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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 L----- - , c o U �� (c. l�ro �/'n Afzgl Ao olc- be- 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