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Home My WebLink About1000-18.-1-14 TOWN OF SOUTHOLD ti Rental Permit 0073 Owner Edwin Blesch Jr. Occupied as Single Family Dwelling Located at 22495 Rte. 25 Orient 18.4-14 Maximum Permitted Occupancy 4 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. 6/11/2021t� K]4;L g Code Enorcnt Official This Notice must be posted by the main entrance at all times L T Town Hall Annex T ^ 54375 Main Road PO Box 1179 Southold, Rental Inspection., P� n, NY 11971-1179 Tel: 631-765-1802 Fax 631-765-9502 SCTM # -- Date w It Owner - coPhone l Address Zip City p I' Inspector µ LEVELS SUB 1 2 3 Smoke Detectors(#-bedroom detectors excluded) Carbon Monoxide Detectors (#) Fire Extinguishers Exits BEDROOMS 1 2 3 4 5 Smoke Detector Alarms(#) I Carbon Monoxide Alarms(#) Egress(windows) (Y/N) BUILDING SYSTEMS / CONDITION OF PROPERTY tN Heatin s stem maintained/operational erational Building Interior is clean/maintained Hot waters stem maintained/operational Building Exterior is clean/maintained Electricals stem maintained/operational Property is clean/safe/maintained Mechanical slvstem maintained/o erationai lHandrails&guards present COMMENTS: .. ., i-j �' `°� ti C .C• i" Rental Inspection Form 4/7/2021 UTo p p � CD C7 o� w —• � (D Q r. l `< (p '1, vCLw p o U) crurD r+ QtAt `p `< oCD 1 03 d N CL Nm „ o < =r -p 3 CD CD- m o m o N x c. CLN �• y O N O 3 CD rD 3 CD `� 0 TT rt m (D N m 03 z o -�-t CD 0 0 � 0 Cl. -_� —n c o 0 N � VJ ro o .-. p CD 5' A m Cl) < o m p CD OQ T! c f� m CD d n 3 OfD o � v n � .� 0 r CD W 1- v Q n .73 n� sz C) 3 13L) 0 o N g o �+ z -v CD c 00 ccn 1 rD3 M cCD r+ Xo c O W' O o = J = v, W in' o L T Town Hall Annex T ^ 54375 Main Road PO Box 1179 Southold, Rental Inspection., P� n, NY 11971-1179 Tel: 631-765-1802 Fax 631-765-9502 SCTM # -- Date w It Owner - coPhone l Address Zip City p I' Inspector µ LEVELS SUB 1 2 3 Smoke Detectors(#-bedroom detectors excluded) Carbon Monoxide Detectors (#) Fire Extinguishers Exits BEDROOMS 1 2 3 4 5 Smoke Detector Alarms(#) I Carbon Monoxide Alarms(#) Egress(windows) (Y/N) BUILDING SYSTEMS / CONDITION OF PROPERTY tN Heatin s stem maintained/operational erational Building Interior is clean/maintained Hot waters stem maintained/operational Building Exterior is clean/maintained Electricals stem maintained/operational Property is clean/safe/maintained Mechanical slvstem maintained/o erationai lHandrails&guards present COMMENTS: .. ., i-j �' `°� ti C .C• i" Rental Inspection Form 4/7/2021 � TOWN OF SOUT OL Rental Permit 611 Permit No. 0073 r Owner Edwin Blesch Jr Occupied as Single Family Dwelling Located at 22495 Route 25 Orient 18.-1-14 Address Village S/13/1- Maximum /B/LMaximum Permitted Occupancy 4 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. 5/31/2019 John Jarski Date of Issue Code Enforcement Officer This Notice must be posted by the main entrance at all times Town Hall Annex -Telephone,one(6 1 765.1802 � 54375 Main Road �� mgr Pax 'a 9 P.O.Box 1179 Southold,NY 11971-0959 44'al�ti«� �4 r BUILDING DEPARTMENT TOWN OF SOUTHOIM � i r k i,.m� I� i a RENTAL PERMIT APPLICATION Rental Permit Fee$200 (Application must be renewed every two years) Section A. Property Information: 7 Rental Property Address: !_1 Z q� p Y Tax Map Number: 1000 SECTION ®18 BLOCK 01 LOT � SECTION B. OWNER INFORMATION: pp Property Owner Name: Property Owner Legal Address: Property Owner Mailing Address: (Cannot be the same as Rental Property Address) 1 - A3' 4 �� Telephone Number (s): Property Owner Email Address: Page 1 of 4 b}o Z aged :ssaaPPV Iieua3 _. ... :(s)jaqua N agdalal .. _. .Iua,9y sulReuew p ° ajppd sull!ew r (s9xo8 •O•d�Qt�} uaVy OuigeueW}o ssaappd :Aue}i 'liran iul.1jannp}o jua0V SuiSeuew}o auaeN (sliun jeluai ajow jo g,9uiuieluo:)sawadoid jelua.i ao;pa.iinbai):NOIIVW)JOJNI 2I3E)VNVW 3115 '3 N011.33S ......... .. . :ssaappd J ... .... :(s) aagwnr gdajal _._ :IuaSV pazpoq nv o"ssaappv Suiiiew ° saxo ou azilo }ny jo ssaippv :Aue}! 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