Loading...
HomeMy WebLinkAbout1000-17.-1-6 'OWN F SOUTHOLD Fell Permit a $ 0774 3 Owner Charlotte Greene & Joanna Lomas Occupied as Single Family Dwelling - Building 1 Located at 500 Stephensons Rd Orient 17.4-6 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. 11/16/2022 ` tie or emiIntOficial 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 a Southold,NY 11971-0959 � "x m BUILDING DEPARTMENT TOWN OF SOUTHOLD RENTAL PERMIT APPLICATION Rental Permit Fee$200(Application must be renewed every two years) C Section A. 1 L Property Information: Ij Rental Property Addressor . ^ \1 Tax Map Number: 1000 SECTION -BLOCK__ . -LOT SECTION B. OWNER INFORMATION: Property Owner Name: Property Owner Legal Address; Property Owner Mailing Address: iNll LIT 33 �' V k Emergency Telephone Number(s): Daytime Evening g y Property Owner Email Address: ©�` �- �� C /� '� ` ` � 'M " 0o� Ov, Page 1 of 5 Town Hall Annex Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1179 Southold,NY 11971-0959 rk BUILDING DEPARTMENT TOWN OF SOUTHO:C 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 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 Town Hall Annex , Telephone(631)765-1802 54375 Main Road Fax (631)765-9502 P.O.Box 1179 u Southold,NY 11971-0959 BUILDING DEPARTMENT TOWN OF SOUTHOLD Mailing Address of Managing Agent: 6 CAA1 Q�V— kGC—,C)V— 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, 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: V Requested Maximum number of persons allowed to occupy Dwelling Unit Number of rooms in Rental Dwelling Unit: �� c ►'�'1 Use and Dimensions of each room in Rental Dwelling Unit: j` 4 � b � C �I c( age 3 o#15 Town Hall Annex ,a-, Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1179 Southold,NY 11971-0959 OU 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. X 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) ) COU TY OF SUFFOLK) rtify 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 X Town Hall Annex Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1179 Southold,NY 11971-0959 `,1) n V, BUILDING DEPARTMENT TOWN OF SOUMOLD 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: tea- � � ���� � � Property Owner's Signature: '° Sworn to before me this)�4day of 20a�- C ' Official Notary Public Signature and Original Notary Stamp CONNIE D. BUNCH Notary Public,State-of New York No.01 BU 6185050 Qualified in Suffolk County Commission Expires April 14,2 oa3 Page 5 of 5 �(oo ' tve�,W& DIN, TOWN OF �UTHOLD BUILDING DI 631-765.1802 ��. � `•�/ INSPECTION'S [ ] FOUNDATION 1ST [ ] ROUGH PLBG. loe [ ] FOUNDATION 2ND [ ] INSU IOWCAI [ ] FRAMING / STRAPPING [ ] F AL [ ] FIREPLACE & CHIMNEY FIRE SAFETY W� [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE SISTANT PEI [ ] ELECTRICAL (ROUGH) [ ] GTRICAL (FIS [ ] CODE VIOLATION E C/O (F REMARKS: er -i,"o 0.lon eo, -0-fy% 4vbllo v DATE O � v� INSPECTO TOWNMO �S�OUCTHOLD BUILDING 2 ,...+ 1�. (a IN PEC ION [ ] FOUNDATION 1 " T [ ] TOUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION/CA [ ] FRAMING / STRAPPING [ FINAL 00 [ ] FI EPLACE CHIMNEY ] FIRE SiOFETY I [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PI [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FI [ ] CODE VIOLATION [ ] PRE C/O REMARKS: S oIt, va- DATE 3 q VE E G s -01 I _--- a, t — — g 71 FT 3 3 I 3 , , z I , 3 E - , E 1 , , ' — — E 3 — g , ',ewo 3 _ w t F � ? CY MA i t � I 3 F f 3 , e , . ' 1 1 z i } 3 { t , 3 1 i , _ Av, E IM t 3 , j E —t k. — — t_ t[A _ s 3 3 — — — — = � I '-I Ne x or I s { 33 -� 3 I ' 3 z g { E i - t _ I I i — , _ _ x 1 3 r n _ _ j# ' 1 I t T t i t i v - T - F r _ 1 s F 3 _ � f <- k E � _ v , x c 9 - 3 , r. 1 77 E I • E ; E { { AM- 7-1 I _e ---r—A { { _ -i_a-,.__� ' E rL I FT -146 6�C7 ------------------ I i E , { i = • # { i # { — — —- t { # • i # x { • { t # • { # r { t i SCTM # E - t - TOWN 'OF SOUTHOLD PROPERTY RE OWNER STREET VILLAGE DIST SUB. LOT ACR. REMARKS S � a TYPE.OF'BLD. • •� PROP. CLA$S �� LAND IMP, TOTAL DATE 1i e I I _ I } FRONTAOE ON:WATER HOUSE/LOT i BULKHEAD I i TOTAL I � € - 2 TOWN OF S UTHOL PROPERTY RECORD CARD OWNERSCBE �,. VILLAGE DIST SUB. LOT =F P as t FORMER OWNER N L AGR, . - - S W TYPE OF BUILDING - e SEAS. VL. FARM :COMM. CB. MISC. Mkt. Value c)q 1 IMP. TOTAL DATE RERIS >£ / µ fF E J � 17 i s a T - e � s e _ AGE DING OdNO T 0 . NE,iN AL FARM Acre I Value Per iNollul4cs A _ 6 Tillable 1 1 - £ zt Tillable 2 � j _ Tillable 3 Woodland - = h-i .;ate L_ 0L _��. . pp Swampland FRONTAGE ON WATER e� Brushland l FRONTAGE ON ROAD =g E- House Plot ' DER T BULKHEAD it -, _ z Ttol DOGI f ' - z. F 1 I }: a JIM IM r 17.4-6 7/08 - - _ - t Bldg, Ba+h „ Dmette Y y Extens �_ a� �Base«�ent f - �� �, Floors _ It _ k �xt � ton Ext. Walls Interior Finish �; . - N ;;� - ' l Xt4titt € F* s r i Fire � aCe Meat DR. - Tvpe Roof !'� Rooms I st F 1001 B R. Porch r Recreation RcoRcarns 2nd Floc 1N. B pcu n ='I caner i driveway Garage } e 3 F E e . 6 4 � w�. i ` z Town of Southold 11/16/2022 P:O.Box 1179 53095 Main Rd Southold,New York 11971 CERTIFICATE E OP OCCUPANCY No: 43594 Date: 11/16/2022 THIS CERTIFIES that the building HVAC Location of Property: 500 Stephensons Rd,Orient SCTM#: 473889 Sec/Block/Lot: 17.4-6 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 7/6/2022 pursuant to which Building Permit No. 48166 dated 8/11/2022 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: "aLarml "",l l ? . ytrnt_uxnitJ tair rvrt ,;As gPred > . The certificate is issued to Greene,Charlotte&Lomas,Joanna of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 48166 10/26/2022 PLUMBERS CERTIFICATION DATED Town of Southold 8/4/2023 P.O.Box 1179 53095 Main Rd Southold,New York 11971 CERTIFICATE E CIS+ OCCUPANCY No: 44378 Date: 8/4/2023 THIS CERTIFIES that the building DECK Location of Property: 500 Stephensons Rd.,Orient SCTM#: 473889 Sec/Block/Lot: 17.4-6 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 10/1/2021 pursuant to which Building Permit No. 46970 dated 10/14/2021 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: deck titicrn to existin sin le farad ryrltrtg,a a�liar r11 ?7(D gd l 1/l7/2022. The certificate is issued to Greene,Charlotte&Lomas,Joanna of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED . , A to ie._�. __ ...._.. .. .......... ..... 1 i tura i Town of Southold 11/16/2022 + r 53095 Main Rd "I Southold,New York 11971 w PRE EXISTING NG CERTIFICATE OF OCCUPANCY No: 43595 Date: 11/16/2022 THIS CERTIFIES that the structure(s)located at: 500 Stephensons Rd.,Orient SCTM#: 473889 See/Block/Lot: 17.4-6 Subdivision: Filed Map No. Lot No. conforms substantially to the requirements for a built prior to APRIL 9, 1957 pursuant to which CERTIFICATE OF OCCUPANCY NUMBER Z- 43595 dated 11/16/2022 was issued and conforms to all the requriements of the applicable provisions of the law. The occupancy for which this certificate is issued is: woc�rl frame sin le ti.�mil dwellin with unl`inisltcd laasemcnt.* I3eaildil) The certificate is issued to Greene,Charlotte&Lomas,Joanna (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED *PLEASE SEE ATTACHED INSPECTION REPORT. u .._e Signature...Mw.w.ww.w._v_..__._. . BUILDING DEPARTMENT TOWN OF SOUTHOLD HOUSING CODE INSPECTION R.EP RT LOCATION: 500 Stephensons Rd.,Orient SUFF.CO.TAX MAP NO.: 17.-1-6 SUBDIVISION: .. mw._...... w .__......w.a__ a a �W.______ _...............� _...................m.w. �. NAME OF OWNER(S): Greene,Charlotte&Lomas,Joanna ...................... _a. ... ....... w.. OCCUPANCY: ADMITTEDBY.._w..._......_-___�_..�www._..w_.��....................w__._...�..www..._-.�__. .._.__..._.,.........._...�_..._v.._....._...._-...._...__._._.n�_.._w_.�.__. SOURCE OF REQUEST: Green._. ..............._m� e_Charlotte DATE:: 11/16//_........................... - .�.w_�.ww-_ ._.....�._.._,mv ......._. mµ ..__.._. _. _._. .m __ eenmmm2022 DWWI �LL'INg; #STORIES: 3 #EXITS: 3 FOUNDATION: ..t............ one CELLAR: full CRAWL SPACE: BATHROOM(S): 3 _ TOILET.._R....O............OM(S`i)w_._........: _.M.m...w.� UTILITY ROOM(S): PORCH TYPE: DECK TYPE: PATIO TYPE: BREEZEWAY: .... ....w F.... ..�_w�......___.....__._._.�.._. .._.._.....__..�...www. ...m..m.........._._._ IREPLACE: GARAGE: DOMESTIC HOTWATER: ...w........ww.......__._. TYPE HEATER: AIR CONDITIONING: TYPE HEAT: oil WARM AIR: HOT WATER: radiator #BEDROOMS.:": ""--'"""""'"""""-"4..._ww_..._ #KITCHENS:.._ _. .... I BASEMENT TYPE: ____.r unfinished ,� .. _.._ ...... _..............................wM OTHER: .M..... ACCESSORY S II ORES: GARAGE,TYPE OF CONST: STORAGE,TYPE OF CONST: SWIMMING POOL: GUEST,TYPE OF CONST: OTHER: _........_..__.... VIOLATIONS: REMARKS: INSPECTED BY: JOHNJ DATE OF INSPECTION: 4/4/2022 TIME START: 9:30am END: 11:15am * lit Town of Southold 11/16/2022 53095 Main Rd �yg Southold,New York 11971 PIT ]EXISTING CERTIFICATE OF OCCUPANCY No: 43596 Date: 11/16/2022 THIS CERTIFIES that the structure(s)located at: 500 Stephensons Rd,Orient SCTM#: 473889 Sec/Block/Lot: 17.-1-6 Subdivision: Filed Map No. Lot No. conforms substantially to the requirements for a built prior to APRIL 9, 1957 pursuant to which CERTIFICATE OF OCCUPANCY NUMBER Z- 43596 dated 11/16/2022 was issued and conforms to all the requriements of the applicable provisions of the law. The occupancy for which this certificate is issued is: wood frame sin le family dwell in * lluildin #2' The certificate is issued to Greene,Charlotte&Lomas,Joanna ,._...._.._.�..._, ...__..._ (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED *PLEASE SEE ATTACHED INSPECTION REPORT. .._ �.e..... ... t 0r'�e Sinature.. _m ...w.__...__....... BUILDING DEPARTMENT TOWN OF SOUTHOLD HOUSING CODE IN "PECTION REPORT LOCATION: 500 Stephensons Rd,Orient SUFF.CO.TAkM'MAP NO.:-'-17.-I-6 SUBDIVISION: NAME OF OWNER(S): Greene,Charlotte&Lomas,Joanna OCCUPANCY: ADMITTED BY: SOURCE OF REQUEST:-i —'"'-Greene., '...reene.......Charlotte ————-—--------------------------------------------------—DATE:-"--'I'1"' 2-0 2-2 www_....................... ............ ........... DWELLING: #STORIES: 2 #EXITS: 2 FOUNDATION:—"' stone CELLAR: none CRAWL SPACE: BATHROOM(S): 2 .......... UTILITY ROOM(S): ............... ................................................. PORCH TYPE: DECK TYPE: PATIO TYPE: BREEZEWAY: FIREPLACE: GARAGE: DOMESTIC HOT M—iXTER---------------yes TYPE BEATER: off boiler AIR CONDITIONING: ... ....... TYPE HEAT: oil WARM AIR: HOT WATER: radiator #BEDROOMS:—'-'-----2.................. #KITCHENS: I BASEMENT TYPE: OTHER: .......................... .......... ACCESSORY STRUCTURES: GARAGE,TYPE OF CONST: STORAGE,TYPE OF CONST: SWIMMING POOL: GUEST,TYPE OF CONST: OTHER: ............ VIOLATIONS: ............ REMARKS: .......... ........—------ .................................... .......... .............. ..................-........... ....... ................. INSPECTED BY: JOHNJ DATE OF INSPECTION: 11/16/2022 .............. .............. TIME START: 9:30arn END: 11:15am. 4 RX NO. 4 ' N OF SOUTHOLD B DI 'G DEPARTMENT T► Clerk's Office ou hhold, N. Y. Certificate Of Occupancy No. K9147. . . . Date . .August. .1 . 119. . . . . . . . . . . . . 19. . .78 Rd. THIS CERTIFIES that the building located at . .Pvt... .Rd.1,Stephensons. Street MapNo. . . . . . . . . . . . . Block No. . , . . . . . . . .Lot No. . . . . . . . . , . . . . . . . . . . . . . . . . . . . . . . . .. conforms substantially to the Application for Building Permit heretofore filed in this office dated . . . .Aprj,:L . . 18 . . . . . . •, 19.*.-78 pursuant to which Building Permit No. • -975.OZ dated . . . .May. . . . . 25 . . . . . . . ., 19. :7.8, was issued, and conforms to all of the require- rpents of the applicable provisions of the law. The occupancy for which this certificate is issued is . . . .Private. One.Fsmily. Dwelling .with .adcUtion of. Bedroom •8c. Sura Room The certificate is issued to . . , . . . .Ws... _&. Mu. . . John. Lomas. . . . . . . • . . . . . • of the aforesaid building. Suffolk County Department of Health Approval . . . . . . . . . . . N/R. • . . . . . • • . . . . UNDERWRITERS CERTIFICATE No. . . . . . . .N395.829 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . HOUSE NUMBER . . . . . . . . . . . . . . Street . . . P.vte. .#.9-S.tephensons, . . .Rd.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . a D^i ort N York . . . , . . . ,.. . . . . . . . . . . . X'? Building Inspector V 'ORM' 0.4 TOWN F S 'UTHOLD BUILDIN DF ' ,RTMENT Office of the Buil',ing Inspector T n all Southo d,N.Y. Certificate Of Occupancy No. Z13316. . . , . . . . . . Date . . , . April . .3 . . . . . . . . . . . . . . . . . . .. 1985 . THIS CERTIFIES that the building pk . . . . . . . . . . . . . . . . . . . . . . . . . . . „ . , . . . . . . . . Location of Property 5,Qq, Private Road ��1 Ste�hensans Road „ . . . . . . . House No. Street Hamlet County Tax Map No. 1000 Section . . .17. . . . . . .Block . . . . . . .1. . . . , . . .Lot . . . . . „ . . . . . Subdivision . . ThP Cedars Filed Map No. 4.? . . . . .Lot No. . . . . . . . . . . . . . conforms substantially to the Application for Building Permit heretofore filed in this office dated , , , S e p t 3 0, . , . , . , 19 8 0 pursuant to which Building Permit No. . . . .1.0903.Z, . . w . . dated . . . . .q t,. 6. . . . . . . . . . . . . . . . . 19 $.q ,was issued,and conforms to all of the requirements of the applicable provisions of the law. The occupancy for which this certificate is issued is . „ . . . . . . . A 10. a ,deck ,t9. exis i.1)g, 1we ;Ail g . . . . . . . . . . . . . . . . . . . . . . . . . . . . The certificate is issued to . . . . G$U E„B , , �,O,W , , , , , , , , , , , , , , , , , , (owner,} *wT Il X X of the aforesaid building. Suffolk County Department of Health Approval . . . . . . . . . . . . .NIA, . . . . . . , „ , . . . . . . . * . . . . . . . UNDERWRITERS CERTIFICATE NO. . . . . . . . . . . . . . . . . . . N/A. . . . ,, , „ , , . . . . , , , , , . , , , , , , . Building Inspector Rev.1/81 Town...........� ...._. .._� ... ....... .. ..... .. .w_..n�.. _._........ of Southold Annex 5/14/2014 P.O.Box 1179 54375 Main Road Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 36916 Date: 5/14/2014 THIS CERTIFIES that the building ACCESSORY Location of Property: 500 Stephonsons Road,Orient, SCTM#: 473889 Sec/Block/Lot: 17.4-6 Subdivision: Filed Map No. Lot No. conforms substantially to the Application,for Building Permit heretofore filed in this officed dated 2/25/2011 pursuant to which Building Permit No. 37542 dated 9/24/2012 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: r aeastruct pan Vit'a ,datedw10/18/07. The certificate is issued to Charlotte Green&Joanna Lomas ._. ..._.. .��.�..µ..._...w. ...._..' . (OWNER) _..........�..�.._._. of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL _....._.......................... w.,. ..........._. .._.......... __.w____ ..__ �.�..._......... .. ELECTRICAL CERTIFICATE NO. _............ PLUMBERS CERTIFICATION DATED _._..._...._m. ...�_............... ............. _......M.._.._�_�...._ _..._. _�_._... . ....___ .ww.. Author',, �..� Siginatur