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Home My WebLink About1000-25.-2-16.7 TOWN OF SOUTHOLD =` Rental Permit x 0688 Owner Amy Herzig Occupied as Single Family Dwelling Located at 675 Orchard Street Orient 25-2-16.7 Maximum Permitted Occupancy 8 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 7/5/2022 *Coddernf)rc(ee t Official This Notice must be posted by the main entrance at all times Town Hall Annex 6 Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1179 G{, Southold,NY 11971-0959 Lj JUN 0"1 2022 BUILDING DEPARTMENT TOWN OF SOUTHOLD BUILDING DEPT. TOWN OF SOUTHOLD RENTAL PERMIT APPLICATION Rental Permit Fee$200 (Application must be renewed every two years) Section A. Property Information: Rental Property Address: Tax Map Number: 1000 SECTION 2S BLOCK LOT_ /�•`� SECTION B. OWNER INFORMATION: Property Owner Name: 01 ZrX Property Owner Legal Address: Property Owner Mailing Address: (Cannot be the same as Rental Property Address) alb �f a06's Place- Ib St. 4,044 >°l to-_ 16 mQ .h , n1 tj 112-1 k.I a_Y IIza1 Telephone Number (s): 91-7 2-9S _ Property Owner Email Address:.QLS IC&t e,(Z,1 qM Cj Page 1 of 4 V f Section C. Authorized Agent Information: Name of Authorized Agent of dwelling unit, if any: J0.ij Agluil'qn Address of Authorized Agent (no P.O. Boxes).: Mailing Address of Authorized Agent: f4a'm a r 4 aea�t a+ t4l 1191v Telephone Number (s): 63 i— 5 I 3?11 Email Address:: 1a44tMaytai,a4A G(a64 2V-. Co✓V) 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: NA. . . 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: I 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 11Dwelling Unit: Number of rooms in Rental Dwelling Unit: /0 Use and Dimensions of each room in Rental Dwelling Unit:-Lvi 0000- - 13'y- 13' I�'&-Ka I LV,V', 06-04 - I1 x 13....... k#��e-A I SS x /0- Lct"ew- q x TS goat,, 2 _3k400m 3 )L5"X JAS" 39460044 `�- = 9X/0 fiai0 a 7 10 ' 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 thelaws adopted by the New York State Fire Prevention and Building Code Council. 2/1 am requesting a fire safety inspection to be performed by a Code Enforcement Official from the Town of Southold. Page 3 of 4 L�! 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) I AAq 21(�;q 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: PX _--------------------- --- Property Owner's Signature: Sworn to before me this 3 day of :,20 �5 'sTATE �'•;po ,,•' =, OF NEW YORK% Z;NOTARY PUBLIC N Qualified in Official Notary Public Signature and Original Notary Stamp o'. KINGS County 1� 01VA6428995' Page 4 of 4 ��''%S��N EXp��`'•`•�� OFSOUTyp -.��rGPna.l� Sot - # # TOWN OF SOUTHOLD BUILDING DEPT. �ycou631-765-1802 �� / `(p•� INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION/CAULKING [ ] FRAMING /STRAPPING [ ] AL [ ] FIREPLACE & CHIMNEY [ FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FI L) [ ] CODE VIOLATION [ ] PRE C/O [ RENTAL REMARKS: �i✓ ✓� Nil, �- �j DATE INSPECTOR April 10, 2022 Town Hall Annex Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1179 Southold,NY 11971-0959 Y t 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 i=rloessiona0 seal;eauired fr:rArchitect or Enrineer,licensed Home lnspecfor.:�us#Prvide copy of valid current.certification Rental Property-SCTM Number:, Rental Property Address: 675 Orchard St., Orient NY 11957 Owner/Name: Amy Herzig Rental Dwelling Uriit'Identifier: Number&Square footage of each bedroom as depicted in the attached floor plan: (i.e. Bedroom#1 -100 sq., Bedroom#2-90 sq., etc.) Bedroom #1 165 sqft Bedroom #3 100 sqft Bedroom #2 15-5.-WI Bedroom #4 160 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 I CEO Inspector Print Name and Title ce0## 1216-0283 Original Signature Please place:ptafessionai'seal: i I Ij I I � I po 17 r ' 3x �3' i F al x� GKEC-rI " -P1C— - I I I I - IT o o I S1r_- Co (A IFOAF\ 17 �}oi� o o I E B iZ� �� .� I 10 CL e e j� CAR 4TEc6-\ 3 r � T LSO I �A�S _ - _ III • fjjfV as PROPERTY RECORD OF 50U:TOWN -IST).-... ,OWN ERA STREET VlLbAGE, D OTf A 4- Zfib. SSij FORM ER ' 'ACR. _ OWNER., N, E Y S W TYPE-OF BUILDING 6- .......... ............. RES. ''7 SEAS. VL. FARM COMM. CB. MISC. Mkt - 'alue X-7, LAND IMP. TOTAL DATE -REMARKS 7-4 X' 7,4 /0 q hith rl_4�14 51;9!� a�,Z� 46 LI bt_ E f) -1------ --- lcl I it] I I F- , :.,.11,4�,' V Vrx AGE BUILDING CONDITION AmQ_ N?Ir NORMAL BELOW ABOYE `V7 FARMS Acre Val4p-41'er yptin J VIA1,M k3 A e Chi ' - Ct�f -- '-- 0 ��.r Tillable, '1 Titlable ,.:Tillable ' 3 i,.Woodland V swampland FRONTAGE ON WATER Brushlatid, FRONTAGE,ON ROAD 4 h-louse.Plot DEPTH, ( tr 6 BULKHEAD DOCK 7 7, A-4 COLOR MAI TRIM /p 2- - 25.2-16.7 11/10 ................... Foundation Both Dinette Extension asement K. 7 B F ors . ..... ............. Extension Ext. Walls Interior Finish LR. 0 �2 /7 777� '-E' xtension' Fire APlace / Heat DR.4) 0 Type Roof Rooms 1st Floor BR. Porch Vj/K J- Recreation Roo rn Rooms 2nd Floor FI B. 9,rch Dormer Bre Driveway ay y� `Garage ' R 'Zi'ol -A. Patio Total ` TO %:. .:F SOUTHOLD OFFICE OF BUILDING INSPECTOR TOWN Ii:'1LL SOUTHOLD, NEW YORK CEhTIFICATE OF OCCUPANCY NONCO NFORA'IING PREAiISCS TIIIS IS TO CERTIFY that the /X/ Land Pre C.O. #- Z-16900 /X/ Building(s) Date- May 23, 1988 /r/ Use(s) located at 670 Orchard Street Orient, New York Street Hainlet shown on County tax map as District 1000, Section 025 . Block 02 Lot 16.6 , doe<not)conform to the present Building Zone Code of the Town of Southold for the following reasons: Insufficient total area; front yard set back; side yard set back on accessory On the basis of information presented to the Building Inspector's Office, it has been determined that the above nonconforming /_X/Land 5_/Building(s) /_/Use(s) existed on the effective date the present Building Zone Code of the To-,,.,n of Southold, and may be continued pursuant to and subject to the appli- cable provisions of said Code. IT IS FURTHER CERTIFIED that, based upon information presented to the Building Inspector's Office, the occupancy and use for which this Certifi- cate is issued is as follows: Property contains2 story, one family, wood framed dwelling with porch; an accessory 2 car garage and all situated in 'A' Residential Agricultural zone, with access to Orchard Street; a Town Road. The Certificate is issued to WARREN V. VAIL (owner, 1RXXKXg.KXp�[ �{X of the aforesaid building. Suffolk County Department of IIcalth!Approval N/A UNDE•Ft1;%IJITERS CERTIFIC' ATE NO. N/A NOTICE IS HEREBY GIVEN that the owner of the above premises I-L1S NOT CONSENTED TO AN INSPECTION of the premises by the Building Inspec- tor to determine if the premises comply with all applicable codes and ordin- ances, other than the Buildinrr Zone Code, and therefore, no such inspection has been conducted. This Certificate, therefore, does not, and is not intended to certify that the premises comply with all other applicable codes and regula- tions. w.c inspector �p`pS11FFBI/( Gy Town of Southold 6/14/2017 a P.O.Boz 1179 0 aD 53095 Main Rd Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 39014 Date: 6/14/2017 THIS CERTIFIES that the building ALTERATION Location of Property: 675 Orchard St., Orient SCTM#: 473889 Sec/Block/Lot: 25.-2-16.7 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 6/7/2017 pursuant to which Building Permit No. 41723 dated 6/8/2017 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: PORCH REPAIRS ON AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR S �a� The certificate is issued to Clous,James&Nancy of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED A ho ' Signature 914' TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, NY BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES WITH ONE SET OF APPROVED PLANS AND SPECIFICATIONS UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) Permit#: 41723 Date: 6/8/2017 Permission is hereby granted to: Clous, James 4 Woodstone Ct Huntington Sta, NY 11746 To: CONSTRUCT REPAIRS TO AN EXISTING PORCH ADDITION OF A SINGLE FAMILY DWELLING AS APPLIED FOR. REPLACES EXPIRED BP#37960 At premises located at.- 675 t:675 Orchard St., Orient SCTM #473889 Sec/Block/Lot#25.-2-16.7 Pursuant to application dated 6/7/2017 and approved by the Building Inspector. To expire on 12/8/2018. Fees: PERMIT RENEWAL $100.00 Total: $100.00 -&'w Building Inspector 6/27/22,2:04 PM 675 Orchard St,Orient,NY 11957 1 Zillow Photos Save Home Silare r ,Y .... .- � I MI I Li r .y r For Rent: $10,000 (4 beds, 2 baths, 1,785 Square Feet) https://www.zillow.com/homedetails/675-Orchard-St-Orient-NY-11957/32748634_zpid/?mmlb=g,4 13/13 6/27/22,2:05 PM 675 Orchard St,Orient,NY 11957 1 Zillow Photos Save Home -mw-mg mg For Rent: $10,000 (4 beds, 2 baths, 1,785 Square Feet) https://www.zillow.com/homedetails/675-Orchard-St-Orient-NY-11957/32748634_zpid/?mm Ib=g,12 1/13 Bunch, Connie From: Bunch, Connie Sent: Monday,June 27, 2022 2:02 PM To: 'aslaterherzig@gmail.com' Subject: Rental Permit application for 675 Orchard Street, Orient Good Afternoon, Thank you for submitting your rental permit application for 675 Orchard Street in Orient.After reviewing your application the Building Inspector has denied the certification of the rental and requires an inspection. There appears to have been construction without first obtaining a building permit according to the Southold Town Assessors card. Our first available dates for the inspection is the end of July and early August. Please contact our office to schedule an appointment at 631-765-1802. Best Regards, Connie Bunch Southold Town Building Dept.