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Home My WebLink About1000-42.-1-15 TOWN OF SOUTHOLD Rental Permit 0953 g � Owner Jonnah Hollander & Chad Remus Occupied as Single Family Dwelling Located at 275 Maple St Greenport 42.4-15 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. 7/21/2023 , Code E for of Offici This Notice must be posted by the main entrance at all times ire- Town Hall Annex �, Telephone(631)765-1802 54375 Main Road � �F Fax(631)765-9502 P.O.Box 1179 Southold,NY 11971-0959i;�'�;t Fr BUILDING DEPARTMENT ' TOWN OF SO°C THOLD TOWN OFSOMHOLD RENTAL.. PERMIT APPLICATION Rental Permit Fee $200 (Application must be renewed every two years) Section A. Property Information: Rental Property Address: �ap ��. � •� �' Tax Map Number: 1000 SECTION oH2•00 -BLOCK a%,oD -LOT—C�` goo SECTION B. OWNER INFORMATION: Property Owner Name: CRASF-- Property Owner Legal Address: Property Owner Mailing Address: Telephone Number (s): Daytime Evening Emergency Property Owner Email Address: . G 1� � Page 1&5 +d�x Town Hall Annex f W1 i`` Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1179 Southold NY 11971-0959 � Qr 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: C PAD Property Owner's Signature: LI-Ly Sworn to before me this i_,day of �acr, 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,aAa-q Page 5 of 5 �i.� AIj I Town Hall Annex �� ¢', Telephone(631)765-1802 54375 Main Road l� jjjjjj Fax (631)765-9502 P.O.Box 1 179 Southold,NY 11971-0959 40 y�"''� ., BUILDING DEPARTMENT TOWN OF SOUTHOLD Mailing Address of Managing Agent: 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: l Requested Maximum number of persons allowed to occupy Dwelling Unit: U Number of rooms in Rental Dwelling Unit: Use and Dimensions of each room in Rental Dwelling Unit: Page 3 of 5 Telephone(631)765-1802 Town Hall Annexe 54375 Main Road Fax(631)765-9502 P.O.Box 1179 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. 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) I CHAD aCMJS , 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 S 631 -765-1802 INSPEC' ION [ ] FOUNDATION 1ST [ ] ROUGH PL13G. [ ] FOUNDATION 2ND [ ] INSULATION/CAI [ ] FRAMING / STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY IN! [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PE [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FII [ ] CODE VIOLATION [ ] PRE C/O [t j"I REMARKS: /1,5j oe lbM DATE Town Hall Annex SQUI54375 Main Road U /r t PO Box 1179 Southold, a Rental IC1S !Ct9® NY 11971-1179 Tel: 631-765-1802 Fax 631-765-9502 SCTM #.� A5 _ Date Owner _. Phone �w.. w... Address �� _, .. .....w.. _ Zip city �/ Inspector Ci LEVELS S111111111111,!111! UB 1 2 3 Smoke Detectors (#_ bedroom detectors excluded) Carbon Monoxide Detectors (# Fire Extinguishers (#).. Exits (# BEDROOMS 2 3 Smoke Detector Alarms (#y _-.._-._. .- .'. Carbon Monoxide Alarms (#) Egress (windows) (Y/N) BUILDING SYSTEMS Y/N CONDITION OF PROPERTYId YIN Building Interior is clean /maintained Buil g ine Hot water t to mamtamedloperior�al _......_...�..._cle . �_. �.diExterior is clean l maintain nal Property is clean / safe/ maintained Electrical , sta m maintained�o eratio ._..w m Mechanical s stem maintaineal/operational Handrails & guards present ji NINE lig COMMENTS . [ental Inspection Form 4/7/2021 I w. X J 1 f " i Z r J a, r i. f � � �3 'r f t I r i a i Viou oro uuu�i�i� ow„ j f r 2rrrrntn R i� 1 aiaa�a� �� aoaio��aare rir�iaaaaa�t�� raoaaa ria �� as i a/Ulrrls6 uuuuuuuu ai////�/ r �� r0/1/IIIll0lI9�01�i 5 SCTM # TOWN OF SOUTHOLD PROPERTY RE OWNER STREET = VILLAGE - SUB_ LOT } ACR, REMARKS TYPE OF BLD. ape �t s " PROP CLASS _ - -meq) iLw LAND IMP TOTAL DATE - appI FRONTAGE ON WATER HOUSE/LOT ' BULKHEAD g TOTAL TOWN OF SOUTHOLD PROPERTY OW R STREET V I LLAGE LOT r ._,,. � ., 7-7-1 7 "FORMER OWNER N E a- I ACR, h E x S W TYPE OF BUILDING i RESE ; SEAS. V�L. =FARM ICOMM. CB. MISC. Mkt. Value LAND IMP- TOTAL � � DATE REMARKS s , _ f os e AGE BUILDING CONDITION ` S NEW ! NORMAL BELOW 'E - FARM Acre Value Per Value I Ac re Tillable l i + Tillable 2 Tillable 3 _r Woodland Swampland FRONTAGE ON WATER Brushland ? FRONTAGE ON ROAD House Plot ° DEPTH BULKHEAD Total IDOCK F v� A� .\ \.20 ( i 7�9- OLOR m _ _ _ 1 I € \ s f rt- 42.-1-15 3/23/2021 1 M. Bldg. . Foundations Bath Dinette ` _ I _ Extension ,Basement ' Floors K. Extension nExt. Walls Interior Finish ER Extension __ [ Fire Place Heat DR. I Type Roof I a` Rooms 1st Floor - BR Recreation TZooml Rooms 2nd Floor: FIN. B. ` Porch z - Dormer Breezeway s - Drivewayif Garage / ' a _ Q " Patio ' �. f --- € Tota FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. PRE EXISTING CERTIFICATE OF OCCUPANCY No: Z- 27800 Date: 22 0"9 01 THIS CERTIFIES that the building DWELLING & ACCESSORY Location of Property 275 MAPLE ST GREENPORT (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 042 Block 0001 Lot 015 Subdivision Filed Map No. Lot No. conforms substantially to the Requirements for a ONE FAMILY DWELLING built prior to APRIL 9 1957 pursuant to which CERTIFICATE OF OCCUPANCY NUMBER Z- 27800 dated JULY 9, 2001 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 FAMILY DWELLING WITH REAR ENCLOSED PORCH AND RAISED CONCRETE ORY 1 1 2 CGARAGE. PATIO_AND ACC„ESS...,_..... AR * ._.._ ._.._...._...„___.,_ �..._... ........m._.�..�..v_ The certificate is issued to ANTOINETTE BERKOSKI & ANO .�..._. (OWNER) _.�.....�,..� of the aforesaid building_ SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL �N/A wwwwww_. ELECTRICAL CERTIFICATE NO. 6/22/01 Penning PLUMBERS CERTIFICATION DATED N/A „m *PLEASE SEE ATTACHED INSPECTION REPORT. lei Authorized S` nature Rev. 1/81 BUILDING DEPARTMENT TOWN OF SOUTHOLD HOUSING CODE INSPECTION REPORT LOCATION: 275 MAPLE ST GREENPORT SUBDIVISION: MAP NO.: LOT (S) NAME OF OWNER (S): ANTOINETTE mBERXOSEtI &,ANO OCCUPANCY: SINGLE FAMILY....... ANTOINETTE EEREOSKI & AND ADKITTED BY: ANTOINETTE.BERKOSKI ACCOMPANIED BY: SAME ...... KEY AVAILABLE: SUFF. CO. TAY MAP NO.: 42-1-15, c _._._ER OLSEN SOURCE OF REQUESTDATE:- GARX...�'LANN....... mmA.....,,�.,..._.-....._........—..-w...w DWELLING: TYPE OF CONSTRUCTION: WOOD FRAME „,,,,,,,, # STORIES: 1.5 EXITS: 200 FOUNDATION: CONCRETE BLOCK CELLAR: FULL C ANL SPACE: TOTAL ROOMS: IST FLR—: ....3 2ND FLA.: 2 3RD FLR_: 0 BATHROOI(5): 1.0 TOILET ROOK(S): 1.0 OTILITY ROOM(S): PANTRY PORCH TYPE: REARNE CLOSED DECK TYPE: „m PATIO TYPE: RAISED CONCRETfi __ FIREPLACE: ._.. GARAGE: _.........,.w..................................... �... DOMESSTIC HOTNATUR. X TYPE TER: ELECTRIC AIRCONDITIONING: .._.............................. TYPE BEAT: OIL WARN AIR- �.,.. ..w Eft TER,: X �. OTHER: ACCESSORY STRUCTURES: G"RA^”, TYPE OF CONST. 1 1_...,. ?._CAR W43lJwE......FRAME STORAGE, TYPE CONST.: - _ „ Sft3M NG POOL: ._.,........._wwww GUEST. TYPE CONST_: ....... _..�. VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE DE�"'CRmTP&ICY ................. w....._ARL�p SEG. .w_..._..w r A h � p � l I l f 6 9 n I V � � p RUNARXS. RE—INSPECTED 6 29 O1 www �._. INSPECTED BY: DATE ON INSPECTION: 03/21/0 JO.' BOUFIS TIKE START: 10.00AM_ END: 10.30 & —, Town of Southold 10/28/2020 P.O.Box 1979 cn 53095 Main Rd r Southold,New York 11971 o; 41565 hate: 10/28/2020 THIS CERTIFIES that the building ADDITION/ALTERATION Location of Property: 275 Maple St, Greenport SCTM#: 473889 Seefftcl I.,ot: 42.-1-15 _ Subdivision: Filed Map No. :Lot No. conforms substantiallyApplication . to the pp tion far Eiuilair'rrg Pen-nit heretofore filed in this office dated 10/2/2020 pursuant towhich Building Permit No. 45330 dated 10/15/20210, 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: _, a 10 _.AS T ,I liGT, Q, , l "t, C, fv The certificate is issued to Gorod,Alex _ i of the aforesaid building. I 0 S .II 4OLK CO UNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAI, CER'TIN' CTE NO. .. .....,.«........... __.,.w...-,.,.........4_53.�3«.,0...w. 1r 10.2...2-20 2 202 0 PLUMBERS CEI1 �ICTIfDATED 10-01-2020 3Fuel Soy AM i, •uW* l Signature r �