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HomeMy WebLinkAbout1000-25.-4-11.10 TOWN OF SOUTHOLD G* a Rental Permit 0698 Owner Keith & Christine Morton Occupied as Single Family Dwelling Located at 1220 Old Farm Road Orient 25-4-11.10 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. l 7/12/2022 %lok ode nfo c e t Official This Notice must be posted by the main entrance at all times TownMalt Annex Telephone(631)765-1802 54375 Main Road ax(631)765-9502 P.O.Box 1179 — Sc� Southold,NY 11971-0959 BUILDING DEPARTMENT TOWN OF SOUTHOLD JUN 9 9 2022 RENTAL PERMIT APPLICATION LD , BUILDING DEPT TOWN OF SOUTHOLD Rental Permit Fee$200(Application must be renewed every two years) Section A. Property Information: Rental Property Address: Tax Map Number: 1000 SECTION ALOCKL�.IOT SECTION B. OWNER INFORMATION: Property Owner Name: Property Owner Legal Address: Property Owner Mailing Address: Z2 0 '130�e / 3 Telephone Number(s): Daytime Evening Emergency Property Owner Email Address: 1_r_ -& e �e/ 1,Wd ce;m c) O° Page I of 5 I Town Hall Annex 54375 Main Road Telephone(631)765-1802 11.0:Box 1179 G ac Fax(631)765-9.502 Southold;NY 11971.0959 �O BUILDING DEPARTMENT TOWN-OF'SOUTHOLD Mailing Address of Managing Agent: i 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: /4 00's F, Requested Maximum number of persons allowed to occupy Dwelling Unit: Number of rooms In Rental Dwelling Unit: 6) R a s 1 3 &9o, c,,,s Use and Dimensions of each room in Rental Dwelling Unit 0 F.F tc E Levi u;,Pn, - � '%'X/�8 N �r�/� , -/s"'� "X 13 7cA,e.►,I- A/ 4/ A -7 Page 3 of 5 Town Full Annex Telephone(631)765-1802 54 375 Main Rood � Fax(631)765-9502 PD.Box 1179 R, Southold,NY 11971-0439 l�YcouNi`I,� '�� BUILDING DEPAwrmEN,r TOWN OF SOUTHOLD SECTION G. INSPEOTIONs. 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 statim 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, C1 I am requesting a fire safety inspection to be performed by a Code Enforcement Official from the Town of Southold 0 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 netudze d and MUST be the owner of the dwelling unit. STATE OF NEW YORK) COUNTY OF SUFFOLK) I il)'e- i kk . 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 8' 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 Webmail 7.0-SOKOL-21 FILES DELIVERED.eml https://hostingmA.earthlink.net/index.php?view=print#134594 917-923-5494 keith@keithscottmorton.com www.keithscoftmorton.com 2 of 2 2/25/22,4:41 PM Town 14all Annex � � 4 Telophono(631)765-1802 54,375 Dain load Fax(631)765-9502 P.C .Box 1 l79 . Southold,NY 11971-0959 BUILDING DEPARTMENT TOWN OF SOUTHO LD applicable laws and rules. I further acknowledge that I will notify the Town of Southold Building Department of any changes of address within five(S) days of any changes thereto, S. i 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 (S) business days as to any change to the information regarding Authorized Agent, Managing Agent, or Site Manager. Property Owner's Name: Property Owner's Signature: Sworn to before me thiseday of 20 011t� " -,& 'ey�a ) Official Notary(public Signature and Original Notary Stamp CONNIE D.BUNCH Notary Public,State of New York No.01BU6185050 Qualified in Suffolk County Commission Expires April 14,20.23� Page 5 of 5 ti��aOF SOUTV O�p rL - # # TOWN OF SOUTHOLD BUILDING DEPT. � courm,� 631-765-1802 )d'o tq, 11 . IV INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION/CAULKING [ ] FRAMING /STRAPPING [?] INAL FIREPLACE & CHIMNEY [ IRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PEN ATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (F AL) [ ] CODE VIOLATION [ ] PRE C/O [ ] RENTAL REMARKS: 1M DATE II vZO INSPECTOR V XI I -- A OO 0 `OPENTO' ______• 0--_- BELOW HOUSE SECOND FLOOR PLAN N 1 O.�'c1�laie� s� L Com. �c��, � ���E�� �� i { ` i 1' 1 _ I � II ' I � tf - I ; I '. -------- HOUSE FIR$T F,OOR RFA1, 107-6 06d IIVel, R-) 29-Ol/T 29-10 3/41* 2r-8 3m* I.OTM P ss 1-1-RO roan -o' WRo CL CqEf ----------- --------- - - I --------------- - --------- ------------------ ---------------------------- ------------ i_ o 9 N w a Q � I I - • 1T-7 7Ar ( _ - ! I - - -- -- I .-._.-•------------- - h - I I zr-m 1/4' I I 1 II i p - -_ra pepC Ill u ri:. -! �o l i1 tzdan• '-_ - ray rn 8 r ts2• I y 1 I i IIS If I tsd yr H —II Yl3Metl ansa V 1 I .M ri ra � ---------------------------- 10. -__-._-_.-___-_-__-_._----._ A _ O / f tt{' Cdi tK J-1 1 anmri� 18J>:t IO 1 .11.8 I ;�'1.M 3 tM W 6dW 4\ 1 6 � a'n.&II- L .�� JI[ri 'O,1 J11 rJ --- — ——.M n•J— rIt 11•J I 1 C.J I I t SCTM # (coo L4 - F� l L) TOWN OF SOUTHOLD PROPERT OWNER STREET I Z2-(_) VILLAGE DIST. SUB. LOT 1, 1,- J'a 7 ACR. REMARKS 21f�V N)) w TYPE OF BLD. P OP. CLASS 7 Z R LAND IMP. TOTAL DATE 12 f2-4, V, (r '11116-7 le-, 3 119' q-j g r) 31� 00 Cl C� au 3/o? orautid poon I I r000 It a00 I a gcyo 2/0 A0 lar el., FRONTAGE'ON WATER HOUSE/LOT BULKHEAD TOTAL w + ■■■■■■■■■■■■■■■■!■■■■■■■■■■■■ ■■■■■■�■■■■■■■■■■■O■■■■■■■■■■ ■■■■■■NRi■■■■■■■■■E■29■■■■■■■■■ 41 z ' NEW ■■■!1■■■rl© ■[I■■■!�■■alt ■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ Bath MEN ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ • ' t311�► - • , Floors Interior Finish . a -. : Town of Southold 10/1/2020 P.O.Box 1179 53095 Main Rd Southold,New York 11971 Li's I10 CERTIFICATE OF OCCUPANCY Not Date: 10/1/2020 THIS CERTIFIES that the building SINGLE FAMILY-DWELLMO Location of Property.- 1220 Old Farm Rd.,Orient SCO NI#-.- 473389 See/Block/Lot: 25.-41.11.10 Subdivision: Filed NlapNoe Lot Noe conforms substantially to the Application for Building Pgrmit heretofore filed in this office dated 10/22/2018 pursuant to which Budding Permit No. 43266 dated 12/3/2018 was issued,and conforms to all of the rquircincnts of the applicable provisions of the law. Theaccupancyfor which this certificate is issued is: simic--ramily—dn"c its. Withand covi ech lied gqk -psAM_ The certificate is Issued to Morton,Keith of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL RIO.18-0084 8/12/2020 ELECTRICAL CEICIWICAft NO. 43266 7120/2020 PLUMBERS CERTIFICATION DATED 9/24/2020 noir ks\ost Plutroing A,t o z nature �sut W,r�o Town of Southold �� ay 12/28/2021 C* P.O.Box 1179 v • 53095 Main Rd �] y�jpl Southold,New York 11971 q3 L6 t CERTIFICATE OF OCCUPANCY No: 42646 Date: 12/28/2021 THIS CERTIFIES that the building ACCESSORY Location of Property: 1220 Old Farm Rd.,Orient SCTM#: 473889 Sec/Block/Lot: 25.4-11.10 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 10/22/2018 pursuant to which Building Permit No. 43268 dated 12/3/2018 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 non-habitable non-sleepingnon-slepping unheated ara e/ ool house with half bath and outdoor shower stall as applied for. The certificate is issued to Morton,Keith&Christine of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL R10-18-0084 8/12/2020 ELECTRICAL CERTIFICATE NO. 43268 9/16/2020 PLUMBERS CERTIFICATION DATED -9/24/2020 11 Po' s East P tubing thori Signature FOt,tCpG. Town of Southold 10/1/2020 e P.O.Boz 1179 • 53095 Main Rd 01 �ao� Southold,New York 11971 r CERTIFICATE OF OCCUPANCY No: 41487 Date: 10/1/2020 THIS CERTIFIES that the building SOLAR PANEL Location of Property: 1220 Old Farm Rd, Orient SCTM#: 473889 Sec/Block/Lot: 25.4-11.10 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office,dated 6/10/2019 pursuant to which Building Permit No. 43879 dated 6/17/2019 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: roof-mounted solar panels as applied for The certificate is issued to Morton,Keith&Christine of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 43897 2/7/2020 PLUMBERS CERTIFICATION DATED S� f Authorized Signature Town of Southold 12/18/2021 o� y� P.O.Box 1179 o - 53095 Main Rd y� o�.� Southold,New York 11971 9�� V CERTIFICATE OF OCCUPANCY No: 42642 Date: 12/18/2021 THIS CERTIFIES that the building IN GROUND POOL Location of Property: 1220 Old Farm Rd.,Orient SCTM#: 473889 Sec/Block/Lot: 25.4-11.10 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 9/28/2020 pursuant to which Building Permit No. 45250 dated 9/28/2020 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 in-around swimming pool fenced to code as applied for The certificate is issued to Morton,Keith&Christine of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 45250 7/2/2021 PLUMBERS CERTIFICATION DATED "o 'z ature