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HomeMy WebLinkAbout1000-40.-1-9 �p catTOWN OF `OUHL V Rental Permit 0379 �r Owner Alexandra Albrecht Occupied as Single Family Dwelling Located at 62675 CR 48 Greenport 40.-1-9 Maximum Permitted Occupancy 8 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. �r 1/25/2023All . Code En� rent Official This Notice must be posted by the main entrance at all times TOWN OF SOUTHOLD Rental Permit Permit No. 0379 Owner Alexandra Albrecht Occupied as Single Family Dwelling Located at 62675 CR 48 Greenport 40-1-9 Village S/B/L Maximum Permitted Occupancy 8 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. 1/28/2021 John Jarski Date of Issue Code Enforcement Officer This Notice must be posted by the main entrance at all times S I Town Hall Annex Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1179 Southold,NY 11971-0959 BUILDING DEPARTMENT JUN 2 4 2020 TOWN OF SOUTHOILD RENTAL PERMIT APPLICATION Rental Permit Fee $200 (Application must be renewed every two years) Section A. Property Information: Rental Property Address: 62675 North Road, Greenport, NY 11944 Tax Map Number: 1000 SECTION 40 -BLOCK- -LOT 9 SECTION B. OWNER INFORMATION: Property Owner Name: Alexandra Albrecht Property Owner Legal Address: Property Owner Mailing Address: 203 East 13th Street, 203 East 13th Street,Apt. 4A, NY, NY 10003 Apt. 4A NY, NY 10003 Telephone Number (s): Daytime 443.604.6177 Evening Emergency Property Owner Email Address: albrecht.alexandrac@gmaii.com Pagel of CP INV so Town Hall Annex t ��"�, . Telephone(631)765-1802 " 54375 Main RoadC Fax(631)765-9502 P.O.Box 1179 Southold,NY 11971-0959 U BUILDING DEPARTMENT TOWN OF SOUTHOLD Section C. Authorized Agent Information: 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): Daytime Evening Emergency ' Email Address: Section D. Managing Agent Information: 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): Daytime Evening Emergency Email Address: 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):, Page 2 of 5 SOf1���� ' h Town Hall Annexe, `:� r h Telephone(631)765-1802 A DI 54375 Main Road "g 9` Fax(631)765-9502 P.O. Box 1 179 Southold,NY 11971-0959 ® a BUILDING DEPARTMENT TOWN OF SOUTHOLD Mailing Address of Managing Agent: Telephone Number (s): Daytime Evening Emergency Email Address: SECTION F. PROPERTY DESCRIPTION: 1 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: Unit 1 (OF 1) Requested Maximum number of persons allowed to occupy Dwelling n' Number of rooms in Rental Dwelling Unit: 7 Use and Dimensions of each room in Rental Dwelling Unit: Bar/play room: 5 x 15 KITCHEN : 21x17 Living Room: 36 x 26 Bedroom 1: 14 x 14 Bedroom 2: 19 x 23 Den: 15 x 24 Master Bedroom: 30 x 23 Page 3 of 5 %Of SO�tT �INN Town Hall AnnexTelephone(631)765-1802 �,a, . 54375 Main Road '�_�, � � Fax(631)765-9502 ' P.O.Box 1 179 j- 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. N 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) I Alexandra Albrecht 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 Town Hall Annex r� ti Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1179 Southold,NY 11971-0959 CQO? � 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: Alexandra Albrecht Property Owner's Signature:_ ZIA, V Sworn to before me thisZ day of 20- V Ciciial Notary Public bwrndAinal Notary Stamp F140TARy ID J.Jp,]`1Nl.1ZZf LIC.STATE OF NEWYORK on No.02JA6052585 ed in Suffolk County�cpiras February 13, Page 5 of 5 oF souryo # TOWN-OF SOUTHOLD BUILDING DEPT. �ycouN 765-1802 INSPECTION [ ] -FOUNDATION 1ST [ ] ROUGH PL13G. [ ] FOUNDATION-2ND -[ ] INSULATION/CAULKING - FRAMING NSULATION/CAULKING - FRAMING /STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) [ ] CODE VIOLATION . [ ] PRE C/O REMARKS:. (@5Au %h l v CcJW J DATE 1 INSPECTOR n of t0 - Ln W Z =0, � 'ahnR(� W e.N M.0 8rATE Ide OFcAk W III //y'' Y u m me leu Al i 31 N „ cev�e.rrM — �� II f i = �rprc He 0 A J ! I Q z C57- NEW mry f46W AZ qrw , ✓ Q d 3 i4 m C SFP d ISI LRL. ' no / T — LAA I�IJ N II ogge.NG.q.uwa , wm.unwe wn Wpro.n.0 w t � - I PLUMBER CERT/F/CATION 3 a, 1' x' 4nN4 Alow - ONLEADCONTENTBEFORE W CERTIFICATE OF OCCUPANCY Z -- --- d--- SOLDER USED IN WATER r� SUPPLY SYSTEM CANNOT EXCEED 2/lO o/1%LEAD. .. - �ll l Aj j5 �.i rRmlmNNn.wENUY _ RlNICEI a too PmEIYII Lt mals Df. noe ri. :.wcNi c H Plmmf SYO[FEIfRCYNY hau AaA _i aE.UY DEYICEt __ II is ra lama YRLI OCCUPANCY OR Y.0 lullDUY cODF. USE IS UNLAWFUL Z WITHOUT CENTIFICATE4+ 11 1 OF OCCUPANCY _ i YNumnm mmurt � < m- aaaayEeK/ Mx..v.xO Z L.._ PROVIDE CY ESCAPE FOR fSEi- P REOUIR[0 BY Ykm,Tla pF N.I,STATE RUIEDINt CODE. d. R.rw'/rroN PIAN aw a Z ,T)b / a,/ar iNsav<.Opfi,amino.wn,.n ecu..+wirue—A I—An rrsinNnrK, """� � In Bww aNv.ei/E—N61Yt0/. /pH. faxix aDnwg6 An Nw. � 3 puove W/NGOs;Msyy wau/N.+rv/M.wxrGaNA. .,�� W a.wxy�. 6.Al WMLO-110 NNN iIObw AG/lA/M15. to the bRat Of mY knowledge,belief.mid iudvem. ,:ad sDec1ifiCetions, 3 +re in cromPlian.:�,. .. IorN State nHpi "acserwtlon CoOa saCm 96K �� =.� d' ro SEA^<Nor Lic 99pi. N — W rt `� I I �� �ew.�rnRwa•rnN. ,.y.��� r I 1 .VInI..r•M�eRr -�-- _ } r �1.M"rri'Kr �r � r I��,11. ..+R.•,!n �mVK� ,- L�._ � I.I �I I n�i wuMiM �I i �---- TP i I ��.r=rniC � 1 w..n.uRP n..•.� K.�°ia�i..+�S'" '�G _rte ,....wen... _- wr,,,...�� ar .rw.'.•rrn ��i _; I. :,�avw waanc +.•.rP • I iI-- i I RIf� McMY-.b .OrrnnWl/pv.a ttwlwwe��!!! �revio iM'wr rK.•ww rEKM l i� NII Ir `I - xenaN A q n n b, p a�MNDAI.a/. E� SEP FA n... i 4 ( _ TOWN OF SOUTHOLD PROPERTY RE4 g �I {� D ( ` u .� I _ _ OWN% STREET VILLAGE DISTRICT SUB. LOT AeT (a —f PJAK&I k v FORMER OWNER ) N E ACREAGE i ! C S W TYPE OF BUILDING RES. 2�b Ste( SEAS VL. FARM ! COMM. IND. ( CB. MISC. IJEst. Mkt. Value LAND IMP. TOTAL DATE r REMARKS/�4 ��S'a��/� Sf3s-QQ �,.�► / C� ,�e �r� . LI = / SJ7 / �_ .' r r' o � 0 06 a. N. L��' 7Q S Mi!?% _ r _ ,t1 � ►-Q+rcv) aa 7 o f -71 CkJ l 1 {pOO 1® `1 oo 91 27 *7 — /5 — it AGE BUILDING CONDITION r s- NEW NORMAL BELOW ABOVE FRONTAGE ON WATER z g S l Form Acre Value Per Acre Value FRONTAGE ON ROAD -Q Tillable 1 BULKHEAD Tillable 2 DOCK Tillable 3 Woodland Swampland BrushlanA.- `.. �.. �.- House Plot Total 1 SCTM # l000 - 40.- I- ---j TOWN OF SOUTHOLD PROPERTY RECORD CAF OWNER STREET (o �.c� VILLAGE DIST. SUB. LOT v ACR. REMARKS db ( C4 - TYPE OF BLD. PROP. CLASS LAND IMP. TOTAL DATE 1C)(c) FRONTAGE ON WATER HOUSE/LOT BULKHEAD TOTAL I ■■■■■■■■■■■■■■■■■■■■■■■r■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ -- _------ ■■■���w�■moi!'■■��■1�■■■■■■■■■■■■■■■■ Bath Ext Walls Interior Finish Fire Place Heat Woodst ■■�li�■■■■■lel■■■■■I■■■■■■■■■■■■■■■■� ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ • ,. ., • •• tlDormer r Driveway i E I M. Bldg. Foundation ij LBovth yi i Extension �0- X - �, D -`-- Basements f Flocrs -� -_-- Extension �-D\ Ext. Walls ((J Interior Finish Extension _ '� Fire Place " 1 Heat �U � X 6 yP Porch; Roof T e — - ----- - -_ Porch Rooms 1st Floor --- Breezeway Patio Rooms 2nd Floor Garage U �� - r fc Driveway Dormer FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. PRE EXISTING CERTIFICATE OF OCCUPANCY No Z-24570 Date August 13, 1996 THIS CERTIFIES that the building ONE FAMILY DWELLING Location of Property 62675 County Road 48, Greenport House No. Street Hamlet County Tax Map No. 1000 Section 40 Block 1 Lot 9 Subdivision Filed Map No. Lot No. conforms substantially to the Requirements for a One Family Dwelling built Prior to: APRIL 9, 1957 pursuant to which CERTIFICATE OF OCCUPANCY NUMBER Z-24570 dated August 13, 1996 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 * The certificate is issued to Helene J. Schmidt (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A *PLEASE SEE ATTACHED INSPECTION REx/1" T. i Building Inspect Rev. 1/81 NAME OF OWNER (s) Helene J. Schmidt OCCUPANCY_Single Family type owner-tenant) ADMITTED BY: Lynda Lee Spangel ACCOMPANIED BY: Same KEY AVAILABLE SUFF.CO. TAX MAP NO. 1000-40-1-9 SOURCE 00 - - SOURCE OF REQUEST: John T. Schmidt DATE: August 1996 DWELLING: TYPE OF CONSTRUCTION Wood Frame STORIES 1 # E%ITS 7 FOUNDATION C.B. CELLAR Full CRAWL SPACE ===r- ===_-___ TOTAL ROOMS: IST FLR. 6 2ND FLR. ==== 3RD FLR. _==== BATHROOM (s) 2 TOILET ROOM (s) 2 UTILITY ROOM PORCH TYPE Rear Wraparound Enclosed DECK, TYPE PATIO BREEZEWAY FIREPLACE 2 GARAGE 2 Car Under DOMESTIC HOTWATER g TYPE HEATER Oil Fired AIRCONDITIONING TYPE BEAT Oil WARM AIR HOTWATER % OTHER: Front Foyer ACCESSORY STRUCTURES: GARAGE, TYPE OF CONST. STORAGE, TYPE CONST. SWIMMING POOL GUEST, TYPE CONST. OTHER: ------------------------------------------------------------------------------------------ ------------------------------------------------------------------------------------------- VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE LOCATION DESCRIPTION ART. SEC. REMARKS: INSPECTED BY DATE OF INSPECTION August 12, I996 J K. Boufis TIME START 9:45 END 10:20 FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-26180 Date: 12/18/98 THIS CERTIFIES that the building ADDITION ALTERATION Location of Property: 62675 CR 48 GREENPORT (HOUSE NO. ) (STREET) (HAMLET) County Tax Map No. 473889 Section 40 Block 1 Lot 9 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated SEPTEMBER 24, 1997 pursuant to which Building Permit No. 24456-Z dated NOVEMBER 3, 1997 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 ALTERATION AND ADDITION TO EXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to MICHAEL FOLEY (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. N-461334 08/05/98 PLUMBERS CERTIFICATION DATED 12/03/98 VANETTEN PLUMBING & HEAT. BuildMg Inspect Rev. 1/81 coFFOL.A. Town of Southold 5/15/2018 3 P.O.Box 1179 o + 53095 Main Rd yjj�l �ao� Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 39645 Date: 5/15/2018 THIS CERTIFIES that the building IN GROUND POOL Location of Property: 62675 CR 48, Greenport SCTM#: 473889 Sec/Block/Lot: 40.4-9 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 4/25/2017 pursuant to which Building Permit No. 41582 dated 4/28/2017 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: accessoryground swimming pool fenced to code as applied for. The certificate is issued to Friedman,Kenneth of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 41582 10/24/2017 PLUMBERS CERTIFICATION DATED &JIA m,,\ ignature