HomeMy WebLinkAbout1000-18.-2-1 TOWN OF SOUTH OLD
Rental Permit
A�
1108
Owner Love House Trust
Occupied as Single Family Dwelling
Located at 2100 Youngs Road Orient 18.-2-1
Maximum Permitted Occupancy 11
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.
4/15/2024 � �
Code E(for e et OffiAI
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 � �m "
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BUILDING DEPARTMENT
TOWN OF SOUTHOLD
RENTAL PERMIT APPLICATION
Rental Permit Fee$200 (Application must be renewed every two years)
Section A.
Property Information: M AY 5 2021
Rental Property Address:
2100 YOUNGS ROAD, ORIENT, NY
Tax Map Number: 1000 SECTION 18 -BLOCK 2 -LOT 1
SECTION B.
OWNER INFORMATION:
Property Owner Name: IAN OGILVIE
Property Owner Legal Address: Property Owner Mailing Address:
Telephone Number(s): Daytime 40 -040- 858 Evening Emergency__
Property Owner Email Address: 89THSTREET@MSN.COM
Page 1 of S
Town Hall Annex , Telephone(631)765-1802
54375 Main Road4 Fax(631)765-9502
P.O.Box 1179
Southold,NY 11971-0959 WN
BUILDING DEPARTMENT
TOWN OF SOUT HOLD
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
n � a
Town Hall Annex y�� Telephone(631)765-1802
54375 Main Road Fax(631)765-9502
P.O.Box 1179
Southold,NY 1 1 97 1-0959 � v 1
a y�
BUILDING DEPARTMENT
TOWN OF SODTDOLD
Mailing Address of Managing Agent:
Telephone Number(s): Daytime Evening Emergency _.
Email Address:
SECTION F.
PROPERTY DESCRIPTION:
Number of Rental Dwelling Units on property: 1 UNIT
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: 2100 YOUNGS ROAD
Requested Maximum number of persons allowed to occupy Dwelling Unit: 10
Number of rooms in Rental Dwelling Unit: 7 ROOMS, 3 BATHS
Use and Dimensions of each room in Rental Dwelling Unit:. LIVING ROOM-42.41'X 17.41'
KITCHEN -23'X 17.83', BEDROOM#1- 13.58 X 11.58', BEDROOM#2- 10.66'X 10.33'
BEDROOM #3 - 15'X 17.41', BEDROOM#4- 11.5'X 12', BEDROOM#5( MASTER BEDROOM)-27.58 X 11.66,
Page 3 of 5
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Town Hall Annex Telephone(631)765-1802
54375 Main Road Fax(631)765-9502
P.O.Box 1 179
� r o
Southold,NY 1 1971-0959s
' NT" °.e.
BUILDING DEPARTMENT
TOWN OF SOUTH:OLD
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.
0 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)
)
COUNTY OF SUFFOLK)
1 yAAN O&I L V/ f, 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
'Cann Hall Am= � TrJ (631)765-16112
54375 Mdn Road Pax(631)765-45G2
P.O.BOX 1179
Southotd,NY 11971-0939
BURDING DEPARTMENT
TOMW 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(S)business days as to any change to the Information
regarding Authorized Agent,Managing Agent,or Site Manager.
Property Ownees Name: LAN OGIL IE
Property Qwnees Signature:
4
Sworn to before me this day of
ary Public Signature
i�'a(Not and! ri n W �;ary
YOR
E
nBJ � 'Oualffwcl in suffoik county ,
a �� 3„ „
Page 5 of 5
So
t TOWN OF L I
631 -765-1802 1
INSPECTIO �m
[ ] FOUNDATION 1ST [ ] ROUGH PL13G.
[ ] FOUNDATION 2ND [ ] INSULATION/CAt
C ] FRAMING / STRAPPING [ ] FINAL
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INf
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PE
[ ] ELECTRICAL (ROUGH) C ] ELECTRICAL (TII
[ ] CODE VIOLATION [ ] PRE C/O [ 1
TOWN OF sol
631 -765 1802
INSPEC ION
C ] FOUNDATION 1ST [ ] ROUGH PL13G.
[ ] FOUNDATION 2ND C ] INSULATION/CAI
[ ] FRAMING / STRAPPING [ ] FINAL
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY IN:
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PE
C ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FII
[ ] CODE VIOLATION [ ] PRE C/O [
OOe IAA A s vZ
Pa—al A
........../11111
DATE INSPECTOR ,
pl � � Town Hall Annex
eAV w� y
Town Of Southold 54375 Main Road
� Rental Inspection Report PO Box 1179
Southold, NY 11971-1179
Tel: 631-765-1802
SUM # �� — / Date v?CJ
Owner ... .. ...... Phone ..... - -............
.....�..._........... .
.�
Address Visible
� ' ..-a.-._. ....�.�.�...�...� .u�... ._.. p
Hamlet, ..w....�.�...... •....._...�..�... ..� _ .. ,. .._�. ......_�w.. ..ro-...._..� Ins ector
Floor
Flo Level Quantities Sub 1 2 3
� o,�,U• �..��W ,�
Smoke Detectors(not located in bedrooms)
Carbon Monoxide Detectors
Fire Extinguishers
.a""........ � ...... �.,.�.w.�_.wa , ,�...����.. ........ � . �................
..� ^Ewts µ..�.w....��.�...... ... _........_ .�.. �.w.�.�.........�a�.�.....-a �.. ...y.��....�.._..�__ .. . ......._. _m... ._.l._............. .-..,li_ ..._...�... a.w....� ..n..�_....
8.. _W ...,. . _.... ww. �. . w....
edrooms 1 2 3 4 5
Smoke6
Detectors
Egress V
Occupant Count .... . ,., ...._._ ...__..., �. ...... ... .mm..
Condition of Property
Building oyster Maintained &Operational .. .. �.,. ��e .. ...,w�� ..,... ,,a,,..•..•.. F . .m ,. -.
Building interior
Hotwat...., ..,m ..om...� w„ o,�... .... ...... ..._W. . � a � ... . .,.ow.�............ �M & �
Heating C
water Building exterior
w.... M,a � . ., ww�W��Mw �..o� �,�.a.�•..e... ..,"...�.w.. �....... .
Electrical Property clean, maintained &safe
��. � ,..m.."w. �R�.. ... ... ....... ww ���.
g &secure
Mechanical � ailed
�.�.�..... _._..�,�..... w..m.. ..��. .. ........ ..�...�.� .�....w�u��".�� .._....w � .-...,....._..Handrails&guards inst��a ._...-.... . .._.....�.a... _�... ...... _.
_. ... „ K....w _....._.. .... .... ..w_... ... ..... . ,w. ,
Pool Safety Pool on Site
Surface water alarm Date of CO issuance o? " �
Door alarms Pool completely enclosed
, w.. .. " _�.m� ...
;Self closing/latching gates I Pool fence to code requirements
_.... . .... ..". ........._... ......... ........�, _�.. ..._� ...., .... ...�. ........_.._..... . _., �.w... .......,
CO's for all items present Prior Rental
_..
. ..�". . ...... .........
........._.... .... . .�............. . w.
Comments
......
.
/£_ "J
H = , TOWN OF SOUTHOLD PROPERTY Y RECORD GAK
OWNER - _ STREET VILLAGE DIST SUB. LOT
fj
FORMER OWNER N E ACR.
S W TYPE OF BUILDING
_ a
RES. SEAS VL. FARM COMM. CB. MISC. Mkt. Value s
LAND I IMP, TOTAL I DATE REMARKS
..
a
3 ,
Qrti :
SAGE - inn ff LOI� COI IiOY/
NEW NORMAL i BELOW ABOVE
FARM Acre Value Per Value
Acre
Tillable 1 I
Tillable 2
Tillable 3 I
-- _
Woodland
--
Swampland FRONTAGE ON WATER
t n. �
Brushland FRONTAGE ON ROAD
House Plot DEPTH
i, BULKHEAD :2
Total DOCK
I`
COLOR
77-
Z ..
jJy;�
4 TRIM
x�
1 S:2-1 9/06
1 st 2nd
M Bldg Foundation a �, Fin. B. Bath �, Dinette
FUL6 COMBO - --
Extension 1 , y '� � � '?"— Q Basement CRAWL PA9TIAL Floors Klt>
1'E w�' � (�.� 7 `J" � O 'SLAB -�
Extension Ext_ Walls Interior Finish z L.R
Extension Fire Place Heat `` D R
_.. - ..�
Patio �� � �. � . WoodstoJe —BR-
Porch G
`- ! Dormer Baths
Deck 7K 5 i t7 ,:'c
A.C. ;� Dock Fam. Rm.
- � � _ �
2u��•
Garage r
O.B.
Pool
i
I
COLOR
- TRIM, v
a ,
-
'
1
• � s i � .
s I M. Bldg = r: - • , i ` - e -� -n
A ndation s hah D'nett
Extension € ! Basemen -- Floors
l Ext. Walls
Extension Interior Finish LR.
Extension Fire Place Heat DR.
- - I M-ry it';)(
s
l BR.
Type Roof Rooms 1st Floorl
,
ecreation Rc i Rooms 2nd Floo` FIN. B.1
Porch - s _ 5 G L7 ' — -
Porch Dormer
- -
Breezeway Driveway
Garage I
s
Patio ;
t l
O. B.
s
Total
FORM NO.4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
Certificate Of Occupancy
Z10753
No. . . .„ . . . . . . . . . . . . . . Date . . . . . . . .October 29. , „ . . . . , , . . . 198.1.
THIS CERTIFIES that the building , . . . . „ . . . , . w . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Location of Property 2100 Youngs Avenu. " eient, New York
House No. Street l Ham/et
County Tax Map No. 1000 Section . . . .18. . . . . .Block . . . . . . . . . . . . .Lot . . . . . . . . . . . . . . . .
Subdivision . . . . . . . . . . . . . . . . . „ , . , . , . . . . . . . .Filed Map No. . . . . . . . .Lot No. . . . . . . . . . . . . .
Requirements for a One Family Dwelling Built Prior to
conforms substantially to the Applkwtiew4ot-BnildingPerarrl~here*ofore-fled-izr-Ww office 4ated-
April. 23. . . . . . . . . 1957.pursuant to ud;icfi "�%c2f, Occupancy Z10753
dated . . . .October 29 81
. . . . . . . . . . . . . . . . . . . . . . . 19 . . . , 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 . . . . . . . . .
Private One Family Dwelling*
The certificate is issued to . . . . .Nancy R Douglass & Elizabeth Block
(owrloKA lfe➢UffX%
of the aforesaid building.
Suffolk County Department of Health Approval . . . N/R. . . . . . . . . . . . . . . . . . . . . . .
UNDERWRITERS CERTIFICATE NO—V IR. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . „ . . . . . ,
Building Inspector
Rnr.1181
BUILDII.:G DEPARTI.IEN,T
TOV-7. OF SOUTHOLD, N. Y.
HOUSING CODE I143PECTIODI REPORT
Location 210m0 Yr�u stAv enue 1 f:a rs�P slit .
.- -
,1 pai�:i tyT _-,...
Subdivision map No. Jot(s)
Name of 0'+mer(s) Nancy R. Douglass & Elizabeth Block
Occupancy R-1 Unoccupied
-.' "" "tY�e' owner-tenai,FT_
Admitted by: Mr. Douglass Accompanied by: Same
Key available Suffolk Co. Tax No. 18-2-1
Source of request Nancy R. DouglassDate 9/22/81
D'v=,LIT"
Type of construction W22(2-4 Framed #stories 2
Foundation Poa:rr 1 C & Cellar partial Crawl spaceppst
Total rooms, lst. Fl li 2nd. Fly rd. Fl�_�
Bathro:.:n(s) 2 Toilet room(s) 1
Porch, type Lg'e• Open porotck, type Patio, type
Breezeway Garage Utility room _
Type Heat GasWarm Air x Hotwater_
FireDlace(s) 1 No. Exits_3 Airconditioning
Domestic hot,,•iater Tyne heater
Other Gas Wall Heater -T--�
ACCESSORY STRUCTURES:
Garage, type cons . Storage, type const.
Swimming pool - w, Guest, type const.
Other—_�-
VIOLATIO ;S: Housing Code, Chapter 52
Location Descriot;ar.. ... Art. Sec.
Bathroom Bath Floor III... ?, _?z
Cellar Cellar steps have no rail and tu)n� �r
to far apart
Remarks: y
Inspected by: , r � Date of Insp. ep�'.emkgz-2 /8L
Curtis W. `Horton Time start2:30 end 3:30
FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No: Z-31428 Date: 02 09 06
THIS CERTIFIES that the building ADDITIONS ALTERATIONS
Location of Property: 2100 YOUNGS RD ORIENT
(HOUSE NO.) (STREET) (HAMLET)
County Tax Map No. 473889 Section 18 Block 2 Lot 1
Subdivision Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated DUNE 23 2004 pursuant to which
Building Permit No. 3043°-Z dated JUNE 24 2004
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 ADDITIONS & ALTERATIONS TO AN EXISTING SINGLE FAMILY DWELLING AS
APPLIED FOR & AMENDED TO INCLUDE INGROUND SWIMMING POOL & DECK ADDITION.
The certificate is issued to IAN OGILVIE
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A
ELECTRICAL CERTIFICATE NO. 2052934 08 12 0.5
PLUMBERS CERTIFICATION DATED 02/03/06 MATTITUCK PLUMB.&HEATING
c '
ut rize,xSignature
Rev. 1/81
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