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HomeMy WebLinkAbout1000-35.-5-32 } 1WWN OF SOUTHOLD F_ V N, E°_ �. Rental Permit 0955 Owner Paul & Jessica Codjoe Occupied as Single Family Dwelling Located at 430 Snug Harbor Rd. Greenport 35.-5-32 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. 7/24/2023 d orc ficial This Notice must be posted by the main entrance at all times Town Hall Annex Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1179 Ek ` Southold,NY 11971-0959 U . 1 1 223 BUILDING DEPARTMENT , TOWN OF SOUTHOLD EtTITI)ING DEPT. 'RENTAL PERMIT APPLICATION Rental Per mniffee$200,(Application must be renewed every two years) Sect-ion:A. Property I'liforrn tion: Rental Property Address: Tax Map.Number-.1000 5ECT10N 3S -BLOC � -LOT SECT1ON�!S. f OWNER INFORMATIO N Property Owner Name. F� ..0 O:F Property Owner Legal Address: Property Owner Mailing Ad'd'ress: 20( ' was-Vt"LL- f_V• Sf�nnE 45'- Ca+A- - Teiephone Number(s):Daytime. Evening Emergency_ 4 Property Owner Email:Address: l'"".a r'^ S 2 7 7 (2- aJ.loa, C.b n-► Page 1 of 5 Town Hall Annex , Telephone(631)765-1802 54375 Main RoadFax(631)765-9502 P.O.B'ox 1179 , Southold,NY 11971-0959 Olt BUILDING DEPARTMENT , TOWN OF SOUTHOLD Section C. Authari'ze:d A ent-lb'forination: Name of Authorized'Agent of dwelling unit, if any: Address of Aatliorized Agent(no P.O.. B'oxes): 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): Mailing Address of Authorized Agent: Telephone.Number (s): Daytime Evening Emergency Ein-alf.Address: SECTION E. SITE MANAGER INFORM A''CON (requlr-ed for rental properties containing 8 or more,rental units) Naame,of Managing Agent of dwelling unit,if any:. Ad'd ess of Mariagir g Agent(no P.O. Boxes): Page 2 of 5 a W Town Hall Annex "'" Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1179 '° Southold,NY 11971-0959 COU ""�7cri • 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, 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 Unit: Number of rooms in Rental Dwelling Unit: lb Use and Dimensions of each room in Rental Dwelling Unit: I, � 2. V Tl t.tTY P rq 19--7"n 3`- 21-lt" S. 1 1 "-L1`- 14'-i '" ,+ . _S'-o"r4_T- " !`. L,Ata %>p-{ . -Ti-t(9x&1-+V : "1 a" a" l—W. F1. '. �- 2. 1 c 6°-r 5C Cl['--I`1 (3. $ATttv'm -" `r 9`-4" 1+. 1 �= �' 3 13"-�t`rte i o►-4• Page 3 of 5 Town Hall Annex Telephone(631)765-1802 54375 Main Road ` Fax(631)765-9502 P.O.Box 1179 Southold,NY 11971-0959 v ou 1pi BUILT "ING DFPARTMEN`T` . 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 ❑ l 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 ►fie wry certify under penalty of perjury,the following: 1. 1 am the ownerof 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 f understand the Town will use the address for service pursuant to all Page 4 of 5 Town Hall Annex `` Telephone(631)765-1802 d 54375 Main Road Fax(631)765-9502 P.0-Box 1179 Southold,NY 11971-0959 , w BUILDINGDEPARTMENT . TOWN OF SOUTHOLD appl[cable laws arrd rules. I further acknowledge that i will not%fythe Town of Southold Bu'ildi'ng D:eparhm-ent of any changes of address within five ('5p: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. f will'notify the Town_within five (5) busines-s days as to any change to theinformation regarding Authorized Agent, Managing Agent, or Site Manager. Property Owner's Name: J t* Property Owner's Signature Sworn mo'bofbt+e me this 7 day of 20�3 O tci`ai Notary Pubr Sig�rature amid Original Notary Stamp i� f LZOZ `8l jdy sajidx3 uolsslwwo�AW {{ �(asiar MaN;o 01e15 '�Ijgnd tie;oN twat G? 013)VIl01W 310�IN ff� y Page-5 of 5 f " , T%%N 0401IMHOLD BUILDING DEP'T. 631.765-1802 J<� I ..IN "so"' P ECT ION [ ] 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 (FI ) [ ] CODE VIOLATION [ ] PRE C/O [ RENTAL REMARKS: TOWN OF S UTH LD MOPERTY RECORD ,OW[ ER .STREET e VILLAGE i DIST., LOT FORMER OWNER N E ; ACR. ; - S W TYPE OF BUILDING I RES. SEAS. VL. FARM COMM. CB. MICS. Mkt. Value s - ; LAND I IMP. TOTAL DATE REMARKS ME s , I � 3 i E AGE BUILDING CONDITION NEW NORMAL BELOW ABOVE FARM Acre Value Per Value Ac re Tillable FRONTAGE ON WATER F Woodland FRONTAGE ON ROAD Meadowland DEPTH House Plot BULKHEAD Total DOCK OLOR TRIM - t - - 4 - tiAll E 2 ° -- � 35:5-32 1/18/2023 r i - M 4 - - i t t i f1 f Ext _ ' ` v i Foundation =Bath D' Atte ' p t i t Basement _. 3 Floors E K. Porch 9 I Ext. Walls Interior Finish LR. Breezeway [ Fire Place /` Heat DR_ Garage Y : _' Type Roof Rooms 1 st Floor � BR. Recreation Room Rooms 2nd Floor FIN. B - O. B. 3° ';Dormer ' 3 Driveway Total y Concerning: Codjoe Residence � � 430 Snug Harbor Rd. " 1000-35-5-32 w °June 30, 2023 Attached is the rental permit application for the above named property. On June 6th John Jarski made his final inspection for the CO and at that time he also inspected the house for the rental permit so we do not have to schedule another inspection for this house. I believe that all of the items necessary for the issuance of the CO have been submitted. Thank-you, Joan Chambers 8�C� qS - 6444 X1491 9© — �s La. aJ FORM No.4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hail Southold,N.Y. Certificate Of Occupancy No. ?.k1248. . . . . . . . . . Date . . . . . . . . . . . . .. . . . . . . . ., 1985. THIS CERTIFIES that the building . . .. . . . . New. . . . .DwellI . .. .I. . . . . . . . . . . . . . . . . „ . . . , . , Location of Property 475 8nu .xa? b] ►or :incl. . . . . . . . . . . . .East .Marian House lhde. Street . . H�rrr%t County Tax Map No. 1000 Section . .03?. . . . . . .Block . . .9 . . . . . . . . . .Lot . . . . . .; . . . . . . . . . . Subdivision . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Filen Map No. . . . . . . . .Lot No. . . . . . . . . . . . . . conforms substantially to the Application for Building Permit heretofore filed in this office dated . . . Feb. . . . . .22. . . . . . , 19 A4 pursuant to which Building Permit No. . . . 12919 Z , . . . . . . . . dated . . . . Kareh, . . , 7. . . , , . . . . . . 19 84 ,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 . . . . . . . . . . . . New Private One Family Dwelling . . . . . . . . . . . . . . . . . . . „ , , . . . . . The certificate is issued to . . . . . . . . . . . . . . . — WINDSWAY BUILDING. . . . . . CORP:. . . . . . . . . . . . . of the aforesaid building. Suffolk County Department of Health Approval . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . UNDERWRITERS CERTIFICATE NO. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 04A 6w",17 • ♦ . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . .. . . Building Inspector Rev.1/81 42*-0 FURNACE ROOM RECREAI�ON AREA F-- r A 1�— UNORY R=j - 5'-0— GP€NTNG-NO DOORS L OPENING NO si EXISTING GARAGE UTILITY ROOM RECREATION AREA STORAGE �D -7 3' BASEMENT PLAN O'DJOE SI'J J6 q. -2-0 2-3 EXISTING FRAMED DECK gs V,MG ROOM KITCHEN LL 4 BA-H�IkM#3 ----------- 11-3 BEDROOM#2 3 E FOYER k" 13 BEDROOM#3 GARAGE BAI�� R!A#2 FIRST FLOOR PLAN Co Fe�Sl DOXIC-E Sfju& ft&-p-5c G4ZE�fo(z _ _ - Q' E C,G•+��- ��.Jdnccfv .v)ni�,'��°ut�'ek'Eytr - �.�. h� i { f S — i��S�-,s� f � c � i S