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Home My WebLink About1000-41.-1-15 a TOWN OF SOUTHOLD 3 Rental Permit 0615 Owner Ratso 25 Corp Occupied as Two Family Dwelling (Unit B Second 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 AM rtn official This Notice must be posted by the main entrance at all times P+M Town Hall Annex f�° "� Telephone(631)765-1802 54375 Main Road �& Fax(631)765-9502 P.O.Box 1179 Southold,NY 11971-0959 ,,�'� F- BUILDING DEPARTMENT . TOWN OF SOUTHOLD .. RENTAL PERMIT APPLICATION " 2 Rental Permit Fee$200(Application must be renewed every two years) Section A. Property Information: Rental Pro e t Address: Tax Map Number: 1000 SECTION 1S -BLOCK `7i/ -SOT SECTION B. OWNER INFORMATION: Owner Name: an�)J'�)- l I le Property Own Property Owner Legal Address: Property Owner Mailing Address: � ,. ( e- Telephone Number (s): Da "t n€t � ��w� Eve n1ngrYW-, Eme 4y` u . � I en -Li Property Owner Email Address: �� I- Y 70, Page 1 of 5 y , Town Hall Annex ," Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1179 Southold,NY 11971-0959 N�r BUILDING DEPARTMENT TOWN OF SOUTHOLD Section C. Authorized Agent Information: Name of Authorized Agent of dwelling unit if an : v Address of Authorized Agent (no P.O. Boxes): Mailing Address of Authorized Agent:_m__.......' Telephone _..,_..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 Qr „' -12 1 Town Hall Annex Telephone(631)765-1802 54375 Main Road �� Fax(631)76.5-9502 P.O.Box 1179 Southold,NY 11971-0959 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 Ren al Dwel�' g Unit identifier(for example, Unit 1, Unit 2, Unit 3 or Apt A, B, Q the use of eac t 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: Number of rooms in Rental Dwelling Unit: A I Use and Dimensions of each room in Rental Dwelling Unit: Page 3 of 5 Town Hall Annex �; Telephone(631)765-1802 p uJ Fax(631)765-9502 54375 Main Road P.O.Box 1179 Southold,NY 11971-09-59 Co BUILDING DEPARTMENT TOWN OF SOUTHOLD RENTAL PERMIT APPLICATION ADDENDUM Rental Dwelling Unit Identifier: Requested maximum number of persons alloweo,to occupy each dwelling uni Number of Rooms in Rental Dwelling Unit: - Use and Dimension of eac roon,� Rental Dwelling Unit Identifier: Requested maximum number of persons allowed to occupy each dwelling unit: Number of Rooms in Rental Dwelling Unit: _..w........_,. ....... ._. Use and Dimension of each room: Rental Dwelling Unit Identifier: Requested maximum number of persons allowed to occupy each dwelling unit: Number of Rooms in Rental Dwelling Unit: Use and Dimension of each room: ,e 0J, (631)765-1 R02 �° Town Hall Annex "- Telephone 54375 Main Road Fax(631)765-9502 P.O.Box 1179ro Southold,NY 11971-0959 a 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 w 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 ) SUFFOC 1 � certify under penalty of perjury,the following:a ss 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 � µ Town Hall Annex Telephone(631)765-1802 54375 Main Roadg Fax(631)765-9502 P.O.Box 1179 a� Southold,NY 11971-0959 �y UN' � Or d BUILDING DEPARTMENT TOWN OF SOUOLD 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 Owners Signature: w . Sworn to before me this LO ay of rn Q/\(' � 20 9a w Official LNotary blic Signature and Original Notary Stamp DS I ftk M' Page 5 of 5 •o� Town Hall Annex Telephone(631)765-1802 54375 Main Road �� Fax(631)765-9502 P.O.Box 1179 ' Southold,NY 11971-0959 r �e g J r�: 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 Feroessional seal required for Architect or iMn ir�eer licensed f�ome fns actor must rovide copy of valid current cervi icatfon Rental Property SCTM Number: t Rental Property ddress: I A e--,ol AM 9— ,i t " Owner/Name: ' - '. i ' Rental Dwelling Unit Identifier: 5-ro '• DON � 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: TOWN OF SOUTHOLD BUILDING , EIPT. . INSPECTION [ ] FOUNDATION 1STROUGH PL13G. [ ] FOUNDATION 2ND INSULATIOWCAULKIN FRAMING /STRAPPING FINALJW P444& [ l FIREPLACE I [V] FIRE SAFETY INSPECT CONSTRUCTIONFIRE RESISTANT i REMARKS:ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) LAI� , DATEtINSPECTOR PROFESSIONAL ENGINEER P.O.BOX 616 SOUTHOLD.NY (031)7652954 BATH t 5'x 0' { loo B® tt3 __ pC sKITxH2N ®t m >, H 0 x11` 3'x6' [' t"3 0 Z I MNG ROOM 12'x 14' OFFICiE 9'x 11' ENTRY 6'x DRAWN BY: ]F 6/5/2018 SCALE: SEE PLAN EXISTING I ST FLOOR PLAN � � O: SCALE. W=1,-0$ ) SHEET N PB PROFESSIONAL ENGINEER P.O.BOX 616 SOUTHOLD,NY (631)7655-2954 LLJI : BATH �t H 0 RFQROOM#2 � 1 00 >, 8'x11' O KITCHEN 9'x11' W El t HALL 5'x 7' O C7 LIVING ROOM 10 FICE 10'x 16' DRAWN BY: JF 6/5/2018 EXISTING 2ND. FLOOR PLAN SCALE: SEE PLAN SSE.1/4"= '-0" SHEET NO: _ TOWN OF SOUTHOLDPROPERTY RECORCI OWNR a � - _ �� _ .STREET tLLAGE D15T. �S�� LOT 4 1/7 I jf- FORMER OWNER N A T ' E . �CR S W € TYPE OF BUILDING ��RES. VL. ' FARM MICS l I GOM CB. ki. Value �- M e LAND I IMP. T ' TOTAL DATE MARKS �A zY F 2. - t -- _ I AGE _ ? BUILDING CONDITION e �� I NEW NORMAL BELOW ABOVE FARM Acre i Value Per Value Acre _ov Tillable FRONTAGE ON WATER . Woodland FRONTAGE ON ROAD Meadowland DEPTH I House Plot BULKHEAD Total DOCK c tiOLR `\ "R, . s E s }3 I 7 IM 1-7 AL 41.-1-15 10/2014 i r r i M. Bldg g i Extension [ a Af- ✓+ - F_�tenion - --- -- £ Extension a z Foundation F . =-`' ath Porch !B _ Dinette = _ Basement _ - e !Floors Porch €K E Ext. Ei Walis "Interior FinishBreezeway LR. r Fire Place i 'Heat =w _ Garage DR. Type Roof PatioBR. Rooms lir A. Recreation Room O. B. o,R oms 2nd or l — 3 m - er l nveway - ` Tata! � � _ � DD FIN B l 3 SX O �J r E Town of Southold 6/10/2022 P.O.Bog 1179 53095 Main Rd *rp '" 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.-1-15 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: to built"" 01artil dwelli� one bedroom each flow as a�1irdd ftar er I13A#7215 elated 1.2/6/2018 and#72 dated 8/15/2019. Amencleel 6 1 /20 t add SBA X7299 SE dated 8/15/2(}19. 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 Colin Rat y .. . , o zed Signature.._._.........� . CORPORATE DATA FOR RMS0 25 M. September 20, 2017 New York 413 Wiggins Street, Greenport, New York 11944 Directors: Colin D. Ratsey and Janelle C. Ratsey Officers: Presiderlt Colin D. Ratsey Vice President Janelle C. Ratsey Secretary Treasurer 1b. Capital One Bank, Greenport, New York NAM .gr of Colin D. Ratsey 51 Janelle C. Ratsey 49