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HomeMy WebLinkAbout1000-53.-4-44.18 TOWN OF SOUTHOLD Rental Permit b $ Permit No. 0450 Owner James Watson Occupied as Single Family Dwelling Located at 805 August Lane Greenport 53-4-44.18 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. 6/3/2021 ` Code Enforce t Official This Notice must be posted by the main entrance at all times OF SOUP Town Hall Annex , Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1179 Southold,NY 11971-0959 't , ' r.=� �{ ,t0._-',:'`'.,;'' s' : ; ��..`{•. BUILDING DEPARTMENT TOWN OF SOUTHOLD -� APR 2 2021 RENTAL PERMIT APPLICATION Rental Permit Fee$200 (Application must be renewed every two yeprsJ_' Section A. Property Information: Rental Property Address. y G (� �Q�' v v5� Lae e �f y //1 Tax Map Number: 1000 SECTION 53 -BLOCK % -LOT SECTION B. OWNER INFORMATION::" Property Owner Name:�C4'rn-C6 00+5c:3n Property Owner Legal Address: Property Owner Mailing Address: //j yq Joy velL dost tJ . nom �� Telephone Number(s): Daytimes I X47 S! Evening S�1 r� � Emergency 54y-46 Property Owner Email Address: T4tl � dam, O r'/ ! / Lc�✓l Page 1 of 5 " o Town Hall Annex Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1179 �. Southold,NY 11971-0959 • Y� ' BUILDING DEPARTMENT TOWN OF SOLTTHOLD RENTAL PERMIT APPLICATION INSTRUCTIONS :. Rental Permit Fee $200 (Application must be renewed every two years) The items listed below are required to be submitted with the completed application. El"' Floor Plans: Floor plans of each Rental Dwelling Unit, please show location of all smoke &carbon monoxide detectors. 19"Certificates of Occupancy and Pre-Certificates of Occupancy: Certificates of occupancy or Pre-Certificates of Occupancy for each rental dwelling unit. [Certification of Code Compliance(form enclosed): Must be submitted by a license architect or engineer or license home inspector if an inspection by Town of Southold inspector is declined. E Rental Permit Fee: $200.00 opF.SO(IT,�,or � 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 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 � 0 y �s�o� ofo Town Hall Annexe Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1 179 s Y@ Southold,NY (1971-0959 j � cUou I t� BUILDING DEPARTMENT TOWN OF SOUTHOLD Mailing Address of Managing Agent: P/A Telephone Number(s): Daytime Evening Emergency Email Address: SECTION F. PROPERTY DESCRIPTION: Number of Rental Dwelling Units on property: For each Rental Dwelling Unit set forth the Rental Dwelling Unifidentifier(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: Un ry� Requested Maximum number of persons allowed to occupy Dwelling Unit: Number of rooms in Rental Dwelling Unit: �3 / l Use and Dimensions of each room in Rental Dwelling Unit: L/w� ✓� ,,•�1�9 3T x Page 3 of 5 Town Hall Annex l�t Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 CA P.O.Box 1179 G Southold,NY 11971-0959 9 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. [9/1 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 3---8AA&-5 )-ATSc;%AJ :certify under penalty of perjury,the following: 1. 1 am the owner of the property identified in "Section A"•of thisiapplicatio•n`: 2. The property owner's legal address set forth in "Section B" of'this;e Ai,cation is,:my legal address and I understand the Town will use the address for service pursuant to all Page 4 of 5 + ;, AUT Town Hall Annex Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1179 d h Southold,NY 11971-0959 OOU 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 chahge to the information regarding Authorized Agent, Managing Agent, or Site Manager. Property Owner's Name: AM5.� " / Property owner's Signature: iL Sworn to befor a this 2 day ofri 202 Official Notary Public Signature and Original Notary Stamp CAROLINE M MACARTHUR NOTARY PUBLIC-STATE OF NEW YORK No.01 MA6384635 Qualified in Suffolk County My Commission Expires 12-17-2022 Page 5 of 5 SCHEMBRI HOMES .�-�ghJOroPTm. 12 C.e^Cuee¢¢"tlPmd�6�.ltlIDRTm 516-®7i-6®®1 .].a,u„-.urcw¢-cmme�swumrv,am S 3P.3e•.1T fmue¢Cduen Pump,]DOD¢Tm. 6 Pfeurt¢Fbup.p]ODM Ta-Ida 6".6.Otoimx N..puxurie 1.o•nmr�WunumelvmWum trlo¢®vh 6 fwW.eon Nl mmmd.nmvwmaf C.Doa fmd.P.J.. 10.N16mnpdmlemc3�&anaro wd�.bW.d,mx�m'v�+p¢®Nndrnw ^ID . 11xovm.x.YLv.etl.�nrulw'ntlw.]uleP.�mQet muy otlnrfimr.y. `' IJ 11/r1.%mx.v..lmuapu.do.0 rvvug.e.eme. 7'I_•`� W� ap y a/.10v-.dr�u.I.rsmPi4^ 1 L6�2�.Ae.O nan¢meld W..Tle.l r xmm,np<,.sn.mm ATERV ___________'____ _______ _ mYl�lue.ewlwR.n I y Nwmum le¢len � I'I I I I R Vinyl ud.¢gyn.n mW I � �nrOpe°mM4MNI. v�i•me1xn<,ma x dvd AR iD_ __rlr___________________________I a..sDr,6�ID^ocwu,z..ln«¢d JmJJ.z.lru.¢ ' aPceum _ _ IN^gr.mn xmN Ai i i ' mrle Pm¢eoue Pu r _______ %r Mn�xvnve�m ➢ •� � ' LL Nlnn¢nrmtluW mewM1 mnn Waa.oinplYrW�e.0 nqu��mmm. ID`I IDvEPri Mo el.m � I 1V .V JT 56 OS' LI' I N��m�lluWl nmmv+Il.mwv�wNlnng.rta and P.vie¢munum.d+Pnp g _ _ _ _ _ _ _ -� � F P.ImDm Wlmuuil.�a. ➢YPLPfA_' _� Ty TPu._ Da eu,am t I = W } @gI Ig =O v AV6�0f�- r wasfDmmanWlre¢n¢m I _ LLre wm° °m+m Pim im own. ' LLm�N S Pmvde ..rrvmm.0 wn.mp¢N.YS GJe , I�� 1 I D b p Q . m 1eH.m�mwlm.rw h.Av wmm.tl�oedmvma.. C V3 1'm9u_ LL L - 'I - 1 Mal nd aaJ pumuvdl.mtr Ou�¢fumm.bu r»wMo..mnl�mn&'Je wx.mnmwmA �..i .uw I�' I •. ----------------- G�mvuuh M.Yon A¢Y+e.MC..w.Gnwmm Gae.rmf Onlq i u�yoe. I ;i r6 PrM'y upaw.fmwrmn - w�mr al I i D- my yr D rJ¢. _ _ ________________! a I> -eV--e- ----------------------- y en _ i�=�y . ullirvec rlla vroulw°FOem emu �y `E�EI Jeu lz //� 9 I n .Pnlc.m MPMEmdenw ro�n.�..am¢�mm.nneu is \ 0171- >JPe ee.mumuemu 9 NI.,¢...,nal¢n.y.nmm¢.I..wm.m'm.nl nym¢�nnr 1e1u1 cc.eue.me. _ N I o MOaun.mm�m�umaginm�win ol3et.J1 munm�nrmYl,n.lmlr.kl.c.wemx,.aw;¢IP¢n'anm m wm a<w. n' rr cr rr rr - d.n..¢ mnr�.mQ Jsv sr zzr °m n. 5 g� 111 as FOUNDATION PLAN .6 o � PACE: 3of5 SCHEMSRI HOMES aye-asa-aea+l 9 F Ye• ff iE' nV ]SV p ev n• n• m• vc •v ,m• i m -moi c 'm � ~ ia C �DeNONnc Oon F,POR-_ SS it I e ' ri �• � ® ® - °oemiRo � - ®-® - X .0 �,a w _ ___ �.___ __ rr •av m- it cv � mu' al W�RJb�uRxw°EwEPuc r i0=N ix SIN PER co C! � � Y•� Y•' �j 7LAR GARAGE yo NY ram AwB DOOwG PER fA ` � 4 9�q,Ir v9 & of OWE we 1aa°F�bg' Y` �� MAsiE�x eEORdon � � � I• k •` a � e6 xu:. r 'm•i ..°.. mei 'p� j � t .x.•�»En °°�g�a P°acW a ��\ 4 I L— ��,�, :G °�� J6t/tEi LB.RLFAnE II (Wye)N fn• EV 1Y 77' ap tff _' I le' T >S �� m o m k mV U K �O FIRST FLOOR PLAN �j rc LIVING AREA=1190 GARAGE AREA-465 5Q,FT. PORCH AREA-256 SQ.FT. °°c z ' • aJ � 3 9 PAGE: 4of5 SCHEMBRI HOMES ate-oiu-aoet �ff ?r ye• Yr RT 9ff av n• e. n• m• ov .v iaT w k Ye UT= �I eT ' iA n J °T .• k Rel.o - Emamuffm ` ev rr T YrLL 1. )I'rN k 1 ff YI,IG. cn• aw• LLx 2LAR GARAGE O• y2 � Jai p� In c - --amu-- ---- P11MMAPLYIN RAmoSUARAnO"M rr.• �� r \ LLEAE SDUNDINGCDDL n -I mzN ON IT z i0. RhUe. ivv a i5 $ e'r F PROVIDE OPENINGS FORD n ° ELERGERCYEMS AS b•\ m �REDUIREO ST PARL740F nrcu iPuc[e --- Y.SEAR OOLDIDGCODE;: 0 us o .w ev rr m• .w rT rc rr 1N• > $ G• xv i /!!i 2— Q a S FIRST FLOOR PLAN 36 7 LIVING AREA=1190 SQ.FT. K E{ 0� 3 GARAGE AREA•465 SQ.F PORCH AREA-256 SQ.F t FAGS: 4of5 5=ti' rtM' QC tYV ri' S1? SV f9' eY Yf a'm' PRBPIYF DPkpINGSrO! [YFRGFNCY CAPf qS �, 711 Pg rBY PAR0F I.YPBIRFO P Y.SIg1E BNIFBIMP CO _ J'_ _ __________ _ � e0'PLPtmX 1. eo P4iE X4i. 9 Y om�e Y Y Y T r r >• Y oY.� e��.� .Y.' m�.• n.aud} a{i ten W M NNNNISHED) PLUMBING RISER DIAGRAM INT91 O �C14. C1C. �, .em '°meq, taPLAte y Y O � � � I I � II LLIL= II ewn nn xime a X 3 s PLT ROW Y�e LL q . f 1LL u_ LL TOP ePMAiE - N 6m9 SN (�� ���m yy,G V e�D G SECOND FLOOR PLAN LIVING AREA=620 50.FT, MiER5Ect1aN RA 9MiERCOMlECT-EF Cop! ERRET T.WMER,PE m� BCTONm �m 90 OFbLRooR Q icP OE c56MG — 11 imcO GpNx. VY nM `tFco[0x11 N m fo'oXl .i RAS° ri "ffir rt•Pi PORcxPoei _ r o 1 POWDER MASTER BATH MASTPR BEDROOM PDRDH at ~ a RDOM ¢°a `te`�tt z TCPmu un PA cim RaR.PEY cone ¢� q LOPnwwc m+tW A 4m VI•mtEEL COL 6c� Y '� }� CELLAE ccA j O e4 mFAL U m�RPPFmmL�meR.PB SCHEMBRI HOMES roP we Mn - ate-eze-saes PAGE: 5of5 SECTION A-A - TOWN,OP SOUTHOLD PFi`OPERTY RE.CO.RD CA : WNER , STREET ( VI.LLAG.E .;DIST:. - SUB: LOT • . t �` ., •— j �'� -ACR: •REM$ARKS p_ P t' F'Jd + �`' 4 q�:-"" F; t L- '.�'"'S• 7��f .,f'g ��f Yn ,de 4 '`� /I hilt i. �' >•FX '—.f�«✓%%. !'f•r;.''�' ( <!..+. . 'i..J '. •�<<^ ` TYPE OF BLD. ' w PRO.P.'CLAS , _ ks LAND IMP. TOTAL Di4TE>.` ro amu,. S .r > t 'fJr' �ts AzIll IJ ILL X111 : + -: ��tr� c-a - a;- i 99 loo on. � tl :v`7Czw :. co_: �. ' --_- _ FRONTAGE ON.WATER -' - ; _- TILLABLE_ j FRONTAOE ON ROAD WOODLAND, DEPTH MEADOWLAND , ,BULKHEAD HOUSE/.L'OT � 2t TOTAL y '�"4•'•.t{)S�II ��R'v * t is s nnnn MORMENI W1102UMMEN • • �.,� r:.��; � ° •.;�`�' ■nnnnnnfii�nnrAnnnn�nnn ■nnn^n�'nnn�ninnnnnnnn _. inn�'rn�a�c�nnnnnMEN y T4 � :� nnnnnn nnnnln �n�lnn� i � nnnnlRnnElnnnnnn�lnnnn ��- .,,fie+ - �� x� x �Yx L!'-. p s M z* -"Y r m• yid t"1"• '."r £ Y ■nnnln ■ nnnn��n nnnn d'' ��k� � nnnnlnn nn ink NONE � nnnn�n ----99n - n nnnnn ■n ■®n MEMMM n nnnn OMENS nnnnnnnnn nnn Fire Place Heat WoodstoVe I Dormer Rooms 1st Floor I I Driveway .00 C) TOWN OF SOUTHOLD PROPERTY RECORD CARD OWNER STREET b 5VILLAGE ST. SUB. LOT ( (J-fe- ol (A Lo 0-rec"pin on 6 10— ��J ' u st -L-CeLL 4A � a ACR- REMARKS e# 7 -9_7Z 7//q 19R- -0 ?�a co�) oZl P Ael V TYPE OF BLD. )(I qC)yyVS 2- 104�-- 1.1q71 Ary- _5 0S d-5 7d �SCAomiwl PROP. CLASS,, -e7anserral (z co �o[I — ,<,ZAe,4 � iqrozz t2 LAND IMP. TQTAL DATE q r' ole(l$ 3c C) c)C-) 0 C) \j Inn t�o o k F\l -7 acs Sod 2- /Z 2- kSoo -q of o© ('0400 tjj.%z( qq FRONTAGE ON WATER TILLABLE FRONTAGE ON ROAD WOODLAND DEPTH MEADOWLAND BULKHEAD HOUSE/LOT TOTAL t4-7 r )n+e} MOM MEMS■■■■■■■■MEMO■■■■ ■■■■OMNI!!■■■■■■■■■■■■ ■■■EM ME■■■MEMEN■■■■ ■E■■IMMONE ■EW&C IE■E■ ■■E■IMM■MEM■N■O■ IE■■■ ■M■■IEERVEN■RMIMEMOMPENCENNOMINNE rE■■■ mom Rooms Floor�� FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: 2-26279 Date: 02/11/99 THIS CERTIFIES that the building NEW DWELLING Location of Property: 805 AUGUST LA GREENPORT (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 53 Block 4 Lot 44.18 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed' in this office dated MAY 29, 1998 pursuant to which Building Permit No. 25032-Z dated JULY 14, 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 TWO CAR GARAGE & FRONT PORCH AS APPLIED FOR. The certificate is issued to POSILLICO CONSTRUCTIN CO. (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL R-10-98-0084 02/05/99 ELECTRICAL CERTIFICATE NO. 24981 01/28/99 PLUMBERS CERTIFICATION DATED 02/02/99 WARREN KEANE Buil:afig InspectGr Rev. 1/81 FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-33151 Date: 07/14/08 THIS CERTIFIES that the building ADDITION Location of Property: 805 AUGUST LA GREENPORT (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 53 Block 4 Lot 44.18 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated APRIL 13, 2006 pursuant to which Building Permit No. 32055-Z dated MAY 25, 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 DECK ADDITION TO AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to JULIETTE BEAUSOLEIL (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A t oriz96 Signature Rev. 1/81