HomeMy WebLinkAbout1000-15.-1-33 4s
TQOWWWN OF SOUTHOLD
Rental Permit
0661
Owner SEEORIENT LLC
Occupied as Single Family Dwelling
Located at 3955 Park View Lane Orient 15-1-33
Maximum Permitted Occupancy 4
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.
6/6/2022 _
o _ rc e Official
This Notice must be posted by the main entrance at all times
Town Hall Annex °0.. Telephone(631)765-1802
„fi
54375 Main RoadFax(631)765-9502
P.O.Box 1179
Southold,NY 1 197 1-0959
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
RENTAL PERMIT APPLICATION
Rental Permit Fee $200(Application must be renewed every two years)
j Section A. �� bip' m.e.
Property Information:
Rental Property Address:
SSS
Tax Map Number: 1000 SECTION ( -RLOCg -LOT 33-
SECTION B.
OWNER INFORMATION:
Property Owner Name: �-36
Property Owner Legal Address: Property Owner Mailing Address:
# . C). 1� fo
Co?�l • 2�s • 3� � ) "�"
Telephone Number(s): Daytime Evening ergency
n
Property Owner Email Address:
NJ
Page 1 of S
7
IiN
Town Hall Annex ' Telephone(631)765-1802
54375 Main Road ,�a 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: 1�Wg
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: PO 1. c
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: VS
Address of Managing Agent (no P.O. Boxes):
Page 2 of 5
Town Hall Annex, Telephone(631)765-1802
54375 Main RoadF Fax (631)765-9502
P.O.Box 1179 u C ISS
°
Southold,NY 1 1 971-0959
roum
14
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
Mailing Address of Managing Agent: 1.34
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:
Requested Maximum number of persons allowed to occupy Dwelling nit-
Number of rooms in Rental Dwelling Unit: o �
Use and Dimensions of each room in Rental Dwelling Unit:
.V, 3 -1.. • s x Z
Vi v Px x -4
12�yk 15 15
Sohn=W%- 115.s x l►.s �'t'1n 2 -
Page 3 of 5
Town Hall Annex f, Telephone(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.
❑ 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 Np rit 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 S
4'Town Hall Annex hone(631)765-1802
� „p Telephone
54375 Main Road
Fax(631)765-9502
P.O.Box 1179
Southold,NY 11971-0959 1�4 413i "
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: t�sr
Property Owner's Signature:
Sworn to before me this i I day of ( , 20
Officia o ar"y Public*;S gnature and Orl inal Notary Stamp
JEANMARIE ODOO
hRata►y PubtIC,St--ft P� CSO X36 Now York
No.
Qualified in Suffolk County
Commission Expires November 14,20
Page 5 of 5
' TOWN OFS TT L M
631 -765-1802
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PL13G.
[ ] FOUNDATION 2ND j ] INSULATION/CAI
[ ] FRAMING / STRAPPING [ ] FINAL
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INS
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PE
[ ]
ELECTRICAL (ROUGH) [ ] ELECTRICAL AFI
[ ]
CODE VIOLATION [ ] PRE C/O [ I
REMARKS:
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SCTM #
TOWN OF SOUTHOLD PROPERTY RECORD CARD
OWNER STREET _ VILLAGE DIST SUB, LOT
55F
ACR, REMARKS �
TYPE OF BLD,
PROP. CLASS
LAND IMP- TOTAL DATE
' ` `t L(D io
FRONTAGE ON WATER HOUSE/LOT
BULKHEAD
TOTAL
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TOWN OF SOUTH PROPE
111TY RECORD CD
MINER, \: VILLAGE DIST.
SUB. LOT
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.MER OWNEF � � N E ACR.
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SEAS. ,VL. FARM COMM. CB. MISC. Mfct. Value
LAND lMP TOTAL DATE REMARKS
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F01M NO, 4
TOWN OF SOUTHOLD
BUMDING DEPARTMENT
TOWN CLERKS OFFICE
SOUTHOLD. N. Y.
CERTIFICATE OF OCCUPANCY
No. . '. . . . Date .. .. . . . . . .. .... . . . . llxgUf!`G., .$., 19,
THIS CERTIFIES that the building located at SIS .Pa k. View Labe. . ... . . Street
rev Acres .. .
ap . trock No. . . . . . . . . .Lot No. .. . . . . . . . . . .
conforms substantially to the Application for Building Permit heretofore filled in this office
dated . .... . . . . .. . Deco. . .g. . ., 1964. pursuant to which Building Permit No. 2603. Z .
dated . .. . . . . . . . . . ..Dee. . ..9. ., 19.14., was issued, and conforms to all of the require-
ments of the applicable provisions of the law. The occupancy for which this certificate is
issued is , , PriVatJa ,One. :CatltiIY� AV0,.3-1zg. . . . . . . . . . . . . . . . . . . .. . . .. .. .. .. .. .. .. . . .
The certificate is issued to . EdWSX%d.Wagner. Wife, • • •• • • • • rt Oda. .... .. . .. . . . .
(owner, lessee or tenant)
of the aforesaid building.
Suffolk County Department of Health Approval . AUSUZt .8.9_1966.. .By.�. .Y�.7.18,
Building Inspector
FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Town Clerk's Office
Southold, N. Y.
Certificate Of Occupancy
No. —3. 1447. .447. . Date . . . . . . . $4 — 14. . . . . . . , 19.49.
THIS CERTIFIES that the building located at 10. . MUM. IA 1►. . . . . . . Street
Map No. . X" . . . . . Block No. . . . . . . . . . .Lot No. I# . . Wont* . . . . . . . .
conforms substantially to the Application for Building Permit heretofore filed in this office
dated . . . . . . .J y. . .27.,., 19.59. pursuant to which Building Permit No-4279. 2 . .
dated . . . . . . .o7muery. . .27.,. ., 19. 6.9, was issued, and conforms to all of the require-
ments of the applicable provisions of the law. The occupancy for which this certificate is
issued is . . . . .ps 1"tw,lt fmally. -4w*1 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
The certificate is issued to . . . 4. Mrs.• to. .Wa . . . . . . . . . . . . . . . . . . . . w . . . .
(owner, lessee or tenant)
of the aforesaid building.
Suffolk County Department of Health Approval . . . . . , „ .
Building Inspector
FORM NO.!
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN CLERK'S OFFICE
SOUTHOLD, N. Y.
BUILDING PERMIT
(THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL
COMPLETION OF THE WORK AUTHORIZED)
�
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N? 4178 Z
o�te ...................
..........»..................... ....».,......., 19......,1
Permission is hereby granted to:
k!A G�
[Ea F��i4 c to IIEI�
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f T ,� e*BNTRAc7,VRs
to ...........�...A..........�...........�.... s.........».»...Nd t.....r- ....................................
.......................
atpremises located at ............................................ ............ . ............................ ....................
.......................................................................�"��,` ,E!� CR..
........� ................................................
Q P1,E
....................................
........................................................................................................................
pursuant to application dated ......................V 7»...•`A—Af.............. 19.61, and approved by the
Building Inspector.
Fee $-:4K...............
71
...,.,.».............. .. ,..».....»......»»,.,....
BuildingInspector
FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No: Z-26445 Date: 05/11/99
TRIS CERTIFIES that the building ADDITION
Location of Property: 3955 PARE: VIEW LA ORIENT
(HOUSE NO. ) (STREET) (HAMLET)
County Tax Map No. 473889 Section 15 Block 1 Lot 33
Subdivision Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated APRIL 19 1999 pursuant to which
Building Permit No. 25693-Z dated APRIL 27, 1999
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 TO EXISTING ONE FAMILY DWELLING AS APPLIED FOR
"AS BUILT".
The certificate is issued to ALPHONSE J. & CHRISTIANE MARISSAEL
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A
ELECTRICAL CERTIFICATE NO. N/A
PLUMBERS CERTIFICATION DATED N/A
Building Insp for
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-32066 Date: 12L12
THIS CERTIFIES that the building ADDITION _
Location of Property: N 3955 PARK VIEW LA ORIENT
(HOUSE NO.) (STREET) (HAMLET)
County Tax Map No. 47388 9 Section 15 Block 1 Lot 33
subdivision Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated AP'RI'L, 28 2006 pursuant to which
Building Permit No. 31938-Z dated MAY 1 2006
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 UNHEATED SUNROOM ADDITION TO AN EXISTING SINGLE FAMILY DWELLING AS
APPLIED FOR, �-
The certificate is issued to SE' O'RI.ENT LLC
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 3015910 11/30 06
PLUMBERS CERTIFICATION DATED N A
VSignature
Rev. 1/81
.......... .......... ..........
CIA Town of Southold 6/4/2022
P.O.Box 1179
53095 Main Rd
Southold,New York 11971
CERTIFICATE OF OCCUPANCY
No: 43128 Date: 6/4/2022
THIS CERTIFIES that the building ADDITION/ALTERATION
................................ . ......................
Location of Property: 3955 Park View Ln.,Orient
SCTM#: 473889 Sec/Block/Lot: 15.-1-33
............ .......
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
11/22/2021 pursuant to which Building Permit No. 47225 dated 12/14/2021
............. ............
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:
dditionL
aQ - f6t,
—a-1tera.t—i0n,sf0Lathroqi app
-b—
The certificate is issued to SEEORIENT LLC
............ .........
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 47225 5/16/2022
PLUMBERS CERTIFICATION DATED 5/6/2022 sop hitecava
.
.........
A t ix gnature
'o °
Town of Southold 6/4/2022
P.O.Box 1179
53095 Main Rd
Southold,New York 11971
CERTIFICATE OF OCCUPANCY
No: 43127 Date: 6/4/2022
THIS CERTIFIES that the building IN GROUND POOL
Location of Property: 3955 Park View Ln.,Orient
SCTM#: 473889 Sec/Block/Lot: 15.-1-33
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
4/13/2015 pursuant to which Building Permit No. 47722 dated 4/21/2022
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=gr andwu : r c cal s a a
-p-lied fQ .,
The certificate is issued to SEEORIENT LLC
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 39692 5/7/2015
PLUMBERS CERTIFICATION DATED
gnaturo
Bunch, Connie
From: daniel finne <finnecontractinginc@gmail.com>
Sent: Wednesday, May 11, 2022 7:12 AM
To: Bunch, Connie
Subject: Combination smoke/carbon detector at 3955 park view lane Orient Company Rental
permit
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