HomeMy WebLinkAbout1000-33.-3-37 s TOWN OF SOUTHOLD
Rental Permit
Permit No. 0007
Owner Christopher Hanaway
Occupied as Single Family Dwelling
Located at 68105 CR 48 Greenport 33.-3-37
Address Village S/13/1-
6
/B/L6
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.
3/15/2021 John Jarski
Date of Issue Code Enforcement Officer
This Notice must be posted by the main entrance at all times
so
TOWN OF SOUTHOLD BUILDING DEPT.
765.1802
lN ,5rvr.CTloA"h' N
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INSULATIOWCAULKING
[ ] FRAMING / STRAPPING [ ] NALX A2W4.-Jwt�
[ ] FIREPLACE & CHIMNEY [ FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL)
[ ] CODE VIOLATION
[ PRE C/O
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DATE � INSPECTOR
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WWTOWN OF SOUTHOLD
- Rental Permit
Permit No. 0007
Owner Christopher Hanaway
Occupied as Single Family Dwelling
Located at 68105 CR 48 Greenport 33-3-37
Address Village S/13/1-
Maximum
/13/LMaximum 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.
3/15/2019 John Jarski
Date of Issue Code Enforcement Officer
This Notice must be posted by the main entrance at all times
,SOF S
Town Hall Annex Telephone(631)765-1802
54375 Main Road Fax(631)765-9502
P.O.Box 1179 It
Southold,NY 11971-0959
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
RENTAL PERMIT APPLICATION
Rental Permit Fee $200 (Application must be renewed every two years)
Section A.
Property Information:
Rental Property Address
o.
W--
Tax Map Number:.1000 SECTION 033 BLOCK o®o 3 LOT 03
SECTION B.
OWNER INFORMATION:
Property Owner Name: (-I'm" °� °w
Property Owner Legal Address: Property Owner Mailing Address:
(Cannot be the same as Rental Property Address)
N
Telephone Number (s): V
Property Owner Email Address: CA, 6,1
Page 1 of 4
SECTION F.
PROPERTY DESCRIPTION:
Number of Rental Dwelling Units on property: 6P6
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 Dwelling Unit:
m
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 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 the laws adopted by the New York State Fire Prevention and Building Code Council.
❑ 1 am requesting a fire safety inspection to be performed by a Code Enforcement Official
from the Town of Southold.
Page 3 of 4
❑ 1 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 w„\co'N,) �i �,� y , � 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. re 5° " INY
PropertyOwner's Signature:
natu e:
caner
Sworn to before me this) day of 1 , 20 )
Official Notary Public Signature and Original Notary Stamp CONNiE
Notary Public: State
of of Now York
No. 01 BU6185050
Oualif+ed in S,.0 tdk4`."ourAy
Page 4 of 4 Commission irxpic �Ar,,df 64,2L
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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- 32426 Date: 0625 .07
THIS CERTIFIES that the building DWELLING
Location of Property 68105 CR 48 GREENPORT
(HOUSE NO.) (STREET) (HAMLET)
County Tax Map No. 473889 Section 033 Block 0003 Lot 037
Subdivision Filed Map No. Lot No_
conforms substantially to the Requirements for a ONE FAMILY DWELLING
built prior to APRIL 9, 1957 pursuant to which CERTIFICATE OF
OCCUPANCY NUMBER Z- 32426 dated JUNE 25 2007
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
The certificate is issued to JAMES P. & EARL C. BURT
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A
ELECTRICAL CERTIFICATE NO. N/A
PLUMBERS CERTIFICATION DATED N/A
*PLEASE SEE ATTACHED INSPECTION REPORT.
Aute° rized Signature
Rev. 1/81
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
HOUSING CODE INSPECTION REPORT
LOCATION: 69105 CR 48 GREENPORT
SUBDIVISION: MAP NO.: LOT (S)
NAME OF OWNER (S): JAMES P_ & EARL C. BURT
OCCUPANCY: SINGLE FAMILY DWELLING JAMES P. & EARL C. BURT
ADMITTED BY: EARL BURP' ACCOMPANIED BY. SAME
KEY AVAILABLE: SUFF. CO. TAX MAP NO.: 33.-3-37
SOURCE OF REQUEST: EARL C. BURT, 618 07 DATE: 06/25/07
DWELLING:
TYPE OF CONSTRUCTION. WOOD FRAME # STORIES: 2.0 # EXITS: 2
FOUNDATION: CEMENT BLOCK CELLAR: FULL CRAWL SPACE:
TOTAL ROOMS: 1ST FLR.: 3 2ND FLR.: 3 3RD FLR.: 0
BATHROOM(S): 1.0 TOILET ROOM(S): 1.0 UTILITY ROOM(S):
PORCH TYPE: _— DECK TYPE: 6' X 8' PATIO TYPE:
BREEZERAY: F109P ACE: NONE GARAGE-
DOMESTIC HOTRATER: YES TYPE FU TER: OFF BOILER AIRCONDITIONING:
TYPE HEAT: OIL WARM AIR: HOTNATER: XX
OTHER: FRONT ENTRY ROOM (FOYER)
ACCESSORY STRUCTURES:
GARAGE, TYPE OF CONST.: STORAGE, TYPE CONST.:
SWIMMING POOL: GUEST, TYPE CONST.:
OTHER:
VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE
IOVATION DESCRIPTIONART SEC.
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REMARKS:
INSPECTED BX. DATE .0�._...�
INSPECTION: 06/22/07
GARY J. DASH TIME START: 10:05 AM END: 10:20 AM
-
TOWN OF SOUTHOLD PROPERTY RECO-RD CARD
OWNER STREET VILLAGE E DIST. SUB. LOT
[ • a v' {". —
FORMER OWNER N E ACR.
S — W TYPE OF BUILDING
ALcj�`L.l ¢ ANo,
RES. SEAS. VL, FARM COMM. CB. MISC. Mkt. Value
LAND TOTAL DATE REMARKS I
IMP.
FAY *kKX4
n4 Q-f-
Gly 1 Ase
AGE BUILDING CONDITION
NEW NORMAL BELOW ABOVE
FARM Acre Value Per Value
Acre
Tillable 1
Tillable 2
Tillable 3
NVoodland
Swampland FRONTAGE ON WATER
Brushiand FRONTAGE ON ROAD
House Plot DEPTH
- € BULKHEAD
Total DOCK
COLOR
I
TRIM
\A, Bldg. undation Both Dinette
A"
:xtension �
ent Floors K
r
xtension !Ext. Walls Interior Finish
LR.
:xtension Fire Place A/ 0 Heat DR.
- etj
Type Roof Rooms I st Floor
Dorch Recreation Room i Rooms 2nd Floor! Fr I N. B.
"'orch !Dormer
Breezeway Driveway
garage
Ratio
0. B.
Total
6 1Z