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HomeMy WebLinkAbout1000-48.-2-20 TOWN OF SOUTHOLD V, E Rental Permit 0636 Owner Todd Jackson Occupied as Single Family Dwelling Located at 501 (703) Flint Street Greenport 48-2-20 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. 5/9/2022 ode f o e t Official This Notice must be posted by the main entrance at all times "F Town Hall Annex 4 Telephone(631)765-1802 54375 Main Road % Fax(631)765-9502 P.O.Box 1179 Southold,NY 11971-0959 S DR [ I Qp .. �� " JAR N'' 1, °�0r) �oii BUILDING DEPARTMENT ll.)lb_DNG 0I': TOWN OF SOUTHOLD TOS:°4 OF SOUM&D RENTAL PERMIT APPLICATION Rental Permit Fee $200(Application must be renewed every two years) Section A. Property Information: Rental Property Address- � 1W Tax Map Number: 1000 SECTION -BLOCK -LOT - SECTION B. OWNER INFORMATION: Property Owner Name: ! U Jz `A" J/4 Property Owner Legal Address: Property Owner Mailing Address: 2-72- C4S7-/202� J fAsr(u3 ~. , .. Telephone Number (s): Daytime Evening Emergency ley � �� Property Owner Email Address: 6 k,6-z .. ° ,,,.. y Page 1 of S d Town Hall Annex y Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1179 Southold,NY 11971-0959 " BUILDING DEPARTMENT TOWN OF SO JTHOLD Section C. Authorized Agent Information: Name of Authorized Agent of dwelling unit, if any: v� Address of Authorized Agent (no P.O. Boxes): Mailing Address of Authorized Agent: 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):,__....... _ww Mailing Address of Authorized Agent: ..... _ . ...... Telephone Number (s): Daytime Evening Emergency Email Address: 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 QN sod , Town Hall Annex ; Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1 179 Southold,NY 11971-0959 kA A BUILDING DEPARTMENT TOWN OF SOUTHOLD Mailing Address of Managing Agent: Telephone Number (s): Daytime Evening Emergency Email Address: _ _w_..... 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." /S-�� Rental Dwelling Unit Identifier: WWWW..... Requested Maximum number of persons allowed to occupy Dwelling Unit: Number of rooms in Rental Dwelling Unit: <67 Use and Dimensions o eachroom In Rental Dwelling nit: 0 M.. � _ Y. Page 3 of 5 4'iis' . y, h v , t / .,N Town Hall AnnexTelephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1 179 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. Q I 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) J/cyo 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 Town Hall Annex � u, Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1179 �� Southold,NY 11971-0959 1� 1011 ' COVN . � , � BUILDING DEPARTMENT "TOWN OF SO HOLD 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: Sworn to before me this day of � � �� 20,a µ Jonathan Rauch Official Notary Public Signature and Original Notary Stamp Notary Public,state of New York No.01RA6408765 Qua ifded in auufVk Courq Comm4,,e cn[xpims s ep9'4,Cr1jo,&'c' m Page 5 of 5 o ei4 WA, TOL I OF SOUTHOLD BUILDING DEPT. 765.i 802INSPECTION �f 8 [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATIO CAULKING [ ] FRAMING /STRAPPING [ ] INAL [ ] FIREPLACE & CHIMNEY [ FIRE SA ETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) [ ] 'CODE VIOLATION [ ] PRE C/O ems.e �', ' � -Lj_�4 ZZ LZINSPECTOR __ Ad�,d� rA Go 41 JA(,(-5,11d of E rr _ P TO F SOUTHOLD R ETY I Joao OWNER _ s , STREET Q VILLAGE DISTRICT I SUB. LOT /)" t FORMER OWNER,�01.�'je(vjgyj� NV E ACREAGE = e E E jt i S W TYPE OF BUILDING ti RES SEAS. VL FARM COMM_ IND, CB. M[SC. LAND IMP, TOTAL DATE REMARKS e a s v Fg, AL r r i 4, XGE � BUILDINGC-N.DION, ;< Z 1 �)_a` Fl_ 1E? AB V __ . NORMAL BELO . t a Acre V �P Acr �I �' Ll L Til lob.le 1 . Tillable 2 Tillable 3 Woodland cz - ¢ Swampland Brushlund House Plot I Total—, k F T 4 t 48.-2-20 3/08 � S � �d - F I R _ M. Bldc -Foundation Bath s - _ F 2c��3 ��©© l 1 Basement Floors R Extension ,4F Ext- Fire 2 t. Walls 5 — Interior_ my — 1-17 [ 2 '. Finish Extension f � Fire PEace Heart Porc`n Attic j Porc'i Rooms 1st Floo:- Breeze'. - Patio Rooms 2nd Floc x Gorcge Driveway f O. B. r_ 6 "2 CAS TOWN OF SOUTHOLD OFFICE OF BUILDING INSPECTOR TOWN HALL SOUTHOLD, NEW YORK CERTIFICATE OF OCCUPANCY NONCONFORI1I1NIG PRE1\-IISES THIS IS TO CERTIFY that the Land Pre C.O. #- -Z-1"2 -__,_____ /_/ Building(s) Date- March 21,1986 / / Use(s) located at 510 Flint St. Greenport Street Hamlet shown on County tax map as District 1000, Section 048 , Block 02 , Lot 020 , does!,not)conform to the present Building Zone Code of the Town of Southold for the following reasons: Insufficient total area. Insufficient front yard set-back and side yard set-ba h. On the basis of information presented to the Building Inspector's Office, it has been determined that the above nonconforming /X/Land J_/Building(s) /_/Use(s)-existed on the effective date the present Building Zone Code of the Town of Southold, and may be continued pursuant to and subject to the appli- cable provisions of said Code. IT IS FURTHER CERTIFIED that, based upon information presented to the Building Inspector's Office, the occupancy and use for which this Certifi- cate is issued is as follows: Pzn«pert coat a3.ns a story a.nil one half, one family, wood framed dwelling with black top driveway & fences. * Dwelling has two building permits with proper certificates of occ- upancy. Property situated in the A-Residential-Agricultural Zone, with access to Seventh St.. * Both building permits were for additions to the dwelling. The Certificate is issued to MORRIS, DAYSMAN A. - (owner, lam; 2kA§m§&) of the aforesaid building. Suffolk County Department of Health Approval N/R UNDERWRITEt3S CERTIFICATE NO. NIR _ * Building Permits 3007Z has C.O. 214290, B.P. 44712 has C.O. Z4066. NOTICE IS HEREBY GIVEN that the owner of the above premises HAS NOT CONSEhTTED TO AN INSPECTION of the premises by the Building Inspec- tor to determine if the premises comply with all applicable codes and ordin- ances, other than the Building Zone Code, and therefore, no such inspection has been conducted. This Certificate, therefore, does not, and is not intended to certify that the premises comply with all other applicable codes and regula- tions. s� :Mu `i,di..; a•aspector FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT ND TOWN CLERICS OFFICE SOUTHOLD, N. Y. CERTIFICATE OF OCCUPANCY No. . :.....,:,. Dote ........................pR�...�Q...:..:........ ., 19.. Q. THIS CERTIFIES that the building located at r1jut.st.13tt.......... ............................. Street Map No. Block No. ....................... Lot No. �:..5AA. .... ...... conforms substantially to the Application for Building Permit heretofore.,f i.led in this office dated ................................ 9.".. pursuant to which Building Permit No. :' ... dated ................................... IlkpC....�f•, 19..:.�was issued, and conformsao all of the requirements of the applicable provisions of the low. The occupancy for which this certificate is issued is ........ ... .. ` w..+ .................................................................................. The certificate is issued to ..0=2.00..wh#0101........ ". � ...... ' ........................................ (owner, lesseeo� tenant) g of the aforesaid building. ' "Us* 1f 530 Town Irystox e� n 703 0rpt P'000 . Building nspector t X r FORM NO. 2 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N? 4471 Z Dote .........................Y'pt.........24.... .. Permission is hereby granted to: ................Prillee;S..Joaxc..lugm ...Corp....k1c Chas ele= ...........WI-31-AWL..St..................................... .................. ....................................... to ......... . ...dwzJ.2... .................................................. at premises located at ..................X11Mt..pit..........(119.�..1?..;ILY.s....)N41.)................................ ....,.....,.» »..»...................llrearkaart..........,.................................................................. ...», Se pursuant to application dated 19....9., and approved by the Building Inspector. Fee $..'.� JC3............ Building Inspector FORM NO.4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector 6 V V Town Hall Southold,N.Y. Certificate Of Occupancy No. . ,214290 . . . . . . . . Date . March . »2�. . » » . . . . . . . „ ]986 . . . . . . . . . . . . . . . �». .. a.0-0 THIS CERTIFIES that the building . . . . .Ad.dit io-n . . . . . . Location of Property 510 Flin*t St. » » » Greenport House No. Street Hamlet County Tax Map No. 1000 Section .0 4 8. . . . . . . .Block . . . 0 2. . . . . . . . . .Lot . . . . . 020 . , . Subdivision . . .Grn,I?t, . Driving Park . , , , ,Filed Map No. .369. . . .Lot No. P�O 57&58 conforms substantially to the Application for Building Permit heretofore filed in this office dated March. , 2. , . , , , . , 19 .6 6 pursuant to which Building Permit No. . . 3.007Z. . . . . . . . . . . . . dated . . . . March 2, , , , , , , , , , , , , 19 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 . . . . . . . . . . . . --- Bedroom. Addition to Existing. Dwelling »--�---� » µ w m The certificate is issued to . . . . . . . . . . . . . . MO.RRIS.,. DA `5MAN (owner,l t)' of the aforesaid building. Suffolk County Department of Health Approval . . . . . NIR. . . . . . . . . . . . . . . . . . . . . . . UNDERWRITERS CERTIFICATE NO. . . . . . . . . * Permit was originally Wheeler. Building Inspector Rev.1/81