HomeMy WebLinkAbout1000-26.-1-26 TOWN OF SOUTHOLD
ii ci Rental Permit
0544
Owner Nolan CG Rvc Liv Trt
Occupied as Single Family Dwelling
Located at 225 King St Orient 26-1-26
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.
10/5/2023
Code Ertorc0ent Officia
This Notice must be posted by the main entrance at all times
�
631 -765-1802
INSPEC ION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
] FOUNDATION 2ND [ ] INSULATION/CAl
FRAMING / STRAPPING [ ] FINAL
[ FIREPLACE & CHIMNEY [ ] FIRE SAFETY IN!
[ FIRE RESISTANT CONSTRUCTION [ ] EIRE RESISTANT PE
] ELECTRICAL (ROUGH) [ ] ELECTRICAL {FII
[ ] CODE VIOLATION [ ] PRE C/O
REMARKS:
Cay vex
DATE � "-- � INSPECTOR
fat Town Hall Annex
Town of Southold 54375 Main Road
Rental Inspection Report PO Box 1179
Southold, NY 11971-1179
Tel: 631-765-1802
Date
SCTM # �G- ' e�
Owner t Phone y
Address 5 �" Visible
Hamlet Inspector r
Floor Level Quantities . _ Sub 1 2 3
Smoke Detectors(not located in bedrooms)
Carbon Monoxide Detectors - --
Fire Extinguishers
Exits
Bedrooms 1 2 4 5 6
Smoke Detectors '
Egress _
Occupant Count __ a
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 1P
Comments:
TOWN OF S
A A
0 ;A
Rental Permit
0544
Owner Nolan CG Rvc. Liv. Trt.
Occupied as Single Family Dwelling
Located at 225 King Street Orient 26-1-26
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.
10/5/2021
LC
ode E7ie to inial
This Notice must be posted by the main entrance at all times
J
f
Town Hall Annex Telephone(631)765-1802
54375 Main Road �� Fax(631)765-9502
P.O.Box 1179
Southold,NY 11971-0959
410
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BUILDING DEPARTMENT
TOWN OF SOUTHOLD
RENTAL PERMIT APPLICATION
Rental Permit Fee$200(Application must be renewed every two years)
Ple, i
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Section A.
Property Information:
Rental Property Address:
✓r
Tax Map Number: 1000 SECTION y7, -BLOCK -LOT , „ -
SECTION B.
OWNER INFORMATION:
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Property Owner Name:, w_,.r v.a Z j �ar�d/, r��r' JVdla< yr
Property Owner Legal Address: Property Owner Mailing Address:
e
5` o
�0s
Telephone Number(s): Daytime-30y 3,90 Evening3Gj 5',39,43 Emergency
Property Owner Email Address: r� /c
Page 1 of S
Town Hall Annex �� Telephone(631)765-1802
54375 Main Road "r Fax(631)765-9502
P.O.Box 1179
Southold,NY 11971-0959
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
Section C.
Authorized 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): Daytime 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):
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: M
Address of Managing Agent (no P.O. Boxes):
Page 2 of 5
Town Hall Annex ` iTelephone(631)765-1802
54375 Main RoadFax (631)765-9502
P.O.Box 1 179 te
Southold,NY 11971-0959
BUILDING DEPARTMENT
TOWN OF SOUTDOLD
Marling Address of Managing Agent:
6C
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, 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: i1 t /
a p to occupy Dwelling Unit:
Requested Maximum number of persons allowed
Number of rooms in Rental Dwelling Unit:
Use and Dimensions of each room in Rental Dwelling Unit:
/3a� G lc G
Page 3 of 5
Town Hall Annex �° �e Telephone(631)765-1802
54375 Main Road Fax Fax(631)765-9502
P.O.Box 1 179
Southold,NY 11971-0959
ut
ti-
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.
FY0' 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)
I GArOL Ile:.-6� , &- V-) 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
�y {' t
Town Hall Annexa Telephone(631)765-1802
54375 Main Road ,VFax(631)765-9502
P.O.Box 1179
Southold,NY 11971-0959
UN
� yI
BUILDING DEPARTMENT
TOW'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: 1
Property Owner's Signature:
Sworn to before me this l%*day of Se,pA-CMb-QW , 20Zv
Officia4otary Signature and Original Notary Stamp
BRIrrANYA.GENOINO
Notary Public,State of New York
No.01 GE6245154
Qualified In Suffolk Coun
Commission Expires July 18, 0?'-
Page 5 of 5
Tele (631 765-1802
Town Hall Annex hone��" �.: P )
54375 Main Road Fax(631)765-9502
P.O.Box 1179 p
Southold,NY 11971-0959
BUILDING DEPARTMENT
TOWN OF SOLTTHOLD
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
Pro essionol seal required Lor Architect or Engineer licensed Home Lqs ector must provide
cogy of valid current cerci ication
Rental Property SCTM Number: � G
Rental Property Addr ss: �. 1� 4.91-1 r � !
Owner/Name: i- ' .1
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:
Town Hall AnnexE
Telephone(631)765-1802
54375 Main Road
pFax(631)765-9502
P.O.Box 1179
Southold,NY 11971-0959Coln
'
BUILDING DEPARTMENT
TOWN OF SOUTHO
RENTAL PERMIT APPLICATION ADDENDUM
Rental Dwelling Unit Identifier:
Requested maximum number of persons allowed to occupy each dwelling I'll :
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 occlypy each dwelling unit:
Number of Rooms in Rental Dwelling Unit:
Use and Dimension of Bach room:
0
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Town Hall Annex Telephone(631)765-1802
54375 Main Road Fax(631)765-9502
P.O.Box 1 179
Southold,NY 11971-0959
PA
K',
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:
TOWN OF SOUTHOLD BUILDING DEPT.
765-1802
INSPECTION
] FOUNDATION 1ST [ ] ROUGH PLBG.
FOUNDATION 2ND [ ] INSU I / A 'LKING
C ] FRAMING /STRAPPING [ ] F AL
X11
FIREPLACE & CHIMNEY [ FIRE SAFETY I N SP E TI
IIIC ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
] ELECTRICAL (ROUGH) ( ] ELECTRICAL (FINAL)
CODE VIOLATION [ ] PRE C/O
110
DATE
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t Town of Southold 10/6/2021
'� Ca 53095 Main Rd
Southold,New York 11971
PRE EXISTING
CERTIFICATE OF OCCUPANCY
No: 42406 Date: 10/5/2021
THIS CERTIFIES that the structure(s)located at: 225 King St,Orient
SCTM#: 473889 Sec/Block/Lot: 26.-1-26
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- 42406
dated 10/5/2021 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 stga sin le family dwelling with front and rear dormers,second floor roof top deck covered side
trop fi ont cpnorete stop and aocesso wood fratae two car ra e with attached trellis slate patio and stone
barbecue.*
The certificate is issued to Nolan C G Rvc Liv Trt
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
*PLEASE SEE ATTACHED INSPECTION REPORT.
At orzed tg atore
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
HOUSING CODE INSPECTION REPORT
LOCATION: 225 King St,Orient
SUFF.CO.TAX MAP NO.: 26.-1-26 SUBDIVISION:
NAME OF OWNER(S): Nolan C G Rvc Liv Trt
OCCUPANCY:
ADMITTED BY,..
SOURCE OF REQUEST: Nolan C G Rvc Liv Trt DATE: 10/5/202
DWELLING:
#STORIES: I #EXITS: 2
FOUNDATION: poured concrete,block CELLAR: full CRAWL SPACE:
BATHROOM(S): I TOILET ROOM(S): 1 UTILITY ROOM(S):
...............................
PORCH TYPE: DECK TYPE: 2nd level over roof PATIO TYPE:
BREEZEWAY: FIREPLACE: I GARAGE:
DOMESTIC HOTWATER: yes TYPE HEATER: gas AIR CONDITIONING:
TYPE HEAT: gas WARM AIR: forced hot air HOT WATER: yes
#BEDROOMS: 3
.... #KITCHENS: I BASEMENT TYPE: ..._ unfinished
OTHER:
ACCESSORY STRUCTURES:
GARAGE,TYPE OF CONST: wood frame STORAGE,TYPE OF CONST:
SWIMMING POOL: GUEST,TYPE OF CONST:
OTHER: stone BBQ,trellis cov concrete patio on garage
VIOLATIONS:
REMARKS:
INSPECTED BY: JOHNJ DATE OF INSPECTION: 10/5/2021
TIME START: 2:12pm END: 2:45pm
Town of Southold 9/27/2020
P.O.Box 1179
53095 Main Rd
Southold,New York 11971
CERTIFICATE OF OCCUPANCY
No: 41481 Date: 9/27/2020
THIS CERTIFIES that the building WINDOWS
Location of Property: 225 King St, Orient
SCTM#: 473889 Sec/Block/Lot: 26.-1-26
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
8/21/2018 pursuant to which Building Permit No. 42979 dated 8/30/2018
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:
eplacemeato.wp ams ap1p"ed for.
The certificate is issued to Nolan C G Rvc Liv Trt
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
.�. �_.
lit t� e� Signature . ..........
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