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Home My WebLink About1000-40.1-1-45 fat- SOWNOF SOUTHOLD Rental Permit 0988 Owner Susan Assera & Andrea Mitchell Occupied as Single Family Dwelling Located at 535 Calebs Way #N45 Greenport 40.1-1-45 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. 9/12/2023 �3 Code Enfor(Olent Official This Notice must be posted by the main entrance at all times ea X200 Town Halt Annex 6' Telephone(631)765-1802 54375 Main Road ti Fax(631)765-9502 P.O.Box 1179 �� Southold,NY 11971-0959; E (ME IV E BUILDING DEPARTMENT AUG 1620 U TOWN OF SOUTHOLD I3ulid1n Dopes "t RENTAL PERMIT APPLICATION Town of Southold Rental Permit Fee$200 (Application must be renewed every two years) Section A. Property Information: Rental Property Address: Tax Map Number: 1000 SECTION O -BLOCK - SECTION B. OWNER INFORMATION: Property Owner Name: Property Owner Legal ddress: Property Owner Mailing Address: Samf sT L . - f �. Telephone Number (s): Daytime )7 Evening 3 7 2 3 7'�bc9 Emergency L61- q KPI Property Owner Email Address: O` (Lo Page 2 of 5 Town Hall Annex Fax(631)765-9502 54375 Main Road P.O.Box 1179 tU 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. ..,.. ...-.- -••- 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 Wr 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: L 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: Room 1136 LIX/ jeVo ff., Page 3 of 5 ea, Town Hall Annex �' Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1 179 Southold,NY 11971-0959 K 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 it 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. o( I am requesting a fire safety inspection to be performed by a Code Enforcement Official from the Town of Southold ❑ 1 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) 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)765-1802 54375 Main Road ,, Fax(631)765-9502 P.O.Box 1179 Southold,NY 11971-0959 ' 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: . Y Owner's Pro ert Owner' Signature: �.. . ..— N Sworn to before me this I day of � 20.E Official Notary Public Signature and Original Notary Stamp PAYAL P PATEL 'NOTARY PUBLIC-STATE Of NEW YORK No.01PAe402875 Ouallfled in Queens County My Commission Explres o1-13-2024 Page 5 of 5 aso TOWN OF S 631 -765-1802 � INSPEC ION [ ] FOUNDATION IST [ ] ROUGH PL13G. [ ] FOUNDATION TND [ ] INSUTATIOWCAI [ ] FRAMING / STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY IN; [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PE [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FII [ ] CODE VIOLATION [ ] PRE C/O [ REMARKS: INSPECTORDATE -, - �.� Town Hall Annex 0'0 Town of Southold 54375 Main Road Rental Inspection Report PO Box 1179 Southold, NY 11971-1179 4 Tel: 631-765-1802 _ SCTM # rt�4e �. .. . .. _ .. .. Date_ �w Owner f7 one _. hJ Pisible Address O,' 6S P _ �..._...... _ Spector Hamlet 1 - Floor Level_.. . Quantities Sub 1 2 ' ew...5moke Detector- . . - . .. .� _.,_ . ._ . r s (not located in bedrooms) arbon Monoxide Detectors i wExrtsguishers Extm _ Bedrooms 1 2 3 4 5 6 Smoke Detectors Egress Occupant Count Building Systems Maintained & Operational Condition of Property Heating Building interior Hot water Building exterior Electrical Property clean, mai11 ntained &safe a Mechanical Handrails &guards installed &secure ,._ _. ., .. Pool Safety Pool on Site Surface water alarm Date of CO issuance Pool completely enclosed Door alarms Self closing/ latching gates Pool fence to code requirements CO's for all items present Prior Rental Comments: _. Introducing Pheasant Run Estates in Southold, Long Island. A new opportunity. -=¢®— A rare chance to discover a townhome that combines a cosy, Nantucket style with the pleasures of country living on long Island North Fork. All three styles cone with two bedrooms,-two full baths, carefully planned features, .4'"";:°� "�°"°°"Ifr.Iro and complete cluali�construction. Visit our model townhome and open a new door to a new country lifestyrle. Just us to ane an appointment for a personal tour of our model townhome. ROAD (C.R.4s) MAIN RD. MIDDLE _ Pheasant Run Features (NORTH ROAD Fall poured concrete basement ° 2 x 6 exterior wallsl+ ° R-19 Fiberglass insulation Q ° Therma Tru Energy Saving O DD+DwAREA � exterior doors � D Double-hang windo _ L ° Maintenance-free exterior siding } G0 orf h' O Generous-size living room l 8 1 5 T A T T: 5 ° Wall-to-wall carpeting � L .Zr4r choice of colors) L' 4:9 .a. tiouth��lrl, New York ` ° 2 full-size bedrooms �- 6 0 �3) The 9 ° 2 full baths tt•ith van!V and tub # � - ra* 60Ceramic the bathroom floors 3000 - O kitchen equipped with 6 appliances e } �? (range,dishwasher, refrigerator, s washer,and dryer) o sq ° Ptlerrtlot kitchen cabinets 0 BEUR.I°OM ° Closet.Maid shelving � � � ��' ' # D Choice of linoleum X 1 0 Complete interior painting m o ,r�o=a I.C.ROOM ° Colonist 6 panel interior doors 6 ° Oil hot air heat > pCs ° 150 amp electrical service , e° - `IVING ROOM ° Rear viva deck s C3 ° G$ .c.Ira BATN privacy ° City water 0 - f _� , urx _ Choice of Options I +* CEDARFIELDS DRIVE BR-AJT AREA t BATH - ° ° Gas fireplace ar.r-r $ r ° Skylights g` ° Microwave ` . BREMUAn'ARBA KITCHEN (: .r.ra. FOYER V Hardwood floors GERALYN r.r..TO D '00" :'lir conditioning JIM ° Central vaccum BEDROOM - The Mayberry r.lc` ° Finished basement ° Awnings And customizing available on-. BEDROOM g The Easton Irr.,.o Cabinetry,ceramic tiles, or appliances MAIN RD,CUTCHOGUE, NY11935 TEL: (631)734-6472 TOWN OF SOUTHOLD PROPERTY RECORD CARD E STREET VILLAGE DIST SUB R LOT ---------- . ...... ACR, REMARKS TYPE OF BLD, PROP. CLASS i L-Z j o LAND IMP, TOTAL DATE Al J7-07 v Vo 4 ve 1A —�Zzo FRONTAGE ON WATER TILLABLE FRONTAGE ON ROAD WOODLAND DEPTH DEPTH MEADOWLAND BULKHEAD HOUSE/LOT TOTAL s 6 COLOR q T t TRIM I ----------- 44=-- r M. Bld a x_ Foundation Bath Dinette C, I FULL Basement CRAWL Floors Kit Extension SLAB Extension Ext. Walls Interior Finish LR, 'Js Extension Fire Place Heat D.R. Patio Woodstove BR Porch Dormer Fin B. Deck Attic Breezeway Rooms 1st Floor Garage Driveway Rooms 2nd Floor 0.B, Pool 'Pheasant /Run E S T A T E S Southold, New York Standard Features Interior Exterior Options Two bedrooms Rear Deck Ceiling Fans Master Bedroom Suite Masonry Walkways Awnings Wall-to-Wall Carpeting Custom Landscaping Fireplace Gourmet Kitchen with Breakfast Room Sprinkler Systems Central Vaccum Ceramic Tile Entry Foyer Rear Yard Area Up-grade Kitchen Cabinets Separate Laundry Area Mail Boxes Up-grade appliances French Doors in Living Room and Walk Area Lighting Up-grade Lighting Master Bedroom open to rear yard Alarm System Security Alarm System Quality Construction Hardwood Fl000rs Walk-in Closets Anderson Windows Ceramic Tile Kitchen Quality Interior Doors'with Brass Insulation Exceeding New York State Side Deck on The Somerset Hardware Regulations (Ceilings R36; Walls R19) Central Air Conditioning Distindtive Interior Trim Architectual Roof Shingles Specialty Wireing Recessed Lighting Douglas Fir Structure Lumber Finished Basement Full Basement Moisture Barrier Bathroom Wall Cabinets Oil Hot Air Heating Fire Wall Between Units Wood Trim and Moldings Sound Proof Separation Walls G.E.Appliancea FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-27338 Date: 10/04/00 THIS cXRTIFIM that the building CONDOMINIUM Location of Property: 535 N45 CALEB'S WAY GREENPORT (HOUSE NO. ) (STREET) (HAMLET) County Tax 11ap 9b. 473889 Section 40 .1 Block 1 Lot 45 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated OCTOBER 14 1999 pursuant to which Building Pemit, no. 26059-2--2 dated OCTOBER 20 1999 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 CONDOMINUM UNIT N-45 AS APPLIED FOR. The certificate is issued to MOORES LANE HOLDING CORP. (OWNER) of the aforesaid building. S 1w1eC DXpARTMM OF IWALT11 APPTOOVALR10-95-011 01/19/95 ZLXCTRICAL CZtTIFICATS NO. PENDING 10/04/00 P VMNX RS CMTXFICAT.XOK DATED 10/02/00 WILLIAM DOOLEY zk6 k' Authorized Si ature Rev. 1/83