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HomeMy WebLinkAbout1000-15.-6-30 of so A WN OF S UTH L Rental Permit 0666 Owner: Denise Rehrig , Anthony Spino Occupied as: Single Family Dwelling Located at: 50 Three Waters Ln Orient 15.-6-30 Maximum Permitted Occupancy: 6 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 inspe lion. Issued: 01/29/2025 Expiration: 01/29/2027 O* -s de of ement official This Notice must be posted by the main entra a all Te N OF SOUTHOLD BUILDING DEPT. 631-765-1802 IS;_ 6 _ - INSPEECTION [ ] FOUNDATION 1 ST/ REBAR [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION/CAULKING [ ] FRAMING / STRAPPING [ ] F AL [ ] FIREPLACE & CHIMNEY [L FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (F AL) [ ] CODE VIOLATION [ ] PRE C/O [ RENTAL r V�� DATE INSPECTOR TOWN 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 lisllaswHw ° ,,s() ttliol to riny p RENTAL PERMIT APPLICATION Rental Permit Fee $300 (Application must be renewed every two years) Section A. Property Information: Rental Property Address: 50 Three Waters Ln Orient NY 11957 + " ot Tax Map Number: 1000 SECTION 15• -BLOCK 6 -LOT -� SECTION B. OWNER INFORMATION: Property Owner Name: Denise Christina Rehrig & Anthony Spino Property Owner Legal Address: Property Owner Mailing Address: (Cannot be the same as Rental Property Address) 304 East 73rd St., #3G. New York, NY 10021 Telephone Number (s): Daytime 646.753.0105 Evening Emergency Property Owner Email Address: denise.rehrig@gmail.com Page 1 of 4 Section C. Authorized Agent Information: Name of Authorized Agent of dwelling unit, if any: Janet Markarian Address of Authorized Agent (no P.O. Boxes): Mailing Address of Authorized Agent: 114 Main St, Greenport, NY 11944 Telephone Number(s): Daytime 631.521.3711 Evening Emergency Email Address: janetmarkarian@danielgale.com 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: one 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: 50 Three Waters Ln, Orient 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: I (N IN 6 FP6 [2-' 113/4 11 X 16 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 ❑ lam 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) 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 Name: rc' w Property Owner's Signature: ... Sw o before me this 1Z day of vial Notary Public Signature and Original Nota Stamp ARZA FELDMAN Notary Public, State of New York No. 02FE5033243 Qualified in Nassau County IP,ammission Expires Sept. 12,201� Page 4 of 4 FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-29024 Date: j2LL8.L0 , THIS CERTIFIES that the building NEW DWELLING Location of Property: 50 THREE WATERS LA ORIENT (HOUSE NO.) (STREET) (HAMLET) County Tax Nap No. 47889 Section 15 Block 6 Lot 30 Subdivision Filed Nap No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated APRIL 30 2002 pursuant to which Building Permit No. 28384-Z dated MAY 14 2002 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 COVERED PORCH AND ATTACHED TWO CAR GARAGE AS APPLIED FOR. The certificate is issued to YVONNE BREUER & ROBERT AUGUSTINE (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTKMT OF HEALTH APPROVAL R10-02-0026 10 09 LO2 ELECTRICAL CERTIFICATE NO. PENDING jkL28L02 PLIERS CERTIFICATION DATED 09 2S 02 HARDY PLUMBING & HEATING Authorized Signa Ore Rev. 1/81 �g,�tftlt� Town of Southold 6/3/2023 P.O.Box 1179 e 53095 Main Rd Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 44151 Date: 6/3/2023 THIS CERTIFIES that the building GENERATOR Location of Property: 50 Three Waters Ln,Orient SCTM#: 473889 Sec/Block/Lot: 15.-6-30 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 12/15/2022 pursuant to which Building Permit No. 48779 dated 1/23/2023 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: acgessM,genergtor M ggplied f r. The certificate is issued to McPhee,Tammy of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 48779 5/3/2023 PLUMBERS CERTIFICATION DATED f I nA6 t .3 TOWN OF SOUTHOLD PROPERTY RECORIE I tWNER ,_ STRE VILLAGE DISI` _ F V _ - a FORMER OWNER N E ACR 4 F _ 3 S W TYPE OF BUILDING RES. = SEAS. VL FARM COMM. CB. MISC. Mkt. Value r LAND IMP, TOTAL DATE REMARKS t x - - I i t r � s AGE BUILDING CONDITION NEW NORMAL BELOW ABOVE FARM Acre Value Per Value Ldrtl[� Acre r _ Tillable 1C - 03 f t Tillable 2 I Tillable .3 Woodland Swampland FRONTAGE ON WATER FRONTAGE ON ROAD Brushland House Plot DEPTH � i BULL<HEAD - Total DOCK I z € I - IT , I I 7-1 ' t 15-6-30 12/02 Dinette _ M. Bldg Bath Foundation = i Extension Basement Floors K. I a Extension ' Ext. Walls f= Interior Finish € LR. Extension Fire Place U ; Heat [ Fe Roo } T f Rooms 1st Floor R.� Recreation Room! Rooms 2nd Floor Fl ,l Porcn I I Porch i :Dormer I Breezeway 1 'Driveway I Garage u z f _ _ Patio 4 I £ i 0 B. - I i rs Total ., i I - 55 � -7/301 X . a, .�..w �R�r 4. XAV _ 0 TOWN OF SOUTHOLD PROPERTY VILLAGE I Dlt UB.S LOT �vi � JT O N t . E ACR. W r l�� a'✓rt ` S TYPE OF BUILDING RES. I SEASr FARM 1 COMM. CB, MISC. Mkt. Value LAND IMP. TOTAL i DATE REMARKS © 5 a 0 V/ a I ; AK - 10 �� t AGE BUILDING CONDITION ��� NEW NORMAL � �� ABOVE FARM i Acre Value Per Value _ y a Acre I Tillable 1 Tillable 2 - Tillable 3 i _ f Woodland r I Swampland I IFRONTAGE ON WATER Brushlond FRONTAGE ON ROAD House Plot DEPTH BULKHEAD I; Total I I DOCK I' = a m - _ _ f s E I < 3 15-6-30 12/02 � i M. l pX c Foundation i Both ,Bosernent Floors Extension Walls s� dal � � >>,,��,,., � Interior Finish- Extension i Fire Place ' Heat Rooms 1 st Floor $4_Type Roof l Porchl ems, �tQ Recreation Room Rooms 2nd Floor FIN. i = Porch Dormer I r ewe Driveway I Garage l 2 o k 2 Z /4 fo Patio _ Total ? t .a e FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-29024 Date: 10/28/02 THIS CERTIFIES that the building NEW DWELLING Wqq..— Location of Property: 50 THREE WATERS LA ORIENT (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 15 Block 6 Lot 30 Subdivision Filed Map No_ Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated APRIL 30, 2002 pursuant to which Building Permit No. 28384-Z dated _ _ MAY 14 2002 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 COVERED PORCH AND ATTACHED TWO CAR GARAGE AS APPLIED FORIT:._._._...... _._. _......... ....� . The certificate is issued to YVONNE 'BREUER & ROBERT AUGUSTINE__ (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL R10-02-0026 10/09/02 ELECTRICAL CERTIFICATE NO. PENDING 10/08/02 PLUMBERS CERTIFICATION DATED 09/26/02 HARDY PLUMBING & HEATING Authorized Signa e � Rev. 1/81 i4— '2Q,7j- fat ' °f Town of Southold 6/3/2023 1 P.O.Box 1179 53095 Main Rd Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 44151 Date: 6/3/2023 THIS CERTIFIES that the building GENERATOR Location of Property: 50 Three Waters Ln,Orient SCTM#: 473889 Sec/Block/Lot: 15.-6-30 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 12/15/2022 pursuant to which Building Permit No. 48779 dated 1/23/2023 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: accesso enera err a , died f r, The certificate is issued to McPhee,Tammy of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 48779 5/3/2023 PLUMBERS CERTIFICATION DATED A o ire tyre_ f�L-- T —7 4 ._ a PELLA PATIO DOOR fCEnFIClAl LABELS - --, RE ivTT I BEDROOM 3 i` DINING ROOYI = U.`_ GARAGE BEDROOM1 t i VENT t'A - 3 _ ;T w r ' BF 3 I - I ®_ - ( 55* ` : t e PEDESTAL _ =BA t L TH r-,% I zB KITCHEN _= CAL AM - on = t [ yi - - - - 0 - 3 PLY 24f0 PLY000 3'-TO 3}20 LAYERS 3f8 X. Tm Palt�s c=• E �. w TO THE BEST OF MY KNOM-EDGE,BELIEF AND PROFESSIONAL r i ) ' � JUOGE?aT " ' FTORY MANUFACTURED HOME(FMH)PLAN _ t€ i� 3 - f•" i wHAS BEEN APPRM FROM A SYSTEM SET OF FMH PLANS �� _ _ ' � PR_EV10USLY APPROVED BY THE NEW YORK DEPARTMENT OF STATE R 30 - �( t` j z`.- CEILING INSULATION (J u_` °f`+._ t: ''T I 31 ADVISE LINO LOCATIONS i OSIIO< M TT BEEN - _ c�v ADVISE TV k PHONE LOC. PREAM US06 PAT 5 OFr -SCAE - �I ADVISE PANEL BOX LOC. ATE - I C Mom Pam D! 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