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HomeMy WebLinkAbout1000-14.-2-19 -3` TOWN OF SOUTHOLD Rental Permit { 0651 Owner Mark Wilson & Kristin Baird Occupied as Single Family Dwelling Located at 730 Bight Road Orient 14-2-19 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. 5/18/2022 f"V 11L rc nt officialThis Notice must be posted by the main entrance at all times rerl n� a FD Town Hall Annex Was�d& �,��,��� Telephone(631)765-1802 54375 Main Road � � "i�u I'4 QOLD Fa 765-9502 P.O.Box 1179 � �tl Southold,NY 11971-0959 y 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: Tax Map Number: 1000 SECTION w.....�._-BLOCN .Ww.......... �.. ._... ..-LOT . ..'. ,..._. `1 � M SECTION B. OWNER INFORMATION: Property Owner Name: ...... __.. ..'.. .......�....._.... ...,_...... .__w�. .. ........, _ ., ..... . Property Owner Legal Address: Property Owner Mailing Address: Telephone Number (s): Daytime, Evening, Emergency 99 ._..._ Property Owner Email Address: .___.. .,., ......_..--.-- vv- � sZaTJ Page 1 of 5 0"' 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 SOU OLD Section C. Authorized Agent Information: Name of Authorized Agent of dwelling unit, if any: .,.__ . . . .._, ._m...__. ._ .................. ...___ ww Address of Authorized Agent (no P.O. Boxes):_„-_....... ................ ....._� _,......._.._........... � _._..�._......._�__ Mailing Address of Authorized Agent: ..._.._........_....wwww___,.,_ _....... . __........... ...... ...n,� _,.,. _. .__ Telephone Number(s): Daytime.......__._._............. ......w........vwv.... Evening,,_.._.,.. .....­...___Emergency........._..., ._.__-- Email Address: .. .w._...._.................�w..._. ........ .w..�.��.������..�.,.�.�.�.�.�. �._.. .�_��._._...ww_._...._.._..,�_. ............��..........a�.._w_ .. M..._.-_����__......_.a.� _�. Section D. Managing Agent Information: Name of Authorized Agent of dwelling unit, if any: w m � .....,..�.._._.....,___�. .... _..........__ Address of Authorized Agent(no P.O. Boxes):_..---.,---.--...... ......... �..._ Mailing Address of Authorized Agent: _,.......... �...,,,,,.._ www... ._.. mm. ... _. ... . Telephone Number(s): Daytime-......_,. ___n,,,.,_ .,_,_Evening Emergency EmailAddress: ,,. -.......�........................_._.w_ ......� _................M� w_�. .__�._ ....�._ ._...... _........ _�w...._� �.�..._ Mw _ __��www ... SECTION E. SITE MANAGER INFORMATION: (required for rental properties containing 8 or more rental units) Name of Managing Agent of dwelling unit, if any: _,_,.............W.. __.._ _......��..,...._v_....�_........... ......... � ..._..��. Address of Managing Agent (no P.O. Boxes):_........... .�� ���_.._..._..v. .......... ...........�_,. �.�....._�.�...�..__......_ �w_..... .. Page 2 of 5 Town Hall Annex Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1 179 Southold,NY 1 1971-0959 BUILDING DEPARTMENT TOWN OF SOUTHOLD Mailing Address of Managing Agent: ......._ _..www __.....���.... .._.._��............�._ �..........._.. .�......��__........�_ ..._....�.....�.�.w.. .. ._ Telephone Number (s): Daytime, ......- Evening........... Emergenry­ �w�.... ..................�.�... ... EmailAddress: w m.........._... _ ...._........_....._.M..... u.........,.._.._........... _�.�w_..._ __._........._ .ww�.. .....�......�.ww�..� _. SECTION F. PROPERTY DESCRIPTION: Number of Rental Dwelling Units on property. ,_,,,,,,,_ �ww._......._,......... ww........... ...w_.�_.__w_.... 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: . __.._.... ._.,. . ......_M ....... .........._......_ W_..._._..._.. Requested Maximum number of persons allowed to occupy Dwelling U �m... Number of rooms in Rental Dwelling Unit: .,,_,,, ... _........ .... � ....M_w_.,, ..m...r .......a...... ��' Use and Dimensions of each room in Rental DwellingUnit: � t, EqK ..ww.......Pea . �Me�... _..w.._.....�'...w ...........:..w......`�..a _ ..�_ Page 3 of 5 Town Hall Annex Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1 179 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 ❑ 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) . ..W. h2—..... ..., 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 Southold,NY 11971-0959 BUILDING DEPARTMENT TOWN OF SO SOLD 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: _V, Property Owner's Signature: __ ___. w............................. ....._ �.�.._.�...... �.,. .. Sworn to before me this_day of.. ._ m ,.,...,, ., _.. ., .� 20._.__ Official Notary Public Signature natu re and Original Notary Stamp Page 5 of 5 �p u 631-765-1802 FIREPLACEINSPECTION , I FOUNDATION 1ST ROUGH PLEIG. FOUNDATION 2ND INSULATIOWCAULKING FRAMING /STRAPPING FINAL RESISTANTFIRE I ELECTRICALELECTRICAL CODE VIOLATION REMARKS: _.. (V DATE t� INSPECTOR r £ OLOR TRI r € ° --4- -7-1 � I t a 14.-2- 1 19 6/11 E a e M. Bldg. I i Extension _ I ° , I Extension ; 1 ; a , _ Extension .. 77p rte' E _ ;Foundation B _ Dinette I Both Parch Basement Floors -%rcl € Ext. Walls 4, Interior Finish „ ILR. Breezeway Wire Place Heat DR. '� i Gar a, 7, ' __ Pe Roof I Rooms 1st Floor Retic► i =_ R - oo s 2nd FI FIN. B s� r '< \ Rec rea r iB € R tion m Room oo `F F E _ Dormer Driveway am I 0 , - 1 N fAie, - I rtui VNO u 7 r FORM xa a '''"y, ,' TOWN OF SOUTHOLD BUILDING DEPARTIdENT Town Clerk's Office Southold, N Y. Certificate Of Occupancy No. A7.?6:+. , , . . . Date . . . . . . . . . . . . . e11 . .�. . 4, . , ., 19.7b THIS CERTIFIES that the building located at .Bight_ Aqad. . . . . ! . . . Street Map No.1'gtt, Dj&tBlock No. . . . . . . . . . .Lot No, . jp. . , Orient. . . . . . . . . . . . . . conforms substantially to the Application for Building Permit heretofom filed in this office dated . . . . . . . . . . . . .12 April 10. . pursuant to which Building Permit No. P.4941 . dated . . . . . . . .Apri1 13 19.?6., was issued, and conforms to all of the require- ments of the applicable provisions of the law. The occupancy for whish this certificate is issued isPrivate one family dwelling. . . . .. . . . . . . . . . . . . . a . w w µ µ µ w 4 w . * µ w George Newman "weer The certificate is issued to . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (owner, lessee or tenant) of the aforesaid building. Suffolk County Department of Health Approval AQP:( . .?1. . .197A . ,by 4! Villa. . UNDERWRITERS CERTIFICATE No. Pending. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . HOUSE NUMBER . . . . . 7aQ . . . . . Street . . Fsight, Koad, Orient. . . . . . . . . . . . . . . . . Building nmmAo .. ... .. `matlrvnn 46 FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-27930 Date: 09110101 THIS CERTIFIES that the building DECK ADDITION & ALT Location of Property: 730 BIGHT RD ORIENT (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 14 Block 2 Lot 19 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated AUGUST, 8, 2000 pursuant to which Building Permit No. 26713-Z dated AUGUST 11 2000 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 DECK ADDITION AND ALTERATION TO EXISTING DWELLING AS APPLIED FOR. The certificate is issued to BRUNO J & FELICE SEMON (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. H072486 08/13/01 PLUMBERS CERTIFICATION DATED 03/06/01 BRUNO SEMON cilk Authorized Signat e Rev. 1/81 0 �,. �� �� FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-28983 Date: 10/10/02 THIS CERTIFIES that the building ACCESSORY Location of Property: 730 BIGHT RD ORIENT (HOUSE NO.) (STREET) (HAMLET) County Tax Map No_ 473889 Section 14 Block 2 Lot 19 Subdivision Filed flap No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated MARCH 8 2002 pursuant to which Building Permit No. 28156-Z dated MARCH 11, 2002,, 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 INGROUND SWIMMING POOL WITH FENCE TO CODE AS APPLIED FOR. The certificate is issued to BRUNO J & FELICE SEMON (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. 1060576 06/24/02 PLUMBERS CERTIFICATION DATED N/A Authorized w. nature Rev. 1/81 FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-25825 Date: 07/14/98 THIS CERTIFIES that the building ACCESSORY Location of Property: 730 BIGHT RD ORIENT (HOUSE NO. ) (STREET) (HAMLET) County Tax Map No. 473889 Section 14 Block 2 Lot 19 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated JANUARY 10 1997 pursuant to which Building Permit No. 23905-Z dated FEBRUARY 3 1997 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 GARAGE AS APPLIED FOR. The certificate is issued to BRUNO J & FELICE SEMON (OWNER? b of the aforesaid building. a SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. H--059265 03/27/98 PLUMBERS CERTIFICATION DATED N/A B uli46 Inspectc Rev. 1/81 z8 Ex%O%2�G�ky%JIM � � z a n ......:.:,.,...,..'^!sir N W x 00 wx YU N OD Z x `O �;m m bxu mit E%4tln02"%®"rmi8"Gc CaYq Jaya O 4� � �Za W� o zis m U Gry x E%briy 2'k� W F C° EXISTING n 2" ROOF RAFTERS MST— .L Xk8 tY oc Cci FLOOO JOlaT Z Cj in G � x aJca r� gZ ? z W € � o " -J iF tq cy a EJGSTtNti � N ti ISTING OVERHEAD DOOR EXISTING OVERHEAD DOOR �l1 7 O 0] m U) 0 N z C7 d2 2 tC w 1-0 W �C j LL cV w O W C7 Z cv LL EXISTING 2"X8"@16"OC CEILING JOIST g cc' n o Z °C 5 z w d XN Ha M =m &S2 U) U' X z w zOR v X zN a o �o W� W V) U w O vX m Npy W CJW „G'....,,,�I VI U) LU O> LU W m U _ tV F� z O p X _. w Cn ire (v J W r 2 61 0 K 0 W W CO - . .. ... fes.