HomeMy WebLinkAbout1000-26.-2-2 Ic Rental Permit
a
1374
Owner: Christopher Fogarty , Kelly Fogarty
Occupied as: Single Family Dwelling
Located at: 152 King St Orient 26.-2-2
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 inspection.
Issued: 09/19/2025
Expiration: 09/19/2027 Code nfor ent official
This Notice must be posted by the main entrance at all times
EC EdVE
�.. `fir
TOWN OF SOUTHOLD—BUILDING DEPA,I TMEN�"f �� �2 �" 2.IG 0
Town Hall Annex 54375 Main Road P. O. Box 1179 Southold,NY 11971 �J(
Vol) ,i
Telephone (631) 765-1802 Fax (631) 765-9502 halls. /Nk'Ny (j'uthola to nn D2
RENTAL PERMIT APPLICATION
Rental Permit Fee $300 (Application must be renewed every two years)
Section A.
Property Information:
Rental Property Address:
152 King St, Orient, NY 11957
Tax Map Number: 1000 SECTION 26. -BLOCK 2 -LOT 2 0
SECTION B.
OWNER INFORMATION:
Property Owner Name: Kelly & Christopher Fogarty
Property Owner Legal Address: Property Owner Mailing Address:
(Cannot be the same as Rental Property Address)
54 Dandy Dr., Cos Cob, CT 06807
Telephone Number (s): Daytime 415-336-4119 Evening Emergency
Property Owner Email Address: ckfogarty@comcast.net
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): 114 Main St, Greenport, NY 11944
Mailing Address of Authorized Agent:
631-521-3711
Telephone Number (s): Daytime Evening Emergency
Email Address: lanetmarkarian@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:
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: `'`►®v\, -�'
Requested Maximum number of persons allowed to occupy Dwelling Unit:
Number of rooms in Rental Dwelling Unit:
Use and Dimensions of each room in Re n ,I Dwelling Unit: t �
3. 3 l t �.
Ck (,(. . 3 >,� ► �
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
elaws adopted by the New York State Fire Prevention and Building Code Council.
�
`� 1 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.
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 Chef- , 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: 1�C.� 0-r
Property Owner's Signature:
Sworn to before me this day of , 20j?3
LJ
Off cial Ndfary Public Signature and Original Notary Stamp
KERRI PEEKE
Notary Public,State of Connecticut
My Commission Expires April 30,2030
Page 4 of 4
f sool
TOWN OF SOUTHOLD BUILDING DEPT.
631-765-1802 a�I N S �' E C T 10 N
[ ] FOUNDATION 1 ST/ REBAR [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INSULATIOWCAULKING
[ ] FRAMING / STRAPPING [ ] FINAL
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL)
[ ] CODE VIOLATION [ ] PRE C/O �ENTAL
REMARKS: -//7 sk 6&a/tg L "-eo c be
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DATE INSPECTOR
� 6 "'.;✓,
Town Hall Annex
Town Of Southold 54375 Main Road
Rental Inspection Report PO Box 1179
Southold, NY 11971-1179
Tel: 631-765-1802
t
SCTM# Date ,.
Owner Phone
Address S s Visible
Hamlet Inspector
Floor Level Quantities Sub 1 2 3
Smoke Detectors(not located in bedrooms)
Carbon Monoxide Detectors
Fire Extinguishers
Exits
Bedrooms 1 2 z 3 4 5 6
Smoke Detectors
Egress 1,0007
Occupant Count
Building Systems Maintained&Operational Condition of Property
Heating Building interior
Hot water Building exterior
Electrical Property clean, maintained &safe
Mechanical tHandrails&guards installed &secure
Pool Safety Pool on Site
Surface water alarm Date of CO issuance
Door alarms Pool completely enclosed
Self closing/latching gates Pool fence to code requirements
Co's for all items present Prior Rental
Comments:
TOWN OF SOUTHOLD PROPERTY ---D
OWNER STREET VILLAGE DIST SUB. LOT
PIZ
FORMER OWNER E ACR,
W
'S PE OF BUILDING
X A,La
RES. SEAS. VL. FARM COMM. CB. MISC. Mkt. Value
"A,
LAND IMP. TOTAL DATE REMARKSr.
7�
Y
z
Az-,
zit f
+
AGE BUILDING CONDITION
Ir i 1-k-f I A t
...............
NEW NORMAL i BELOW ABOVE
FARM Acre Value Per Value
Acre
-----------
Tillable I
Tillable 2 1
Tillable 3
Woodland
Swampland FRONTAGE ON WATER
Brushland FRONTAGE ON ROAD
House Plot DEPTH
BULKHEAD
Total IDOCK
►000 -
COLOR 44_
•
y,
F
+-
TRIM -�
1 I f r f ,
•
t
s p
a
j
€
•
a M. Bldg ' - -
�� ��oundat'on
-� � Dinette
€ Bath /
Extensionz BRsement _ Floors i K.
Extension Q�j '� .Ext. Walls ' Interior Finish i LR.
�"
Extension 7 3i° Z 3ff p Fire Place Heat ' UJ , DR
d _ _
-.Type Roof Rooms 1st Floor 1 BR.
Pore Recreation Room Rooms 2nd Floor FIN. B.
Porch iDormer I
Breezeway ' Driveway
i
Garage ,
Patio
I €
O. B. l�� \2 4 d o %2-O -
I
Total
FORM NO. 4
TOWN OF SOUTHOLD
BUILDING- DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
PRE EXISTING
CERTIFICATE OF OCCUPANCY
No Z-23566 Date MARCH 22 1995
THIS CERTIFIES that the building ONE FAMILY DWELLING
Location of Property 100 KING STREET ORIENT NEW YOM
House No. Street Hamlet
County Tax Map No. 1000 Section 26 Block 2 Lot 2
Subdivision Filed Map No. Lot No.
conforms substantially to the Requirements for a One Family Dwelling built
Prior to: APRIL 9 1957 pursuant to which CERTIFICATE OF
OCCUPANCY NUMBER Z-23566 dated MARCH 22 1995
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 *
The certificate is issued to DOROTHY WELCH
(owner)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A
UNDERWRITERS CERTIFICATE NO. N/A
PLUMBERS CERTIFICATION DATED N/A
*PLEASE SEE ATTACHED INSPECTION REPORT.
Building Inspector
Rev. 1/81
FORM NO.4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Town Clerk's Office
Southold, N.Y.
Certificate Of Occupancy
N z10?44 Date . . November 12.. . . . » . . . . . . 19 . 80
o. '
THIS CERTIFIES that the building , . . . , , , . » . . . » . . . . . . . , . • • . . . . . . — » . » . . . . • . . . . . . .
194 Willow Terrace Lane Orient, N.Y.
Location of Property . . . . . . . . . . . . . . . . . . . . » . "Sir t, � » , . , . . . . . . . . . . . . . . . . . ~Hamlet
House lVo� Pt. Of 2
County Tax Map No. 1000 Section . , . .d��. . • • .Block . . . . . . . . . I . , . . .Lot . . . . . . . . . . . » . . . . .
Subdivision . . . . . . . . . . . . . . . . . . . . . . . . . . . .Filed Map No. . . . . . . . .Lot No. . . . . . . . . . . . . .
conforms substantially to the Application for Building Permit heretofore filed in this office dated
. April 'I7 , 19 °" ursuant to which Building Permit No. . .10176 Z. . . . . .
dated April 179 , . , . 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 . . . . . . . . .
Raised Deck Addition to PrivateOne—Vatily Dwelling.. .
The certificate is issued to , . Edwin C, , qG!rr1 ty . . . .
(owner,/AVPVWXXX
of the aforesaid building.
Suffolk County Department of Health Approval . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
UNDERWRITERS CERTIFICATE NO. . .N f R . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Building Inspector
Rev 4/79
FORM NO. S
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Town Clerk's Office
Southold, N. Y.
Certificate Of Occupancy
Z 737,E Nov to 7 �
No. . . . . . . . . . Date . Q .4�tN. .G , ��T,
. . . . . . . .
, 19. . . .
�Q
THIS CERTIFIES that the building located at . . . . . . . . . . . . . . . . . . . . . . . . Street
Map No. . . . Block No. . . . . . Lot No. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
conforms substantially Tj
16-1 f o the�A pplic� ufor Building Permit heretofore filed in this ff
dated . . . . . . . , . . 19 ursuant to which Building Permit No. . . . . . . . .
A 'f big,
dated . . . . . ., 19. . . ., was issued, and conforms to all of the require-
ments of the applicable provisions of the law. The occupancy for which this certificate is
AQ jwp(V A 1 Le 0�-1 E rA r-i t L-Y OW r-- L L I N 1 6-
issued is . . . . . . . . . . . . . . . . . . . . . . . . . . .
'b01?0 TW`� 1W k L L I-
The certificate is issued to . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . » .
(owner, lese se ar tte�na-M
of the aforesaid building.
Suffolk County Department of Health Approval . . . . . . . . . . . . . . . . . . . . . . . . . . .
K1. �I .
UNDERWRITERS CERTIFICATE No. . . . . . . . . . . . . . . . . . . . . . .
j UU 1 W 6G STt-�L T
HOUSE NUMBER Street . . . . . . . . . . . . . . .
Building Inspector
12 ft ,
N
a
v
k
Bath
Utility
Pantry 13.2ft
d
Dining
in
Kitchen p,5ft
15 x t�. 3
First Floor
C [1344 Sq ft]
3edroo 1 Living in
��{•� k ld•3 �$-S x m
C 13 'a
Foye
26ft
Front Porch
TOTAL Sltehdi by a. mode,ine. Area 1«alcvlatlonn Srn�TMma1y
(�
. _
r
Fkst F 1344 Sq ft, 26 x 28z= 741
14 x 13.2 = 184.8
34 x 12.3 = 418.2
Total Living Area(Rounded): 1344 8q R
V
0 <<
� lift
2ft
8 n 5 ft , .
�L
Full
Bath
Bedr'oo
13 . 3 x l4 • k
I
N
4
Bedroom
Full
Bath
21 . 5ft
Second Floor
[454 Sq ft]
TMALSkekh by a la mode,im:. Area Calculations Summary `
t4yla Area,' � ,o„ � .. Calculation Oetifts,
Second Floor 454 Sq ft 21.5 x 20 = 430
1 x 2 = 2
2 x 11 = 22
Total Living Area(Rounded): 454 Sq It