HomeMy WebLinkAbout1000-18.-2-4 TOWN OF SOUTHOLD
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,ental Permit
0853
Owner Clingen Properties
Occupied as Single Family Dwelling
Located at 2020 Youngs Road Orient 18.-2-4
Maximum Permitted Occupancy 4
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.
4/10/2023
� t Official
This Notice must be posted by the main entrance at all times r-e ?J
TOWN OF SOUTHOLD
Rental Permit
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0867
Owner Clingen Properites
Occupied as Seasonal Cottage
Located at 2020 Youngs Road Orient 18.-24
Maximum Permitted Occupancy 4
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.
4/20/2023 J
oder1 en Offii�l
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
Southold,NY 11971-0959 (
BUILDING DEPARTMENT I E2
TOWN OF SOUTHOLD OILOIN DE-PT
tAN nc'Qnl Win€
RENTAL PERMIT APPLICATION
Rental Permit Fee $200 (Application must be renewed every two years)
Section A.
Property Information:
Rental Property Address:
2020 Youngs Road, Orient, NY 11957
Tax Map Number: 1000 SECTION 01800.@x--BLOCI<c_ -LOT 004000 -
SECTION B,
OWNER INFORMATION:
Property Owner Name: (.:linden Properhes -
Property Owner Legal Address: Property Owner Mailing Address:
298 Waterbury Road, Trumansburg, NY 14886 298 Waterbury Road, Trumansburg, NY 14886
Telephone Number (s): Daytime(607)280-3006 Evening_ Emergency
Property Owner Email Address: clingenproperties@gmail.com
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
BUILDING DEPARTMENT
TOWN OF SOU` HOLD
Section C.
Authorized Agent Information:
Name of Authorized Agent of dwelling unit, if any: Gillian Francis
Address of Authorized Agent (no P.O. Boxes),_ 510 East 84 Street, 26,New York 10028
Mailing Address of Authorized Agent: 510 East 84 Street. 213 New York 10028
Telephone Number (s): Daytime 212-228-3831 Evening _ Emergency _ a
Email Address: gillianfra@aol.com _
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 1 179
Southold,NY 1 1971-0959
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
Mailing Address of Managing Agent: _
Telephone Number (s): Daytime Evening _ Emergency-----
Email
mergency_---Email Address:
SECTION F.
PROPERTY DESCRIPTION:
Number of Rental Dwelling Units on property: 2
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: upton c;ottage
Requested Maximum number of persons allowed to occupy Dwelling Unit: 6
Number of rooms in Rental Dwelling Unit: 8
Use and Dimensions of each room in Rental Dwelling Unit: ftcpn17'6"x10'6`
Dining/Living Room -27'X 17'3", Sunroom (14'X 14"). Laundry/Den (9'6"X 10'6")
3 bedrooms-207"x 9'4", 14'6"x 12'5", 12'6"x 15'9"), bathroom 65"X 12'
Page 3 of 5
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
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.
❑ 1 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 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
Town Hall Annex Telephone(631)765-1802
54375 Main Road Fax(631)765-9502
P.O.Box 1 179
Southold,NY 11971-0959
BUILDING DEPARTMENT
TOWN OF SOHOLD
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.
1 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:
{ 7
Property Owner's Signature:
Sworn to before me this` day of.�- 206
Of I Notary Public Signature and Or' I Notary Stamp
DEBORAH L.TRACY
Rotary Public,State of New York
No.01TR6027328
Qualified in Tompkins County
Commission Expires 07/06/2023
Page 5 of 5
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T 0 BUILDING D
831 -765-1802
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PL13G.
[ 1 FOUNDATION 2ND [ ] INSULATION/CAL
[ ] FRAMING / STRAPPING [ ] FINAL
[ 1 FIREPLACE & CHIMNEY [ ] FIRE SAFETY INS
[ 1 FIRE RESISTANT CONSTRUCTION [ 1 FIRE RESISTANT PE
[ 1 ELECTRICAL (ROUGH) [ 1 ELECTRICAL {FI
[ 1 CODE VIOLATION [ ] PRE / [ ,
REMARKS:
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DATE INSPECTO RF)IWI
Room
Sketcher'
Red cabin
1 . Floor
- BedroomBathroom
F7i , 1 OW'x 10' 56"x 10'
I
Bedroom
9'x 10'
Kitchen
10'x 6'
Ell
LE --A
Livingroom
25'x 15'
`g
I
i
Room
Q
Sketcher
Upton Cottage Bottom Floor
Porch
9'x7'
Kitchen Laundryroom/ Den Sunroom
17'6"x 10'6" 9'6"x 10'6" 14'x 14'
� kt
Pantry
Mew
i
Dining/ Living
27'x 17'3"
Porch
27'x 8'
AL
_ ' Room
. ^ :
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Sketchere
Upton Cottage Top Floor
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111
April 20, 2023 _ APR 9 2023
4�#
TOWN OF SOUTHHOLD BUILDING DEPARTMENT
RE: RENTAL PERMIT APPLICATIONS FOR:
2020 YOUNGS ROAD, Orient, NY 11957 S.C. Tax No. 1000-18-02-04
2050 YOUNGS ROAD, Orient, NY 11957 S.C. Tax No. 1000-18-02-02
TO WHOM IT MAY CONCERN:
Attached are two checks for the above rental permit applications. Each of the two lots listed
above have 2 dwellings. I previously sent you two$200 checks for each lot instead of$200 for
each dwelling.
Also attached are the cancelled checks for the initial applications for your easy reference.
Sincerely,
A ;
GilUn Francis
On behalf of Clingen Properties
(212) 228-3831
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i'ya'` ' "SOWN OF SOUTH MOiw wD PROPERTY R .�,..
.OWNER ST, �, � VILLAGE., �. �DIST.1 �. SUB. LOT
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Town of Southold 4/8/2023
53095 Main Rd
qu- Southold,New York 11971
PRE, EXISTING
CERTIFICATE OF OCCUPANCY
No: 44001 Date: 4/8/2023
THIS CERTIFIES that the structure(s)located at: 2020 Youngs Rd,Orient
SCTM#: 473889 See/Block/Lot: 18.-2-4
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- 44001
dated 4/8/2023 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 single family dwelli a with unfinished basement front covered porch,sunroom and rear asonr patio.*
The certificate is issued to Clingen Properties
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. ,
PLUMBERS CERTIFICATION DATED
*PLEASE SEE ATTACHED INSPECTION REPORT.
o?zeSig�nature
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
HOUSING CODE INSPECTION REPORT
LOCATION: 2020 Youngs Rd,Orient
SUFF.CO.TAX MAP NO.: 18.-2-4 SUBDIVISION:
NAME OF OWNER(S): Clingen Properties
OCCUPANCY:
ADMITTED BY:
SOURCE OF REQUEST: Clingen Properties DATE: 4/8/2023
DWELLING:
#STORIES: 2 #EXITS: 2
FOUNDATION: stone,concrete block CELLAR: partial CRAWL SPACE:
BATHROOM(S): I TOILET ROOM(S): UTILITY ROOM(S):
PORCH TYPE: front covered DECK TYPE: PATIO TYPE: rear masonry
BREEZEWAY: FIREPLACE: closed off GARAGE:
DOMESTIC HOTWATER: TYPE HEATER: AIR CONDITIONING:
TYPE HEAT: gas WARM AIR: furnace HOT WATER:
#BEDROOMS: 3 #KITCHENS: 1 BASEMENT TYPE: unfinished
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: 12/22/2022
TIME START: END:
O's Mir Town of Southold 4/8/2023
53095 Main Rd
Southold,New York 11971
�Wfll -11�
PRE EXISTING
CERTIFICATE OF OCCUPANCY
No: 44002 Date: 4/8/2023
THIS CERTIFIES that the structure(s)located at: 2020 Youngs Rd,Orient
SCTM#: 473889 See/Block/Lot: 18.-2-4
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- 44002
dated 4/8/2023 was issued and conforms to all the requriements of the applicable provisions of the law.
The occupancy for which this certificate is issued is:
seasonal accessory wood frame cottage.*
The certificate is issued to Clingen Properties
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
*PLEASE SEE ATTACHED INSPECTION REPORT. I
t#ize gatre
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
HOUSING CODE INSPECTION REPORT
LOCATION: 2020 Youngs Rd,Orient
SUFF.CO.TAX MAP NO.: 18.-2-4 SUBDIVISION:
NAME OF OWNER(S): Clingen Properties
OCCUPANCY;
ADMITTED BY
SOURCE OF REQUEST: Clingen Properties DATE: 4/8/2023
DWELLING:
#STORIES: 1 #EXITS:
FOUNDATION: cement block CELLAR: CRAWL SPACE:
BATHROOM(S): 1 TOILET ROOM(S): UTILITY ROOM(S):
PORCH TYPE: DECK TYPE: PATIO TYPE:
BREEZEWAY: FIREPLACE: GARAGE:
DOMESTIC HOTWATER: TYPE HEATER: AIR CONDITIONING:
TYPE HEAT: none WARM AIR: HOT WATER: electric
#BEDROOMS: 2 #KITCHENS: 1 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: 4/8/2023
TIME START: END: