HomeMy WebLinkAbout1000-18.-2-2 TOWN OF SOUTHOLD
Rental Permit
0854
Owner Clingen Properties
Occupied as Seasonal Cottage (roadside)
Located at 2050 Youngs Road Orient 18.-2-2
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.
L
4/10/2023 \"%M
t ficial
This Notice must be posted by the main entrance at all times Ea
---. --.. -.
tee TOWN OF SOUTHOLD
Rental tal Permit
AV0855
Owner Clingen Properties
Occupied as Cottage (waterside)
Located at 2050 Youngs Road Orient 18.-2-2
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
e Enf ce t (ficial
This Notice must be posted by the main entrance at all times ro
Town Hall Annex Telephone(631)765-1802
54375 Main Road �' Fax(631)765-9502
P.O.Box 1179ro
Southold,NY 11971-095
Ott'
BUILDING DEPARTMENT
TOWN OF SOUTHOLD JAN' 3 12023
RENTAL PERMIT APPLICATION
TUI I G
f?Lrg
Rental Permit Fee $200(Application must be renewed every two years)
C
Section A.
Property Information:
Rental Property Address:
2050 Youngs Road, Orient, NY 11957 . _.
Tax Map Number: 1000 SECTION 01800.0200 -BLOCK -LOT 002000
SECTION B.
OWNER INFORMATION:
Property Owner Name:Ten
Property Owner Legal Address: Property Owner Mailing Address:
298 Waterbury Road, Trumansburg, NY 14886 298 Waterbury Road, Trumansburg, NY 14886
Telephone Number(s): Daytime( 07)2280-3006 Evening,--Emergency
Property Owner Email Address: jhn9en rr0e2 tie mail 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 SOUTHOLD
Section C.
Authorized Agent Information:
Name of Authorized Agent of dwelling unit, if any: Gillian Francis
Address of Authorized Agent (no P.O. Boxes):, . . , , 028
Street, 2B,New York 10
510 East 84 Str...,.....,,. , . .... m..__.,._W....
Mailing Address of Authorized Agent: 510 East 84 Street2B,Ner York m1A.Q2 ,_ . .___. ...
Telephone Number Os : DaYtime, 1 -2281 Evening...... Emergency. ._ . _ _.......
Email Address: gillianfra aOaol.com . .,,,, ry... ....... ...... .. .. .... .... �. �� _�
Section D.
Managing Agent Information:
Name of Authorized Agent of dwelling unit, if any: _.... ... .... ... ...... ......
Address of Authorized Agent (no P.O. Boxes) _ _._..... . .__.,..w._.._.
Mailing Address of Authorized Agent: _ ,,...... ..........._..a.. .. .
Telephone Number (s): Daytime„ Evening Emergency_
Email Address: �.m
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): _W._ ... ._ ._._.........
Page 2 of 5
Town Hall Annex Telephone(63l)7oo-i80u
54375Main Road Fax(63|)705-9502
P��.Box //79
Southold,NT //97/'095*
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
Mailing Address OfManaging Agent:
Telephone Number(s): Oaytinne_ ..........__ Evenin Emergency_.,___,_______
Email Address:
SECTION F.
PROPERTY DESCRIPTION:
Number OfRental Dwelling Units onpnopgrty� 2
For each Rental Dwelling Unit set forth the Rental Dwelling Unit identifier (for example,
Unit 1, Unit 2, Unit or Apt A, B, [\;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:
Requested Maximum number of persons allowed to occupy Dwelling Unit
Number of rooms in Rental Dwelling Unit: 5
Use and Dimensions Ofeach room inRental Dwelling Unit:
Dining/Living Room- 17'X141.
2 bedroonno- 10'6^ o8'8^. 10'0"x 11'. bathroom 66^}C8'8^
Porch/patio10'8"
__ _- _ ___-
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.
❑ 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)
C �.... 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)76.5-1802
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 Owners Name: I
Property Owner's Signature: _ .. . ... ...... ._
Sworn to before me thisl—`day of
Off— Notary. Public Sid ONotary
..... ..._._
Signature anri
gal Nott ary Stamp
DEBORAH L.TRACY
Notary puht ie,Stale of New York
No.01TR6027 8
WOW in Tompkins County
Commission Expires 07/06,2023
Page 5 of 5
Town Hall Annex Telephone(631)765-1802
54375 Main Road Fax(631)765-9502
P.O.Box 1179
joumoid,NY i i 97 i-6959
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
RENTAL PERMIT APPLICATION ADDENDUM
.-,- dwelling t
Rental Dwelling Unit Identifier: ��.I It ,k ire n . #_drlveu y......
Requested maximum number of persons allowed to occupy each d g uni
Number of Rooms in Rental Dwelling Unit:
Use and Dimension of each room:
2 bedrooms- 10'8" x 11' and 97"X 8'8"
Bathroom: 5'6"x 8'8"
�...., n._........ _. �..............�. ....
Kitchen - 11'4" X 8'2"
Living/Dlning room- 17 N 'x1
.m, 4" Porch/patio-8'6"x 10'6". _............__.._ ........m. ,
...,_....�...._...._.... ....� ._.,�. .....�....�
Rental Dwelling Unit Identifier:
Requested maximum number of persons allowed to occupy each dwelling unit: .
Number of Rooms in Rental Dwelling Unit: _ _ w _..
Use and Dimension of each room:
Rental Dwelling Unit Identifier: ._
Requested maximum number of persons allowed to occupy each dwelling unit:
Number of Rooms in Rental Dwelling Unit: _. .. .._ .... _......... w...._.. .........
Use and Dimension of each room:
,-) jRoom
Sketcher
G rey ca b i n
1 . Floor
( Bedroom Bedroom
10'6 x 8'8" 10'8 x 11'
Bathroom�ww ���
5'6 x 8'8"
... ......._ ...
�a
............
d
� Kitchen
p
11'4"x 8'2"
00
00
.. ... .
Livingr000m
17'x 14'
Porch w.,.....
10'x 8' � ....
' Room
Sketcher
Green cabin
1 . Floor
Bedroom
0 92"x 8'8"
Bathroom
5'6"x 8'8"
Bedroom
10'8"x 11'
10
Livingroom � ..........,
17'x 14'
Porch
8'6"x 10'6" "`°
-71-311 aO'18
TOWN F OUTH LD PROPERTY � � cARD
OWNED - SERE_ _s ; VILLAGE _ DIST.f SUB. LOT
r
FoRmEk OWNER N E AOP
b
S W - TYPE OF BUILDING
g
RES£ SEAS. AVL. :FARM COMM, CB. MISC. Mkt. Value
= Ld,
LAND IMP. TOTAL DATE REMARKS
- -
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s
_
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e
NEW NORMALBEI-01W ABOVE
FARM Acre Value Value
Acreb
Tillable 1
s
s
Tillable 2 -
Tillable 3
F
Woodland _
Swampland 1 FRONTAGE ON WATER
Brushfand
Hausa PlotDEPTH �F
BULKHEAD
DOCK
Total
{
{
- €
�OLQR r
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RIM
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€
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1 1 1
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E _ _
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BothDinette!
M. Bldg Foundation Dorf,�s �i Basement
o
�
Extension Ext. Walls � � Interior Finish y � i LR�
Extension Fire Place Heat GIZ
i _ l
Type Roof Rooms 1 st Floor' = BR,
pore
x ca
Recreation R � Rooms 2nd Floor B
1
= Dormer
Porch
Breezeway Driveway
i
s
Z
Patio
0. B_
a
€
Total r' i
s
3
January 19, 2022
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:
am submitting this application ahead of the completion of the second visit for the pre-CO
applications for the above, as suggested by John, who did the initial inspection on December
22, 2022.
The inspection called for us to take corrective actions. John suggested that we submit the rental
applications ahead of his return visit to verify the corrective actions so that he can do the
inspection for the rental permits at the same time.
One of the items,the "as built" electrical permit application for 2050 Youngs Road, was
submitted and an inspection was completed by Sean (Shawn?) on January 17, 2023. He asked
that the kitchen outlets in the gray/back house) be converted to GFI outlets, and photos be
submitted to Connie via email once they are completed. This work is scheduled for January 23,
2023 and the photos will be sent to Connie as soon as they are done.
Thank you for accepting the rental permit applications in anticipation of the issuance of the
electrical permits and the pre-C of O.
Sinc ely,
Gillian Francis
On behalf of Clingen Properties
(212) 228-3831
In IP, ID)
ku�
JAN 3 12023
BUILDING I; EI„9
January 25, 2022 'Tnwm nurR4 1D
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:
I am submitting this application ahead of the completion of the second visit for the pre-CO
applications for the above, as suggested by John, who did the initial inspection on December
22, 2022.
The inspection called for us to take corrective actions. John suggested that we submit the rental
applications ahead of his return visit to verify the corrective actions so that he can do the
inspection for the rental permits at the same time.
One of the items,the "as built" electrical permit application for 2050 Youngs Road, was
submitted and an inspection was completed by Sean (Shawn?) on January 17, 2023. He asked
that the kitchen outlets in the gray/back house) be converted to GFI outlets, and photos be
submitted to Connie via email once they are completed. This work is scheduled for January 27,
2023 and the photos will be sent to Connie as soon as they are done.
Thank you for accepting the rental permit applications in anticipation of the issuance of the
electrical permits and the pre-C of 0.
Sincerely,
illian Francis
On behalf of Clingen Properties
(212) 228-3831
Town of Southold 4/8/2023
53095 Main Rd
Southold,New York 11971
low
PSE EXISTING
CERTIFICATE OF OCCUPANCY
No: 44003 Date: 4/8/2023
THIS CERTIFIES that the structure(s)located at: 2050 Youngs Rd,Orient
SCTM#: 473889 Sec/Block/Lot: 18.-2-2
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- 44003
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:
4qM9nal w frame tta re with rear ma onr ,w c:gengO rr 1jgi d ,r4gq under.*
roadside 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.
A o �. gnuttlrc...._.�......__.....................................
"
n
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
l�
HOUSING CODE INSPECTION REPORT
LOCATION: 2050 Youngs Rd,Orient
SUFF.CO. _
TAX MAP ,_...._.....ww............. ..._.,._.._,_-_SUBDIVISION:...............w_.._._....��_ .._�___.........w__-..______._. ____......_w.
_.W.-..._._
n Properties
NAME OF OWNER(S): Clinge.............. .ww .......... .. ___ _.._.._._ . ..ww.... ....... .............._.
OCCUPANCY:
ADMITTEDBY�...�.�w...... __��w�����_�w __..................... .�_____.............._.��ww __........................w_..._._._..�_............ �_.�_..�_�__......_,_...w�.._._.__._.._,.�...__._.....,
SOURCE OF REQUEST: Clingen Properties ______.........w.Mw w_.w.. ._, ....................�... .........., ....�.w DATE: 4/8/2023
DWELLING:
#STORIES: 1 #EXITS: 1
FOUNDATION: cement block CELLAR: full CRAWL SPACE:
BATHROOM(S): 1 TOILETWUR
OOM(S): ._._.. UTILITY ROOM(S):
..�._..._w_.......�
PORCH TYPE: rear screened DECK TYPE: PATIO TYPE:
BREEZEWAY: FIREPLACE: ...., .....
w_......................................_...w GARAGE: under
DOMESTIC HOTWATER: yes TYPE HEATER: electric AIR CONDITIONING-
TYPE
ONDITIO
NING:
TYPE HEAT: none WARM AIR:--.— HOT WATER:
.,.._._.. .... .................
#BEDROOMS: 2 #KITCHENS: l BASEMENT TYPE:
OTHER:
ACCESSORY STRUCTURES:
GARAGE,TYPE OF CONST: STORAGE,TYPE OF CONST:
SWIMMING POOL: GUEST,TYPE OF CONST:
.........w.�.�._...m�.�M _�_...vw ww. _................................... _ ��_v._._._._._.....w. w.��.�.�.�.�.�.........
OTHER:
VIOLATIONS:
REMARKS:
INSPECTED BY: JOHNJ DATE OF INSPECTION: 12/22/2022
TIME START: END:
r�- Town of Southold 4/8/2023
53095 Main Rd
Southold,New York 11971
Iry
PIKE EXISTING
CERTIFICATE OF OCCUPANCY
No: 44004 Date: 4/8/2023
TH[S CERTIFIES that the structure(s)located at: 2050 Youngs Rd,Orient
SCTM#: 473889 Sec/Block/Lot: 18.-2-2
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- 44004
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 cotterae with rear sa0 rep Vic .
rvatersice,
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.
nA
taat are .. ........_
rage S
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
HOUSING CODE INSPECTION REPORT
LOCATION: 2050 Youngs Rd,Orient
......... ,,, w
SUFF.CO.TAX MAP NO.: 18.-2-2 SUBDIVISION:
NAME OF OWNER(S): Clingen Properties
................
OCCUPANCY: _........ ........ ..w_........._..w . ___. .. _
ADMITTED BY:
SOURCE OFREQUEST�_.ww �Clmgen _ ,...�..__.._�.�.. ..�._.........�........._._._�. ..._�w_.............—w,. _....__...�.�.DATE.
8,-/,2-'0'-23,--,--
_m . ........,
Properties
........_........................�
DWELLING:
#STORIES: 1 #EXITS: 1
FOUNDATION: cement block CELLAR; CRAWL SPACE: x
__ _.............. ._..........._....._......._wwwwwww_1..�...,..._.�,........ww_. UTILITY ROOM(S):.,, _ ....,.....,_. ...._.._....
BATHROOM(S): 1 TOILET ROOM(S);
PORCH TYPE: screened._._................_ �.w _ . _�._............� _ w
_..................._.. ...www.....ww_
d DECK TYPE: PATIO TYPE:
-------
BREEZEWAY: ,"._...._mm._................................. ._........F.._ w.... .... ..._,.. .. .... ...__. _�_.w�___�..__���._...�_..
IREPLACE: GARAGE:
DOMESTIC HOTWATER..,:...
yes TYPE HEATER; electric AIR CONDITIONING:
.ww......._.........__ �..._. ...www�.._w. _...,w_..................._..__
TYPE HEAT: gas WARM AIR: wall furnace HOT WATER:
�.................._ . ._w
#BEDROOMS: 2 #KITCHENS: 1 BASEMENT TYPE:
OTHER:
,CCE'SSORY STRIJCTU'RES;
GARAGE,TYPE OF CONST: STORAGE,TYPE OF CONST:
SWIMMING POOL: GUEST,TYPE OF CONST:
OTHER: .._._._.. ...ww..._._ _ _.__...
VIOLATIONS:
REMARKS:
INSPECTED BY: JOHNJ DATE OF INSPECTION: 12/22/2022
TIME START: END:
.............. .....
ZWA
04 Town of Southold 4/8/2023
P.O.Box 1179
53095 Main Rd
Southold,New York 11971
......................---........ . ......................
CEWrIFICATE OF OCCUPANCY
No: 43999 Date: 4/8/2023
THIS CERTIFIES that the building ELECTRICAL
..........
Location'of Property: 2050 Youngs Rd,Orient
.......................
SCTM 4: 473889 Sec/Block/Lot: 18.-2-2
Subdivision: Filed Map No. Lot No.
........... ............
conforms substantially to the Application for Building Permit heretofore filed in this office dated
12/29/2022 pursuant to which Building Permit No. 48668 dated 12/29/2022
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:
The certificate is issued to Clingen Properties
........... ............................
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
...............
ELECTRICAL CERTIFICATE NO. 48668 2/2/2023
...................
PLUMBERS CERTIFICATION DATED
..............
ut o ze ture
llt Town of Southold 4/8/2023
P.O.Box 1179
ze 53095 Main Rd
1
Southold,New York 11971
CERTIFICATE OF OCCUPANCY
No: 44000 Date: 4/8/2023
THIS CERTIFIES that the building ELECTRICAL
Location of Property: 2050 Youngs Rd,Orient
SCTM#: 473889 See/Block/Lot: 18.-2-2
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
1/1/1900 pursuant to which Building Permit No. 48669 dated 12/29/2022
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:
" zz tt"" l ;trip ery xst 1 Pg s a a 1 ca gge road 1c1 J
The certificate is issued to Clingen Properties
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 46889 1/17/2023
PLUMBERS CERTIFICATION DATED
Athrisdaatur