HomeMy WebLinkAbout1000-15.-3-32 of so TOWN OF SOUTHOLD
Ac Rental Permit
1495
Owner: Gail Cohen
Occupied as: Single Family Dwelling
Located at: 130 Sound View Rd Orient 15.-3-32
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.
Issued: 06/12/2026
Expiration: 06/11/2028 Code Enforcement official
This Notice must be posted by the main entrance at all times
TOWN OF SOUTHOLD—BUILDING DEPART EN" Mk( 2 9
Town Hall Annex 54375 Main Road P. O. Box 1179 Southold,NY 11971-0959
Telephone (631) 765-1802 F'ax(631) 765-9502 1 WWW S0U111ok1t0%Vnn',''t10 DuRding Peflnrfrnent
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RENTAL PERMIT APPLICATION 74L
4
Rental Permit Fee $300 (Application must be renewed every two years)
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Section A. I &I r � ��
Property Information:
Rental Property Address:
eu) c)oe-a(-,MV
Tax Map Number: 1000 SECTION _-BLOCK -LOT
SECTION B.
OWNER INFORMATION:
Property Owner Name: V'j
Property Owner Legal Address: Property Owner Mailing Address:
(Cannot be the same as Rental Property Address)
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Telephone Number (s): Daytime 'f(;i—)o4(,*o3 Evening Emergency_
Property Owner Email Address: 'e 0"'I
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Page 1 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.
For properties with multiple Rental Dwelling 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: acme Luc
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SECTION G. --ttM4"40fkf-C 1*) g ; '�" ! 12-X
INSPECTION: *dWAY IgX+
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.
0/ 1 am requesting afire safety inspection to be performed by a Code Enforcement Official
from the Town of Southold
O 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)
0-d , Ccl <4` , 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 thq day of 20
Official Notary Public Signature and Original Notary Stamp
CONNIE D.BUNCH
Notary Public,State of New York
No.01BU6185050
Quallfled in Suffolk County
Commission Expires April 14,2d .
Page 4 of 4
TOWN OF SOUTHOLD BUILDING DEPT.
631-765-1802
INStp =CTION
[ ] 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 [ e RENTAL
REMARKS:** .� ..� �..
DATE (Zpz6 INSPECTOR
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"gyp Town Hall Annex
Town Of Southold 54375 Main Road
Rental Inspection Report PO Box 1179
Southold, NY 11971-1179
Tel: 631-765-1802
SCTM# 15.-3-32 Date 6/11/2026
Owner Phone
Address 130 Soundview Rd Visible e5
Hamlet Orient Onspector ''REC
Floor Level Quantities Sub 1 2 3
Smoke Detectors(not located in bedrooms) ✓
Carbon Monoxide Detectors ✓ ✓ toe,
Fire Extinguishers �/ ✓
Exits ✓ ✓
Bedrooms 1 2 3 4 5 6
Smoke Detectors ,/ .001" ✓ �✓
Egress ✓ ,I✓ ✓
Occupant Count Z L
Building Systems Maintained&Operational Condition of Property
Heating o/ Building interior
Hot water Building exterior
Electrical ✓ Property clean, maintained &safe
Mechanical Handrails&guards installed &secure
Pool Safety Pool on Site
Surface water alarm Date of CO issuance
Door alarms Pool completely enclosed
Self closing/latch gates Pool fence to code requirements
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CO s for all items present i"d � � ,,,� ;,� ,i/�oji; ,
Comments:
TOWN OF SOUTHOLD PROPERTY RECORD CARD
OWNER MEET VILLAGE 1 DISTRICT SUB. =LOT
FORMER OWNER N E ACREAGE
----------
iW TYPE OF BUILDING
RE& SEAS. VL ' FARM comm. CB. misc. Est. Mkt. Value
LAND IMP. TOTAL DATE REMARKS
4 11-155o
1 f0r- 00 J p
AGE BUILDING CONDITfQN1
A4—IP-7'
ars-
-NORMAL "'BELO`�( -IABOVE -ERO?���AMATfilk
Form Acreq i Value Per Acre Value fR0t4TA!Sf�6N--RQAD,-
IAX D
Tillable ® 1
ate
Tillable 2 Sic
1 —7 65 0 0 7—la6 P-b2ji t-, 9 5/-A (o, 7000
Tillable 3
Woodland
Swanviond
Brushland
Home Plot
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ISA-32 2/14/2025
M. Bldg, Foundation � Bath
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Extension
tc" Easement Floors
r s
E tet?�saon Ext walls Interior Finish
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Extension 1 c x r 3 ` { Pay Fire Place ,_ Heat
Parch Roof Type
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r'o, arch Rooms 1st Floor
Breezeway Oede- Ck X 'A 0 ?, firms a � q � Patio Rooms 2nd Floor -
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Garage - Driveway Dormer � I
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FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No: Z-29786 Date: 10/23/03
THIS CERTIFIES that the building NEW DWELLING
Location of Property: 130 SOUNDVIEW RD ORIENT
(HOUSE NO.) (STREET) (HAMLET)
County Tax Map No. 473889 Section 15 Block 3 Lot 32
Subdivision Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated NOVEMBER 22, 2002 pursuant to which
Building Permit No. 28979-Z dated DECEMBER 6, 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 SINGLE FAMILY DWELLING WITH ATTACHED GARAGE & COVERED FRONT PORCH AS
APPLIED FOR.
The certificate is issued to GEOFFREY & CLAUDIA CLAXTON
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL R10-00-0219 10/22/03
ELECTRICAL CERTIFICATE NO. 1142272 09 29 03
PLUMBERS CERTIFICATION DATED 10 10 03 PECONIC PLUMB.&HEATING
Authorized Sian ure
Rev. 1 f 81
Town of Southold
P.O. Box 1179
53095 Main Rd
a Southold, New York 11971
CERTIFICATE OF OCCUPANCY
No: 46068 Date: 03/27/2025
THIS CERTIFIES that the building ALTERATION
Location of Property: 130 Sound View Rd Orient NY 11957
Sec/Block/Lot: 15.-3-32
Conforms substantially to the Application for Building Permit heretofore,filed in this office dated: 01/10/2024
Pursuant to which Building Permit No. 50392 and dated: 03/05/2024
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:
Additions and alterations including a rear deck to an existing single-family dwelling as
applied for.
The certificate is issued to: Gail Cohen
Of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL:
ELECTRICAL CERTIFICATE: 50392 1/14/2024
PLUMBERS CERTIFICATION: Evan Scalici 1117,12.024
l
Aut o d gnature
r Town of Southold
P.O. Box 1179
53095 Main Rd
Southold, New York 11971
CERTIFICATE OF OCCUPANCY
No: 46165 Date: 05/13/2025
THIS CERTIFIES that the building GENERATOR
Location of Property: 130 Sound View Rd Orient NY 11957
SecBlock/Lot: 15.-3-32
Conforms substantially to the Application for Building Permit heretofore,filed in this office dated: 03/04/2025
Pursuant to which Building Permit No. 51829 and dated: 04/15/2025
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:
Accessory generator as applied for.
The certificate is issued to: Gail Cohen
Of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL:
ELECTRICAL CERTIFICATE: 51829 5/2/2025
PLUMBERS CERTIFICATION:
Au ho ` i ture