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Home My WebLink About1000-117.-7-12 TO WN OF SOUTHOLD F z t Rental Permit 1238 Owner Karine Masone Occupied as Single Family Dwelling (Bldg A) Located at 1375 Third Street New Suffolk 117.-7-12 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. 12/10/2024 Cori n ent Official This Notice must be posted by the main entrance at all times s: TOWN OF SOUTHOLD Rental Permit §§ 1239 g Owner Karine Masone Occupied as Single Family Dwelling (Bldg B) Located at 1375 Third Street New Suffolk 117.-7-12 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. l 12/10/2024 - n rc en Official This Notice must be posted by the main entrance at all times 011*0 SO TM ° Town Hall Annex Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1179 Southold,NY 11971-095 gol BUILDING DEPARTMENT TOWN OF SOUTHOLD RENTAL PERMIT APPLICATION Rental Permit Fee $200 (Application must be renewed every two years) Section A. Property Information: Rental PropertyA�ddres : Tax Map Number: 1000 SECTION 14 36`r -BLOCK_ ate " -LOT ®1 _- AKA y00 C)VChaj�ca — SECTION B. OWNER INFORMATION: Property Owner Name:L` J-Y—\c Property Owner Legal Address: Property Owner Mailing Address: A A .r. 4 Telephone Number (s): Daytime j& 5 --""-�vening� Emergency Property Owner Email Address:_,i-:&.n O� 9 Page 1 of 5 � � � so Town Hall Annex Telephone(631)765-1802 54375 Main Road Fax (631)765-9502 P.O.Box 1 179 Southold,NY 1 1971-0959 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, 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." (bjX.p� i t an Rental Dwelling Unit Identifier: �` Requested Maximum number of persons allowed to occupy Dwelling Uni : `" Number of rooms in Rental Dwelling Unit: Use and Dimensions of each room in Rental Dwelling Unit: y I 1 . . ` r Page 3 of 5 Town Hall Annex AL Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 AW P.O.Box 1179 Southold,NY 11971-0959 COUNV%�� BUILDING DEPARTMENT TOWN OF SOUTHOLD Section C. Authorized Agent Infb�'mation: Name of Authorized Agent of welling unit, if any: Address of Authorized Agent (no 0. Boxes): Mailing Address of Authorized Age Telephone Number(s): Daytime Evening Emergency 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): Daytime Evenin Emergency Email Address: SECTION E. SITE MANAGER INFORMATION: (required for rental properties co taining 8 or more rental units) Name of Managing Agent of dwelling unit, if any: Address of Managing Agent (no P.O. Boxes):_ Page 2 of 5 JIVE % Town Hall Annex Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 Y.O.Box 1 179 ram, Southold,NY 1 1971-0959 p► Gf I,w 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 o- 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)I =. 41e , 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 so Town Hall Annex Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1179 . Southold,NY 1 1 97 1-0959 BUILDING DEPARTMENT TOWN OF SO'f THOLD 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 Owners Name:. Property Owner's Signature: Swo n to before me thi day of /�o��.Ylt1 �1�� 20 icial NotV Public Signature an lginal Notary Stamp TRACEy L_ DWyEFj NOTARY PUBLIC,STATE OF NEW YORK No,01 DW QUALIFIED IN Sk1 FFOLK COUNTY COMMISSION EXPIRES,IUN 0, Page 5 of 5 $olZ; Town Hall Annex Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1179 Southold,NY 11971-0959 cou BUILDING DEPARTMENT TOWN OF SOUTHOLD RENTAL PERMIT APPLICATION ADDENDUM '16-per PS on " Rental Dwelling Unit Identifier: Requested maximum number of persons allowed to occupy each dwelling unit. Number of Rooms in Rental Dwelling Unit: Use and Dimension of each room: i 1 y l Ackr lest r t w . Ir r Rental Dwelling Unit Identifier: Requested maximum number of persons allowed to occupy each dwelling unit: Number of Rooms in Rental Dwelling Unit: Use and Dimension of each room: Rental Dwelling Unit Identifier: Requested maximum number of persons allowed to occupy each dwelling unit: Number of Rooms in Rental Dwelling Unit: Use and Dimension of each room: 5—j New TOWN OF S+C UTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION/CAULKING [ ] FRAMING /STRAPPING [ ] INAL&�d [ ] FIREPLACE & CHIMNEY [ FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) [ ] CODE VIOLATION [ ] PRE C/O . REMARKS: DATE [ INSPECTOR TOWN OF SOUTHOLD BUILDING DEFT. 631-765-1802 1 l'+' .- 3-- l INSPECTION [ ] FOUNDATION 1 ST/ REBAR [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION/CAULKING [ ] FRAMING /STRAPPING [ ) F AL [ ] FIREPLACE & CHIMNEY [ FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL F AL) [ ] CODE VIOLATION [ ] PRE C/O [ RENTAL 2 REMARKS: _ oo 6t�,' h kaworw ►`'r An DATE INSPECTOR , T6 L0 t44 c XIA � . Oe Cbe "Njw � �y ., e r _e TOWN OF SOUT OLD PROPERTY kRD OWNER STREET — VILLAGE DISTRICT SUB, LOTAQ / r . A � 3 i OsMER OWNER N E ---- ACREAGE f y $ S W E TYPE OF BUILDING .� MS SEAS. VL. FARM COMM. IND. CB, MISC. = LAND 1 IMP. TOTAL DATE REMARKS n f � € s p r�4 4 s 3< t � AGE BUILDING CONDITION � [-, NEW NORMAL BELOW ABOVE Farm Acre Value Per Acre Value Tillable 1 � Tillable 21.v 3� Tillable, 3 Woodland Swampland Drushland House P l TotcI I 3 e COLOR y` _ , #T_� I �� RIM ' I - t � t t t s i —� k1Zil _ F, M. B(-eg - - Exter)s i orl i 3 Extension Extension _ i Foundat'onboth Bette Pasch Basement F Ecors K Porch �Ext. Walls � � w _ �Interior Finish LP. Breezeway -Fire Place Heat m DR - _ 'hype Roof = Rooms 1 st Floor i BR Garage _ Recreation Room Rooms 2nd Floor Patio FIN. B z !Driveway I O. B. - - �_ Tgtal I x E I _ l 3 _ Ij i M. Bldg. Foundation Bath -Extr .Mr Basement F Floors Extension i i Ext. Walls gInterior Finish Extension Fire Place Heat �j Porch g ar_y Attic t t - Porch Rooms 1st Floor a.� d � Breezewa Patio Rooms 2nd Floor' i Y= Driveway Garage 0 B — ., E i g i - TOWN OF SOUTHOLD PROPERTY ,,o% D OWNER !STREET ` VILLAGE DIST. SUB. LOT £3 FORMER OWNER N E ACR. I S W TYPE OF BUILDING s , RES. SEAS. VL. FARM COMM, CB. MILS. Mkt. Value i LAND IMP. TOTAL DATE REMARKS F l i I z . I ; t £ I I Tillable i FRONTAGE ON WATER Woodland FRONTAGE ON ROAD E Meadowlartd DEPTH House Plot _ BULKHEAD Total i FORM NO. 4 G TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Clerk's Office Southold, N. Y. Certificate Of Occupancy No. .090Z . . . . . Date . . . . . . . . . . . . . . . . . .. 19. 7b THIS CERTIFIES that the building located at . QrObsX.d.dk. AW A . . . . . . . Street Map No. . = . . . . . . Block No. Lot No. 7Cg ew•Bntfolk . .g.M . . . . . . conforms substantially to the Application for Building Permit heretofore filed in this office dated . . . . . . . . . . . .WY. . .5. . ., 19.75. pursuant to which Building Permit No. .7.0 . dated . . . . . . . . . . )(47. . .5. . . . ., 19.75, 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 .Pri-vate. one- -"astilg Ave•1--ling•vith•addition & &IUratice• - (approved '4 by Bd Appeals The certificate is issued to .ZT*A $ *. . . . .VAQr. . . . . . . . . . . . . . . . . . . I . . . . . . . . . . (owner, lessee or tenant) - ) of the aforesaid building. ROA Suffolk County Department of Health Approval I*R.* . . . . . . . . . . . . . . . . . . . . . . . . . . . » . . UNDERWRITERS CERTIFICATE No. . . .N. 255 • • • • Nov. 10 - •19-75• • • • • . . . . HOUSE NUMBER . . . .4. . . . . . . Street . . ftabatrd .St. . . . . . . . . . . . . . . . . ... . . . . . . . . . . I M Third St Building Inspector FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. PRE EXISTING CERTIFICATE OF OCCUPANCY No: Z- 34238 Date: 03/24/10 THIS CERTIFIES that the building DWELLING Location of Property �400 ORCHARD ST NEW SUFFOLK (HOUSE NO. ) {STREET) (HAMLET) County Tax Map No_ 473889 Section 117 Block 0007 Lot 012 Subdivision _.�_. Filed Map No. Lot No conforms substantially to the Requirements for a ONE FAMILY DWELLING built prior to APRILaM9, 1957 pursuant to which CERTIFICATE OF OCCUPANCY NUMBER Z- 34238 dated MARCH w www..M 24, 2010 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 FRONT SCREENED PORCH.* The certificate is issued to LAUREN ENIN _w KIN (OWNER) of the aforesaid building. SuFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. 1 1 /1 6/S 0 _N -a-2-60M413 PLUMBERS CERTIFICATION DATED N/A *PLEASE SEE ATTACHED INSPECTION REPORT. - XU th arise, Signature _ee Rev. 1/81 BUILDING DEPARTMENT TOWN OF SOUTHOLD HOUSING CODE INSPECTION REPORT LOCATION: 400 ORCILARD ST NEW SUFFOLK SUBDIVISION: MAP NO.: LOT (S) NAME OF011NER. (S): OCCUPANCY: ONE FAMILY DWrt,I,TNG LAUREN E KINNIN ADMITTED BY: ACCOMPANIED BY: KEY AVAILABLE: SUFF. CO. TAX HAP NO. 117.-7..12,,,,,,,,,,,,,,,,,,,,,,,,,...._............,...._..._,. SOURCE OF REQUEST: PEpqRAH RqTX,_my DATE: O'JaLIO ............... DWELLING: TYPE OF CONSTRUCTION: WOOD-1-11 FRAME........... # STORIES- 1.0 # EXITS: 1 - -111-1.11-1... ........... FOUNDATION: CEMENT BLOCK CELLAR- 1/2 CRAWL SPACE: 1/2 TOTAL ROCKS: 1ST FT.R.. 3 2ND FLR.: 0 3RD FT.R.: 0 HAT11RCIC"(S) . 0 TOILET ROOM(S) ....-0,0 UlTILITY ROCK(S) ......... PORCH TYPE: FRONT SCREEN DECK TYPE: PATIO TYPE: ................ PARERMOMY: FIREPLACE: L GARAGE: ......... DONESTIC HCTR YATER: S TYPE 1�'=- KEYSPAN ArRCONDITIONING: TYPE HEAT: YES WARN AIR: I FL HEATER HOTWATER- OTHER: THIS HOUSE IS28.1.61". ,X2.2.G'. ACCESSORY STRUCTURES: GARAGE, TYPE OF CONST.: STORAGE, TYPE CONST- BP13304 SHED COZ23603 SHINNING POOL: GUEST, TYPE CONST.: OfTfm: VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE LOCATION --ML.............. ........... TERMITE DAMAGE FRONT STAIRS NEED REPAIR RE34ARYS- INSPECTED BY u. ................. DATE ON INSPECTION: 02/05/10 GARY J F.SH TIME START: END: POV.M NO.4 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLY, N. Y. CERTIFICATE OF OCCUPANCY aanuar,J..�4........... 19.... No. ....... ...... Date .................... 1—...... THIS CERTIFIES that the building located at --3V4d- Ot.-v,NOW-sutfolkreet MapNo.**.*................ Block No. ............ Lot No. ........... ......—.1--1 conforms substantially to the Application for Building Permit heretofore filed in this office dated .................................. .. I 9..:!�. pursuant to which Building Permit No. 4...M.— dated ...#V--jU.J.,y...7............................ 19....59 was issued, and conforms to all of the requirements of the applicable provisions of the [ow. The occupancy for which this certificate is issued is .......... .............. ......—............ .......... ....... Honnett, owner This certificate is issued to ....•...... ...........—*"."""........ (owner, lessee or tenant) of the aforesaid building. Building Inspector FORM NO. 2 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N00 759 Z Dote ...... L;ly...T......... Permission is hereby granted to: Rhl rd..&:..Ox.chard—Sure.t......................... f to addition on exiatingflne family .. ........................................... at premises located at . ? .�r°5 ... ' gt.. ..fl?.'oluirA..�`r'`.t lie 1-1Suffolk.,...�.�`-�.'........ pursuant to application dated ................„.......... ............19,�9.... and approved by the Building Inspector Fee Paid Building Inspector HOWARD X. TIERRY FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No--- Z-23603 Date APRIL 20 1995 THIS CERTIFIES that the building ACCESSORY 1375 THIRD STREET & Location of Property 400 ORCHARD STREET NEW SUFFOLK NY House No. Street Hamlet County Tax Map No. 1000 Section 117 Block 7 Lot 12 Subdivision Filed Map No. Lot No. rFl conforms substantially to the Application for Building Permit heretofore filed in this office dated JULY 16, 1984 pursuant to which Building Permit No. 13304-Z dated DULY 30 19B4 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 REPLACEMENT OF AN ACCESSORY BUILDING AS APPLIED FOR. The certificate is issued to LAUREN E. KINNIN (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A Eau/Id�ng Inspector � Rev. 1/81 �tltl u4 N vN ax 0 S�"}CD 4- r� cu 0 � o O a CD 0 [� W Cy inn z �, ps 00 o � z aa< 4 ra ZrJz � a ii E az W w x Q d -J Q �¢ ti -z w Z U Ell �y o lI1 IJ) CJ J� c 8,0 Z � OW ,�w� n ?pq�j WW 4 ? is I. THIRD STREET „ "^ E6f�E.lE Pp✓EU fa .,....,,,ry .......m�..,.:..,.... .........._,. S 00'00'20" W 75.00 w ° d I "gy p✓ P,2 4 I d d 1—V/2 STORY AVE HOUSE wM' T �, 0. p5ai+nu oFmen�nr x ... o 4CD s y@ O co..c I'lIl� p D,r Ei ECTF�C ��` IACTER rep� I n w oo°l 7'30" E 75.00f JAMES D. RAP"Jr., et, at. J / l 1 � � r j 1 ff , ll %/I d' r, �ff� b / /h i /"fin hny %r u J r F' 1 , r �t d arrr I a /ir r ' I iijIll i / / �� %��' �� , /��ii� .� �� '< �; ��% r f/�� rg; Y ar l ii��a; �� . ,, ;,� �� ,;�'°; �;, �r i sd� r U uoNow6.d�lma�, wt � kgdvY^v�� ,� �,..��:.� ✓a�,r nor iw,�, � fWi F'tr%Wi� i�f J�,i li ,n�"" 11�r I 1� ,! h�i6ls rxr��n✓ ti JnN/r�a�0.�j,/Jr rl�,,� � f 1 pJi, i if rl, �I p� u u " a % l� ra y.