HomeMy WebLinkAbout1000-47.-2-23 T U""WN OF SOUTHOLDRental Permit
0134
Owner William Einsel & Noel Rapisarda
Occupied as Single Family Dwelling
Located at 1095 Shore Drive Greenport 47-2-23
Maximum Permitted Occupancy 4
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.
12/13/2021 R
Code E46-rcejnqKt Official
This Notice must be posted by the main entrance at all times
Q Town Hall Annex
SOUTHOLD TOWN 54375 Main Road
'b PO Box 1179 Southold,
M
y Rental Inspection
� NY 11971-1179
Tel: 631-765-1802
Fax 631-765-9502
SCTM # L ? — 2,3 Z Date
Owner ( t = . Phone
Address ,Zip _ _ y1q ,
Hamlet Lp iInspector .m....
Address visible from street?
LEVELS SUB 1 2 3
Smoke Detectors (#- bedroom detectors excluded)
Carbon Monoxide Detectors (#)
Fire Extinguishers (#)
Exits(#)
BEDROOMS 1 2 - 3 4 5
Smoke Detector Alarms(#)
Carbon Monoxide Alarms (#)
Egress(window, (Y/IBJ)
BUILDING SYSTEMS CONDITION OF PROPERTY
Heating system maintained/operational Building Interior is clean/maintained
Hot water system maintained/operational Building Exterior is clean/maintained
Electrical system maintained/operational Property is clean/safe/maintained
Mechanical system maintained/operational Handrails&guards present.
POOLS POOL BARRIERS Y/N
Pool present Pool is completely enclosed
Pool surface alarm and/or door alarm Barrier is a min. 48"high
resent
POOL GATES Y/N All openings in barrier less than 4"
Self-closing, self-latching Max. 2"clearance @ bottom of barrier
Latch on pool side of gate, meets height Barrier capable of being locked &child-
requirements proof when unattended
COMMENTS:
TOWN OF SOT OL
Rental Permit
Permit No. 0134
Owner William Einsel & Noel Rapisarda
Occupied as Single Family Dwelling
Located at 1095 Shore Dr Greenport 47-2-23
Address Village S/13/1-
Maximum
/B/LMaximum Permitted Occupancy 4
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.
7/30/2019 John Jarski
Date of Issue Code Enforcement Officer
This Notice must be posted by the main entrance at all times
V so
Town Hall Annex Telephone(631)765-1802
54375 Main Road Fax(6,31).765=9502
P.O.Box 1179
Southold,NY 11971-0959
B UILDING,DBBARTMENT
RENTAL PERMIT APPLICATION
Rentall IPeirrmit F:ee$200 (Application must be renewed every two years)
Section A.
Property Infrry tion:
Reintal Property,*Jdirq,ss:
Poe—
�1
Tax Map,Number: 10Q0 SECTION FO1 ; , OT .
y SECTION B.
OWNER
TI.
Property Owner Name:;,, dOil iS +- ; w 1t N1'"► r
Property Owi ner Le I :dres , k , pr erty oW»'nen `Ma"i ng Address:
�..
e0 �I�sv A402.
t� P
Telephone Number(s): Daytime-2-Q- Evening_ Emergency
Property Owner Email Address: 1) 1 a_
bO
Page 1 of 5 ��
tf SOS
Town Hall Annex Telephone(631)765-1802
54375 Main Road Fax(631)765=9502
P.O.Box 1 179
Southold,NY 11971-0959
COO
UIL,I INGDEPA TMENT
TOWN OF;SOUTHOLD
Section C.
Authorized e Information:
Name of Authorized Agent of dwelling unite if any
Address of Authorized Agent(no P.O. l3oxes):
Mailing Address of Authorized Agent:
Telephone Number(s): Daytime _Evening�E: ryency
Email Address: -
S tl lil"f kmi .
Nil i�l IIII 1 1'
1
�1 l F
��� �:°vt Illi 'forma't1,�u11
Naive of Authorized Agent of dwelling unit, if any: tjt '
Address of A,uthoriked Ag ri(rlo P.O. oxes)�1.
Mailing Address of Authorized Agent:.
Telephone hone Ner(s): Daytime Evening _Emergency_
Ehnil Address:
71
SECTION E.
SITE MANAGER"INF I[ TI f : (required for rental properties icktaining gNor more rental units)
Name of Managing Agent of dwelling unit;,if-any:
Address of Managing Agent (no P.O. loxes)'.
Page 2 of 5
Town Hall Annex ` Telephone(631)765-1802
54375 Main RoadCA Fax(631)765-9502
P.O.Box 1 179
Southold,NY 11971-0959
BUILDINGDEPARTMENT
TOWN OY OST""' •L 1r.
Mailing Address of Managing Agent:
Telephone Number(s): Daytime Evenil•ug.. Emergency—,—
Email
mergency --Email Address:
SECTION Fs
PROPERTY DESCRIPTION:
Number of
a
ental Dwelling Units on property.'
For each Rental Dwelling Unitset forth the Rental Dwelling Unit identifier(for example,
Unit 1, Unit 2, Unit 3 or Apt A, B, );the use of each roo i the Rental wellin nit.`
(for example, Kitchen, Bedroom 1, Bedroom2, Living Room) and the dimensions of each
r o -
s
For properties with multiple. ental Dwelling Units-use:T ental • P" ?r Iicti'on
Addendum."
G �
i t i H
Rental Dwelling Unit Identifier:
Requested Maximum number-of persons allowed occupy Dwelling Uni
Number of rooms in Rental Dwelling Unit;
Use and Dimensions of each room in Rental Dwelling Unit;,
pm ' ® /
Ll V k n R.0ole l/ : j 11 `/X
Page 3 of 5
Town Hall"Annex Telephone(631)765-1802
54375 Main Road Fax.(631)"765=9502
Y.O.Box 1 179 `
Southold,NY 11971-0959
� NV ,
BUhLDING DEPART EN"T
T O ..N F SOUTI-1011JD
SECTION G.
W
INSPECTIQW1
Pursuant to the Town-Cnde,of-the Town of;Sowthold,t.h�pter 2Q7 (ental Pro.perties),,a safety
inspection by Code Enforcement Official is required. 1f the owner chooses riot 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 uildin .Code CpgjflEationais required statin ,that tlhe,propperty which is the 5yhject
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,pf jhe County oftSu°ffcl,ll�and
by the laws adopted by the New York State Fire Prevention and Building Code Council.
l am requesting a fire safety inspection' t
to be performed by a Code Enforcement Official
from the Town of Southol4i: :
❑ I am subrnitting,a completed;To d,of Sopthold ceetlficption 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)
certify under penalty of perjdry;the f®Ilowing:
1. 1 ariltli whef' f tl e_property identified in "Section A" of this application.
2. The property owner" 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
i"
Town Hall Annex Telephone(631)765-1802
54375 Main',Road Fax:(631)766-9502
P.O.Box 1 179
Southold,NY 11971-0959
BUILDINGDEPARTMENT,
TOWNDF.SOUTHOLD-
appk&le laws and rules. I further ackouoWledge that I will notify the..L.•own of S 6thold
(dui I g.�� i
ldrro I� n� 'f an �°, � ��� �,.,.
a�n �a•I���adres� oitll�u�� ive da���
V �
'.., .... ._, .. h .., .;;5 `p ,. I. til', ✓ F ,
q hw p pip
pp
I i rw a a ad r r4 receuw�d r c-ci pry o �•;ilpt ur 207 of theO ode r��'t1� 1f�.� �� A1C SO''auth'o1¢� rani
agreed'to'abidebythe sarrre:'
4m 1 will notify the Town within five (S) business days as to any change to the information,
regarding Authorized Agent, Managing Agent, or Site Mana gerV
r
t �,
� �. . ��
Property�Owner"s�Name:" � )�(�
Property Owner's Signature:
Sworn to before me thisz day o . 2& /
o
Official Notary Public Signature and Original otary Stamp
DENISF, NAVA Raw_,._
NOTARY PUBLIC-SPATE OF NEW YORK
No. O 1 NA6191295
9uaflfied1nSuffolk"Coo_
Y
My Commission Expires
Page 5 of 5
i
Lf
765-1802
INSPECTION
[ y] FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INSULATION!,
[ ] FRAMING /STRAPPING [ ] FINAL 4.4w
[
FIREPLACE [ -
ACE & CHIMNEY ] FIRE SAFETY T"'Y IN P CTI N]
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL)
[ ] CODE VIOLATION [ ] CAULKING
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TOWN OF SOUTHOLD
OFFICE OF BUILDING INSPECTOR
TOWN HALL -
SOUTHOLD, NEW YORK
CERTIFICATE OF OCCUPANCY
NONCONFORMING PREMISES
THIS IS TO CERTIFY that the C.O.# z135,10.
Land Date June 1..:11.,1985
Building(s) _-
/ / Use(s)
located,at 1005 North Shore Dr. Greenport.
shown on Count tax ina "as Disfrict 100 '„ __ B
tre t
County p D; Section I'4 Block 02
I of 023 dots'''got donform`'tai thii pt 6-elit 1iuildi.:ng Zone Code of the
"I"a:.wn of Southold for the following ri:e psonsa
Insufficient Total,, Area,;!.:
On the basis of information presented,ta.the Building InspegtorIs Office,.
ve n®nconfermin / /hand" /x/Buiiding(s)
it has been determined that.the ,ibo
g� _
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 appli�> ,
cable provisions 6 said,coae;-
IT IS FURTHER CERTIFIED that, based upon information presented to
the Building Inspector-'s Offices the ooctapany d.q;se fux: itrieh"tkis C tifi
cate is issued is as"401pws; one story,,one family...wood fram .d;d dwell.
ing with attached car-port, in the -'He iddntial-Agticul.ttral
zoned district with access to No. Shore„lir.. ,,_a privaatle road.
House also has an attached porch on south side.
The Certificate is issde'd to LANG
(owner,- lessee or tenant)
of the aforesaid building.
Suffolk County Deparfinent-of Health Approval N/A
UNDERWRITERS CERTIFICATE NO, N/A
*Property also has had an addition to the main structure as'
per -building permit -# 1458z, with C.O. # z1160, compleated-on
June 27,1961.
'2A
Building Inspector
BUILDINIG DEPARTMENT
TM914 OF SOUTHOLD, N. Y.
HOUSING CODE INSPECTION REPORT
Location l l-c o ��u�,/ ,ree,�.,+ or
numbercipaiity,
Subdivision Map No. Lot(s)
Name of Owner(s) ULA-
Occupancy 0A)
type w owner_°Eenant
Admitted by: Accompanied by: Dwur'-
Key available ' Suffolk Co. Tax No.
e.P
Source p
of request '�7rao��^� � ��f"� r Da���.e
DWELLING:
Type YP construction__
20 �V'x •C �"�stOr°i..es �.
Foundation kosk Cellar Crawl space
� �
Total rooms, 1st. F.I. ]�� :rd. Fl
Bathroom(s) I Toilet-room(s)
Porch, type Deck, type Pod-e Patio, type_ nx r_
Breezeway ra ge CA . ort .,.n.Utility r�aaam ......
Type ficat m " .�.,�..�a.
Wayarau:` Aiif° IYotwater
Fi r a p l ac, : ( m) baa,. .. Ai rconditigni;pg
Domestic Lc°ai'awat,a"a ',Vpa. baa.8.t r
Other
ACCESSORY STRUCTURESI:
� YP
Garage type const.l eAr Clap or _
b W Storage, type const. ,,-
Swimming pool Guest, type const.
Other „
VIOLATIONS: Housing Code, Chapter 45' N.Y. Stag niform Fire Prevention
de
Location Des—criDtion � Air ia ... Sec.
LcAlRemarks: //� // M
Inspected by: Wim` Daze of Insp.
Time start 3 end 3li_
FORM NO.4
TOWN OF S UTHOLD
BUtLOWNG DEPARTMENT
T "' NL.ERK'S,OFFICE
SoL�TH61L 7', I . Y.
CERTIFICATE OF OCCUPANCY
pate ..................$9.00Aer......3Q.......,
THIS CERTIFIES that the building located at ........K,.-jshQre.••Dr•j'. *.........••.•••.___... Street
/vla(irApi:ort qho '�§ck No. .�X............ Lot No. ...a.........fte, nport:. ....,,.. ......
conforms substantially to the Application for Building Permit heretofore, filed in this office dated
......................... 2.?...... . „ 19.61. pursudnt to which Building Permit No. 1.1 5,A
dated ............................JtaxiQ••••• 7.•••••. 19••: t` ,, was issued'and eonforrns to all of the requirements
of the applicable provisions of the low. Thee occupancyy for•"which this certificate is issued is ..........
r .. ra .�,.oana•• .; ...duo.11rk9, • ...... ......................... .. ...... .
This ,certificate is issued to .... ay.14..A.#... . ......... .....
(owner, lessee or teriant)
of the aforesaid,building.
Building Ins actor
FOP.% NO. 2
TOWN OF SOUTHOLD
BUILDING` EPARTMEN"
TOWS( CLERK'S OFFICE
Sot9THOLP, N. Y.
rL 11)i PERM
(THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL
COMPLTI;ON OF THE WORK. AUTHORIZED?
June
1458 �)��at . a y �° gym,
a ^u° a mm�,�wted t
Davy I di, A., Lang
0 111t11 AvOnUe
...................oma...........,®.
. .m,u.w.a....... . v....... ........... .......m..,.m..mv. .....v. ...mm...a... .s u� .r�
t. dIm ,,011 ..ter ...+
.. w.. r �dwammm m. m . .W..=.m mu..m ..m...........,
,..., .m.am. ....
...........................
aY premises located at . Z�'.yqj'L ...shore.....r'TPA..... .. ...?.,. e to ......,....®,...®.....
................
pursgp,nn to applicca.fion dated ......... .......................T.U?-A.17...............19..Off., and approved by the
Building Ing.pector
Fee 5�OU Cath pa'd
Building Irtsaectr
FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building jInspector
Town Hall
-Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No Z-20705 Date MAY 7, _1992
THXS CERTIFIES that the building ADDITION
Location of P.roper't y 1095 A K A $S' SNORE ROAD GREENIORT, N, .
House No. Street Hamlet
"County Tax Map No." x1000 Section 47 Block 2 Lb
Subdivision Filed -Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore
filed- in this office datedu o
APRIL 0 192 ixrsuant to which
Building 1,6rmit o. 08-'Z crated 'MAY' C
4 , X992;•
was issued,: and conforms, fto all of the requirements', of the' ap l:l ani"lc
provisions of the la'w'. The occupancy f or,,which this certikicate as
issued is DECK ADDITI0NAS BUILT TO AN EXISTING ONR FAMILY DWELLING
AS APPLIED FOR, _
The, certif=icate is issued to GERALDINE, HAMILL", -
(owlrier) .
Of t'he a,foresaild L !:'ld Lng.
SUFFOLK COUNTY DEPARTMENT 01 REALI.H.1 APPROVAL NLA ,
UNDERWRITERS CERTIFICATE NO. N/A
PLUMBERS CERTIFICATION DATED NLA
uil.dina Inspector
Rev. 1/81