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HomeMy WebLinkAbout1000-33.-4-77 TO WN OF SOUTHOLD 3 Rental Permit 0649 Owner Gail Barlow & Charles Squires Occupied as Single Family Dwelling Located at 650 Sunset Lane Greenport 33.-4-77 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. 5/28/2024 Cade Enfrc7e coal This Notice must be posted by the main entrance at all times TOWN OF SOUTHOL D Stkrpol� ` r 631-765-1802 � INSPECTI " N [ ] FOUNDATION 1ST [ ] ROUGH PLBG, [ ] FOUNDATION 2ND [ ] INSULATION/CAULKING [ ] FRAMING /STRAPPING [ ] AL [ ] FIREPLACE & CHIMNEY IV FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FI AL) [ ] CODE VIOLATION [ ] PRE C/O [ RENTAL E ARKS: Jt TOWN OF SOUTHOLD � . Rental Permit 0649 Owner Gail Barlow & Charles Squires Occupied as Single Family Dwelling Located at 650 Sunset Lane Greenport 33-4-77 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. 5/16/2022 *de ent i tial Notice must be posted by the main entrance at all times Town Hall Annex ; �r Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1179 "1; Southold,NY 11971-0959 ` P BUILDING DEPARTMENT i' TOWN OF SOUTHOLD RENTAL PERMIT APPLICATION Rental Permit Fee $200 (Application must be renewed every two years) Section A. Property Information: Rental Property Address: &50 SUNSC, LXt4F- C Tax Map Number: 1000 SECTION O -BLOCK U`( -LOT 9? -� SECTION B. OWNER INFORMATION: Property Owner Name: Property Owner Legal Address: Property Owner Mailing Address: l--7- 0 -;J1�- Telephone Number (s): Daytime 6yla-ZS(-80OR Evening Emergency Property Owner Email Address: -. Tl y , . TS!N , C0M Page 1 of 5 m Town HaII Annex a' Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1179 Southold,NY 11971-0959 6,, .�� 50 , � BUILDING DEPARTMENT TOWN OF SOD" OLD Section C. Authorized 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 Emergenr_�� Email Address: Section D. Managing Agent Information: Name of Authorized Agent of dwelling unit, if any: O t'is(z-; Address of Authorized Agent (no P.O. Boxes): .,.-..—..__ Mailing Address of Authorized Agent: _ _-_...--- Telephone Number (s): Daytime„ Evening Emergenc EmailAddress:a._.. .. ...... .. __.. ..... ...._...94a � .� SECTION E. SITE MANAGER INFORMATION: (required for rental properties containing 8 or more rental units) Name of Managing Agent of dwelling unit, if any: , c)W�jIF� Address of Managing Agent (no P.O. Boxes):_ Page 2 of 5 Town Hall Annex �� t Telephone(631)765-1802 54375 Main RoadFax(631)765-9502 � k y✓A L14i"„ ' P.O.Box 1 179 Southold,NY 11971-0959 µ 6J �) BUILDING DEPARTMENT TOWN OF SOUTHOLD Mailing Address of Managing Agent:_.ww...._... ©(JJtil' z— .,,......... 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 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: (r�5o 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: ,_......w 12-' o'er 'k It o tom !2 L Ye- Page 3 of 5 Town Hall Annex Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1 179 1 � Southold,NY 11971-0959 � d�°��� �� c 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. `X I am requesting afire safety inspection to be performed by a Code Enforcement Official from the Town of Southold 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 M Town Hall Annex y Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box I t79 Southold,NY 11971-0959 BUILDING DEPARTMENT TOWN OF SOUTHOLD 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 y*day of ...... , 20 Z Z Official No ry ublic Signature and Original Notary Stamp ORtTTANY A CoNRAD Notary Public,State of New York Reg,No.01 0624 154 Ctealified in Suffolkow Cori mi sion xpires July"18,2tI� Page 5 of 5 Town Hall Annex 1 Telephone(631)765-1802 54375 Main Road o� Fax(631)765-9502 P.O.Box l 179H r i�� �� Southold,NY 11971-0959 � p 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 Rro ssional seal re aired +or rcilitect or Fn irleer, li r ec orrle/res actor me st�rcrvid co o valid current cerci ication Rental Property SCTM Number: z D610-- Q3 Rental Property Address: SdAj Owner/Name: Ot Lo CHA.e-L1� 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.) T a4 —%wh2.ao cti 16`i,(o sq.......F Property Description (Include all improvements indicated on survey) �311 .. 2, ".ern �1sc47:µ sf) o, per . 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: SO TOWN OF SOUTHOLD 13UILDING' DEPT. 631-765-1802 INSPECTION, I FOUNDATION 1ST [ ROUGH PLBG. FOUNDATION 2ND INSULATION/CAULKING FRAMING / STRAPPING NAL k4tk FIREPLACE & CHIINSPECTION CONSTRUCTIONFIRE RESISTANT FIRE ELECTRICAL (ROUGH) ELECTRICAL (FINAL) CODE VIOLATION PRE C/O RENTAL AA DATE INSPECTOR �. tq A4 g _ r,2 TOWN OF SOUTHOLD PROPERTY RECON £AWNSTREET VILLAGE - DIST.; _ ` .ga SUB LOT s r4, i ORaViER JE O NR N r R. �_.. A2 R - V TYPE OF BUILDING RES. SEAS. VL e FARM` COMM. CB. MISC. Mkt. Value LAND IMP. TOTAL DATE REMARKS - _ it 4.1 r t NEW � NORMAL BELOW_ ABOVE �� FARM - Acre Value Per Value iut -11 ACreTD ,1 e Tillable 1 i Tillable 2 Tillable 3 I Woodland e Swampland FRONTAGE ON WATER Brushland FRONTAGE ON ROA :._ .: House Plot ` DEPTH - BULKHEAD Total EDOCK I t f f i �M — COLOR a ` _ s, t t to n TRIM - — M. 3 F a f _ - - oundat'an Dinette Blcg Ex t r `; 2 Boserr,-nt F u hors I K Extension -Ext. Walls :` Interior Finish LR. � � � -� � Extension Fire Place -r I Neat DR. ( Type Roof f vY Rooms 1st Floor Parch !Recreation Roomy Rooms 2nd Floors FIN. B Porch i Dormer � F Breezeway Driveway l ! GarageRatio l i 0. B, Total i -r- FORM NO.4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold,N.Y. Certificate Of Occupancy No. . . .z 15,17.7 . . . . . . . Date . . . Januar.y. .? .1.9$7. . . . . . . . . . . . . THIS CERTIFIES that the building . . . . . . . . . . . . . 0 n e « f am i 1 y, dw e 17 i n g, « « , « « « . « « « . Location of Property 650« Sunset «Lane « « « Greenport, « « . . . . . . . House Ivo. Street"N Hamlet County Tax Map No. 1000 Section . , ,0 3 3, , , , , .Block . . . .4. . . . . . . . . .Lot . . . . . 7.7. . . . . . . . . . Subdivision . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Filed Map No. . . . . . . . .Lot No. . . . . . . . . " . . . . conforms substantially to the Application for Building Permit heretofore filed in this office dated Feb . «2 7 ,, .1 9 8 6 « pursuant to which Building Permit No. , ?4 6 4 2 Z . . . . . . dated . , .Ma r ch .1«2y, " 19 8µ6 . . . . . 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 famil«ydwelling, «inc«luding . ) car« ga«rage«,« enclosed sun «porch and front porch. The certificate is issued to . . . . . . . . . . . GERALDINE 1 LAS (owner,AjsxX)2&tXWRgX . . . . . . . . . . . . . . . . . . . . of the aforesaid building. Suffolk County Department of Health Approval . . . .� _S p_?3 Noy; _2 6 ,, ,1,9 8 6, , . . . . « µ UNDERWRITERS CERTIFICATE NO. . . , . . . . . „ .N78.1.463 D e c e mb e r. 1 , . 19 S 6 PLUMBERS CERTIFICATION DATED: Nov . 4 , 1986 Building Inspector « " " Rev. 1/81 B , { ' � = „_ a3 r o 4- FT CD 0;t t; Pb> 477-0400 tis.,;,x._ � GREENPORT,N,Y.I V 44 9Z, u E sa: e�u85 R t 4. Basement 6x6 Marine Grade ACID Retaining Wall Detail#1 — — — — — 3 _ wmkaa ` Area ti 6x6 Marine Grade ACQ — ' Retaining Wall Detail#2 1, p3 sP-9 - R.. NOT FOR CONSTRUCTION USE UNLESS CERTIFIED BY PR Gare9a _ ENGINEER AL t . a Billiard M R� T SQUIRE(BARLOW 3> ft.bhg RESIDENCE 650 n4wk£ Wx€ SUNSET LANE .- GREENPORT,NY,11944 SCTM:#033-04-77 BASEMENT PIAN BASEMENT PLAN -. lid as6ng Structure New Structure - A101