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HomeMy WebLinkAbout1000-24.-2-27 $ � � TOWN OF SOUTHOLD _ vt, Rental Permit 0604 Owner Max & Jimena F aerber Occupied as Single Family Dwelling Located at 2072 Village Lane Orient 24-2-27 Maximum Permitted Occupancy 8 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. 3/14/2022 *de c rpt official This Notice must be posted by the main entrance at all times fo Town Hall Annex1 4" Telephone(631)765-1802 54375 Main Road t Fax(631)765-9502 P.O.Box 1179 Jy Southold,NY 11971-0959 BUILDING DEPARTMENT TOWN OF SOUTHOLD RENTAL PERMIT APPLICATION 117 T ,r wC'r T�TI" Rental Permit Fee$200(Application must be renewed every two years) Section A. Property Information: Rental Property Address: Tax Map Number: 1000 SECTION �w� [ -BLOCK SECTION B. OWNER INFORMATION: Property Owner Name: I Property Owner Legal Address: Property Owner Mailing Address: 52S -e— II Telephone Number(s): Daytime vveningL SEmergency 2+1 OS OS� Property Owner Email Address: 0A J Page 1 of 5 Town Hall Annex Telephone(631)765=1802 54375 Main Road Fax(631)765-9502 P.O.Box 1179 , 44 �d Southold,NY 11971-0959 BUILDING DEPARTMENT TOWN OF SOUOLD 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: Address of Managing Agent (no P.O. Boxes):__.__ Page 2 of 5 i" Town Hall Annexe "E': Telephone(631)765-1802 54375 Main Road ? Fax(631)765-9502 P.O.Box 1 179 4 ,f Southold,NY 11971-0959 BUILDING DEPARTMENT TOWN OF SOUTHOLD Mailing Address of Managing Agent: _ Telephone Number(s): Daytime Evening Emergency Email Address: SECTION F. PROPERTY DESCRIPTION: Number of Rental Dwelling Units on property: V" � . 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: 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:,- Page nit:Page 3 of 5 Town Hall AnnexoTelephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1179 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. 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) 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 Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1179 ^, �Y Southold,NY 11971-0959 � j UN BUILDING DEPARTMENT TOWN OF SO :OLD 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: T Property Owner's Signature: " Swo=NotaryPu (_7 day of� , 20)1 Offiature and Original NotaryStamp KARL LEWIS NOTARY PUBLIC-STATE OF NEW YORK No.01LE6360247 Qualified In Bionx County My Commission Expires 06-19-2021 Page 5 of 5 Jtt^. srxan,+gW fn l "` TOWN OF SOD%O�THOLD BUILDING DEPT. u 765.1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION/CAULKING [ ] FRAMING / STRAPPING [ r1FIRE INAL �oft� 0 ,�rVFIREPLACE & CHIMNEY [ SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION ELECTRICAL"( [ ] ELECTRICAL (FINAL) CODE VIOLATION [ ] PRE C/O ou C VID41 C4 DATE �"'�'"YINSPECTOR u1 TOWN OF SO THOLD BUILDING DEPT. 785-1802 INSPECTION C ] FOUNDATION 1ST [ ] ROUGH PL13G. C ] FOUNDATION 2ND j ] INSULATION/CAUL NG C ] FRAMING /STRAPPING j FINAL C ] FIREPLACE & CHIMNEY ] FIRE SAFETY INSPECTION C ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) [ ] CODE VIOLATI N [ ] PRE C/O REMARKS: fco A F 3 A co DN i EL Ml z Y� U— Ln of I L _ N s U G ` A, CDLl ami L o a t E I i DN [ Y � B _ _ v c`6 m ( .3 ` o m _a—a®e C N 3 B. e- 0 co U- : : a DNCD Q f 3 r Ll B.2 N B.1 E o U t N m A.4 N t TOWT 0 �- RECORD a Rim i OWNER $ - VILLAGE DISTRICT s SUB, L T `7 NER 'N i E ACREAGE �f I Si Uy TYPE OF BUILDING +Z f R SEAS. VL FARM COMM. IND_ CB- 1 MISG. LAND IMP, TOTAL DATE REMARKS ,f C-0 L 141 3 a r — — Eti�/ N MAL -LOa° E ---� a' Acre Va P ,q c e f L-3 i Tillable 2 { 3, T iilcble 3 Vlccdland v� Swampland s l:rushland z_ t House Plo d _ - COLOR TRIM � � - ,� a .m 1 H-17 �.• i ,: 1 v U Cw - tz a C ;14.-2-27 11/21/2017 f t£ k , SO. FT Fin"B" 1st fl 2nd fl TOTAL +�y l3ld 12 Y?� = ``ice' Foundation Pc o HER Bath Dinette ' i `� FULL COMBO Basement Extension t CRAWL PARTIAL Floors K+L _ SLAB Exiens+o n `' � p � t}t '�,3 Finished B. Interior Finish L.R / Extension FP/WBS Heat ty _ tiaraI'Oj aae s�, \Z A O, :7 �i ' 1 Ext. Walls 1 B R. !J PorchDormer Baths x.�i < _ L t { �'_� I. --7-Z_ Deck=le-- Roof = g Fam. Rm. l °tea; = _ s -7 aJ Solar Foyer A.C./GEN Laundry ;�,��-,�`,�' ,��t-'... �°�.:�ta " 3 O.B. / 10 L r\ '' �.g eta :: r_ Studyry� Dock + 4 e- e Aj a - a - A' o - — - _ - - _- M. Bldg- ----- - P= I Extension Basement - Floors t Extension j: lnterior Finish Walls Extension - Fire Place Neat Porch Attic r Porch Rooms 1st Floor Breezew-jv, Patio Rooms 2nd Floor Garage Driveway flr ti t a FW777 allf Ilk 2 f M. Bldg. _ ` - �'e' Foundation © Bath y Dinette i � - t FULL ] i ; Extension ; Basement CRAWLq, i Floors i 6 Kit SLAB S: � s Extension a � �iryr" Ext. Walls Interior Finish g L.R, t 1 Extension Fire Place t,l Heat ; D.R Patio Woodstove ��� B �_ t Porch 4A ` Dormer Fin B Deck } �; y, f-. �` e ' Attic _ Breezeway , i � ? - €� Rooms 1st Floor Garage Driveway Rooms 2nd Floor € 0.B. Pool FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. PRE EXISTING CERTIFICATE OF OCCUPANCY No Z-22432 Date JULY 1 1993 THIS CERTIFIES that the building DWELLING UNITS Location of Property 2072 VILLAGE LANE ORIENT N.Y. [louse No. Street Hamlet County Tax Map No. 1000 Section 24 Block 2 Lot 27 Subdivision Filed Map No. Lot No. conforms substantially to the Requirements for Dwelling Units built Prior to: APRIL 9, 1957 pursuant to which CERTIFICATE OF OCCUPANCY NUMBER Z-22432 dated JULY 1 1993 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 FIVE 5 SEASONAL DWELLING UNITS * The certificate is issued to REGENS PARTNERS LTD. (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A *PLEASE SEE ATTACKED INSPECTION REPORT. c i ui'.dung Inspector Rev. 1/81 BUILDI40 Dl FARTi•ic.i:T TO--,-,7N OF .,our.,-TOLD, N. Y. INSPECTION RCFORT I oca-ticri 72 2072 VILLAGE 1.Ak1FF� ORIF Okall,cipaI a.i;,y p 5 ubc i%_isi:Dn--_.._-Map HO. Lot(S) ?Tone of &,iner(s) RE NS PARTNERS LTD. Occupancti- B-2 SEASONAL DWELLINGS (type) owner--tenant) ,,amizted by: SL{3F -Accompanied b SELF Key available Suffolk Co. Tarr. No. 1000-24-2-27 Source of request DAVID KAPELL Date JUNE 16, 1993 5 SEASONAL DWELLING UNITS UNIT #3: TWO ROOMS- KITCHEN AREA 6 LIVING/BEDROOM S BATH UNIT #4: TWO ROOMS- KITCHEN AREA 6 LIVING/BEDROOM/BATH . UNIT #5:. TWO ROOMS- KITCHEN AREA 6 LIVING/BEDROOM/BATHROOM. UNIT #6: TWO ROOMS- KITCHEN AREA 6 LIVING/BEDROOM/BAT1 SMOKE DETECTOR TO OPERATE_ UNIT 7: TWO ROOMS- KITCHEN AREA 6 LIVING/BEDROOM/BATH _Tnsp=ctccl _ _Date of Insp. JUNE 30, 1993 CSAR F' H Time start end FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-25913 Date: 08/24/98 THIS CERTIFIES that the building ADDITION & ALTERATION Location of Property: 2072 VILLAGE LA ORIENT (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 24 Block 2 Lot 27 subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated JULY 19, 1996 pursuant to which Building Permit No. 23616-Z dated _ AUGUST 5, 1996 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 ADDITION & ALTERATION TO AN EXISTING SEASONAL MULTIPLE DWELLING REDUCING 5 UNITS TO 4 & DECK ADDITIONS AS APPLIED FOR & AS PER ZBA #4331 The certificate is issued to DAVID & CLARE L AIR (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. PENDING 08/17/96 PLUMBERS CERTIFICATION DATED 07/29/98 KING PLUMBING ..._.. u°' . Inspector P n Rev. 1/81 Town of Southold 12/15/2020 P.O.Box 1179 53095 Main Rd Southold,New York 11971 CERTIFICAT E OF OCCUPANCY No: 41687 Date: 12/15/2020 THIS CERTIFIES that the building ADDITION/ALTERATION -- --- --------------- .............. Location of Property: 2072 Village Ln., Orient SCTM#: 473889 Sec/Block/Lot: 24.-2-27 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 12/2/2016 pursuant to which Building Permit No. 43347 dated 12/21/2018 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: additions and after atiqns.,inghtc ig1j,copyersion LQygt!,L.EQ!g1(t!Ln C I ZBA#6991, dated 10/20/2016. The certificate is issued to Faerber,Max&Jimena of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 41225 3/1/2018 PLUMBERS CERTIFICATION DATED 8/4/2020 fumbing 1--ating Ith i, igiiature .9011 d WV,eko -% t�n Olt e .......... crw J Bunch, Connie From: jimena faerber <jimena.faerber@gmail.com> Sent: Sunday, March 06, 2022 S:S7 PM To: Bunch, Connie Subject: Re: Rental permit application for 2072 Village Lane, Orient Hello Connie, I hope this email finds you in good health. This email is to please respectfully ask you to help us in getting our rental permit for our property at 2072 Village Lane in Orient. We had an inspector come last August as you can see on the attachment. He had asked for 2 extra smoke alarms to be installed in the upstairs bedrooms (one in each in bedroom) and the Nest for Co2/Smoke to be relocated further away from the bedrooms, more centered into the large space upstairs. I am providing you pictures down here to prove we have done as was suggested by John Jarski. We believe he had said we were good for a permit after that. I apologize in taking this long to send you the pictures. Don't hesitate to contact me if I can be of any help. Thank you for your time Jimena Faerber IIJ 1 / WA 1J 1 191) ti / �.:r✓ � � /�J� �^,„�'"'� � ion �/%/// Ic 1VI t � OaIE 11",M r 'J4, /r� �/- u"u,u w hr Al ry"' rr r w. I , II I l k� / I p i f MoliNlill, 2