HomeMy WebLinkAbout1000-43.-4-20 TOWN OF SOUTHOLD
A;
Rental Permit
z, 0680
411
Owner Sand City Partners
Occupied as Single Family Dwelling
Located at 475 Wood Lane Greenport 43.4-20
Maximum Permitted Occupancy 4
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.
7/26/2024 ;kle�
Code of ennent off` i t
This Notice must be posted by the main entrance at all times
TOWN OF SOUTHOLD BUILDING DEPT.
631-765-1802 4-3_c av
INSPECTION
[ ] FOUNDATION 1ST/ REBAR [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INSULATION/CAULKING
[ ] FRAMING /STRAPPING [ ] FINAL
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FI L)
[ ] CODE VIOLATION [ ] PRE C/O RENTAL
REMARKS: 6m4i yi v c4
Oc'-G
DATE ��a INSPECTOR
Town Hall Annex
Town of Southold 54375 Main Road
Rental Inspection Report PO Box 1179
Southold, NY 11971-1179
Tel: 631-765-1802
SUM# 0 Date
Owner Phone
Address f _ Visible
Hamlet _ Inspector
Floor Level Quantities
Sub. 1 2 3
Smoke Detectors (not located in bedrooms) f
Carbon Monoxide Detectors 1�
Fire Extinguishers
Exits
Bedrooms 1 2 3 4 5 6
Smoke Detectors
Egress
Occupant Count O�
Building Systems Maintained &Operational ndition of Property
Heating Building interior
Hot water Building exterior
Electrical Property clean, maintained & safe
Mechanical Handrails&guards installed &secure
Pool Safety Pool on Site
Surface water alarm Date of CO issuance
Door alarms Pool completely enclosed
-- - --- - - --- - - - - - -- - _ ... ---- - — -- --
Self closing/ latching gates Pool fence to code requirements
CO's for all items present Prior Rental
Comments:
, ' TOWN OF SOUTHOLD
Rental Permit
411 Qa 0680
Owner Sand City Partners
Occupied as Single Family Dwelling
Located at 475 Wood Lane Greenport 43-4-20
Maximum Permitted Occupancy 4
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.
J
6/24/2022
de En rc nt fficial
This Notice must be posted by the main entrance at all times
Town Nall Annex Telephone(631)765-1802
54375 Main Road Fax(631)765.-9502
P.O.Box 1.179
Southold,NY 11971-0959
L
BUILDING.DEPARTMENT
TOWN OF SOUTHOLD
SEN- AL.PERMITAPPLICATION.
Rental Permit Fee$200(Application must be renewed every two years)
Section A.
Property Information:
Rental Property Address:
.�. 1.u.00
�e..:. .. : . 1
Tax Map Number: 1000.SECTION.......:'...:..:3:.:.::.........-BL9CK. ....._,.:,:...... LOT: ...:.. . .
SECTION B:
OWNER.INFORMATION:
Property Owner Name:.. .. l . : .GI..7- 1 / TIP .Li-c- .. ..
Property Owner Legal Address: Property Owner Mailing Address:
Z 1=lq-rV N-5 a-e-&k- I U :5 ��...:..CV
oh -P >- .:: . ..., .11.710�:...:... : 1 Z e LIc ✓ .
N.
iJ.-76d
63 i 9�
Telephone Number(s): Daytime 631. q?7q.3 7.�vening 4 -rh ... Emergent. 63 -7 4376
Property Owner Email Address:.. J-13Ne i o C� 6 M .. ..:..,....,..:......:.:.;. .:.......: ....:.::..::
Page 1 of 5
a ' w
Town Hall Annex Telephone(63t)765.1.802
54375 Main Road Fax(631)'765-10501
P.O.Box 1179
Southold,NY 11971=0959
BUILDING DEPARTMENT
TOWN OF SO.UTHOLD
Section C.
Authorized:Agent Information:
Name of Authorized Agent of dwelling:unit, if any: O/q „
Address of Authorized Agent (no P.O. Boxes)::'.
Mailing Address of Authorized Agent:
Telephone Number'(s): Daytime Evening;_T 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):
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: �
. ......:::.::...::.... .... . : ........
Address of Managing Agent (no P.O. Boxes).:.'.......
Page 2 of 5
Town Hall Annex Telephone(631)765-.1802
54375 Main Road Fax(631)765-9502
P.O.Box 1.179. ,
Southold,NY 11971-0959
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 U.nit.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: . 7� W 6y 4-), Ll-�n/e-
Requested Maximum number of persons allowed to occupy Dwelling Uni
Number of rooms in Rental Dwelling Unit: -�...:...........:..:... ::.:;.....: . ..::...
Use and Dimensions of each room in Rental Dwelling Unit:...... .
:
LIV
!!.,0"i/.v-�'✓ X . `l'. :.:...< . .iii... SK Tip .
.... '..::.
Page 3 of 5
.;`:;:
Town Hall Annex Telephone(63 765-1002
765-1802
54375 Main Road Fax(6:31)7.65-9502
:.
P.D.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 ofthe County of Suff.olk and
by the laws adopted by the New York State Fire Prevention and Building Code Council..
V/1.am requesting a fire safety inspection to be performed by a Code.Enforcement Official
from the Town of Southold
0 lam 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)
1, ;: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 Hall Annex Telephone(631)765.4.802
54375 Main Road Fax(631)765-9502
P.O.Box 1179 "
Southold,NY 11971-0959 ':.
BUILDING DEPARTMENT
TOWN OF SOLYMOLD
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
agree6to abide by the same.
4. 1 will notify the Town within five (5) business days as to any change to the information
regarding Authorised Agent; Managing Agent, or Site Manager,
Property Owner's Name::. .S'/}nt...D. ._G! ... . P�-�2TlJP�2S LLC
Property Owner's Signature: /
C_—
Sworn to before m this day of
! DONNAPA1d,ADMO-PESCE
Notary PubGCSlnbldNew York
.. .. .... .. ..,. ,r:
�.. .:..• •QuaNfied In Sulf�t County �
Official.Notar Pubis Signature.and Original Notary Stamp My.C6mmiSSiooEVhsSeptember30,20
Page5 of 5
IBOE SOUTy u
* # F SOUTHOLD BUILDING DEPT.
TOWN O
`IOU631-765-1802 ,gi�,, 1 q,),:D
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INSULATION/CAULKING
[ ] FRAMING /STRAPPING [ ] FINAL
[ ] FIREPLACE & CHIMNEY [ ] RE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (F AL)
[ ] CODE VIOLATION [ ] PRE C/O ] RENTAL
REMARKS:
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THOLD PROPERTY'' REC-ow�
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FARM Acre
Value Per Value
Acre
Tillab've
FRONTAGE ON WATER
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FRONTAGE ON ROAD
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House.Plot BULKHEAD
----------
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Garage <
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1.
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- 32255 Date: 03/19/07
THIS CERTIFIES that the building DWELLING
Location of Property 475 WOOD LA GREENPORT
(HOUSE NO.) (STREET) (HAMLET)
County Tax Map No. 473889 Section 043 Block 0004 Lot 020
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- 32255 dated MARCH 19, 2007
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*
The certificate is issued to LAWRENCE A LAVEGLIA
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A
ELECTRICAL CERTIFICATE NO. N/A
PLUMBERS CERTIFICATION DATED N/A
*PLEASE SEE ATTACHED INSPECTION REPORT.
f
Au orized Signature
Rev. 1/81
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
HOUSING CODE INSPECTION REPORT
LOCATION: 475 WOOD LA GREENPORT
SUBDIVISION: MAP NO.: LOT (S)
NAME OF OWNER (S): LAWRENCE A LAVEGLIA
OCCUPANCY: SINGLE FAMILY DWELLING LAWRENCE A LAVEGLIA
ADMITTED BY: DIANE CARPENTIERI ACCOMPANIED BY: SAME
KEY AVAILABLE: SUFF. CO. TAX MAP NO.. 43.-4-20
SOURCE OF RBOUSST: -LAWRENCE LAVEGLIA 2/28/07 DATE: 03/19/07
DWELLING:
TYPE OF CONSTRUCTION: WOOD FRAME # STORIES: 1.0 # EXITS: 2
FOUNDATION: CEMENT BLOCK CELLAR: FULL CRAWL SPACE:
TOTAL ROOMS: IST FLR.: 4 2ND FLR.: 0 3RD FLR.: 0
BATHROOM(S): 1.0 TOILET ROOK(S).- 0.0 UTILITY ROOM(S)
PORCH TYPE: CEMENT 2 PORCHES DECK TYPE: PCO TYPE:
BR86ZEMAY= FIREPLACE: NO GARAGE:
DOMESTIC HOTMATER: YES TYPE HEATER: OIL BURNER AIRCONDITIONING:
TYPE BEAT: OIL MARK AIR: BOTHATER: YES
OTHER: BILCO DOOR ENTRANCE
ACCESSORY STRUCTURES:
GARAGE, TYPE OF CONST.: STORAGE, TYPE CONST.: 8.31 X 12.1'
SWII4II3IG POOL: GUEST, TYPE CONST.:
OTHER:
VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE
LOCATION DESCRIPTION ART SEC
I
REMARKS
INSPECTED BY: DATE ON INSPECTION: 03/19/0
GEORGE GILLRH TIME START: END:
toif giFFOt,f`-Y;' Town of Southold Annex 11/3/2011
54375 Main Road
' Southold,New York 11971
CERTIFICATE OF OCCUPANCY
No: — 35272 Date: 11/3/2011
THIS CERTIFIES that the building RESIDENTIAL ADDITION
Location of Property: 475 Wood Ln, Greenport,
SCTM#: 473889 See/Block/Lot: 43.4-20
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this officed dated
7/12/2011 pursuant to which Building Permit No. 36568 dated 7/19/2011
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 to a Single Family Dwelling;.
Mud Room, 9.4'X 15' as applied for
The certificate is issued to Reinholt,Sonja&Derr,Andrew
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 36568 10/27/11
PLUMBERS CERTIFICATION DATED
u oriz d Sigt} ture
�o�g�frFO(,fCpG Town of Southold 7/1/2015
0
P.O.Box 1179
o • 53095 Main Rd
Southold,New York 11971
CERTIFICATE OF OCCUPANCY
No: 37635 Date: 7/.1/2015
THIS CERTIFIES that the building FIREPLACE
Location of Property: 475 Wood Ln,Greenport
SCTM#: 473889 Sec/Block/Lot: 43.-4-20
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
6/9/2015 pursuant to which Building Permit No. 39876 dated 6/17/2015
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:
"as built"fireplace in an existing one family dwelling as applied for
The certificate is issued to Reinholt,Sonja&Derr,Andrew
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
Aut ipa re
Bunch, Connie
From: Janet Rubel <janetrubel@gmail.com>
Sent: Friday,June 24, 2022 3:13 PM
To: Bunch, Connie;tracy.dwyer@toen.southold.ny.us; Pontino, Susan
Subject: Fwd: Inspection for rental permit
Good afternoon,
John was at my house at 475 Wood Lane, Greenport,NY on June 14, 2022,to inspect for a rental permit.
He found the only thing that was missing was a smoke detector in my hallway, although I had one in each
bedroom.
Today we have installed a new smoke detector in the hallway. John indicated that we should send you the
photos, in order to compete the processing of the permit.
It was installed adjacent to the carbon monoxide detector.
Please see attached photos. If you need something more,please let me know. My cell phone number
is 631 987 4376.
Thank you.
Janet Rubel
Sand City Partners LLC
i