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HomeMy WebLinkAbout1000-25.-2-4.2 TOWN OF SOUTHOLD Rental Permit 0892 Owner Christina & Ernesto Vega Occupied as Single Family Dwelling Located at 825 Village Lane Orient 25.-2-4.2 Maximum Permitted Occupancy 6 Is in co npliance 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. 5/2/2023 oche En rc rn t Oficial This Notice must be posted by the main entrance at all times Town Nall Annex r P Telephone(631)765-1802 ,��U , � �jl�",,� 54375 Main Road �� �(�( Fax(631)765-9502 P.O.Bax 1 179 YN Southold,NY 11971-0959 mm• r LfPrp BUILDING DEPARTMENT ';`m TOWN OF SOUTHOLD RENTAL PERMIT APPLICATION Rental Permit Fee $200(Application mast be renewed every two years) Section A. Property Information: Rental Property Address: Tax Map Number: 1000 SECTION —J21--15BLOCK LOT SECTION B. OWNER INFORMATION: Property Owner Name: � ..., ..� � Property Owner Legal Address: Property Owner Mailing Address: V. _.._.........ww_......... ... _...... ... _. .. ...__..... 5-1 �..�� _. .w� .... _. � ........ .._�..��..................�_ ,m AATelephone Number (s): ClaytimelN�;_ V Evening' 1 "` .. ergenc:y _� .' -1 Property Owner Email Address: ��.�� a�... LQ V!d a-010 �� ( Page 1 of 5 py �I Town k1a11 Annex ,,l off y �0 Telephone(531)755-1802 54375 Main Load Fax(631)765-9502 P.O, Box 1179 ��r��'t Southold,NY 11971-0959 ����� BUILDING DEPARTMENT TOWN OF SOUTHOLD Section C. Authorized Agent Information: Name of Authorized Agent of dwelling unlit, if any: �......__...... ........�...�.......�.� � � .�.�._...�,__..... .. . ...... .... Address of Authorized Agent (no P.O. Boxes):.,.. ......�.._..�..,,,,,,,,,.,..,_ � �, MailingAddress of Authorized Agent:,._............... ...�....�.�.�...�... ...�.....�.._.. ............... ww._w ................. �..__�.�. 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:�... .._. ..........._ ............._..._. ............ __.._........ ._ ....._.ww..m Telephone Number(s): Daytime_ Evening_-_Emergency--.. ............... .._ Email Address: SECTION E. SITE MANAGER INFORMATION: (required for rental properties containing 8 or more rental units) I Name of Managing Agent of dwelling unit, if any: Address of Managing Agent (no P.O. Boxes) _.................................,. ..... _..,.w_..__... ...._._... ....�...o Page 2 of 5 Bunch, Connie From: Christina Vega <mckayvega@gmail.com> Sent: Tuesday, September 03, 2019 11:20 AM To: Bunch, Connie Subject: Re: Rental permit application Hi Connie, Here are the measurements for my home at 825 Village Lane: Upstairs: Bedroom #1 : 11 '8" x 16'5" Bedroom #2: 12' x 12'811 - Bathroom: 2'8" -Bathroom: 4'10" x 6'6" Hall: 9'9" x 27" Downstairs: Living Room: 13' x 21 '10" Dining Room: 12' x 11 '4" Kitchen: 20' x 12'11 " Bath: 8' x 4'6" Bedroom: 12'9" x 16' Let me know if you need more information. Thanks, Christina McKay-Vega On Thu, Aug 15, 2019 at 8:51 AM Christina Vega < ick, yv arc qjt:Itlxonj> wrote: Thanks Connie, I will try to get that back to you by Monday. Is that ok? Christina McKay-Vega Town Hall AnnexAl `Tele hone:(631)765-1802 54375 Main Road � Fax(631)'765-9502 P.O. Box 1 179 m` 94.0p 4000, Southold,NY 11971-0959 TOWN OF SOUTHOLD Mailing Address of Managing Agent: ......... ......m_..µ ._. �_. . .............M .. _............. .... . � ._ Telephone Number (s): Daytime_._—.—.--,.-Evening................. ...........w.. .....�Emergency._.....__.._......_......_....... ._. Email Address: SECTION F. PROPERTY DESCRIPTION: Number of Rental Dwelling Units on p rope rty: ­__—J ,—l-W -)-- For .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 roam. 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 Alit: Number of r©oms in Rental Dwelling Unit: Use and Dimensions of each room in Rental Dwelling Unit: .. .ww_...... ..... ........_.., _.... . ...., Page 3 of 5 Town Hall Annex Telephone(631)765-1802 54375 Main Road °" Fax(631)765.9502 11.0.Box 1179 Southold,NY 1 1971-0959 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 0 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) 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 r /y[ Town Fall Annex „ ���� t � rip”, ` Telephone(531)765-1802 54375 Main Road Fax(531)765-9502 P.O. Box 117 Southold,NY 11971-0959 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. l will notify the Town within five (5) business days as to any change to the information regarding Authorized Agent, Managing Agent, or Site Manager. 5jj --- � C Property Owner's Mame: ..� ice _ ....... �.. _..M..m Property Owner's Signature: -. . ��_ �a�.�' " ~ —71 Sworn to before me this 3D day of __.,....., .,...._. , 20j n Official Notary Public Signatu.rea. .�.......�.....�_...........�..... .. �..�.._ ,�.. nd Original Notary Stamp 1 AV9�7"`�PA1..I IE LL PUBLIC,STATS OF EW YORK late nr .a1rAs77s Oualified In N ssau tour-t� Oomml^��Ion x ire Cit ktskaer 1, Page 5 of 5 TOWN 0T THO LD BUILDING DEPT. 631.765-1802 1 1POL40 S P E(C" T 10" N [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION/CAULKING [ ] FRAMING 0 STRAPPING [ ] AL [ ] FIREPLACE & CHIMNEY [ FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FI L) [ ] CODE VIOLATION [ ] PRE C/O [ RENTAL 4AM A � Iii ll g e � - &'Ie4+ ), r — Z q,v TOWN OF SOUTHOLD BUILDING DEFT. 755-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATIOWCAULKING [ ] FRAMING / STRAPPING [ ] INALwow `. - [ ] FIREPLACE & CHIMNEY [ FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) [ ] CODE VIOLATION [ ] PRE C/O REMARKS: ev Uetevnmy* e"v&U" baA� N4� V o 0� DATE4 INSPECTOR TOR 7 6-A 1111,01 a e' u� i r� 1 i Ir't�� ;��� ' Oji `� ' �. � � ✓i, t ��� �� � � %/� � . �,,, �r f �„ l � ��` i, ��� , ; f i, r i �� � � �� � �:� ;� �i „ , ; o + Ji I1 /� �� � �� lY II�I � u� l it lel'� / � 1 / � r/ ` �' �� (� f%� �� �� % 1 � /i / % y i %� l� 'I��I 14 I :�' �i i �i� �, 6 � ti �� I r �� i% z i � �� ,�. � / 1 � iai� )) � uu li a �, j� � �� % ir% ��IIIII 1 .. ... .....� , # . . . \ l ; § \ \ smoke ^ ° °5 y° n q o- l E, a � � � P f J Pf� C.a.. l 1' e 4. u N ro k m ' U v E ,,.` ,. ��� � a �. ,. o ,.�� �,.�_, w � .�� .�,. ,_ W r � �� <,�. ��. ��� ., e a, ._., � ..,�«��_ r w�... � .�,� m, ,� s�..„ — � ! � �c�,o �� V ..w. m °°4 "�"� � � � � � � � „�...�.w._.a ih E ,. a �. ��" ,� ;J � ;,,,� �,�, , e o„ :..... �� ;. _ 1 ,�.�, }� w ,p� � � �" vii. �.,5� "� 4 1 t u i = I � _ �� i4t dN�4 Pz w•u ,�_lc � _ �_ t ay q t f_ _ V i � s n 1 b " 1 9 3 i > . . . . . . . . . . . . . . - . � .y ....y... . . . . . . a � , !� U - | ] yd\£ f« , }. = - � - 1 ! | . _L _ - r TOWN OF SOUTHOLD PROPERTY RECORD CARD OWNER STREET L VILLAGE DIST SUB. LOT g ACR. REMARKS -7 I ( TYPE OF BLD. PROP. CLASS Z-I,D LAND IMP TOTAL DATE DD V� Z�J �D I , Z-7r'�17 3 I i FRONTAGE ON WATER TILLABLE I FRONTAGE ON ROAD WOODLAND I DEPTH MEADOWLAND F BULKHEAD HOUSE/LOT I TOTAL TOWN OF SOUTHOLD PROPERTY R 7 31 18 W OWNER(` STREET VILLAGE DIST. SUB. LOT v 6A FORMER OWNER N E A R. 4 &6) r S W TYPE OF BUILDING RES. i SEAS. VL. FARM comm. CB. MICS. Mkt. Value LAND imp. TOTAL DATE REMARKS 7 r /26 Q, aV 1-7 L Tillable FRONTAGE ON WATER Woodland FRONTAGE ON ROAD Meadowland DEPTH House Plot BULKHEAD Total - $ 71S13 o IP s TOWN OF SOUTHOLD PROPERTY RECORD CARDg , k OWNER STREET g VILLAGE DIST SUB LOT ACR. III REMARKS - .? '100' TYPE OF BLD. _ W -W �c�,��-P�tP•� PROP. CLASS LAND IMP, TOTAL DATE Soo 5/3 78 i FRONTAGE ON WATER TILLABLE FRONTAGE ON ROADS �2c7 WOODLAND DEPTH MEADOWLAND BULKHEAD HOUSE/LOT ,41boD TOTAL ' COLOR I � I £ = h. \ 4 q - °I - � TRIM # g,l } A� I i r. �^ Foundation n M Bath Dinette 6 t h- 9 ,� FULL � / [ CRAWL Kit. £ � .5 trst 1 t ✓< I' ni i,!� S 'i Lr,� Basement SLAB Floors , Extension �° r' m 2,clt` �i Ext. WallsInterior Finish LRF Extension Fire Place '4Heat D.R. Patio Woodstove BR• Porch �� LL 2- Dormer Fin. B. Deck e Attic ; Breezeway Rooms 1st Floor Garage �, u � � � ' Driveway Rooms 2nd Floor 7 ilk� O.Ba ,F-� 1-�'r (Our"RC1-, p,, Pool _, ., . e F (l 5 `_ t r`L C- FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-23372 Date NOVEMBER 29, 1994 THIS CERTIFIES that the building NEW DWELLING Location of Property 825 VILLAGE LANE ... ......-_ ORIENT NY House No. Street Hamlet County Tax Map No. 1000 Section 25 Block 2 Lot 4.2 Subdivision Filed Map No. _Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated NOVEMBER 18, 1993 pursuant to which Building Permit No. 21814-Z dated DECEMBER 4, 1993 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 A ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to ANDREW & MARY MC KAY (owner, lessee or tenant) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL 93-SO-84 NOVEMBER 1, 1994 UNDERWRITERS CERTIFICATE NO. N311965 APRIL 28, 1994 & N040638 MAY 2, 1994 PLUMBERS CERTIFICATION DATED HARDY PLUMBING NOVEMBER 25, 1994 Building Inspector µ 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-24417 Date JUNE 11,, 1996 THIS CERTIFIES that the building RENOVATION Location of Property 825 VILLAGE LANE ORIENT NY House No. Street Hamlet County Tax Map No. 1000 Section 25 Block 2 Lot 4.2 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated MARCH 15 1996 pursuant to which Building Permit No. 23321—Z dated MARCH 20 1996 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 RENOVATE PART OF A SECOND FLOOR OF AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to ANDREW & MARY MCKAY (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N387169 MAY 28, 1996 PLUMBERS CERTIFICATION DATED N/A ,F Building Inspec, r Rev. 1/81