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HomeMy WebLinkAbout1000-15.-9-7 TOWN OF SOUTHOLD 4-10 4 iff Rental Permit 0724 Owner Robert & Gina Bond Occupied as Single Family Dwelling Located at 40755 Route 25 Orient 15-9-7 Maximum Permitted Occupancy 10 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. 9/16/2022 n Official This Notice must be posted by the main entrance at all times ode for em i T �f/M� Town Hall Annex Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1179 Southold,NY 11971-0959 • �O BUILDING DEPARTMENT SEP ,I 4'M97 ✓j TOWN OF SOUTHOLD IR,111LDIKrC,DE?`i' RENTAL PERMIT APPLICATION Rental Permit Fee$200(Application must be renewed every two years) Section A. Property Information: Rental Property Address: 410155 MA1V4 RDAv, O(ZlEr�, N� 1195 Tax Map Number: 1000 SECTION -BLOCK 1 5 -LOT - SECTION B. OWNER INFORMATION Property Owner Name: Roa-R-V Property Owner Legal Address: Property Owner Mailing Address: NCI j 16oQK, N`6 lol2Ss New boRK, N`S In 12$ Telephone Number(s): Daytime 20'"c8l'iWEvening Sa-t',*- Emergency SatAe. Property Owner Email Address: &I`4o- 1R08tRT 1ooN-D a Oa\ook• wt^ .$po 0, Page 1 of 5 Ott; Town Hall Annex Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1179 • O Southold,NY 11971-0959 a COUNT`1,� BUILDING DEPARTMENT TOWN OF SOUTHOLD Section C. Authorized Agent Information: Name of Authorized Agent of dwelling unit, if any: )A 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: 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 O��pF Town Hall Annex i, Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1 179 Southold,NY 11971-0959r �coU� 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: One 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: 46:4 SS Mldll �00A ^L Requested Maximum number of persons allowed to occupy Dwelling Unit: Number of rooms in Rental Dwelling Unit: jb 1.I Use and Dimensions of each room in Rental Dwelling Unit: `t C'�CLOm,� A`Ll 4" ICY, 131E 61" 13'(6 13t0�x �b �-1 S'��� 1-n �• �� '3p IT�� q, Page 3 of 5 Town Hall Annex Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1 179 - Southold,NY 11971-0959 CDUIY 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 ❑ 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+FEK) COUNTY OF K) I IZo6ti RT Sotj-> „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 soUry Town Hall Annex Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 11799-- Southold,NY 11971-0959 Q � cOUN BUILDING DEPARTMENT TOWN 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: �oQER'� 13or�� Property Owner's Signature: Sworn to before me this_rday of 20?— Official Notary Public Signature and Original Notary Stamp .�'•,'Q .UL A. • �. ,L ' R �0 ''•o GeL IC SO(/T�° qo�+� ro Orc * TOWN OF SOUTHOLD BUILDING DEPT. 631-765-1802 �.OI�'•.� INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION/CAULKING [ ] FRAMING /STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (F,NVAL) [ ] CODE VIOLATION [ ] PRE C/O [�] RENTAL REMARKS: IN DATE INSPECTOR Town Hall Annex J&� i Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1179 , Ptd. Southold,NY 11971-0959 C? .' BUILDING DEPARTMENT TOWN OF SOUTHOLD RENTAL PROPERTY CERTIFICATION Form to be completed by a NYS licensed architect, NYS licensed engineer or licensed home inspector Separate form is required for each individual Rental Dwelling Unit Professional seal required for Architect or Engineer, licensed Home Inspector,must provide a copy of a valid New York State Uniform Fire Prevention Building Code Certification. Rental Property SCTM Number: 473889 Rental Property Address. 40755 MAIN RD. -ORIENT, NY 11957 Owner/Name: TARA DONOVAN Rental Dwelling Unit Identifier: N/A 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 1 -404 SF, BEDROOM 2- 137 SF, BEDROOM 3- 186 SF, BEDROOM 4- 173 SQFT Property Description (Include all improvements indicated on survey) 2 STORY FRAME HOUSE, SHED, SOLAR PANELS, DECK, IN-GROUND POOL&ASSOC. EQUIPMENT, 2 STORY FRAME BARN I certify that I have done a physical inspection of the subject rental dwelling unit and find that the unit 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. ROBERT D. CRAWFORD Print Name and Title Original nature RED ARC Please place professional seal: �. o ,r O r, 0 �cc ���©3715 _ Go F NE W 40755 MAIN RD - ORIENT, NY 11957 - SCTM#473889 - SEC/BLOCK/LOT: 15.-9-7 FIRST FLOOR PLAN LAUNDRY ROOM ±18'-10"X 7'-8" (144 SQFT) 41 KITCHEN 1 DINING ±264"X 15'-3" (402 SQFT) 00 UP O O CL. ENTRY ROOM ❑ � ��� �jS�� ±15-10"X 17'-6" (277 SQFT) DOORS TO CELLAR 5 LIVING ROOM ±27'-3"X 13'-6" (368 SQFT) W.C. +13DEN3�„ SYMBOL LEGEND (173 SQFT) SYMBOL DESCRIPTION P s U0 SMOKE/C.O.DETECTOR SEC sSECURITY ALARM CONNECTED, SE° SMOKE/C.O.DETECTOR 40755 MAIN RD - ORIENT, NY 11957 - SCTM#473889 - SEC/BLOCK/LOT: 15.-9-7 SECOND FLOOR PLAN BED ROOM 1 ±26'4"X 1514" (404 SQFT) 5 Cc) e5BATHRM. '-10"X 13'-6' (214 SQFT) UP 113MV' BED BED ROOM 3 10' ±13'-9"X 13'-6" (137 SQFT) (186 SQFT) TE RDN BED ROOM ' SYMBOL LEGEND ±13'-0"X 13'-4 (173 SQFT) SYMBOL DESCRIPTION CL. SMOKE/C.O.DETECTOR sSECURITY ALARM CONNECTED, sE� SMOKE/C.O.DETECTOR 40755 MAIN RD - ORIENT, NY 11957 - SCTM#473889 - SEC/BLOCK/LOT: 15.-9-7 CELLAR PLAN - - - - - - - - - - - - -� I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I UP HWH WELL \1 PUMP UNFINISHED CELLAR5 0 ±26'X 12'(312 SQFT) J BOILER ELEC. PANEL I I I I I I I I SYMBOL LEGEND SYMBOL DESCRIPTION I I 9 SMOKE/C.O.DETECTOR - - - - - - - - - - - - - S� SECURITY ALARM CONNECTED, SE° SMOKE/C.O.DETECTOR 40755 MAIN RD - ORIENT, NY 11957 - SCTM#473889 - SEC/BLOCK/LOT: 15.-9-7 ATTIC PLAN s" ATTIC ±13'-6"X T-0" DN (94 SQFT) ATTIC 127'-0"X 19'-9" SYMBOL LEGEND (533 SQFT) SYMBOL DESCRIPTION SMOKE/C.O.DETECTOR 5SECURITY ALARM CONNECTED, sE° SMOKE/C.O.DETECTOR t f s�'i� 4� kj�.�• +�1`•`reQFr •ov t t i�„��''y, �!cS+ f y fit% j• �� .Y .•ii a.' • NONE •rF' -a'' � _ s - �i9r raw''-'i�,� ■■■� ■�■ ■ ■ JF M ONES somil MI IN IN ■■■■■®! ■ tom■ ■ ■ N [B'^? •MILS ty rZ�T'�M• �,- 6fY .�-- ``''J IEEE � .--g' ��. }�„+: M°fes' ■■■■■� ■■■ ■■ ■■ -7/301 X)g TOWN OF SOUTHOLD PROPERTY RECO-N®- OWNER, _/STREET VILLAGE r- VILLAGE DIST. SUB. LOT FORMER OWNERVP•1rv'. .tj N E ACR. /� �JYT1r� ] ?�rl(J��!�'e' L`1.,r7 �/;r� s- f n': ` !�, Z//�J� r.: S W TYPE OF BUILDING RES. SEAS. VL. FARM COMM. CB. MISC. `Mkt. Value LAND j IMP. TOTAL DATE REMARKS . { 7 ):�- _1 •r' Sc. ��, r; is �i: o ', r'arr,• .r !r :� :J':J � � `-� ?l.> L% •C:.S �f C����%� .� �')'�/(ti/ �/� i! ��.(.,P�rrf'^ r - ����,�, ,c._.. 1 i_'vy.` ,7•y H.,f•>`� t. .!'�1 t`' _ �'r: 1✓+�� I V / �� .✓ �'/'/�y-`°�1.�1. ./1/�,! '✓'' r) !i.::' Z-) ,,, �11�1 (����'I'� •,� ,i,.''/:. '";-,�N Yl:1- _ �; NG n j OND OM ?0(t. -i L � - ' - J .. SAGE l_ r1 1 t - —' l i l �' NEW NORMAL BELOW ABOVE ��, �,.fes• I r "1, ��_ ..� �. _ �- c, r� r'• a. �. FARM I Acre Value Per Value I Acre .� r I• .r -t-;' � !ti? :_.it-'`:`•r.- .:�44F '� Tillable I Tillable 2 -- f r c,..e `�rJ _ �%1Z f`"�fOG .`� %'`�> ��/�'�� - l ✓.1 � {r� t��. � Cr I�,� ,. Tillable 3 �� C I Z L"',(-P Woodland I '� Swampland FRONTAGE ON WATER Brushland i FRONTAGE ON ROAD f. House Plot I DEPTH BULKHEAD DOCK Total 1 FORK NO. S TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Qerk's Office Souhold, N Y. Certificate Of Occupancy No. .,�6�73. . . . . Date . . . . . . . . . . . . . .$48t. . 12. . . .' 19. 15 THIS CERTIFIES that the building located at . .X1M.A00. . . . . . . . . . . . . . . Street Map No. . ?a. . . . . . . . Block No. . XX. . . . .Lot No. .X= . .,. pmt. tT:. . . . . . . . . . . reuiraente for one fan d"nIna & hausfn� code conforms substantially to the Built before April a3 ? i+t at �t ��upsaay dated . . . . . . . . . . . . . . . . ., 19. pursuant to which P$ o• X99 dated . . . . . . . . . . . §!:P.t. . 1.2. ., 19. 25, 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 . private,one .Family, dxvllin� , yith,ae;o�asoi7p' buil4 IF , , , , , . The certificate is issued to .14444.D=*Atald. . . .Omer . . . . . . . . . . . . . . . . . . . . . . .. . . . (owner, lessee or tenant) of the aforesaid building. Suffolk County Department of Health Approval . . . . . . . . . . . . . . . . . . . . . UNDERWRITERS CERTIFICATE No. prat-esiating . . . . . .. . . . ... . . . . . . . . . . . . . . . . . HOUSE NUMBER . . .40755. . . . . Street . . . . ..MAW AR 4d. . . . .OrXugt. . . . . . . . . . . .... Building Insp . . . . .. . . . . . . . . I HOUSING CODE INSPECTION September 11, 1975 40755 Main Road R-1 Orient New York Tax Roll: Alice Donenfeld Occupied: Owner Upon request for a Pre-Existing Certificate of Occupancy, I made an inspection of this two story framed dwelling. I was admitted to building by Ms. Donenfeld who accompanied me during this inspection which began at approximately 10:10 A.M. The second floor consists fntnr drooms and one -full bathroom, ere are two interior stairways to 3 rst r and one exterior stairway on west side of building leading to the north bedroom. First floor has a library, living room, dining room, kitchen with large dining area, and a toilet room located under stairway in front entrance hall. Heat is furnished to all rooms from a it fired t water furnace located in partial cellar. A rear porch is in the rocess of being rp laced by a large acement structure within the size o igzna s rum re . The following violations of the Housing Code, Chapter 52, Town of Southold, were found: Bathroom - second floor and toilet room first floor - floor covering not tight in the area of toilet base. Article III, Section 52-32 D. Entrance - east side, steps and porch floor loose and deteriorating. Article III, Section 52-30 A. Interior of building in the process of being renovated. . Accessory structures in rear yard area are in fair to good condition. Inspection completed at approximately 10 :40 A.M. Applica- tions for Pre-Existing Certificate of Occupancy were left with Ms. Donenfeld. 4Rpe tfully s bmitted, EH:mm 4'nVrma`nn,�cJ�- spector Fat��oGy Town of Southold 12/15/2016 P.O.Box 1179 53095 Main Rd Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 38708 Date: 12/15/2016 THIS CERTIFIES that the building IN GROUND POOL Location of Property: 40755 Route 25,Orient SCTM#: 473889 Sec/Block/Lot: 15.-9-7 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 9/6/2013 pursuant to which Building Permit No. 40864 dated 7/28/2016 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-GROUND SWEVIMINGPOOL,FENCED TO CODE,AS APPLIED FOR The certificate is issued to Donovan,Tara of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 38332 12-11-2013 PLUMBERS CERTIFICATION DATED Mv�- AuthoFed Signat e Town of Southold 12/15/2016 P.O.Bog 1179 0 y 53095 Main Rd Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 38709 Date: 12/15/2016 THIS CERTIFIES that the building DECK Location of Property: 40755 Route 25, Orient SCTM#: 473889 Sec/Block/Lot: 15.-9-7 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 9/6/2013 pursuant to which Building Permit No. 40864 dated 7/28/2016 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 DECK WITH SOLAR PANELS AND SUPPORT STRUCTURE AS APPLIED FOR The certificate is issued to Donovan,Tara of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 40864 12-07-2016 PLUMBERS CERTIFICATION DATED Authori Signature Z.-. DtKcoG Town of Southold 8/4/2022 P.O.Box 1179 0 c _ 53095 Main Rd Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 43315 Date: 8/4/2022 THIS CERTIFIES that the building ADDITION/ALTERATION Location of Property: 40755 Route 25,Orient SCTM#.: 473889 Sec/Block/Lot: 15.-9-7 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 7/30/2021 pursuant to which Building Permit No. 48012 dated 6/27/2022 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: "as built"porch conversion to habitable area,second floor bathroom,outdoor shower and oil to gas conversion to e sting single-family dwelling as applied for. The certificate is issued to Donovan,Tara&Crawford,Robert of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 48012 7/22/2022 PLUMBERS CERTIFICATION DATED 7/11/2022 Br iecuch Signature September 10, 2022 Robert and Gina Bond I � 50 East 96th Street Apt 6D �� SEP New York, NY 10128 (202)281-5998 BUILDIKC'SDE'',:K C :JL6D Building Department Town of Southold Town Hall Annex 54375 Main Road P.O. Box 1179 Southold, NY 11971-0959 To Whom it May Concern, Thank you for considering this Rental Permit Application for 40755 Main Road,Orient, NY 11957. Please note the previous owners were issued a Rental Permit on August 4,2022(enclosed). Gina and I, along with our son and daughter(due September 181)are so excited to become members of the North Fork community. Very Sincerely, '1-1 1 1 - Robert Bond BARGAIN AND SANE DEED WITH COVENANT AGAINST GRAD TORS ACTS (E";DIVIDIUAL OR CORPORATION) CAUTION: `PHIS AGREEMENT SHOULD BE PREPARED BY AN ATTORNEY AND REVIEWED BY ATTORNEYS FOR SELLER AND PURCHASER BEFORE SIGNING. THIS INDENTURE, made the r qday of September, two thousand and twenty two, BETWEEN ROBERTI), CRAM ORD and TARA DONOVAN. residing at 107 4'h Street, Brooklyn, New York, 11249 party of the first part, and ROBERT CRAIG BOND and GINA ROSE BOND, as husband and wife, addressed at 50 East 961h Street, Apt. 6 D, New York, NY 10128 party of the second part, WITNESSE,TH, that the party of the first part, in consideration of TEN Dollars; lawful money of the United States, paid by the party-of the second part, does hereby grant and release unto the party of the second part, the heirs or successors and assigns of the party of the'second part forever, ALL that certain plot, piece or parcel of land, with the buildings and improvements thereon erected, situate, lying and being in the town of Southold. SEE SCHEDULE A—ATTACHED HERETO AND MADE PART HEREOF Being and intended to be the same premises known as 40755 Main Road, Orient, NY 1.1957, described in a deed made by Maggie Trakas and recorded on January 2, 2012, in Liber 12681, Page 171 in Suffolk County Clerk's Office. TOGETHER with all right, title and interest, if any, of the party of the first part in and to any streets and roads abutting the above described premises to the center lines thereof, TO GE, with the appurtenances and all the estate and rights of the party of the first part in and to said premises, TO HA VE AND TO HOLD the premises herein granted unto the party of the second part, the heirs or successors'and assigns of the Darty of the second part forever. ANTS the party of the first part covenants that the party of the first part has not done or suffered anything whereby the said premises have been encumbered in any way whatever except as aforesaid. AND the party of the first part, in compliance with Section 13 of the Lien Law; covenants that the party of the first part will receive the consideration for this conveyance and will hold the right to receive such consideration as a trust fund to be applied first for the purpose of paying the costs of the improvement and will apply the same first to the payment of the cost of the improvement before using any part of the total of the same for any other purpose. The word "party" shall be construed as if it read "parties" whenever the sense. of this indenture so requires. IN WITNESS WHEREOF, the party of the First part has duly executed this deed the day and year first above written. INPRESENCE OF: C.. Robert D. Crawford .D Td-t�a Donovan t � Acknowledgment STATE OF NEW YORK ) ss.. COUNTY OF SUFFOLK ) On the J, day of September in the year 2022 before me, the undersigned, personally appeared Robert D. Crawford personally known to me or proved to me on the basis of satisfactory evidence to be the individual whose name is subscribed to the within instrument and acknowledged to me that he executed the same in his capacity, and that by his signature on the instrument, the individual, ort erson upon behalf of which the individual acted, executed the instrument. , Notary Public SANDRA V, SAIEGN NOTARY PUBLIC-STATE OF NEW YORK N0.02.SA6407225 Cruallfind in Suffolk ices County u My comrnI3610n exp Acknowledgment STATE OF NEW YORK ) ss.. COUNTY OF SUFFOLK ) r On the Aday of September in the year 2022 before me, the undersigned, personally appeared Tara Donovan personally known tome or proved tome on the basis of satisfactory evidence to be the individual whose name is subscribed to the within instrument and acknowledged to me that she executed the same in her capacity, and that by her signature on the instrument, the individual, or the person upon behalf of which the individual acted, executed the instrument. Notary Public / SANDR ', AIEGH NOTARY PUBLIC-STA40 Op N NEW YORK NA .Oa.SAa aualiflod In Sufflr�aO�u1 v7o2a My C,ommisaicr�Sx