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HomeMy WebLinkAbout1000-26.-2-25 T'OWN OF SOUTHOLD Rental Permit 1020 Owner Lisa McDonald & Robert Aylward Occupied as Single Family Dwelling Located at 1390 Willow Terrace Ln Orient 26.-2-25 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. J 11/3/2023 � e �e Official This Notice must be posted by the main entrance at all times r� �r� Town Hall Annex s, Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1179 p� Southold,NY 11971-0959 BUILDING DEPARTMENT TOWN OF SOUTHOLD JUN 1 2021 RENTAL PERMIT APPLICATION Rental Permit Fee$200(Application must be renewed every two years) Section A. Property Information: Rental Property Address: 1390 vO t tl ouv T'el wt- L Berle- U c aetr1+ i� I i q5 Tax Map Number: 1000 SECTION D-7-(P' 00 -BLOCK D2 00 -LOT 025 - oo SECTION B. OWNER INFORMATION: Property Owner Name: L 56- MC Property Owner Legal Address: Property Owner Mailing Address: Ai)a a 1 A G tv 0r� 10 .I Telephone Number(s): Daytime Evening Emergency , Property Owner Email Address: 6L% Page 1 of 5 Town Hall Annex Hca, Telephone(631)765-1802 54375 Main Road d Fax(631)765-9502 qr P.O.Box 1 179 G ,f 4 Southold,NY 11971-0959 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: }tit 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." 6qQ Rental Dwelling Unit Identifier: �.� flow " �� : ma y, Requested Maximum number of persons allowed to occupy Dwelling U it: eO le- Number of rooms in Rental Dwelling Unit: Use and Dimensions of each room in Rental Dwelling Unit: - 'ee ",100v- DICLOS777 � I-14-chert famll q Vbom 1(oufAct floor b K Page 3 of 5 d � mi Telephone(631)765-1802 Town Hall Annex 54375 Main Road g Fax(63 l)765-9502 P.O.Box 1179 Southold,NY 11971-0959 �Z,n..X� z 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 ❑ 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 notarized and MUST be the owner of the dwelling unit. STATE OF NEW YORK) ) COUNTY OF SUFFOLK) I U,56L AA —CXD(1i-)a� 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 Telephone(631)765-1802 Town Hall Annex 54375 Main Road ° Fax(631)765-9502 P.O.Box 1179 „ N"k Southold,NY 11971-0959COUN � 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: DISC. M C)oY--60 Property Owner's Signature: ��� KL 03 r\OJ p Y Sworn to before me this.10 day ofL)ne 202 Officia N ary Public Signat al d Orig al Notary Stamp i Nouty1'Wst° . stfro,,of aygw yo(k Nt),4528 47' OuWad in Suftk County 0DMMi ,0"E*res Nov.30, d Page 5 of 5 aso TOWN OF SOUTHOLD BUILDING D n 631 -785-1802 ��-- INSPEC ION [ ] FOUNDATION 1ST [ ] ROUGH PL13G. [ ] FOUNDATION 2ND [ ] INSULATION/CAI C ] FRAMING / T PI G AL [ ] FIREPLACE &, CHIMNEY [ FIRE SAFETY INO, [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PE [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FI C ] CODE VIOLATION [ ] PRT / [ ■ REMARKS.DATE '.'� '� INSPECTOR OF50Ul9oZ.S�t��o Q# TOWN OF SOUTHOLD BUILDING D 765-1802 s PECTIt� N [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATIOWCAi [ ] FRAMING lSTRAPPING [ ] F AL� [ ] FIREPLACE & CHIMNEY FIRE SAFETY IN' [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PE [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FI [ ] CODE VIOLATION [ ] PRE C/O REMARKS: l L1 �}pto t►b �'l� J.�1 L g DATE b ( �I�� INSPECTOR i 3 T "t t T i I ot- L � € �`•� � fit-=I_ F` z '- € � t Pte { 1 a € _b `j ; ------------ 10 Lp p K FEF 1 � E e „ ;W r--- r 10 01 t } 3 t A---tN IMF y ma I I t Prord Branson Residence First Floor Plan Wil ovv Terrace Lane,Orient,N-Y- DoW,A M t Ptesedc _paced for. Ptepacedtryr: Drawn Pot3o t S j ��,� &Mca.Kenneth Swaroan Art Dcrechana,Gce i� - 8ParkLme P.O.Box 31Q t , 4p—al: N�L. 4ci N Y.X1457 -' C', a ID tv Ix 10 a , � 5 ° 131 a a \ 3 . — i - e } All vz FOY Ak- AS ° �- R s z s Proposed Swanson Residence Second Floor Plan Willow Terrace Lane,Orient N.Y. Aug.15.1498 ' Prepared byDiavm Polio k ' - Scale: 1/4"_1'-0- 8 Fuk 1 eth sw.avan AOous.loe byc h 4 Anoroval: iv- CdmtA N.Y 11957 3/ 00 TOWN OF SOOT OL PROPERTY RECO AIJ V OWNER '.STREET VILLAGE DIST.' SUB, LOT , ` d -JV; JJA FORMER OWNER '-- N E ACR. J/ v TYPE OF BUILDING 15 Y C., RES. SEAS. VL. . ......---' FARM COMM. CB. MICS. Mkt. Value LAND IMP. TOTAL PATE REMARKS —N, rr A -7 AGE BUILDING CONDITION NEW NORMAL BELOW ABOVE r.......I 7 FARM Acre Value Per Value Acre I Tillable FRONTAGE ON WATER Woodland FRONTAGE ON ROAD Meadowland DEPTH House Plot i BULKHEAD Total DOCK o z_a � - a., COLORn TRIM e€ E [� f _ � S 7r I . 3 c r �i� C70 M. Bldg c E,ier'isi6n, .F� m kc i Extension 4 E Extension . � f 2- Foundationf, lBath , -._ter Dinette ' Porch t F , - X 1 j4 = t :z I .: Basement Floors Ext. Walls ; ' Interior Finish I LR. Breezewa 'Fire Place I ;Heat DR, Garage Type Roof Rooms 1st Floor ! BR. Patio Recreation Room Roorns 2nd F[ac FIN. B -- i i g 0. B. o mer Driveway i Total t � l w � Horton, LisaMarie From: Lisa McDonald <lmcdonaldnyc@gmail.com> Sent: Tuesday, March 21, 2023 10:23 AM To: Horton, LisaMarie Subject: Storage room for 1390 Willow Terrace in Orient Hi Lisa, These are the pictures of my storage room. John said I needed a permit for this room. Can you please tell me what form I need and how to get a electrician to inspect it? nk yaall Tha Sincerely, Lisa McDonald 917-628-8940 ATTENTION:This email came from an external source.Do not open attachments or click on links from unknown senders or uvea acted emails. 1 r� aii� r, i a �a 1 f � iiia rl r iai, X11fill Sent from my Whone,an excellent device 3 �, �% �,�� <,, �� ii�/ �` ,� ,r�' / /.�anl IIIA'. ���,� �' //////, it ��� �JI ff ,,,, i✓ ,IIIIV��p III �': ���� f�i;,� ,u' ��i'%„ �ii,l 1 � �,,/�i,,,,,, ////f�� ���%%���� f �II r / titi �ti ������ ���� � ✓,, � r ul@@6 I h� � ,,, ti,� ;I „p t ��/%���;; 1 ���o� iiia„ ��l �1� , f l � �� ,J�/,/,�iiiiii ��,, „i r/ � 1 f� �' �;�' /, v �; rr �/ �� I � r �fjj��� ,�„w� � � � ��j � � rJ/��. �; ,% 1��,,, j�,,. 1��i ��,,; �� „ ,,,, >> , �” ,,. ,�. J��f„ �� , �% ���% ., ,�,,, �, �r��.... FORM NO. 4 Towv oF` soUTS= BUILDING D$PARMMT office of the Building Inspector Town Hall Southold, H.Y. CERTIFICATE OF OCCUPANCY Dates 03107/00 NO3 E-26962 THIS CERTIFIES that the building NNW DM-LING ORIENT [ (HOOSE so.)acaticn a! Propertya _ 13+45 WILLOW TERRACE LA „,,,,,-....._,,._.. (�itII.ET) -- - T County Tax Kap No. 473889 Section 26� Block 2 Lot 25 Subdivision Filed Hap No. Lot No. conforMO substantially to the Application for Building Permit heretofore filed in this office dated REPT IGIS 199E3 pursuant to which Building Permit No. 25512-L dAtsd F�„ 1�1ARY 2 1999 was issued, and conforms to all of the requireavento of the applicable provisions of the law. The occupancy for which this certificate is issued in oSiE FAMILY DWELLING WITH ATTAMED TWO CAR GARAGE & 1)ECX AS APPLIED FOR The certificate ie i+ssumd to K - & sU HH SWMSON.� (OWNER) of the aforesaid building. BITFFOLIC CaOURTY DEPARTHSNT OF H2ALTH APPROVAL Ilio-97-0189 02/10100 ELECTRICAL CSRTIJ!'ICATS NO. H-516585 02/28/00 O1J2bI00 �. IiTUC P I'NO SCAT•. PLUMBM CERTIFICATION DATED ... -1Tt1C AuthoXi °d Sign re RaV. 1/B1