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Home My WebLink About1000-33.-4-9 TOWN OF SOUTHOLD { Rental Permit 0624 Owner 1550 McCann Ln Prop LLC Occupied as Single Family Dwelling Located at 1550 McCann Lane Greenport 33A-9 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. 4/5/2024 FM i) od r fo e it o cial This Notice must be posted by the main entrance at all times pco",cw OWN OF SOUTHOLD qf so �w 631 765 18 2 INSPEC ION [ ] FOUNDATION 1ST [ ] ROUGH PLE3G. [ ] FOUNDATION 2ND [ ] INSULATIOWCAI [ ] FRAMING / STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY IN! [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PE [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FI [ ] CODE VIOLATION [ ] PRE. C/ [ I TOWN OF SOUTHOLD—BUILDING DEPARTMENT Town Hall Annex 54375 Main Road P. O. Box 1179 Southold,NY 11971-0959 Telephone (631) 765-1802 Fax (631) 765-9502 ) gt _ .southodtro RENTAL PERMIT APPLICATION Rental Permit Fee $300 (Application must be renewed evi? t o A'a?. b, R 2 8 2024. Section A. Property Information: � T ° � ' Rental Property dress: / ~.. Tax Map Number: 1000 SECTION y3 D --BLOCK-3 -LOT___'� SECTION B. OWNER INFORMATION: Property Owner Name: Ll Property Owner Legal Address: Property Owner Mailing Address: (Cannot be the same as Rental Property Address) -76 Telephone Number(s): Dayt Evening Emergency Property Owner Email Address: a JQ,& .j Z� Page 1 of 4 March 1 a Town Hall Annex Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1179 i' r Southold,NY 1 197 1-0959 ; t 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 ,fro esionol secs!re erred car Architect or n iileer licensed Fionae ins actor nacrst rovide cop a valid current certi cation Rental Property SCTM Number: Rental Property Address: 1550 McCannLn., Gre art NY 11944 Owner/Name: Alsou Saunders 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.) Bedroom #3 110 sgft Bedroom #2 160 s Ift 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 ConstFuction Code of New York State. Victor CorneNLJS III CEO Inspector 4ar Print Name and Title ceo# 1216-0283 Ori n Si Please place professional seal: SECTION H. DECLARATION: Signature must be notarized and MUST be the owner of the dwelling unit. STATE OF NEW YORK) COUNTY OF SUFFO ) 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 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 s to any change to the information regarding Authorized Agent, Managing Agen err Site Manager. Jpd ` . tA Property Owners Name: G� Property Owner's Signature: w�� Sworn to before me this* day of �� 201t/' f Official lJotary Public Signature and Original Notary Stamp Ll 0 NCO Cx STATES Of �YORE 1i�.0000SSSIN StjFFO K 00t.iNTYPage 4 of 4 OE E4FE 1 ,b?' T u W W ' F SOUTHOLD `W N 0' Rental Permit Fa 0624 Owner 1550 McCann Ln Prop. LLC Occupied as Single Family Dwelling Located at 1550 McCann Lane Greenport 33-4-9 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. 4/28/2022 ted r � #ficial This Notice must be posted by the main entrance at all times N m t Town Hall Annex Telephone(631)765-1802 �N 54375 Main Road I Fax(631)765-9502 P.O.Box 1179 Southold,NY 11971-0959 d� g BUILDING DEPARTMENT TOWN OF SOUTHOLD lF RENTAL PERMIT APPLICATION Rental Permit Fee$200(Application must be renewed every two years) Section A. Property Information: Rental �rc arty Address: Tax Map Number: 1000 SECTION� 33 -BLOCK -LO SECTION B. OWNER INFORMATION: Property Owner Name: , �� Property Owner Legal Address: Property Owner Mailing Address: 201 4-t ed 4g, Lanz s 9 urs egs �y c .. ... �. �,�- ...��. Telephone Number (s): Daytime "/�3�9�t vening Emergency LS/6 .3 .7J&93 Property Owner Email Address:.,,_- .. _..� �. ...-- Page 1 of 5 rr Town Hall Annex ii Telephone(631)765-1802 54375 Main Road > Fax(631)765-9502 d P tc e P.O.Box 1179 Southold,NY 11971-0959 BUILDING DEPARTMENT TOUN OF SOU OLD Section C. Authorized Agent Information: Name of Authorized Agent of dwelling unit, if any: Off',n e Address of Authorized Agent (no P.O. Boxes): _ __ ..�...,�. a�....�........�...._�. � Mailing Address of Authorized Agent: Telephone Number(s): Daytime ... riww,_ ,, ,Evening Emergency_,,,,,,,,,,,, ,,,, __. ,. Email Address: .. —._.......__..._...__..�. Section D. Managing Agent Information: Name of Authorized Agent of dwelling unit, if any: Q t--' y) P r— Address of Authorized Agent(no P.O. Boxes): ..— -- ._-w -- Mailing Address of Authorized Agent: Telephone Number(s): Daytime _ ,,,, Evening Emergency. Email Address: _.w___.. ._._. ..�._. .W...w_. ._.. 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. Page 2 of 5 76, Town Hall Annexe Telephone(631)765-1802 54375 Main Road �;y f�` Fax (63 t)765-9502 P.O.Box 1 179 n F` Southold NY 11971-0959 01 n ' BUILDING DEPARTMENT TOWN OF SOUTHOLD Mailing Address of Managing Agent:_ _ . _ . _............._... ......._. ......._._. Telephone Number(s): Daytime__. .. .....�.. Evening_._,,_.__,,___,._Emergency__.___,,.w...a.� _. ._. Email Address:. _..-__.. .__,...._...... ..........._....._. SECTION F. PROPERTY DESCRIPTION: Number of Rental Dwelling Units on 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: wed to occupy Dwelling Unit: ( Requested Maximum number of persons alto py g . .�..........�.�.... Number of rooms in Rental Dwelling Unit: Use and Dimensions of each room in Rental Dwelling Unit r. -- q Page 3 of 5 Z", � Town Hall Annex ;rJ Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1179 Southold,NY 11971-0959 `0 � „ 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 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) 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 a P.O.Box 1179 Southold,NY 11971-0959 BUILDING DEPARTMENT TOWN OF SOUT 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 inff6rrm tion regarding Authorized Agent, Managing Agent, or Site Manager. 50L-{ Property Owner's Name: ` D " kms Z-L C Sau"decs Property Owner's Signature: 7 Sworn to before me this 1..3 day of p 2021 Official otary Pub ` nature and Original Notary Stamp NONi,r ijq i Y1)i f v 1i+44 lsrua„',pyx I)lal�uiu ,11if1 rrg"rrr ;Q'„�u'al9i.;`ti 11 ,r;P;� 6�i Page 5 of 5 iO�VWI N OF SOUTHOLD 1 so V�DIEPT. 91()N 631-765-1802INSPECTION FOUNDATION 2ND INSULATIOWCAULKING FRAMING /STRAPPING FINAL FIREPLACE & CHIMNEY FIRE SAFETY INSPECTION FIRE RESISTANT CONSTRUCTION FIRRESISTANTX(FIAL) ATION ELECTRICALELECTRICAL-(ROUGH)CODE VIOLATION PRE C AL REMARKS-. DATE _. _. Feb 13, 2021 Town Hall Annex Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1179sw � k re Southold,NY 11971-0959OUN 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 Professional seal re aired for Architect or Engineer, licensed Home Inspector must rovide cqgy of valid current cerci kation Rental Property SCTM Number: Rental Property Address: 1550 McCann Ln. Greenport NY 11944 Owner/Name: Alsou Saunders Rental Dwelling Unit Identifier: SirI ' �: : Number& Square_footage.of each bedroom as depicted in the attached floor plan: (i.e. Bedroom #1 -100 sq., Bedroom#2-90 sq., etc.) Ift Bedroom #3 130 Bedroom #2 110 s ft 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. Victor Cornelius III CEO Inspector Print Name and Title ceo# 1216-0283 Cr*nI gg 4tu Please place professiona. seal: 4 j!r 1A t"b k WAK A FF y COLOR r \� t _ TRIM - - - - _ — I , � -ate r "ma=res _ 74 - F = z m ( ( low � i c 33.-4-4 12/23/2020 M. Bldg Foundation -- Bath Dinette Extension Basement J `Floors fc _. a K. Extension Ext Walls Interior Finish LR, Extension =Fire Place A/ o Neat �f-S DR. Zia 1 Gk- Type Roof Rooms Ist Floor BR. Porch Recreation Room. lRooms 2nd Floor FIN. B _ - �, f__ P P� _a f i Dormer i Breezeway [ 'Driveway F Garage r ya. v /.,o 4) c � i l Patio l Total 7r f i`; FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Clerk's Office Southold, N. Y. Certificate Of Occupancy No. Z. 4688. . . . . Date . . . . . . . . . . . . . . . yuly . . .5 . . ., 19. 12 THIS CERTIFIES that the building located at .gig. MeC*lam . ,* . . . . . . . . . Street Map No.$.a et,O. 8hr;. Block No. . *#,g .1. . .Lot No. .64 G1'e pelt . . . . M sY s. . . . . conforms substantially to the Application for Building Permit heretofore filed in this office dated . . . . . . . . . .>Merah- . .6 . ., 19. 72 pursuant to which Building Permit No. .57372 . dated . . . . . . . . . . . March. . . .9., 19. .72, was issued, and conforms to all of the require- ments of the applicable provisions of the law. The occupancy for which this certificate is issued is . .private• one family dwe1.11u-j . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . The certificate is issued to d; -Gmrod!.An A•Wife• • • • • • • •Owners • (owner, lessee or tenant) of the aforesaid building. Suffolk County Department of Health Approval •Nay•30 • 972• • by As -VIII& UNDERWRITERS CERTIFICATE No. . . . . 2-6737. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . HOUSE NUMBER. 1 550 . . . . . .Street. . . . . •MCGann. Laniq. . . . . . . Building Inspector � ,UlI11C Town of Southold 4/28/2022 !r P.O.Box 1179 53095 Main Rd " Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 43014 Date: 4/28/2022 THIS CERTIFIES that the building ADDITION/ALTERATION Location of Property: 1550 McCann Ln,Greenport SCTM#: 473889 Sec/Block/Lot: 33.4-9 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 12/15/2020 pursuant to which Building Permit No. 45634 dated 1/4/2021 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: alterations and addit �a R hiding ti c d larlt r �ar�,tca i in rl�f :�y dy relU1jg,.A a x e.far. The certificate is issued to 1550 McCann Ln Prop LLC of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 45634 3/3/2021 PLUMBERS CERTIFICATION DATED _..... ._.._._ . _.. ._ ........... _. . 1 iz Signature