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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 _A± w d DATE � INSPECTOR z 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 v "7 I INSPEC IIIIIIIIIIIIIIIIIIIIIIIIIII I i ol 1 4 I l!!!iiii' III IIID Illll llll 111 01114 lillllll I IIIIIr nl IIII IIID IIII IIIIIIIII IIIY lllI�IIIIIIIIIIIII IIII I,,G Im IIID°°'w QUI III[) IIIIIIIIUIII 1110 1114 21114 111D I IIII IIII UUIIIIIII, "' it IIII VIII IIIIII VIII (IIII IIII 711F IU°!°llU. IIID IV IIII IIII F AL I. III IIIA U IIIA IIII II IIS III III�� IIIIISAFETY IN Illi°°°11111111°IIIIIIIIIIIII IIII!1,11IESI 'I IIU IIII IIID rill Illi IIII°°°11111111°IIII IIID IIII IIII IIIIIIIIIII lull IIII IIU" III IIII IIIIIIIIIIIIIIIIII IIII1111 IIII IIIIIIIIIIIII IIID ,' VIII1 Ill llllllllllllllllll l 11111111 IIID IIII All 1111111llll VIII IIICIIII IIIIIIIIIIIII IIII IIIIIIIIIIIII "11111""11111 IUI' CAU111IIIIIII,IIII IIII IIII IIII REMARKS: .. ...............®m...� .n w� I f .........Gr, �w1, �,� d, I a 1 ,11,1-11"1--.,.,"",—,— ,— „ ,,,3oX.., I' l' ....... 17, ..........o � , �.� .. e .., . _ .a� ., , I 1 li ,_ ,......... II jl, 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. p d d B � C f q 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