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HomeMy WebLinkAbout1000-34.-5-4 TOWN OF SOUTHOLD C* Rental Permit Permit No. 0431 Owner Michael & Nancy Colt Occupied as Single Family Dwelling Located at 90 (406)Atlantic Avenue Greenport 34-5-4 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 e E orc en Official This Notice must be posted by the main entrance at all times so Z Town Hall Annex li Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1179 Southold,NY 11971-0959e BUILDING DEPARTMENT TOWN OF SOUTHOLD RENTAL PERMIT APPLICATION. Rental Permit Fee$200 (Application must be renewed every two years) Section A. Property Information: Rental Property Address: C - i 6d hG'.�7� /�� 119 q S'O D Tax Map Number: 1000 SECTION 3k4 0 O BLOCK LOT SECTION B. OWNER INFORMATION: Property Owner Name: ../ . t1 ( i Property Owner Legal Address: Property Owner Mailing Address: (Cannot be the same as Rental Property Address) Grp 1�= I r �� _� , �,� �T - A) p Telephone Number (s): . X1(7 59'7 Sv 1 Property Owner Email Address: 00 C� &1 f- Yq�Il o' �i3 �t?�fS YD Tale�6017 aD o �ayba-1 Page 1 of 4 Section C. Authorized Agent Information: Name of Authorized Agent of dwelling unit, if any: mowsep-n C--�©'n`ux,e-z- Address of Authorized Agent (no P.O. Boxes):_ 114 M Gl t,flMailing Address Address of Authorized Agent: . Telephone Number (s): 5I Lo — Email Address: `v `0u�.sl��,an Section D. Managing Agent Information: Name of Authorized Agent of dwelling unit, if any:. Address ofAuthorized Agent (no P.O. Boxes): . _ Mailing Address of Authorized Agent: . Telephone Number (s): 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): _ Mailing Address of Managing Agent: Telephone Number (s): _ Email Address: . Page 2 of 4 ❑ 1 am submitting a completed Town of Southold certification form from a licensed architect, a licensed professional engineer, or a licensed home inspector who has a valid New York State Uniform Fire Prevention Building code Certification. SECTION H. DECLARATION: Signature must be notarized and MUST be the owner of the dwelling unit. 0 STATE OF NEW YORK) COUNTY OF SUFFOLK) certify under penalty of perjury, the following: 1. I 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 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 s to any change to the information regarding Authorized Agent, Managing Agent, or Site Manager. Property Owner's Name: U C (D or Property Owner's Signature::. 4 Sworn to before me this—d9y of 120-19 \\0 EDp'y'���,,� Q NO.01GU6078731';7' a QUALIFIED IN 7 = 0 ficial Notary Public Sign and couNTY D iginal hot Stamp _ Nassau; ' COMM. EXP. 08-0572021 Page 4 of 4pUBLIG••• OFIN SECTION F. PROPERTY DESCRIPTION: Number of Rental Dwelling Units on property: F 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 allowed occupy Dwelling Unit: 6 Number of rooms in Rental Dwelling Unit: I ,/Use and Dimensions of each room in Rental Dwelling _�-- Unit: :t J e1w r Q� k (Z� ofka : I Z�x l l ` �' ` c�e..,n...,. /�,�C" k.( Zi �r✓✓t, i2w (3G A �.«GWNI�c.'r1'/ > , �I X S'; ( , ! /��J�r�un1 ( l�, (rr�(y . Z �� y �U i (( ( /l/���y()l�`^ 3 (i �I�' /`(�I� //L�� 2 c%J j�,r/' 1 I SECTION G. INSPECTION: Pursuant to the Town Code of the Town of S,puthold 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 NYS licensed architect, a NYS 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. CY I am requesting a fire safety inspection to be performed by a Code Enforcement Official from the Town of Southold. Page 3 of 4 l0 o*qo A%x- ('rz 3`f o SOUIh°lo ' # TOWN OF SOUTHOLD BUILDING DEPT. "gum, 765-1802 INS.PECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] "INSULATION [ ] FRAMING /STRAPPING [ ] INALp� [ ] FIREPLACE & CHIMNEY [ FIRE SAFETY INSPECTION. [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ]/91LECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) [ CODE VIOLATION [ ] CAULKING R MARKS: coY 01i V- 01 Of S Avy0s'"'Aft-7. Jo yx DATE INSPECTOR f Flt(,• VIM4 t F i'. •- r 1 .µ. f.AR vIL•w, 1, . . � •- �'- j''�!�� moi- • . �,.i. ;� ..... ,. t - :3�: n --• - -i '"! ' say A'L-R� ' I �.fir-.. ,�. - � ��-,--__r_______ i � ►-- 1 , err--- : 1 }•e: r �: v �`NT�o.- .Qyy v m..crinxw., •r_ - X' - �ar_ _'.l .. ,, ' a +•yh i kr V rS{���ti ��%1 �'.. ` wiuc.oc it 11 � ~a I� } ti.:�� '�••..•��_ �f� I�:f~� — �� ■� R�11GR.nrYl lir i, r Try •t. � I .` -+ nNsa:H:.z:�r.,.r •r Rm rmlmrncl •w 'f ' -••••�'.• I 1 r�i..vr. ryayrypy l.4 ir:.nr M1nut fo Cc:.en.rlha n'AS-L—. `` ��_- I :.,"..✓u..+w .;. 1} '. I:f �� •® f FWD C.R.—t.NYS rrw*yn♦�+•.rw✓sw_ laoY �rr�wu.l�.off__ Ij r 1- �';�1 1 �,♦„�.� •h.11 rtovweo Ilr�on r.II ..�.,or r o wSrt___. w•Ta'-_.-. � ��jf � -I' _ Cunrc.re.or(1u.M rev aw h r:i.(( eiiw �) I� IR•Z flu'✓-rt.Vl I i.5�'?,.•lr n •1 ; • �"•R N .. I 11 :i•n• I•"GS"7✓'J.:" Y i' -T F R C� FFF ��fLL ..A�t .•, i ,�) ___•••••�=•L.N""__ •; fC'� 'I .,l • Ii 21l MRIORNo IaIRF CAW. ZA'iRORilil l(�CJ-('.'�I ifO My.'y— r r ` v.�.•, -- R rAC11AEL NOTARO OCCUPANCYOR 1'^d•� USEISU ♦�a.._r�--+ WITHOUT CMIFIC AiEi OF OCCUPANCY �� _...... .... .y .. . :'�•:1�.._r C�iY:':C[.;�fa�..._ .._...._..._.. _ - � cavo-... v+.rrT 1 1�ta�e' i q �: r , ,.� p :w. TOWN OF SOUTHOLD PROPERTY �.REwRv � ��R , D i�.� OWNER -- _- —_—STREET VILLAGE DIST SUB. LOT - F0RN� EP OWNER; E ACR: r , S W TYPE OF BUILDING Y RES, / SEAS. IVL. FARM COMM. CB. M(SC. Mkt. Value LAND I IMP, TOTAL I DATE REMARKS r - - r r; _ r n Z. ._.-�---� _•---�--�_-___-_ fit_ _. _ ,GE - BIJ i .,G CONDITION �✓ r NEWS NE7 ; FARM Acre �j Value Per Vnlue ` r I Ac re 1 L'� �k Tillable 1 Tillable 2 Tillable 3 Woodland Swampland j FRONTAGE ON NMATER Brushland —� � FRONTAGE ON ROAD __� -------�-- House Plot DEPTH BULKHEAD Tctal DOCK vi r llaw t _ I a I s -- 34.-5-4 11/10 Foundation �. Bath f` ;Dinette JW k Extension ' Basement Floors -- - _ - Interior Finish ' L R, Extension ;t Ext. WallsY. -- --- -- r Heat , I f , �i s �,9 Dh. ' Fire Place Extension = - — - ype,Roof Rooms 1st Floor --- BR. - -- - Porch Recreation Rcom JRooms 2nd, Floo Dormer � Porch � �>�,_�-, E `; _---� D;r:'vew Breezeway Garage Patio O. B. Total � 4 FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Clerk's Office Southold, N. Y. Certificate Of Occupancy No. . .27726. . Date . . . June. 20. . . . . ., 1977. THIS CERTIFIES that the building located at . . .Atlantic—Ave. . ... . . . . . . .. Street Map No. Block No. .xx. . . . .. .Lot No. . . . . .Qrepanport. . . . N.Y. conforms substantially to that-;;@@ built r, is to occupancy dated . . . . .before. Axin .2�. ., 19.57. pursuant to which. fN77 26. . . dated . . . . . . . . . . .4-=e. .20. . . ., 19.77., was issued, and conforms to all of the require- ments of the applicable provisions of the law. The occupancy for which this certificate is issued is X�rivate. nne. family. .dwell.ixiF . - . . . . . _ . ... , , . The certificate is issued to .Stamey. ZeYitS. . . .to. . .vim,;oAt,& B�tr�t ,C��p.9 (owner, lessee or tenant) of the aforesaid building. Suffolk County Department of Health Approval pre-exi.sti.ng. . . . . . . . :. . . ... . .. . . .. . UNDERWRITERS CERTIFICATE No. .P:PP7existin9. . . . . . . . . . . . . . , ., HOUSE NUMBER . . . . . . . . .g0. . . Street .4tI.Inti,c ..eve.. . . . . Greenport.. : . .. .. . . . . . . . . . . . . . . .{. c.heclr. pQst. Q:Ui-cet .for. maid..delivery.T.waber.) . . . . .. , . Building Inspector i I 5 1' HOUSING CODE INSPECTION June 17, 1977 90 Atlantic Avenue R-1 Greenport, N.Y. Tax Roll: Stanley Zevits Unoccupied, new owner-Vincent and Barbara Claps Upon receipt of an application for a Pre-Existing Certificate of Occupancy; I made an inspection of this two-story wood framed dwelling. Accompanied by Edward Helinski, I began this inspection 4 at approximately 11:10 A.M. First floor has a kitchen, living room, dining room, rear entry vestibule and a full bathroom off vestibule in process of s renovation. Second floor has three bedrooms and a full bathroom. Heat is furnished to all rooms from an oil-fired hot water furnace f located in full cellar of building's red brick foundation. A roofed over porch protects front entry to living room. A raised poured concrete patio is at rear of building. Concrete slab was poured over corrigated decking supported by steel. Foundation of raiseds, is cement block that provides additional cellar area. pa,Tr6 The following violations of the Housing Code,, Chapter 52, Town of Southold, New York, were found: j Fuel_ Oil_-Taiak - located in cellar of building, filler and f vent pipe terminates within building, Article V, Section j 52-59 B 2. f E Electric_ Junction Boxes - two on first floor joist in cellar near furnace, "Article V; Section 52--56 A 1. jSewa; e: System - waste line from second floor bathroom runs d _reaty ;o cesspool through foundation wall of building. Sewage system at rear of cellar for plumbing fixtures on first floor requires house trap and fresh air vent, Article V, Section 52-51 C 1. Raised__Patio. _- over eighteen inches high, no railing on south -side. Inspection completed at approximately 11:30 A.M. pect£u Xy submitted, : Edward Hindermann Building Inspector EH:med o �� FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY I. No: Z-26382 Date; 04/19/99 THIS CERTIFIES that the building ADDITIONS..&.ALTERATIONS— Location of Property 9:0: A/K/A - ,406_ATLANTIC_AVE.1. GREENPORT (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889• Section 34 Block 5 Lot 4 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated MARCH 30,;-._1999.. pursuant to which Building Permit No. 25665-Z dated APRIL_ 5,;.: 1999. �r was issued, and conforms to all of the requirements of the applicable r provisions of the law. The occupancy for which this certificate is issued is ADDITIONS &_ALTERATIONS_"AS BUILT" FOR AN EXISTING ONE FAMILY DWELLING AS_.APPLIED_FOR.*_._ The certificate is issued to FRED & JOAN HUNDHAMMER _ s (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/ ELECTRICAL CERTIFICATE NO. H-063763 04/07/99 PLUMBERS CERTIFICATION DATED 03/31/99 ROBERT VAN ETTEN *AS PER CERTIFICATION BY MICHAEL HOTARO, ._ CT` DATED APRIL "1 ;. 1999. Building h � Rev. 1/81 r o�511ffat,��o Town of Southold 5/1/2021 a � P.O.Box 1179 C. 53095 Main Rd Gy�jo� �ao� Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 42002 Date: 5/1/2021 THIS CERTIFIES that the building ALTERATION Location of Property: 90(aka 406)Atlantic Ave.,Greenport SCTM#: 473889 See/Block/Lot: 34.-5-4 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 2/10/2021 pursuant to which Building Permit No. 45888 dated 3/5/2021 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"electrical for two bathrooms,kitchen, service and mini-split s sy tem(heat and air conditioning). The certificate is issued to Colt,Michael&Nancy of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 45888 4/13/2021 PLUMBERS CERTIFICATION DATED Au orized Signature