HomeMy WebLinkAbout1000-48.-1-41 TOWN OF SOUTHOLD
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Rental Permit
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Owner Jonathan & Mary Joyce
Occupied as Single Family Dwelling
Located at 450 (431)Seventh St. Greenport 48-1-41
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.
2/7/2022
/2022
r�rr� .rnt ficial
This Notice must be posted by the main entrance at all times ode afor
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
RENTAL PERMIT APPLICATION
Rental permit Fee$200 (Application must be renewed every two years)
Section A.
Property Information:
CP�VA
Rental Property Address.Lai
-�� � � 1 nJY I tqyy
Tax Map Number: 1000 SECTION -BLOCK -LOT _
SECTION B.
OWNER INFORMATION:
Property Owner Name: � �"� �
Property Owner Legal Address: Property Owner Mailing Address:
Ciao\ (6)*%' fwe Soy (s g+-- osi-e'
Telephone Number (s): Daytime `1 -m-gsi5 Evening Emergency
Property Owner Email Address:
Page 1 of 5
1 �
Town Hail Annex Telephone(631)765-1802
54375 Main Road Fax(631)765-9502
P.O.Box 1 179
Southold,NY 11971-0959
BUILDING DEPARTMENT
TOWN OF SOIJTHOLD
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."
i
Rental Dwelling Unit Identifier: �.
Requested Maximum number of persons allowed to occupy Dwelling Uritj
Number of rooms in Rental Dwelling Unit:
Use and Dimensions of each room in Rental Dwelling Unit:
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Page 3 of 5
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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 SOU OLD
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.
0 I am requesting a fire safety inspection to be performed by a Code Enforcement Official
from the Town of Southold
I 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 -7�011C%MIVAA 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:
Property Owner's Signature:
Sworn to before me this day of � rG� 20 n,-
Official Notary Rul li ignature and Original Notary Stamp
s C.cenono
Of NY
01
QudWted In Queens County
Commission Expires October 21,20jq3
Page 5 of 5
NA,
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'f7 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
Rroesional seal resulted `or rchltect or naineer licensed dome Inspector must provide
col ovalid current certicaion
Rental Property SCTM Number:
Rental Property Address:
Owner/Name:
Rental Dwelling Unit Identifier:
Number&Square footage of each bedroom as depicted in the attached floor plan:
(i.e. Bedroom#1 -100 sq., Bedroom#2 90 sq etc.)
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Property Description (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 PI tubing Code of New York State,
the Fuel Gas Code of New York State, and the Energy Conserv ion Construction Code of New
Yor State.
AR
Print Name and Ti le fig. i
Z ' .
Please place professional seal: 02
LA bje*4, SN-- el re"04t
X
TOWN OF SOUTHOLD 13UILDING DEPT.
765-1802
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[ ]
FOUNDATION 2ND [ ] ISLTIO CAULKING
[ ]
FRAMING I STRAPPING [ ] NAL
[ ]
FIREPLACE CHIMNEY [ FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL)
[ ]
CODE VIOLATION ( ] PRE CIO
DATEa � INSPECTOR
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PO Box 57,Greenport,NY 11944
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LAND IMP. TOTAL CRATE REMARKS
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FORM NO.d
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
Certificate Of Occupancy
No. 2109,72 , . . . . Date . . . . . . . . . May. 3 . . .. . . . . . . . . . . . .. I9U.
THIS CERTIFIES that the building,. .440 ktAQ0.j. a40. Pgol., . , . . . , , . . , # . . . .. . _ .
Location of Property4 . . , .Seventh Street . . . . # .. . d Greenport
House tela. t . .Hamlet
County Tax Map No. 1000 Section .04$. . . . . . . .Block . .01. , , , , , . , , . .Lot , , , 04.1
Subdivision . . .X. . . . . . . . . . . . . . . . . . . . . . . . . . .Filed Map No. .x .Lot No. % .
Requirements for a private one-family dwelling built prior
conforms substantially to the 0f'PlZ'C-tBtm
Certificate of Occupancy
to. .APr13.. .23. . . . . . . . . 1957 .pursuant to which A4ingPe rh No. . . . .4199.7.Z . . . . . . . . . .
dated . . . aY. 3,
- • • • • • . ., . , . . . . . . . 19 2q?,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 .a. . .. . . .
Pr.ivatp. .0nv:4.4m�3.Y. .dwellin with addition and a swimming pool ;and a
detached garage (one-car) .
The certificate is issued to . . . . Marion V. Martocchia
. . . . . . . . . . . . . . .. . . . . . . . .
of the aforesaid building.
Suffolk County Department of Health Approval . , .P/A . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . .
UNDERWRITERS CERTIFICATE NO. . .H39?.047. (for. swimming.po;oi). . . . . . . . . .
*This Certificate of Occupancy includes building permit #2073 Z
issued 5/27/63 for an addition to an existing dwelling, and
building permit #9462 Z issued 9/21/77 for a private swimming
pool with fence, accessory & patio.
Building2p/zt-r
Rev.1/81
BUILDING DF-oATMNfTY.
TOVIN OF SOUT OLD, .
HOUSING CODE INSPECTION REPORT
Greenport
Location t .
iuiciplity
(number street
Map No. x Lot(s),_x
Subdivisions
Name of Owner(s) Marion V. artocchia
o n
occupancy -�type towner-tenaslt
Admitted by: Mrs. mar toccha Accompanied by: same
Key available Suffolk Co. Tax No.1000-48-1-41
Source of request Frederick . Tedeschi Date Hov. 6, 1981
DWELLING' 2
#stories
Type of construction wood. framed
Foundation brick _ Cellar fuii` Crawl space
Total roams, 1st. Fl 2nd. Fl 33rd. Fl
__-
Bathroc,m(s) 1 Toilet room s)
Porch, type A� ; -Deck, type Patio, type
tiara e Utility room
Breezeway..- g
Type HeatHatwater X
_ >> f,r e
Fireplace(s) No. Exits 2 Airconditioning
Domestic hotwater U le heater oil fired
Other
ACCESSORY STRUCTURES:
Garage, type const. mood--orae carStorage, type const.
Swimming pool has no C•0 -_ Guest, type const.
Other
VIOLATIONS: Housing Code, Chapter 52
Location - Description _ Art. Sec.
cel r n rail. ce�.1r ste s
ll 52-27-B
Remarks:
Inspected by: ' Date of Insp.� 12/4/81
Time start 11 =19 end 11 _30
Curtis W. Horton
FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN CLERK'S OFFICE
SOUTHOLD, N. Y.
CERTIFICATE OF OCCUPANCY
No. . ...10.9A............ bate ........ ........ .Septembox 1 .. .. .. 19 63...
THIS CERTIFIES that the building located ot'. ..Streeta...0���,�pp��,,...��.y�....... Street
Map No. ..................... Block No. .................. Lot No. ............*A..................................................
.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
...,...May..V........ .......... .. 19.161. pursuant to which Building Permit No. A..;?.073
dated ....................P'intV..27...................... 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 ........
................................... ' ..... ,....A....... .,.. 4. A......... . ..............................................................
The certificate is issued to .......A3.1aeT.G..,1tOChh ,....o1�eRx'............................................>.,
(owner, lessee or tenant)
of the aforesaid building.
.;...... .... t ............... ...........
Building lrnspe for
F FORM NO.4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
Certificate Of Occupancy
No. .Z110.973. . . Date . . . . . . May. S. . . . . . . . . . . . . . . . . . 19 82
THIS CERTIFIES that the building . .poal.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Location of Property . . . . . . . . . . . . . . . .40y�,nt;h. Street . . . . —Greenport—
. . . . . . . . . .
Ho 'c.Serest amlet
County Tax.Map No. 1000 Section . .Q48. . . .. . .Block . A i . . . . . . . . . . .Lot . . .04 a. . . . . . . . .. .
Subdivision . . . . .8. . . . . . . . . . . . . . . . . . . . . . . . .Filed Map No. A . . . . . .Lot No. . . X. . . . . . . . . .
conforms substantially to they Application for Building Permit heretofore filed in,this office dated
.Sept<embax: .21. . . . . . , 19 .77 pursuant to which Building Permit No. —9446,2 -Z. . . . . . . . . . . .
dated . . . SepOmbe.r, . .l. . . . . . , . . . . 19 .7.' ,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 . . . . . . . . .
. . A. .�W In3�1�O�;. l�QC1�. U1�.�t1, pMCB... . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . > . . .. . . .
The certificate is issued to . . .MAA9n, V. M-Ar t995:
of the aforesaid building.
Suffolk County Department of Health Approval . . . .n/,r . . . . . . . . . . . . . . . . . . .. . . . . . . . .. . . .. .
UNDERWRITERS CERTIFICATE NO. . . . . . . N.39204.7. . . . . . . . . . < . . . . . . . . . . . .. . . . . . . . . . . .
Building inspector
Rev.1/81