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Home My WebLink About1000-15.-6-30 $# a. TOWN OF SOUTHOLD Rental Permit a 0666 Owner Tammy McPhee Occupied as Single Family Dwelling Located at 50 Three Waters Lane Orient 15-6-30 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. 6/13/2022 oche E -o a e Official This Notice must be posted by the main entrance at all times rf�Wo!uoraiir Town Hal:Annex �Q Telephone(631)765-1802 54375 Mah.RoadFax(631)765-9502 P.O.Box 1179 Southold,NY 11971-0959 M ( p l'P�fJ�, BUILDING DEPARTMENT TOWN OF SOUTHOLD .MWN OF SC)01116-n RENTAL PERMIT APPLICATION iiental Permit Fee $200(Application must be renewed every two years) Section A. Property information: p y s: Rental Property Address: "p t• >2 �" = 1 . . ,� Nis,, '� �. Tax Map Number: 1000 SECTION_LF7 3 8 V-BLOCI<� 5 M -LOT - 30 SECTION B. OWNER INFORMATION: Property Owner Name: _ Property Owner legal Address: Property Owner Mailing Address: Telephone �._ 1 Sib F�tiamber(s): Daytime�` �„ '` vening 3�s'��Emergency 9 3�7 b�55 Property Owner Email Address: 4��c_ k1. Page 1 of 5 JJf Town Hall Annex e Telephone(631)765-1802 54375 Mair:road Fax(631)765-9502 P.O.Box 1179 Southold,NY 11971-0959 'J Y' BUILDING DEPARTMENT TOWN OF SOUTHOLD Section C. Authorized Agent Information: Name of Authorized Agent of dwelling unit, if any: L� Address,of Po ithorized Agent (no P.O. Mailing Address of Authorized Agent: Telephone Number(s): Daytime Evening,,,,, Emergency,_,_,,,,_.__,___. Email Address: Section D. Managing -\gent Information: Name o`Authorized Agent of dwelling unit, if any: Address ofx u horized Agent(no P.O. Boxes):w_ ,, ,.,, ,__—,., -- _ Mailing Address of Authorized Agent: Telephone Number(s): Daytime Evening Emergency�_�� Email Address . ,,, ..._.__ �..� SECTION E SITE MANX GER INFORMATION: (required for rental properties containing s or more rental units) Name of K naging Agent of dwelling unit, if any: Address of Managing Agent (no P.O. Boxes);�._._w� ___ ,._._... a................. .... _.....� Page 2 of 5 X, Town Hai! AnnexTelephone(631)765-1802 o , 54375 Mum Road Fax(631)765-9502 d- P.O.Box 1 179 Southold,NY 11971-0959 fz BUILDING DEPARTMENT TOWN OF SOUTHOLD Mailing Address of Managing Agent: .... _.._ _.. _.00...._. .... ..... ...w.... _w�._ Telephone Number(s): Daytime Evening____Emergency .__ Email Ades e.:,.s: _. ._ ._ _ ...... SECTION F. PROPERTY DESCRIPTION: Mumber of Rental DwellingUnits onproperty: t EIS R>�n�h L'��'u5�� E _....._w. . Fcr leach Rental Dwelling Unit set forth the Rental Dwelling Unit identifier (for example, UAit Unit 2, Unit 3 or Apt A, B, C);the use of each room in the Rental Dwelling Unit (For(,xample, 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 Un Nun-,,ber of rooms in Rental Dwelling Unit: Use-,and Dimensions of each room in Rental Dwelling Unit: �: � 10�5X ��a IJ =- )a7i5,5 1P Page 3 of 5 lira, 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. I N S P E 'k=:kN: 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 la.,vs <,dopted by the New York State Fire Prevention and Building Code Council. l am requesting a fire safety inspection to be performed by a Code Enforcement Official f;on 'he 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) ) COUNTS'OF, SUFFOfLnK) Y"l q✓xnC ' ��, 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 t Town Hall Annex /' Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 . P.O.Box 1 179 Al�od a Southold,NY 11971-0959 BUILDING DEPARTMENT TOWN OF SO ]SOLD applicable. laws and rules. I further acknowledge that 1 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, ; ,,411 otify the Town within five (5) business days as to any change to the information refia:rding Authorized Agent, Managing Agent, or Site Manager. Property Owner's Name: Tarm1' ., mc—P "e Wim. _..H._...,µ..._. _...,� p n, Property Owner's Signature: �._.n Sworn to b, re me thi ay of 20 2L Officia 1.1-ot:-�-y Public ature and Original Notate V vaaee nrrwra,,i. DaWnloh��son Norn.Fv ,,Notary pulrili(,,State ofNew York fU I' Ngu OIJ06349053 Qualified in S uffulla County Gammissior�Expires fres 10!11(20- Page 5 of 5 qf so T5 OWN OF SOU OLD BUILDING I 631 -765-1802 INSPEC ION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATIOWCAl [ ] FRAMING 1 STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INf [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PE [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FII [ ] CODE VIOLATION [ ] PRE CODATE [ I 0c I VI" INSPECTOR May 8, 2022 Town Hall Annex ° a Telephone(631)765-1802 54375 Main Road ` Fax(631)765-9502 P.O.Box 1179 µ Southold,NY 11971-0959 ° �F m mr gm ' BUILDING DEPARTMENT TOWN OF SOUTHOLD 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 i ro ssiorlat seat re tired dr rctlitect or n ineer ticerlsed lorlae irls actor rraust rovide cogy of valid current certification Rental Property SCTM Number: "1 1 3M I - 6 - 30 Rental Property Address: 60 Three Waters ers Lane. Orient NY 11957 Owner/Name: Tammy McPhee 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.) Bedroom #3 120 soft Bedroom #2 180 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. Victor Cornelius III CEO Inspector Print Name and Title ceo# 1216-02$3 Original Signature Please place professional seal: It PELLA PATIO DOOR, PERM" LABELS Al TICH W3630 VCL X-j HBED -A i te -CAIR"CL WAGE ROOM 3 DINING ROOM BEDROOM I UF AV TH 2 Q z U lix 2 KITCHEN 2 2- Is 2 1 H, o i 2 1 d a 1 A4 ViSuEoCS 0 4 LkyM 311r 3 PLY 24/0 PLrAlow '4' z 13 p: b iL !\'-NG R001`1111 VN t0e c 6 2 rBATH BEDROOM 2 Ld I(V b JWUM L c sWT T ti - U 2,4- 7-E rw „..,�.,... ....,... Jy hr' ...�.,... .. ...........W . _ f C W3630 ,A yz A �,T,is �.,yf,�.�';1 13 3Ii0U 1 .? !N(” �1!JOM �r a Ewi ,u GARAGE, d77�Y a s LIFDRGUA4 1 J &' b$SY � 4F 3 .q. A pIr-- 4roayt '" "I 4 . Y �f J , w ti B,wli�;4 wrn 9'a �m .z^u ✓' � r �" � �� '"Npp f F w'� �w NJn I20 � ,.rfld 4 LAYERS /�1 3 PLY m�r.;r P(.YY/CICSd hP"rvry i pp a f " M.M 1 4 BEDROOM 2 it 213AT13 � 1 LIC r:uu�tA dL F40 .......,,.,®� Y{% N b .. "yJt........, ,.,„ .............. ago 9 a� Coe a u1 MUM 5m6 kcl eAeaav caro x;us � } rke IHAT � VIM i t� o� cr) s4 1 -7/301X18 A TOWN OF SOUTHLD PROPERTY ItECUK FFtIS 1;61 NER DIST SUB LOT n u E - ACR. )77 � W ° TYPE OF BUILDING RES. I SFAS. VL FARM COMM. CB. MISC. Mkt. Value NO SMP, - _ - - TOTAL DATE REMARKS r c E a Sk s F ! t AGS BUILQING CONDITION NEW NORMAL \ _ BELOW ABOVE FARM AcreYalue Per value Acre Tillable.__. I Tillable 2 s Tillable.__ 3 i Woodland Swampland FRONTAGE ON WATER BrushlondFRONTAGE ON ROAD House Plot I DEPTH Total DOCK — — � t lhl v E g . o s = i 15-6-30 12/02 ; 4 E M. 6l 2 K � l��Fr�, 2;55 Foundation Bath rit 6denson € eget ` :Floors =K. e s s Extension ;Fact. Walls ,�L.. �Interior Finish Extensions i !Fire Place HeatRJ Type Roos Rooms 1st Floor E iSRI Porch Recreation Room Rooms 2nd Floor ? FIN. Porch Dormer Breezeway Driveway I i Garage Z qOJ e� Pats a (o€� 7 � t2/ 2 Q. B. t � a Total ? _ _ FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-29024 Date: 10/28/02 THIS CERTIFIES that the building NEW DWELLING Location of Property: 50 THREE WATERS LA ORIENT (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 15 Block 6 Lot 30 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated APRIL 30, 2002 pursuant to which Building Permit No. 28384-Z dated mm_ ww wwwm MAY 142002 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 ONE FAMILY DWELLING WITH COVERED PORCH AND ATTACHED TWO CAR GARAGE AS APPLIED FOR. _ _ ........_............. ........................ ._.� & ROBERT AUGUSTINE The certificate is issued to YVONNE BREUER .. .Mmm w www__.. _ _.M.M.......... (OWNER) of the aforesaid building„ SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL R10m02-0026 10/09/02 ELECTRICAL CERTIFICATE NO. PENDING 10/08/02 PLUMBERS CERTIFICATION DATED 22126/q.2 HARDY PLUMBING & HEATING Authorized Signa-W a ;,17 Rev. 1/81 �w c Fat/( . Town of Southold 6/3/2023 P.O.Box 1179 53095 Main Rd Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 44151 Date: 6/3/2023 THIS CERTIFIES that the building GENERATOR Location of Property: 50 Three Waters Ln,Orient SCTM#: 473889 Sec/Block/Lot: 15.-6-30 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 12/15/2022 pursuant to which Building Permit No. 48779 dated 1/23/2023 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: accesso ever fora lied f r The certificate is issued to McPhee,Tammy of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 48779 5/3/2023 PLUMBERS CERTIFICATION DATED