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Home My WebLink About1000-25.-4-10 of 800 TOWN OF SOUTHOLD Rental Permit 1498 Owner: Richard Webley Occupied as: Single Family Dwelling Located at: 1110 Orchard St Orient 25.4-10 Maximum Permitted Occupancy: 5 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 arrangin r the bi-annual inspe ticn, Issued: 06/16/2026 Expiration: 06/15/2028 Code fo me cial This Notice must be posted by the main entrance 0allmes n .. a TOWN OF SOUTHOLD--BUH,DING DEPARTMENT, Town Hall Annex 54375 Main Road P. O. Box 1179 Southold,NY 11971-0959 - r; Telephone(631) 765-1802 Fax(631) 765-9502 taps:,/,/www.sotitlioldtownn . Gov RENTAL PERMIT APPLICATION Rental Permit Fee $300(Application must be renewed every twoyears) Section A. Property Information: Rental Property Address: 'I tiL S Tax Map Number: 1000 SECTION 01,!,(20 --BLOCK-0 0 0 -LOT 01.0- - 00 C7 SECTION B. OWNER INFORMATION: Property Owner Name: O u 1AC, kylGv` Property Owner Legal.Address: Property..Owner Mailing Address: (Cannot be the same as Rental Property Address) r ,a o N Telephone Number(s): Daytimeill- 4<5 )J_Evening Emergency Property Owner Email Address I k .yH k � C f YriGI,I� C OrY1 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): MailingAddress of Authorized Agent: Telephone Number(s): Daytime Evening Emergency Email Address: Section D. Managing Agent Information: Name of Authorized Agent of dwelling unit, if any: Address ofAuthorized 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: UU►� Requested Maximum number of persons allowed to occupy Dwelling Unit Number of rooms in Rental Dwelling Unit: Cal Use and Dimensions of each room in Rental Dwelling Unit: ev, t° � " %tl Ile lot .M M1 `� 4� PR}E 4vV 4 A � i1 W Mk 4 oH" 1i // "'Mw,,w�a•.www«�.,,.wmwmm'wrvurewww:m w,ewe»ww.w+» wmwm ' w,w„„.wwww,�..wnron�� (� 0.M w 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. V I am requesting afire 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) I e I' 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 1 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 day of 20 (� Official Notary Public Signature and Original Notary Stamp CONNIE D.BUNCH Notary Public,State of New York No.01 BUG1 85050 Ouallfled In Suffolk County c� Page 4 of 4 Commission Expires April 14, 2� Zs g Town Hall Annex �� Telephone(631)765-1802 54375 Main Road rw, P.O. Box 1179 Southold, NY 11971-0959 co 211. BUILDING DEPARTMENT TOWN OF SOUTHOLD RENTAL PERMIT APPLICATION ADDENDUM 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: 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: l c �,eA4 - T8'�"IP'N OI SOUTHOLD BUILDING DEPT. 631-765-1802 0%I Wft N ao to = T I ("J" N [ ] FOUNDATION 1 ST/ REBAR [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] I ULATION/CAULKING [ ] FRAMING /STRAPPING [ FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL AL) [ ] CODE VIOLATION [ ] PRE C/O [ (F RENTAL REMARKS: DATE 1111S1"ECTOR TOWN OF SOUTHOLD PROPERTY RECOO lbla4 Iiq OWNERA STREET VILLAGE DIST. SUB. LOT: uA ijl A I JORMER N Ey, ACR. 11 1 fj -, �i N S W TYPE OF BUILDING o , Ala RES. SEAS, ML. 'FARM ;COMM- CB. MISC. MIt. Value LAND IMP, TOTAL DATE REMARKS J— �17) '�Dl AGE BUIL T DING )IPN ij�4 i -7- 10 -X, ---------- NEW NgRMAL.1 -ELo)'y WOVE,- ap 6rt It r6 d Lll.)r-I -,qn FARM Acre Value Per V`alue�' Acre f Tillable 1 '\'V 0 7-z 4t)A Tillable 2 f Tillable 3 (7?- Woodland Swampland 11FRONTAGE ON WATER Brushland !FRONTAGE ON ROAD House Plot DEPTH BULKHEAD ,�tak o�Ccc� Total i !DOCK' )�z { a� w - — • t LOR = f e RIM 3 iT , I i f 25-4-10 9/09 3 f i f _ 25.4-10 4/09 = I I x 3 �� DinetteM. Bldg. 3 €= ndation Bath - 5Q0 �� I - ;Floors 1 K. Extension �nq Basement ` ' Extension , - �2 _S`J lExt. Walls ! =Interior Finish LR. - _ _ tensio t zS !Fire Place L �Pd rid U _ Heat DR. g _ I Type Roof ' Rooms 1st Floor BR. Porch ! 'Recreation Room! l Rooms 2nd Floor! I F i N. B. Pore o �� `t 3 Z2- q� b rmer I m= ..; Breeze �m.�e� Driveway I r , Garage - ! i Patio a { i m i � I y3 € �I Total - Y> f ' \ 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- 32676 Date: 1R1 17/07 THIS CERTIFIES that the building DWELLING Location of Property 1110 ORCHARD ST ORIENT (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 025 Block 0004 Lot 010 Subdivision _ Filed Map No_ Lot No. conforms substantially to the Requirements for a ONE FAMILY DWELLING built prior to APRIL 9j,. 1957 pursuant to which CERTIFICATE OF OCCUPANCY NUMBER Z- 32676 dated OCTOBER 17, 2007 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 ACCESSORY THREE CAR GARAGE* The certificate is issued to JUDITH NIGRO REV. TRUST ......gq_gqqqq_ (OWNER) of the aforesaid building. SUFFOLK COUNTY DRPARTMWM OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. N/A PIAPMERS CERTIFICATION DATED N�P+ *PLEASE SEE ATTACHED INSPECTION REPORT. W Au horizeed Signature Rev. 1/81 FORM NO.4 TOWN OF SOUTNOLD BUILDING DEPARTMENT Town Clerk's Office Southold,N.Y. Certificate Of Occupancy 7 10021 July y 80 No. . . . . . . . . . . . . . . . . . Date . . . . . . . . . . . . . . . . . . I . . . . . . . . . . ., 19 » , . THIS CERTIFIES that the building . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . w . . . . . . . . . 1110 Orchard Street Orient9 New York Location of Property . . . . . . . , . . . �Nue Apo. , greet Hamlet County Tax Map No. 1000 Section , .�c� . . —Block . . . "`. . . , . . . . . . .Lot . . . . . . �. . . . . . . . . Subdivision . . . . . . . • . .Filed Map No. . . . . . . . .Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated June 23 107447.* . . . . . . . . . , 1980.pursuant to which Building Permit No. . . . . . . dated . . . . . .June ?' 19�'`j. ,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 . . . . . Deck Addition to E,,Jstjng Dwelling The certificate is issued to . . . . . . . . . Judith Nigro (owner,,:WIA'°° of the aforesaid building. Suffolk County Department of Health Approval . . . . . • . . . . , . . , /R . . . . . . . , • . . . . • . . • • . . . . . .NR UNDERWRITERS CERTIFICATE NO. . . . . . . . . . . . . . . . . . . . . / . . . . . . . . . . . . . . . . . . . . . . . . . m r r .,6l Building Inspector Rev 4/79 FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-22156 Date -FEBRUARY 24 1993 THIS CERTIFIES that the building ADDITION Location of Property 1110 ORCHARD STREET ORIENT N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 25 Block 4 Lot 10 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated NOVE ' ER 20 1987 ____pursuant to which Building Permit No. 16647_Z dated NOVEMBER 23 1987 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 ADDITION TO EXISTING ONE FAMILY DWELLING AS APPLIED FOR.. The certificate is issued to JUDITH NIGRO (owner) of the aforesaid building. SUFFOLIC COUNTY DEPARTMENT OF HEALTH APPROVAL N A UNDERWRITERS CERTIFICATE NO. N-017465 - JUNE 17 1988 PLUMBERS CERTIFICATION DATED AUGUST 25 1988 - KING PLUMBING /SvidinjInspector Rev. 1/81 FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-3 2 9 81 _,.,... Date: 04 15 OS THIS CERTIFIES that the building ALTERATION Location of Property: 1110 ORCHARD ST _... ORIENTmw (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 25 Block 4 Lot 10 Subdivision Filed Map No. Lot No_ conforms substantially to the Application for Building Permit heretofore filed in this office dated DECEMBER 10, 2007 pursuant to which Building Permit No. 33592-Z dated DECEMBER 20, 2007 was issued, and conforms to all of the requirements of the applicable provisions of the law. The occupancy for which this certificate is issued FAMILY DWELLING AS APPLIED FOR. m ..... mmmmmEXISTING SINGLE is ALTERATION TO AN The certificate is issued to JOSEPN LOGAN & KELLEY WALKER (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N -_, ELECTRICAL CERTIFICATE NO. 3061288.M........ 03 2 8/08 PLUMERS CERTIFICATION DATED ��$u i .d Si ature Rev. 1/81 Town of Southold Annex 7/6/2011 54375 Main Road Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 35044 Date: 7/6/2011 THIS CERTIFIES that the building IN GROUND POOL Location of Property: 1110 Orchard Street, Orient, SCTM#: 473889 See/Block/Lot: 25.4-10 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this officed dated 3/5/2010 pursuant to which Building Permit No. 35401 dated 3/18/2010 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: a ::...... o ixn round srrimmi 1 With fence tc>. lo.aplied for. The certificate is issued to Logan,Joseph&Walker,Kelley (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 134032 9/3/10 PLUMBERS CERTIFICATION DATED t r... FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERKS OFFICE SOUTHOLD, N. Y. CERTIFICATE OF OCCUPANCY No. ... ... ....... Date ..,.....—....,.............. „.. .��.. ., 19.6-0.. THIS CERTIFIES that the, building located at ...St..............................». Street MapNo. . ..... ....... Block No. ........................ Lot No. ................Orlantf........X',41.*................I conforms substantially to the Application for Building Permit heretofore filed in this office dated ........................., fir. ....... ., 19.460., pursuant to which Building Permit No. ..Z..€-%............ dated ............................... .....3.69-6eo 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 ................ ....................ftj .j�.;elI-OkUl... ........................................................................... This certificate is issued to ... '�11 i3. ';r... €�rp1S8 .......4,ownO ..................................................... (o ,r, lessee or tenant) of the aforesaid- building. `'"• �ulldir n e t r • "i 4 .............. ..... ——------------- , 1;W Town of Southold Annex 9/26/2012 fi P.O.Box 1179 54375 Main Road Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 35974 Date: 9/26/2012 THIS CERTIFIES that the building ACCESSORY ALTERATION ---------- Location of Property: 1110 Orchard St, Orient, SCTM#: 473889 Sec/Block/Lot: 25.4-10 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this officed dated I/l/1900 pursuant to which Building Permit No. 37534 dated 9/21/2012 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; qj1 tjgpjo existin amessoa buil iqg PQQ!kq w ot use with half bath and outdoor sho stall as a lied for. I - The certificate is issued to Logan, Joseph&Walker,Kelley (OWNER) of the aforesaid building. 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