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Home My WebLink About1000-48.-2-29 TOWN OF SOUTHOLD Rental Permit a 0200 Owner Chanet Tisdel Occupied as Single Family Dwelling Located at 905 Ninth St Greenport 48.-2-29 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. 5/10/2024 c )2ntOfficial This Notice must be posted by the main entrance at all times rVAL DEPT. 1 -1 8 " SPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION/CAULKING [ ] FRAMING /STRAPPING [ ] AL [ ] FIREPLACE & CHIMNEY [V FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FI ) [ ] CODE VIOLATION [ ] PRE C/O [ RENTAL REMARKS: OVAA DATE - INSPECTOR �� A OWN OF SOUTHOLD F Rental Permit g t� 0200 Owner Chanet Tisdel Occupied as Single Family Dwelling Located at 905 Ninth Street Greenport 48-2-29 Maximum Permitted Occupancy 6 Is in cor-ipliance 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. 5/2/2022 r e o��al This Notice must be posted by the main entrance at all times ode E tit, Town Hall Annex Telephone(631)765-1802 54375 Main Road gk Fax(631)765-9502 P.O.Box 1179 a ` Southold,NY 11971-0959 BUILDING DEPARTMENT N(„ TOWN OF SOUTHOLD , OUILUNG DEPT RENTAL PERMIT APPLICATION TOWN OF soy THoLD Rental Permit Fee$200(Application must be renewed every two years) Section A. Property Information: Rental Property Address: . 9cs 9. 4k S+ +. Z 11-j� Tax Map Number: 1000 SECTION -BLOCK -LOT SECTION B. OWNER INFORMATION: Property Owner Name: Property Owner Legal Address: Property Owner Mailing Address: N . Telephone Number (s): [daytimek315.U IEErrening ASIS' ergency �• l�� .I 0 Property Owner Email Address: <�td`QA t,-AFT7 G-D Page 1 of 5 Town Hall Annex Telephone(631)765-1802 54375 Main Road ti Fax(631)765-9502 P.O.Box 1179 � � P'/ Southold,NY 11971-0959 BUILDING DEPARTMENT TOWN OF SOUTOOLD Section C. Authorized Agent Information: Name of Authorized Agent of dwelling unit, if any: i Address of Authorized Agent (no P.O. Boxes) ( 1" Mailing Address of Authorized Agent:' Telephone Number (s): Daytime Evening_= Emergency 9, oa, " 3 Email Address: .nom, - 16 M Q f` ... C0 M 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 T?—C:) -7&- Email Address: LA— O—L-A- L"J-11 E V01vim'.'VaCCi ON F Y-t� . 0 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 h� Town Hall Annex Telephone(631)765-1802 54375 Main Road Fax (631)765-9502 P.O.Box 1 179 stXr; Southold,NY 11971-0959 COU 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: U n __ 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: Requested Maximum number of persons allowed to occupy Dwelling Uni Number of rooms in Rental Dwelling Unit: ' Use and Dimensions of each room in Rental Dwelling Unit: f I*L/iy r RIO m L2 D ki'f Ch:��!��Y—P (121 ), Page 3 of 5 aI r Telephone 631 765-1802 Town Hall Annex �� ` P ( ) 54375 Main RoadFax(631)765-9502 P.O.Box 1179 Southold,NY 11971-0959 R 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 la s adopted by the New York State Fire Prevention and Building Code Council. I 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) 1 ` , 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 ti address and I understand the Town will use the address for service pursuant to all Page 4 of 5 Town Hall Annex A Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1179 ry� Southold,NY 11971-0959 BUILDING DEPARTMENT TOWN OF SO 'THOLD 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: 17 ' or re me isPFJ day of 20_2] .��:.... {d gfd:fib,�IIWA fi Offic I Notary P lic ignature a p�YtM t M(,r,j&final Notary Stamp .' ^ 4+ �ycl �" M,F a41 q�M- ��"� fly F., rv. Y T. 0 k C' silp 5 \ Page 5 of 5 9 C(S- jkj I A-ft— Gvce4Nfw9--. TOWN OF SOUTHOLD BUILDING 0 765-1802 2 INSPEC ION [ ] FOUNDATION IST [ ] ROUGH PLTG. [ ] FOUNDATION 2ND [ ] INSULATION/CA [ ] FRAMING / STRAPPING [ ] �FIRE T [ ] FIREPLACE & CHIMNEY [ SAFETY IN [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PI [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FI [ ] CODE VIOLATION [ ] PRE C/O 8: bw- mjtuot� WL --- --------0 � p L?OA DATE — INSPECTOR . �V p, tog N OF SOUTHO)ID BUILDING D1 631 -765-1802 INSPECTION C l FOUNDATION 1ST [ ] ROUGH PLECG. [ ] FOUNDATION 2ND [ ] INSULATIOWCAI [ ] FRAMING 1 STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY IN! [ ] TIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PE [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FIl C ] CODE VIOLATION [ ] PRE C/O [NJ I �I DATE ANSPECTOR OVI 4f so TOWN OF SOUTHOLD BUILDING D 765-1802 INS,PEC'TION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSUTATIO CA [ ] FRAMING " STRAPPING [ ] T L [ FIREPLACE & CHI NEY FIRE SAFETY IN [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PI [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FI [ ] CODE VIOLATION [ ] PRE CIO INSPECTORDATE FHANA Case No. f Building Sketch _ ........�� B'xtrp Address..905 9th St State NY 7JSCade It�!*k4. First Floor 24.5' [1482.25 Sq ft] 24.5' Utility Bedroom Bedroom Uncovered Bath Bath gl o Patio ry Kitchen Dining o in UnfinishedLn o Patio15 Room D Basement [300 Sq ft] Bath En m Living Room Bedroom 3 3' 24.5' Basement covered O� [1482.25 Sq ft] 00 Porch f 1B.5' Porch [148 Sq ft] TOTAL stets by a a mode,Im Area Cakvfiatiaara Sunrrn Wing Area Cakulation Details First Roor 1482.25 Sq R 60.5 x 24.5=1482.25 Total Living Area(Rounded): 1482 Sq ft Non-living Area Porch 148 Sq ft 18.5-8 = 148 Patio 300 Sq ft 20 x 15 = 300 Basement 1482.25 Sq ft 60.5 x 24.5= 1482.25 Form SKT.BLDSKI-'TOTAL"appraisal software by a la mode,inc.-1-800-ALAMODE SCTM # g TOWN OF SOUTHOLD PROPERTY RECORD C� I l OWNER STREET Ck VILLAGE DIST-1 SUB LOT ACR. REMARKS _ $ '_ i TYPE OF BLD. PROP: CLASS LAND IMP= TOTAL DATE S g s o 3 i FRONTAGE ON WATER HOUSE/LOT I I BULKHEAD TOTAL TOWN OF SOUTHOLD PERTY RECORI 0 OWNER( Li r — ,STREET ? VILLAGE. DIST- SUB. LOT w FORMER OWNPR, 4 A s%On 66 N a � _ ACR ' _ FTy j W TYPE OF BUILDING_, g F � � RES. SEAS. VL. ; FARM COMNt. CB. MfCS. Mkt. Value LAND IMP. TOTAL DATE REMARKS 3 i �f f r R _ -- _ - a l AGE BUILDING CONDITION ` NEW NORMAL i BELOW ABOVE FARM Acre Value Per Value Acre Tillable FRONTAGE ON WATER i Woodland FRONTAGE ON ROAD Meadowland € F DEPTH House Plot BULKHEAD E Total I DOCK �vvv vOov \y�vyvw�� V\Vw��V A.�yvAVAvAVO�Av�Avy - wV��V�\\wAAv � A� \y�VA�\ TRIM 7-7 vv y ,y 1 3 �s l r c fi 48.-2-24 1/30/2019 �� F-TH I 48-2-29 2101 M. Bldg. /s n, Extension Extension _ _ Extension c �4 - ± IFoundation 'Bath� Dinetee Porch -� Basement Floors F � Porch ' Ext. Walls IInterior Finish LR. Breezeway ` :_ r `Fire Place H - - c�tr eat DR. t Garage Type Roof Rooms 1 st Floor 6R Patio Recreation Room Rooms 2nd Floor - FIN. B MEMO , 0 6. DorrrTer D ay - r � rivew Total _ 7 � LIZ ° � - a Go3 -7 4_. _I r FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. PRE EXISTING CERTIFICATE OF OCCUPANCY No: Z- 31075 Date: 08/01/05 THIS CERTIFIES that the building DWELLING Location of Property 905 NINTH ST _ GREENPORT (HOUSE NO.) (STREET) (HAMLET) County Tax Map No_ 473889 Section 048 Block 0002 Lot 029 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- 31075 dated AUGUST 1 2005 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 WITH OPEN WOOD PORCH.* The certificate is issued to ALICE VANBOLT (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. NA PLUMBERS CERTIFICATION DATED N/A *PLEASE SEE ATTACHED INSPECTION REPORT. M Authorized Signature Rev. 1/81 BUILDIIIG DEPAP.TMEIII TOUR] OF SOUTHOLD HOUSING CODE INSPECTION REPORT LOCATION: 905 NINTH ST GREEIIPORT SUBDIVISION: MAP NO_: IAT (S) NAME OF OWNER (S): ALICE VANBOLT OCCUPANCY: SINGLE FAMILY ALICE VANBOLT ADMITTED BY: TED HUGHES ACCOMPANIED BY. RICHARD VAN BOLT KEY AVAILABLE: SUFF. CO. TAR MAP NO.: 48.-2-29 SOURCE OF REQUEST: ALICE VAN BOLT � DATE: CD8,/Ci 05 DWELLING: TYPE OF CONSTRUCTION: WOOD FRAME # STORIES: 1.0 # EXITS: 3 FOUNDATION: CONCRETE CELLAR: PART CRAWL SPACE: TOTAL ROOMS: IST FLR.: 7 2ND PLR.: 0 3RD FLR.: 0 HATHROOM(S): 1.0 TOILET ROOM(S): 0.0 UTILITY ROOM(S) PORCH TYPE: OPEN WOOD DECK TYPE: PATIO TYPE: BREEZEWAY: FIREPLACE: GARAGE: DOMESTIC HOTWA : YES TYPE BEATER: HOT WATER AIRCONDITIONING: TYPE HEAT: OIL WARM AIR: HOTWATER: YES OTHER: OIL HOT WATER HEAT — RADIATORS ACCESSORY STRUCTURES: CARAGE, TYPE OF CONST.: STORAGE, TYPE CONST.: SWIMMING POOL: GUEST, TYPE CONST.: OTHER: VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE LOCATIO14 DESCRIPTION, ART. CI C h f d N M q U F � N V V 9 I N � 1 0 p Q f I � N REMARKS: R.E—IIISPECTED ._. .www. ._. ......_.,.,.......... _._....ww._w.�.. 20 A 0.'a INSPECTED BY: +r^^""w--- DATE ON INSPECTION. 0'1'„ _, _ GEORGE GILLEN TIME START: 10:30AM END: 10:55AM Town of Southold 10/31/2018 P.O.Bog 1179 gWol 53095 Main Rd Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 40015 Date: 10/31/2018 THIS CERTIFIES that the building ALTERATION Location of Property: 905 Ninth St., Greenport SCTM#: 473889 Sec/Block/Lot: 48.-2-29 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 11/8/2017 pursuant to which Building Permit No. 42155 dated 11/17/2017 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: as built interior aldopg to existing stele� r0il dwellin as a li+�d for. The certificate is issued to 905 9th St LLC of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 42155 10/29/2018 PLUMBERS CERTIFICATION DATED