The URL can be used to link to this page

Home My WebLink About1000-35.-3-12.1 e «$ TOWN OF SOUTH � . Rental Permit a g. 0952 Owner George & Kathleen Brunn Occupied as Single Family Dwelling Located at 1710 Gull Pond Rd Greenport 35.-3-12.1 Maximum Permitted Occupancy 8 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 7/13/2023 d n rce 4t cal This Notice must be posted by the main entrance at all times dry. Telephone(631)765-1802 Town Hall Annex Fax(631)765-9502 54375 Main Road h P.O.Box 1179 Southold,NY 11971-0959 „�� TO I BWN UILDING OF PkOUTHOLD � A P 9 2022 RENTAI. PERMIT APPLICATION _.Reaal Permit Fee $200 (Application must be renewed every two years) Section A. Property Information: Rental Property Address: Sec 0` 6- Tax 6- Tax Map Number: 1000 SECTION y73 R61 -BLOCK_ ._.-LOT /a` - Dd SECTION B. OWNER INFORMATION: e d �� . Property Owner Name: -.. '- Property Owner Legal Address: Property Owner Mailing Address: " �� Emergency--—..... Telephone Number (s): Daytime ____ a � Property Owner Email Address: G , _ Page 1 of 5 Town Nall Annex �1 Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1179 " Southold,NY 11971-0959 �� °" BUILDING DEPARTMENT TOWN OF SOUTHOLD 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 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: I'e C � _w Address of Managing Agent (no P.O. Page 2 of 5 0 �µ 44, . Town Hall Annex Telephone(631)765-1802 54375 Main Road Fax (631)765-9502 P.O. Box 1 179 Southold,NY 11971-0959 ynm BUILDING DEPARTMENT TOWN OF SOUTHOLD Mailing Address of Managing Agent: _ 'ce -16' `° " Telephone Number (s): Daytime `h Evening Emergency" Email Address: S z �eeQ� w,m �� I �'? .. ,........ ------------- 61 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." Rental Dwelling Unit Identifier: Requested Maximum number of persons allowed to occupy Dwelling Un' Number of rooms in Rental Dwelling Unit: _ G Use and Dimensions of each room in Rental Dwelling Unit: ._w. ��' �� Page 3 of 5 f, Town Hatt Annex , Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 117946 Southold,NY 11971-0959 ' , ` 1 . BUILDING DEPARTMENT TOWN OF SOUTHOI«D 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) C 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 Iegal 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 - Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1179 4 Southold,NY 11971-0959 ke. 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: _._.......... ..._6eo e-; / , 5i- l4 0 _. _... Property Owner's Signature: Sworn to before me this y of � 2Q9-)- JENNIFER JENNIFER E. HARNED Notary Public,State of New York Reg.No.01 HA i 44014 ty O"Nota blit Si nature and Ori lnal Nota Stam QrnrKis i`n xpir k a^or� 7 g $� Notary P My Corn¢�niion Expires Cb �27/2021 Page 5 of 5 0 6 VI [4V, TOWN OF SOU7"NOLD II► x,11 NG DE u Z 631-765-1802 A0106 looft "MON., INSrEG ulON [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INS ATION/CAULKING [ ] FRAMING /STRAPPING [ ] NAL [ ] FIREPLACE & CHIMNEY [ FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENET ION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FI L) [ ] CODE VIOLATION [ ] PRE C/O [ RENTAL REMARKS: r Noky 47, DATEtINSPECTOR r Town Hall Annex Telephone(631)765-1802 54375 Main Road ; Fax(631)765-9502 P.O.Box 1179 , Southold,NY 11971-0959 � C � R 14 2022 BUILDING DEPARTMENT TOWN OF SOUTHOLD ul�-DING t11- MVVA� OF.s (Viii, p..,� 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 I?rof s ioraal seal rem rir d t►r r it c or n ear licensed l od a tris actor must rovide co o valid current certification Rental Property SCTM m Number: 7) '61 I 0� Rental Property Address: I'7 10- G0Li-- Po -0 L4�A'F. G P—P—t`j 90 Owner/Name: a PoXn RL fS V. �,k N Rental Dwelling Unit Identifier: o k Number & Square footage of each bedroom as depicted in the attached floor plan: (i.e. Bedroom #1 -100 sq., Bedroom #2-90 sq., etc.) 00 ) 5t SF Property Description (Include all improvements indicated on survey) 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 E. � Original Signature Please place professional seal: '43s I MAI,, � A f a F ; 00 i . t � � W17RDOM n{ _ xWl affink LIBRARY 40 � - KI7GH$1 BA ik Am A - y } y i LOj iMtY P1XR1 i. PORLH _ ^xrr GEGK o I'�"- m PFGK i C3EG4 e v 1st FLOOR FLM I JIM SARNA L06 TOWN OF SOUTHOLD PROPERTY IR 1 1q OWNER' STREET VILLAGE {_ r�i��, SUB. LOT FORMER OWNERA -� R S - W TYPE OF BUILDING J, F jF RES. SEAS. VL. FARM COMM. CB, MICS. Mkt. Value LAND IMP. TOTAL DATE REMARKS I - = i` = - z On t � e 1 f I f. i in 5-7 Iry�ta t Tillable I FRONTAGE ON WATER Woodland I FRONTAGE ON ROAD c MeadowlandA l ' DEPTH House Plot BULKHEAD I Total - i a t - - _ s .ne.1 x e > 4*1 1 f 35-3-12.1 10/02 3 M. BIdg. t'1`AL2 # ' at€on - Bath Y, tq -Extension �� Floors � t � . � Cute Exte si1t Interior Finish Ex eo 2 Cc = -2 Free d Neat aF. . l ` �' �` 2-96 2— C ��. ' 77 SA-14A.01 , a tit to to uk Fvr —Pool Ajp 1 X k't C z Patio Deck CL Roams 1st Floor = ` Driveway ms 2nd Floor � Garage t�;Zt3Rf Q. B. 4 FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-29542 Date: 06/25/03 THIS CERTIFIES that the building ACCESSORY Location of Property: 1710 GULL POND LA GREENPORT (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 35 Block 3 Lot 12.1 Subdivision Filed Map No. Lot NO. conforms substantially to the Application for Building Permit heretofore filed in this office dated APRIL 11, 2003 pursuant to which Building Permit No. 29287-Z dated APRIL 11, 2003 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 NON-HABITABLE ACCESSORY BUILDING AS APPLIED FOR. The certificate is issued to ANTOINETTE BECK (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF $SALTH APPROVAL N A ELECTRICAL CERTIFICATE NO. 1087556 05 09LQ3„ PLUMBERS CERTIFICATION DATED N/A v Authorized S" nature Rev. 1/81 FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-29541 Date: 0625 THIS CERTIFIES that the building NEW DWELLING Location of Property: 1710 GULL POND LA GREENPOR_T (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 4,73889 Section 35 Block 3 Lot 12.1 Subdivision Filed Map No_ Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated APRIL 11, 2003 pursuant to which Building Permit No. 2.92872 dated PRrL 11, 2.003 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 SINGLE FAMILY DWELLING WITH ATTACHED WOOD DECK AS APPLIED FOR. The certificate is issued to ANTOINETTE BECK (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL R10-00-0229w 06/20/03 ELECTRICAL CERTIFICATE No. 1087556 05L2/03 PLUMBERS CERTIFICATION DATED 06/13/03 RICHARD WITT -- i Authorized Si ature Rev. 1/81