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Home My WebLink About1000-24.-1-1 e_ $r TOWN OF SOUTHOLD Rental Permit 1207 Owner Peter & Irene Treiber Occupied as Single Family Dwelling Located at 310 Oyster Pond Ln. Orient 24.4-1 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. 10/4/2024 )-hW WeIrw ed�ntOffiiai This Notice must be posted by the main entrance at all times Code Erg rc TOWN OF SOUTHOLD— BUILDING DEPARTMENT Town Hall Annex 54375 Main Road P. O. Box 1179 Southold,NY t 9 - 1 Telephone (631) 765-1802 Fax(631) 765-9502 b,.tW / calttol) ! RENTAL PERMIT APPLICATION 1olnuttoi Rental Permit Fee $300 (Application must be renewed every two years) vcc1o �S� Section A. Property Information: Rental Property Address: 3 Ia Tax Map Number: 1000 SECTION G Z -BLOCK Co ^ 0 1 -LOT t-1 D -� SECTION B. OWNER INFORMATION: Property Owner Name: �r- Property Owner Legal Address: Property Owner Mailing Address: (Cannot be the same as Rental Property Address) r•� Telephone Number (s): Daytime 03 3 IT 1 Evening Emergency I 1 Property Owner Email Address: Page 1 of 4 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 an ° Address of Authorized Agent (no P.O. Bo); Mailing Address of Authorized Agent/ Telephone Number (s): Dayti Evening Emergency Email Address: SECTION E. SITE MANAGER INFORMATION: (requi d for rental properties containing 8 or more rental units) Name of Managing Agent of dwelling nit, if any: Address of Managing AgenXgP Boxes): Mailing Address of Mana nt: Telephone Number ( /: Daytime Evening Emergency Email Address: Page 2 of 4 �. SECTION F. PROPERTY DESCRIPTION: Number of Rental Dwelling Units on property: 5 + 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: p 0 d��44 4vlf. ......... Requested Maximum number of persons allowed to occupy Dwelling Unit: _/0 Number of rooms in Rental Dwelling Unit: Use and Dimensions of each room in Rental Dwelling Unit: Qt� / (ZoVA ��` � 13 0 t" 15' 3" K ( � .. —&OA W�Y/ A SECTION G. �it I INSPECTION.. 1t Z 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 afire 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. Page 3of4 SECTION H. DECLARATION: Signature must be notarized and MUST be the owner of the dwelling unit. STATE OF NEW YORK) ) COUNTY OF SUFFOLK) I 119ti � 1 � 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 before me this 13'�ay of O > __,, 20g- A l . Official Notary Public Signature and Original Notary Stamp No�4Avr BL ,STATE oFNEvountyn� u J On Pisa.01 n Suffbik County ran Won Exal 13a0 J Page 4 of 4 ,Aff0(m K Town Hall Annex 'gU" Telephone 631 765-1802 54375 Main Road P. O. Box 1179 w" 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: 10 Number of Rooms in Rental Dwelling Unit: Use and Dimension of each room: 14� tAl4 aC' 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: Use and Dimension of each room: Town Hall Annex °' Telephone (631) 765-1802 54375 Main Road Fax (631) 765-9502 P. O. Box 1179 "# Southold, NY 1 1 971-0959 BUILDING DEPARTMENT TOWN OF SOUTHOLD RENTAL PROPERTY CERTIFICATION Form is to be completed by a licensed architect, licensed engineer or licensed home inspector Separate form is required for eacin individual Rental Dwelling Unit Professional seal required for Architect or Engineer, Licensed Horne Inspector must provide copy of valid current certification Rental Property SCTM Number: 1000-024.00-01.00-001.000 Rental Property Address: 310 OYSTER PONDS LN, ORIENT, 11957 Owner/Name: Peter Treiber Rental Dwelling Unit Identifier: N/A Number& Square footage of each bedroom as depicted in the attached floor plan: (i.e. Bedroom#1 — 100 sqft., Bedroom#2 —90 sqft., etc.) Bedroom#1- 187 sqft., Bedroom#2-200 sqft., Bedroom#3- 176 sqft., Bedroom#4- 169 sqft. Property Description (Include all improvements indicated on survey) 2 Story Frame House&Garage, Brick Patio, Stone Driveway, Frame Shed, Frame Garage I certify that I have done a physical inspection of the subject rental dwelling unit and find that it fully complies with all the provisions of the Code of the Town of Southold, the Residential Code of New York State, the Building Code of New York State, the Plumbing Code of New York State, the Fuel Gas Code of New York State, the Fire Code of New York State, the Property Maintenance Code of New York State and the ergy Conservation Construction Code of New York State. Print Name and Title Original Signature Please place Professional SeAJIn czrnx; faf$0Uty TOWN OF SOUTHOLD BUILDING DEPT. 631-765-1802 N S' tw"ok E0" N [ ] FOUNDATION 1ST/ REBAR [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION/CAULKING [ ] FRAMING / STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) [ ] CODE VIOLATION [ ] PRE C/O [ RENTAL REMARKS: 4/z (F C./ �'Wj A�-, DATE` r INSPECTOR Jill oo r, -0e i G 6-V4 31 SNO �� Al roqA- I � WAY 31 W x IT- �y S �Atv J | 2 3 4 5 G 7 9 |O ) | 12 13 14 15 | G 17 FT kr IN OFT . � D C B pw OGIG IL LLJ ........... bti a1 V11611 • HHOAAHN • IHOdNHHU9 • NAY IYU UOZ -'3NI'S3IVI3OSSVN9IS3G MAOU11-UHUMNAMMI .........—----- o ............ C\I It & i jti S", °"1 ",,.qas�l� 6 "Jv ......1114 71 r V7,---------—----------- IN LO 0 LL .................. .............. SL — QD LL __ _..w ....... __ . ... ......., _. i V7` U-MLLP-M 14,611 II"1 OA AMT 1110dXTRA119 HAV[HII S-07 •'9NI'S3LVI IIL'�SV N91Si11I NAIOLIII IIaII,LViL1►IIIViI �� .. 4 .. .,............ VIE 1 717 M 1' s d� ar M 4 l " d a CV <,. I FN OF SOUTHOLD Vii(OPERTY ki TOW NER' STREET VILLAGE �.�,,.. �, o1JB. LOT u� _ - $, m AC R A _ E RE AGE vi W TYPE O BOLDING I , ` RES. -QEAS. VL. FARM COMM. IND. CB. MISC, _ -- I - AND fmp� TOTAL DATE REMARKS s a y� -' F A,GE BUILDING COND T:ON a IgW NORMAL BELOWq, A B 0 YF, Farm =.v n VolutePer Aire Value fiiW eolp U— - - - T} s T-p a43 - 7 �a wotan - 0 a Prusnland z . x House Plod . _ COLOR ? - ? t" TRIM y z - , f h � f 24,-14 9/10 24.4-1 2/10 I ULIE 44T-1 1 st 2nd lS ( K 7 1__y 3`---V t-7 CB ; �. Bldg. ( `� ---- Foundation OTHER Bath .,, Dinette 3�( �j tS� -P FULL> COMBO Extension Basement MAB L PARTIAL Floors Kit. SLAt - Extension ,� _ � g� Finished B. Interior Finish L.R. ` J ------------- Exten `on _, Fire Place Heat D.RF Garage3 Ext. Walls BR. - , I I Porch Dormer Baths Deck/Patio Fam. Rm. I Foyer Fo Pool Y A.C. Laundry �� , - Library/ O.B. l 1 . � � Study Dock - i 4 - i E I � 4 i =mac - s i M. Bldg, I Foundation I Bath l Extension = - Basement _ -Floors 4 Extension = Ext. Walls In for Finish a Extension i Fire Place Heat Porch Attic Porc',) Rooms 1st Floor - - I Patio _ ? Rooms 2nd Floor Garvge Driveway E� ft� Town of Southold 5/8/2015 P.O.Box 1179 53095 Main Rd �+ Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 37547 Date: 5/8/2015 f THIS CERTIFIES that the building SINGLE FAMILY DWELLING Location of Property: 310 OYSTER PONDS LA ORIENT SCTM#: 473889 Sec/Block/Lot: 24.-14 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 4/11/2008 pursuant to which Building Permit No. 33892 dated 5/13/2008 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 INCLUDING SUNROOM WITH D F ;K ABOW C VE11EO P Rt"I 1 Sx._ f 1"DOOR SHOWER _ a._ _" _ EA ABOV a�:.ARAQ f L D T ()BE USE FOR A ER S IMALI "1"'WO ,___.. GARAGES r ...-!A I TO a l BEDROOM AND UNFlN SHE ;3A'S MEl 1 S„APP -I D FOR I �I .. V The certificate is issued to PETER S&IRENE M TREIBER b of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL R10-07-0102 03-24-2015 ELECTRICAL CERTIFICATE NO. _. - 10081 ..w.._..w 12-28-2009 Ymmmm N a PLUMBERS CERTIFICATION DATED 02-05-2010 Kevin Rempe Plumb' g Aut o Q Si at mm_ 0 P I