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HomeMy WebLinkAbout1000-27.-3-2.4 ;£ n TOWN OF SOUTHOLD �5 Rental hermit 0670 Owner 2610 Orchard LLC Occupied as Single Family Dwelling Located at 2610 Orchard Street Orient 27-3-2.4 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. OL 6/13/2022 cue car �QfFieial 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 1179 � � �r Southold,NY 11971-0959 " BUILDING DEPARTMENT NOV 0 8 2021 Do TOWN OF SOUTHOLD BUILDING DEPT TOWN OF SOUTHOLD RENTAL PERMIT APPLICATION Rental Permit Fee$200(Application must be renewed every two years) Section A. Property Information: Rental Property Address: 6Iv O "- 2 Tax Map Number: 1000 SECTION "�? -BLOCK � SECTION B. OWNER INFORMATION: Property Owner Name: �—(�,1U 6— Property Owner Legal Address: Property Owner Mailing Address: Telephone Number (s): Daytime Evening Emergency Property Owner Email Address: Page 1 of 5 Town Hall Annex °�" Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1179 µ Southold,NY 11971-0959 00 w k, BUILDING DEPARTMENT TOWN OF SO HOLD 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: Telephone Number(s): Daytime anin Emergency Email Address: /V-f 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 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: Address of Managing Agent (no P.O. Boxes): Page 2 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 SOUTHOLD Mailing Address of Managing Agent: � � " d ��-' ��9�7 Telephone Number (s): Daytime venin g Emergency Email Address: A C✓�S�V 9 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, 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: Requested Maximum number of persons allowed to occupy Dwelling Unit: Number of rooms in Rental Dwelling Unit: 6 Use and Dimensions of each room in Rental Dwelling Unit: < r / ` VIA Page 3 of 5 Town Hall Annex Telephone(631)765-1802 54375 Main Road " Fax(631)765-9502 P.O.Box 1179 Southold,NY 11971-0959 * ° UNTI 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. 4/1 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 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 RoadFax(631)765-9502 u P.O.Box 1179 iz* S ` Southold,NY 11971-0959 ° 22 BUILDING DEPARTMENT TO" OF SOUTHOLD 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: Q ,W 1,L'L- Property Owner's Signature: 5" Sworn to before me this^day of 20 Official Notary Public Signature and Original Notary Stamp Page 5 of 5 so )410 &-CPA048e �rfWt--- I 060%'%A� TOWN OF SOUTHOLD BUILDING D 765-1802 1,NSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PTBG. [ ] FOUNDATION 2ND [ ] INSULATION/CA [ ] FRAMING STRAPPING [7] FIRE INAT & ou [ ] FIREPLACE, CHIMNEY [ SAFETY I [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PI [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FI [ ] CODE VIOLATION [ ] PRE C/O AKT ARCHITECTS 139 F€Ame Strut O © Sults 814 New cork Nv 10038 €65 T:212157.0329 CO u '� 24•eaRreeus , UP QL c sew* , . O I .. • LUb MIR i —WM THUMB41P €-$ 1 C O MAT 0101 Z- DOD IWA2D SET ANWMeeee00M wam - i I _ 3 4 to OWN 7I E Nx vrv000M - .... lift W FLOOR PLAN DMPWhV No.: �8T 114--1'4r A-101.00 Pegs No.: 3 OF 12 AKT ARCHITECTS W.Moc"-�fto�deftw 139 Fulton Street Suite 814 New York,NY 10038 T.212207 0329 Lo M Z 0 z (D 0 Na.t Me, amm SET 2 3 4 5 6 7 $=U* M-M'W14. Sea]&Signature: Mll 6T=WlM � Tille: 1.1VAE--T ASoW. i CELLAR PLAN Scale:AS NOTED Drawing No: FQ N CELLAR A-100.00 Page No: 2 OF 12 AKT ARCHITECTS --. ro ro ra mm�u achlbdual+klbdwdW4n iia} Lrawrurimvros=.eswwsroanawrmmnnsts --- --- _ 139 Fulmn 006M 8Nb814 NOW YorK NY 10M _ P212287032p i s s /^ i v+ r/ CL CL f \ 4 W CL (d Q (� Imoumgwamm SCALE,1141-1%V ouK I a g 2ND FLOOR PIAN ROOP PLAN AB. DnrMW No.: A-102.00 Peps Noz 4 OF 12 o TOWN OF SOUTHOLD PROPERTY RECORD t OWNER STREET VILLAGE DIST. SUB. �a E� I FMANER OW ER � E ACR } , vv Y �. TYPE OF BUILDING j , s RE �LA�. `L= FARC Comm, CB. �vtISC, Mkt. Value ND IMP TOTAL DATE REMARKS - 77 _ F ;. e , ASE BUILDING CONDITION xv � - 3 . s e t_ _ - u s j TSI abIe .IKible - b.e 3s - Swampfand FRONTAGE ON WATER FRONTAGE ON ROAD House Mot � � DEPTH - BIJLKHEAD Total ' DOCK I COLOR — � - ter, i TRIS; - . �� r Q r M. Bldg. ' Both Dinette Extension Bs , nt Floors iExtns�on" ` - ,_ � .., ,.- a `Ext,�Walis `i°fnferior Finish _ LR_ Extension Fire Place Heat – -' i :Type Roof ` Rooms 1st Floor ; BR. PorchRecreation Room Roams 2"dFloo _ : FIN. B.: Porch Dormer Greezewa � Y ; Driveway Garage Patio e �. Tata t Total SQ FT 't c I �f r%*4 o vi Pa li 8 f i= 41 Ar t = t I M. Bldg, - c9 Foundation OTHER Bath Dinette COMBO ;€ Extension Basement L PARTIAL Floors Kit. -. -. SLAB Extension = Finished B. Interior Finish L R. f I Extension FP/WBS Heat D R e Color Garage + 11� 1 , 4,5 L_D4 T) Ext. Walls BR Trim Porch R`X . � Dormer Baths 3 e_- _ e.�- 40Fin "B"SQ FT Deck/Patic Roof Fam. Rm_s � ;i 1 st Fir Pool Solar Foyer 2nd Fir A.C./GEN Laundry Sia 4by i - -- Library/ O.B. Study Dock 3 cAq _ __� �J1Ft1C� µ Town of Southold 6/11/2022 P.O.Box 1179 53095 Main Rd ry Southold,New York 11971 CERTIFICA�'`E Off" OCCUPANCY No: 43148 Date: 6/11/2022 THIS CERTIFIES that the building SINGLE FAMILY DWELLING Location of Property: 2610 Orchard St,Orient SCTM#: 473889 Sec/Block/Lot: 27.-3-2.4 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 11/27/2019 pursuant to which Building Permit No. 44501 dated 12/10/2019 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: 1 kz7? ly rlprrllwlafir� sil wa nt,p�ae1r_ rct et�,..raa clic arrd ttrhd gel:g .. s a alie for. The certificate is issued to 2610 Orchard LLC of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL R-20-0983 5/17/2022 ELECTRICAL CERTIFICATE NO. 44501 10/21/2021 PLUMBERS CERTIFICATION DATED 12/7/2021 C tch wee P robing Heating Inc ..........._ m�.. _�� Sign. _--_.w�_m. .,..,...www__..m..M. ature .................. ..................... —-- ----- Town of Southold 6/11/2022 P.O.Box 1179 53095 Main Rd Southold,New York 11971 ......................................- CERTIFICATE OF OCCUPANCY No: 43149 Date: 6/11/2022 THIS CERTIFIES that the building IN GROUND POOL --l-1-11............... ............ Location of Property: 2610 Orchard St.,Orient SCTM#: 473889 Sec/Block/Lot: 27.-3-2.4 --—--------- Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 3/4/2021 pursuant to which Building Permit No. 45964 dated 3/22/2021 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: int-gLQkLnd switnt iing.pstQ1 f qac cl tq od s applied for. The certificate is issued to 2610 Orchard LLC of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 45964 10/21/2021 PLUMBERS CERTIFICATION DATED A -iize a tTArC