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HomeMy WebLinkAbout1000-18.-2-21 TOWN OF SOUTHOLD =M&W" Rental Permit �d 0510 Owner Keri Christ Occupied as Single Family Dwelling Located at 22715 Route 25 Orient 18-2-21 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. 7/26/2021 de Enf c m nt fficial This Notice must be posted by the main entrance at all times ( I 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 MAY 182021 RENTAL PERMIT APPLICATION Rental Permit Fee $200 (Application must be renewed every two yearsTo Section A. Property Information: Rental Property Address: 22715 Main Road Tax Map Number: 1000 SECTION 01800-BLOCK 0200-LOT 021000 SECTION B. OWNER INFORMATION: Property Owner Name: Keri Ann Christ Property Owner Legal Address: Property Owner Mailing Address: 115 Perry Street/213 SAME New York, NY 10014 Telephone Number (s): Daytime 917-470-0866 Evening SAME Emergency SAME Property Owner Email Address: keriakeriachrist.com Page 1 of 5 SOUI�,�I. � o Town Hall Annex 411 Telephone(631)765-1802 54375 Main Road cn Fax(631)765-9502 P.O.Box 1179 Southold.NY'11971-0959O�yc® UI�V, 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): N/A Mailing Address of Authorized Agent: N/A Telephone Number (s): Daytime N/A Evening Emergency Email Addres Section D. !Managing Agent Information: Name of Authorized Agent of dwelling unit, if any: N/A Address of Authorized Agent (no P.O. Boxes N/A Mailing Address of Authorized Agent: N/A Telephone Number (s): Daytime N/A Evening Emergency Email Address: N/A SECTION E. SITE MANAGER INFORMATION: (required for rental properties containing 8 or more rental units) Name of Managing Agent of dwelling unit, if /A Address of Managing Agent (no P.O. Boxe : N/A Page 2 of 5 Town Hall Annex Telephone(631)765-1802 54375 Main Road cn Fax(631)765-9502 P.O.Box 1179 G Southold..NY 1 1971-0959 Q a BUILDING DEPARTMENT TOWN OF SOUTHOLD Mailing Address of Managing Agent: N/A Telephone Number (s): Daytime N/A Emergency Email Addre �/A 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. (SEE ATTACHED) For properties with multiple Rental Dwelling Units use 'Rental Permit Application Addendum."N/A Rental Dwelling Unit Identifier: HOUSE AT 22715 MAIN ROAD ORIENY 11 57 Requested Maximum number of persons allowed to occupy Dwelling Unifi �- Number of rooms in Rental Dwelling Unit: -3- bedvv9(tis) 3.S bald 5j I i 0,A) room Use and Dimensions of each room in Rental Dwelling Unit: (SEE ATTACHED) d"At�) VD0A1 e17 I �/ban� a2 239,2- s• �, �� I�r 35.�' � �arcl�= [D-I St Dini►1C, kow: 330 Lr Sof S•�. [7res51 2v0M= 61 66 s.� U S S. Page 3 of 5 SOUj�O� 0 '.Town Hall Annex l�[ J�L Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1179 Southold..NY 11971-0959 O 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. I am requesting a fire safety inspection to be performed by a Code Enforcement Official from the Town of Southold (SEE ATTACHED INSPECTION DATED 2019) ❑ 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 I, Keri Ann Christ, 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 4��OF SOS Town Hall Annex Telephone(631)765-1802 54375 Main Road cis Fax(631)765-9502 P.O.Box 1179 Southold,NY 11971-0959 p Y 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. I 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: Keri Ch991 I Property Owner's Signature: ANNETTE IANNUCCI NOTARY PUBLIC-STATE OF NEW YORK Sworn to before me this day of �a 20a)1 No.011AG409771 Qualified in Suffolk County My Commission Expires 10-06-2024 Official Notar Public Signature and Original Notary Stamp Page 6 of 6 000 �aOE SOUIy� ���� &T�N A061 of i'T/4 ,`0 6 # TOWN OF SOUTHOLD.BUILDING-DEPT. `y�ouxrt '' 765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION/CAU KING [ ] FRAMING/STRAPPING [ FINAL 4.-� Pr✓Wl [ ] FIREPLACE & CHIMNEY" ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION' [ =] -FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) [ ] CODE VIOLATION [ ] PRE C/O REMARKS: or 60K/ DATE �iv INSPECTOR 22715 Ma:Y%Rvej Ground Floor _ ° _ QA- "z 0 A-"z0$S.-F; C7L6 x t K46 e r, Foye r ri c. sire v 5itRDI S.f a a+a 3 3 s•-F' 448 s,f. 15 � �iy x32' 9 �. D;n:�9 - l` Roo rwi U%rary (-7'613Z� - E^fry Hw)1 S.T. ' s From• Po rc 1, 2�d Floor Dc op y.. _.v 8•x 13 s Cy'6 x C3 y r. ,,z'7 t 134 j ! ,3f e dry F-- 60. 2Z71S Nta:n, (boa d 3r4 Floor .l 4+ t ' c� 3 ` 63`X r ;5-Foroa Q. ?`3y . Sf fie : (Roo" Sic } r rr i �os1s�F kc Town of Southold 6/12/2020 A P.O.Box 1179 o - CO- _? 53095 Main Rd oar Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 41168 Date: 6/10/2020 THIS CERTIFIES that the building ALTERATION Location of Property: 22715 Route 25, Orient SCTM#: 473889 Sec/Block/Lot: 18.-2-21 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 8/4/2017 pursuant to which Building Permit No. 41872 dated 8/10/2017 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: interior alterations with unfinished third floor attic space(five bedrooms total)in an existing single-family dwelling as aqpplied for. The certificate is issued to Ockenden,Justin&Christ,Keri of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 41872 5/22/2018 PLUMBERS CERTIFICATION DATED 3/20/2020 fraN Piecuc ut oryzeq Signature Town of Southold 6/12/2020 a�o�S�E �G 53095 Main Rd Southold,New York 11971 PRE EXISTING CERTIFICATE OF OCCUPANCY No: 41169 Date: 6/10/2020 THIS CERTIFIES that the structure(s)located at: 22715 Route 25,Orient SCTM#: 473889 Sec/B1ock(Lot: 18.-2-21 Subdivision: Filed Map No. Lot No. conforms substantially to the requirements for a built prior to APRIL 9,1957 pursuant to which CERTIFICATE OF OCCUPANCY NUMBER Z- 41169 dated 6/10/2020 was issued and conforms to all the requriements of the applicable provisions of the law. The occupancy for which this certificate is issued is: wood frame one family dwelling with unfinished attic storage room,.covered porches and brick patio.* This updated Pre-Existing CO replaces Pre-Existing CO 2-15467 issued on 12/5/1986. Notes:BP 22613 accessory shed COZ25233;BP 34772 interior alteration COZ-34065a BP 41872 interior alterations COZ-41168 Y The certificate is issued to Ockenden,Justin&Christ,Keri (OWNER) of the aforesaid building. i SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. e PLUMBERS CERTIFICATION DATED *PLEASE SEE ATTACKED INSPECTION REPORT. 1 A o e BUII.DING DEPARTMENT TOWN OF SOUTHOLD HOUSING CODE INSPECTION REPORT 3ACATION: 22715 Route 25,Orient SUFF.CO.TAX MAP NO.: 18,2-21 SUBDIVISION: JAME OF OWNER(S): Ockenden,Justin&Christ,Keri OCCUPANCY: ADMITTED BY: SOURCE OF REQUEST: Ockenden,Justin DATE: 6/10/2020 DWELLING-STORIES: 3 #EXITS: 4 FOUNDATION: stone CELLAR: partial CRAWL SPACE-- BATHROOM(S): PACE:BATHROOM(S): 2 TOILET ROOM(S): sink closet on 2nd fl UTILITY ROOM(S): PORCH TYPE: 1/2 wood 1/2 cement DECK TYPE: PATIO TYPE: brick BREEZEWAY: FIREPLACE: 1 GARAGE: DOMESTIC HOTWATER x TYPE HEATER: indirect(gas) AIR CONDITIONING: TYPE HEAT: gas WARM AIR: HOT WATER. baseboard #BEDROOMS: 6 #KITCHENS: 1 BASEMENT TYPE: . unfinished OTHER: ACCESSORY STRUCTURES- GARAGE,TYPE OF CONST: STORAGE,TYPE OF CONST: SWIMMING POOL: GUEST,TYPE OF CONST: OTHER: VIOLATIONS: REMARKS: INSPECTED BY: JOHNJ DATE OF INSPECTION: 5/15/2017 TIME START: 2:30pm END: 3:15pm w 5 oC 5 FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-25233 Date SEPTEMBER 3, 1997 THIS CERTIFIES that the building ACCESSORY Location of Property 22715 MAIN RD. ORIENT, N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 18 Block 2 Lot 21 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated FEBRUARY 21, 1995 pursuant to which Building Permit No. 22613-Z dated MARCH 3, 1995 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 STORAGE SHED IN REAR YARD AS APPLIED FOR. The certificate is issued to WILLIAM P. HOPKINS & MARY K. BAUMANN (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A -'� ;- /"t� din Inspector Rev. 1/81 OF(—� Town of Southold 6/12/2020 53095 Main Rd Southold,New York 11971 PRE EXISTING CERTIFICATE OF OCCUPANCY No: 41169 Date: 6/10/2020 THIS CERTIFIES that the structure(s)located at: 22715 Route 25, Orient SCTM#: 473889 Sec/Block/Lot: 18.-2-21 Subdivision: Filed Map No. Lot No. conforms substantially to the requirements for a built prior to APRIL 9, 1957 pursuant to which CERTIFICATE OF OCCUPANCY NUMBER Z- 41169 dated 6/10/2020 was issued and conforms to all the requriements of the applicable provisions of the law. The occupancy for which this certificate is issued is: wood frame one family dwelling with unfinished attic storage room, covered porches and brick patio.* This updated Pre-Existing CO replaces Pre-Existing CO Z-15467 issued on 12/5/1986. Notes:BP 22613 accessory shed COZ-25233:BP 34772 interior alteration COZ-34065: BP 41872 interior alterations COZ-41168 The certificate is issued to Ockenden, Justin&Christ,Keri (OWNER) of the aforesaid building. i SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 'PLUMBERS CERTIFICATION DATED *PLEASE SEE ATTACHED INSPECTION REPORT. A o ed i ature i i BUILDING DEPARTMENT TOWN OF SOUTHOLD HOUSING CODE INSPECTION REPORT LOCATION: 22715 Route 25,Orient SUFF.CO.TAX MAP NO.: 18.-2-21 SUBDIVISION: NAME OF OWNER(S): Ockenden,Justin&Christ,Keri OCCUPANCY: ADMITTED BY: SOURCE OF REQUEST: Ockenden,Justin DATE: 6/10/2020 DWELLING: #STORIES: 3 #EXITS: 4 FOUNDATION: stone CELLAR: partial CRAWL SPACE: BATHROOM(S): 2 TOILET ROOM(S): sink closet on 2nd fl UTILITY ROOM(S): PORCH TYPE: 1/2 wood 1/2 cement DECK TYPE: PATIO TYPE: brick BREEZEWAY: FIREPLACE: 1 GARAGE: DOMESTIC HOTWATER: x TYPE HEATER: indirect(gas) AIR CONDITIONING: TYPE HEAT: gas WARM AIR: HOT WATER: baseboard #BEDROOMS: 6 #KITCHENS: 1 BASEMENT TYPE: unfinished OTHER: ACCESSORY STRUCTURES: GARAGE,TYPE OF CONST: STORAGE,TYPE OF CONST: SWIMMING POOL: GUEST,TYPE OF CONST: OTHER: VIOLATIONS: REMARKS: INSPECTED BY: JOHNJ DATE OF INSPECTION: 5/15/2017 TIME START: 2:30pm END: 3:15pm FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY NO: Z-34065 Date: 11/06/09 THIS CERTIFIES that the building ALTERATIONS Location of Property: 22715 MAIN RD ORIENT (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 18 Block 2 Lot 21 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated JUNE 15, 2009 pursuant to which Building Permit No. 34772-Z dated JUNE 15, 2009 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 INTERIOR ALTERATIONS TO AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to JUSTIN OCKENDEN & KERI A CHRIS (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO_ 10709 07/29/09 PLUMBERS CERTIFICATION DATED 06/18/09 JOE WHITECAVAGE t riz Signature Rev. 1/81 '-7/31 fQ0 18 r 1 # g ��/ R Toy H OWNER STREET„ ;1 VILLAGEDISTRLCT SUB. 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Walls "3 ,y Interior Finish z-y Extensigh Fire-Place Heat •'a t q ° rch Attic Porch Rooms 1st Floor Bree eway t�e'a{ ' Patio ' Rooms 2nd Floor S ° ........... _ Y.- GarageDriveway �:. Z, 4 --, : < t