HomeMy WebLinkAbout1000-33.-4-73 TORN OF SOUTHOLD
Rental Permit
VN
., 0558
Owner Kathryn Sennis
Occupied as Single Family Dwelling
Located at 995 (aka 39) Sound Rd Greenport 33.4-73
Maximum Permitted Occupancy 7
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.
11/3/2023 X 4k�
bode fo Official
This Notice must be posted by the main entrance at all times
831 785-18012
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PERG.
[ ] FOUNDATION END [ ] INSULATION/CA!
[ ] FRAMING / STRAPPING [ ] FINAL
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY IN!
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PE
[ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL
(F
[ ] CODE VIOLATION [ ] P / OVAJ[
Gc"9 10,
DATE I I [TDA�
S
t
r
Telephone(631)765-1802
Town Hall Annex
54375 Main Road ; Fax(63x1)7659502
P.O.Box 1179
I
Southold,NY 11971-0959
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
7,
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
pro essioncrl seal re aired or architect or n inset licensed hlorne ins actor nllst rrvide
co ovalid current certi cation
Rental Property SCTM Number: WD15
Rental Property A dress: ,'"" 9 UA
Owner/Name: T� se'66 I
Rental Dwelling Unit Identifier:
Number &Square footage of each bedroom as depicted in the attached floor plan:
(i.e. i1e room ill -100 sq., R dreom -90 s , etc.)
`
10
;
Property Description (Include all improvements indicated on survey)
I certifythat have done a kl sical lns ection of the subject rental dwelling unit and find that it
py
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 Conservation Construction Code of New
York State.
)� G1
Print Name and Title W; Original Signat e
. a
u497 5
Please place professional seal:
" 'ilFESS0
TOWN OF SO THOLD
Rental Permit
3
0558
Owner Dinizio/ Kathryn Sennis
Occupied as Single Family Dwelling
Located at 995 Sound Road Greenport 33.4-73
(aka:39 Sound Road)
Maximum Permitted Occupancy 7
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,
11/9/2021
ode E c e t Cr cia I
This Notice must be posted by the main entrance at all times
� m6 Tele
Town Hall Annex hone 631 765-1802
�,� P � �
54375 Main Road P x""� 31 - 52`
P.O.Box 1179 ° Im:' °. !
F
Southold,NY 11971-0959
, AUG 2021
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:
31 Sound Voadr -+mow ,t-, W ,
Tax Map Number: 1000 SECTION (333, 00 -BLOCK 01000 -LOT 0_73' - 000
SECTION B.
OWNER INFORMATION:
Property Owner Name:
Property Owner Legal Address: Property Owner Mailing Address:
' F= rsi- 'place
qI7 22µZ84S
Telephone Number(s): Daytime Evening 5e- Emergency l
Property Owner Email Address: fir' ►'xr"-k Q cwl` C-Cm
Page 1 of S
Gdr� / `.
Town Hall Annex ° Telephone(631)765-1802
54375 Main Road Fax(631)765-9502
a,,
P.O.Box 1179 "
Southold,NY 11971-0959 40 �j
BUILDING DEPARTMENT
9170OF SO&.TTHOLD
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: i ����
Address of Authorized Agent (no P.O. Boxes):_Jk
Mailing Address of Authorized Agent: Sarre.- A.'' abu&-
Telephone Number (s): Daytime Evening Sa—e- Emergency__
Email Address: N coli Q whas on rs+kids, COW
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
,a567
Town Hall Annex �I a Telephone(631)765-1802
54375 Main Road Fax(631)765-9502
P.O.Box 1179
Southold,NY 11971-0959 n ,
It
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
Mailing Address of Managing Agent:
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 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: un'�
Requested Maximum number of persons allowed to occupy Dwelling Unit: 1 -�a"°` I�lhne nbe.rs
Number of rooms in Rental Dwelling Unit: 7
Use and Dimensions of each room in Rental Dwelling Unit:
Lvi "ioornII �l rn+I rolsm Ij£1�
rov �ryL, i - ll l3
Page 3 of 5
n" rywu
�1
Telephone(631)765-1802
Town Hall Annex
54375 Main Road Fax(631)765-9502
1,6
P.O.Box 1179 'r"","
Southold,NY 11971-0959 CZ "
BUILDING DEPARTMENT
TOWN OF SOMHOLD
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.
❑ 1 am requesting a fire safety inspection to be performed by a Code Enforcement Official
from the Town of Southold
30/1 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)
C
a44
I n _)ennts 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
BUILDING DEPARTMENT
TOWN OF SO OLD
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: i�rkh n �Ghh�S
Property Owner's Signature:
Sworn to before met s�,,,,_ y of U hd ___. 20 Zt
Official Not. Put183,RrrTAWXre and Ori anal Notary Stamp
oe1�o Noblic,State of New Yb*
.OIGE624 5154
ed In SuffolkCOMMISSW uly 18,
Page 5 of 5
Town Hall Annex Telephone(631)765-1802
54375 Main Road ; Fax(631)765-9502
P.O.Box 1179 d
Southold,NY 11971-0959
BUILDING DEPARTMENT
TOWN OF SO HOLD
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
Niro essional seal re aired or architect or F sneer licensed'longe lns actor m ust ryid
coALof valid current cern cation
Rental Property SCTM Number:
Rental Property Address; 35(
Owner/Name: XW1 4 -36W44
Rental Dwelling Unit Identifier: ail?
Number&Square footage of each bedroom as depicted in the attached floor plan:
(i.e. Bedroom#1 -100 sq., Bedroom#2-90 sq., etc.
� 0' i8-7
13
Property Des rip ion (Include all improvements indicated on survey)
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 Conservation Construction Code of New
York State.
Print Name and Title Sig ature
r
Please place professional seal:
975
TOWN OF SOUTHOLD BUILDING DEPT.
ur�sc7 4802 q65
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INSULATION/CAULKING
[ ] FRAMING / STRAPPING [ ] FINAL A&,4,�j
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL)
[ ] CODE VIOLATION [ ] PRE C/O
REMARKS: 10-
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DATE IVlI"I
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RES ,� SEAS- VL_ FARM ' COMM. CB. MISC. Mkt. Value
LAND IMP, TOTAL DATE I REMARKS
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tens n ^: 2 �!��:/ �{ 7 IlExt. Walls ,t = Interior Finish c s LR.
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FORM NO.4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Town Clerk's Office
Southold, N.Y.
Certificate Of Occupancy
No z95b1. .x . . . . . . . . . Date . . Jtuae. .1.2. . . . . .. . . . . . . . . . . . , . . ., 1979.
THIS CERTIFIES that the building . • . . . « . . . . . , » - • . . . » • . . • . . . . . . . . • • • • • • M • • . . . . . . . •
Location of Property 995 . . . . . . . . . . . . . . . Sind Road. . . . . , . . . . . . Greenpo3 t,• Imie '
House No. s'tree't
County Tax Map No. 1000 Section .0'33. . . . . . . .Block . . .04 . . . . . . . . .Lot .07.3. . . . . . . . . . . . .
Subdivision . . . .XXX . . . . . . . . . . . . . . . . . . . . . . .Filed Map No. . . . . .Lot No. . �. . . . . . . .
Requirements fo'r a private One family dwellin
conforms substantially to the
builtprior to Certificate of Oceupang No.
Ama. z3. . . . . . . . . . 1957. pursuant to whi
dated . . . . . . . .June.12.,. . . . . . . . . . . 19 . 79 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 . . . . . . . . .
Private One, FamXly, .WW43,�pB . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
The certificate is issued to . A. .Stephen .S.. • Deduak . • . . • . . . . • „
(one to
of the aforesaid building.
Suffolk County Department of Health Approval . . . .NIR. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
UNDERWRITERS CERTIFICATE NO. . . . . . . . . . . .N/.R. . . . . . . . . . . . . . . . . . . . . „ . . . . . . . . . .
Building Inspector
Rev 4/79
BUILDING DEPARTMENT
TOWN OF SOUTHOLD, N. Y.
HOUSING CODE INSPECTION REPORT
Location
number street (Municipality
Subdivision Map No•
Name of Owner(s)
Occupancy
type o^w ni r-t
Admitted by: S. .l l�C/GlC Accompanied by: s—�cr
Key available Suffolk Co. Tax No.f0do-073
Source of reques 02,7 Al . -
DWELLING•
Type of construction &1=49 ' stories �a.uZ--
Foundation yZAe 11;.. cellar' _Crawl ,s acre„ „
Total rooms, " nd. Fl 1 3rd. Fl
Bathrooms) "Toilet room(s)
Porch, type Deck, type Patio, type
Breezeway Gaz age Utility room
Type Heat_ (t;<,-r `Warm Air 0/z- r-/Z� Hotwater -� -
Fireplace(s) No. Exits %tud Airconditioning
Domestic hotwater o,4!1 7/W&A225 ype heater C'
Z)
Other
ACCESSORY STRUCTURES:
Garage, type const. Storage, type const.
Swimming pool Guest, type const.
Other
VIOLATIONS: Housing Code, Chapter 52
Location Descri tion Art. Sec.
Remarks:
Inspected by: - Date of Insp.
a
Time start'0160 /y
FORM NO. 4
TOWN OF SOUTHOLDAct?.
BUILDING DEPARTMENT
TOWN CLERK'S OFFICE
SOUTHOLD, N. Y. nr
CERTIFICATE OF OCCUPANCY
No. Z...1957.............. Date .........................October.......11c, 19-64.
THIS CERTIFIES that the building located at Street
Map No. ....XXX..'........ Block No. ..... ......... Lot No. .....=.......�t e.('*nP(?.;'t4. .xrXv...............
conforms substantially to the Application for Building Permit heretofore filed in this office dated
...........................................October. •2.5 19-6a. pursuant to which Building Permit No. ....2233--Z
dated ............• .....00•t••••••••••2a••••••. 19...63, 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 ........
.--...,..Private..ona..:famlly. dwell.roil ....................... ................... ......,. ........» .............._
The certificate is issued to ......A.e...,S-tepklen..DODUck............O.Xq k'x... ...................................
(owner, lessee or tenant)
of the aforesaid building.
Building �Irfspector
FORM NO.4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold,N.Y.
Certificate Of Occupancy
No. Date . . . . . . . . .October r22
THIS CERTIFIES that the building . . . . . . .POr;Ch, PA4iti0Y1. . . . . . . . . . .. . . . . . . ,
Location of Property . . .99,5. - . . . . „ . . . . . . .Sound Rd. Greenport House
House No. Street Ham%et
County Tax Map No. 1000 Section . . . . . 3-3. . . . .Block . . . . . . . . . . .4. . .Lot . . . . .. . .
Subdivision . . . . . . . . . . . ... . . . . . . . . . . . . . . . . .Filed Map No. . . . . . .Lot No. . . . X . . . . . . . .
conforms substantially to the Application for Building Permit heretofore filed in this office dated
. . . . . -May. 14 . . . . . . . . . 19 8.4 pursuant to which Building Permit No. . . . .1,313,-2. . . . . . . . . .
dated . . . . . , . . .Mai .17. . . . . . , . . 19 8� ,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 . . . . . .
Porch addition to .existing dwelling. .
The certificate is issued to . . . . . . . JOAN & JAMES D Nl lO1 JR.
• i"o�wvra �;� � " r � ,
of the aforesaid building.
Suffolk County Department of Health Approval . . . . . . . . . . . . . . . . . . . . . . . , . , , . . . . . .
UNDERWRITERS CERTIFICATE NO. . . . . . . . . . . . . . . . . . . .Tk: . . . . . . . . , . . . , , . . . . .. .
Building Inspector
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-18744 Date January 29, 1990
THIS CERTIFIES that the building ACCESSORY
Location of Pfopert 995 SOUND ROAD GREENPORT NEW YORK
House No. Street Hamlet
County Tax Map No. 1000 Section 033 Block 4 Lot 73
Subdivision Filed Map No. Lot No_
conforms substantially to the Application for Building Permit heretofore
filed in this office dated APRIL 28 1988 ____pursuant to which
Building Permit No. 16990-Z dated MAY I3, 1988
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 INGROUND SWIMMING POOL WOOD DECK & FENCE AS APPLIED FOR.
The certificate is issued to JAMES & JOAN L. DINI'ZI4 JR.
(owners)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A
UNDERWRITERS CERTIFICATE NO. N-0200016 - JUNE 30 1988
PLUMBERS CERTIFICATION DATED
_NLA
"064 1A
Bua.lding Inspector
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-18758 Date FEBRUARY 2, 1990
THIS CERTIFIES that the building ADDITION & ALTERATION
Location of Property 995 SOUND ROAD GREENPORT N,Y.
House No. Street Hamlet
County Tax Map No. 1000 Section 33 Block 4 Lot 73
Subdivision Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated OCTOBER 18, 1985 _pursuant to which
Building Permit No. 14396-Z dated OCTOBER 25 1985
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 SECOND FLOOR ADDITION & ALTERATION TO EXISTING ONE FAMILY
DWELLING AS APPLIED FOR.
The certificate is issued to JAMES & JOAN DINIZIO, JR.
(owner)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N
UNDERWRITERS CERTIFICATE NO. PENDING -- JANUARY 30 1990
PLUMBERS CERTIFICATION DATED FEB. 21 1990-JAMES DINI.ZIO JR.
Building Inspector
Rev. 1/81
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