HomeMy WebLinkAbout1000-33.-3-36 TOWN OF SOUTHOLD
Rental Permit
0165
Owner Condon Family 17 Irr Tr III
Occupied as Single Family Dwelling
Located at 68025 CR 48 Greenport 33.-3-36
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.
8/7/2023 -"Z/ ry
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This Notice must be posted by the main entrance at all times
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TOWN OF SOUTHOLD BUILDING DEPT.
o + 631-765-1802
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IrAbIRECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INSULATION/CAULKING
[ ] FRAMING / STRAPPING [ ] FINAL
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) [ ] ELECTRICALeFAL)
CODE VIOLATION [ ] PRE C/O [ ENTAL
7
LL
DATE
INSPECTOR
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Town it A,, - ° Telephone(631)765-1802
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Fax(631)765-9502
54375 Main l�
P.O.Box 1179 '
Southold.NY 1 • > �� ,r'
FOI f
BUILDING DEPARTMENT
TOWN OF 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
Pro essional seal re rlred for Architect or E ineer licensed Horne lns gae1!,or must rovld
co oF valid current cerci cation
Rental Property SCI-M Number: - 3
Rental Property Address: 0 �
owner/Name:
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 lyriprovements indicated on survey)
54
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1 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 C New York State, and the Energy Conservation Construction Code of New
York Sta NE W
Prin a ~~ w('T gnature
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0516814
Please pi� �` ��eal:
-
Rental Permit
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TOWN OF SOUTHOLD
0165
Owner Condon Famikly 17 Irr Tr III
Occupied as Single Family Dwelling
Located at 68025 CR 48 Greenport 33-3-36
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.
7/30/2021
ode nfo c m t Official
This Notice must be posted by the main entrance at all times
TOWN OF SOUTHOLDING DEPT.
765-1802
INSPECTION
j [ ] FOUNDATION 1 ST [ ] ROUGH PL13G.
[ ] FOUNDATION 2ND [ ] INSULATIOWCAULKING
FRAMING /STRAPPING [ ] FINAL ,k"V�w,,,
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL)
[ ] CODE VIOLATION [ ] PRE C/O
r
REMARKS: 6(A (05
u
INSPECTORton
TOWN OF SOUTHOLD
C Rental 'Permit
Permit No. 0165
Owner - Condon Family 17 Irr Tr III
Occupied as Single Family Dwelling
Located at 68025 CR 48 Greenport 33-3-36
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.
8/26/201-9 John Jarski
Date of Issue Code Enforcement Officer
This Notice must be posted by the main entrance at all times
Aq ,y
Town Hall Annex € Telephone(631)765-1802
54375 Main Road
Fax(631)765-9502
P.O.Box 1179
Southold,NY 11971-0959
BI.ELDING,DEPAR- IE T I
-TOWN O .SOUTHOLD
.RENTAL_PERMIT_APPLICATION_ i
Rental Permit Fee,�200.(App/icationmustbe,i ergewed-eve atw, ear_5J
R7
Section A.
"= J U L - 3 2019 CCC
Property Information:
R . )YE
Rental Property Address:
Tax Map Number: 1000 SECTION 3 3 BLOCK
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t
SECTION B.,
OWNER INFORMATION:
Property Owner Name:,,
Property Owner Legal Address: _ l Property Owner Mailing Address:'
(Cannot be the same,as Rental Property,Address)
176-6 � t ¢ �_ � �1 . ' Sbee
Telephone Number(s):
Property Owner Email Address: ,__(2 Q-n L4671 E n �( _ e),Pf6 n I/hz2 i1-e
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Sy
Page 1 of 4 �� y
L�
10
Town Hall Annex :;" Telephone(631)765-1802
54375 Main Road Fax(631)765-9502 t
,,
ct
_ P.O.Box 1179
Southold,NY 11971-0959
r
BUILDING DEPAR-TNIENT
TOWN OF'SOUTHOLD
- 7
4
RENTAL PERMIT APPLICATjo1g4NSTRUCT ONS'
{ -
' Rental Permit Fee $200 (Application must be renewed every two years)
The-items listed below are required to be submitted with the completed
application.
❑ Floor Plans:Detailed floor plans of each Rental Dwelling Unit, please show location
of-all smoke-&carbon monoxide detectors i
. r
,
❑ Certificates of Occupancy and Pre-Certificates of Occupancy: Provide copies of
Certificates of Occupancy or Pre-Certificates of Occupancy for each rental dwelling +
unit
❑ Certification of Code Compliance(form enclosed):Applicant has the option of
having a-rental dwelling unit inspected by the Town of Southold or by'an architect,
engineer or home inspector of their choosing. If the Applicant elects not'to have the
rental dwelling unit inspected by the Town,the Applicant must submit a Certification
of Code Compliance completed by a NYS licensed architect or NYS licensed engineer
or a licensed home inspector who has a valid New York State Uniform Fire
Prevention Building Code Certification.
❑ Rental Permit Fee:$200.00
(Please Note:The Building Department does not accept cash. Payment must be in
the form of a Check,Credit Card or Money Order.)
Section C.
Authorized Agent Information:
Name of Authorized Agent of dwelling unit,if any:
F
Address of Authorized'Agen;t-(nd R.O. Boxes);:
Mailing Address of Authorized Agent: _ ---
Telephone Number(s)r
E
Email Address;
Section D. 1
Managing Agent Information: :. }
r
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):.—
Email Address: —_:--_ -
4
S
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):_ _-
Mailing Address of Managing Agent:; , z -------
Telephone
---Telephone Number (s):
Email Address:_
Page 2 of 4
,r.•
SECTION F.
PROPERTY DESCRIPTION:
Number of Rental Dwelling Units on property:
For each Rental Dwelling Unit set forth the Rental Dw,elling.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. - -
s
For properties with-multiple Rental Dwelling Units use "Rental Permit Application,
Addendum."
i
Rental Dwelling Unit Identifier:
Requested Maximum number of persons allowed to occupy Dwelling Un t:
Number of rooms in Rental Dwelling Unit:
Use and Dimensions of each room-in Rental Dwaelling Unit:_._
® wm P F
SECTION G. i
INSPECTION:
Pursuant to,the Town Code of the Town of Southold Cha'p'ter 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.
" I 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)
s
J
COUNTY OF SUFFOLK)
,,certify.urider penalty ofxperjury,the following:
1. 1 am the owner of the property identified in"Section A"of this application.
_ i
2. The property owner's legal•a-ddress set forth in "Section B"of this application is my legal i
- address and-l-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.
b, <<,.
thereto.
3. 1 have read and received a copy of Chapter 207 of the Code of the Town of Southold and f
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:
Property Owners Signature: 611j- `
Sworn to before me this Z day of At nr\�e •20 lCi MELISSA R DEBOER
Pal NOTARY PUBLIC STATE OF NEW YORK
SUFFOLK COUNTY
Official Notary Public Signature and Original (Votary Stamp LIC.#01DE6 49898
COMM. EXP. 1
Page 4 of 4
Town Hall Annex Telephone(631)765-1802 1
54375 Main Road Fax
(63 1)765-9502
P.O.Box 1179
Southold,NY 11971-0959 } �z
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a
,BUII:DING DEPARTMENT
TOWN OF SOUTHOLI) E
RENTAL PERMIT APPhICATTONADDEND UM
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Rental Dwelling Unit Identifier: 02:<I— f
Requested maxirrium'nur`rlberof'persons allowed-to occupy,each dwelling
Number of Rooms in Rental Dwelling Unit:
Use and Dimension of"each*r'd6m. Y
_ __ — —_-.++uuuu_�, ..._. — _ _ Baru—_iu_ _ .. •1
�_✓� ti fit. t'. a C:� `7i� nt.7�. .i\' 3tjf��` .>t t:.. i'��' .'ti} 7'a.',. . - _ i; 'lt !} ,,�; !
i3
Rental`Dwellin'g Unit Identifier-:,- ' n d c,t
Requested maximum number of persons allowed to occupy each dwelling unit:. Il
Number of Rooms in Rental Dwelling Unit:, ___
.Use and Dimension of each room,: T °
1
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:
i;` ` . R °S
F
pTr SOI _
Town Hall Annex Telephone(631)765-1802
54375 Main Road Fax(631)765-9502
P.O.Box 1179
Southold,NY 11971-0959 sy
BUILDING DEPARTMENT
TOWN OF SOVIMOLD
RENTAL PROPERTY CERTIFICATION ?
6
i
Form to be completed by a NYS licensed architect, NYS licensed engineer or licensed home
inspector {
Separate form is required for each individual Rental Dwelling Unit <
i
Professional seal reauiredfor Architect or Engineer.,licensed Home-inspector must-provide a
cfltiy afeWilid'lfleW.l!r �tS te:t tilfairr»,Eit`e Pre eri#liii�`B ilrlin Cede-C r fi`l i tlbr►. -
Rental Property-SCTM Numbert
Rental Property Address:.
Owner/Name: _
Rental Dwelling Unit Identifier:
Number&Square footage of each bedroom as depicted in the attached floor plan:
(i.e. Bedroom#1-10Qjsq.;Bedroom##2✓ .,
-�90 sq, etc.)
OW
j �- ./�• I
Property Description (Include all improvements indicated on survey)
J
I certify that I have done a physical inspection of the subject rental dwelling unit and find that
the unit 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.
Print Name and Title Original Signature
Please place,professional seal:;
4o-500"
OF Soil
TOWN OF SOUTHOLD BUILDING DEPT.
couffm 765-1802
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INSULATION
[ ] FRAMING /STRAPPING [ ] INAL
[ ] FIREPLACE & CHIMNEY [v FIRE AFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL)
[ ] CODE VIOLATION [ ] CAULKING
REMARKS:
41 w1��
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DATE u rwl INSPECTOR
TOWN OF SOUTHOLD PROPERTY �C%;WKV -CAR®
(OW ER m
0011 1✓ - " _ STREET -' ° VILLAGE DIST.( SUB. LOT
Ann
FORMER 01(VNER-'Jri�S>�?-"��" ���� N � E , - ACR.
L i 1_� i ��' (I I � c`i ti v S . C 4\.1 o L_� . ;';°. ,; : � . , A !;,
I
NG
C S W TYPE OF BUILDI
RE� o '� SEAS. i VL. FARM COMM. CB. MISC. Mkt. Value
LAND IMP. TOTAL DATE REMARKS
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milgiim�i III mull lllDlflll l� -�--,�;"x 1
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33:3-36 9/08
` M. Bldg. i t x. 4� _ , c� To oundotion N Bath ^� 1 Dinette
ExtensionBnsement Floors `` ' K.
Extension 3
-4 Ext. Walls Interior Finish v LR.
Extension Fire Place Heat DR.
`Type Roo. ,� , Rooms 1st Floor_ BR.
Porch y W J- �; f, Recreation Room I Rooms 2nd Floor FIN. B.
j Porch '' '`` �� ` d�
Dormer
Breezeway ,r� Driveway n /
Garage ,yam /lig 1 1 b
Patio -
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FOAX NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Town Clerk's Office
Southold, N. Y.
Certificate Of Occupancy
No.4$Q70. . . . . . . Date . . . . . . . . . . . . . . .IioB. .i6. . . . . .. 197.7. .
THIS CERTIFIES that the building located at . 11/8. Gr2T -(.NorthFtead.) . • Street
Map No. .xx . . . . . . . . Block No. .xx. • . • • . .Lot Noam . .Greeupox.t • • N..Y.. . . . . . . . . . .
conforms substantially to the
b ed .before. apr. p-3 . . . . ., 19.57. pursuant to which 'accupancy
28610
dated . . . . . . . . . .XVV. . . .16. . . ., 19. 77, was issued, and conforms to all of the require-
ments of the applicable provisions of the law. The occupancy for which this certificate is
issued is .Private. .one. farni4.. .dwelling. with. accesaory. .garage . . . . . . . . . . . .
The certificate is issued to . . . . . . . . . . . . . . . . . . .
(owner, lessee or tenant)
of the aforesaid building.
Suffolk County Department of Health Approval pre—.existing. . . . . . . . . . . . . . . . . . . . .
UNDERWRITERS CERTIFICATE No. . .prer. .existing . . . . . . . . . . . . . . . . . . . . . . . . . .
HOUSE NUMBER . . . . . . 68025 . Street . . C.R.27 -(North•Rd) • • Greenport• • • •
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Building Inspector
Housing Code Inspection
November 9, 1977
#6805 County Road 27 R-1
Greenport, N.Y.
Tax Roll
unoccupied
Upon request of R. Hudson, real estate broker, Greenport, New
York, I made an inspection of buildings on this premises.
Inspection this date was made of garage accesory structure and
exterior of dwelling starting at 10:30 A.M. and ending at 10:55 A.M.
Complete inspection was not possible since dwelling was not left
unlocked November 10.1977, at approximately 3:45 P.M. this inspection
was resumed and was completed at approximately 4 :00 P.M.
The dwelling is a two story wood framed building constructed on a
cement block foundation. First floor contains a fron entry hallway,
living room, dining room, kitchen, pantry, toilet room off pantry.
Second floor has four bedrooms and a full bathroom. Heat is supplied
to all rooms on first and second floors from an oil fired steam heat
furnace located in full cellar.
The following violations of the Housing Code, Chapter 52, Code of the
Town of Southold, New York were found:
Dwelling: Entry to kitchen, no means of controlling light in room at
point of entry. Art V, Sec. 52-56 B.2
Stairway to cellar open side requires hand rail, Art II,
Sec. 52-57 B
Plumbing Section of lead waste pipe from the toilet room
just above connection to sewage system has a hold approximately one
half inch in diameter. Art. V, Sec. 52-51 A.1
Fuel Oil Supply tank within cellar-fill and vent pipes for
tank terminate within building. Art V, Sec. 52-59 C z
Front Porch Slab has excessive cracks and settlement causing
deformation. Art. III, Sec. 52-30 B
Electrical Exterior wall light at front entry; bracket
holding light socket is not secure to fixture and socket is supported
by wires supplying electrical current to fixture. Art V, Sec. 52-56
A-1 & 2
Chimney Bricks at top three courses have open joints and
some bricks are missing. Art V, Sec 52-54, A-1
Exterior Siding of dwelling-shingles are deteriorating and
many have weathered away. Art III , Sec. 52--31 B
Accesory building Cement block foundation wall above grade
open joints and cracks running diagonally from bottom course to top
course. Fifth course motor joint cracked running horizontally. Art. III
Sec. 52-30 A.B Stair to left has open side Art II, Sect. 52-27 B
Broken window panes on north and east side Art III, Sec. 52-31 B
Garage door and side entry door were not installed Art. III, Sec. 52-
30 C.
w �
FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No: Z-33917 Date: 08/24/09
THIS CERTIFIES that the building ALTERATIONS
Location of Property: 68025 CR 48 GREENPORT
(HOUSE NO.) (STREET) (HAMLET)
County Tax Map No. 473889 Section 33 Block 3 Lot 36
Subdivision Filed Map No_ Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated MAY 28, 20'08 pursuant to which
Building Permit No. 33967-Z dated JUNE 10, 2008
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 ALTERATIONS TO AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR.
The certificate is issued to BARBARA A CONDON
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A
ELECTRICAL CERTIFICATE NO_ 4013050 02/04/09
PLUMBERS CERTIFICATION DATED 08/17/09 GEORGE SCHOENWAELDER, JR
/Auth iz Signature
Rev. 1/81
CE
0
13' BATHROOM 1-71'
(V N
MASTER BEDROOM#4 BEDROOM#3 r
Area = 153.8 sf Area = 120.8 sf
srco /sico
srco Up to Attic
srco HALL
Down
srco
11'-7"
c�
BEDROOM#1
BEDROOM#2 Area = 84 s1
Area = 124.4 sf
2nd Floor Plan
O
O
OPEN PORCH
BATHROOM
o FOYER
o � o
Li
DINING
KITCHEN a
U
Battery Powered
E90
srco Combination Smoke and
CO Detector
LIVING ROOM
ENTRY
Up
Condon Residence
Scale: 1/4"=V-0"
68025 C.R. 48
Drawn by : JJC Greenport, New York
1 st Floor Plan Date : 5-25-2019 Floor Plans
/ T \ \
Accessible Attic Plan
Crawl Crawl
Space Space Crawl
Space
HWH
Battery Powered
sico Combination Smoke and
Boller CO Detector
sico
Condon Residence
Cellar & Crawl §paces Plan Scale; 1/4" -ON 68025 C.R. 48
Drawn by : JJC Greenport, New York
Date : 5-25-2019 Floor Plans
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(no
ipt
2
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SCTM#1000-033-3-36
Condon Residence
Scale: 1" = 10'-0"
Surveyor: 68025 C.R. 48
Roderick Van Tuyl Drawn by : JJC Greenport, New York
June 7, 1977 Date : 5-25-2019 Site Plan