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Home My WebLink About1000-34.-3-40 ¢ � TOWN OFSOUTHOLD Rental Permit 0402 Owner Carol-Ann Hoffinan Occupied as Single Family Dwelling Located at 360 aka 307 Champlin Place Greenport 34.-340 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. 2/27/2023 Ocde ' �rcement Official This Notice must be posted by the main entrance at all times TO N OF SOUTHOLD 631-765-1802 � Aoyl INSPECTION FOUNDATION o / r I l ROUGH PLBG. 30� CX Aml�' REMARKS: TOWN OF SOUTHOLD Rental Permit Permit No. 0402 Owner Carol-Ann Hoffman Occupied as Single Family Dwelling Located at 360 aka 307 Champlin Place Greenport 34-3-40 Village 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. 3/15/2021 John Jarski Date of Issue Code Enforcement Officer This Notice must be posted by the main entrance at all times h r3DUT�O Town Hall Annex Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1179 Southold,NY 11971-0959 A \ BUILDING DEPARTMENT D V TOWN OF SOUTHOLD Gi RENTAL PERMIT APPLICATION OCT 2 3 2020 Rental Permit fee$200(Application must be renewed every two years) BBDO DEPT, T0VyT'?OY,8C)UT OLD Section A. Property Information: Rental Pro pe Address: qq Tax Map Number: 1000 SECTION_ l 000-13LOCK - SECTION B. OWNER INFORMATION: Property Owner Name: cArox-crane aV_r An Property Owner Legal Address: Property Owner Mailing Address: We It W V Telephone Number(s): Daytime 0031-%S3 *3Evening Emergency Property Owner Email Address: Cines"Aw OG Page 1 of 5 Town Hall-Annex Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1179 Southold,NY 11971-0959 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 �J 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: �( I A Address of Managing Agent (no P.O. Boxes):_ I �- Page 2 of 5 O L SDUj�O Town Hall Annex Telephone(631)765-1802 .54375 Main Road � � 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 E vening Emergency Email Address: l 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, Bedrpom 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 Unit: 2'a!:I Number of rooms in Rental Dwelling Unit: Use and Dimensions of each room in Rental Dwelling Unit: S-ee cIne-A Page 3 of 5 Q�VpF`SO(/T�,� Town Hall Annex Telephone(631)765-1802 54375 Main Road • Fax(631)765-9502 P.O.Box 1179 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. V, am requesting a fire safety inspection to be performed by a Code Enforcement Official from-the Town of Southold ❑ I 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 Co eO\-G-r-Ae. tkt- nn , 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 .O��.p�SD(/j�o, Town Hall Annex Telephone(631)765-1802 54375 Main Road _ Fax(631)765-9502 P.O.Box 1179 Southold,NY 11971-0959 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: CAe0\—ane n Property Owner's Signature: t� � Sworn to b ore m this 20 day of 046bAV . 20.2.0 Official Ootarf 0-u/bVslgnat-u-r-e and Original Notary Stamp DOREEN E.TYBAR111' NOTARY PUBLIC,STATR OF NEW YORK Registration No.OITY0274186 Qtudified in Suffolk Courcy Commission Expires dec.31.2020 Page 5 of 5 �O��OFSOUlyO6 7� �� C' 1V� # # TOWN OF-SOUTHOLD BUILDING DEPT. °`y�ouxn ' 765-1802 r INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND = [ ] INSULATION/CAULKI [ ] FRAMING /STRAPPING [ ] Al_ [ ] FIREPLACE & CHIMNEY 'FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION j ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) : [ ] ELECTRICAL (FINAL) [ ] CODE VIOLATION ( ] PRE C/O REMARKS: Or N FcJvc/ �,..� w� DATE l tv)011INSPECTOR DN. PORCH 16'-0" 16'-0" UP BEDROOM 2 I CL. LIVING ROOM 00 N CL. N CL. BATH- DN. 14'-0" DINING AREA ROOM S/C r. w 6-01, —4 0-4 BEDROOM 1 00 KITCHEN N BASEMENT N 00 N II n - CL. C DW I UP- N o 0 W/D HATCH To 14'-0" BASEMENT MUD ROOM 2 SECOND FLOOR BASEMENT -- 307 CHAMPLIN PLACE T-6" SYMBOLS GREENPORT, NY 11944 14'-0" FLOOR PLANS smoke and carbon FIRST FLOOR S/C monoxide detector DATE-10/19/20 1 PAGE:1 OF 1 l Al, OPERTY :'RECORD,— (^,, OWNERS* _ STREET VILLAGE - DIST.1' SUB. LOT art1 16 X;4' PA, e . ..A& FORMER OWNER N ACR. SW TYPE OF`BU I LD.I NG RES. SEAS.' VL. FARM COMM. CB. MICS. Mkt. Value LAND IMP. TOTAL DATE REMARKS /1 `7 V 1 +� {-7 ma / f , AGE BUILDING CONDITIONNEW NORMAL -.BELOW ' ABOVE FARM Acre Value Per Vclue — ^ — Acre Tillable j FRONTAGE ON WATER Woodland — FRONTAGE W ROAD Meadowland DEPTH- House EPTH House Plot BULKHEAD - - DOCK- Total -----i- ----------- - - - . —� �ugy'u�+,p;" _.. K o.«a.,,.v.—..,o,....._r.... ».....-...., ..,,.. »w1.w..�w+�w-.a.-.._--,•- -....._..,..... .,.,«v__.-.a........caa'.w�u..".u.�-ww_:�l cr a.x ...�,�y, qm�e ..g<...x.. .;§., � - "N'.' 'U-10 Y- a ns•*� n T6 sn.e � i _ LOR � s TRIM I i , I 34.-3-40 1/29/2021 ; I i + r y—(—i i�'r — ,- M. ,Bldg, Extension r 3 4'6 o `.Extension __ L ; Extension Foundation {6M'r 6r g` Seth f ; Dinette j Porchf'Basement Floors j iOt Porch { Ext. Walls ` ;Interior Finish " µ LR, Breezeway _----- —�; Fire Place {NeatDR. _ r,)a Garage I 4 (Type Roof ,Rooms 1st Floor i ! BR. Patio-- � { i f ! 1 Recreation Room — Rooms 2nd Floor FIN B O.` B. I Dormer � �Driveway Total . _ JV ..........w..a�..x......:... „.".,x.aw.,...�....Q., aeM.e. .x..x.w.w., .•rxF -... .,,,..., ..,ax.,a..,. »..,.., -R. ."..3:�x,;,.*W.4... k:,.Y Y...w.,..a.., ....a...w.a.....,,., '" " - - r_ .,� .. ,. .. FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.X. PRE EXISTING CERTIFICATE OF OCCUPANCY No: Z- 26196 - Date: 12/29/98 THIS CERTIFIES that the building DWELLING Location of Property 360 aka 307 CHAMPLIN PL GREENPORT (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 034 Block 0003 Lot 040 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- 26196 dated DECEMBER 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 PORCH.* The certificate is issued to JEROME & PATRICIA URBAN (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. H4831 PLUMBERS CERTIFICATION DATED N/A *PLEASE SEE ATTACHED INSPECTION REPORT. Building Ina etor Rev. 1/81 BUILDING DEPARTMENT TOWN OF SOUTHOLD HOUSING CODE INSPECTION REPORT aka 307 . LOCATION: 360 LHAMPLIN PL G)(ERNPORT SUBDIVISION: MAP NO.s LOT (S) NAME OF OWNER (S) : JEROME & PATRICIA URBAN OCCUPANCY: A-1 RESIDENTIAL aEROME & PATRICIA URBAN ADMITTED BY: JEROME URBAN ACCOMPANIED BYs SME KEY AVAILABLE: SUFF. CO. TAX MAP NO.: 34.-3-40 SOURCE OF REQUEST: JEROME & PATRICIA URBAN DATE: 12/29/98 DWELLING: TYPE OF CONSTRUCTION: WOOD FRAME # STORIES: 2.5 # EXITS: FOUNDATION: CQNCRETE BLOCK & POURED CONCRETE CELLAR: PART CRAWL SPACE: TOTAL ROOMS: IST FLR.: �} 2ND FLR.: 3RD FLR.: 0 BATHROOM(S) : 1.0 TOILET ROOM(S) s 0.0 UTILITY ROOM(S) : PORCH TYPE: FRONT ROOF DECK TYPE: PATIO TYPE: BREEZEWAY: FIREPLACE: GARAGE: DOMESTIC HOTWATER: X TYPE HEATER: FROM BOILER AIRCONDITIONING: TYPE HEAT: OIL WARM AIR: HOTWATER: X OTHER: BASE OF PORCH REMOVED 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 I DESCRIPTION I AUT ; SEC. { I { { I { { 1 { 1 { j 1 { 1 � 1 { REMARKS: INSPECTED BY: DATE ON INSPECTION: 12/03/98 HN M. SOUFIS TIME START: 10:50 END: 11:20 h�o�g�EFO(,fcoGy Town of Southold 3/14/2021 � P.O.Box 1179 o - o • { 53095 Main Rd y�Bl �,ao Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 41874 Date: 3/14/2021 THIS CERTIFIES that the building ALTERATION Location of Property: 360 (aka307)Champlin Pl., Greenport SCTM#: 473889 Sec/Block/Lot: 34.-3-40 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 5/22/2000 pursuant to which Building Permit No. 44646 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: roof alteration and alteration and r�air to an existing dwelling forto an existing single dwellin�pplied for The certificate is issued to Homan,Carol-Ann of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED Au o ' e Si6 ature