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Home My WebLink About1000-15.-8-16 Rental Permit y 1330 Owner: James Nicholls , Margaret Nicholls Occupied as: Single Family Dwelling Located at: 39595 Route 25 Orient 15.-8-16 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. Issued: 06/11/2025 Expiration: 06/11/2027 cWe of ree ent Official This Notice must be posted by the main entra opeat11 ti 10`` 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 littt)s://www.sou,t,liol(,Itow,n Gov 67 Loa ' J RENTAL PERMIT APPLICATION 3 1 2025 Rental Permit Fee$300(Application must be renewed every two years" Section A. Property Information: Rental Property Address; µ , S Tax Map Number: 1000 SECTION -BLOCK -LOT SECTION B. OWNER INFORMATION: Property Owner Name: Property Owner Legal Address: Property Owner Mailing Address: (Cannot be the same as Rental Property Address) K N 1 ' 4- )), N "2 N 6D)1 y-� 3� Telephone Number(s): Daytime g17 60vening Emergency Property Owner Email Address: Page 1 of 4 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." Rental Dwelling Unit Identifier: Requested Maximum number of persons allowed to occupy Dwelling U1 i Number of rooms in Rental Dwelling Unit: Use and Dimensions of each room in Rental Dwelling Unit: 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. VJ I am requesting a fire safety inspection to be performed by a Code Enforcement Official ,from the Town of Southold C� 1 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) 1 J AV�ltf N I6' �� 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: ' i /,./,— Property Owner's Signature r� Sworn to before me this?)day of Jae) m 20 S Official Notary Public Signature and Original Notary Stamp C ONNIE 1),BUNCH Notary Public,State of New York No,OIBU6185,050 C ualw d in auffoik County � Page 4 of 4 Commission Expires April 14. `—,. g �' C1F soUp�,� ► �� ' t � TAN OF SOUTHOLD BUILDING DEPT. '631-765-1802 N P E C T 10 N [ ] FOUNDATION 1ST/ REBAR [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION/CAULKING [ ] FRAMING /STRAPPING [fFINAL [ ] FIREPLACE & CHIMNEY [ FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT P ETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL ( INAL) [ ] CODE VIOLATION [ ] PRE C/O ] RENTAL REMARKS: f4f so TOWN OF' BOUT HOLD BUILDING DEPT. cow 631-765-1802 IN S P E(ChT 10 N [ ] FOUNDATION 1 ST/ REBAR [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [YFIRE ULATION/CAULKING FRAMING /STRAPPING [ AL FIREPLACE & CHIMNEY [ SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (F AL) [ ] CODE VIOLATION [ ] PRE C/O [Vj RENTAL REMARKS: I kit �4( MATE INSPEC.- ° OR Ana Town Hall Annex Telephone(631)765-1802 54375 Main Roada P. O. Box 1179 ' Southold, NY 11971-0959 � BUILDING DEPARTMENT TOWN OF SOUTHOLD RENTAL PERMIT APPLICATION ADDENDUM 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: 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: 1 1 TOWN OF S UTH LD PROPERI /� �� CARS ; OWNER S-Tf;EET VILLAGE �'F SUB. LOT' "So sif FORMER OWNER E ACR. e AL ,7 �` $ W TYPE OF BUILDING RES, SEAS. VL. IFARM COMM. CB. MISC. Mkt. alue V LAND IMP_ TOTAL DATE REMARKS 3 ` 77_ 1 - - t. -3 terrF �da ri \2� , 1fC _ n . fI��Pt� Lam' € i �crea 9 r�t� Ilfo l-0r) ' t _ z v AGE BUILDING CONDITION -, NEW NORMAL BELOW ABOVE 1G FARM ? Acre Value Per Value Acre I _ i Tillable 1 17 o o SQ 04 � 6 t 3iaQ�y Tillable 2 ___ Tillable 3 Woodland I � , Swampland FRONTAGE ON WATER Brushlond FRONTAGE ON ROAR �. House Plot - DEPTH t :BULKHEAD _ 4 ' DOCK TotoI a. � i 3 6{O i I v No-so 7-7 Zf RIM z - 1� � `5t € i s i 3 S = F •Pr,{rtr� Ik5 � �. ! � � i � � 1 15:8-16 9/09 l 15.-8-16 9106 i M. Bldg. Foundation Bath IJ : Dinette; Extension C 5Q Basement Floors K. J -Extension r j Ext. Walls _ Interior Finish LR, / Extension Fire Place _ Heath DR. `Type Roof j Rooms lst Floor BR, Porch �X 1 -7 �� CcT 'Recreation Room 'Rooms 2nd Floor! FIN. B. € z • R� I �X�� 1 C�Q Dormer �A n�«, •/ 1 - i T `Drivewa Breezeway Y Garage `' . e Poo,0 � h '� b I - l 0. B. << b Total ; 7 Town of Southold 2/18/2020 P.O.Box 1179 ZM 53095 Main Rd Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 41083 Date: 2/18/2020 THIS CERTIFIES that the building AS BUILT DECK Location of Property: 39595 Route 25, Orient SCTM#: 473889 Sec/Block/Lot: 15.-8-16 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 11/20/2019 pursuant to which Building Permit No. 44475 dated 12/3/2019 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: uiift". ck_g(Ll tiop a.,p l e for. The certificate is issued to Mohring,John&Trisha of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED � w .._w_.._ ...... ....................... . m. 0 10 Signature w_.........._..._. .w ._ tt 'fw Town of Southold 2/8/2023 P.O.Box 1179 53095 Main Rd 4,41 Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 43825 Date: 2/8/2023 THIS CERTIFIES that the building IN GROUND POOL Location of Property: 39595 Route 25,Orient SCTM#: 473889 Sec/Block/Lot: 15.-8-16 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 10/5/2021 pursuant to which Building Permit No. _ 46974 dated 10/14/2021 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: accessary g ul d wi,r�ra i a .1 fenced to code-as--avalied fa r.4 The certificate is issued to Nicholls,James&Margaret of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 4"974 4/21/2022 PLUMBERS CERTIFICATION DATED nature FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-32612 Date: 09/20 07 THIS CERTIFIES that the building NEW DWELLING: Location of Property: 39595 MAIN RD ORIENT (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 15 Block 8 Lot 16 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated JUNE 2, 2005 pursuant to which Building Permit No. 31201-Z dated JUNE 14 2005 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 SINGLE FAMILY DWELLING WITH ATTACHED TWO CAR GARAGE AND COVERED FRONT _. PORCH AS APPLIED FOR. The certificate is issued to ANGELO STEKARDIS (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTPMT OF HEALTH APPROVAL R10-04-0045 199 19/07 ELECTRICAL CERTIFICATE NO. 05-9945 06 26 06 PLUMERS CERTIFICATION DATED 07 6 07 HENRY P. SMITH PLUMBING �-......._.�w A � g ri d S`, mature_.... Rev. 1/81 y ,iri o i r lira Gi r WV OR 2/0 r r ll� fl I . ,o , / V 1,80 2nd Floor 39595 Main Rd Bath Bedroom CI „ Master 13 x 15 Bedroom 12.2 x 16.4 CI CI I Bedroom CI 13 x 15 Bedroom 12.2 x 13 B fr-• ! j 0' 4' 8' 12' Scale in Feet.Floor plan is an estimate of existing structures&features.All measurements are approximate&not 1:80 guaranteed to be exact or to scale.Design by ShanPlan 3 1 st Floor 39595 Main Rd L-L Deck 38x15 va Living Rm 2 Car 18 x 14 Kitchenr , 16 x 12 Lau ry Cl Ci Z: Den DiningRm 13x16 Foyer 12 x 14.3 ° 8.8 x 18 Porch jj�—------------ 34.7 x 5 o� Qr- �a„ 0' 4' _8' 12' 16' 20' Scale in Feet.Floor plan is an estimate of existing structures&features.All measurements are approximate&not �— 1:122 -_. ........� . guaranteed to be exact or to scale.Design by ShanPlan 2 Basement 39595 Main Rd Finished Basement 32 x 11.8 o Boiler Storage 13x5 7x9 Storage 19x9 Storage Cl 24x15 1 E:7—= Utilities 9x7.4 ci 0' 4° 8' 12' Scale in Feet.Floor plan is an estimate of existing structures&features.All measurements are approximate&not 1:77 guaranteed to be exact or to scale.Design by ShanPlan 1