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Home My WebLink About1000-17.-2-6.3 TOWN OF SOUTHOLD Kemal Permit 0465 xp Owner Barbara B. Dow Revoc. Trust Occupied as Single Family Dwelling Located at 725 Munn Lane Orient 17.-2-6.3 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. 6/29/2023 Code nfor anent Offici This Notice must be posted by the main entrance at all times TOWN OF SOUTHOLDS BUILDING DEPT. 631-765-1802 /7-.;2 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION/CAULKING [ ] FRAMING /STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FIN ) [ ] CODE VIOLATION [ ] PRE C/O [ RENTAL 3, � " i° f 6& DATE ® LV- 12:?2 INSPECTOR I;e� 1 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 u . SCTM # Date 'Phone ;Owner Address . � n Zip ;Inspector City LEVELS i SUB i 2 3 Smoke Detectors (#- bedroom detectors excluded) Carbon Monoxide Detectors i_#;. ' i Fire Extinguishers (#) a 1 Exits (#) I s3 4 t BEDROOMS I Smoke Detector Alarms(#) [ Carbon Monoxide Alarms (#) Egress (windows) (Y/N) INN _ ��,_ BUILDING SYSTEMS Y/N ;CONDITION OF PROPERTY Y/N g 'Building Interior is clean maintained Heatingsystem maintained/operational Building Exterior is dean /maintained ;Hot water 5 seem m • aintained/o e rational - IElectncal system maintained/operational ;Property is clean/ safe / maintained Mechanical �ystm maintained/operational f =Handrails & guards present =COfViMENTS� -a 2 ---i t Rental InSpeCUor.corm. 4/7/2021 TOWN OF SOUTHOLD Rental Permit 0465 Owner Barbara B. Dow Revoc. Trust Occupied as Single Family Dwelling Located at 725 Munn Lane Orient 17-2-6.3 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. L 6/14/2021 ode nfor en Official This Notice must be posted by the main entrance at all times oO Town Hall Annex `i Telephone(631)765-1802 54375 Main Road l Fax(631)765-9502 P.O.Box 1179 Southold,NY 11971-0959 a BUILDING DEPARTMENT � � I• TOWN OF SOU MOLD N 0 V - 9 2020 RENTAL PERMIT APPLICATIONt. r.rzwY 'e Rental Permit Fee$200 (Application must be renewed every two years) Section A. Property information: Rental Property Address: 725 Munn Lane, Orient, NY 11957 Tax Map Number: 1000 SECTION •7 BLOCK LOT (n , 3 SECTION B. OWNER INFORMATION: Property Owner Name: Barbara Dow Revocable Trust Dorothy Anderson, Trustee Property Owner Legal Address: Property Owner Mailing Address: (Cannot be the same as Rental Property Address) 109 Heywood Drive same Glastonbury, CT 060333 Telephone Number (s): 860-614-8967 Property Owner Email Address:— deFethy.dow and Tse gma+i.Gerr 3� aa- aL daoo 2e��1kl-29 Page i of 4 r Section C. Authorized 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 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 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 4 SECTION F. PROPERTY DESCRIPTION: Number of Rental Dwelling Units on property: 1 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: --7-21-5 ML)-PA/ 4A. OR I ENT AJ Requested Maximum number of persons allowed to occupy Dwelling Unit: Number of rooms in Rental Dwelling Unit:- S Use and Dimensions of each room in Rental Dwelling Unit: [.t iz o s s_ Z RF-DA-3' . 44 5 . F4_. , ,3 u o 3ed(OOm I I ' S4� •�'� Seddorac✓� 2 15L 5�. F-1. . 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 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 1 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 H. DECLARATION: Signature must be notarized and MUST be the owner of the dwelling unit. STATE OF NEW YORK) COUNTY OF SUFFOLK) 112 12(-)VJ Y o4tu is E25o 9J , 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: Dbg0fN4 -A�L)I)eesoo,-rRvs -&c> -aisv -Fir - Property Owner's Signature: i�rez�. S o to or a this day of oJZnnl / ,202c� l) —VT-) O i I of Pu lic Sign a and Original Notary STRACY SANTIAGO Am :,otary Public,State of Connecticut Page 4 of 4 Commission Expires Mar.31,2022 October 3, 2020 Town Hall Annex Telephone(631)765-1802 54375 Main Road 41 Fax(631)765-9502 P.O.Box 1179 A d Southold,NY 11971-0959 BUILDING DEPARTMENT TOWN OF SOUTHOLD RENTAL PROPERTY CERTIFICATION Form is to be completed by a license architect, licensed engineer or licensed home inspector Separate form is required for each individual Rental Dwelling Unit Professional seal required for Architect-or Engineer,.licensed Horne inspector must,provide copy of valid current.certification Rental Property SCTM Number: loco — 1-7—2—�o,3 Rental Property Address: 725 Munn Lane., Orient NY Owner/Name: '` T,P-rz13A-4Z-R paw i�Evve46LE 7-rz�s�� Rental Dwelling Unit Identifier: La, -DaaoT7(`( Avuoeieso tl v;%-us—rEe Number&Square footage of each bedroom as depicted in the attached floor plan: (i.e. Bedroom#1.=100sq.,.Bedroom#2-90 sq., etc.) Bedroom #1 144 sqft Bedroom #2 156 sqft Bedroom #3 144 sqft Property Description (Include all improvements indicated on survey) single family home I certify that I have done a physical inspection of the subject rental dwelling unit and find that it fully complies with all the provisions of the Code of the Town of Southold,the Residential Code of New York State,the Building Code of New York State,the Plumbing Code of New York State, the Fuel Gas Code of New York State, and the Energy Conservation Construction Code of New York State. Victor Cornelius III CFO Inspector Print Name and Title ''ceo 1216-0283 Original Signature Please place p'rcfesM6nal"'Seal: e- mvr � � Dock pF SOUT � h� TOWN -OF SOUTHOLD BUILDING DEPT. �ycou765-18.02 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [- ] FOUNDATION 2ND [ ] :INSULATIOWCAULKING [ ] FRAMING /STRAPPING [/� FIRE INALFIREPLACE & CHIMNEY [ SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) [ ] CODE VIOLATION [ ] PRE C/O REMARKS: , c (0 r -�o ovbo, oA\ .0 Ivp,/ _t) Oil- t DATE y0 INSPECTOR E i I SlRIDLF. C f 1�vt RFs.Ocq•TE OOokr CnTRY e SuRvsYOp-TO per^ 6` - -'A4ceirAru 7)ILS �_ i ..._ M��tL� w ` MODE bl •Z- '� \ �\ d VI EV SIOIJ .vn Lrr/ S B\, crzcvuVL, pOM .I 0 � i' A9 QOCtA _y\\STAIRWAY- os '1) t111�i . i �_" "'. � 1 � •-rim- TF f 4 Cs � / BASgMENTU�� 6 GEORGE DMA/ d .� h ' OP rt4 DF GK 78'_4 a OV&,p•�•rI��V � 59 Acee51}l / o$ emWcm. N r DprernN4 a i 5uesl,wplCevl pyo T.31 .� �, Pf:oPOSCO rN7R`( I POkcH t .Ifo 649R90M N _ + FDR w111COwl 1 �� (Y 5 e ag \j aiTocolc' y� x 'bld i ,2OWSg1 .I i aa6' O� i, 6rDundd I � p oW 8 7 °` OP CN Mtlg} TRAVC ftp:• . pCt.IOf 4t - 1 F - — ROA•,j 1 . P q / CHs RAS 5 J05SPH .ST-W ... v.. to cos^r Wlapoa LIVING [.LOOR.•_PUN� F LOT PLA N NoTEs: 100I j. oP4N DscK--- _ •,�\l'L'_:=.�_ �yy'1� �_ _. s -` ._::_-_ __� Jf r -t-=1QtlN PIPE- � y I ? Rt OF WAS(. - - .. _ I 0I-(SPO'r GRADE ReP i *4-ASSE.M5 LY BASSI I , DJ7UrL (FRoNiYAvJ�IM-SuRve ; I APPAN.5cALt NEW PWAb RES(Dej�= Foy MUMS. r.to ZG DOV /17SDJAIP SpAa iS. Qgjt#;r, M,Y (1�.Ijr. - 1 !f KeONCTR M.Yb%*,A,I.A,ARcNI7�T \. ' ', g )oct• 11.1cryt _ zewa io/1q/1971 DPJ, -SK-3 ------ 1 -71311ao18 TOWN OF SOUTHOLD PROPERTY RECORD CARD OWNER STREET L VILLAGE DIST. SUB. LOT tv ' 't/G gor�Orv� .tit M ✓ �, r e 7� .FORM R OWNE D• h SOr� X E ACR. C.C�i.2. 7t, g�i c'1 7 U_!� �' �o 0-w •� G f S W TYPE OF BUILDING ,,6 . RES. SEAS. VL. FARM COMM. CB. MICS. Mkt. Value LAND IMP. TOTAL DATE REMARKS • r ... 4� .r �D 101/1 `i - J 7 f — Zp - C6tip S 1291 71,z —Aldif s no � to t ---- AGE BUILDING CONDITION NEW NORMAL BELOW ABOVE FARM Acre Value Per Vclue Acre Tillable FRONTAGE ON WATER 133, / r J'- Woodland 3-Woodland FRONTAGE ON ROAD t. Meadowland -_ DEPTH House Plot BULKHEAD Total DOCK ^ 44W' %,,.. 1`�..- SON IMMEN MOMMUS MEM MMEAb NONE ma m SO 0 EMS so ME EMS EM m El El Noun M ME ME m 0=0 terior Finish FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Clerk's Office Southold, N. Y. Certificate Of Occupancy No.z4939 . . . . . . Date . . . . . . . . . . . .Dee. . . .7 . . . . . . .. 19. 7.2 THIS CERTIFIES that the building located at Pvt.Road•# 4 •(Munn•La-) . Street Map No. .xx.x. . . . . . . Block No. . .a. . . . . .Lot No. . x=- - Orient •N•.Y. • • • • • • • • • • • conforms substantially to the Application for Building Permit heretofore filed in this office dated . . . . . . . . - Reb• . • • •1 19.72. pursuant to which Building Permit No. .57p5z. . dated . . . . . . . . . . .Feb. . . .1. , 19-72., 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. -one. .family. .dve.1ling. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...::h. . . . The certificate is issued to . .00.orge.Am.& Wife. . . . . . . O mere. . . . . . . . . . . . . . . . . . . . (owner, lessee or tenant) of the aforesaid building. Suffolk County Department of Health Approval . . .Nav t ..2ag. .1992 . .by. R..Villa. . UNDERWRITERS CERTIFICATE No. . . . N .56304. . . NOV. 20t •1972 . . . . . . . . . . . . . . . • • • • HOUSE NUMBER. . . .725. . . . . .Street. . .Pv.t -Read. #4 • *ung .ba. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Building Inspector