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HomeMy WebLinkAbout1000-35.-1-10 4 TOWN OF SOUTHOLD Rental Permit 0936 Owner Whitney Blam Occupied as Single Family Dwelling Located at 880 Sound Ave Greenport 35.-1-10 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. 6/21/2023 a Code Eorc� rr� .nt Officia This Notice must be posted by the main entrance at all times tu z-7 Town Hall Annex jog Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1179 Southold,NY 11971-0959 z BUILDING DEPARTMENT TOWN OF SOUTHOLD 11 RI �� - RENTAL PERMIT APPLICATION Rental Permit Fee$200 (Application must be renewed every two years) Section A. Property Information: Rental Property Address: . .. . ...._. . .... . . . . ... Tax Map Number: 1000 SECTION � �� -BLOCK-- SECTION B. OWNER INFORMATION: t Property Owner Name: Property Owner Legal Address: Property Owner Mailing Address: _aC�tQ�S-� � � J Telephone Number(s): Daytime v l -7' 5 Vvenir�[)C)pj a Emergency V Property Owner Email Address: V') a,An _ �'� 1 Page 1 of 5 r hoft Town 1ia11 Annex Telephone(631)765-1502 54375 Main Road Fax(631)765-9502 P.O.Box 1 179 Southold,NY 11971-0959 Z fns BUILDING DEPARTMENT TOWN OF SOUTHOLD Mailing Address of Managing Agent: Telephone Number(s): Daytime Evening Emergence Email Address: SECTION F. PROPERTY DESCRIPTION: Number of Rental Dwelling Units on property: � UU For each Rental Dwelling Unit set forth the Rental Dwelling Knit identifier(for example, Unit 1, Unit 2, Unit 3 or Apt A, B, );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: J� 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: L E � e (-,ow (t Page 3 of 5 L SJ Town Hall Annex 'Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 CA P.O.Box 1179 vi Southold,NY 1197 1-0959 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. 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) I 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 flail Annex Telephone(631)765-1802 54375 Main RoadFax(631)765-9502 P.O.Box 1179PC— V Southold,NY 11971-0959 BUILDING DEPARTMENT TOWN OF SO 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 information regarding Authorized Agent, Managing Agent, or Site Manager. Property Owner's Name: vV v -6(aVqA Property Owner's Signature: = Sworn to before me thvday of , 200� Official Notary Public Signature and Original Notary Stamp CONNIE D.BUNCH Notary Public,State of New York No.01 BU6185050 Qualified in Suffolk County '' // Commission Expires April 14, 2 0�7 Page 5 of 5 of so TOWN OF SOUTHOLD BUILDING DEPT. 631-765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION/CAULKING [ ] FRAMING /STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) [ ] CODE VIOLATION [ ] PRE C/O [ 'RENTAL uj l r-1 I A GSC e ss a- in li DATE u � - c7aINSPECTOR Town Hall Annex $ DTHOLD TOWN 54375 Main Road PO Box 1179 Southold. NY 11971-1179 Tel: 631-765-1802 Fax 631-765-9502 s I � SCTM # —�U I Date Owner Phone Address �i I ��� p City I Inspector LEVELS SUB ! 2 3 I Smoke Detectors (#- bedroom detectors excluded) Carbon Monoxide Detectors (#) Fire Extinguishers (#) Exits (#) BEDROOMS ' 2 3 ° l Smoke Detector Alarms Carbon Monoxide Alarms #? - Egress (windows) (YIN) Y/N CONDITION OF PROPERTY Y/N BUILDING SYSTEMS - ° Heating system maintat ed/=operational Building Interior is clean / malntained -Hot water s�'s'em malntalne� ��=erational ;Building Exterior is clean /maintained Electricals °ste .: maintained` perational I Properis clean/safe/maintained i Mechanical s�=stem ma�t�tai �� 'ope'at:°anal , Handrails & guards present COMMENTS- i � I I I I Rental Inspection Form 4/7/2021 aI J90 ISF S 1 vO w - 1 i w pp J� a II �.. ux�„WW at° �a- I a w �.� l IPm r� , t "G .. `... qy- Lq l l' 'd �W "41 TOWN OF SOUTHOLD PROPERTY RECI <� 1 ( 4-lacD, STREET VILLAGE SUB. LOT ............ FQKMER OWNER',')f N, ACIVB � V S W TYPE OF BUILDING RES� SEAS, SII FARM COMM. CB. MICS. Mkt. Value LAND IMP. TOTAL DATE REMARKS 0' -4 1.2 2 3 *41D I - ,2 .......... 2... ICONDITI AGE BUILDNG ON ............ NEW NORMAL i BELOW ABOVE Pe FARM Acre Value r Value Acre ............ Tillable FRONTAGE ON WATER Woodland FRONTAGE ON ROAD Meadowland DEPTH j House Plot BULKHEAD Total DOCK .. .......... w: R RIM �a 3LC7 " 4 ; . 1 *f a 4 r Al IN w 1 e �. t r „' ,. �' /r a✓� ( i�� j iii is 1///„v1 , I� g� M BIdgnr w" . ..._._. .fi rv�_. ... ry .. .. .. . .... .._..__... n. . f — ._ .... � P Extension .« �.,u. .. �. mm.._�M �..,.. ...m. ... „_. �.., _... .... .. ,a_.� ..w . w i Extension a Extension Foundation kn 1S.�Gunette Brit Porch Basement Floors K f. Parch Ext. Walls " nr ' ti `� Interior Finish i R._IR. ,._.Breezeway ..�.�a .. ..... � _M _ ....... .... . .F.....� .,.�.....µ. ...._w. __.. .1=Cre Place ..._ . ...�,. __ ...�. .W....... tHeat. DR.� _.�_...�.�,._._. ..... _ Garage .. ..�.... . ..... I... "... .�...... _ � ,. �._ « ....�.. Roof Rooms I st Floor , �.. Patio � .. � ...w. � .. .. .... __.. .. ...�.�., . ..�._. ,.........M.Recreafion .,Room `i Rooms end oar F1 ..,.,$ ....__..._....�. rv..._.. ,. ,.. _....�. , 1 IES r _..1-111--. 4 .._ . ___,� 1— ..- .. O B Mormer Driveway _..a ... ..�... ' ...,..,... , ,.,.,_... Total � Cdr• TOWN OF SOUTHOLD OFFICE OF BUILDING INSPECTOR TOWN HALL SOUTHOLD, NEW YORK CERTIFICATE OF OCCUPANCY NONCONFORMING PREMISES THIS IS TO CERTIFY that the /X/ Land Pre C.O. #- Z13261 Building(s) Date- March 14,1985 Use(s) located at 880 Sound Rd. Greenport Street Hamlet shown on County tax map as District 1000, Section 035 , Block 01 Lot 010 , doesfnot)conform to the present Building Zone Code of the Town of Southold for the following reasons: Insufficient Total Area. Insufficient front & side yard set-backs. On the basis of information presented to the Building Inspector's Office, it has been determined that the above nonconforming /—N Land ]J/Building(s) I-/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: One story, one family dwelling situated in the A-Residential-Agricultural Zone with detached accessory garage and access to Sound Rd. , A Town Maintained Rd. The Certificate is issued to VERITY, JARVIS D. , Est. of (owner, ; of the aforesaid building. Suffolk County Department of Health Approval N/A UNDERI-�TRITERS CERTIFICATE NO. N/A NOTICE IS HEREBY GIVEN that the owner of the above premises RAS NOT CONSENTED 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. uiidir; _specter FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-17334 Date SEPTEMBER 21, 1988 THIS CERTIFIES that the building ALTERATION & REPAIRSS Location of Property 880 SOUND ROAD GREENPORTr NEW YORK House No. Street Hamlet County Tax Map No. 1000 Section 35 Block 1 Lot 10 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated AUGUST 22, 1988 pursuant to which Building Permit No.17430-Z dated SEPTEMBER 15, 1988 was issued, and conforms to all of the requirements of the applicable provisions of the law. The occupancy for which this certificate is issued isALT TION & STRUCTURAL REPAIRS (PARTIAL FOUNDATION) TO EXISTING ONE FAMILY DWELLING AS APPLIED FOR The certificate is issued to RAE TATTENBAUM & MARJORY FINE (owner, ) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A 4 Building Inspector Rev. 1/81