HomeMy WebLinkAbout1000-33.-2-13 - SOUTHOLD
1102b Rental Permlot
0182
�s
Owner William Bolte III and Nancy Bolte
Occupied as Single Family Dwelling
Located at 340 Westwood Lane Greenport 33-2-13
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.
8/26/2021
Code Enforce Official
This Notice must be posted by the main entrance at all times 7�
FOLK
` Town Hall Annex
SOUTHOLD TOWN
54375 Main Road
PO Box 1179 Southold,
Rental Inspection
NY 11971-1179
d
Tel: 631-765-1802
Fax 631-765-9502
SCTM'# -
_" Date
Owner ' ,r�
, ° C�.� Phone
,
Hamlet ( Inspector
Add",ress vIslel 'street� ,
/bl"ANNAll—,
LEVELSSUB
Smoke Detectors (#- bedroom detectors excluded)
Carbon Monoxide Detectors (#)
Fire Extinguishers (#)
Exits(#)
BEDROOMS 1
Smoke Detector Alarms (#)
Carbon Monoxide Alarms (#)
Egress (windows) (YIN)
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
NEW 0
POOLS POOL BARRIERS YO
"7
Pool present Pool is completely enclosed
Pool surface alarm and/or door alarm Barrier is a min. 48" high
resent
POOL GATES Y/IfI 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:
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August 14, 2021
William L Bolte III and Nancy J Bolte
340 Westwood Lane
Greenport, NY 11944
516-526-3833
.n.?°". �,.L"rn a(:,(zo ani
Town of Southold Building Dept.
To whom it may concern,
We are requesting Renewal of Rental Permit. Our current permit expires 9/12/21 under Permit
No. 182.
The property is located at:
340 Westwood Lane
Greenport, NY 11944
Sect. 33
Block 2
Lot 13
1 have enclosed the Permit fee of$200.00.
Please be advised that no changes have been made to the house since approval for the Rental
Permit dated 9/12/19. All property information remains the same without change.
Thank you.
William L Bolte III
T OWN OF SOUTHOLDN vs Rental Permit
a� Permit No. 0182
Owner William Bolte III and Nancy Bolte
Occupied as Single Family Dwelling
Located at 340 Westwood Lane Greenport 33-2-13
Village S/13/1-
Maximum
/B/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.
9/12/2019 John Jarski
Date of Issue Code Enforcement Officer
This Notice must be posted by the main entrance at all times
Town Hall Hall Annex Phone(631 Tele 765-1802
w°(J ,�,'� �t )
54375 Main Road „ �;� Fax(631)765-9502
4 4 a vJ
P.O.Box 1179
Southold,NY 11971-0959
� .
BUILDING DEPARTMENT ✓
TOWN OF SOUTHOLD
RENTAL PERMIT APPLICATION A LJ G 2019
Rental Permit Fee $200(Application must be renewed every two year§) °' �` �� 'L)�
Section A.
Property Information:
Rental Property Address Uv 45f U3 r +l�P�Gw Pn fZ
Tax Map Number: 1000 SECTION ®® BLOCK �`�® LOT
SECTION B.
OWNER INFORMATION:
rf
Property Owner Name: PO cim
Property Owner Legal Address: Property Owner Mailing Address:
(Cannot be the same as Rental Property Address)
( L tee/
Z
Number sL 7 ✓�J?
Telephone ( ):
Property Owner Email Address:
bol�'e5c. ac.
C?
Page 1 of 4 C` w
Section C.
Authorized Agent Information:
Name of Authorized Ilia i , if any: 06)"Vel
Address riz s)
Mailing Authorized is
Telephone Number(s):
Email Address: -
Section D.
Managing Agent Information:
Name of
Authorized Ili t f unit, if any:
Address ®f Authorized Agent(no P.O. Boxes):
Mailing Authorized
Telephone Number s)®
Email Address:
SECTION E.
SITE MANAGER INFORMATION: (required r rental properties containing r more rental units)
unit,Name of Managing Agent of dwelling if
Address of Managing Agent(noBoxes):
Mailing Address of Managing Agent: _j�
_.. �..�
Telephone Number(s)e
Email Address:
Page 2 of 4
SECTION
F.
PROPERTY DESCRIPTION:
Number of Rental Dwelling i
For each Rental Dwelling Unit set forth the Rental Dwelling Unit Identifier (for example,
Unit , Unit , Unit 3 or Apt A, , )®the usec in the Rental Dwelling Unit
example, is , Bedroom 1, Bedroom 2, Living ) and the dimensions
propertiesFor ith multiple Rental Dwellingis use "Rental PermitApplication
Addendum."
k4
Rental Dwelling Unit Identifiers
Requested Maximum r of persons allowed to occupy Dwellingis
Number of rooms in Rental Dwelling Unite
Use and Dimensions of each room in Rental Dwellingft®
a� f
SEMON
G.
Pursuant 1 r 207 tProperties), a safety
inspection by Code Enforc ici l is required. if the owner chooses not to havei
inspection performed by the Town, a certification from a NYS licensedarchitect, i
professional i inspector who has a valid tate Uniform Fire
Prevention Building i is i is required ing that the property which is subject
of the rental r i lic i is in compliance wr the provisionscode of the
Town of Southold,the laws and sanitary sing regulations of the CountySuffolk
by the laws adopted by the New Yorkit v i Building Code Council.
requesting it safety inspection r Code Enforcement official
from the Town of Southold.
Po f
�1gI P
Town Hall Annex Telephone(631)765-1802
54375 Main Road p Fax(631)765-9502
P.O.Box 1179 i
Southold,NY 11971-0959
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
RENTAL PERMIT APPLICATION ADDENDUM
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:
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:
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:
1 am submitting a completed Town of Southold certi I i from licensed
architect, a licensed professional engineer,or a licensed home inspector who has a valid
New York State iform Fire PreventionBuilding i Ic i °
DECLARATION:SECTION H.
idwelling unit.
STATE )
COUNTY OF SUFFOLK))
I certify l following:
® I am the owner of the property identified in "'Section A"of this application.
® The property owner's legal address set forth in "Section B"of thisapplication is my legal
address and I understand the Town will use the addressservice r all
applicable ° I further acknowledge that l will notify the Town of Southold
Building Department of any chans of address withiniv changes
thereto.
® 1 havereceived t l
agreed to abidesame.
® 1 will notify the Town withinw business days s to any change to the information
regarding Ari n ing Agent, or Site Manager.
Property is I P0
Property Owner's Signatures
Sworn t b "fCI this 7 day®f �, � ° ,0 2011
KATHERINE LEON
Official
Notary Public-State of New York
ota ublicSignature and Original Notary Stamp N0.01LE6339596
Qualified in Nassau County
my faa rnmission Erud� es Luau 14 2020 V"
Page 4 of 4
n,u
Town Bail Ann
4' Telephone(631)765-1802
54975 Main goad— Fax(691)765-9502
PD.Box 1179
Southold,NY 11971-0959 "M Till �
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BUILDING DEPARTMENT
RENTAL PROPERTY CERTIFICATION
Form Is to be completed by®a license architect,licensed engineer or licensed horse inspector
Separate farm is required far each individual Rental®welling unit
la�ssla��al sea r abed dr rchlfet ar F"r1 I�� r llcerlsd i°alr1��lr����etrar rrtst �*p�rl
q_,!�yIL4 4qtcgent cerf caflao
PropertyRental SCTIVI
umber:
Rental PropertyAddress: 3� LAPS
Owner/Name: ` '1 � ave ' ..
Rental Dwell ingUnIt.Identifier:, —._----, -- __
Number&Square footage of each bedroom as depicted In the attached floor plan-
(i.e.
lane(t e, Bedroom#1—100 sq„Bedroom 2®90 sq., etc.)
3�" y
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w
"2
fes' N'
Property Description (Include all irrmpr vements indicated survey)
ell
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 Conservation Construction Code of New
Yor State,
AILj a,
Print Name and Title ei,s�'Zt 10 '®10
Oft nall Signature
Please place professional seal:
TOWN OF SOUTHOLD BUILDING DEPT.
to 765-1802
INSPECTION
] FOUNDATION IST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INSULATION
[ ] FRAMING /STRAPPING [ ] FINAL
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL)
[ ] CODE VIOLATION [ ] CAULKING
REMARKS: nn
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FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No: Z-26465 Date: 05/19/99
THIS CERTIFIES that the building NEW DWELLING
Location of Property: 340 WESTWOOD LA GREENPORT
(HOUSE NO. ) (STREET) (HAMLET)
County Tax Map No. 473889 Section 33 Block 2 Lot 13
Subdivision Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated SEPTEMBER 17 1998
pursuant to which
Building Permit No. 25297-Z dated OCTOBER 29, 1998
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 WITH ATTACHED TWO CAR GARAGE, COVERED FRONT PORCH
AND REAR DECK AS APPLIED FOR.
The certificate is issued to SCHEMBRI HOMES, INC.
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL R10-98-0111 05/17/99
ELECTRICAL CERTIFICATE NO. 26037 04/22/99
PLUMBERS CERTIFICATION DATED 05/05/99 G.A.H. PLUMBING
Building Insp ctor
Rev. 1/81
FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.X.
CERTIFICATE OF OCCUPANCY
No: Z-27282 Date: 07/10/00
THIS CERTIFIES that the building ACCESSORY
Location of Property: 340 WESTWOOD LA GREENPORT
(HOUSE NO. ) (STREET) (HAMLET)
County Tax Map No. 473889 Section 33 Block 2 Lot 13
Subdivision Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated NOVEMBER 12, 1999 pursuant to which
Building Permit No. 2627-Z-Z dated DECEMBER 3, 1999
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 ACCESSORY GARAGE IN REAR YARD AS APPLIED FOR.
The certificate is issued to SCHEMBRI HOMES, INC.
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A
ELECTRICAL CERTIFICATE NO. 43179 05/16/00
PLUMBERS CERTIFICATION DATED N/A
Authorized SilAture
Rev. 1/81
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