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Home My WebLink About1000-26.-2-39.1 s � TOWN OF SOUTHOLD Rental Permit 1229 Owner Anne Wyden Occupied as Accessory Apartment Located at 1145 Major Pond Rd Orient 26.-2-39.1 Maximum Permitted Occupancy 2 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. 11/19/2024 e t Official This Notice must be posted by the main entrance at all times e for e hS II. i I 21 TOWN OF SOUTHOLD—BUILDING DEPARTMENT Town Hall Annex 54375 Main Road P. O. Box 1179 Southold,NY 11971-0959 Telephone (631) 765-1802 Fax(631) 765-9502 htt :/�' �'ww.so��.l of nh giv U U L RENTAL PERMIT APPLICATIONnt „ 'hold Rental Permit Fee $300 (Application must be renewed every two years) Section A. Property Information: Rental Property Address:. INS MATo _5 of>_teNT Nit ll9» Tax Map Number: 1000 SECTION QU_ -BLOCK CC -LOT 59 I SECTION B. OWNER INFORMATION: Property Owner Name: a N tq Property Owner Legal Address: Property Owner Mailing Address: ( ddress) BLA S HLSAsA Telephone Number (s): Daytime(oaf v1t of g— rRefge" Property Owner Email Address: A 2 awt. Page 1 of 4 SECTION F. PROPERTY DESCRIPTION: Number of Rental Dwelling Units on property: ®'—I E 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: A c m. 5 5 R t°�.i-- Requested Maximum number of persons allowed to occupy Dwelling Un �g Number of rooms in Rental Dwelling Unit: k ' ` M µ LIB. p .IjCr�EN) Use and Dimensions of each room in Rental Dwelling Unit: l o K is V 16 Y 13 14( I" 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. It 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. Page 3 of 4 SECTION H. DECLARATION: Signature must be notarized and MUST be the owner of the dwelling unit. STATE OF NEW YORK) ) COUNTY OF SUFFOLK) N I I-I 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: e- Y Erb Property Owner's Signature: (. �Qt1� Sworn to before me this 1_0 day of 6��beY' , 20�y- 711 TUP4 Official No ublic Signatur nd Original Notary Stamp TRACEY L. DWYER NOTARY PUBLIC,STATE OF NEW YO.RK NO.01 DW6306900 QUALIFIED IN SUFFOLK COUNTY COMMISSION EXPIRES JUNE 30,2 Da Page 4 of 4 v so TOWN 1 Ft�OUTHt" LD BUILDING DEPT. 631-765-1802 INSPEC;"TION [ ] FOUNDATION 1ST/ REBAR [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION/CAULKING [ ] FRAMING /STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) [ ] ' CODE VIOLATION [ ] PRE C/O [ ] RENTAL 1 r w ., . TOWN OF SOUTHOLD PROPERTY REC RD CARD 70 pfazD STREET VILLAGE DIST. SUB. LOT FORMER OWNER N E ACR. s. W CODE DATE OF CONSTRUCTION L LAND IMP.' TOTAL DATE REMARKS ph �\ met'4 ;z, 7— 3� S! 3. C-0 43 9 L4 Tillable FRONTAGE ON WATER Woodland FRONTAGE ON ROAD Meodowl,and rI I DEPTH House,.Plot BULKHEAD Total a y= r. e a 26.-2-39.1 04/2015 z� t Foundation Bath IE�1. Bldg. � � � Ex es►on - Floors E - i Basement , _ -_ Extension Ext. Wails Interior Finish to , �. Extension Fire Place Heat p : s [ 1 r Porch F ��l a Pool Attic : . 3 Deck - ;� �� Patio I Rooms 1st Floor Driveway Rooms 2nd Floor . _ _3- r Garage 0. B. - y ................. ram, fat/( Town of Southold 3/25/2023 P.O.Box 1179 53095 Main Rd Southold,New York 11971 ............ CERTIFICATE OF OCCUPANCY No: 43964 Date: 3/25/2023 THIS CERTIFIES that the building AS BUILT ALTERATION ............... Location of Property: 1145 Major Pond Rd.,Orient SCTM#: 473889 Sec/Block/Lot: 26.-2-39.1 .......... ......... ............- Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 8/26/2022 pursuant to which Building Permit No. 48391 dated 10/12/2022 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: built'"alterations _dwell ingAsa liqd r.-to The certificate is issued to Wyden,Anne of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL, ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED .......... ........ A, o zed attire FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.X. CERTIFICATE OF OCCUPANCY No: Z-27147 Date: 06/ 9/00 THIS CERTIFIES that the building ALTERATION & ADDITION Location of Property: 1145 MAJOR POND RD ORIENT (HOUSE NO. ) (STREET) (HAMLET) County Tax Map No. 473889 Section 26 Block 2 Lot 39.1 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated JANUARY 28.L 1999 pursuant to which Building Permit No. 25545-Z dated FEBRUARY 17 1999 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 ADDITION WITH ABOVE GROUND POOL IN SUNROOM ENCLOSURE AS APLIED FOR The certificate is issued to PEGGY C HELLER & ANNE WYDEN (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. N-52� 05/19/00 PLUMBERS CERTIFICATION DATED N/A Authorized Signa re 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 18900 Date March 16 1990 THIS CERTIFIES that the building ONE FAMILY DWELLING Location of Property 1145 MAJORS POND LANE ORIENT House No. Street Hamlet County Tax Map No. 1000 Section 26 Block 2 Lot 39.1 (pt.) Subdivision WILLOW TERRACE Filed Map No. Lot No. 22 conforms substantially to the Application for Building Permit heretofore filed in this office dated SEPTEtBER 25 1985 pursuant to which Building Permit No. 16900 Z dated APRIL 29 1988 was issued., and conforms to all of the requirements of the applicable provisions of the law. The occupancy for which this certificate is issued isONE FAMILY DWELLING WITH ATTACHED GARAGE & PORCH The certificate is issued to JAMES & SUZANNE DOUGLASS (owner, ) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL 88-SO-41 dated 3 16 90 UNDERWRITERS CERTIFICATE NO. N 093079 PLUMBERS CERTIFICATION DATED MARCH 16 1990 ding Inspector 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-24884 Date FEBRUARY 5 1997 THIS CERTIFIES that the building ACCESSORY Location of Prorerty 1145 MANOR POND ROAD ORIENT. N.Y. House No, Street Hamlet County Tax Map No. 1000 Section 26 Block 2 Lot 39.1 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated JUNE 12 1996 __pursuant to which Building Permit No. 23568-Z dated JULY 9 1996 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 ACCRBSORY GAZEBO IN REAR YARD. The certificate is issued to PEGGY BELLER & ANNE WYDEN (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO.� N/A PLUMBERS CERTIFICATION DATED N/A Bm 4,elding Inspector 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 2-24883 Date FEBRUARY 5 1997 THIS CERTIFIES that the building NEW DWELLING Location of Property 1145 MAJOR POND RD. ORIENT N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 26 Block 2 Lot 39.1 Subdivision Filed Map No._ Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated JUNE 12, 1996 pursuant to which Building Permit No. 23568-2 dated JULY 9 1996 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 ONE FAMILY DWELLING WITH ATTACHED GARAGE SCREENED PORCH REAR & SIDE DECKS CUPOLA AS APPLIED FOR & AS PER ZBA #4336. The certificate is issued to PEGGY HELLER & ANNE WYDEN (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL R10-95-0049- JAN. 29 1997 UNDERWRITERS CERTIFICATE NO. N-408989 _., JANUARY 1.7 _1997 PLUMBERS CERTIFICATION DATED FEE. 3 1997-HARDY PLUMBING & BEATING Bui ding Inspector Rev. 1/81 Town of Southold 1/7/2016 P.O.Box1179 53095 Main Rd Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 38026 Date: 1/7/2016 THIS CERTIFIES that the building ADDITION/ALTERATION Location of Property: 1145 Major Pond Rd,Orient SCTM#: 473889 Sec/Block/Lot: 26.-2-39.1 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 9/4/2015 pursuant to which Building Permit No. 40092 dated 9/16/2015 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: UNHEATED SCREENED E?t RCH ADDITION TO AN E�C11STtN�a ONE hAMII Y D 1;1�L1Nf� A5 APP1�1 D FOR The certificate is issued to Heller,Peggy&Wyden,Anne of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 40092 11-24-2015 PLUMBERS CERTIFICATION DATED .....� W/"Ubr+e 3S Gk k COMPLY WITH ALLCODES OF NEW YORK STATER70Wi t:a `I( _ AS REOUIRED AND:B; .= ( z APPROVED AS NOTED B NdT.1 F PFiE F 0/M!G NEREOTIONS � - t FOV F-4OCOWEODIR REO s FDR MIRED LexGREn: i FxH11 FRAWNp TM�10 dtgMr XG ED:GPILHAVJyxp 1i1R 3 PWLdnou X FWf�LO IdiRKi ON dEIECigiORd MOdl0.00VNElEFM 0.0 "-� z��. ue cOXt—P OFEWlLUEEPRF NYSCed^.9s 2Yr P�OIHPEUFdRd OF ME—EOF Mqo SfPiE Rp}FESVM'S�EFOR N �^€ - ttxpxoxccxsmucnoa EPRops. Zt 308.3 YS'Reblden+ia.1 u -- Ca�c - � AddffienrI i OntIrlation �� Rwn"idt,d kamE r uirfd. IMP ReP aired. I ' €t EgU CIEDTRI.'. p;Ey eiSPEDTNNi p - c. m. GUPoLA FL—K f` a E � }:�g£a_< r TTt r J�41 a EDRDDAt i d Ri LIVING ROOM_- DINING AREA _ _ r --___-- e _ j 3 I t ' F t — i f'{ DOK PLAN s A i mo. I v4s M A-To Z5 It ar%v OQ-tErt t rL-4, 1x4-'l RE 7. "IL"TAt. 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