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HomeMy WebLinkAbout1000-52.-1-6 o TOWNOFSOUTHOLD z Rental Permit 0429 Owner Susan Rogers-Grun Occupied as Single Family Dwelling Located at 54305 CR 48 Greenport 52.4-6 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. 6/2/2023 e Enf n ffici This Notice must be posted by the main entrance at all times W OF SOUTHOLNG1 6311 -765-11802 INSPECT10i [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATIONICAt, ] FRAMING 1 STRAPPING [ ] FINAL ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY IN�� ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PE ELECTRICAL (ROUGH) [ ] ELECTRICAL (FI [ ] CODE VIOLATION [ ] PRE C/O [ I REMARKS: N / DATE INSPECTORRYAll g 6> Town Hall Annex Telephone(631)765-1802 54375 Main Road J Fax(631)765-9502 P.O.Box 1179 " "r r'! Southold,NY 11971-0959 ��t Y 1 202.3 BUILDING DEPARTMENT TOWN OF SOU OLD " RENTAL PROPERTY CERTIFICATION Form is to be completed by a license architect, licensed engineer or licensed home inspector Separate form is required for each individual Rental Dwelling Unit of s iarlaF seal re aired or wrch tett ar I rl freer licensed dome Ins actor R 1r st provide coov of valid current ceryl icati n Rental Property SCTM Number: f Oal — — d� Rental Property Address: . ... )i 1""i Z ,.. Owner/Name: Rental Dwelling Unit Identifier: 5� 1����R-/ Number &Square footage of each bedroom as depicted in the attached floor plan: (i.e. Bedroom#1 -100 sq Bedroom#2 90 sq., etc. Property Description (include all improvements indicated on survey) W 7z2 ki—I -� 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 Con ation Construction Code of New York State. & P4�-' Print Name and Title 1 1 � na ature t Please place professions e TOWN OF SOUTHOLD Co Rental Permit Permit No. 0429 Owner Susan Rogers Grun Occupied as Single Family Dwelling Located at 54305 CR 48 Greenport 52-1-6 Village 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. 5/1/2021 ode fo ce A. Official This Notice must be posted by the main entrance at all times - . �L®FS�IIT • Town Hal!Annex .1iL Telephone(631)765-1802 54375 Main Road hc, Fax(631)765-9502 P.O.Box 1179 O Southold,NY 11971-0959 O �� Oil P BUILDING DEPARTMENT TOWN OF SOUTHOLD RENTAL PERMIT APPLICATION Rental Permit Fee$200(Application must be renewed every two J MAY 3 0 2010 1° Section A. T. Property Information: c T Rental Property Address: Co UOT-(il 12-0, 6OUTUL-LID Tax Map Number: 1000 SECTION -BLOCK D l -LOT L)�✓ - SECTION B. OWNER INFORMATION: Property Owner Name: Property Owner Legal Address: Property Owner Mailing Address: Telephone Number(s): Daytime Evening Emergency i; Property Owner Email Address: I of } -3 Page 1 of 5 Town Hall Annex Trk Telephone(631)765-1802 $4375 Main Road CA Fax(631)765-9502 P.O.Box 1179 Southold,NY 11971-0959 VUNf`i� i 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: \pry'1 L- ti flh �5 Address of Authorized Agent(no P.O.Boxes): 4 Mailing Address of Authorized Agent: f t o . AtS Fi-e� Telephone Number(s):Daytime 631-7" 1570 Evening Emergency '�L-�3\ $4S 85% 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 fpF SUUjo-_ Town Hall Annex l Telephone(631)765-1802 54.375 Main Road Pax(631)765 950 P.O.Bax 1179 ® O Southold,NY 11971-0959 O COWN. BUILDING DEPARTMENT TOWN OF SOUTHOLI) Mailing Address of Managing Agent: '3 0© COE��J lZ _ �� . ��`� '5-7 Telephone Number(s):Daytime_V51=766-157nEvening�Sra E Emergency L;� �;!5lv Email Address: �e�t (5 , �5 # � i�3�� t✓P L2, � S L©M D 1 SECTION F. MAY 3 0 2019 PROPERTY DESCRIPTION: Number of Rental Dwelling Units on property: clue f�`' _x' For each Rental Dwelling Unit set forth the Rental Dwelling Unit identifier(for example, Unit 1, Unit 2,Unit 3 or Apt A,6,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: 1 A,) LLL Requested Maximum number of persons allowed to occupy Dwelling Unit Number of rooms in Rental Dwelling Unit: �� t t4 G(. G�U,Cj�� � 1 ni-1 Use and Dimensions of each room in Rental Dwelling Unit. Page 3 of 5 Town Hall Annex Telephone(631)765-1502 54375 Main Road Fax(631)765-9502 P.O.Box 1179 Southold,NY 11971-0959 ` Cou 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 KI 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) l I .�tSz N 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 Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1179 Southold,NY 11971-0959 Q ° BUILDING DEPARTMENT TOWN OF SOUTHOLID 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 Signature: Sworn to before me thisMday ofG't, 20 Official Notary Public Signature and Original Notary Stamp DEBRA FREDERICK Notary Public,State of New York No.01 FR6047399-Suffolk Count Commission Expires August 28,20 Page 5 of 5 o��OF SO(/l�,® Town Hall Annex Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1179 Southold,NY 11971-0959 coUNtV,�� BUILDING DEPARTMENT TOWN OF SOUTHOLD RENTAL PROPERTY CERTIFICATION Form is to be completed by a license architect, licensed engineer or licensed home inspector Separate form is required for each individual Rental Dwelling Unit Professional seal required for Architect or Engineer, licensed Home Inspector must provide copy of valid current certification Rental Property SCTM Number: 1QU0 -. 02 Of — C2& Rental Property Address: L¢-"?D6 CD oWVK P.0'�J Owner/Name: 6 0 SA1\1) &IQ U" Rental Dwelling Unit Identifier: ( I " GTOP•LI" `ow e l"L W d Number&Square footage of each bedroom as depicted in the attached floor plan: (i.e. Bedroom#1-100 sq.,Bedroom#2-90 sq., etc.) (--_I?tL ( - [q-'3 <�C t,2. - 2.0 Z 6 to 12 2 15-3 Si- -1)Q - 141 'Gr t5 1Z 1(. 0 Gf-- k i - 142 5E Property Description (Include all improvements indicated on survey) -- W c 2�1 l.0�1TL� LST T120 eC 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 Conse tion onstruction Code of New York State. Print Name and Title iginal Signalure Please place professional seal: 0216"� �' �NE���l® SOUIyo� # TOWWOF SOUTHOLD,BUILDING'DEPT. �o • �o 765-1802 INSPECTION ': I ] FOUNDATION 1 ST [ ] ROUGH PLBG. e [ ] FOUNDATION 2ND [ ] INSULATION/CAULKING [ ] FRAMING /STRAPPING [ ] NAL b ( [` .] -FIREPLACE & CHIMNEY [ ` FIRE-SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION ' [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) [ ] CODE VIOLATION [ ] PRE C/O REMARK Oe L _S• Ocuv b,84 ,, t'Dl�✓ 1,� �P S DATEINSPECTOR 00 IO CLOSET CLOSET r -00- - LL BATH 1 KITCHEN DINING ROOM BR 3 @BR 1 12'x12.5' 11.3'x12.6' 12.3'x12.0' 11.0'x15.5' S 160 SFFl ° 173 SF CARPOR I 142 SF REF. 141 F 0 BATH j� U � I ° O � T - �I I DW II ' S D I EN CL. S D L _ - ::�:::r DN TO s D HALL mco BASEMENT 3.0'x23.0' - - S D S D W COVERED LIVING ROOM Co ENCLOSED DECK 14.0'x15.2' OD PORCH 203 SF BR 2 12.3'x11.9" 153 SF UP THE GRUN RESIDENCE 54305 COUNTY ROAD 48 SOUTHOLD SCTM# 1000-52-01 -06 1 ST FLOOR PLAN 33'-4" - I i FAMILY ROOM L SKYLIGHT J 12.3'x33.3' 403 SF - - - - - - - - - - - - - - - SD - - - - - - N � W o W DN SKYLIGHT I- - -1 L - L _ J THE GRUN RESIDENCE 54305 COUNTY ROAD 48 SOUTHOLD SCTM# 1000-52-01-06 2ND FLOOR PLAN ��:iY•`P. "r - .r.�t �� _" ^ .}wrX!,'. .:r. ..:+;-.r..j C+ rczs•,:,"`7i`f^¢.77 t'7:-• _P>:" .. rt--.;. - _ ? gid,..?S.•i�- 'J F. •. _ ' '•-.� r _ _ TOWN OF S.OUTHOLD PROPERTY RECO � � � � _ �. � M OWNER STREET l� VILLAGE DIST. ; SUB. LOT *Sy:SQA FORMER OWN � N E 4 - / ACR. 1 )1� ? J /9S-. Sf W , TYPE OF BUILDING - ,(� /�,• / !/ .. �/ �/�/� �..��1.,� .(/'� :' .r{3� ---j � j 7 � �..(�—�vr7..f�•.t �'^` I �/'.r^"- J.. � r G` ,r;?�;,.�~ ,-� RES.-91O VJl SEAS. VL. FARM COMM. CB. MISC. Mkt. Value LAND IMP. TOTAL DATE REMARKS - 3 o o 104-Bed; 1 ; 116 17-11 01: i' _ovex- h .� A �o' B G C ND I -ITI N NORMAL /pG QLIQ 0 FARM Acre Value Per Value `/ Acre -Tillable 1 �.�iUZ't- .q(s Tillable 2 5-x'00 G4,OO `$ v 0 3 / 1 / Tillable 3 1� Woodland Swampland FRONTAGE ON WATER Brushland FRONTAGE ON ROAD f House Plat, DEPTH d t - I i BULKHEAD I Total "-"``" i DOCK _ , :art•. y z MEN ME 1!■■■■■■■■■■■■■■■■■■■ ■■■■■■■■���■■■�s■■■■■■■■■■■■■■ mom Wr,%REMPI■■■■■■■■■■■■■■ ■■■■■■■ WIRI1■■■■■■■■■■■■■■■■■ ■■■■■■■ 01 °::�■■■■��■■■■■■■■■■ ■■■G�.I!ll�Ili7■Yi■■���1■■ Foundation Ext. Walls Fire Plac Rooms I st Floor �0�O5�ppp� Town of Southold 5/1/2021 a Gym 53095 Main Rd N Southold,New York 11971 PRE EXISTING CERTIFICATE OF OCCUPANCY . No: 41993 Date: 5/1/2021 THIS CERTIFIES that the structure(s)located at: 54305 CR 48,Greenport SCTM#: 473889 Sec/Block/Lot: 52.-1-6 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- 41993 dated 5/1/2021 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 one family dwelling.* The certificate is issued to Rogers Grun,Susan (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF BEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED *PLEASE SEE ATTACHED INSPECTION REPORT. ° A or ed Signature BUILDING DEPARTMENT TOWN OF SOUTHOLD HOUSING CODE INSPECTION REPORT LOCATION: 54305 CR 48,Greenport SUFF.CO.TAX MAP NO.: 52.4-6 SUBDMSION: NAME OF OWNER(S): Rogers Grun,Susan OCCUPANCY: ADMITTED BY: SOURCE OF REQUEST: Rogers Gran,Susan DATE: 5/1/2021 DWELLING: #STORIES: I #EXITS: 5 FOUNDATION: cement block CELLAR: fall, CRAWL SPACE: BATHROOM(S): 1 TOILET ROOM(S): UTILITY ROOM(S): PORCH TYPE: DECK TYPE: PATIO TYPE: BREEZEWAY: FIREPLACE: 1 GARAGE: DOMESTIC HOTWATER: yes TYPE HEATER: gas AIR CONDITIONING: TYPE HEAT: gas WARM AIR: forced hot air HOT WATER: #BEDROOMS: 3 #KITCHENS: 1 BASEMENT TYPE: OTHER: 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: 11/12/2019 TIME START: 2:56pm END: 3:25pm FORM NO. 4 TOWN OF SOUTHOLD I �` � d BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. rJ P CERTIFICATE OF OCCUPANCY No ........... Date ...................Octobar..22.............. 19..62. THIS CERTIFIES that the building located at .NO.*... ............ Street MapNo. ....***.......... Block No. .....y,.**......... Lot No. ... .*.**......................................................... conforms substantially to the Application for Building Permit heretofore filed in this office dated ................... DO..11............................ .. 19..R pursuant to which Building permit No .......... ..A776 dated .........Unt3 .14............................. 19....62 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 ........ RItA!1'R..( L 'RI�IILtY.. r �............................................................................. The certificate is issued to .................................... ...p t t3. '17Lt3 }t.'et...Owlne3: .,.................... (owner, le ee or tenant) of the aforesaid building �,L Building Inspector j. FORM NO. 2 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N? 1776" Z DateJtM*....14........... 19(12... Permission is hereby granted to: Jacob- •-Ada..VanDyke..................................... .........north•-Road............................................... .................$ot thold...............................I............ to .. .Bu -1- d--an••addttion••on--an•ext sting...dwe11-Ing..................................................... ................................................................................................................................................................ atpremises located at ....N/S-- fth• RCMd. ... ................................ .................I......................... ................................................ .Southold...................... ................................................................. ................:................................................................................................................................................ pursuant to application doted ..............................June......11..............19.6.2.., and approved by the Building Inspector Fee $. .5,,. ......... .. 1..� `. .. ............ ................. Building Inspector } FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-33136 Date: 07/03/08 THIS CERTIFIES that the building ADDITION Location of Property: 54305 CR 48 GREENPORT (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 52 Block 1 Lot 6 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated NOVEMBER 1, 2005 pursuant to which Building Permit No. 31906-Z dated APRIL 12, 2006 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 COVERED PORCH ADDITION TO AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR AS PER ZBA # 5824 DATED 2/2/06. The certificate is issued to SUSAN ROGERS GRUN (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. 3021311 01/08/08 PLUMBERS CERTIFICATION DATED N/A c ori d Si ature Rev. 1/81 �O�guFF04jr G� Town of Southold 3/3/2019 0 P.O.Box 1179 53095 Main Rd Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 40245 Date: 3/4/2019 THIS CERTIFIES that the building ALTERATION Location of Property: 54305 CR 48, Greenport SCTM#: 473889 Sec/Block/Lot: 52.-1-6 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 3/23/2018 pursuant to which Building Permit No. 42837 dated 7/5/2018 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: interior alterations to existing single-family dwelling as applied for. The certificate is issued to Rogers Grun,Susan of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 42837 1/14/2019 PLUMBERS CERTIFICATION DATED ut 0 ed Signature �pS�EFQ1it�oGy Town of Southold 5/1/2021 0 a P.O.Boz 1179 C2 - o • v 53095 Main Rd y"749l � Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 41992 Date: 5/1/2021 THIS CERTIFIES that the building ADDITION/ALTERATION Location of Property: 54305 CR 48,Greenport SCTM#: 473889 Sec/Block/Lot: 52.4-6 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 1/15/2020 pursuant to which Building Permit No. 44622 dated 1/27/2020 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: "as built"alterations and addition,including outdoor shower stall,to an existing_sin leg family dwelling as applied for. The certificate is issued to Rogers Grun,Susan of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. , 44622 10/29/2020 PLUMBERS CERTIFICATION DATED 4/10/2021 an Rog Grun 1/4 4. A o zed Signature