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Home My WebLink About1000-25.-4-7 TOWN OF SOUTOLD Rental Permit Permit No. 0037 Owner J. Courtney Hoblock Occupied as Single Family Dwelling Located at 530 Orchard St Orient 25.4-7 Address Village S/B/L 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. 5/1/2019 John Jarski Date of Issue Code Enforcement Officer This Notice must be posted by the main entrance at all times Town Hall Annex �" � dpi` �'� Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1179 � Southold,NY 11971-0959 � " � ,w �'�� E5 �[� BUILDING DEPARTMENT TOWN OF SOUTHOLD 0 TO QF ^+ RENTAL PERMIT APPLICATION Rental Permit Fee$200(Application must be renewed every two years) Section A. Property Information: Rental Property Address: Tax Map Number: 1000 SECTION y _ BLOCK LOT - SECTION B. OWNER INFORMATION: Property Owner Name: L V 0qeL y - Property Owner Legal Address: Property Owner Mailing Address: (Cannot be the same as Rental Property Address) w Telephone Number (s): �,3( • Z• J `� 5 I b . D�,y L Property Owner Email Address: C•r ti« ve t vrtc J c 12t q��1� Page Iof4 SECTIO F. PROPERTY DESCRIPTIO Number of Rental Dwelling Units on property: m 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. . �K Requested Maximum number of persons allowed to occupy Dwelling Unit: . Number of rooms in Rental Dwelling Unit:--I-() ��. -. &, Use and Dimensions of each room in Rental Dwelling Unl 61 SEMON 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 NYS licensed architect,a NYS 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 lam requesting afire safety inspection to be performed by a Code Enforcement Official from the Town of Southold. Page 3 of 4 Section . Authorized Information: Name of Authorizedt of dwellingunit, if any: Address of Authorized Agent(no P.O. Boxes). °Y Mailing Address of Authorized : Telephone Number(s): - ✓f Email Address: Section . Managing Information: Name of Authorized Agent of dwelling unit,if any: Address of Authorized Agent(no P.O. Boxes): Mailing Address of AuthorizedAgent: Telephone Number(s): 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): Email Address: Page 2 of SECTION F. DESCRIPTION:PROPERTY 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: SECTION . 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 NYS licensed architect, a NYS 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. ❑ 1 am requesting a fire safety inspection to be performed by a Code Enforcement Official from the Town of Southold. Page 3 of 4 ❑ I am submitting a completed Town of Southold certification form from a licensed architect,a licensed professional engineer,or a licensed home inspector who has a valid New York State Uniform Fire Prevention Building code Certification. SECTION . DECLARATION: Sin u notarized and MUST be the owner of the dwelling unit. STATE OF NEW YORK) ) COUNTY OF SUFFOLK) 1 \D certifV under penalty of perjury,the following: 1. 1 am the owner of the property identified in "Section " of this application. 2. The property owner's legal address set forth in "Section " 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. . 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. PropertyOwner's Name: �-- Proe Owner's Signature. Sworn to before me thi 'day of (1 20 Official Notary Public Signature and Original Notary Stamp Oi1IF D.AUNCH NotW Pubtic,State of Now York Page 4 of 4 No°01 BU6185050 Q uaffied�pi 8001k County Town Hall Annex Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1179If I ' Southold,NY 11971-0959 n�" gip° � A P BUILDING DEPARTMENT. TOWN OF SOUTHOLD RENTAL PROPERTY CERTIFICATION Form to be completed by a NYS licensed architect, NYS licensed engineer or licensed home inspector Separate form is required for each individual Rental Dwelling Unit Fero essional seai re cited architect or En inset licensed Home Inspector must provide a ca o a taalid dew York State Ifni orrn Fire l revention Building Cade Certi ic°ation, Rental Property SCTM Number: lobo- 25- - Rental Property Address: ' '�) t . �� eelv `` kiIS - Owner/Name: Rental Dwelling Unit Identifier: Number&Square footage of each bedroom as depicted in the attached floor plan: (i.e. Bedroom#1 -100 sq., Bedroom#2-90 sq., etc.) Property escription (Include all improvements indicated on survey) I certify that I have done a physical inspection of the subject rental dwelling unit and find that the unit 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. ARLV �110�11 Print Name and Title ' D A00 Original Signa ur' C. Please place profession I: O S�. Ori `k - 0� TOWN OF S�OUTHO�LD 13UILDING DEPT. 765-1802 INSPECTION I IG)Al 1 1 S„,” ROUGH PI lBG CHIMNEYr1rr-1 RE SA11FE,,,ry III I110 ELECTRICAl ( L TRI l (FINAl CODEV01-AlCAUI KING .............. .......µ................................ ... ..W.... FLOORPLAN SKETCH ��a •.,,ter ry .�,,, a _.. off , . p ti 1 a P Iw f f G N b P A 1 Rw .goon Pew mr"m in m ._.... F s fdoan � ' �Q x Rw.WdI hly."$NK fa 9u'" s.Rp 1 „d P P. q r C' I FLOORPLAN SKETCH � �.. "'IE-- � "8kto 20� : a a g N FII P Mn, t 888, V yyy fAlY Il r u p 1 @ioo.rnP of L J (1 A lln AREA CALCULATIONS SUMMARY A9g LMM3 AREA 9RFAKD01Md � GWmm iG2wn0m ._..,.. .. anR"t7:� d 1loxMgPM�4'�"�4 �"lCritu�mi++ n � "A"d A�uc6d 11aor 07,3B 647.00 27.ee r 2-2.D ew u,`,"` EwwWrt 712.00 (�(, 3A3 DO 3A . 27.0 46,00.'• 9 hlle ]12.00 V 19,0 x 36.0 364,00 Yraa4 779.66 ti ��rae� vlaaws r. Cnkb7. ti7N.00 V 23.0 Cscr.y� 310.00 C 666.00 R4 0wra0� 61J.Otl T.%�.®6 . I Q 4 A Y i i TOTAL UVABLE (rounded) 464 4 A s TotW( tviaa'L) � 1764 � FLOORPLAN SKETCH u ry 4 h _ y°"alyxut P 41r � 4 6 a+, . "�t��drrY � +q� cd Ms kyarl4 ,[.�_.. ......�w, ................... ols IYa v S,d CiC"fP a+ .a_ it ... L�e,prfr.u,(T 4r3r u o n", aM'o 4 L" RI':'rurmOVrufl, Bath _.._M..., ,,.... _ ,.,..W.. --- — ,.........-_..—,L 'ti;,nYi,iLAV.k^MVw'we KS' (:Wraype Laundry _ Rmn u��,� r ru 'Nn4'&i by A�,pm'K N Wo iid:a'm r,"* IW 00IRPII,,,,AN SKETCH Bmrmm :Coufjnet I-oblock&Bapb_ra CloseHe '—A0283t _-_ _ a r kklr� r, 0 0 r c I and ritl � ��..R 22120��I� i�rti ut _ ai ...NY_ 73, 1195✓ Laro G,rrrenr9ra!a a r�i Ird Ing. ...._..._ 1 mofV;",lura r /511 t v 2110 inm rn ar �� +cna�d• u��wh p - "lin/q vrrq1 i op Gunn �IIIV I �+,run, fYi +wrli lOriarrri ":�um�ai �'*w.l'��b,oairrnwun Landing toy I�wq � I i IINRy^ Ih li ril!rfuttd uabmraum 6:r Skr�:,.V,ch f y Apex Wlii,do,l�,r%ne� CALCULATIONS a 0r'''a�ur. ._� r6u�9asA& ...�a4D SAM /��r �.......,� .n0u6PnsR6f6 S II N AREA IBM 44 X41 DOM J aIA2 336:2 ,,,o 46'B.BbPD ..a 79..1 667 Do 7rN:d W.0—,w2 27..6 66.076 rW/P P.tia 36.2,00 3.6.rb 2610 36CUD N'aer^ h 272.00 I Gam—ndN irL'— C.tt.g. 636.610 3 23,0 29.0 667.00 Cash. as 2Il0.60 1 m66 Aoq ORR axmramg� 6A2.Cd0Y 612.qW N TMIAL WAKE 1 I i t (rounded) 1764 4 Ars tl"¢mY(rounded) [ 1764 M 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-22284 Date APRIL 28 1993 THIS CERTIFIES that the building ONE FAMILY DWELLING Location of Property 530 ORCHARD STREET ORIENT NEW YORK House No. Street Hamlet County Tax Map No. 1000 Section 25 Block 4 Lot 7 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-22284 dated APRIL 28 1993 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 ROBERT E. VAN NOSTRAND (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N A UNDERWRITERS CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED NLA *PLEASE SEE ATTACHED INSPECTION REPORT. B ilding Inspector f i; Rev. 1/81 f BUILDING DEPARTMENT TOWN OF SOUTHOLD HOUSING CODE INSPECTION REPORT LOCATION: 530 ORCHARD STREET ORIENT,. NEW YORK nuxber & street municipality SUBDIVISION MAP NO. LOT (s) NAME OF OWNER (s) ROBERT E. VanNOSTRAND OCCUPANCY A-1 BES. mm OWNER tylre ovncr-tenant ADMITTED BY: ROBERT E. VanNOSTRAND ACCOMPANIED BY: SAME KEY AVAILABLE_ _ SUFF. CO. TAX MAP NO. 25-4-7 SOURCE OF REQUEST: WILLIAM PRICE, JR., ESQ. DATE- APRIL 22, 1993 DWELLING: TYPE OF CONSTRUCTION WOOD FRAME 0 STORIES 1-1/2 EXITS 4 FOUNDATION STONE CELLAR PARTIAL CRAWL SPACE TOTAL ROOMS: IST FLR. 5 2ND FLR. 2 3RD FLR. BATHROOM (s) 1 FULL TOILET ROOM (s) ONE UTILITY ROOM PORCH TYPE COVERED REAR DECK, TYPE PATIO, TYPE BREEZEWAY FIREPLACE 5 AL1. FONCTIONINGNGIMC'E DOMESTIC HOTWATER YES TYPE HEATER LILCO AIRCONDITIONING TYPE HEAT LILCO WARM AIR HOTWATER XX OTHER: ACCESSORY STRUCTURES: GARAGE, TYPE OF CONST. 3 CAR WOOD FRAME STORAGE, TYPE CONST. ACCESSORY SHED SWIMMING POOL GUEST, TYPE CONST. OTHER: VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION b BUILDING CODE LOCATION DESCRIPTION �mm ART. SEC. REMARKS- INSPECTED EMARKS:INSPECTED BY: tq � - DATE ON INSPECTION APRIL 27, 1993 ...._ .. GARY FISH TIME START 9;20 END 9:40 I' r lr CONSENT TO INSPECTION WILLIAM H. PRICE, JR., ESQ.. Attorney for Owners , the undersigned. Owners) tZL(nu(s) do(es) hereby state; That the undersigned (is) (are) the owner(s) of the premises In the Town of Southold located at no # Orchard Street, Orient, New York, 11957 which is shown and designated on the Suffolk County tax map as District 1000, Section 025 Block 04 Lot 007 That the undersigned (has) (have) filed, or caused to be filed, an applica- tion in the Southold Town Building Inspector's Office for the following: pre--existing certificate of occupancy for 1=1/2 story pframehouse with attached �� ii/��l ��'�� ""��/%/ii porch, detached garage and sheds, a r� , � "�� r�� That the undersigned do(es) hereby give consent to the Building Inspectors of the Town of Southold to enter upon the above described property, including any and all buildings located thereon, to conduct such inspections as they may deem necessary with respect to the aforesaid application, including inspections to determine that said premises comply with all of the laws, ordinances, rules and regulations GC the Town of Southold. The undersigned, in consenting to such inspections, do(es) so with the knowledge and understanding that any information obtained in the conduct of such inspections may be used as evidence in subsequent prosecutions for vio- lations of the laws, ordinances, rules or regulations of the Town of Southold. Dated: April 77 � � (si nature) William H. Price, Jr., Esq. (print name) �(slgr'�;xtu,rc'y (print name) FORM xa a TOWN OF SOUTHOLD WELDING DEPARTMENT Town Clerk's Office Southold, N Y. Certificate Of Occupancy No. Z6.492. . . . . . Date . . . . . . . . . . . . .May.. . 30. . . . ., 19.75 THIS CERTIFIES that the building located at . . Ore •Street. . . . . . . . . Street Map No. .X. . . . . . . . . Block No. . Xz. . . . . .Lot No. .Orient. . x 4,Y,.. . . . . .. . . . . . . . conforms substantially to the Application for Building Permit heretofore filed in this office dated . . . . . . . . . . . . . .;aA . .1? 19 7 5. pursuant to which Building Permit No. . 7693Z. dated . . . . . . . . . . . . . . .44. .17, 19.7.5., was issued, and conforms to all of the require- ments of the applicable provisions of the law. The occupancy for which this certificate is issued is . . .Private• acce$sorl► storage•building. . . . . . . . . . . . . . . . . . . . . . . . . . The certificate is issued to . RQbor't NaxiXostrArAd. . . . .Qwnor. . . . . . . . . . (owner, lessee or tenant) of the aforesaid building. Suffolk County Department of Health Approval . . . r H.•. . . . . . . . . . . . . . . . . . . . . . . . . . .. . UNDERWRITERS CERTIFICATE No. . R.R.. . . . . . . . . . . . . . . . . .. . . .. . , . . . HOUSE NUMBER . . . . . .530. . . . . Street . . .Orchard .St. . . . . . . . . . . . . . .. . . . . . . . . . . .. w Building V' FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z- 24306 Date APRIL 24, 1996 THIS CERTIFIES that the building ADDITION & ALTERATION Location of Property 530 ORCHARD ST. ORIENT, N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 25 Block 4 LotF 7 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated NOVEMBER 16, 1993 pursuant to which Building Permit No. 21808-Z dated DECEMBER 2, 1993 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 DORMER ADDITION & ALTERATION TO EXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to JAYNE TSUCHIYAMA (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N-3232391 -AUGUST 10 1994 PLUMBERS CERTIFICATION DATED APRIL 23, 1996- KING PLUMBING anz Building Inspect , 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-33120 Date: 06/24/08 THIS CERTIFIES that the building ALTERATION/ADDITION Location of Property: 530 ORCHARD ST ORIENT (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 25 Block 4 Lot 7 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated MARCH 20, 2008 pursuant to which Building Permit No. 33753-Z dated MARCH 20, 2008 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 ALTERATTON/ADDITION TO AN EXISTING, PORCH AS APPLIED FOR. The certificate is issued to MATTHEW K & SHARON L MAGUIRE (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE No. N/A PLUMBERS CERTIFICATION DATED N/A "orizetore Rev. 1/81 II Qk Z-19 -,Z6 .•E. QL �' � p .W ' L• �. .a � G3 ZZ i t a w r 0 O ik RTY OWNERC: STREET iVILLAGE, k DIST.! SUB LOT OSE ERS � ' �3 N � s >> ��_ E z - � = � _ � � .� _ ACR T. t4 €� Oil `v a wl € JS $ '' , ' TYPE OF BUILDING RES SEAS. VL. FARM COMM. CB. MISC. Mkt. Value LAND s IMP. TOTAL DATE REMARKS 1 I 4 - j # - __ - - g g p� AGE— c f / _ AGE �,• BUIL 1 Dl N r' — r NEWLlABEL Acre. ` Value Per Value _ Acre i �� - , � -7 �t 7 '57 , S I � `� r . , TiFlbble 2 Tillable 3 - - ( i i I I Woodland If _ - � C Swampland ( ! FRONTAGE ON WATER Brushland E FRONTAGE ON ROAD # House Plot I I DEPTH I ;BULKHEAD s i Total 3 DOCK s 3 x _ � OLOR ----------- OL IM 71 Ld 25.4-7 4109 -4-4-1 Dinettei 44 Both Foundation M. Bldg. i L I 11 K. Extension f Basement I Floors k � - Interior Finish LR. n Extensio 1011'[Et. Walls 2-,74- DR. i Fire Place Heat Extension 1 I kotLType Roof Rooms 1st Floor' BR. i (S- so Recreation Roo ry Rooms 2nd Floo FIN. B. Porch Porch Sv L C Dormer AD Driveway Breezeway arage 7 Patio O. B. Total sq zs S(O E3 —