HomeMy WebLinkAbout1000-35.-6-1 zg§ TOWN OF SOUTHOLD
s
4 } Rental Permit
_ li'V 0271
Owner Danielle Gorga
Occupied as Single Family Dwelling
Located at 55 Snug Harbor Road Greenport 35.-6-1
Maximum Permitted Occupancy 5
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.
3/20/2024
cue Envircame fieiai
This Notice must be posted by the main entrance at all times ( I o
631-765.1802114 45 P E(02;` T 10 l
N
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INSULATION/CAULKING
[ ] FRAMING / STRAPPING [ ] F L
[ ] FIREPLACE & CHIMNEY [ FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FIN L
[ ] CODE VIOLATION [ ] PRE C/O [ RENTAL
IKS:
o Ile
DATE A INSPECTO
%OUTHOLD BUIL,
TOWN OF ING EPT.
631-765-1802
InSPECTION
[ ] FOUNDAtiON 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND j ] .INSULATIOWCAULKING
[ ] FRAMING STRAPPING [ ] AL
j ] FIREPLACE & CHIMNEY j FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION j ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) j ] ELECTRICAL (F �AL)
[ ] CODE 'VIOLATION [ ] PRE C/O [ RENTAL
REMA :
IQ t� o
INSPECTORDATE
TOWN OF SOUTHOLD
RentalPermit
0271
77
Owner Danielle Gorga
Occupied as Single Family Dwelling
Located at 55 Snug Harbor Road Greenport 35-6-1
Maximum Permitted Occupancy 5
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.
2/2/2022 '
Code Enforce Official
This Notice must be posted by the main entrance at all times
SOUTHOLD TOWN Town Hall Annex
54375 Main Road
Rental Inspection PO Box 1179 Southold,
a
M NY 11971-1179
��p� Tel: 631-765-1802
Fax 631-765-9502
0, "
SCTM # Date g �'
� z
Qwner ,i� ° � � � d-- Phone �. 1-1
Address �� .` id flzip
.w
Hamletllnspectorj ICL��Lj
Address vj222 from street!
LEVELS SUB 1 2 3'
Smoke Detectors (#-bedroom detectors excluded)
Carbon Monoxide Detectors (#)
Fire Extinguishers(#)
Exits (#)
jBEDROOMS 1 3 5
Smoke Detector Alarms (#)
Carbon Monoxide Alarms (#) °
Egress (windows) (Y/N) LZ
BUILDING SYSTEMS MN (CONDITION OF PROPERTY
Heating system maintained/operational J 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 Y1POOL 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 SOUTHOLD
Rental Permit
Permit No. 0271
Owner Danielle Gorga
Occupied as Single Family Dwelling
Located at 55 Snug Harbor Rd Greenport 35-6-1
Address S/B/L
Maximum Permitted Occupancy 5
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.
1/9/2020 John Jarski
Date of Issue Code Enforcement Officer
This Notice must be posted by the main entrance at all times
Pit-/ 0
631
Tele
Town Hall Annex hone P ( )765-1802
54375 Main Road ���. ��_
Fax(631)765-9502
P.O.Box 1179 ti
Southold,NY 11971-0959 t s
BUILDING DEPARTMENT
SEP 2 0 2019 -" 1
TOWN OF SOUTHOLD
RENTAL PERMIT APPLICATION " 1W7
Rental Permit Fee$200 (Application must be renewed every two years)
Section A.
Property Information:
Rental Propert Address:
/VY /c?yV
Tax Map Number: 100 SECTION -BLOCK ';
- ,,._„-LOT _ 1-k-
SECTION B.
OWNER INFORMATION:
Property Owner Name: ! gar q �-
Property Owner Legal Address: Property Owner Mailing A/
do
o 4-1a c G;��
_L
���
Telephone Number(s): Daytime Evening- mergency
Property Owner Email Address:
"
Page 1 of 5
F
Town Hall AnnexulWo, Telephone(631)765-1802
54375 Main Road >6 ,Y Fax(631)765-9502
P.O.Box 1 179 ;
Southold,NY 11971-0959
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
Mailing Address of Managing Agent:
Telephone Number(s): Daytime Evening Emergency
Email Address:
SECTION F.
PROPERTY DESCRIPTION:
Number of Rental Dwelling Units on property: 0 M
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:
Requested Maximum number of persons allo d to occupy Dwelling Unit:
Number of rooms in Rental Dwelling Unit:
Use and Dimensions of each room in Rental Dwelling Unit:
yd t oln i I Ana. L
bd
g X k
Page 3 of 5
r
�4
t'
\V's
Town Hall Annex ha �- Telephone(631)765-1802
54375 Main Road - Fax(631)765-9502
P.O.Box 1179
•' ' "'�'',� .yam
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.
XI 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)
I 9` / 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
fy
Town Halt Annex. J Telephone,(631)765-1802
54375 Main Road ` �+
P.O.Box ]179 v=3�e Fax(631)765-9502
�$'
Southold,NY 11971-0959 ,#►`�y
i
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
applicable laws and rules. I further acknowledge that I will notify the Town of Souihold"�
,Building,Department of any changes-of'address within•five (5) daysof any-changes, �
thereto,,
3. -1 have read and'received a copy of.Chapter 207;of1he Code of the Town of,-Southold and
p j
',a'greed�to abide,by'the same.
" 9
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. 2
Property Owner's Name:_ , . l lel IQ _ •_��{
- - ----- - - Property Owner's Signature: -
- - - ------
-
Sworn to before me this day day of 20fl - •
r
Official NoIdIy Public Signature d Original Notary Stamp
' - • 1 1 .,.
TRACEY L. DWYER
NOTARY PUBLIC,STATE OF'NEW YORK
NO.01 DW6306900 1
QUALIFIED_IN SUFFOLK COUNTY, a
COMMISSION EXPIRES JUNE 30,2_oa_d-,
:i
Page 5 of 5 '
i�
Town Hall Annex } Telephone(631)765-1802
54375 Main Road i. Fax(631)765-9502
P.O.Box 1 179 �,, • .
Southold,NY 11971-0959 `
•'��4UN1'l� '
BUIL'DING•DEPARTMENT
TOWN OF'S'OITTHOL]D
SECTION G.
INSPEUION'"
Pursuant to•tlie,Town Code•of the Town:of Southold.Chapter 207 (Rental Properties)pa 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`Certificatiori,is•requited 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 regulationsrof•the•Countyof Suffolkand
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` C-
0
❑ 1 am submitting a completed Town,of Southold certification form from a licensed•.
architect or a licensed professional engineer.
' t
SECTION H.
DECLARATION: Signature must be notarized and MUST be the owner of the dwelling unit.
STATE OF NEW YORK) ;
COUNTY OF SUFFOLK)
I r( 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
S�c*u 6r�,oe souryb�sr Rc di .�e e r,, OV+
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* TOWN OF SOUTHOLD.BUILDING-DEPT.
courm, 765-1802
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
` [ ] FOUNDATION 2ND [ ] INSULATION/CAULKING-
[ ] FRAMING /STRAPPING [ ] INAL IT
[ ] FIREPLACE & CHIMNEY = [ FIRE-SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ]" FIRE:RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL)-
[ ] CODE VIOLATION [ ] PRE C/O
REMARKS: ?�:�Pr►�l —" - Q�
�lo 6,moo, &4!4,e�L
0
DATE INSPECTOR
Zapf SOUT,yo /
01 !o
* # TOWN OF SOUTHOLD BUILDING DEPT.
`ycourm 765-1802
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION-2ND [ ] INSULATIOWCAULKING�,/l
[ ] FRAMING /STRAPPING [ FINAL � per' fy-
[ ] FIREPLACE & CHIMNEY - [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT-CONSTRUCTION [ ]`"FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL)
[ ] CODE VIOLATION [ ] PRE C/O
REMARKS:
u QI
DATE 30 INSPECTOR
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TOWN OF SOUTHOLD PROPERTY RECIZ/7//� if
OWNER , STREET VILLAGE DIST. SUB. LOTd
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F RMER OWN RK S l� N E ACR.
Ab cis S W TYPE OF BUILDING
RES. SEAS.a/a SEAS. VL. FARM COMM. CB. MISC. Mkt. Value
LAND IMP. TOTAL DATE REMARKS �', ��/ Q � , 3 00�
o :� > a o i G 1 /'70� �C D, F. 4V7�2_z_ �1D
o ur go c a 1`s`i 'L 3 77 SoL D &34,000. IN. 5/ EN 4 SIF 7-0 >✓ l3BA0,CssA4 WE
AGE G BUILDING COND./IO t _ _
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FARM Acre Val e Per Valu - t
2z1- is h
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Tillable 1 2 PJ —L.
Tillable 2 , /3'/Y —4600 7- /q — - /S- 7bC)Q_
Tillable 3Iry �org=
Woodland
Swampland FROt4TftGE�1V tN7�'T`fR
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Brushlond FRONTAGE ON ROAD • '� 1,; r
House Plot DEPTH ri
BULKHEAD
f Total DOCK
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FORM X0. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN CLERK'S OFFICE
SOUTHOLD; N. Y.
CERTIFICATE OF OCCUPANCY
No. . .Z..2190..Z. ... Date .............................JUY....23.......... 19.65.
THIS CERTI�I-ES-th6 a building o ed-e��.;,j ..�1T10r..Ad•.... Street ( 1"1')
eaves Point
ap o. ...................... Block No. ......aaA..2.... Lot No. AQ}.......GrJeanvart*...N.Xu.............. .
con or substantially to the Application or wilding Permit heretofore filed in this office dated
•...•„•...............••.... . 19...6.5 pursuant to which Building Permit No. _26-7-5--Z
dated ................................ 19....65,,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 ........
......Pr1xa .s..,o�n�..lamil�t..dYelling. .........................................................................................
The certificate is issued to .....Tohn...S.•.Z"9K nd..•. ..•..... ......owner...................................
(owner, lessee or tenant)
of the aforesaid building.
H.D.Approval, May 27 1965 by R. V lia
Building Inspector
t
,y
FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMEN'�
TOWN CLERK'S OFFICE;
SOUTHOLD, N. Y.
CERTIFICATE OF OCCUPANCY
No. Z39.79.............. Date ...........................Sept.o........ .. ., 19...?0
THIS CERTIFIES that the building located at ...►`9 Haib
�.. 4V••RDS,d............................ Street
Map No.Q10AVAS...Pt Block No. -SP-0-11...... Lot No. 4,Q........Q.1'"11po3c t.......I4..E.0.................
conforms substantially to the Application for Building Permit heretofore filed in this office dated
.......................... .3:U ►,....j., .......... .. 19.yo. pursuant to'which Building Permit No. -47, 82Z...
dated .......................J:=D..........i...........I 19-7o., 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 ........
.........8111—Va W-acc-eiasoryy-•-bud-lddng.....................I............................,........................................
The certificate is issued to ...W.*..Cr1Q .........Q +63*.............................
.........................................
(ownet, lessee or tenant)
of the aforesaid building.
House # 55
..... ;�.:..... ...............................
Building Inspector
t
FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUP
No Z-19883 Date Y 1 991
THIS CERTIFIES that the building ADDITION
55 SNUG HARBOR RD
Location of Property 1200 MAPLE LANE �GREENPORT, N.Y.
House No. Street Hamlet ,
County Tax Map No. 1000 Section 35 Block 6 Lot 1
Subdivision Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated NOVEMBER 8 1989 ___pursuant to which
Building Permit No. 18645-Z dated NOVEMBER 15, 1989
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 ADDITION TO EXISTING ONE FAMILY DWELLING AS APPLIED FOR.
The certificate is issued to ROBERT & PAT BISHOP
(owners)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A
UNDERWRITERS CERTIFICATE NO. N-15206 - SEPTEMBER 27 1990
PLUMBERS CERTIFICATION DATED MAY 21, 1990 - THOMAS A. TAGGART
u
l
/ Building Inspector
Rev. 1/81