HomeMy WebLinkAbout1000-24.-1-4.4 C49-
TOWN OF SOUTHOLD
t
Rental Permit
0531
Owner 460 Oyster Ponds Ln LLC
Occupied as Single Family Dwelling
Located at 510 Oyster Ponds Ln Orient 24-1-4.1
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.
9/15/2023
Code Etfortj ent Offfifiol
This Notice must be posted by the main entrance at all times
TOWN F' SOUTHOLD BUILDING NG DEP .
631-765-1802
I NS"'k m pm'o'k E C T I o" N
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INSULATION/CAULKING
[ ] FRAMING / STRAPPING [ ] FINAL
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL)
[ ] CODE VIOLATION [ ] PRE C/O [ RENTAL
REMARKS:
66 ' cq
DATE
SO f t . Town Hall Annex
Town of Southold 54375 Main Road
Rental Inspection Report PO Box 1179
Southold, NY 11971-1179
'
Lwv,�
�. Tel: 631-765-1802
Date-- �'
Owner ' Phone
Visible
Address ► p -
Hamlet ,*. _ Ins ector
. 1
Floor Level Quantities Sub2
Smoke Detectors (not located in bedrooms)
Carbon Monoxide Detectors .
Fire Extinguishers
Exits
Bedrooms
1 2 5 6
Smoke Detectors r
Egress
Occupant Count ,.
Building Systems Maintained & Operational Condition of Property
Heating Building interior
Hot water Building exterior
Electrical Property clean, maintained &safe
Mechanical Handrails &guards installed &secure
Pool Safety Pool on Site
Surface water alarm Date of CO issuance
Door alarms Pool completely enclosed
Self closing/latching gates Pool fence to code requirements
CO's for all items present Prior Rental
Comments: _
TOWN OF SOUTHOLD
� ,J4
Rental Permit
0531
Owner 460 Oyster Ponds Ln. LLC
Occupied as Single Family Dwelling
Located at 510 Oyster Ponds Ln. Orient 24-1-4.1
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.
e
9/15/2021
ode En rc ment ficial
This Notice must be posted by the main entrance at all times
s°Ury� ;
Town Hall Annex i�{ J [ Telephone(631)765-1802
54375 Main Road � a Fax(631)765-9502
P.O.Box 1179 YO
Southold,NY 11971-0959
roll
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
RENTAL PERMIT APPLICATION-
Rental Permit Fee $200(Application must be renewed every two years)
Section A.
Property Information:
Rental Property Address:
oars jLw PoyVs La K4 -
Tax Map Number: 1000 SECTION . ��;� -BLOCK
SECTION B.
OWNER INFORMATION:
Property Owner Name: G Coo CiST W f6,ttd,6_ LLG
Property Owner Legal Address: Property Owner Mailing Address:
,390 oy�' � u� P.O. Rox -5( -
l1 rrd f-! N y 1 LqS- -- ori o � N`� t (?474-
Telephone
4-
Telephone Number(s): Daytime Evening SA"'L Emergency,
Property Owner Email Address:
Page 1 of 5
Town Hall Annex Telephone(631)765-1802
54375 Main Road Fax(631)765-9502
P.O.Box 1179
Southold,NY 11971-0959
coUlma
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
Mailing Address of Managing Agent: fool-
Telephone
Number(s): Daytime Evening Emergency
Email'Address:
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: U N (�
Requested Maximum number of persons allowed to occupy Dwelling Uni
Number of rooms in Rental Dwelling Unit: (.&> .
Use and Dimensions of each room in Rental Dwelling Unit:
Ll\liWa PeveeN : ��`-� x ���� - R i ��=�``4 14`too
Page 3of5
P
Telephone Town Hall Annex hone 631 P ( )765-1802
54375 Main Road i Fax(631)765-9502
P.O.Box 1179 o ;
Southold,NY 11971-0959 �� .
40AUNTV .
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
❑ I 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 �111N FFOU IdT ,,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
S.0
Town Hall Annex 1 Telephone(631)765-1802
54375 Main Road Fax(631)765-9502
P.O.Box 1179
Southold,NY 11971-0959
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 Mangy/ager.
Property Owner's Name:- 460 ®�S v-flo"U Lm" L
Property Owner's Signature: AVS 1
Swor o before me ay of 0 20 01Z�1%%1111"I////
� N N
SUFF6". 941
c • G ,
Official Nckery Public Signature and Original Notary StampNOTW;Yl
PUBW
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Page 5 of 5
pF SOUIyOIo
�10 S �A�, W.
# 'TOWN OF SOUTHOLD BUILDING DEPT.
coa765-1802 y(� ,•-• --- l�, L
I=NSPECTION
[ ]. FOUNDATION IST [ ] ROUGH PL13G.
[ ] FOUNDATION 2ND [ �] ,INS LATION/CAU ING
[ ] FRAMING /STRAPPING [ ] NAL
[ ] FIREPLACE & CHIMNEY- [- FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ]'-FIRE RESISTANT'PENETRATION
[ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL)
[ ] CODE VIOLATION [ ] PRE C/O
REMARKS:
- prC7Si
DATE INSPECTOR
, PATIO
DINING AREA `I
--- -------------------- ------------------------ ----- -------------------- ------------------------ -- L--
BEDROOM I I I I
MUDR00M
• 12'-3" "
16'-l" it II
Ref.
I I
DW Sink
KITCHEN
.FcLoren
- - � [COATS 0 i . ......
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II
II
Storage � I
II
LIVING ROOM m
=ir DI=N
cr-
II I I
II I I �
I
II I Ij
• � j PO CH ' �
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460 OYSTER PONDS Q � -
LANE, LLC 4
510 OYSTER POND LANE IST F PLAN Tti
ORIENT, NY
I/411 = Ir-Orr
TOWN OF SOUTHOLD
$CTM#-- 1000 .2471-4.1
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I 1 .
BATH 2
--------------- --------
BEDROOM 2 7 ® BEDROOM 3
_ � 12._x., .': 1.': I �./ �• 13'-P' i .
1--------------- ------ -------- ---------------1 -...............................................
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460 OYSTER PONDS
LANE, LLC
510 OYSTER POND LANE No
ORIENT, NY 2ND FLOOR PLAN_
TOWN OF SOUTHOLD
SCTM# 1000-24-1-4.1
VOW Fol,�� Town of Southold10
12/20/2019
�p �Gy'; 53095 Main Rd
y z y Southold,New York 11971
PRE EXISTING
CERTIFICATE OF OCCUPANCY
No: 40948 Date: 12/20/2019
THIS CERTIFIES that the structure(s)located at: 510 Oyster Ponds Ln, Orient
SCTM#: 473889 Sec/Block/Lot: 24.-1-4.1
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- 40948
dated 12/20/2019 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 covered entry rear covered concrete slab two accessory wood frame garages and a
small accessory storage bin.*
Note: BP 44332"as built"electrical survey COZ-40948
The certificate is issued to 460 Oyster Pnds Ln LLC
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
*PLEASE SEE ATTACHED INSPECTION REPORT. •
uth z gnature
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
HOUSING CODE INSPECTION REPORT
LOCATION: 510 Oyster Ponds Ln,Orient
SUFF.CO.TAX MAP NO.: 24.-1-4.1 SUBDIVISION:
NAME OF OWNER(S): 460 Oyster Pnds Ln LLC
OCCUPANCY:
ADMITTED BY:
SOURCE OF REQUEST: 460 Oyster Pnds Ln LLC DATE: 12/20/2019
DWELLING:
#STORIES: 1 #EXITS: 2
FOUNDATION: cement block CELLAR: full CRAWL SPACE:
BATHROOM(S): 1 TOILET ROOM(S): UTILITY ROOM(S):
PORCH TYPE: DECK TYPE: PATIO TYPE: roofed concrete slab
BREEZEWAY: FIREPLACE: GARAGE:
DOMESTIC HOTWATER: yes TYPE HEATER: oil AIR CONDITIONING:
TYPE HEAT: oil WARM AIR: HOT WATER: radiator
#BEDROOMS: 2 #KITCHENS: 1 BASEMENT TYPE: unfinished
OTHER:
ACCESSORY STRUCTURES:
GARAGE,TYPE OF CONST: 2 wood frame STORAGE,TYPE OF CONST: small storage bin
SWIMMING POOL: GUEST,TYPE OF CONST:
OTHER:
VIOLATIONS:
REMARKS:
INSPECTED BY: JOHNJ DATE OF INSPECTION: 10/23/2019
TIME START: 2:15pm END: 3:10pm
h®pS�fF�t,�coy. Town of Southold 12/20/2019
a P.O.Box 1179
cz
53095 Main Rd
Southold,New York 11971
CERTIFICATE OF OCCUPANCY
No: 40948 Date: 12/20/2019
THIS CERTIFIES that the building ELECTRICAL
Location of Property: 510 Oyster Ponds Ln,Orient
SCTM#: 473889 Sec/Block/Lot: 24.-1-4.1
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
10/23/2019 pursuant to which Building Permit No. 44332 dated 10/23/2019
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:
"as built"electrical survey.
The certificate is issued to 460 Oyster Pnds Ln LLC
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 44332 11/25/2019
PLUMBERS CERTIFICATION DATED
Au orized Signature
��o�SUFfotkcpGy Town of Southold 9/13/2021
P.O.Box 1179
0
o • 53095 Main Rd
�PW4„ �ao� Southold,New York 11971
CERTIFICATE OF OCCUPANCY
No: 42328 Date: 12/20/2019
THIS CERTIFIES that the building ELECTRICAL
Location of Property: 510 Oyster Ponds Ln, Orient
SCTM#: 473889 Sec/Block/Lot: 24.4-4.1
Subdivision: Filed Map No. - Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated.
10/23/2019 pursuant to which Building Permit No. 44332 dated 10/23/2019
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:
"as built"electrical survey.
Replaces CO Z-42328 which was a duplicate CO number.
The certificate is issued to 460 Oyster Pnds Ln LLC
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 44332 11/25/2019
PLUMBERS CERTIFICATION DATED
Authorized Signature