The URL can be used to link to this page

Home My WebLink About1000-25.-1-7 TOWN OF SOUTHOLD Rental Permit g 1061 Owner Veronica Gonzalez Occupied as Single Family Dwelling Located at 285 Oyster Ponds Ln. Orient 25.4-7 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. 2/2/2024 de l ore e I Official This Notice must be posted by the main entrance at all times O lea ri: c# ( 01.0578 fbLZ �0 0 VIt� �� Telephone(631 ")76 -180 Town Hall Annex ��" `� 54375 Main Road Fax(631)765-9502 Pz P.O.Box 1179 Southold,NY 11971-0959 pp °°- 2 2,024wvwu» 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: Tax Map Number: 1000 SECTION -BLOCK� SECTION B. OWNER INFORMATION: , Property Owner Name: Property Owner Legal Address: Property Owner Mailing Address: . O. L( �1 -3 Telephone Number (s): Daytime, 5 Evening__ Emergency _.... Property Owner Email Address: _ , _ =�' Page 1 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 SOUTHOLD Mailing Address of Managing Agent: Telephone Number (s): Daytimej& OO'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, 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: Requested Maximum number of persons allowed to occupy Dwelling Unit: Number of rooms in Rental Dwelling Unit: Use and Dimensions of each room in Rental Dwelling Unit: Page 3 of 5 Town Hall Annex f� Telephone(631)765-1802 54375 Main Road W �' Fax(631)765-9502 17 Ac P.O.Box 1179 0t Southold,NY 11971-0959 iY 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� ZfW-A�"L5��, ,��-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 1179 i" Southold,NY 11971-0959 � BUILDING DEPARTMENT TOWN OF SOJ'TDOLD 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: : -� Property Owner's Signature; Sworn to before me this_day of ... , 20_. Official Notary Public Signature and Original Notary Stamp Ebk*r OthetdfiolrcompktN�g thkcertif CBW uedit ontythe ldWMW of" ho ftr,od dw doaenent to whkh thisaurdP=W leatMbK and not the s,sawacYor w>ihllty of that doownenf. lotted dW rMMr� lubialbadMd bnOr aatWry d72 004Y Notary Public•California jLos Angeles County Commission#2418051 Comm.Expires Sep 24,2026 Page 5 of 5 ' o fi Town Hall AnnexTelephone(631)765-1802 1 54375 Main Road N Fax(631)765-9502 r �? P.O.Box 1 179 Southold,NY 11971-0959 BUILDING DEPARTMENT TOWN OF SOUTHOLD RENTAL PERMIT APPLICATION ADDENDUM Rental Dwelling Unit Identifier: Requested maximum number of persons allowed to occupy each dwelling unit: Number of Rooms in Rental Dwelling Unit: 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: 5 Use and Dimension of each room: f9 fi I tj Rental Dwelling Unit Identifier: Requested maximum number of persons allowed to occupy each dwelling unit: Number of Rooms in Rental Dwelling Unit: Use and Dimension of each room: rsk VZI A J4 L#tV� 631 -765-1802 L INSPEC ION [ ] FOUNDATION 1ST [ ] ROUGH PL13G. [ ] FOUNDATION 2ND [ ] INSULATION/CA [ ] FRAMING / STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY IN [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PI [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FI [ ] CODE VIOLATION [ ] PRE C/ODATE INSPECTOR [ Oft E 631-76S-i802 INSPECTION [ ] FOUNDATION IST [ ] RO H PL13G. [ ] FOUNDATION 2ND [ ] SULATION/CAULKING [ ] FRAMING /STRAPPING [ FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) [ ] CODE VIOLATION [ ] PRE C/O f ] RENTAL �C ALIA DATE _ INS `ECT l tr Ary .1W r*w ulu", BEDROOM #1 BEDROOM #2 CEUAR CJ0R so C5 2 3T R T CROMED CEI I,Ew 1161TS To CE REP————,e———-- -- I IXt LIVING ROOM DINING ROOM SCREENED PORCH (V SnIM NO �ZESI KITCHEN - MU, j:j '80 FIRST FLOOR PLAN V-7, i 3E 1ii'xE i 'i2" { IaEW EXIST. ATTIC € HI a EYST.2x8 n W 7C-00 uw'!wS t1E,1' [x 9 16 CC HG'CF RnFTHS ' — ' - — iE, TG 6XCiN3 F0- CC N '�� 1Et5'ING Ni;GL a 15 Np? 2x t PJ3i1 ' 7H ti.w:• Irz' vv K.ea _r ss ------ - KfEWM ; t "1 ARTS AND C6A AREA 1',V SiarACE SPIACE g J , s r 'z �6ATHR— 1 02 Yt= - z� � s 70 F-'C•x LSI I [ f ] I € EXI TI ROOF BELCJW ; 1 S x � ( : i I 1 J 1 = L N 0 5 0 U F H 0 U P A 0 PCER T Y P71-f-E.:C 0 R OF , )T STREET y-fN -------- --- E ACREAGE 1 A N' w TYPE OF BUILDING H mlsc� R FARM Camm. C P-MARKS DAT ND- lhvip L J BUILDING CONDITION NEW NORMAL BELOW AEROVEf t-a rrr, Acre V-alje De- Acre Value re rb Ti labis WC Dd!ro n L! r i I I � _ I _ es E . s _ tiff , 25:1-7 1/06 M. Bldg. Foundation Bath F Extension _ >sement Floors Extension Ext, Walls Interior Finish E Heat Fire Place rt Extension , 4 Porch Attic _ Porch Rooms 1 st Floor B;eeay. Patio Roams 2nd Floor Driveway Garage 0 B, I FORM NIO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Clerk's Office Southold, N. Y. Certificate Of Occupancy No. .Z Z .35:66. . . . Date . . .August• 13.,. . . . . . . . . . . . . .1196-9 . THIS CERTIFIES that the building located at .oys-ter. Pond. Lane. . . . . . . Street Map No. . . . . . . . . . . . . Block No. . .. . . . . . . . .Lot No. . .orient, . Now.York. . . . . . . . . . . conforms substantially to the Application for Building Permit heretofore filed in this office dated . . . . . .Apr.il . . 22,. . . . ., 19.6 9. pursuant to which Building Permit No. 426 0. Z . dated . . . . . .Apra.l . • 22, . . . . ., 19-69, was issued, and conforms to all of the require- ments of the applicable provisions of the law. The occupancy for which this certificate is issued is . . . . . . .private. .one. .£amily .dwelling. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . The certificate is issued to . . .Herbert. .G. . Vall . . . . . . . . . . . . . . . . . . . . . . . . . . . w . . . . . . (owner, lessee or tenant) of the aforesaid building. Suffolk County Department of Health Approval July. •29,• .1969.,. .Robert. Villa. . . Building Inspector , House # 285 Oyster Pond Lane ctQt,f Town of Southold 11/13/2021 P.O.Box 1179 53095 Main Rd 41' Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 42538 Date: 11/13/2021 THIS CERTIFIES that the building RESIDENTIAL ADDITION Location of Property: 285 Oyster Ponds Ln.,Orient SCTM#: 473889 Sec/Block/Lot: 25.-1-7 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 6/2/2005 pursuant to which Building Permit No. 46920 dated 10/4/2021 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: screened room addition to e ci fin rJgl faro it d)6 elliqg-gs a,pY c4 f o . The certificate is issued to Linker Jr,Edward of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 46920 10/7/2021 PLUMBERS CERTIFICATION DATED N.... -.-....µ.- ,_.. nature oz ;, Town of Southold 8/17/2023 P.O.Box 1179 53095 Main Rd '1k Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 44469 Date: 8/17/2023 THIS CERTIFIES that the building ADDITION/ALTERATION Location of Property: 285 Oyster Ponds Ln,Orient SCTM#: 473889 Sec/Block/Lot: 25.-1-7 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 8/2/2022 pursuant to which Building Permit No. 48332 dated _ 9/26/2022 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: "as lauilt"additos and alterations incl�tng dormer attic store e with laathroon to eistin sin le fanail dwellin as annfied fo The certificate is issued to Gonzalez, Veronica a of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 48332 7/21/2023 PLUMBERS CERTIFICATION DATED 6/14/2023 E u hitt 'eating 1' Antiiz n, 0 0 0 0 0 0 o C;o °o m � � N O Na ` I 0 90 � ZN o a Q ] 0 u, 0 0 m PW N c 0 — Q U m W N 0 d 0)U � z cnLL0 a w LU 40- u " m � LU m z U a IL a, w WAYLU U a JW - < 0 � a0z � z = 0 0 7QN0 W 0 a 0 I a Way a � W � O YD0 LL 00 J� = m > Z ,E zzU � X00 E � oz ,� .. jp�, W m o 0J � �.' 0 0 m � Qa N c o m � F � � '4 c7 200 0 0 WUJ SJ o. � J a �' c N y N 'o N W u. 'C N �, C mI Z J 0 0) p 0 C 4j O N h- IZ L ' � � d M J c c N m N N � rZ N �' X w � # 0 N 0 � N L {� V tD c Cm d UN a a C N p{) L 00 V d N C 40 NN 0 0 E E