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Home My WebLink About1000-18..-2-28 Ft& TOWN OF SOUTHOLD Rental Permit s g 0884 Owner Regena Thomashauer Occupied as Single Family Dwelling Located at 24065 Route 25 Orient 18.-2-28 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. l 4/27/2023 SX ode i` ficial This Notice must be posted by the main entrance at all times Vqr6c* eC rS Town Hail Annex C/KTelephone(631)765-1802 54375 Main Roadx(631)765-9502 T'.0.Box 1179 Southold,NY 11.971-0953 � l �Z� BUILDING DEPARTMENT TOWN OF SOUTHOLD RENTAL PERMIT APPLICATION Rental Permit Fee $200(Applkotion must be renewed every two years) Section A. Property Information: Rental Property Address: It Tax Map Number* 1000 SECTION —0AB--_-BLOEIC SECTION B. OWNER INFORMATION: Property Owner Name: P Y Property Owner Legal Address: Property Owner Mailing Address: Telephone Number(s): Daytime �� Evening£mergers �y� S Lf � ) Property Owner Email Address: Page 1 of 5 Town Hall l Annex I �`. Telephone(631)765-1802 54375 Main Road r' Fax(631)765-95€}2 N�, P.4,Box 117.3p G Y Southold,NY 11971-0959 r VNI , o - BUILDING DEPARTMENT TOWN OF SOUTHOLD Mailing Address of Managing Agent: Telephone dumber(s): Daytime Evening Emergency__,,,,,. Email Address: SECTION F. PROPERTY DESCRIPTION: Number of Rental Dwelling Units on property: rn For each Rental Dwelling Unit set forth the Rental Dwelling Unit identifier(for example, Unit 1, Unit 2, Unit 3 or Apt A, 8, 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 Dwellin Unit: Page 3 of 5 Town Hall Annex �' Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1 179 �F ' Southold,NY 11971-0959 5 UNT �p 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) (Ko,SkCkU p\ rtify 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 Hall Annex Telephone(631)765-1802 � + Tele 54375 Main Road Fax(631)765-9502 P.O.Box 1179 �" a Southold,NY 11971-0959 BUILDING DEPARTMENT TOWN OF SO HOLD 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: ""c' ;, Property Owner's Signature: � �� '" ° w�w Sworn to before me this day of 205�� /`"/ ^&,^ Official Notary Public Signature and Original Notary Stamp CONNIE D. BUNCH Notary Public,State of New York No.01 BU6185050 Qualified in Suffolk County Commission Expires April 14,2va Page 5 of 5 )10 0 4�, A+ -)e ir; 0 rt",eA I I 631 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PL13G. [ ] FOUNDATION 2ND [ ] INSULATIOWCAl [ ] FRAMING SE ISI G [ INAE [ ] FIREPLACE & CHIMNEY [ FIRE SAFETY IN! [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PE [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL [ ] C I L TION [ ] P [ I r REMARKS: x i i + ' E , + € COLA € € i a i t Q € + [ q + l i € + + + , + ¢ i a a € + _ TIT, _ t t ba Mi 41 + f r f i + 1 ` } s t } 5 7-1— -FIE)g. IL o l [ 7r 1 =EZE11- {{ f 3 i s � I 3 P a, f _ � � µ E . f _ : = s _ _ 5 k s ` f . F } a I � _ s f s . s _ f 3 ` € I f i - s t . . r _ x f i = f s3 ag- 3 �N OF SOUTHOLD PROPERTY REC RI OWNER STREET VILLAGE DIST,? SUB. LOT FORMER OWNER -E ACR. , S W TYPE OF BUILDING ig RES) SEAS. VL. FARM i COMM. CB. MISC. Mkt. Value LAND IMP TOTAL DATE I REMARKS i P L s -r -,$ ; - AGE BUILDING CONDITION NEW NORMAL BELOW ABOVE Gp FARM Acre Value Per Value Acre Tillable 1 � a Tillable 2 Tillable 3 Woodland �oPet 3$�b V � 3� Swampland FRONTAGE ON WATER Brushland FRONTAGE ON ROAD House Plot DEPTH BULKHEAD Total DOCK y� e _ ..OLOR + � RIM 41 t r } — _ 18.-2-28 1/21/2021 M Bldg - Foundation ' Bath Dinette e Extension . '" , ,o _ Basement ✓ `� K Floors = ;� Extension Ext. Walls '� r Interior Finish 3 LR. � Fire Place Heat Extension g Lam_ Rooms 1 st Floor i Type Roof _ Recreati Porch Room ' Rooms 2nd Flood y t' F N. B. R '' 6 Dormer A Y I Breezeway Driveway_ _ Garage s Patio t O B - T 7— ;� Total � - r= a ct- O{c —2S-7 C) }16, s �.Ft7t* Town of Southold 8/18/2016 �g�►t 53095 Main Rd +� Southold,New York 11971 PRE EXISTING CERTIFICATE OF OCCUPANCY No: 38460 Date: 8/18/2016 THIS CERTIFIES that the structure(s)located at: 24065 Route 25, Orient SCTM#: 473889 Sec/Block/Lot: 18.-2-28 Subdivision: Filed Map No. Lot No. conforms substantially to the requirements for a built prior to APRIL 9, 1957 pursuant to which CERTIFICATE OF OCCUPANCY NUMBER Z 38460 dated 8/18/2016 was issued and conforms to all the requriements of the applicable provisions of the law. The occupancy for which this certificate is issued is: wood frame one f rail cl ang v t frtarratkaaac!rear eeee gigs ,Ir+ar 1� M t c�c r_gara The certificate is issued to Kahn, Lloyd _ w.............._...._m_....w._ _...........M._.w�Kalin,.Cassandra �_......._._._._._._..... ._ (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED *PLEASE SEE ATTACHED INSPECTION REPORT. Author7i: S patur 4 BUILDING DEPARTMENT TOWN OF SOUTHOLD HOUSING CODE INSPEC'T'ION REPORT LOCATION: 24065 Route 25,Orient SUFF.CO.TAX MAP NO.: 18"-.--"2,"--2 8 SUBDIVISION: NAME OF OWNER(S): Ka :.............�_'._..__........s_...gr.......... _............... �...wwww_.�.,.....,w. hn� Llo d&Cassan a OCCUPANCY: ADMITTED BY: Beth Pike y_._W. ._.... _ ..._....... ._.. _...._. .__.._ __. .._ ......�.TE: 8/1 wW 2016 SOURCE OF REQUEST: Kalin,Llo d DATE: 8/18/ DWELLING: #STORIES: 2 #EXITS: 3 FOUNDATION- conc..........w .......... . ............ rete block CELLAR•. X CRAWL SPACE: . �.m__ _..m.,.. TOILET ROOMS) 1 UTILITY ROOM(S): BATHROOM(S): ..........�_...... 1 ..°losed .��._.._ . '-- �.__�..._ ........w .._. ....... PORCH TYPE: front/rear enc DECK TYPE: PATIO TYPE: ..._.._...�_..............._ ...............__........ww.......ww...._..__mm� BREEZEWAY: FIREPLACE: GARAGE: R.w ,. well _ ...._._ street gas AIR C..........._...w.w�...lO,_,��..... DOMESTIC IIOT°WA� . ell TYPE HEATER:_._._ ONDITIONING: _. TYPE HEAT: cast" -radTn M AIR: HOT WATER: street gas #BEDROOMS:.... .. �...�BASEMENT TYPE. unfinished 3 CHENS. 1 BAS w..w...ww..�_..�w_......w�_._._._._�..._._ �_�_��...m_�www._,�. ................... ...�_ ..... .w� .�.�.�_�_.. . ....M.M..w www_.-. OTHER: ° ACCESSORY STRUCTURES: GARAGE,TYPE OF CONST: 2 car wood frame STORAGE,TYPE OF CONST: . .............................__, ........... _-_.w_ ww_.._....wwww. .__.w...........M.... SWIMMING POOL: GUEST,TYPE OF CONST: OTHER: _..._. VIOLATIONS: REMARKS: INSPECTED BY: M1KEV DATE OF INSPECTION: 6/21/2016 TIME START: 2:05pm END: 2:35pm �� 3IFAtq�� Town of Southold 7/27/2021 P.O.Box 1179 53095 Main Rd Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 42198 Date: 7/27/2021 THIS CERTIFIES that the building ADDITION/ALTERATION Location of Property: 24065 Route 25,Orient SCTM#: 473889 Sec/Block/Lot: 18.2-28 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 6/3/2020 pursuant to which Building Permit No. 44889 dated 6/19/2020 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 and Add.iLmis i cludin deck "°as built"°,moutdoor shower and good stove tra. i tIrlg in ' �n�l�w li as a tied for. The certificate is issued to Thomashauer,Regena of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED 6/19/2021 oe itecavag Au ...._o...,.zc a .. �...._�._. nature ................. Town of Southold 5/19/2023 P.O.Box 1179 53095 Main Rd Southold,New York 11971 CERTIFICATE,OF OCCUPANCY No: 44114Date: 5/19/2023 THIS CERTIFIES that the building HOT TUB ............................... Location of Property: 24065 Route 25,Orient ............. ........ SCTM#: 473889 Sec/Block/Lot: 18.-2-28 .......... Subdivision: Filed Map No. Lot No. .......... conforms substantially to the Application for Building Permit heretofore filed in this office dated 7/12/2021 pursuant to which Building Permit No. 4825§ dated 9/6/2022 .................. 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: "4�bijilt"_accAessor hot b ap,. aI id fig.. y _p The certificate is issued to Thomashauer,Regena ......................... ............................. of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 48259 4/25/2023 PLUMBERS CERTIFICATION DATED ............ u riz ignature