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Home My WebLink About1000-36.-2-9 t TOWN OF SOUTHOLD s Rental Permit l 0 1012 Owner Zef Noci Occupied as Single Family Dwelling Located at 220 Fiddler Lane Greenport 36.-2-9 Maximum Permitted Occupancy 5 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. 10/27/2023 _ CodeAnfo e hent Offi ii This Notice must be posted by the main entrance at all times � 05nI #�X TOWN OF SOUTHOLD—BUILDING DEPARTMENT P Town Hall Annex 54375 Main Road P. O. Box 1179 Southold,NY 11971-0959 717 " 1 Telephone (631) 765-1802 Fax (631) 765-9502 hup ://www � a �>1 Via,► nn dj r w.. ('';,f 2 3 2023 RENTAL PERMIT APPLICATION Rental Permit Fee $300 (Application must be renewed every two years) Section A. Property Information: Rental Property Address: o 60A U,,AQ ty 'K) " Tax Map Number: 1000 SECTION -BLOCK �� -LOT - SECTION B. OWNER INFORMATION: Property Owner Name- Property Y Property Owner Legal Address: Property Owner Mailing Address: (Cannot be the same as Rental Property Address) �Q kN)4 1A 1 7S TY\ Li Telephone Number (s): Daytime _ �(�^3evening Emergency Property Owner Email Address: bC'l ' Page 1 of 4 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):. 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): Mailing Address of Managing Agent: Telephone Number (s): Daytime Evening Emergency Email Address: Page 2 of 4 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, 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: 21 F) r Requested Maximum number of persons allowed to occupy Dwelling Unit: Number of rooms in Rental Dwelling Unit: `I' '("C�0",4 %Ick Use and Dimensions of each room in Rental Dwelling Unit: &)CVV'k ivy) 'fv -� �i�'2�� 7E �1� a �,-0 K 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. Page 3 of 4 SECTION H. DECLARATION: Signature must be notarized and MUST be the owner of the dwelling unit. STATE OF NEW YORK) COUNTY OF SUFFOLK) I 2f t V () , 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 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 s to any change to the information regarding Authorized Agent, Managing'Agent, or Site Manager. Property Owner's Name: -F Im ®� Property Owner's Signature: AIC � Swor t fore me thi , 20 a3 this day of OC 401be fficia NotaryPblic Signature and Original Notary Stamp JENNA lO Nllneier R NOWY Public,State of New Yom„ ire�.No.CHIC 02096 flua ffl d In Suffolk Gaon Cmtralsiion Expires t 13,2023 Page 4 of 4 TOWN OF SOUTHOLD BUILDING DI 631 -785-1802 6 -- INSPEC ION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION/CAI [ ] FRAMING / STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY IN! [ FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PE [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FII [ ] CODE VIOLATION [ ] PRE C/O [ REMARKS: 04 yam -, BATT INSPECTOR Town Hall Annex Telephone(631)765-1802 54375 Main Roads Fax(631)765-9502 P. O.Box 1179 " Southold,NY 11971-0959 . BUILDING DEPARTMENT TOWN OF SOUTHOLD RENTAL PROPERTY CERTIFICATION Form is to be completed by a licensed architect, licensed engineer or licensed home inspector Separate form is required for each individual Rental Dwelling Unit Professional seal re uired for Architect or En sneer Licensed Home Inspector must provide cogy of valid current certification Rental Property SCTM Number: w 0 O 0 Rental Property Address: Z-2-0 F' d k`e'r Lqvc Owner/Name: �)0 6 Rental Dwelling Unit Identifier: Z-"o Number&Square footage of each bedroom as depicted in the attached floor plan: (i.e. Bedroom#1 - 100 sqft., Bedroom#2-90 sqft., etc.) 11 wi1c✓Uy%& � 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 No fork State, the Fuel Gas Code of New York State, the Fire Code of New York State, the Propert Main ce Code of ew York State and the Energy Conservation Construction Code of New Yo t 4 VD of NeW , Print Name and Title " I at ignature Please place Professional Seal: r �` O 1!5-11 VV( S � � a3 f � Ok)VINERI STREET 't' ;VILLAGE ^� ; DISTRICT UB. LOT .; RSR N _ ACREAC� , e� IS W TYPE OF BUILDING RES. f SEAS. VL FARM COMM. IND. CB. MISC. LAND IMP. TOTAL DATE REMARKS s a _ AGEB MING Q' ND I 3 a _ � NEW -._..T,.. NORMAL 5 IEL&W ABOVE Farm Acre Value Per Acre Value Tillable i A I e - - . t Tillable 2 LE C F -' 1{/ 4A ._ Tillable 3 w Woodland Swampland Brushland Nouse Plot w GUIN --_ - -_- _ i B y F x 36-2-9 2104 V-11-52 MEMO,- ? L l . e i M Bldg, "FOUndafion Each e. 4 Extension ' Basement Floors I Extension Ext, Waif -- interior Finish _ Extension Fire Place [-feat Porch Attic -- ___ — -r Porch Rooms 1_. Floor l Y - Patio Eooms 2ndF#oar 2 Garage i Driveway 0, P. E } I FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No�Z-2►002 Date APRIL 28 1897 THIS CERTIFIES that the building DWRLT.-ING Location of Property 220 FIDDLERS LANE GREEAPORT N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 36 Block 2 Lot 9 Subdivision Filed Map No. Lot No.- conforms substantially to the Application for Building Permit heretofore filed in this office dated MAY 211_ 1960 pursuant to which Building Permit No. 1091-Z dated MAY 23, 1960 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 LO TTA BUYNOCK (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A r Buitding Ins for Rev. 1/81 FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY Na: Z-33010 Date: 04/30/0 THIS CE MPIRS that the building DECK ADDITION Location of Property: 220 FIDDLER LA GR.EENPORT (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 36 Block 2 Lot 9 Subdivision Filed Kap No. Lot No_ conforms substantially to the Application for Building Permit heretofore filed in tole office dated APRIL 3.4j_ 2008 pursuant to which Building Permit No. 33821-Z dated APRIL 14 2008 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 DECK ADDITION TO AN EXISTING SINGLE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to JOHN S a ROSEMARY T KELLY (OWNER) of the aforesaid building. COOb-rF DUPARTNMW OF B33ALlM APPROVAL N/A EMRCTRICAL CERTIFICATE NO. N/A PLTMERS CERTIFICPiTION DATED N A .. r utho ed signature Rev. 1/81 1 . _ h , E _ � 1 € I i ;, } i i� a tt 4,Q 057� `act al Q ,e z,_ ji 1 .t ___ - -_ •. ISSUE/REVISION DATE z N.J.MAZZAFERRO,P.E. DRAWN BY NIM ! 1 PROFESSIONAL ENGINEER DATE E� 4 { _ P.O.BOX 57,GREENPORT NY,11944 3 i\ 5164575596 -EMAILnick—ferraC—iz t SI—ALE k [ =l s i i� SHEET NO: VIP,) i _ t { 1 40 t= , F , i I # ISSUE f REVISION DATE t N.J.MAZZAFERRO,P.E. DRAWN BY:NIM �_- - PROFESSIONAL ENGINEER DATE/UI-_c _; P.O.BOX 57,GREENPORT NY,11944 t=. �- 516.457.5596 EMAIL aickmaMferrog—do—M SCALE: (r:_ SHEET NO: MEADOW LA. cn 0 D SURVEY OF PROPERTY m' SUFFOLK COUNTY TAX MAP o DISTRICT 1000 SECTION 36 u � NIF sHIVlcKns BLOCK 2 TAX LOT 9 C) ON LINE N }�gyp` /^+p �}j''�p O �- VINYL FENCE �5Qi5Q" PIPE m Z A l V R S'V RT 0.5N_ - loo.00� zt TOWN OF SOUTHOLD ° 8F H SUFFOLK CO., NY PIPE m m Z n m --(� 35.2 24.8 m3>> °m o 'toGUAR.TO: mumcn " o zz FIRST AMERICAN TITLE p opro goo m mom INSURANCE COMPANY 0 0 m w m BETHPAGE FEDERAL CREDIT UNION r 4.1 0 — °— ° ITS SUCCESSORS AND OR ASSIGN AS THEIR INTRESTS MAY APPEAR O° o ZEF NOCI z u ° JENNIFER NOCI x 4.05Z ENGL w 24. 0I C E{ 34.85 49.86 ' C 36. S 84°50'50"W FNo. 0 PIPE, 104.Oa� I � t PIPE N1F LF-VIN0. EPE . R. TRE O INC. LAND S Y.LIC.56679 PO'BOX 229 SELDEN N.Y.11784 9,000 Sq. Feet (631)698-4429 0.207 Acres SURVEYED:APRIL 17,2023 SCTM 1000-36-2-9