The URL can be used to link to this page

Home My WebLink About1000-27.-1-4 TOWN OF SOUTHOLD g Rental Permit ow- 1124 Owner Gabrielle Brown & Arianne Gold Occupied as Single Family Dwelling Located at 2605 Orchard St Orient 27.-1-4 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. 5/10/2024 Code Enforcf e6l Official This Notice must be posted by the main entrance at all times DTOWN OF SOUTHOLD—BUILDING DEPARTMENT Town Hall Annex 54375 Main Road P. O.Box 1179 Southold,NY 11971-0959 Telephone (631) 765-1802 Fax(631) 765-9502 itt s://ww�w.scttholdtown��t .Gov �Q C, �� RENTAL PERMIT APPLICATION Rental Permit Fee $300(Application must be renewed every two years) Section A. Property Information: Rental Property Address: 2 o(za Tax Map Number: 1000 SECTION 2--] -BLOCK Q -LOT__Of) - SECTION B. OWNER INFORMATION: Property Owner Name: -I Property Owner Legal Address: Property Owner Mailing Address: (Cannot be the same as Rental Property Address) pl - 917- 72-1- (oqZZ- Telephone Number(s): Daytime Evening Emergency Property Owner Email Address: l Page 1 of 4 Section C. Authorized Agent Information: Name of Authorized Agent of dwelling unit, if any: fok I &ej� Address of Authorized Agent(no P.O. Boxes): 5 WOT K� 67 Mailing Address of Authorized Agent: Telephone Number (s): Daytim S '7Xning Emergency Email Address: i 7 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): Mailing Address of Managing Agent: Telephone Number (s): Daytime Evening Emergency Email Address: Page 2 of 4 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, 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. 'I-rt Fo properties with multiple Rental Dwellig 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: 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. Page 3 of 4 SECTION H. DECLARATION: Signature must be notarized and MUST be the owner of the dwelling unit. STATE OF NEW YORK) ) COUNTY OF SUFFOLK) I j� rA 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 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 s to any change to the information regarding Authorized Agent, Managing Agent, or Site Manager. Property Owner's Name: Property Owner's Signature: Sworn to o,e met t clay ( 20G�0 fficia otary Public Sign ure and Original Notary Stamp ANAIFREAY Notary Public,State of W OM"Y My commission Expires 9,2028 Page 4 of 4 S TOWN OF OUTHOLD BUILDING DEPT. cu 631-765-1802 a INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION/CAULKING [ ] FRAMING /STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION ELECTRICAL (ROUGH) [ ] ELECTRICAL 7REN)TAL CODE VIOLATION [ ] �E C/O [ DATE ^, Town Hall Annex ell Town of Southold 54375 Main Road ~" Rental Inspection Report PO Box 1179 Southold, NY 11971-1179 ,. � ;, Tel: 631-765-1802 �@ n. CTM# 1 Date p caner Visible Phone -- Address �2! u.... ._. .�..... H _.. amlet p c) Inspector Floor Level Quantities � 2 3 ( n bedrooms) I Smoke Detectors not located i ms Detectors H.s m,..v� Carbon Monoxide Detec r j ,�. , .�. ., o...... Fire Extinguishers Exits Bedrooms 2 3 P 4 5 j 6 Smoke Detectors Egress ✓ Occupant Count Building Systems Maintained &Operational Condition of Property _... .� �...s Heating BuildiBuildin �. Hp � g interior in n Hot water g terior Electrical ;Property clean maintained & safe �Mechanical Handrails& wards installed &secure Pool Safety Pool on Site Surface . ...,,e . ..w, water alarm Date of CO issuance ��.. - _4 I Door alarms I Pool completely enclosed Self closing/ latching gates m ,Pool fence to code requirements .._ ._ m_ ' present �Prior... al � _.. _... .. . . resenRent CO s for all items t, e � � r . Comments _ .......� . w ..., _.caw . ... ,._ _._. _ _.... _ ... ... ... m,._. N OF OUTHOLD PROPERT'49/ 2//L/ 01I CARD _ STREET VILLAGE DIST. SUB. LOT a � = I < a• _ o , Y A . N � �- I 1 � _ S W TYPE OF BUILDING 3 i 'ES. �, z� � SEAS. ;VL FARM 'COMM. CB. MISC. Mkt. Value LAND IMP, TOTAL DATE REMARKS m d / le s v (; — t 7 _� _ s-- a z F ILDI�GlON t.- _ _ g � a NEW � WAL BELOW B � � _ f _ FARM Acre Value Per x Wlu A_JI ' f ' z� �PfJ" E ACIB` [ - ' €fit ice. _ r F � �,l jJ Tillable 1 ! I u billable 2 r 3 woodland I °� T 11W swampland I ;FRONTAGE ON WATElk FRONTAGE .ON ROAD 1 Irushland louse Plot ( ; DEPTH 'BULKHEAD 3 ; I 'o DOCK tal I - � LR � � ° t I i 1 tit IM ° I 1bD I 27,14 7/08 i i I I s s 27A-4 1/08 41 a - - tandation Bath Dinette' M. Bldg m Extension Basement � 1 K Floors � � Interior Finish LR. 1 Extension F I Ext. Walls t _ c' = V , Fire Place Heat I DR. f Mx ion 32� ( q 10 7 r I ! SV i Type Roof Rooms 1 st Floor BR. I Recreation Roo ! Rooms 2nd Floo FIN B. Ir �1 `C =� �� Dormerwz g� Porc i Driveway t Go rage 3 Co f� Patio - Total E � - z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-34009 Date: 11 06/09 THIS CERTIFIES that the building NEW DWELLING Location of Property_ 2605 ORCHARD ST ORIENT (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 27 Block 1 Lot 4 Subdivision Filed Map No_ Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated SEPTEMBER 19 2008 pursuant to which Building Permit No. 34173-Z dated SEPTEMBER 19, w20.08 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 ONE FAMILY DWELLING WITH REAR DECKS, COVERED PORCH AND_FRONT ENTRY DECK AS APPLIED FOR w The certificate is issued to WILLIAM GI LOOLY ' L (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL R10-05q 0047 04/02/09 ELECTRICAL CERTIFICATE NO_ 3044064 08 31 09 PLUMBERS CERTIFICATION DATED 08 24/09 WILLIAM GILLOOLY S ,. �__ ......... __ horiyded S gnature.....,.� Rev. 1/81 Town of Southold Annex 12/14/2012 t4 P.O.Box 1179 54375 Main Road Southold,New York 11971 ............ .......... CERTIFICATE OF OCCUPANCY No: 36083 Date: 12/14/2012 THIS CERTIFIES that the building IN GROUND POOL Location of Property: 2605 Orchard St,Orient, SCTM 4: 473889 Sec/Block/Lot: 27.4-4 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this officed dated 5/18/2012 pursuant to which Building Permit No. 37239 dated 5/23/2012 .............. 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: iLiglound L w ie, wed to code as anDlied for.j nming p9ol f-n�L_ The certificate is issued to Higgins,Lawrence&de la Vega,Frederick (OWNER) of the aforesaid building, SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 37239 7/24/12 PLUMBERS CERTIFICATION DATED ............. S ii leat 0 ure y , ; ct — e' 1t-�ftE R�aM ICP 4 } •P t ( tE it ft t _€ _ �3 � € Ij (l SiATF ii __ - FRAMIIMNG PLAN f sc+E 14 2)(101120C � i € t w s�'ff° a'-6'-1's-m-}-st z10. 3,-{--8' -.x.3`-C s-{II'€f=e }1 •c` -s-11 IST FLOORWAllSSR} Wy 1ST.FLOW RUM usP�TwoLe O W'LtNDI i usphNvw !t r E N yq � n _ _. AU s UVIKG ROOM ^_ r„ 3 e P N6 wom i tsr,FLaartW t iv-a'aW-4° WAL 4 � iST.Ft OCR PLATE }— r fROIJfr '' t 5U6RQOR €. :`" - - - ttN.l. Y _ ('w� 6 !`f '3I € - F' _' -^` MSTA4a OR RS" —4 ttty m BILL RATS z DOUBLE E ( I FouNDATION WAIL i y-a . J..'o-F 5 Imny 2U- W-0- 5fmSIM FIRST FLOOR PLAN a (� `- SCALE-Vo'='-V' } RAFTER RAFTIM T USPRT76 1 'TE�RAt.. TOP PLATE USPRT20 UO USP SPhVF WALLSTLM WALLS[ -� -S`z k STATE 0 AP �( 1 FRAMIMNG PLAN, € 10 € 2.X10112 Oc Z-V I-j-- 2'-6 54--1'�°Y t` '-7.4* �€ T s URcistuos I w 6 � 14 -._.�`. ` .AAA. tLOt(T , STUD` I � I USP Rig O Z{I USP LSfA1.2 i W - ji - i ` ,� t '"L -- RM.v. 4tH �' , vo[ a +— r �'.,., `_'- s � L- 1 MA411;RDEV KOGM �- aoxo c oar 2HO.FLOORWHLSTi mv 2NO.FMORRA7E t�iPtO-FL'Ai c+ � i iST.FLOORTOP PLATES 3.7'-;.—5# 34V t Y O n � kp iB'-�- _. - >.g-o.'—gym t7-0'-..�_r _ rLi-i Gl iSTFLOOR WALLMO i, ff 1 ® SECOND FLOOR ( w t SCALE:1!8'�1 A„ w 2C > i n 4,1 UAATE`t0728f09 ; LAMES GARRETSON I BASEMENT PLAN I REvlseo: ARCHITECT, LLP SCntE.us^=1 0^ SK_5 ,. I 1620VILLAGE LANE,BOX 123,ORIENT.NY 11957 E GILLOOLY RESIDENCE ._— II 631-323-1777 212-316-3862 �F �I ORIENT,NEW YORK ,�-