HomeMy WebLinkAbout1000-48.-2-41 TOWN OF SOUTHOLD
3 P Rental Permit
�Y
0922
Owner Jackson Taylor
Occupied as Single Family Dwelling
Located at 1100 Seventh Street Greenport 48.-2-41
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.
L
6/1/2023
o e En for a ficial
This Notice must be posted by the main entrance at all times
Town Hall Annex Telephone(631)765-1802
54375 Main Road Fax(631)765-9502 �
P.O.Box 1179
. u
Southold,NY 11971-0959
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
RENTAL PERMIT APPLICATION
Rental Permit Fee$200 (Application must be renewed every two years)
Section A.
Property Information:
Rental Property Address:
(too ot—
Tax Map Number: 1000 SECTION - 4e2 -BLOCK 02— -LOT - ,
SECTION B.
OWNER INFORMATION:
Property Owner Name:
Property Owner Legal Address: Property Owner Mailing Address:
si
Telephone Number (s): Daytime Evening. Emergency
Property Owner Email Address: It � -
Page 105
µ � )Yk,
Town Hall Annex ' Telephone(631)765-1802
54375 Main Road Fax(631)765-9502
P.O.Box 1179 �w ,
Southold,NY 11971-0959
BUILDING DEPARTMENT
TOWN OF SOU OLD
Section C.
Authorized Agent Information:
Name of Authorized Agent of dwelling unit, if any: 4 s °' ) _ "
Address of Authorized Agent(no P.O. Boxes): -kLL
Mailing Address of Authorized Agent: �Cc3 w
Telephone Number(s): Daytime,,. Evening Emergency F-] - - ( " (x,-00
Email Address: t
Section D.
Managing Agent Information:
Name of Authorized Agent of dwelling unit, if any: DVt✓
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 an l�J
Address of Managing Agent (no P.O. Boxes): --
Page 2 of 5
Town Hall Annex t t Telephone(631)765-1802
54375 Main Road Fax(631)765-9502
P.O.Box 1179 „ r
Southold,NY 11971-0959
h-
�, r
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
Mailing Address of Managing Agent:
Telephone Number(s): Daytime -Evening _NNN.....,..._............... Emergency ! '62c6o
Email Address: I I
'
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, 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:tlt
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: _......... ........ ....._ m
Page 3 of 5
Town Hall Annex q Telephone(631)765-1802
54375 Main Road ° Fax(631)765-9502
P.O.Box 1179 � ��
Southold.NY 119714)959
s
BUILDING DEPARTMENT
TOVaq OF SOUMOLD
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 unk.
STATE OF NEW YORK)
)
COUNTY OF SUFFOLK)
3(' OO l )q``" 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 W 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
k � �µ
Town Hall Annex r4 Telephone(631)765-1802
54375 Main RoadFax(631)765-9502
P.O.Box 1179
a
Southold,NY 11971-0959 ``
BUILDING DEPARTMENT
SOF SOUMOLD
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(S)business days as to any change to the information
regarding Authorized Agent, Managing Agent,or S1 a Manager.
Property Owner's Name:
Property Owner's Signature:
Sworn to before me this a day of 2t)
Offi al airy 661c Signature and Original Notary Stamp
Commonwealth of Pa"Sylvanta-Notalftel
JoyeaJordarl,Notary Pubft
LancasterCounty
MytornmissionexpiresJun*30.2028
CommIsslon number 1254860
Mealbor,tea tvanla arisn oi' teat
Page 5 of 5
Town Hall Annex Telephone(631)765-1802
54375 Main Road
§ Fax(631)765-9502
P.O.Box 1179
Southold,NY 11971-0959
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
afro signal seal're aired or rcllitect or Fn ineer licensed 1�"ome ins actor must rovidq
copl of valid current cert/ication
Rental Property SCTM Number: �
Rental Property Address:
p Y
Owner/Name: ""
Rental Dwelling Unit Identifier: J LL- -� '?
Number & Square footage of each bedroom as depicted in the attached floor plan:
(i.e. Bedroom#1 -100 sq., Bedroom#2-90 sq., etc.)
VIt :�.
Property Description (Include all improvements indicated on survey)
9� t L9LTC'Q Q t
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 Conservat` n Construction Code of New
York State.
Print Name and Title " ' Ori n 'Signatu e
Please place professional seal: P1.4
0
w l- ESN
�M�
s
A a
TOWN OF SOUTHOLD PROPERTYRECD
OWNER STREET VILLAGE DIST.;
SUB. LOT ;
i
�ORMER OWNER
N � I
s C ,
F,
i
S W TYPE OF BUILDING
RES. '/4 SEAS. VL. I FARM COMM. CB. MICS. Mkt. Value
LAND IMP. TOTAL DATE REMARKS
w . vvq
AGE BUILDING CONDITION
NEW NORMAL BELOW ABOVE
FARM Acre Value Per Value
Acre
Tillable FRONTAGE ON WATER
Woodland ? FRONTAGE ON ROAD
Meodowlo.nd DEPTH
House Plot BULKHEAD
Tota DOCK
'OLOR 'e -za1.vv-*A TRIM f ��
#
am
1
# p
I
I
S r
E
-
F =
�T
# j
1 F
3
7
I 48'2-41 1102
- ( ; r #� }
g, _
M. Bldg. - - I I
#
-i z
k
Exte 75 - s
Extensionc�
M
Exte ;, g � '
r , �� , s
Foundation ;Both / Dinette
Porch
asement ��,� �� `� 'Floors � ,�:,� �K
Porch =` IExt. Walls OnAt"r5tl�tib�e Anterior Finish LR
Fire Place !Heat DR
I Breezeway
Garage I :Type Roof !Rooms 1st Floor BR }
Patio Recreation Room E :Rooms 2nd Floor I FIN. B
0. B. Dormer Driveway
Tota
tFft . Town of Southold 6/1/2023
53095 Main Rd
' Southold,New York 11971
PRE EXISTING
CERTIFICATE CAT; OF OCCUPANCY
No: 44147 Date: 6/l/2023
THIS CERTIFIES that the structure(s) located at: 1100 Seventh St,Greenport
SCTM#: 473889 Sec/Block/Lot: 48.-2-41
Subdivision: Filed Map No. Lot No.
conforms substantially to the requirements for a built prior to
APRIL 9, 1957 pursuant to which CERTIFICATE OF OCCUPANCY NUMBER Z- 44147
dated 6/1/2023 was issued and conforms to all the requriements of the applicable provisions of the law„
The occupancy for which this certificate is issued is:
o d frain m.sIn I f ,?a%.1 lip�vith 1p, gush d,i erxlptl,t c�vcr d icallt t x tr clrl... �a,c.+_m v p fl clew and brick
Int ow ,
The certificate is issued to Taylor, Jackson
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
...........
ELECTRICAL CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
*PLEASE SEE ATTACHED INSPECTION REPORT.
uth
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
HOUSING CODE INSPECTION REPORT
LOCATION: 1100 Seventh St,Greenport
.............
SUFF.CO.TAX MAP NO.: 48.-2-41 SUBDIVISION:
" '' -'" ............. ......
NAME OF OWNER(S): Taylor,Jackson
. ......................
OCCUPANCY:
ADMITTED BY:
SOURCE OF REQUEST: Taylor,Jackson DATE: 6/1/2023
........... ...
DWELLING:
#STORIES: I #EXITS: 3
...............
FOUNDATION: blo ..ck CELLAR: main section CRAWL SPACE: partial
............ .................................................._..........-w,_
..................... ........ -- -----
BATHROOM(S): TOILET ROOM(S): UTILITY ROOM(S): _..............
...............
PORCH TYPE: covered entry DECK TYPE: on grade PATIO TYPE: brick
BREEZEWAY: FIREPLACE: GARAGE:
......................
DOMESTIC HOTWATER: x TYPE HEATER: oil AIR CONDITIONING:
. .................
TYPE HEAT: oil baseboard WARM AIR: HOT WATER:
#BEDROOMS: I #KITCHENS: I BASEMENT TYPE:
OTHER:
ACCESSORY STRUCTURES:
GARAGE,TYPE OF CONST: removed STORAGE,TYPE OF CONST:
SWIMMING POOL: GUEST,TYPE OF CONST:
OTHER:
VIOLATIONS:
..........
REMARKS:
........... .......... ............
. . ................
INSPECTED BY: NANCYD DATE OF INSPECTION: 5/1/2023
............
TIME START: END:
t1FFCMCG%°w Town of Southold 6/1/2023
B
" -; P.O.Box 1179
Pow 53095 Main Rd
Southold,New York 11971
CERTIFICATE OF OCCUPANCY
No: 44146 Date: 6/1/2023
THIS CERTIFIES that the building CHIMNEY
Location of Property: 1100 Seventh Street, Greenport
SCTM#: 473889 Sec/Block/Lot: 48.-2-41
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
11/18/1982 pursuant to which Building Permit No. 12024 dated 11/18/1982
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:
-c-h.iNtrlI g y A&tkl �o,wJjo e stijjg is le family
l flat . s_ll�l uc mf r.
The certificate is issued to Taylor,Jackson
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
Aut oriz, Signatur
FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No: Z-29360 Date: 04/16/03
THIS CERTIFIES that the building ADDITION & ALTERATION
Location of Property: 1100 SEVENTH ST GREENPORT
(HOUSE NO.) (STREET) (HAMLET)
County Tax Map No. 473889 Section 48 Block 2 Lot 41
Subdivision Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated JANUARY 9, 2002 pursuant to which
Building Permit No. 27996-Z dated JANUARY 9, 2002
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 ADDITION AND ALTERATION TO AN EXISTING ONE FAMILY DWELLING AS APPLIED
FOR.
The certificate is issued to JACKSON A TAYLOR
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A
ELECTRICAL CERTIFICATE NO. 1044983 03/24/03
PLUMBERS CERTIFICATION DATED 12/20/02 PECONIC PLUMBING & HEAT
Authorized S` nature
Rev. 1/81
TOWN OF SOUTHOLD BUILDIKGZEPT.
(�eNUNZ V 631.765-1802
INSPECTION
FOUNDATION 'I ST ROUGH IPLBG,.
FOUNDATII IC INSUILATIOWCAULKING
FRAMING / STRAPPING FINAL
FIREPLACE & CHIMNEY FIRE SAFETY INSPECTION
FIRE RESISTANT CONSTRUCTION F11RE RESISTANT PENETRATION
ELECTRICAL (ROUGH) ELECTRICAL (FI
CODE VIOLATION I IPRE C/O 4A7"RENTAL
REMARKS:1 Vi
............. ..........
........... .........
...............
DATE
TOR INSPEC
.......... ........
RENTAL
�
PERMIT
�...
IRESIMCE
I 1 I
WOOD DECK
21'x14' ���, NY
` I 294 SF U00 TOM._
CRAWL SPACE
ARCHf1ECT
I I W s L
ABOX 316
GREETB'ORf,W 11944
TEL.631-477 8624
:i USE
ffi �� OWNER
3"A TAYIAR
351 W 24TH SRET:E
m KIT./DR RUM
NEWYowl NY 10011
a 10.9'x11.0' 717413 m
OIL 114 SF
TANK w
v~i
•� $ CRAWL o 0 16.�R6.9'
SPACE RILCO DOOR - 317 SF w
UNA NSHED
s o BASEMENT co � s
16.9'x18.9' BR
$ 10:4'x7,1O' s
1 1
ELT.PANEL CLOSE[
( s
BASEMENT PLAN FLOOR PLAN
LINNET STREET
841E 03/22/2023
THE TAYLOR RESIDENCE
FLOOR PLAN
BASEMENT PLAN
1100 SEVENTH STREET - GREENPORT07
SCTM# 1000-48-02-41 A-300
g
a�
RENTAL
O PERMIT
RESIDENCE
OUT'O" a
SHOWER I _ i WOOD DECK
j
21'x14' GREENPQRT, N
294 SF h 1100 SEVENTH STREET
CRAWL SPACE
I
s ARCHITECT
W
(RANK UELIENf}Nil
P.O.BOX 318
. GREENPORT,NY 11844
71 s!
* - TF1:831-477 8824
wi
_ aI OWNER
FU-1I a 1 XKSON A TAYLOR
BOILER 305 W 28TH STREET
KIT./DR t1 APT.160
-$ $ $ NEW YORK,NY 10001
0 10.9'x11.0' 3 212-615 4288
61L o 1114 SF w 1
TANK Lt� ': 1
LR
$ $ CRAWL o 0 1s.9'x1a.s'
SPACE LP-0-1 317 SF
UNFINISHED BILCO DaOft w I
sM/co BASEMENT sm/co co w i
16.9'xt8.9' BR
$ 10.67.10' sm
80 SF
ELT. PANEL _CLOSET _ 1
\j I t I 1
}
BASEMENT PLAN FLOOR PLAN
E
LINNET STREET
w I c�� „122,i2O2?
THE TAYLOR RESIDENCE �9 FLOOR PLAN
�a1
-'g BASEMENT PLAN
1100 SEVENTH STREET - GREENPORT
SCTM# 1000-48-02-41 9 A-100
�o �.nb