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HomeMy WebLinkAbout1000-15.-9-1.4 J TOWN OF SOUTHOLD Rental Permit �` as 0748 Owner Plum Gut LLC Occupied as Single Family Dwelling Located at 1370 Latham Lane Orient 15.-9-1.4 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. 10/4/2022 Co e E or ent Official This Notice must be posted hv thF es Town Hall Annex Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1179 Southold,NY 11971-0959 `'sU� ,t BUILDING DEPARTMENT TOWN OF SOUTHOLD RENTAL PERMIT APPLICATION Rental Permit Fee$200(Application must be renewed every two years) Section A. Property Information: Rental Property Address: 1310 La-Z,4,M Last. Orl.an i 1195-T S'c-fr�$�. 3 0$ q Tax Map Number: 1000 SECTION _�S -BLOCK - 1 -LOT III - SECTION B. OWNER INFORMATION: 11 Property Owner Name: LL C 61012 .� MR�zI� M4� Property Owner Legal Address: Property Owner Mailing Address: 02�} Sfc-fe -5+(ee S7a1e Vret- Brookl'�s+1 r IJro0,lkIVVi 11.161 (9i� Sy9-Nssq Telephone Number(s): Daytime Evening_ I' Emergency Property Owner Email Address: &4V Mar I1I l 0 P� @ q r'+a I . com D JUL — 5 2022 Page 1&S BU1'LLDrNG DEBT. T0jj,N OF SOUTHOLD F iyV �t Town Hall Annex Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1179 Southold,NY 11971-0959 p ' '} II IIU BUILDING DEPARTMENT ® EC F TOWN OF SOUTHOLD JUL m 5 2022 BUILDING DEPT. TOWN OF SOUTHOLD RENTAL PERMIT APPLICATION INSTRUCTIONS Rental Permit Fee $200 (Application must be renewed every two years) The items listed below are required to be submitted with the completed application. ❑ Floor Plans: Floor plans of each Rental Dwelling Unit, please show location of all smoke&carbon monoxide detectors. ❑ Certificates of occupancy and Pre-Certificates of Occupancy: Certificates of occupancy or Pre-Certificates of Occupancy for each rental dwelling unit. ❑ Certification of Code Compliance(form enclosed): Must be submitted by a license architect or engineer or license home inspector if an inspection by Town of Southold Inspector is declined. ❑ Rental Permit Fee: $200.00 15 ..-- J s Town Hall Annex Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 11791 . Southold,NY 11971-0959 C®U �j� A 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: . 1 �eKt 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: 1310 Lc o-m Lo-,)e Requested Maximum number of persons allowed to occupy Dwelling U it: �,6 2 Number of rooms in Rental Dwelling Unit: .+ 3S Use and Dimensions of each room in Rental Dwelling Unit: .Z kj �i ash���� ��v��1.,0oN►- a`� --1� ?�,l�__ SQL' drsQ��� _ Page 3 of 5 Ste,, ►axLM, Town Hall Annex r Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1179 Southold,NY 11971-0959tis� C® C"N ® BUILDING DEPARTMENT JUL — 5 2022 TOWN OF SOUTHOLD BUILDING DEp Section C. TOWN 01=gQU774OLD Authorized Agent Information: Name of Authorized Agent of dwelling unit,if any: f&Ijet Ma r k0.r14n Address of Authorized Agent(no P.O. Boxes): 114 mow slrve- Mailing Address of Authorized Agent: (reeA PoC� ko york 1 1 94q 411-0013 tell 63 15..1- 3x-11 Telephone Number(s): Daytime 631 11Evening 11 E-r�e;Fge�lsy Email Address: J"l�-�e4me.r uri an @_ oa.A 1p_I gA-12 • SU M 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: ION E. SITE M GER INFORMATION:(required fo rrta�properties containing 8 or more rental units) Name of Managing Agen ring unit, if any: Address of aging Agent (no P.O. s):. Page 2 of 5 SO 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 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: LLQ Property Owner's Signature: Sworn to before me this St day of 201, Official Not r Public Signature d Original Notary Stamp TRACEY L.DWYER NOTARY PUBLIC,STATE OF NEW YORK NO.01 DW6306900 QUALIFIED IN SUFFOLK COUNTY COMMISSION EXPIRES JUNE 30,2Q,* Page 5 of 5 r;x�r.cake tv so Town Hall Annex S Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1179 1 Southold,NY 11971-0959 c®U `t 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 NEW YORK) COUNTY OF SUFFOLK) II I Ats�►O co MKTI1" , 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 ul 1 s Ib A 1 1 OF SOUTy� # # TOWN OF SOUTHOLD BUILDING DEPT. 631-765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION/CAULKING [ ] FRAMING /STRAPPING [ ] AL [ ] FIREPLACE & CHIMNEY [ FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTAN /(FIAL)ATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL CODE VIOLATION [ ] PRE C/O [ AL REMARKS: V4&n Qrjl,�AA I iA 094 DATE y0'Yl/ INSPECTOR j!' P---0 1G �x 13 ' SCTM # ----- — il; TOWN OF SOUTHOLD PROPERTY RECORD CARD OWNER STREET 1370 VILLAGE DIST. SUB. LU Lp, m Ln r e, r,� ACR. REMARKS TYPE OF BLD. PROP. CLASS i" r !�J ; ' - i -�lei` -s. ra ,�, N1. LAND IMP. 14,-7n TOTAL j DATE q i/� �"n v C 1ppD O �t CJ ! ,-7 .J d ! 2 J i � �;`=� `=��•�� �� �4�_ Its �� �itD FRONTAGE ON WATER HOUSE/LOT BULKHEAD TOTAL , -7/301Doig of .. TOWN SOUTHOLD �-PROPER CARD, : . I WNER STREET VILLA . ":> a+``° GE. . DIST. SUB: LOT ' :I �`'•i`f'Y '•i'`#_ e a `:S`�'"t�;�, �",.,)s;..<i:;, '». .:i. .t r':�� r:�..:;> s/,.�s �' r� � �,�'y ° }FORMER OWNED. # ;, N r� ,w -� .•.: ,� �I1 I tl E ACR. i S W TYPE OF BUILDING RES. , , ' SEAS. Vl., ----- - _. 1 77TF�RM COMM.- CB. MICS, Mkt. Value LAND IMP. TOTAL DATE REMARKS grg- f ._. s• ;, , F' "J: �°�I:�.I � �.�;;?�.}sc>� -+•`> :..a 3p.-- :�„p"..'P rc �. :" - .,- ,�j ....., A �¢€�.'.,�,?. _ _ .4t ^i:° `. 'r '�. � def..>. 0��7y.;�. . rK 41 �t..;�t r->,'• i >`?"•` " £'-:'.. S`;^ z IF:,t 4, 0 .� 7� ` d=; 2- 1�;f??2• k.< `''. i N°.«''$ti�"m ',ay''•a a,i d "'':f j '` •' e f;x': ..��-Ft '°J F ,v�Ly) , -� �' • •. - Ur w co .. '`',Jf� _' O:.rs .."✓��' 'gig A z _ ,--------------------------------- Tillobte FRONTAGE ON WATER Woodland . — FRONTAGE ON ROAD. ' 1 Meadowkpod DEPTH 0 ..K �• House Plot Total I 1 rc- r;_l y s fwd f t ' �''°- �w_`uar4i(n, ,�,;`E,�.B i.1 'z ._€.A..�%'`..4.•7 JJ f �—`"' '.E OR :�, TRIM Vj 14 i I z 26 1 15.-9-1.4 1/13/2022 15-9-1.4 10/00 ' 1 61 Extension ..K ZIS , Extension , k t Exp G- Lo 5kler 00 -` C c Dinette i(> �' � - ��„� E�� Foundation � , Both Porch 4 6 -. ;�� � , ,���� � Basement T-OL..t,— Floors K. , Ext. Walls Interior Finish LR. Breezeway r'jl + t Fire Place Heat ta` DR. Garage Type Roof Rooms 1st Floor . ' BR. Patio � Ag 1 ,g_, .. Recreation Room Rooms 2nd Floor �r FIN. B O. B. Dormer Driveway TQ`ol 120 C> FORM NO.4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector all N.Y.Town HSouthold, N. � �61 Certificate Of Occupancy No. 21,146.5. . . . . . . . . . Date . . . . .Febr,uary. .7. . . . . . . . . . . . . . . .. 19$3. THIS CERTIFIES that the building . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Location of Property 1370 . . . . . . . . . . . . . . . . .Latham Lane. . . . . . , . . , . . . Orient Mouse No. Street Hamlei County Tax Map No. 1000 Section , .015, , , , , . .Block . .09. . . . . . . .. . .Lot . .901. .. 004 . . . Subdivision . . .L a PA s ,E PA . . . . . . . . . . . . . . . . .Filed Map No. 5 0 9 0. . . .Lot No. 4. . . . . . . . . . . conforms substantially to the Application for Building Permit heretofore filed in this office dated Sep t 9 m b e r 18 • . . 1981. pursuant to which Building Permit No. . 1.1.5.03 Z . . , . dated . .December , 16, , , , , , , , , , , , , 19 $ ,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. pr - ivate , one.7 w mily, degll,in . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . The certificate is issued to . . . . . . . . . . W Y L L I A M J B d Y L H A R T (o wner,-�essee or�tenant} of the aforesaid building. Suffolk County Department of Health Approval P.E•. UNDERWRITERS CERTIFICATE NO. . . . . . . . .115$9.7.5.3. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Building Inspector Rev.1/81 FORM NO.4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Offfficeiceof the Building Inspector Town Half Southold, N.Y. Certificate Of Occupancy No. . . . . . . .Z�4.45Q. . . Date . . . . .D.e.Gembex .5. . . . . . . . . . . . . . .. 1985. THIS CERTIFIES that the building . . . . . .c1g9K .a(jd7.ttAz1.. . . . . . . . . . . . . . . . . . . . . . . . . . Location of Property 1370, , Latham_tape . . . . . . . . . . . . . . . O�zpAt I House No. Street Hamlet County Tax Map No. 1000 Section . . . 15 . . . . .Block . . . . . .9. . . . . . . .Lot . . . . . .?14. . . . . . . . Subdivision . . . . . . . . . . . . .X. . . . . . . . . . . . . . . .Filed Map No. . . . X. . .Lot No. . . . . . . X. . . . . conforms substantially to the Application for Building Permit heretofore filed in this office dated ?4. . . . . . . . ) 19$5. pursuant to which Building Permit No. . . . .144.0.74. . . . . . . . . . dated October 24 . , , , . , , , . , . 19 .85,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 . . . . . . . . . . . DQVk. .;Q.oxAptipq .9pe.-f4�aJ7.Y. dwgll�Aq. . . . . . . .. . . . . . . . . . . . . . . The certificate is issued to . . . . . . . . . . . WILLJAM J. & RUTH H. BOYLBART (owner, gp�I{} of the aforesaid building. Suffolk County Department of Health Approval . . . . . . . . . . . . . . . . . .I`T/A. . . . . . . . . . . . . . . . . . . . . UNDERWRITERS CERTIFICATE NO. . . . . . . . . . . . . . . . . . . . . . . . . .l /A. . . . . . . . . . . . . . . . . . . . U Building Inspector Rev.1/91 FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT kep rOffice of the Building Inspector Y Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-25396 Date: 11/26/97 THIS CERTIFIES that the building REPAIR Location of Property: 1370 LATHAM LA ORIENT (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 15 Block 9 Lot 1.4 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated SEPTEMBER 19, 1997 pursuant to which Building Permit No. 24445-Z dated OCTOBER 29, 1997 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 REPAIR AN EXISTING DECK ADDITION FOR A ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to WILLIAM J. BOYLHART (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A c Building Insp for 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-28588 Date: 07/15/02 THIS CERTIFIES that the building ADDITION & ALTERATION Location of Property: 1370 LATHAM LA ORIENT (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 15 Block 9 Lot 1.4 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated MAY 8, 2002 pursuant to which Building Permit No. 28381-Z dated MAY 13, 2002 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 ALTERATION AND DECK ADDITION TO AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to ANDREW R MARTIN & LISA MARIE CASEY (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. 1052514 06/07/02 PLUMBERS CERTIFICATION DATED 07/10/02 KING PLUMBING & HEATING t orized Signature Rev. 1/81 FORM NO. 4 oc ndo 5) At TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-29653 Date: 08/21/03 THIS CERTIFIES that the building ALTERATIONS Location of Property: 1370 LATHAM LA ORIENT (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 15 Block 9 Lot 1.4 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated JANUARY 9, 2003 pursuant to which Building Permit No. 29144-Z dated FEBRUARY 13, 2003 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 ALTERATIONS TO AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to ANDREW R MARTIN & ANO (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO_ 1112839 08/04/03 PLUMBERS CERTIFICATION DATED N/A Authorized Sip i ture Rev. 1/81 FORM NO. 4 1G f L TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-28247 Date: 03/06/02 THIS CERTIFIES that the building ACCESSORY Location of Property: 1370 LATHAM LA ORIENT (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 15 Block 9 Lot 1.4 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated FEBRUARY 23, 2000 pursuant to which Building Permit No. 26371-Z . dated MARCH 3, 2000 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 INGROUND SWIMMING POOL WITH FENCE TO CODE AS APPLIED FOR. The certificate is issued to ANDREW R MARTIN & ANO (OWNER) of the aforesaid building. SUFFOLK COUNTY' DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL-CERTIFICATE NO. 43498 05/30/00 PLUMBERS CERTIFICATION DATED N/A AuthoNled Signature Rev. 1/81 j -rNA ��+ CA Town of Southold Annex 9/13/2011 54375 Main Road Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 35212 Date: 9/13/2011 THIS CERTIFIES that the building RESIDENTIAL ADDITION Location of Property: 1370 LATHAM LA ORIENT, SCTM#: 473889 Sec/Block/Lot: 15.-9-1.4 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this officed dated 8/10/2010 pursuant to which Building Permit No. 35791 dated 8/19/2010 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: EXTENSION OF AN EXISTING DORMER AS APPLIED FOR. The certificate is issued to Casey,Lisa (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 35791 4/21/11 PLUMBERS CERTIFICATION DATED Auth;p&k Sigriature ' guFfDL,�C Town of Southold 4/30/2022 ' P.O.Box 1179 0 53095 Main Rd oy�j ao� Southold,New York 11971 - l � CERTIFICATE OF OCCUPANCY No: 43023 Date: 4/30/2022 THIS CERTIFIES that the building GENERATOR Location of Property: 1370 Latham Ln,Orient SCTM#: 473889 See/Block/Lot: 15.-9-1.4 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 10/18/2021 pursuant to which Building Permit No. 47060 dated 10/29/2021 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: "as built"accessorygenerator as applied for. The certificate is issued to Plum Gut LLC of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 47060 13/2022 PLUMBERS CERTIFICATION DATED L th riz ignature � r . J •1 _ mob./ � 40 Or 01- t - / f I t a S r N N f I N f �`�! • :. -a s 4� t V :1 a • v / , . Andrew Martin 277 State Streets Brooklyn,NY 112011C:917-549-4559 Building Department Town of Southold Town Hall Annex 54375 Main Road P.O. Box 1179 Southold,NY 11971 July 5, 2022 Dear Town of Southold Building Department Please find enclosed in this package a rental permit application for 1370 Latham Lane, Orient NY. Included in this application submission is our floor plans indicating the smoke and carbon monoxide detectors and our$200 permit fee. We have several certificates of occupancy on file with the Town for work completed in the last 23 years. We look forward to the inspection by the Town of Southold Inspector at the Town's earliest convenience. Regards Andrew Martin Managing Member Plum Gut LLC