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HomeMy WebLinkAbout1000-15.-5-34 IM"WN F SOUTHOLD '9 Rental Permit a3 0625 Owner 505 Plum Island LLC Occupied as Single Family Dwelling Located at 505 Plum Island Lane Orient 15.-5-34 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. 2/27/2024 Code�fotent Off�' This Notice must be posted by the main entrance at all times qf so TOWN OF SOUTHOLD BUILDING DI 631 -765-1802 INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 21ND [ ] INSULATIOWCAt [ ] FRAMING / STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY IN; [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PE [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FII [ ] CODE VIOLATION [ ] PRE C/O [ I REMARKS: i4- 45 DATEr '(v• ' INSPECTOR Town Hall Annex °nr � Telephone (631)765-1802 54375 Main Road Fax (631)765-9502 P. O. Box 1179 �r Southold, NY 11971-0959 EG E � W E ' FEB 1 2 2024. BUILDING DEPARTMENT TOWN OF SOUTHOLD �" RENTAL PROPERTY CERTIFICATION Form is to be completed by a licensed architect, licensed engineer or licensed home inspector Separate form is required for each individual Rental Dwelling Unit Professional seal re Mired for Architect or Engineer, Licensed Home Inspector must provide copy of valid current certification Rental Property SCTM Number: Rental Property Address: �5D�g Owner/Name: A��rr� G© Rental Dwelling Unit Identifier: yr%iVL~SLC �/L�/LL)t 65u'lll1c=' Number& Square footage of each bedroom as depicted in the attached floor plan: (i.e. Bedroom#1 — 100 sqft., Bedroom#2—90 sqft., etc.) 2&Z " Property Description (Include all improvements indicated on survey) ro +F 4 C 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 CodeJaa ew York State, the Fuel Gas Code of New York State, the Fire Code of New York State, the Property tena , 'Co a of New gerand the Energy Conservation Construction Code of New York s ggqq f B q/ ppm^ Print Name and Title OriginISignature Please place Professional Seal• � "I ° TM TOWN OF SOUTHOLD PROPERTY RECORD ` OWNER STREET VILLAGE DIST- SUB. LOT ACR, S _ = y -�- _— REMAR TYPE OF BLD. — eat e7 PROP.CLASS 4.. a LAND IMP. TOTAL DATE ; joc I Li > pq � E t FRONTAGE ON WATER HOUSE/LOT i BULKHEAD TOTAL -71A-7f DO) 3 TOWN OF SOUTHOLD PROPERTY RECORD CAS A OWNER ��� � VILLAGE DIST.'. SUB. Y LOT -C>--�1 gw FORMER OWNER N E ACR. _ # S W _TYPE OF BUILDING k RES. SEAS, VL. FARM COMM. CB. MISC. Mkt. Value LAND IMP_ TOTAL DATE REMARKS a� _ . 3 c } AGE BUILDING CONDITION 3 ,' NEW NORMAL BELOW ABOVE FARM Acre Value Per r Value Acre Tillable } Tillable 2 Tillable 3 Woodland Swampland FRONTAGE ON WATER Brushland FRONTAGE ON ROAD I House Plot DEPTH 'BULKHEAD Total 'DOCK t 3 N — 6 i 1 NZ r 3 - ; - I I � � 4[ A j4IM - - a t I - 'An — tv, Lk x - s 15.-5-34 1/13/2022 = - - g ® = Foundation � r" s Bath i Dinette M. Bldg tr � �� . . a Extension F �00Basement ;� Floors K Extension Ext, Wails Interior Finish �R• -- Fire Place Heat D R. _ R Extension T. Type Roof Rooms 1st Floor BR. Rooms 2nd Floor ' FIN. B 3, h :Recreation ROOM e=- - Porch Dormer } IBreezeway Driveway Garage I Patio i t O. B. i Total - t � kL a_ TURN 017 SOUTHOLD Rental Permit 0625 Owner Aimee Cody Occupied as Single Family Dwelling Located at 505 Plum Island Ln. Orient 15-5-34 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. 4/29/2022 e �r i=icial This Notice must be posted by the main entrance at all times � I Telephone(631)765-1802 Town Hall Annex ` ?P Fax(631)765-9502 ; 54375 Main Road " , , �" P.O.Box It 79 Southold,NY 11971-0959 BUILDING DEPARTMENTli's�➢UI....C�BC"JG DL v TOWN OF SOUTHOLD .�0W� 14(:)F OU'rHOL D RENTAL PERMIT APPLICATION Rental Permit Fee$200 (Application must be renewed every two years) Section A. Property information: Rental Property Address: M ' cl, .Sf"l 1 Tax Map Number: 1000 SECTION ' -BLOCS -LOT •. SECTION B. OWNER INFORMATION: Property Owner Name: property Owner Legal Address: Property Owner Mailing Address: Telephone Number (s): Daytime '"�., ' Emergencya - :. � r ` -I �, Evening_. VIA Property Owner Email Address: Pagel of S Town Hall Annex Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 m P.O.Box 1179 Southold,NY 11971-0959 " ail^ ,... 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: 6006 Wk 6N Telephone Number (s): Daytime$14 Evening V Emergency Email Address: '�� �' �' ice 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 EveningEmergency Email Address: SECTION E. SITE MANAGER WFORMATION: (required for rental properties containing 9 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 /» Town Hall AnnexTelephone(631)765-1802 44 54375 Main Road Fax(631)765-9502 P.O.Box 1179Zk iu ' Southold,NY 11971-0959 p� �o � � u BUILDING DEPARTMENT TOWN OF SOUTHOLD Mailing Address of Managing Agent: 1„4 Telephone Number(s): Daytime Evening_„ __...... ._Emergency Email Address: ' V ev 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: _ ,�CCwp .. '` Requested Maximum number of persons allowed to occupy Dwelling Unit Number of rooms in Rental Dwelling Unit: w Use and Dimensions of each room in Rental Dwelling Unit; Page 3 of 5 Town Hall Annex � Telephone(631)765-1802 54375 Main Road w i Fax(631)765-9502 P.O.Box 1 179 Southold,NY 11971-0959 if COU k 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. ❑ 1 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 At me e I d(A , certify under penalty of perjury, the following: 1. 1 am the owner o 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)76.5-1802 54375 Main Road k Fax(631)765-9502 P.O.Box 1179 Southold,NY 11971-0959 BUILDING DEPARTMENT TOWN OF SOLTHOLD applicable laws and rules. I further acknowledge that I will notify the Town of Southold Building Departmipnt 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: Property Owner's Signature: Swor for e 30 day of �a�� , 2=— Official Notary Public Signature and Original Notary Stamp 6t-1 York 01C w141215 �e: i.'Z on i%� Page 5 of 5 xr "Y a DING DEPT.' OjjOF SOUTHOLD BUIL c100, 765-1802 + � " INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATIO CA L I G [ ] FRAMING /STRAPPING ] FINAL�Q,,,," 4�4m;jr [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) [ ] CODE-VIOLATION [ ] PRE C/O REM KS-0 , DATE INSPECTORJOQ� Town Hall Annex Telephone(631)765-1802 i 1 .1 54375 Main Road Fax(631)765-9502 P.O.Box 1179 Southold,NY 11971-0959 4 y, t BUILDING DEPARTMENT TOWN OF SO [OLD 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 le o essi+nn rl seal re aired air Architect or Fn sneer licensed Home los actor roustpLqvide copZo valid current cerciication Rental Property SCTM Number: Rental Property Address:� �"" �1� ,. � �� Owner/Name. '._.. ..__ Rental Dwelling Unit Identifier: �2(AJ 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 Cone*aLontruction Code of New York State. Print Name and Title "wk nature Please place professional seal: 1 1-314'x11 314L4L=€AsA IvP. f g BEDROOM #1 [ € [ 3 -_. - 9 PATIO # I 1 f I I I '. I 350_GISTS�15•pF I 1 { I t 1 1 44 WASJFR- 3 I # 1 t 1 fill IIII IIII , #` I s -� IIII fill \A/ IIII if; = IIII IIII IIII [I I j 1111 II;I SII II u 1 IIII 41 I'll IIIIIII is t BATHROOM #1 111 11. e o eca+fw� I t I I n_ es s 4.Il IIII if11ROOM � IIst I KITCHEN fill GT�DPALCEIeo arwN r �.R nffi� � 0 1111 € X11 r I 0 IIII ., 131 t-iia.ts v voce �1, ---------- --.R--------- a--------� —��-- 1 ill II11 lllQ: I I wct �` _ IIII IIIlo1 i € I IIII t 11° s fill IIII Q1. I e IIII IIII ' t fill x `.III fill I i Ii IIII [ill I :111 II.! III I a m f I M"OR ENTR'( 8'-Cr IN I t j i 4 1 i fill t e•- CLP— - I I 1 I all ^ 11 �� I IIII -. I '3 k#$IFADER - �1,. : t t I ; was• -=a � tz�-s�- t'=•�aII �,'a�' FIRST FLOOR PLAN 505 PLUM ISLAND LANE, ORIENT 1/4" = 1'-0" 7,28.16 Ee- COMBINATION SMOKE AND CODETECTOR -- ` ' Z I I ] I BEO RIDOM #2_ If I iT i 41 i t E _ • z t I 1 I _ ATROO I € I I 2 FT-7 4 r Ell HJUL a I ¢ , t II I ! Ili [ ; OPEN TO BELOW 11 BEDROOM #3 , `� I INI'.II ' ! 1 BEDROOM hll hl I BED M I 1 ! JII )II u =` #4 I I I III Ii rc u.€° 1 _ ®Q I a i 1 II II Y. - - -f 2) 1-3/5`�t16'6)-R� E ' I 0 8 lill IIII N r« I — )-3ir..a'E— !III °i a� � ti)caia s-a i.�RxE - T.—e—am.-eg—ffi_ I I III Ir _ ���_�_ —__ m� I illl N tH i ' � IIII -- IIII :I! _� �h��• � � , « -ill I•f II• FBATHROOM #3 / NAM:, � !I I !if! 1_44�L�LROOIM 94 771 1 - - l I 2 _•. _ , - 's-----� i SECOND FLOOR PIAN 505 PLUM ISLAND LANE, ORIENT 1/4" = V-0" 7.28.19 COMBINATION SMOKE AND CO DETECTOR I PATIO r t -aaa sys I I a [ I l 1x l 1 [ I I 1� 31=f lSi i.- .mss g F. 1 1 I I I1,1 I o UNFINJSHED BASEMENT a II UTILIT Y POOM b I I 41 car.sLW o ;; [ Z =s Iz I �1 f t I I ------- vAsawYSTOOP&STMIS �i`F --4— % i I p I Ca I .�.�.. ...Ren 1-4,441s--I 1--E - -- - -•"e��t �-�'_.Fpm - �._a` ' --�f_c3` �as= - FOUNDATION PLAN 505 PLUM ISLAND ILANE, ORIENT 1/4" = V-0" 7.27.19 COMBINATION SMOKE ASID GO DEFECTOR 315J'�0� f , Tow#of Saotbw P.Q.Elaz 1179 ,),$Nuja Rd sw York 119'11 r r CF ()CCtIPANCY OF Data; VS.20n Mir. 42U5 1 *$ tar NaI�'" +lit IFAMILY DWFAj.N(i ttirot 45 Lrt lw App N ` all 060 a� ut Wswtr fa 11wiE� 0; to thea iaeWD W261-1019 �t Pe No 4451 o of to w1st 1 wh Ia JVSW19 wm icmwad.a aK040c i m u„sll of the rewoi of t,); wp IicAw,,,,c whititi ceati�ic a is icsucd is' t1 wtlh lu'if�tl�S .�iiS`ri'K"_t hca�c:tl����_t��am�,��t hatirm4lM.!S. D9t �K4-1rw. 503 is iasatA to P'f�n Isltard Ln LLC f of a '�t IltuiWijn& a 1151202.. SU I COUWy Dj:pAj(,jM 'OFWFAI.THAPF1i0'1(AI. �""'1� 1(tU-16-UaS 71'2.1(.20")1 sa15 5!� I1If',`ATiC NO- a lrx+3rt► C ,W I KATION DATED 121 E�tl")D � r �P 1, �,�w.wlYxwwwMWIWW� W1n 3123!21122 f Oat, Vim it int . iulfirltl ' PA). Box 53005 Nl:tin Rol � �� hnuthuhl, SCSv 1`otk i 1071 CER,rIFIC,va' OI'' OCCLiP,A.NCY Date: ;/2312022 No: 12a; T1 US CE RI IF1ES that the building 1N (-,w)UNf) PCl(11, ;(lti Plum Island IIM, Location of Propert• m -. -- SrclBlocl. Lot: 1 SS) - 4C"T�'�] #: t ''. Lot No. Filed Map No. a�nfiurnti strhr,tanliahh rkrhe ,Application Iii BUildinC Permit hell-eto�l'orc tiled in this oflicla dated `,ui►dry isiun: I;7,15 dated $12021 1'/13/2021 put-susmt to ,viliell Building Permit No. 1 '2 waS issu11 ed, and ce,nforms to all of the requirements ol-the applicable pru�i.iurts of the law. The occupane ; for ,�,11ich this certificate is issued is: acce�sort'in unci swimtni pex__fenced lu c<�de as applied ti7r, The certiticale is issued tO5 11 0 1 5 I'll utt Is}and Ln L}.0 ofthe aforesaid huildirtg. SUFFOLK COUNTY DEPARTMENTOF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. I i?1� I()lfs'?i►?1 PLUMBERS CERTIFICATION DATED j a mtt I' �'onature