnrnvivaoW nvba.tsma.m xa w¢ ,.i+E�_ 3�Ie�em�eraew�mve 0xvm e�m>vameM y u MY EV Wavva�M�rtn�I�nemavinm Mecvva n BREAK.AB o 000 o ;wn CWtrsvvtOum.w.Y .O e�v.w. i EgNm Weva�o-i.W.voYvtr Pe m�Numnmen.. eqm Iln rmvvv.a�.trm.mn..mnb..e e.+p'w k' - � $ �f Noe�ed:I�xix�a:mer aoow�N� o � Y � i � u i •.e.meo��.m„anm,w.�w.ine.wwe.�pm p 0.�eFgb tlmw� Nm.tulo-Fsc>7ve d — o d pva coos ivawvma.acw�?eF.w o-an u�mme�a�vnao]wvmee�so e•54uer` i �i"�.vn'N ee. '�mm.e�dntla E <pu B.ueNl. n 9 9 T - 3ww�mbnObeutlau bNlrnnON.r�i SlW u�atliaul mese � A Y�'�e .].B.*.m�,bmDyvnKNtlmnama s.o.+a ]ib�ro'mevmm r�wvnrv�°e Ow C r�eN Iuvaert.miwavutiv gl��°�a dl ne�Rm.0 Nre v.unl.awn neunM1n yvlvice'vn n FOrn.a m m.»pave caval. m» 9 �DND�,1DDP $ e. : .tee:avtrnae N.a�mwr •'•v u N mmnMa.prupeMdvR Epnm w pawv � NmmMav�nn.vnavm Am ui ,. .. 0. e e r FIRST FLOOR PLAN _ `� ro" ]rr a ti LIVING AREA•BOB BG.iT. - WRAGE AREA.36B w.FT. 9�CCCOM ER PEA CODE - • B.wr. �� B'n ] W 7 9 EN4wIHi..yy o$ G .e•a�.. z .. b i: EpRoon q W WMURi OF lm«iNERnLL RAi1NG a crfr� 6� uj Z Via. u aac. LL Z cc K e SECOND FLOOR PLAN PAGE: mror..� orae ea vcn.c,uam v �IVMG ARE4.Vl BO.FT. e a a �NN�I PER CODE 3 of 3 I .............—— ...... ---------------- a :.•; .•P.�.e°,e ,.•.,.,rte,© i= __ Q — ' ;,w Gaye £. i.• i'i a ,.. _— =ry asxa• .neo ...... 6 ..__._.is-�.i.a-no�.an._ e= .,bn roue m f n.�. Li ---------=--------'---------= '• '- xQ ;per ae. „� eXGX�• FOUNDATION PLAN Bonaceo�c*p�r�ee x"��xoomrm`°'...e.'p0r.',o�w..o�wM. uj .ir Rco ow 4vm n�maNa�e m (J 8 wa cO�rexa.xw,rYa.v.0 Z Lu j ,mcoaX,.�s��e,x O 5 w.L�, ................. aiowY.n.ma JFb _ 3 � f.. x..__.....l:_... Z _... v -d.e. 511s`�a".a ie�oec.axu,na.w mw.nx X•° W 3(di7�ii1 y co K .wm•'w,rnn..n�a....m Oro ,Y3 P M a 9 9 K ro� � mu w�•am..�w.. PLUMBING RISER DIAGRAM(NTS) sue m.P r<ve®..Yv :'%re'^"°^"��@'����° ��e•����x�° °• 2 of 3 .... ... TOWN OF SOUTHOLD PROPERTY IECOiI �1 � 0 ............ VILLAGE, SU..B..SREE ._ ._ , LOT; FORMER OW ERS-d'ie' t f?GYrl=e"" E ACR. w S TYPE OF BUILDING 4- r RES. 5EA5. VL. FARM comm. CB. MISC. MI-It.. Value ; LAND IMP. TOTAL DATE ..REMARKS' .g — SID' h AGE BU I LDI NG'CQND".ITI ON' �-gr 1.2'c`k, L 1 NEW NORMAL I BELOW ABOVE FARM Acre Value,Per. ` ' Value Acre Tillable T Tillable 2 Tillable 3 Woodland Swampland FRONTAGE`ON WATER Brushland FRONTAGE ON ROAD House Plot DEPTH', , BULKHEAD.,. } Tetal DOCK � 10 mom � 3„ ■■d ■■■ ■■■■�■■■■ ■■■■■®■■■ - MINIM in ■wo S■■■ ■■■■■■■■■■ ■■■■ ■■■ ■■■ ■■■ w ■■■■■I■ NON■■■■I ■®■� ■■■■■���O■■■■■■■■ ■■■■ ■ ■■■®■■■■■■■EM■■■■ ■■■■■ . ® Basement •• Type Roof Rooms Ist Floor IL I i FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-28042 Date: 10/30/01 THIS CERTIFIES that the building NEW DWELLING Location of Property: 790 THREE WATERS LA ORIENT (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 15 Block 6 Lot 22 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated MARCH 14, 2001 pursuant to which Building Permit No. 27223-Z dated APRIL 11, 2001 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 ATTACHED ONE CAR GARAGE AS APPLIED FOR. The certificate is issued to SCHEMBRI HOMES, INC. (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL R10-99-0052 10/24/01 ELECTRICAL CERTIFICATE NO. H-072705 09/07/01 PLUMBERS CERTIFICATION DATED 10/24/0 HI•-TECH PLUMBING C;' Authorized gnature Rev. 1/81