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Home My WebLink About1000-48.-1-48.4 t� -1 � � TOWN OF SOUTHOLD Rental Permit Permit No. 0254 Owner Jared Doroski & Gerald Doroski Occupied as Single Family Dwelling Located at 75350 Rte 25 (aka 815 Front St) Greenport 48-1-48.4 Village S/B/L 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. 12/18/2019 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 1 1 971-0959 � BUILDING DEPARTMENTy TOWN OF SOUTHOLD RENTAL PERMIT APPLICATION, Rental Permit Fee$200(Application must be renewed every t wolyleors h� Section A. Property Information: Rental Property Address: a Tax Map Number: 1000 SECTION ,O -BLOCK Q I q, cc, -LOTVt p ywI / ) t ... R cy wN 4 8 . SECTION B. m.w_. _ ......... OWNER INFORMATION: el Property Owner Name: , Property Owner Legal Address: Property Owner Mailing Address: 00,f � �,l .. "�� Telephone Number (s): Daytime Evening Emergency Property Owner Email Address: - o .," Page 1 of 5 Town Hall Annex Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1 179 Soulhold,NY 11971-0959 BUILDING DEPARTMENT TOWN OF SOUTHOLD Mailing Address of Managing Agent: Telephone Number(s): Daytime Evening_ Emergen>ry Email Address: SECTION F. PROPERTY DESCRIPTION: 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, Q 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 Un1 : Number of rooms in Rental Dwelling Unit: '"� Use and Dimensions of each room in Rental Dwelling Unit: hcLaMO —10"{' St u ry� Page 3 of 5 Town Hall Annex Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1179 �k Southold,NY 11971-0959 BUILDING DEPARTMENT TOWN OF SOUTHOLD 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 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. I am requesting a fire safety inspection to be performed by a Code Enforcement Official from the Town of Southold ❑ 1 am submitting a completed Town of Southold certification 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 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 Page 4 of 5 W,re# Town Hall Annex tl Telephone(631)765-1802 54375 Main Road 4 Fax(631)765-9502 P.O.Box 1 179 @�1 Southold,NY 11971-0959 1 BUILDING DEPARTMENT TOWN OF SOUTHOLD 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 Site Manager, Property Owner's Name Property Owner's Signatup-:�— "" Sworn to before meth day of , 20LI fficial Nry Public Signature a"n Original Notary Stamp !9 1- ,f i l"A IIIII="T L..., I::1Mf::al'I 1wK)1 11""1 V.J1 tiff.11'a„MAI If 0I NEVVY0FIK 0%II 1VV6306900 ;+��yyU dyyAI[U 11 ppV,�pII^^}},,,��h��V1'w�0,,�Sw sV F�yP.yy,.1°1,( C:)sJ941 ��/II �✓b,A��✓'��Wfd�a�vbYW.dN N�:^wFI' d 'JLJ. j1 wkr«�Y m' Lw" W: Page 5 of 5 V ' TOWN OF SOUTHOLD BUILDING DEPT. ' 1d1 & 765-182 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING /STRAPPING [ ] L [ ] FIREPLACE & CHIMNEY [ FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) [ ] CODE VIOLATION [ ] CAULKING REMARKS: I INSPECTOR,............... u Cv DATE d, r 71 1 �'oofn Ll V io t Z a 0 w m Im 4(, O m T' ,1 Z co r � D I � r cn � I C 4 Q7 O "°, G m rC- v O O 0D 2 z —I �� m > > cn D m m D} Z Z o D � cn 33 cn CO ----------- -- ---- ....... ....................... ....... ...... .. rN �— Z u i-n ,7 O m CD r ii a > CL � W m _..... ._... ___.__..._. __......................__,. .,,, ...,.,... y 1 4 Mi m 70 � f ........ ....-----. ....,....� .� 4 W 1 e„ t O � w .�� I, 70 ` � n mn 70 p �G d a I ro m I ros 0 b 0 C1 y Z Z 4 < . D M G7 p m m � � C O O a, E fi jy wa CDm z. 4 p ' 2 � f y ru YV w � r ' - o o o x x, i xa p p a• C7 (® n n (D (b ro r" N S S :3 n _ Ln CP �W ra f„m�Y,wu � I y Iii I4�41�fl.Eff�ylr, A 't6 �ip�vwn.,4419 �” ` I[iIII➢w'it��'1ti6 cn N ro n d^W n. �� „ . 9 n 10 vi CD _. ..�.�.... O O ^�,. CD o a _ t y M ,w�xi AWN r� s ..... ropms� m - -� a.. ... f ' d µ O O S i 4 � J i I y .... Town of Southold t11��, �,�� , 12/18/2019 53095 Main Rd " 4! Southold,New York 11971 PRE' EXISTING CERTIFICATE CATE OF OCCUPANCY No: 40942 Date: 12/18/2019 THIS CERTIFIES that the structure(s)located at: 75350 Route 25,Greenport SCTM#: 473889 Sec/Block/Lot: 48.-1-48.4 Subdivision: Filed Map No. Lot No. conforms substantially to the requirements for a built prior to APRIL 9, 1957 pursuant to which CERTIFICATE OF OCCUPANCY NUMBER Z- 40942 dated 12/18/2019 was issued and conforms to all the requriements of the applicable provisions of the law. The occupancy for which this certificate is issued is: wood frame twq-fialnily,dyvgllina with frontncjos d 2�?1 ruh^* The certificate is issued to Doroski,Jared&Doroski, Gerald (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED *PLEASE SEE ATTACHED INSPECTION REPORT. f l r igntlar BUILDING DEPARTMENT TOWN OF SOUTHOLD HOUSING CODE INSPECTION REPORT LOCATION: 75350 Route 25,Greenport SUFF.CO.TAX MAP NO.: 48.-1-48.4 SUBDIVISION: NAME OF OWNER(S): Doroski,Jared &Doroski,Gerald ..... OCCUPANCY: ADMITTED BY:�._ . SOURCE OF REQUEST Doroski,JaredDATE: 12/18, /2019 DWELLING: #STORIES: 2 #EXITS: 2 FOUNDATION: brick/poured concrete under brick CELLAR: full CRAWL SPACE: BATHROOM(S): 2 TOIL...._.mm..... ................. __..� ................._ ET ROOM(S): UTILITY ROOM(S): .............._........................ PORCH TYPE: front enclose d DECK TYPE: PATIO TYPE: . BREEZEWAY: F� . .................. .....W................................_.................._—. REPLACE: GARAGE: DOMESTIC HOTWATER: es y TYPE HEATER: oil coil AIR CONDITIONING: TYPE HEAT: oil WARM AIR: HOT WATER: baseboard #BEDROOMS:— 4 #KITCHENS: 2. BA...._ —..W. ._......�_ _�................. m.._....................... .... _.� SEMENT TYPE: unfinished ........... OTHER: _....,.m.�...... �.� .. ACCESSORY STRUCTURES: GARAGE,TYPE OF CONST: STORAGE,TYPE OF CONST: �.. ... ....... SWIMMING POOL: GUEST,TYPE OF CONST: OTHER: VIOLATIONS: REMARKS: INSPECTED BY: JOHNJ DATE OF INSPECTION: 8/29/2019 TIME START: 9:36am END: 10:00am Fllt, Town of Southold 11/24/2020 P.O.Box 1179 53095 Main Rd Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 41635 Date: 11/24/2020 THIS CERTIFIES that the building WINDOWS Location of Property: 75350 Route 25, Greenport SCTM#: 473889 See/Block/Lot: 48.-148.4 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 1/24/2020 pursuant to which Building Permit No. 44647 dated 1/31/2020 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: window rcR1-a—C�L'pe��t�tQ far:Sxtin sinb -f a' I��lWpWrj pp for. The certificate is issued to Doroski,Jared&Doroski,Gerald of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED AL Auth arieSi nature