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Home My WebLink About1000-15.-5-24.15 �A TOWN OF SOUTHOLD 4 Rental Perrot 3 0928 Owner Leslie Koch & Douglas Gray Occupied as Single Family Dwelling Located at 790 Uhl Lane Orient 15.-5-24.15 Maximum Permitted Occupancy 5 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. 6/8/2023 ` C eEn n Official This Notice must be posted by the main entrance at all times 4%2.0 Z) IJ --7 Town Hall Annex P 54375 Main Road " �° 2- P.O.Box 1179 Southold,NY 11971-0959 " u BUILDING DEPARTMENT TOWN OF SOUTHO]LD RENTAL PERMIT APPLICATION MAY 20123 Rental Permit Fee $200 (Application must be renewed every two years) Section A. Property Information: Rental Property Address, Tax Map Number: 1000 SECTION �� 5 00,,---BLOCK CJ -LOT 07— / - • OSS SECTION B. OWNER INFORMATION: Property Owner Name: 0604. Property Owner Legal Address: Property Owner Mailing Address: 15-r t 40 Telephone Number(s): Daytime, ( '6�g Evening Emergency Property Owner Email Address: 0 .C- Page 1 of 5 Town Hall Annex Telephone(631)765-1802 54375 Main RoadFax(631)765-9502 P.O.Box 1 179 � Southold,NY 11971-0959 cou 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: 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." ...... MµRental Dwelling Unit Identifier: Requested Maximum number of persons allowed to occupy Dwelling Unit: Number of rooms in Rental Dwelling Unit: g x io Use and Dimensions of each room in Rental Dwelling Unit: R��'��` ` .W s � ► /Goy w /G S rr�� #l x 4 41 oat TC oftf C. /-V1.t. / -7'4" 7 3X /2 Page 3 of 5 Town Hall Annex �`� Telephone(631)765-1802 „� 54375 Main Road Fax(631)765-9502 P.O.Box 1179 Southold,NY 11971-0959 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 ❑ 1 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) 1 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 go Town Hall Annex Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1179 � qL- N Southold,NY 11971-0959 q � � 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: " Property Owner's Signature: _ Sworn to before me thisM day of �°" 20a� Official Notary Public Signature and Original Notary Stamp CONNIE D. BUNCH Notary Public,State of New York No.OIBU6185050 Qualified in Suffolk County Commission Expires April 14, 2 01. Page 5 of 5 Ift v 0 ve�44� TOWN F SOUTHOLD BUILDING D1 631-765-1802 -- r, INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PL13G. [ ] FOUNDATION 2ND [ ] INSULATION/CAL [ ] FRAMING / STRAPPING INAL [ ] FIREPLACE &. CHIMNEY [ TIRE SAFETY INE [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PEI [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL [ ] CODE VIOLATION [ ] P / [ F INSPECTORDATE i(P. q oK I � i M � I1` �$ BH➢POOM 5 _ l�5 \ ABJ E HAl11WY - BATHFOOM x s' fC.H. l(� 2 { _ umHC Poon A i DH e UNE- REM- Imo_I♦ \ VESIIBu1E .. VV Existin First Floor Plan SCALE: -- 11111= 1'-0 790 Uhl Lane, Orient NY Existing Floor Plans SCALE: $" =1'-0" --------a---a=--------------------- F- -1 i E - I OPEN TO BFLOW � /6T/L � � ir EIXIOOM s � z c BALCONY =� - i E 3 Existing Second Floor Plan SCALE: $'=1'-0" 790 Uhl Lane, Orient NY Existing Floor Plans SCALE: e =1'-0° SCTM # TOWN OF SOUTHOLD PROPERTY RECD � e 9 L� � L: OWNER STREET - ' VILLAGE DIST SUB. LOT t ACR. — - REMARKS TYPE OF BLD. � s PROP' CLASS TV LAND IMP, TOTAL DATE r 1 -SS Q� I t FRONTAGE ON WATER HOUSE/LOT t BULKHEAD TOTAL �.� a.4 COLOR m O i N O Ln TRIM } E t � l tr. 1 st 2nd M. 61d . Foundation PC OTHER CB Bath Dinette EKY " .{ $ t ' COMBO E t nsion4 Basement s= PARTIAL Floors Kit.k '37 74� py xtrsio Finished B. Interior Finish L.R. Extension Fire Place Heat D.R. �_ _. F 1 §. f :2 Ext. Walls BR. Dormer Baths j , a $ o _ �{ Fam. Rm. Pool Foyer A.C. Laundry O B ,;. Library/ � ., �€ l� Study Dock 0 VIX' 7i- I z o -71 a3i 0) 3 0 TOWN OF SOUTHOLD PROPERTY RVWRD CARD OINN R 'STREET VILLAGE I DIST SUB. LOQ"-A- y. �rlr SRM OWI �R _£ E A I FT Afira �. is W TYPE O BUILDING a RES SEAS. VL , - FARM COMM. CB, MICS. Mkt. Value = LAND IMP. TOTAL DATE REMARKS -- � Ai, — a il a � ;a AA A 7- eF _ — — or F --' Al a _ — CA F g= r F F Tillable FRONTAGE ON WATER _ - Woodland FRONTAGE ON ROAD £ Meadowland DEPT House Plat BULKHEAD 4 Toto I i - z } s , Y � E COLOR TRIM s 15-5-24.15 11/01 — x �, — _ M. z= a 1-3 tet ton z a - E Extension -'2- Extension oto Foundation B §gr Porch _ _ Basement o�erne nt cor Porch Ext Walls Interior Finish ' L � f E Breezeway i Fire Place ! :eat ` . Garage ` sRoo � . Patio Recreation Room, Rooms 2nd door O. B. - Dormer i Driveway Tota I _ e FORM NO.4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold,N.Y. Certificate Of occupancy No. . . . . . .ZI695,9 . . Date , . . , . , .June w6, 1988 THIS CERTIFIES that the building . . . ,one-family dwelling . , . , . „ , , , , , , , , , , , , , Location of Property . . .7 . . . . . . . . . . . . . Uhl Lane , , , . „ , . , , . Orient ,4&jse No, Street Hamlec County Tax Map No. 1000 Section . . . . .15 . . . . .BIock . . . . . . . . .5 . . . . ..Lot . . . . . .24;15 , . , , , Subdivision . . .Qxl.ernt; .$y. .Th4 .S.?a . .(5Qq, .1). „Filed Map No. , .616Q . .Lot No. . .165 . . . . . conforms substantially to the Application for Building Permit heretofore filed in this office dated October 29, 1984 I3558Z pursuant to which Building Permit No. November 20, 1984 dated . . „ . I . . . . . . . . . . . . . . . . . . . . . . . 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 . . . . . . , . . 0ne--family dwelling -with attached porch. The certificate is issued to . . . . . . , , , , RAYMOND & EVELYN MA.ZZOCHI „(owner,l `air. ct of the aforesaid building. Suffolk County Department of Health Approval „ . . . „ 14—SO-205 4/21/88. . . UNDERWRITERS CERTIFICATE NO. . . . . . . „ . , 1 .N7926491 . . . . . PLUMBERS CERTIFICATION DATED: _ Richard Goelz, Jr. 10129/84 �. . . . . . . . . „ . . . . . . . . . Building Inspector Rey. 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-32156 Date: 01/23/07 THIS CERTIFIES that the building ADDITIONS Location of Property: 790 UHL LA ORIENT (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 15 Block 5 Lot 24.15 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated APRILL27, 2005 pursuant to which Building Permit No. 331.088-z dated APRIL_,37, 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 DECK SCREENED PORCHa & DEN ADDITIONSTOAN EXISTING SINGLE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to CAROL ALPERT & SARINA SCIALABBA (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO_ 2058549 11/15/05 PLUMBERS CERTIFICATION DATED N/A I.A4 utho ized 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-32155 Date: 01/23/07 THIS CERTIFIES that the building INGROUND SWIMMING POOL Location of Property: 790 UHL LA ORIENT (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 15 Block 5 Lot 24.15 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated JANUARY 3t 2007 pursuant to which Building Permit No. 32612-Z dated JANUARY 3. 2007 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 ACCESSORY INGROUND SWIMMING POOL IN THE REQUIRED REAR YARD WITH FENCE TO CODE AS APPLIED FOR. The certificate is issued to CAROL ALBERT & SARINA SCIALABBA (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. 48331 11/14/00 PLUMBERS CERTIFICATION DATED N/A A hor. ed Signature Rev. 1/81 Town of Southold Annex 1/8/2015 P.O.Box 1179 54375 Main Road Southold,New York 11971 .............------ .................. CERTIFICATE OF OCCUPANCY No: 37358 Date: 1/8/2015 THIS CERTIFIES that the building SHED Location of Property: 790 Uhl Ln Orient, SCTM#: 473889 Sec/Block/Lot: 15.-5-24.15 ........... ............ Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 12/12/2014 pursuant to which Building Permit No. 39448 dated 12/29/2014 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: "AS BUILT"ACCESSORY SHED AS APPLIED FOR The certificate is issued to Scialabba, Sarina (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED M, .............V— Autrizcd Signature � t111Qtifr Town of Southold 7/25/2022 P.O.Box 1179 53095 Main Rd Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 43283 Date: 7/25/2022 THIS CERTIFIES that the building SHED Location of Property: 790 IJh1 Ln,Orient ... ._._.�. -.. w .. _._._._.._�... SCTM#: 473889 Sec/Block/Lot: 15.-5-24.15 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 5/8/2019 pursuant to which Building Permit No. 47978 dated 6/21/2022 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: acc ssc res „a aappe 1"cmr, The certificate is issued to Koch,Leslie&Gray,Douglas of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 43754 7/13/2021 PLUMBERS CERTIFICATION DATED Town of Southold 7/25/2022 P.O.Box 1179 53095 Main Rd Southold,New York 11971 .............. ................... CERTIFICATE OF OCCUPANCY No: 43283 Date: 7/25/2022 THIS CERTIFIES that the building SUED ............................ ................................ Location of Property: 790 Uhl Ln,Orient ..........—................. ......--........... SCTM#: 473889 Sec/Block/Lot: 15.-5-24.15 Subdivision: Filed Map No. Lot No. ...................... conforms substantially to the Application.for Building Permit heretofore filed in this office dated 5/8/2019 pursuant to which Building Permit No. 47979 dated 6/21/2022 ............. 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: Aqgq r W�d 021 as applied for. The certificate is issued to Koch,Leslie&Gray,Douglas ............. of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF]HEALTH APPROVAL .......... ELECTRICAL CERTIFICATE NO. 43755 7/13/2021 PLUMBERS CERTIFICATION DATED ............................. acture r d Au