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Home My WebLink About1000-24.-1-7 TOWN OF SOUTHOLD Rental Permit 0091 Owner Nancy & Kenneth Newman Occupied as Single Family Dwelling Located at 790 Oyster Ponds Ln 24.-1-7 Maximum Permitted Occupancy 7 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. 6/26/2023 F nt Official/ This Notice must be posted by the main entrance at all times Code ien �a°c r4f so TOWN OF SOUTHOLD BUILDING DI 631 -765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PL13G. ] FOUNDATION END [ INSULATION/CAL [ FRAMING / STRAPPING [ FINAL [ ] FIREPLACE & CHIMNEY [ FIRE SAFETY WE [ ] FIRE RESISTANT CONSTRUCTION [ FIRE RESISTANT PE [ ELECTRICAL (ROUGH) [ ] ELECTRICAL (Fit [ CODE VIOLATION [ ] PRE C/O [ � ` l DATE —4�-o?O- c;3 INSPECTOR Town Hall Annex SOUTHOLD TOWN 54375 Main Road PO Box 1179 Southold, Rental Inspection NY 11971-1179 Tel 631-765-1802 Fax 631-765-9502 D SCTM # ate P ho n e Owner ........... ....... zip Address SCdt ------ Inspector city 3 A"Em ISO 2 LEVELS SUB -------..........V Smoke Detectors (# bedroom detectors excluded) J Carbon Monoxide Detectors ............ Fire Extinguishers Exits 17 FnIffffomm,W111111111i'017107 FRI, 'z 2 4 BEDROOMS 3-—------- Smoke Detector Alarms 4" Carbon Monoxide Alarms Egress (windows 'Y/N) YIN 7 ....... )PERTY BUILDING SYSTEMS Y/N CONDITION OF,PRC �Buildmy Inte rio is clean maIntained m maintained/mDerationa ...... Heatir,a syste Building Exterior is ciear M2,n,,ained Hot water sysem maintained/o,,pe�'ationa, Property is clean safe / maintained Electrical system maintained.�2[1)prational --11-11- --.- I �-1. �—11--'. 11 -11 1 -.................... Handrails & guards present sten, main aji Mechanical s t ned/operational W A COMMENTS ............. .......... ------ -_4 ............. ........... Renta i inspection T:Orrr, 4i7/2021 Aga TOWN OF SOUTHOLD Rental Permit Permit No. 0091 Owner Kenneth Newman Occupied as Single Family Dwelling Located at 790 Oyster Ponds Lane Orient 24-1-7 Address Village s/B/L Maximum Permitted Occupancy 7 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. 6/19/2019 John Jarski Date of Issue Code Enforcement Officer This Notice must be posted by the main entrance at all times � LAN Town Hall Annex o, Telephone(631)765-1802 54375 Main Road P Fax(631)765-9502 P.O.Box 1179hik Southold,NY 11971-0959 BUILDING DEPARTMENT TOWN OF SOUTHOLD RENTAL PERMIT APPLICATION Rental Permit Fee$200 (Application must be renewed ever o s� SIA°Y Section A. Property Information: TOWN 0F 0 p Address', C Renta Property s�i�r�� Tax Map Number: 1000 SECTION BLOCK LOT SECTION B. OWNER INFORMATION: Property Owner Name . Property Owner Legal Address: Property Owner Mailing Address: (Cannot be the same as Rental Property Address) f Telephone Number (s): Property Owner Email Address: ' o "e.;r� �� '" r 1I � Page 1 of 4 Section C. Authorized Agent Information: Name of Authorized Agent of dwelling unit, if any: J. 0 Address of Authorized Agent (no P.O. Boxes): Mailing Address of Authorized Agent: "............. Telephone Number (s)�� i - 7 Email Address: J 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): Email Address: SECTION E. SITE MANAGER INFORMATION: (required for rental properties containing 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 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 Dimensi ns 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. N � I am requesting a fire safety inspection to be performed by a Code Enforcement Official from the Town of Southold. Page 3 of 4 ❑ 1 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 H. DECLARATION: Signature must be notarized and MUST be the owner of the dwelling unit. STATE OF NEW YORK) COUNTY OF SUFFOLK) 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 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: I 1 rr Property Owner's Signature: S orn to before e this ay of , 2.0 0 Officia No arr lic Signature and Original Notary Stamp AN E L Fl hl,'`�C L 11 FI A UII Nraliaq�Pu.uWkSWO Mrd New YniP� Page 4 of 4 111111%6 2 5 468G � QuaI'uV'tl d un eywg' o4k (�g,unOe p TOWN OF SOUTHOLD BUILDING 765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION r [ ] FRAMING /STRAPPINGVFIRE INAL ] FIREPLACE & CHIMNEY SA F'ETY]NSPECTION j [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) [ ] CODE VIOLATION [ ] CAULKING EMIRS: i DATE INSPECTOR� w r 0 -- w r .._ •fir----�- ,,;�� .. rb � n � � - cJ Q ` rr o D m r o � 3 °� °� u- o Z re m cy o m r rD o a a a mtJ Z p fi di r W � r O co p �� m 0 ro -v b r C Z Z Qv orN m on re z O I DCU �. � a -1a --A 0 > b Z1� CD m m �� n ° v " �; . o "Ix IN Z I m m O O G� Z Z m j g o - Ynz N I D CD pp q0 .. O N C I r l nLn c { 4 Ck G ;tl r _ m f� 1 U u -I O -v Gl CO m m m o ox+ + -x* p OJ q N m m ro N 3 3 3 coCDLnl J R fj 7 (D w.ruay 'D O• O O l0 ✓� i y � �'. nl ti f i� � '�i///%� % n y/i nr�� @ �7 / r �Jl r �f iI flu fl- �r y �. evr� � 'f',, l ✓ a✓✓," = /y �l�j�"��"� " mow¢ ✓,� � dw 1✓, -i �l o O �i � lb K Mr,• rt <• �� O . (D L] `G O Oto in O �✓ � ..�,, �'Y 3 ; O � l o �� fl 11 IN le ✓. �' &.q A o 0 Na J .. 0 3 rt O o _ ?J - w _ o 0 0 I ... . NO- Till f � lip u' m r Ur N, p Town of Southold 5/8/2019 53095 Main Rd Southold,New York 11971 PRE EXISTING CERTIFICATE CCU ANCY No: 40361 Date: 5/6/2019 THIS CERTIFIES that the structure(s)located at: 790 Oyster Ponds Ln., Orient SCTM#: 473889 Sec/Block/Lot: 24.-1-7 Subdivision: Filed Map No. Lot No. conforms substantially to the requirements for a built prior to APRIL 9, 1957 pursuant to which CERTIFICATE OF OCCUPANCY NUMBER Z- 40361 dated 5/6/2019 was issued and conforms to all the requriements of the applicable provisions of the law. The occupancy for which this certificate is issued is: food Fram M one fanii1}r dwelling witli rear screened and glass para l orch an1 rd slxecl tl attic w i 11alfi atEi and, m ik ii. hallway oimattic ... �d Waqcgsqprellis,4irbor anti 2 wood l as e accessory s i ds,*„ The certificate is issued to Newman,Kenneth (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED *PLEASE SEE ATTACHED INSPECTION REPORT. __ A itith z ,d Signature �� BUILDING DEPARTMENT TOWN OF SOUTHOLD r HOUSING CODE INSPECTION REPORT LOCATION: 790 Oyster Ponds Ln., Orient SUFF.CO.TAX MAP NO.. ...24. 1-7 _ __ -SUBDIVISION. —_ ........ _ T. NAME OF OWNER(S): Newman,Kenneth ........_. ..... ................._ OCCUPANCY: _ -----------------------— _..._......... .................., ADMITTED BY: .._. —...... ---- ....... --- ----- .... ....... . SOURCE OF REQUEST: Newman,Kenneth DATE: 5/6/2019 DWELLING: #STORIES: 1 #EXITS: 2 FOUNDATION: cement block CELLAR: partial CRAWL SPACE: BATHROOM(S): 1.... ..... ... ... TOILET. ..... ...��...............�_ .—.............. �.... PORCH TYPE: screen&...glass pa.— ROOM(S): l UTILITY ROOM(S): nela DECK TYPE: PATIO TYPE: BREEZEWAY: FIREPLACE: 1 GARAGE: . y DOMESTIC HOTWATER: es TYPE HEATER: gas AIR CONDITIONING: TYPE HEAT: oil WARM AIR: forced hot air HOT WATER: —_ ..... ...... .... _....... #BEDROOMS: 5 #KITCHENS: l BASEMENT TYPE: unfinished OTHER: ACCESSORY STRUCTURES: GARAGE,TYPE OF CONST: wood frame STORAGE,TYPE OF CONST: 2 accy sheds ....._... ............... — ,....__,_,... SWIMMING POOL: GUEST,TYPE OF CONST: OTHER: trellis/arbor VIOLATIONS: REMARKS: INSPECTED BY: JOHNJ DATE OF INSPECTION: 5/2/2019 TIME START: 11:03am END: 11:35am