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HomeMy WebLinkAbout1000-26.-1-6 . TOWN OF SOUTHOLD Rental Permit 0930 Owner Lawrence Bernstein Occupied as Single Family Dwelling Located at 20 Vincent St Orient 26.-1-6 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. 6/12/2023 deE r Official This Notice must be posted by the main entrance at all times Town Hall Annex + � ^` Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1179k$ Southold,NY 11971-0959rwmn M BUILDING DEPARTMENTe � 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 a,10 -BLOCK -LOT—_14 - SECTION B. OWNER INFORMATION: Property Owner Name: Property Owner Legal Address: Property Owner Mailing Address: -- 01 Telephone Number (s): Daytim vening Emergency Property Owner Email Address: " Page 1 of 5 Town Hall Annex �. 'a'-�, Telephone(631)765-1802 54375 Main Road 6; Fax(631)765-9502 P.O. Box 1 179 �st a Southold,NY 11971-0959 UNT 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: 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: in N Requested Maximum number of persons aYlowed to occupy welling Unit: Number of rooms in Rental Dwelling Unit: Use and Dimensions of each room in Rental Dwelling Unit: Page 3 of 5 I Y10, Town Hall Annex "x Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 �` �. ma P.O.Box 1 179 Southold,NY 11971-0959 o i` 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) I = 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 0 s Town Hall Annex ��, Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 CA P.O.Box 1179 Southold,NY 11971-0959 0, Coy BUILDING DEPARTMENT TOWN OF SO 'THOLD 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: _ ► I Property Owner's Signature: Sworn b fore meiPubilic,State kgNew of (ficial Notary P bliOriginal Notary Stamp JEN Notaryrk Ile °No,01K 2096 012ked In Suffolk Coun Commission Expires Decmberl,202,1 Page 5 of 5 so Telephone(631)765-1802 Town Hall Annex 54375 Main Road � b Fax(631)765-9502 �� P.O.Box 1179 Southold,NY 11971-0959 1 ; dm„ BUILDING DEPARTMENT TOWN OF SOUTHOM RENTAL PERMIT APPLICATION ADDENDUM Rental Dwelling Unit Identifier: Requested maximum number of persons allowed to occupy each dwelling Number of Rooms in Rental Dwelling Unit: Use and Dimension of each room: Rental Dwelling Unit Identifier: Requested maximum number of persons allowed to occupy each dwelling unit: Number of Rooms in Rental Dwelling Unit: �. - Use and Dimension of each room: Rental Dwelling Unit Identifier: Requested maximum number of persons allowed to occupy each dwelling unit: Number of Rooms in Rental Dwelling Unit: Use and Dimension of each room: Orlo< TOWN OF SOUTHOLD BUILDING DEPT. 631-765-1802 INSPECTION . FOUNDATION 1ST [ ] ROUGH PLEIG. FOUNDATION 2ND [ ] INSULATIOWCAULKING FRAMING /STRAPPING FINAL FIREPLACEI [ ] FIRE SAFETY INSPECTION FIRE RESISTANT CONSTRUCTION FIRE RESISTANTPENETRATION ELECTRICAL ) [ ] ELECTRICAL CODE I L TI [ ] [ ] RENTAL REMARK .. �' . May 06, 2023 Town Hall Annex hone 631)765-1802 �° �� Telephone 54375 Main Road � Fax(631)765-9502 P.O.Box 1179 Southold,NY 11971-0959 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 Pro ssional seal required for Architect or Engineer, licensed Home In ector must pLoIrid'e copy of valid current cerci catlon Rental Property SCTM Number: Rental Property Address: 20 Vincent S1. Orient 6 Owner/Name: ` 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.) Bp ppt ... Bedroom #2 16 ft Bedroom #4. 160 sqft 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 Titie ceo# 1216-0283 Alginal gnat re Please place professional seal: �aC4 tr nn0 L 1-:V AS NO 765-1802 a- - -- I FOLLOWING M TO 4 FOR E INSPECTIONS: TH _ - - t.FOUNDATION•TWO=EOUIRED FOR POURED CONCRETE 2.ROUGH-'FRAMING E PLUMBING .. - cSL ✓"` I;�, - -- _ ION a.FINAL-T CONSTRUCTION MUST _ - _ BE COMPLETE FOR C.O. ALL CONSTRUCTION SHALL MEET THE F Q50LII!Qr AXN7'7-.,r-SDE'OF FEW ' YORK STATE, NOT RESPOF°BIBLE 0R ( DESIGN OR CONSTRUCTION ERRORS. t_ COMPLY WITH ALL CODES OF NEW YORK STATE&TOWN CODEf AS REQUIRED AND CONDITIONS 0 q RR ;X �I�rS OCCUPANCY OR USE IS UNLAWFUL Q _ WITHOUT CERTIRCA, OF OCCUPANCY 1 .. .. :r.;Tr' PLUMBEPCETT, I � LOCI)D ffs PREVENTION ON'LEAD COi Ertl l r^17—t'o', Tv".''I COGS DERTIF;CATv OF U :;Y t -SOLDER USED N 1/,'A,TE, Gi f'I F`(I J S V1 11 Gt: SUPPL SYSTEM CA 8XCEED 21110 Q LEAD,. fi WATERZ _ P�'H UAE TO i A`1n2:,u isd;F�''SIQi''R_GyUi`;��3 .. 1.1111- 0—c a e.4cm M1 C�2 S-C-C-G-n� 157 � °, R� � ,w � � I TOWN OF SOUTHOLD PROPERTY REC F OWNER STREET VILLAGE DIST.' SUB. LOT >_ FORMER OWNER NE ACR s- C4e—A VA - SW TYPE OF BUILDING RFS ;s $ SEAS. VL FARM COMM. CB. MISC. Mkt. Value I I LAND IMP, TOTAL DATE REMARKS = F kJ r e r - �► c� YBaY } AGE BUILDING CONDITION " NEW NORMAL BELOW ABOVE - _ t FARM Acre Value Per Value Acre V��� �� 2'].7 9 ID Tillable I } � s Tillable 2 , Ti_lable 3 I Woodland I Swampland FRONTAGE ON WATER Brushland FRONTAGE ON ROAD House Plot DEPTH e BULKHEAD Total �DOCK I -MW LO R 3 .s o �_ s 26.4-6 11/14/2018 I C M, Bldg. Foundation Both i n ette Extension _ Basement Floors K Extension .� sr s Ext. Walls `_ Interior Finish LR. 0 ^ I Fire Place a �� a � Extension Fire � C� � Df' Type Roof Rooms 1st Floor -_ 8R. t i - any - ms 2nd Fig FIN. B rs Recreation Room s 3 Dormer — _ ; Stn XZ - 3C� �" Driveway Garage � t O ik i g y n 0 to Total o �� ........... ........ *FGL* Town of Southold 10/6/2017 53095 Main Rd Southold,New York 11971 .......... ......... PRE EXISTING CERTIFICATE OF OCCUPANCY No: 39270 Date: 10/6/2017 .............. THIS CERTIFIES that the structure(s)located at: 20 Vincent St,Orient SCTM#: 473889 Sec/Block/Lot: 26.-1-6 Subdivision: Filed Map No. Lot No. .......... conforms substantially to the requirements for a built prior to APRIL 9, 1957 pursuant to which CERTIFICATE OF OCCUPANCY NUMBER Z- 39270 dated 10/6/2017 was issued and conforms to all the requriements of the applicable provisions of the law. The occupancy for whi6h this certificate is issued is: AQqd frame qngja, 1"fin,.with accesg)r )am.! -y 1_ XotSa. 1111278 addition/alteration to dwSlIbi 6; 1'._1.. 835 addition to dwells" ffi��1620 B 118 1 Z_QQLL6__R_ �_ -Q— acr p9rc _ cclitton& gnpj1Wqaj xistjpgp9r:ch,�QQZ-25800. The certificate is issued to Gesell,William&Joann (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED *PLEASE SEE ATTACHED INSPECTION REPORT. utho Signature BUILDING DEPARTMENT TOWN OF SOUTHOLD HOUSING CODE'INSPECTION REPORT LOCATION: 20 Vincent St, Orient SUFF.CO.TAX MAP NO.: 26.-1-6 .... _.._..........w_........SUBDIVISION: _......._.Hw_.. ._... w_11,William&,..wo _ w_._ _., ..........................._u....�ww_w�_�.............M. �'.�.�.�.�.�.�. .._.�.........._��_m_� Joann ..,µ_ ww.........._._... _........M. NAME OF OWNER(S): Gese....m..m... ... .. �. OCCUPANCY: _ .._..._..�w��wwww____..._..._.ww�w_w.......��.ww..............._....�._�.._........,,,_w_..._..........w_.. ...._.,.................__..wkw ADMITTED BY: SOURCE OF REQUEST: Gesell,William�.......w.........�..........w�..._............ww.__...._._....._..�.._wwwwww�.._._.. ..,. .,.�...__�..�..m_,._.,.... DATE: 10/6/2017 OWED #STORIES: 2 #EXITS: 3 FOUNDATION:..............._.. .wwww.H...w. ...._._.. .................................m,. .........P...........__.. BATHROOM(S): 2 TOILET ROOM(S): UT _w... cement block CELLAR: partial CRAWL SPACE: ... .......... .........,..w, ,w.._....�.._....._...� _ ....ILTTY ROOM(S): _. .. ., _._.,_.. ..... ......... PORCH TYPE: DECK TYPE: PATIO TYPE: BREEZEWAY: FIREPLACE: yes GARAGE: DOMESTIC HOTWATER: ..x TYPE HEATER:.............. ... ��.�....._.,gas.w_�� AIR CONDITIONING: __........ . TYPE HEAT: WARM AIR: x HOT WATER: #BEDI2ClOMS.M. _._._. KITCHENS...�..,..... ......__�w__, ...__......w_..........................._ _..�w,.�..,.._. w.�...w......... ..�.... 1 BASEMENT TYPE: unfinished OTHER: ACCESSORY STRUCTURES, GARAGE,TYPE OF CONST: _........................................................_...................._. ..w... STORAGE,TYPE OF CONST: w.... _.....�.....�.�.�.�......wood frame barn�M. ..�.�.�.�.�.�.�..m....v.. SWIMMING POOL: GUEST,TYPE OF CONST: .............m........,..,.. ________.................. _..................... OTHER: VIOLATIONS: REMARKS: INSPECTED BY: JOHNJ DATE OF INSPECTION: 10/5/2017 TIME START: 2:45pm END: 3;20pm Town of Southold 10/31/2019 P.O.Box 1179 53095 Main Rd 414%. Southold,New York 11971 AL *k 400 CERTIFICATE OF OCCUPANCY No: 40823 Date: 10/31/2019 THIS CERTIFIES that the building RESIDENTIAL ALTERATION �.. ......_. ...� .......... .._......._........................... ...... ... ................w .w.... w� ...... Location of Property: 20 Vincent St,Orient ..... .......................... _�......._.www._._.......w_.. ��w�...__ SCTM#: 473889 Sec/Block/Lot: 26.-1-6 Subdivision: Filed Map No. _M.............._..TM.......Y... Lot No.N-...M.......___w._,.._..._.�.__.. conforms substantially to the Application for Building Permit heretofore filed in this office dated 12/19/2017 pursuant to which Building Permit No. 42271 dated 12/28/2017 was issued, and conforms to all of the requirements of the applicable provisions of the law. The occupancy for_.. ... ..._w.. which this certificate is issued is: TN�TI 1 ')R P hi 1.. 01 S TO—.. N EX I Il l i t 1 1 T AS..MR1,IEI O The certificate is issued to Shayne,Jeffrey&Karen of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL �........_....,�...... ELECTRICAL CERTIFICATE NO. 4227.1w... ............�_ ........_..1.0-25_20..1 9.�._..�... PLUMBERS CERTIFICATION DATED 10-09-2019 ... �.._...w........__...�Joe tit vage ..w�...........�.._....__._..._ " FORM NO.4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold,N.Y. Certificate Of Occupancy No. —Z-16286 . . . . , Date . , , October 14, »1987 . . . , . . , , , „ .. THIS CERTIFIES that the building . , ADDITION TO EXISTING ONE FAMILY DWELLING 20 Vincent Street & Willow Street Orient New York Location of Property . . . . . . . . . . . . . . . . . . . . . . . . . , . . . . . . . . . . . . ..% . . House IVa. Street Hamlet County Tax Map No. 1000 Section . . .026 . . . . . .Block . . . . . .Lot . . ,06, , . _ . . , , . . . . Subdivision . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Filed Map No. . . . . . . . .Lot No. . . . . . . , . . . . . conforms substantially to the Application for Building Permit heretofore filed in this office dated March 30, 1987 pursuant to which Building Permit No. , 5835 Z dated , » . »April 1, 1987 « 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 TO EXISTING ONE FAMILY DWELLING AS APPLIED FOR The certificate is issued to , , , «WILLIAM & JOANN GESELL . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (owner,*WKXKYAX1MX of the aforesaid building. Suffolk County Department of Health Approval . . . . N/A . . . . . UNDERWRITERS CERTIFICATE NO. . . . , . w . . , „ , N8„3„51 14 „ „ « „ „ « « PLUMBERS CERTIFICATION DATED: October 6, 1987 Building„Inspector. 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-25800 Date: 06/29/98 THIS CERTIFIES that the building ADDITION Location of Property: 20 VINCENT ST ORIENT (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 26 Block 1 Lot 6 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated MARCH 24, 1998 pursuant to which Building Permit No. 24813-Z dated APRIL 3, 1998 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 SCREEN PORCH ADDITION & ENCLOSE AN EXISTING OPEN PORCH ON AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to WILLIAM H & JOANN T. GESELL (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A _. ....� ELECTRICAL CERTIFICATE NO. H060070 06/02/98 PLUMBERS CERTIFICATION DATED N/A Building Inspe or Rev. 1/81 R Town of Southold 10/31/2019 P.O.Box 1179 53095 Main Rd Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 40804 Date: 10/31/2019 THIS CERTIFIES that the building IN GROUND POOL Location of Property: 20 Vincent St.,Orient SCTM#: 473889 Sec/Block/Lot: 26.4-6 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 12/15/2017 pursuant to which-Building Permit No. 42251 dated 12/20/2017 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: ACCESSORYIN-GROUND SWlMMjN QC.4.f ENf"1:�1 TO CODE AS APPLI p FOR The certificate is issued to Shayne,Jeffrey&Karen of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 4225110-15-2019 PLUMBERS CERTIFICATION DATED t ho d Signature _..... .....