HomeMy WebLinkAbout1000-48.-3-45 TOWN OF SOUTHOLD
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Rental Permit
0613
Owner Anthony & Mary Dinizio
Occupied as Single Family Dwelling
Located at 800 (aka 615) Brown St. Greenport 48.-3-45
Maximum Permitted Occupancy 4
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.
4/5/2024
Code Enfkrce&nt Official
This Notice must be posted by the main entrance at all times
TOWN OF(af so
311
INSPEC-�U� 10N
[ ] FOUNDATION 1ST [ ] ROUGH PL13G.
[ ] FOUNDATION 2ND [ ] INSULATION/CAI
[ ] FRAMING / STRAPPING [ ] FINAL
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY IN!
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PE
[ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (Fl
[ ] CODE VIOLATION [ ] PRE C/O [
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. �9, ''�k 61,3 A
ATE " INSPECTOR
Town Hall Annex
Town Of Southold 54375 Main Road
b Rental Inspection Report PO Box 1179
W
� Southold, NY 11971-1179
Te1: 631-765-1802
Date
Phone
Owner ._."" ..'.R , w.. 4�w�. �� ................ ......... ....... ...... . .. . .. ". ".. " . . ...�.. .........
Address „ - Visible
Hamlet P
Floor Quantities Sub 1 2 3
.Wa ........
Smoke Detectors (not located in bedrooms)
.......,""w .. �R....�.�" ....................... �.. "en"e"�, „ .�......w . w. ..�...a........"�. .. �.m�� ........_ w_W.. ..�........�
Carbon Monoxide Detectors
u .......","���.m,w,� �� .. RR ,w.�,.. �..,.".�R"," �� _ .......� ....w...... .....w. ......... ....
Fire Extinguishers
",............. . ....... m ".". .....
....-...... ..._...
Exits
Bedrooms .1 f ...
3
4 5 6
I Smoke Detectors
Egress
gent E} Count _ ....w_. "u. ..... ..M . w ±...._ � . ..... ry .� ..... ...._._. .,,, .... �.....
Building Systems Maintained &Operational Building me Property
...g Y P p y
interior
l
Heating ........ . g. .",,_
Hot water Building exterior
� . .,.. �,,.,.a.,.",, �� ".."... a .Q... ...... ... �..
lectrical Property clean, maintained &safe
........... �. ...."„ ..,". ... . . .. �.
&guards installed &secure
Mechanical.�._,., .�._� ...�.. _.... �._.�..._� .,..�. ... ...... . ..��.��, Handrails„ �. ._..�.�..� .��.. ..... . �......_., . _..a . rv_.. .
.Pool Safety n Site
Surface water alarm Date of CO issuance
�. ..�.. �. a.,,W ..�. .... ..��w.
Door alarms Pool completely enclosed
Self closing/ latching gates Pool fence to code requirements
present Prior Rental 4 .....�. r...J
.,
re /
CO's for all items�. ......._ ._�. ...�_ ..... ..... ._. .........� �. ., ,m....�. ......... .�.._...µ ry .. ...... .... .._� ..�-uN,� � .
r ... ._..
Comments: 6.
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1
TOWN OF SOUTHOLD
} Rental Permit
42
0613
Owner Anthony & Mary Dinizio
Occupied as Single Family Dwelling
Located at 800 (aka 615) Brown St Greenport 48-3-45
Maximum Permitted Occupancy 4
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.
4/8/2022
od of rc nt official
This Notice must be posted by the main entrance at all times
� Telephone 631 765-1802
Town Hall Annex �� �� P ( )
54375 Main Road �i �i 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 yedrs)
Section A.
Property Information:
Rental Property Add& s:
ps B>tZooZoo Al
q,5Tax Map Number: 1000 SECTION -BLOCK -LOT ,
SECTION B.
OWNER INFORMATION:
Property Owner Name:
Property Owner Legal Address: Property Owner Mailing Address:
6 1 D WL 611 8ffl,0S7,
6?AZzu?a27` 9 �/Ztr�'N P v2 r by /! spy
jr-
Telephone Number (s): Daytime Evening Emergency
Property Owner Email Address: �.
—012)
Page 1 of 5
Town Hall Annex Telephone(631)765-1802
54375 Main Road Fax(631)765-9502
P.O.Box 1179 �4, � ,
Southold,NY 11971-0959
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.
❑ 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 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
9( �
Town Hall Annex i' Telephone(631)765-1802
54375 Main Roads t Fax (631)765-9502
P.O.Box 1 179
Southold,NY 11971-0959„ �N , `
00 v
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, Q 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 Un t:
Number of rooms in Rental Dwelling Unit:
Use and Dimensions of each room in Rental Dwelling Unit:
is >c 13 r,7 k
is x
Po--L - 1,7- �a
Page 3 of 5
Town Hall Annexe Telephone(631)765-1802
631
54375 Main Road �� a� �� Fax( )765-9502
P.O.Box 1179 J "
Southold,NY 11971-0959
N,
BUILDING DEPARTMENT
TD OF SOOT 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:— � " r lfoNY � - N _ l
Property Owner's Signature: A. •° 'e ., ,-Z.4�J
Sworn to before me thisi day of 20��--
Official Notary Public Signature and Original Notary Stamp
CONNIE D. BUNCH
Notary Public,State of New York
No.01BU6185050
Qualified in Suffolk County 71
Commission Expires April 14, 2__
Page 5 of 5
TOWN OF SOUTHOLD BUILDING DEPT.
� QU65
1?00
INSPECTION
1 tit re
I FOUNDATION IST ROUGH PLEIG.
FOUNDATION 2ND INSULATIOWCAUL
FRAMING / STRAPPING AL W4 Z�
FIREPLACE & CHIMNEY ZFIRE SAFETY INSPECTION
REMARKS:FIRE RESISTANT CONSTRUCTION [ FIRE RESISTANT PENETRATION
ELECTRICAL (ROUGH) [ ELECTRICAL (FINAL)
CODE VIOLATION [ PRE C/O
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(CA .
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DATE
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tea' INSPECTOR -
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TOWN OF SOUTHOLD PROPERT13//�//F tARD
OWNER _STREET VILLAGE DIST-! SUB. LOT
P 7
FORMER OWNER N E 1 ACR.
S
W TYPE OF BUILDING
RES. SEAS. VL. FARM COMM. CB. MICS. Mkt. Value
LAND IMP. TOTAL DATE REMARKS
r,4 v 75rt c
11 17 / 9 0,0
C_Z
AGE BUILDING CONDITION
NEW NORMAL BELOW ABOVE
FARM Acre Value Per Value
Acre
Tillable FRONTAGE ON WATER
Woodland FRONTAGE ON ROAD
Meadowland
1 DEPTH
House Plot BULKHEAD
DOCK
Tote
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_ COLOR TRIM Wjf
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Extension -
-
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Extension
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Extension... _ E
1
i Foundation ;Bath Dinette
Porch Basement r� '° IFloors K.
Porch Ext. Walls _ tInterior Finish I LR.
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Breezeway Fire Place Heat DR.
Gorcge
Type Raaf !Rooms 1st Floor BR.
Patio Recreation Room: Rooms 2nd Floor I FIN. B
0. B�
Dormer Driveway
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Total
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1
FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
PRE B%ISTING
CERTIFICATE OF OCCUPANCY
No Z-24015 Date NOVEMBER 3 1995
THIS CERTIFIES that the building ONE. FAMILY DWELLING
Location of Property 800 BRAWN STREET GREENPORT N.Y.
House No. Street Hamlet
County Tax Map No. 1000 Section 48 Block 3 Lot 45
Subdivision Filed Map No. Lot No.
conforms substantially to the Requirements for a One Family Dwelling built
Prior to: APRIL 9 1957 pursuant to which CERTIFICATE OF
OCCUPANCY NUMBER Z-24015 dated NOVEMBER 3, 1995
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 *
The certificate is issued to ANTHONY DINIZIO
(owner)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A
UNDERWRITERS CERTIFICATE NO. N/A
PLUMBERS CERTIFICATION DATED N/A
*PLEASE SEE ATTACHRD INSPECTION REPORT.
Z,Ouilding Inspector
Rev. 1/81
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