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HomeMy WebLinkAbout1000-52.-5-33 . TOWN OF SOUTHOLD Rental Permit 0523 Owner Jana & Gary Ott Occupied as Single Family Dwelling Located at 40 Bayview Ave Greenport 52-5-33 Maximum Permitted Occupancy 3 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. 10/30/2023 Code nfc c went d a This Notice must be posted by the main entrance at all times 1 / / H , / I i r /ia // �r TOWN OF SOUTHOLD BUILDING DI 831 -765-1842 ��- INSPEC ION [ ] FOUNDATION 1ST [ ] ROUGH PL13G. [ ] FOUNDATION 2ND [ ] INSULATION/CAt [ ] FRAMING / STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INS [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PE [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FI [ ] CODE VIOLATION [ ] PRE C/O ] I REMARKS: fit?,_w .. 1 Vii, kk"I'lC V )",p goo-" . l4o,--lL Town Hall Annex Town of Southold 54375 Main Road Rental Inspection Report PO Box 1179 Southold, NY 11971-1179 ip Tel: 631-765-1802 SCTM# 5Date Owner Phone Address 134 vle--) 14ve, Visible ........... .'Hamlet Inspector ... .................. Floor Level Quantities Sub 2 _3 Smoke Detectors (not located in bedrooms) ........... ........ ...... Carbon Monoxide Detectors Fire Extinguishers .............. Exits Bedrooms 1 2 3 4 5 6 Smoke Detectors Egress Occupant Count Building Systems Maintained & Operational Condition of Property Heating Building interior I I I Hot water Building exterior ..........---- Electrical Property clean, maintained &safe Mechanical Handrails &guards installed & secure Pool Safety Pool on Site Surface water alarm Date of CO issuance . .. .............. Door alarms Pool completely enclosed ............. Self closing/ latching gates P-991 fence to code requirements I CO's for all items present Prior Rental Comments: Ou TOWN OF SOUTHOLD Rental Permit 0523 Owner Jana & Gary Ott Occupied as Single Family Dwelling Located at 40 Bayview Avenue Greenport 52-5-33 Maximum Permitted Occupancy 2 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. 8/23/2021 ode E orc nt fficial This Notice must be posted by the main entrance at all times roe 10 Town Hall Annex = i Telephone(631)765-1802 54375 Main Road „ Fax(631)765-9502 P.O.Box 1179 ` Southold,NY 11971-0959 = BUILDING DEPARTMENT TOWN OF SOUTHOLn MAY 9 2019 �.. RENTAL PERMIT APPLICATION- Rental Permit Fee$200 (Application must be renewed every two years) Section A. Property Information: Rental Property Address: g0 640cw 111 -7 -11-- Tax 1i7 (Tax Map Number:,1000.SECTION ' BLOCK LOT J SECTION B. OWNER INFORMATION: Property Owner Name: --- -:1,40A . _OTT- ...... Property Owner Legal Address: Property Owner Mailing Address: (Cannot be the same as Rental Property Address) 2303 5 l ate Stone Ct." H C!L*TI A :, TX - -7, o �f Telephone Number (s): �g�— L/570 Property Owner Email Address: o t 1, � ar © Com CeeSri 1`, Pagel of 4 ction C. Au orized Agent Information: Name o uthorized Agent of dwelling unit, if any: Address of A'thorized Agent (no P.O. Boxes): Mailing Address Authorized Agent: Telephone Number Email Address: Section D. Managing Agent Informatio ; Name of Authorized Agent of dwellin unit, if any: Address of Authorized Agent(no P.O. Bo s): Mailing Address of Authorized Agent: , Telephone Number (s): Email Address: SECTION E. SITE MANAGER INFORMATION: (required for rental prope ies 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 • 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, 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 to occupy Dwelling Unit 7 Number of rooms in Rental Dwelling Unit: Use and Dimensions of each room in Rental Dwelling Unit: - r yd to DI��n i'1 ff'i Z ��i-on�, 9 ' �o'✓ I! I-tyra'I 111,5-, x l ���i�m l� ` 7 oC 3<g 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.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. 9""'1 am requesting a fire safety inspection to be performed by a Code Enforcement Official from the Town of Southold. Page 3 of 4 " i ' i k I 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 Certificatiori. SECTION H. DECLARATION: Signature must be notarized and MUST de the owner of the dwelling unit. STATE OF NEW YORK) COUNTY OF SUFFOLK) I. JN 0 TT : certify'under penalty'of perjury,the following: 1. I am fhe,owner of the property identified in "Section A"of this application:. 2. The property owner'slegal address set forth in "Section B" of this application is.my legal address and l 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 charges of address within five-(5y 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:_.._ Jlm.t. .0 -T 7 . .-____ Property Owner's Signature: GSR, 6�w Sworn to before me this day of_ 6_ __ _ 2019 Official N t Public Signature a d Original Notary Stamp TRACEY L. DWYER Page 4 of 4 NOTARY PUBLIC,STATE OF NEW YORK NO.01 DW6306900 QUALIFIED IN SUFFOLK COUNTY COMMISSION EXPIRES JUNE 30,2-0-6a Q SOON Town Hall Annex Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1179 - Southold,NY 31971-0959 BUILDING DEPARTMENT TOWN OF SOUTHOLD RENTAL PERMIT APPLICATION ADDENDUM Rental Dwelling Unit Identifier:_ 6Cyt1-Ie'.V—Aye. '50('A01d Requested maximum number of persons allowed to occupy each dwelling uni Number of Rooms in Rental Dwelling Unit:. Use and Dimension of each room: IAIi1C1 _ --Liv--m V-ut l W5" X.l')L' l�a:fi h L/ Y x y 1 7 _ gedrobAj q+ X 10" �� 8e&CO NA 11'rP X R Rental Dwe ' g Unit Identifier: _ Requested maxfWr number of persons allowed to occupy each dwelling unit: Number of Rooms in ental Dwelling Unit: Use and Dimension of a room: Rental Dwelling nit Identifier: Requested maximu number of persons allowed to occupy each dwelling unit: Number of Rooms in R tal Dwelling Unit:- Use and Dimension of each oom P D F'grg'Ov[E D MAY - 9 2019 BUILDING DEPARTMENT TOWN OFSOUTiffa� 'J-T` residing at 140 bayofm) Pyc _Souf ho" y Allow the Building Inspector to inspect my property as needed in my absence. (owners signature) �p "TRACEY L. DWYER NOTARY PUBLIC,STATE OF NEW YORK NO.01 DW6306900 QUALIFIED IN SUFFOLK COUNTY COMMISSION EXPIRES JUNE 30,2"QL_ L"� ��Of 50U1y� � �E��►v(/[(/ # #TV �lvl TOWN OF SOUTHOLD BUILDING DEPT. caurm 1 765-1802 INSPECTION' [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING /STRAPPING [ ] NAL ` [ ] FIREPLACE & CHIMNEY [ FIRE S FETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) [ ] CODE VIOLATION [ ] CAULKING REMARKS: -oyd Xv- - . �CW DATE INSPECTOR Io CO Mo" ''Lin I I - s . 06k r dCOV cr` ' LivIN� o __........ _.... _-..._... _ _ _. . .._._,. W .. _ _ ., _. :,��To _:�,OVSOUTHOLD:c-�PROPERTY..1_8/� U ° STREET' ,. VILLAGE. DIS'TR'ICT- C SUB." LOT ,Fri q. � � `�°'6� `� �'t,.�s+"�r� 1'd��b: .§°' �'4;�- 1r '"'�' „"•6' � � 1-� '- ,. - I {FiOR1vt ER.,C>CN IER tgrid C t d ACREAGE �� TYPE F B L I - SEAS rVl FARM COMM i IND. CB, 1 M1SC _ I i{f ^w ,r L ND I_O,mp TOTAL:; DATE REIvtA KS z•: 77 , ,{g r J ✓`—..tee' f' .rd L° r' :_.i.°,zWt '. .. ,-��`., ,• .:,�? , c ,. ` m , d 4 7 14 .�J —.-- ..._ t' x AGE, BUILDING>CONDITION d ✓ F '� �d• W 3 1 NEW:` 3NORMAL BELOW'.:: ABOVE `.......... , I - - - - - - - - Farrii' Acre V.al.ue,Per Acre Value - -- -- - — ., °� . 'Tillable' , 1.. ,; - _ . -a .:.:.:..:. " f Tilf ble " . x - - a Tillcble 3 Woodland 1, ' rj GCc Gt/�A .��j. - _............._.._......__...L._...............- - - -- -- -- _ - Swariip.land , Brushland, _ house Plot I - " , ........_..._...................................._............ ................................. . . ........._ 1' Tt �. CS 19 g w, d, N m04 4 Xa ",dr .............. . .........................l..;:-....-...:.i—.-- b Lin'd ib6 zi cit dg p5 ension 0 f I�o"d r's' Basement. -8 , -7, :inis.., t."Wo. s R h7 Extension.' , Ex '�e�10 Pi re,. ExtensionF ce ........... • P.0 c A tfi cri `R Moor ooms ............. Roo m-s,l:ii*d F 16,a,r .... ..................................... y Garage 6way c FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. CERTIFICATE OF' OCCUPANCY No. .....;,-"9—s0...... Date .... .... ..........i � '...�............... , THIS CERTIFIES that the building Iocated at .Bad.View,.���,�.`....C�,�,�����.,d....... Street MapNo. .... Block No. ..)....... ...... Lot No. ... .........,............................. conforms substantially to the Application for Building Permit heretofore filed in this office dated ...............T X19-tSt. .3.7. ... ., 7.9.5.9.. pursuant to which Building Permit No. ......... dated .............. •••• •••••. x 9 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 x3.if tr�'r ..Q La...fp"'lraily..Cil~7.4'. . . .15.C................................................................. This certificate is issued to W-11- .4a-m--T Vit„ ' owner................................................... (owner, lessee or tenant) of the aforesaid building. ........................................... Building Inspector