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HomeMy WebLinkAbout1000-53.-4-44.46 TOWN OF SOUTHOLD CD Rental Permit 0744 Owner Castleforte LLC Occupied as Single Family Dwelling Located at 750 Kerwin Blvd Greenport 53-4-44.46 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, 9/13/2024 ode rc rs� rat Official Notice must be posted by the main entrance at all times so V. A TOWN OF SOUTHOLD UILDI O CREPT. 631-765-1802 �3 ..-. 4I.Yo INSPECTION [ ] FOUNDATION 1 ST/ REBAR [ ROUGH PLBG. - [ ] FOUNDATION 2ND [ ] INS ULATION/CAULKING 100 [ ] FRAMING /STRAPPING [ ] AL [ ] FIREPLACE & CHIMNEY [ FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (F AL) [ ] CODE VIOLATION [ ] PRE C/O [ RENTAL. ARKS* IDATE INSPECTOR � m TOWN OF SOUTHOLD dr a Rental Permit 0744 Owner Castleforte LLC Occupied as Single Family Dwelling Located at 150 Kerwin Blvd Greenport 53-4-44.46 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. 9/23/2022 � :i r�°tor�.���a � t �f�ti �isl 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 1 179 Southold,NY 11971-0959 BUILDING DEPARTMENT � A TOWN OF SOUTHOLD M' BOLL BUILDING QEP1. DENTAL PERMIT APPLICATION TOWN OFSOUTHOLD Rental Permit Fee $200 (Application must be renewed every two years) Section A. Property Information: Rental Property Address: 4y 11944 7- 50 KEKWIN) Tax Map Number: 1000 SECTION 5 -3 -BLOCK If -LOT 4 i�_ - it rQ SECTION B. OWNER INFORMATION: Property Owner Name: c'0�GG► I_ Property Owner Legal Address: Property Owner Mailing Address: 750 'bAfi3N AVIS M>/ J1944 Telephone Number (s): Daytimeff"t3`5S+(_"E ening Emergence rn.a S Property Owner Email Address: 0.r` Page 1 of 5 ` _ r 01 n Town Hall AnnexAL - Telephone(631)765-1802 54375 Main Road Fax(63 l)765-9502 F.O.Box 1179 Southold,NY 11971-0959 { BUILDING DEPARTMENT TOWN OF SOUTHOLD Section C. Authorized Agent Information: Name of Authorized Agent of dwelling unit, if any: �$ a o O K)PtI� `Z•� A-V Con Gui; � 119 Address of Authorized Agent (no P.O. Boxes), _ f Mailing Address of Authorized Agent: "�S -'l-bovE: a Telephone Number (s): Daytime646-651 -SIT SEvening_ Emergency= Email Address: e�'•k 'A �� f��� t�1 a� . G° Section D. Managing Agent Information: , Name of Authorized Agent of dwelling unit, if any: Address of Authorized Agent (no P.Q. Boxes): Mailing Address of Authorized Agent: Telephone Number(s): Daytime Evening Emergenc=y 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 r ns - Town Hall Annex Telephone(631)765-1802 Ar 54375 Main Road Fax (631)765-9502 P.O.Box 1179 Southold,NY 1 1971-0959 Nk 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: O 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= * —]- 5 © krKwl 1 �R �N PaR Requested Maximum number of persons allowed to occupy Dwelling Uni Number of rooms in Rental Dwelling Unit: O Mte-aqcl Dimensions of each room in Rental Dwelling Unit= 3L-L>KooM S X 4 i'� TRKj)0YY)S KI'TG+ fir.) L IVItQ Page 3 of 5 V� Town Hall Annex I'clephone(63 1)765-11102 54375 Main Road Fax(631)765-9502 P.C .Box 1179 Southold,NY 11971-0959 4U 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 V, 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) j 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 5 111 Town Hall Annex ' - Telephone(631)765-1802 5437.5 Main Road Fax(631)765-9502 P.O.Box 1 179 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: _ Property Owner's Signature: ^' E 0Z �� ►.� t" Sworn to before me this Hday of, r"RGA 20 Official Notary Public Signature and Original Notary Stamp Page 5 of 5 pf_r T e Sod Town Hall Annex Telephone(63 l)765-1802 Es 54375 Main Road � Fax(63 I)765-9502 P.O.Box 1 174 Southold,NY 11471-0959 4 lo BUILDING DEPARTMENT TOWN OF SOUTHOLD RENTAL PERMIT APPLICATION ADDENDUM Rental Dwelling Unit Identifier: Requested maximum number of persons allowed to occupy each dwelling unit: Number of Rooms in Rental Dwelling Unit: Use and Dimension of each room: Qr Rental Dwelling Unit Identifier: Requested maximum number of persons allowed to occupy each dwelling unit: Number of Rooms in Rental Dwelling Unit: Use and Dimension of each room: Rental Dwelling Unit Identifier: Requested maximum number of persons allowed to occupy each dwelling unit: Number of Rooms in Rental Dwelling Unit: Use and Dimension of each room: -R&pd* TOWN OF SOUTHOLD BUILDING 631 -765-1802 INSPEC ION [ ] FOUNDATION 1 ST [ ] ROUGH PL13G. [ ] FOUNDATION 2ND [ ] INSULATIOWCAl [ ] FRAMING / STRAPPING [ ] F AL [ ] FIREPLACE & CHIMNEY [ - FIRE SAFETY IN% [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PE [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL ICAC {FI [ ] CODE VIOLATION [ ] PR C/o ] I DATE INSPECTO t � � on V"41 gg _ Feb 20, 2022 S1 Town Hall Annex Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 Q 00- P.O.Box 1179 Southold,NY 11971-0959 BUILDING DEPARTMENT TOWN OF SOUTHOLD To��N O s1� H�: � 1� oLD 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 P 4essioaai seal Lq�Luired for,Architect or Engineer licensed Home InMector gust provide gogy of valid current certification Rental Property SCTM Number: Rental Property Address: 750 Kerwin Blvd. Greenport NY 11044 Owner/Name: Maggie Sprgn Rental Dwelling Unit Identifier: Number &Square footage of each bedroom as depicted in the attached floor plan (i.e. Bedroom#1 -100 sq., Bedroom #2-90 sq., etc.) i Bedroom #1 130 SO Bedroom170 sgft � Bedroom #5 170 Sq- ft/ Bedroom #2 140 sqft Bedroom #4 220 sgft p Property Description (Include all improvements indicated on survey) single-family hme 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. Victor Cornelius III CEO Inspector Lic� Print Name and Title ceo# 1216-0283 original Signature, Please place professional seal: TOWN OF SOUTHOLD PROPERTY RECORD CARD 1 ................. OWNER STREET VILLAGE DIST' S LOT , wdw� � ... �°�r .��� . _..,.._ __!w _,_, °. "' � Point "5 ACR. R 4 _MARKS r s bn ............. TYPE OF BLD. P.... .._M._._ _ /a� _ f m ,v.,.__H _ .. . .^ ...v w _ .. 000 PROP. CLASS µ. L�� ._._ .��.....`. .��'''.._.�____,����_, r� a>'` !t�,� __...�_..��., .��� -�'`t 1'1� � ""�� — �d' � 1�1 gip. ��, a'`;""�fi ��, r��+° LAND IMP, TOTAL DATE .................. al k 4D Lf Lz� .......... ............. ....................... ....... ........ ....... -—- ----------------- ----------------- ------- ........ ...................... ........... FRONTAGE ON WATER TILLABLE FRONTAGE ON ROAD WOODLAND DEPTH MEADOWLAND ca BULKHEAD HOUSE/LOT TOTAL V � r e Y, LOIM P,. �+� 6 r .. Y r e2 pk .. I 53.-4-44.1 3/08 _ ,....,.m .,... M. BIC N 4 ri ..M� i G m Extension » � -- _.....M_µ....w._. . �_. Extension ......_ ._ ..�...� . .... �� . . _... .,,_...... ...w Extension i V Foundation Bath k Dinette BasementW_�_ ._�...__ ._m.._�_�_......._.�.._ Flaor._�.....�....___ _.�_ .. ;'�_ ... �... ..._.._.�.. �....�,�...,..�... _. K. Porch (AY _ l Ext Walls J i L �l Interior Finish LR. uFi e fl Heat DR. Breezeway r lace µ __ww_.M... w..._. ` S„ ....._... __.w...... w µuu �yp . e RoofRooms lst Floor BR. .w........wwww. _w_ Pario � ..�..,....._._......_..,.,...,,_....�. _.....��_�. FIN.�B ...._._._. ��__ w_.._..�,._.�...�.�._,_..ww..,_...._.�......�........_�._� ....._._.�..._ �.�_.�,.. __�_... Reoreatio.... .nRoom ooms nd Floor.......��.w._w.. w_w_...._....____..._..�..... R2 . ... _ _... 0. B. � ormer Driveway TotalSQdV_.. � :. Q+r£7 �� "51)0 0��� rad,. I tl'I I a i ry/fir / i a r /i, �r i EW I jN � n rwx lot_ .4,15V 'avow,.1-wet—la—z' me ............................. YSTErel gp FIN 5 M DKE K C �li ;PIS ......... All jgpa Ila (G�.4 PAGE- I or 2 o N „ � 13Oillltl9 ,,,1111,,, ---------------. . � , N I FL� o✓ o m z "" 1t".. lew tric=imm Ice K� ti moo' Tl- 079 CD i= CN 79 c O la N OP <i eo �e— m-< 07 i r r i O it'd M...........................,...�,.,,..�,,.... .�........ qq�}^ � ^� 1r1'�37�( �:1�. ►IA1�1,6 M h. 1/h""W—O"" �y PROPOSED STERN RESIDENCE A- 2 ~ 164 rmwim BLVD 554 EAGLE VALLEY ROADJGe ttwo". my PO BOR 178 BEECH CREEK, PA 16821 SHEET (5103 962-2111 070) 962-3111 (PAY) SBC ( POOR PLAN FOSILLICO CONSTRUCTION 0 O S Town of Southold Annex 12/3/2013 P.O.Box 1179 54375 Main Road Southold,New York 11971 CER'T'IFICATE OF OCCUPANCY No: 36630 Date: 12/3/2013 THIS CERTIFIES that the building SINGLE FAMILY DWELLING Location of Property: 500 KERWIN BLVD GREEN-PORT, SCTM#: 473889 Sec/Block/Lot: 53.4-44.1 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this officed dated 9/25/2009 pursuant to which Building Permit No. 37689 dated 12/14/2012 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 NEW ONE EMILY DWELLING (MODULAR)WITH COVERED FRONT PORCH. REAR DECK AN ATTACHED TWO CAR GARAGE AS APPLIED FOR The certificate is issued to JAMES POSILLICO (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL R10-06-0089 10-08-2013 ELECTRICAL CERTIFICATE NO. 4509 08-30-2007 PLUMBERS CERTIFICATION DATED 09-25-2013 Van Ettlumbing Rr Heating Auth Sntur _---------------- 6 1 IIP It II ---------- ............ CAIM t3j BEDROOM ill "� '" KAIKAH GLolfT QUM BATH CAI R lip ii .......... ------------- 2 V., .......... SATO 2 00MU5 ROOM R"t mm" ox W oil �MU CIO Rnlu aril Apt m L -7- Vw- - L SEGONp FLOOR ELECTRIC AL PLAN N, ............ -— -------------------- - ................. DUN.r�X OUTLEI CEILING r.. L,F.RVE dfi-TIiREI WAY SWITCH `W' rELEVrSION/CABLE ;Et77i—ii -FE. 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CU FIXTURE t4 SMUI(C OFTFCTGR -- AND BODULD DE UDED EXGLUDR ELYF L ' TRALN FSXTURF "- =]WIRE FOqq PA OLE.FAN INPIVIPVAL.(A1c,e ,MODEL FLANS DERIVED FROM THE 5YSTEM AND 6 LIIIMCS ❑ EXHAU T FAN --<CABINET FI UpPE SENT .� W/I ICIIT NIf BY NAYEN NDM£S.INt __. ... ._._ .. .__.,.._ ..... w' SOSMITTEI tI LOCAL CODE ENFORCEMENT OFFICIAL IN CONNECTION HELF EC3 EYE FALL ( CXIIAU 1'FAN lI/t SLT X}' E%i EfllCki LIIG4T IWi! UNDER CABINET FIXT _ HAVex xgnes.ING.FF—H5181LITY s WITH BUILDING PERMIT APPLICATION SHALL BF.ACCOMPAN IEP BY A "i,GAif-I;dF'IP.k"NOWIYk'Li. """'""""' ""`D" ""'"'�" LIk1 T[D io sA:iaeV eulli PORSION - MEGoheck REPDRt(INCLIIDING iNE IN5PECTION CHECKL I5T) .CANC.BOX HITCH IkitR.05TAT (�G� GrE&SNP mw ,v '�'SS"_H(1I LWUOU LIGHT m_ �_ I