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Home My WebLink About1000-41.-1-15 (2) TOWN OF SOUTHOLD Rental Permit 0614 Owner Ratso 25 Corp Occupied as Two Family Dwelling (Unit A First Floor) Located at 1100 Wilmarth Ave. Greenport 41-1-15 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. 4/11/2022 idrerOfficial This Notice must be posted by the main entrance at all times I ) r r � � Town Hall Annex ° �° Telephone(631)765-1802 54375 Main Roads i1 Fax(631)765-9502 P.O.Box 1179 Southold,NY 11971-0959 "UNTr` m ° BUILDING DEPARTMENT TOWN OF SOUTHOLD �� f RENTAL.PERMIT APPLICATION " " Rental Permit Fee $200 (Application must be renewed every two years) Section A. Property Information: Rental Pro e t Address- ei�h,ra)r+ t 44- Tax Map Number: 1000 SECTION 91-BLOCK -LOT SECTION B. OWNER INFORMATION: Property Owner Name: Property Owner Legal Address: Property Owner Mailing Address: AJY Eme .encs Telephone Number(s): Ma ImeW Evening_ Property Owner Email Address: " p Y a Page 1 of 5 Town Hall Annex P 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: d Address of Authorized Agent(no P.O. Boxes):. Mailing Address of Authorized Agent: .. ..........._... .www 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 re al 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 p Town Hall Annex „V� �`. Telephone(631)765-1802 54375 Main Road b � Fax(631)765-9502 P.O.Box 1 179 .; Southold,NY 11971-0959 4 s BUILDING DEPARTMENT TOWN OF SOUTHOLD Mailing Address of Managing Agent: —0-- 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 Ren at Dwell" g Unit identifier (for example, Unit 1, Unit 2, Unit 3 or Apt A, B, Q the use of a c'Kroom 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." o„ .. Rental Dwelling Unit Identifier: '.ie o�A Requested Maximum number of persons allowed to occupy Dwelling Unit: Number of rooms in Rental Dwelling Unit: Use and Dimensions of each room in Rental Dwelling Unit: JJ. Page 3 of 5 Telephone(631)765-1802 Town Hall Annex 54375 Main Road Fax(631)765-9502 P.O.Box 1179N �w Southold,NY 11971-0959 p 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) Oki , I i certify under penalty of perjury,the following: 1. I 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 5 041 Town Hall AnnexTelephone(631)765-1802 54375 Main Road ` Fax(631)765-9502 P.O.Box 1179 z Southold,NY 11971-0959 1� zn- y 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 change to the information regarding Authorized Agent, Managing Agent, or Site Manager Property Owner's Name: e Property Owner's Signature: ° -° Sworn to before me this%D`rh ay of rn mac-Q om! 20 a a, Pte" p �w Official Notary blic Signature and Original Notary Stamp Y IOC Page 5 of 5 Y Town Hall Annex ,' ��`i Telephone(631)765-1802 ¢ 54375 Main Road Fax(631;$ � (f )765-9502 P.O.Box 1179 Southold,NY 11971-0959 �� s t' a 71 BUILDING DEPARTMENT TOWN OF SOUTHOLD 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 P^ro essional seal re uired for Architect or Engineer licensed rHiome Inspector must rovid copy of valid current cerci ication Rental Property SCTM Number: lo " Rental Property ddress: a Owner/Name: Rental Dwelling Unit Identifier: *" .,. 00 Number&Square footage of each bedroom as depicted in the attached floor plan: (i.e. Bedroom#1 -100 sq., Bedroom#2-90 sq., etc.) 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 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 Original Signature Please place professional seal: , 41 pG Jim 0 -65 1802ql.--l- ir INSPECTION ] FOUNDATION 1ST [ ] ROUGH PLG. ] FOUNDATION 2ND INSULATION/CAULKIN FRAMINGSTRAPPING FINAY#4� P44*11+%, FIREPLACE CHIMNEY FIRE SAFETY INSPECT VIOLATIONFIRE RESISTANT CONSTRUCTION FIRE RESISTANT PENETRATION ELECTRICAL (ROUGH) ELECTRICAL (FINAL) CODE REMARKS: w rl DATE w , tINSPECTOR �� gasea��se�t��t.Ps PROFESSIONAL ENGINEER PO.60X 616 SOUTHOLD.NY (631)765-2954 I BATH 5'xV 00 Ind K)T .HEN O 00 9'x12' Ey" �4 __ _ I XqIS W(D «® uj cl 3AI8' 'I1 F O W I IVIN ROOM 12'x 14' Oxill 9. ENIRY E x7 DRAWN BY: IF 6/5/2018 SCALE: SEE PLAN EXISTING I ST FL OO � KI A SHEET NO: A006 gase��lse�t�T/7,P� PROFESSIONAL ENGINEER P.O.BOX S18 SOUTHOLD,NY (631)765-2954 10 BATH RFDROOM#2 o I 0 L ( 8'x11' Q KITCHEN 9'x11' W ro I� I �-- 5'x�L7' x e�= OFFICE LIVING ROOM 10'x11' 10'x18' DRAWN BY: ]F 6/5/2018 EXISTING 2ND. FLOOR PLAN SCALE: SEE PLAN SCALD:1/4"=T-O" SHEET NO: Ammo4 '1 `5\k v R f �a� 3 r I 3 1 I t _ t t , E }- r ' 3 3 x t 3 t 41.-1-15 10/2014 E ; 3 " ! 7 i M. Bldg. ------ Extension L xtin ion - —' F I fi Extension _ E � 3 t (Foundation Bath �4 g Porch - Dinette - 1 Basement Porch Floors K 'Ex Breezewayt Walls Interior Finish E - Fire Place `feat DR. �- Gara e i Type Roof Patio Roomslour BR s - � — 1 B. _ . Recreation Room ooms 2nd Floor E. FIN B ' Total �nier 'Driveway i e fFtlt,� Town of Southold 6/10/2022 P.O.Boz 1179 53095 Main Rd A Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 42976 Date: 4/9/2022 THIS CERTIFIES that the building TWO FAMILY DWELLING Location of Property: 1100 Wilmarth Ave., Greenport SCTM#: 473889 Sec/Block/Lot: 41.4-15 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 11/9/2021 pursuant to which Building Permit No. 47163 dated 12/1/2021 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: wom tauilt""two f tnil dw lli t one bee roo tach floor as a,Lal d f er TBA X7215 dated 12/6/2018 and#7213 dated 8/15/2019. Arnendcl100022 to add BA 729 Sp ctetl /1512019. The certificate is issued to Ratso 25 Corp of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL C-20-0297 3/29/2022 ELECTRICAL CERTIFICATE NO. 47163 12/16/2021 PLUMBERS CERTIFICATION DATED 1/28/2022 C Olin Ra. �y . _....... . ...... _.... �� _�.� A' t 0 zed Signature CORPORATE DATA FOR BMSQ 25 GM. jr September 20, 2017 State of,lagaw-mfim, New York 413 Wiggins Street, Greenport, New York 11944 Directors: Colin D. Ratsey and Janelle C. Ratsey President Colin D. Ratsey Vi a "resi ent Janelle. C. Ratsey, Secretary Treasurer Bank ,�' gmt Capital One Bank, Greenport, New York n �eetine !ate. NAM Numb=gf ffiares Colin D. Ratsey 51 Janelle C. Ratsey 49