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Home My WebLink About1000-54.-1-28 TOWN OF SOUTHOLD Rental Permit AV 0575 Owner 7750 Hortons Ln LLC Occupied as Single Family Dwelling Located at 7750 Horton Lane Southold 54.-1-28 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. 12/20/20233 g. Code EnforctInt Official This Notice must be posted by the main entrance at all times TOWN OF w7 631 -765-1802 5111-1 ow m INSPEC ION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION/CAl [ ] FRAMING / STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY K [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PE [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FI [ ] CODE VIOLATION [ ] PRE C/O [ REMARKS: c o vex. 04 ............-'s,ze DATE INSPECTOR r Town Hall Annex Town of Southold 54375 Main Road Rental Inspection Report PO Box 1179 Southold, NY 11971-1179 Tel: 631-765-1802 � SCTM# to �`.. Owner . .....�.,. . .. . .m ...� .�._.. a _._.. . . .... Phone ...m..._. . . .. .. _.. �. . Visible Address . , _ _. .... Inspector HamletSub j _ Floor Level Quantities 1 2 3 Smoke Detectors (not located in bedrooms) Carbon Monoxide Detectors _ --- Exit Extinguishers isher - ..... ., . .. is . . o 3 4 5 _ Bedrooms 1 Smoke_e Detectors � -- Egress _. . Occ11 upant Count 6L Building Systems Maintained &Operational Condition of Property Heating Building interior —. Hot water Building exterior -- - --- Electrical Property clean, maintained &safe Mechanical Handrails &guards installed & secure Pool Safety Pool on Site Surface water alarm Date of CO issuance Door alarms Pool completely enclosed Self closing latc,Wng gates Pool fence to code requirements CO's for all items present Prior Rental Comments: .._.... .... _ ..... _ _ TOWN OF SOUTHOLD Rental Permit 057.5 Owner 7750 Hortons Ln LLC Occupied as Single Family Dwelling Located at 7750 Horton Lane Southold 54-1-28 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. 1/18/2022 d for e n Official This Notice must be posted by the main entrance at all times ar PIN ,k Town Hall Annex �� t, Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1179 y' Southold,NY 11971-0959 Ili BUILDING DEPARTMENT TOWN OF SOUTHO RENTAL PERMIT APPLICATION Rental Permit Fee $200(Application must be renewed every two years) Section A. Property Information: Rental Property Address: w. Tax Map Number: 1000 SECTION -BLOCK SECTION B. OWNER INFORMATION: Property Owner Name: Property Owner Legal Address: Property Owner Mailing Address: (Cannot be the same as Rental Property Address) Telephone Number(s): com Propertv Owner Email Address: Page 1 of 4 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: 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 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. I 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 H. DECLARATION: Signature must be notarized and MUST be the owner of the dwelling unit. STATE OF NEW YORK) COUNTY OF SUFFOLK) , riAA , certify under penalty of perjury,the following: 1. I 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: Property Owner's Signature: Sworn to before me this ��day of 20(A �A Icial NotaPublic Signature n Original Notary Stamp TRACEY L. DWYER Page 4 of 4 NOTARY PUBLIC,STATE OF NEW YORK NO.01 DW6306900 QUALIFIED IN SUFFOLK COUNTY COMMISSION EXPIRES JUNE 30,20o;Z rg SD q-�,D -j6w4,cm �W/— 5ov" TOWN OIF SOUTHOLD BUILDING DEPT. ca — �r�c� INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION/CAUL N [ ] FRAMING /STRAPPING jr FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) [ ] CODE VIOLATION [ ] PRE C/O REMAR7S,: �tmkt-� \ & (� c? -6 /0) ............... DATE INSPECTORL cL a 765-1802 INSPECTION [ ] TOWN OF SOUTHOLD BUILDING DEPT'. FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION [ ] FRAMING l STRAPPING [Z-INAL I'�� jet,.t � ] FIREPLACE & CHIMNEYI F " INSPECTION [ FIRE RESISTANT CONSTRUCTION FIRE RESISTANTPENETRATION ELECTRICAL ] ELECTRICAL [ CODE VIOLATION [ ] CAULKING no- b 6�� } � \. � ° \ � �� \ . � � d . , { } ��t ^~ : � . y . / � \ � �� 2 : ./ � \ � m �\ . . . � ��;\ : . \ � . " ,� �\ � O ` % ,�� s � /^ � ` «( \ � : � � � �. \ �\x ��.-��» . , } � w } \ �~ \ / � � �w \ , e = . �\> , > }. \\ � , ��\ /\ ) } } -� —� } » w : � . �" � . �.. 's : < » ° � � . � �� , �y \ . r= � xa� 4 3 �.e 3 t s t Smak�. Check I LUQ SmoKes owe- 0, TOWN OF SOUTHOLD PROPERTY RECORD C,fgb OWNER-jq5(DSTREET VILLAGE DIST. SUB. LOT S� FORMER OWNER N E . Xd14 —j k, S W 'TYPE OF BUILDING RESSEAS. I VL. FARM COMM. CB. MICS, Mkt. Value � 1 LAND IMP. TOTAL I DATE REMARKS ell Pr 'D 2-1Z 2)1 112 I Ld �C: Tillable - FRONTAGE ON WATER Woodland FRONTAGE ON ROA �z Meadowl-and DEPTH House Plot BULKHEAD Tota I N < COLOR /'✓/ T'!i :� TRIM %` e i 1 { € v i- 3 3 I i ; t € f g 77, s a € i P - E € 4 [ e I .f 1 1 M. Bldg. I Extension _ f I ; s< s t ' € Extension f F f Extension I 1 i jFoundation Bath Dinette Porch Basement - � $Floors Z; EK. E rior Finish LR. Porch r A i xt. Walls r44 lnte Breezeway Fire Place vS 'Heat �� DR. Garage Type Roof Rooms 1st Floor aBR. f Patio e Recreation Room iRooms2nd Floor FIN. B i 0 g 'Dormer Driveway Total n ,, ,,,,, ,,,,, � �'%%�, f � , ,,, /„/ /i9i, � �i///;/i/ `;, � ` ; lin '� l rr//l// r�/ iiiiiii%/ii i;�, „ i��i�'� if��`/% ,�/�t t�i�i �� /�//�' l�i�iil � � �; �,i �, � oil, ��/// i ��"f��, ,� / � � � �' � / s �� , � � �,�,,,,. i/, r ///, �ii /�� l r � � ��, %, ��HI/� ''�"illliny� it i/'��/ �i,, �ry�� V�i��V��p�Mil�� pp +I h��Il��1 "/l�/�f'' r r 9 i i �� 0 I Ilull�p I��P��'llll�� jl f�ii�//,��j//ii�!�%f� �%„ �� :;. /// ��i/�f �;viii ,,, ��/��i � ,�, /��// %�' �/o//ia f � �� m ii /r//i/�i /%�� I �� %/,/i/ilii/��/�� / � � � % , �� " ' n �� ,, 1,, ,, iii r,�'h ,,, ��>%, �% i% %, °- gid% a, %, ,, ��; fir; � ;,'°, � �; r s p 0 y u r Hi, I'd like to request a renewal of my rental permit. The house address is 7750 Hortons Lane, Southold. I'd like to set up the inspection. Could you please call me, Mary Manfredi, on my cell, at 516-443-1823? Thank you! -Mary AlAY i � J", n FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Clerk's Office Southold, N. Y. Certificate Of Occupancy No.44 05 . . . . . . Date . . . . . . . . . .April THIS CERTIFIES that the building located at . Ropt -.s. dt .X&j erg,.p* treet Map No. QV*. . . . Block No. . . . . . . .Lot No. . . . xxx . A"0014. 11.'Yr. . . . . . . . conforms substantially to the Application for Building Permit heretofore filed in this office dated . . . . . . . . . . . . . pursuant to which Building Permit-No:--53M. . dated . . . . . . . . . My. - 2: . . . . ., 1971. ., 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 . .Pr-jvt* .fte. - tp ily.41r'411,iTI . . . . . . . . . . . . . . . . . . . . . . The certificate is issued to fray* -D line. . . . . . • ,61P. . . . . . . . . . . . . . . . . . . . . . . . . . . (owner, lessee or tenant) of the aforesaid building. Suffolk County Department of Health Approval . Vril . .U . 1972 .by. R* .VLUs. . UNDERWRITERS CERTIFICATE No. . • • . . . • . . . . . HOUSE NUMBER. y . . . . . .Street. MOTU&-U. JS -ftth. . . . . . . . . . . . . . ff Building Inspector