HomeMy WebLinkAbout1000-33.-4-79 TOWN OF SOUTHOLD
Rental Permit
0075
Owner Nicholas & Eva Bogaty
Occupied as Single Family Dwelling
Located at 1870 (aka66) Sound Rd. Greenport 33.4-79
Maximum 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.
2 2
1 / 7/2023
Code nfor(tent Official
This Notice must be posted by the main entrance at all times
f4f So
TOWN OF SOUTHOLD BUILDING DI
631 -TBT►- 802 35 ,
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PL13G.
[ ] FOUNDATION 2ND [ ] INSULATION/CAl
[ ] FRAMING / STRAPPING [ ] FINAL
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INS
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PE
[ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FII
[ ] CODE VIOLATION [ ] PRE C/O [ I
REMARKS: 1
OJL poe-, ,l uQ.k
INSPECTORDATE
Town Hall Annex
ell
Town of Southold 54375 Main Road
PO Box 1179
Rental Inspection Report
02 Southold,Southold, NY 11971-1179
Q Tel: 631-765-1802
4*0
Date
e
SUM#
Phone
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,OwnerVisible
Address
Inspector
:Hamlete -
Floor Level Quantities Sub
Smoke Detectors (not located in bedrooms) _
Carbon Monoxide Detectors
Fire
Frye Extitngng
uishers
Ex - -
P w
Bedrooms 21 °" 4 _ 5 6
Smoke Detectors
Egress _
Occupant Count
Building Systems Maintained & Operational Condition of Property
Heating Building interior
Hot water Building exterior
Property P Y _._e.,.....m �.._ .
Electrical ed &safe
clean, maintain
Mechanicaldrails &guar
ds installed & secure
Han
Pool Safety Pool on Site
Surface water alarm Date of CO issuance
lar
Door alarms
w
ms Pool completely enclose
Self closing/ latching gates Pool fence to code requirements
COI's for all items present Prior Rental
Comments: --
TOWN OF SOUTHOLD
Rental Permit
Y Permit No. 0075
Owner Nicholas & Eva Bogaty
Occupied as Single Family Dwelling
Located at 1870 (aka 66) Sound Road Greenport 33-4-79
Address Village s/B/L
Maximum 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.
6/3/2019 John Jarski
Date of Issue Code Enforcement Officer
This Notice must be posted by the main entrance at all times
Town Hall Annex Telephone(631)765-1802
54375 Main Road Fax(631)765-9502
P.O.Box 1179
Southold,NY 11971-0959 � `
1si
f,
BUILDING DEPARTMENT
T SOUTHOLD
E TAL E IT APPLICATIO
Rental Permit Fee$200(Application must be renew -, DD
ery two years)
u'
Section A. � m '>>,, � .�.
Property Information:
Cha f a)
Rental Property Address:
Tax Map Number: 1000 SECTIONILO LOT '
SECTION .
OWNERINFORMATION:
Property Owner Name:
Property Owner Legal Address: Property Owner Mailing Address:
Oki / - t�— v
Telephone Number(s): Daytime Q,P�'t 4461, Evening S44"4E Emergency.-- 4L
Property Owner Email Address: �i
- do
Page 1 of S
Town HO AVWX Telep (631)765-1802
54375 Main Road Fax(631)765-9502
P.O.Box 1179
NY 11971-0959 ,x
BUILDING DEPARtMENT
TOWN OF SOUTHOLD
Section C.
Authorized e 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 . Evening Emergeanc
Email Address:
Section .
Managing Information:
Name of Authorized Agent of dwelling unit,if any:
Address of Authorized Agent(no P.O.Boxes): -T 11
Mailing Address of Authorized
Telephone dumber(s):Daytime '765 1 Evening =
Emergency
3 S
Email Address:
SECTION E.
SITE MANAGER INFORMATION:(required for rental properties containing 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 S
V`
Town Hall Annex Telephone Telephone(631)765-1802
54.375 Main Road Fax(631)765-9502
P.O.Box 1179
Southold,NY 11971-0959 GOOF
i Vim
BUILDING DEPARTMENT
TOMW OF SOUTHOLD
Mailing Address of Managing Agent: x-31pD
Telephone Number(s): Daytime (oaf'166-1530Evening SAME Emergency
Email Address:
SECTION F.
PROPERTYI I
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, 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: - ' rvs �
I,
Requested Maximum number of persons allowed to occupy Dwelling Unit:
Number of rooms in Rental Dwelling Unit:„ ,��
Use and Dimensions of each room in Rental Dwelling Unit: 5 P�D_c Q 7Rn
Page 3 of 5
r
Town Hall Annex �h lu �'4 Telephone(631)765-1802
54375 Main Road n Fax(631)765-9502
�k
P.O.Box 1179
Southold,NY 11971-0959
BUILDING DEPARTMENT
TO SOXYMOLD
SECTION .
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.
❑ 1 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.
SECTION .
DECLARATION: Sign re must be notarized and MUST be the owner of the dwelling unit
STATE OF NEW YORK)
)
COUNTY OF SUFFOLK)
j"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 owners Idgal 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
Id
Town Hall Annex p °" Telephone(631)765-1802
54375 Main Road Fax(631)765-9502
�� ,
P.O.Box 1179
w �
Southold.NY 11971-0959
BUILDING DEPARTMENT
TOWN F SOUMOLD
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 Sitt_e.Manager.
Property Owner's Name: of
Property Owner's Signature:
Sworn to before me this �'day of _ /? ______ , 201 q
pp
Official otary Public S natutire and Original Notary Stamp
AMY F6 WIPPERT
T. PUBLIC-STATE of NEW YORK
life.01*49940113
Ovelified in Suffolkt
Y Commission Expires -1 -2_
Page 5 of 5
Town Hall Annex ��° Telephone(631)765-1802
54375 Main RoadFax(631)765-9502
P.O.Box 1179 �f� 01
Southold,NY 11971-0959
BUILDING DEPARTMENT
TOWN F SOUTHOLD
RENTAL PROPERTY CERTIFICATION
Form is to be completed by a license architect,licensed engineer or licensed home inspector
Separate form is required for each individual Rental Dwelling Unit
F' essional seal re ui`ted r architect or n irl�eer licen d dome Ins ectar rnl�st ravide
coov of valid current certification
Rental Property SCTM Number: C'
Rental Property Address:
Owner/Name: V
Rental Dwelling Unit Identifier:
Number&Square footage of each bedroom as depicted in the attached floor plan:
(i.e. Bedroom#1-100 sq.,Bedroom 2-90 sq., etc.)
Property Description (include all improvements indicated on survey)
I certify that I have done a physical inspection of the subject rental dwelling unit and find that it
fully complies with all the provisions of the Code of the Town of Southold,the Residential Code
of New York State,the Building Code of New York State,the Plumbing Code of New York State,
the Fuel Gas Code of New York State, and the Energy Conservatior o truction Code of New
York State.
Print Name and Title Origin I Sii nature � F44
i�
Please place professional seal: '
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TOWN OF SOUTHOLD BUILDING DEPS`.
� , 765-1802-
i
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
i
[ ] FOUNDATION 2ND [' ] INSULATION
[ ] FRAMING /STRAPPING [ ] INA
Kmjnj.,,
[ ] FIREPLACE & CHIMNEY [ FI ,SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL)
[ ] CODE VIOLATION
[ ] CAULKING
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DATE INSPECTOR
l
TOWN OF SOUTHOLD
OFFICE OF BUILDING INSPECTOR
TOWN HALL
SOUTHOLD, NEW YORK
CERTIFICATE OF OCCUPANCY - NON-CONFORMING PREMISES
THIS IS TO CERTIFY THAT THE PRE CO it Z17640
DATE: 12/28/88
t/ Land
L� Building (s)
/_7 Use (s)
located at 1870 SOUND ROAD GREENPORT
S T R E E T �...._ -.__..
H A M L E T �
shown on County Tax Map as District 1000, Section 033 , Block 04
Lot 79 , does not conform to the present Building Zone Code of the
Town of Southold for the following reasons :
INSUFFICIENT TOTAL AREA; FRONT YARD SET-BACK
On the basis of information presented to the Ins
Building Inspectors
ectors
Office, it has been determined that the above non-conforming /Xj Land,
/ R7 Building (s) / ;STM" Use (s) existed on the effective date the present
Building Zone Code of the Town of Southold, and may be continued pursuant
to and subject to the applicable provisions of said Code.
IT IS FURTHER CERTIFIED that, based upon information presented to
the Building Inspector's Office, the occupancy and use for which this
Certificate is issued as follows • , THIS PROPERTY CONTAINS A TWO STORY,
ONE x WOOD FRAMED DWELLING.....WIT1B ATTACIED GAIAG ..,.A����St�RY S11BD; ANLL COG4TED..,.._
IN AN A RE'Ll tAG,-�kl1tICUTRJ' a 9,. �_. N ��'AINE ..
_.... ...
L_ ON FI 116 aCCE TO S0Uq D ROAD A 1O TN 1UiISd'
ROAD,
The Certificate is issued to � -
PATRICIA k1ERE�dhNN da ("P, ,Nh� 1'['Il,'1"DG"k
e r
... } C �D[RDKh C P1B? l
of the aforesaid building.
SUFFOLK COUNTY DEPT. OF HEALTH APPROVAL:
UNDERWRITERS CERTIFICATE NO. �A
NOTICE IS HEREBY GIVEN that the owner of the aboveremises
p HAS
CONSENTED TO AN INSPECTION of the premises by the Building Inspector
to determine if the premises comply with all applicable codes and
ordinances. This Certificate, therefore, does not, and is not intended
to certify that the premises comply with all other applicable codes and
regulations, other than total area of lot,
B.:Idin, n—sspector
j FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No Z-17634 Date DECEMBER 22 1988
THIS CERTIFIES that the buildingCLESSORY
Location of Property 1870 SOUND Afl�E GREFNPhR"I _N.Y. _
House No. Street Hamlet
Y P 33 Block 4 —Lot-79
Count Tax Ma No. 1000 Section
Subdivision Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated. DECEMBER 19 1988 pursuant to which
Building Permit No. 17717-Z dated DECEMBER 22 1988
was issued, and conforms to all of the requirements of the applicable
provisions of thie law. The occupancy for which this certificate is
issued is EXISTI G ACCESSORY SHED AS APPLIED FOR
The certificate ,is issued to PATRICIA HERRMANN & FRANK TOLEDO
(owner, X'XXXX CX:XXXXX)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL NLA
UNDERWRITERS CERTIFICATE NO. NLA
PLUMBERS CERTIFICATION DATED /A
B jading Inspector
Rev. 1/81
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MW VOW `""° „ District 1000 Section 33 Block 4Lot 79
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