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Home My WebLink About1000-25.-3-12.3 TOWN OF SOUTHOLD a # g Rental Permit 0483 4_ Owner Ryan Sullivan Occupied as Single Family Dwelling Located at 1855 Village Ln Orient 25.-3-12.3 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. 6/27/2023 Co a t�ment tiff` This Notice must be posted by the main entrance at all times so TOWN OF SOUTHOLD BUILDING I 631 -765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] IN ULATIOWCAl [ ] FRAMING / STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY IN; [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PE [ ] ELECTRICAL (ROUGH) ELECTRICAL (FII ] CODE VIOLATION [ ] PRE C/O [ I ,42� REMARKS: �1,//.......... Loa h 9 ,p/. lt)larl u DATE INSPECTOR Town Hall Annex 54375 Main Road SQUTH0LD ,,T9- PO Box 1179 Southold, f� NY 11971-1179 eRLal 1.ns.pes;—ti9—n- Te! 631-765-1802 Fax 631-765-9502 SCTM # Date Phone Owner zip Address Inspector city11............ .......... �tiSUB2 3. LEVELS ors excluded) bedroom detect Smoke Detectors (# Carbon Monoxide Detectors ----Fjre Extinguishers W Gni 3 5 2 BED ROOM.S- 1 Smoke Detector Alarms (# Carbon Monoxide Aiar.m.s (Y/N) Egress (windows" BUILDING SYS,TEMS Y/N CONDITION OF PROP-E RTY''. Y/N Building Interior is clean a i I tain.,ed— He@ inc: Sy maintain ed/o pecationa� 1-- 11-1 "I'll � J--.- .-- - 11 bu td ng E�,,terio� s Liear. m a n e-d e t Hot water syj!�,,er, naintained/o.,�u......ra-lionai.1--,... maintained clean � safe Property is flectrical system maintained/op�,,raiiona� —------ Handrails & guards pnese nt Mechanical s stem nnaintained�opeat=a�, iiFf avili,@&x�l,M k 1,31 COMM 4i7/2021 Rent3i inspect or-orr r t Y vPo � V v � �j� gg Mf' f err r IR.55/iih /1 �� w.l 1 (; ,' r � raN�l�� .�,o�� a„o .� ., .,k� �� ,� �� (ir � � I ��v � k e �� f r�r1/ �9 E ,y� ,, ,, ,,,�; � � � iE � , � � ., �, �l r TOWN OF SOUTHOLD Rental Permit b 0483 Owner Ryan Sullivan Occupied as Single Family Dwelling Located at 1855 Village Ln Orient 25.-3-12.3 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. 6/24/2021 OAA J.%-# �q 0 Enfor a en O icial This Notice must be posted by the main entrance at all times ( I �0 .�o Town Hall Annex Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1179 Southold,NY 11971-0959 rN BUILDING DEPARTMENT TOWN OF SOUTHOLD �1 ' F E B 1 2 2021 RENTAL PERMIT APPLICATION _ Rental Permit Fee$200 (Application must be renewed every two Section A. Property Information: Rental Property Address: 1855 Village Lane, Orient,NY 11957 Tax Map Number: 1000 SECTION 25.00 -BLOCK 3.00 -LOT 12 -003 SECTION B. OWNER INFORMATION: Property Owner Name: Ryan J. Sullivan Property Owner Legal Address: Property Owner Mailing Address: 1855 Village Lane P.O. Box 4 Orient,NY 11957 Orient, NY 11957 Telephone Number (s): Daytime 917-392-0443 Evening 631-323-8240 Emergency917-392-0443 Property Owner Email Address: ryan.j.sullivan@gmail.com Page 1 of S j \OF S�IUT� Town Hall Annex ' Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1179 Southold,NY 11971-0959 r caut ;�a BUILDING DEPARTMENT TOWN OF SOUTHOLD 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): Daytime Evening Emergency 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): 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): Page 2 of 5 Town Hall Annext Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1 179 -CA, Southold,NY 1 1971-0959 BUILDING DEPARTMENT TOWN OF SOUTHOLD Mailing Address of Managing Agent: Telephone Number(s): Daytime Evening Emergency Email Address: 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, 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: Single Family Dwelling Requested Maximum number of persons allowed to occupy Dwelling UnU6L Number of rooms in Rental Dwelling Unit: 9 Rooms Use and Dimensions of each room in Rental Dwelling Unit: Kitchen: 14x 17; Dining Room: 17 x 15' Living Room: 12 x 13'; Library: 11 x 11; Den: 16 x 12; Office: 8 x 9; Bedroom 1: 12 x 16; Bedroom 2: 12 x 11; Bedroom 3: 11 x 17; Page 3 of 5 pF'SOU Town Hall Annex Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1 179 Southold,NY 11971-0959CDU -�' 191` BUILDING DEPARTMENT TOWN OF SOUTHOLD 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. ® I am requesting a fire safety inspection to be performed by a Code Enforcement Official from the Town of Southold ❑ I am submitting a completed Town of Southold certification form from a licensed architect or a licensed professional engineer. SECTION H. DECLARATION: Signature must be notarized and MUST be the owner of the dwelling unit. STATE OF NEW YORK) COUNTY OF SUFFOLK) Ryan J. Sullivan , 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 Page 4 of 5 Town Hall Annex Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1179 G O ¢ Southold,NY 11971-0959 $r -1Z,TLL BUILDING DEPARTMENT TOWN OF SOUTHOLD applicable laws and rules. I further acknowledge that I will notify the Town of Southold Building Department of any changes of address within five (5) days of any changes thereto. 3. 1 have read and received a copy of Chapter 207 of the Code of the Town of Southold and agreed to abide by the same. 4. 1 will notify the Town within five (5) business days as to any change to the information regarding Authorized Agent, Managing Agent, or Site Manager. Property Owner's Name: Ryan van Property Owner's Signature: Sworn to before me this )),day of bro 20 A Official N ary P lic Signature and Original Notary Stamp JEANIARiE CJ-DON Notary Public,State of New York No,01OD6251238 Qualified in Suffolk County Commission Expires Noveorber 14,20 Page 5 of 5 oFsnaryo "J V10 �i *eel 6 I # # TOWN OF S UTHOLD-BUILDING DEPT.-- - .765-1802 INSPECTION [ ]' FOUNDATION 1ST [ ] ROUGH PLBG. - [ ] FOUNDATION 2ND [ ] INSULATION/CAULKING ` - [ ] FRAMING/STRAPPING [ FINAL pe [ ] FIREPLACE& CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION. [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) [ ] CODE VIOLATION [ ] PRE C/O REMARKS: - = c,&vpkVC4 f DATE Y� 'yD INSPECTOR 1855 Village Lane Orient, NY 11957 Porch 6' 6' h^ S) 6 ^ 4offIce 6h�4^' Living Room BedI o2 2.3" 1r2, �. N zn Bedroom j den library o io 2 a in basement `s " • inq• • • 4 3' • io 3' Dining 3' Bedroom3 m o N t() N � 3' • • 18' 6 Ba[h 18' 18' Kitchen half 0 3 Bath v 24' • Porch studio b • b 18' Sketch by Apex Sketch v6&wAwd- Comments: NPROPERTY 7, W. N OF SOU7HOLD' REC(5� OWNER STREET r" VILLAGE DISTRICT SUB. LOT ORMFR Ol I ERN j E f t �" `e - i ivD �4- /ACREAGE — x W TYPE OF BUILDING ay v uljol V, f - _ __. RES SEAS VL. FARM COMM IND. I CB. I MISC. LAND IMP. 'TOTAL DATE REViARKS1 ro y r b spa t �'l ' lirf� "7$a3 -r>✓ �'bt - E �OC�p t I DING ONDqT NEW ? NORMAL BELOW j ABOVE __.............. --- ------ Q_Y 7 . ._._— t1 t. /-v _. d 1 Farm Acre Value Per Acre Value --.— _.... ........................__....__ _ _ ............................................... Tillable 1 Tillable 2 Tillable 3 Wcodland F Swampland .. _.............._ .... ......._.............. ...... l --- ----- . _ _ _........................ - S)rushland House Plat _.—.-- _-- _ I i Total r r M' r N P4 tae 25. -3-12 . 3 - -- - �....__ t - M. Bldg t Foundation Both Extension j � / - - Basement ( Floors Extension Ext Walls ' Interior Finish Extension ' _` J Fire Place b�1Heat ti ,c ----- _._..._ _.._... Porch j Attic _ . ..._._ __._.. —._...._ __.__ .._. -- - - - 1 ` v Porch Rooms 1st Floor rte __ _- ------ -- ._. - -- -- Breezeway' µ,1i32 ct t a" Pato Rooms 2nd Floor i + _ Garage 7 X 7 Driveway C�' q 7 L� � 3 01/28/2014 16:25 6317274993 PLANT PAGE 02/04 Jan 281411:43a p.2 M ry FORM N0.4 TowN or SOUTHOLD BUILDING DEPARTMENT Town CierlesOffice Scutheld, Certificate Of O=pancy I so �....... .... Rate .... ......... ................l9 TWCERTIFIES ftt the bUU(lb g ...........:...........................,.... .. L mflon oEAroprstjr ribw�iv yYillage I.�ne &1.01.lirw er Street. Orient •AQWj County Tax Map No.1000 Section .25.........Black 1.3............Lot...1............ S�bdfvlsion. ................. .......... ....... requirements i?or a aaegamily dwr-Ui n alt ri.or to C�odbi6 strbstentt�y#a ha-s glnslioa•dor$ ieg3"otrmtr�iierelof -�a-llaaed- il 23 Certificate of aaont to whiupancy . ... l i!.�?puisttach 3vfl tg a. ... .................. dated ............... ......19.89.aat issued,and c onf'ot t to alk of thereq*mots of the"T tcable pmvkiaw of the law.'[1ha Ear Which tbis certiE'Mte is lasued is ......... Private Que-Family DWOUIng ................. .. a ........• .. a....►......a.......... ..•......■.. . . .............. of the aftweaW buMing. ,%Wolk County Dginthaant of Health Appa+owl ..........VR............................ UMF.tt1V=r=CBRTWICATB NO........................... ...• ................... .:4•.. ..f4'Y. ..• ............ Btu'i<iing t;n�peepor . N.+4M . i FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-27803 Date: 07/10/01 THIS CERTIFIES that the building ALTERATION Location of Property: 1855 VILLAGE LA ORIENT (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 25 Block 3 Lot 12.3 Subdivision Filed Map No. Lot NO. conforms substantially to the Application for Building Permit heretofore filed in this office dated MAY 18, 2000 pursuant to which Building Permit No_ 26786-Z dated SEPTEMBER 21, 2000 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 ALTERATION OF AN EXISTING NON-HABITABLE ACCESSORY BARN AS APPLIED FOR. The certificate is issued to BERNARD COHEN & WF (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEAL APPROVAL NtING ELECTRICAL CERTIFICATE NO. 06/27/01 PLUMBERS CERTIFICATION DATED 06/27/01 KING PLUMBING 1 ho zed Signature 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-27804 Date: 07/10/01 THIS CERTIFIES that the building ALTERATION Location of Property: 1855 VILLAGE LA ORIENT (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 25 Block 3 Lot 12.3 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated MAY 18, 2000 pursuant to which Building Permit No. 26786-Z dated SEPTEMBER 21, 2000 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 ALTERATION OF AN EXISTING NON-HABITABLE ACCESSORY SHED AS APPLIED FOR. The certificate is issued to BERNARD COHEN & WF (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A ho zed Signature Rev. 1/81 �o�guEFOL,��oGy Town of Southold 4/21/2015 0 P.O.Box 1179 53095 Main Rd Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 37520 Date: 4/21/2015 THIS CERTIFIES that the building WINDOWS Location of Property: 1855 Village Ln, Orient SCTM#: 473889 Sec/Block/Lot: 25.-3-12.3 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 12/3/2014 pursuant to which Building Permit No. 39410 dated 12/9/2014 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: alteration for skylights and alterations to existing half bath in an existing accessory building as applied for The certificate is issued to Sullivan,Ryan of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 39410 4/15/2015 PLUMBERS CERTIFICATION DATED u riz Si re �o��guFFO(,fcoG� Town of Southold 4/30/2015 3 P.O.Box 1179 coe m 53095 Main Rd Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 37520 Date: 4/21/2015 THIS CERTIFIES that the building WINDOWS Location of Property: 1855 Village Ln, Orient SCTM#: 473889 Sec/Block/Lot: 25.-3-12.3 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 12/3/2014 pursuant to which Building Permit No. 39410 - dated 12/9/2014 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: alteration for skylights and alterations to existing half bath in an existing accessory building as applied for. 4/30/2015 Corrected to add plumbers solder certification. The certificate is issued to Sullivan,Ryan of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 39410 4/15/2015 PLUMBERS CERTIFICATION DATED 4/30/2015 )King P. &H. Inc. Autged, S' afore 01/28/2014 16:25 6317274983 PLANT PAGE 03/04 Jan 281411:44a p'3 . Location is55 vilIaRe Lane & 70 rt+'7. e Pt- Ant uab Er 1St. Street 1'�ifc5�pa1�.•ry Subdivision map No. Lot(s) Name,a� Owner IMARD COPS & w= ' Omer UccupanGy R--� awnex'� -type) Admitted by- Mrs CoMeu Accompanied by: Mr. Cohen • Xey available 5ufxolk Co. Tax No. 23,03-10 gaurce aequee't lclaexd F. Lark Gate_ Type Of rApsftuetiou Wood Framed storles,,,,�„� gpundati.ga CeXlaz�Cxawl sp$ce �,. Tots. 'M ms, '10t, p1 5 2Yid. Fl 3 .3r+i• Bathroam(s�),�? Toilet room(s) Porch, type open Deck, type Type '�� .eezeway Ge�raFe�_ . iltil5.'t�r roam Type Healpas Central ''4ft Air flotwalter Fireplaoo(sy...- Nn. Exais Airawdi't5i.oning_ I)owe$tic b►ptwate:rYes Type beater 2-Gag &__Ej2.qkAg Other ACCESSORY S7` OTURFS • Garage, type'00rw t. leaoare tare�ge, type const. Swiming poDY Guest, type coast. '•Other " { Code Chapter 52 YIOLAg�ONS: Housing , cation Descri tivnr Art. 1 Sec•