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Home My WebLink About1000-49.-1-25.6 u T'WN OF SOUTHOLD e Rental Permit g 1026 Owner Mark & Madelyn Goldberg Occupied as Single Family Dwelling (Condo Unit #E) Located at 131 Sixth Street Greenport 49.-1-25.6 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. 11/16/2023 de E arc t fficial This Notice must be posted by the main entrance at all times Town Hall Annear Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1179 Southold,NY 1 1971-0959n, ` BUILDING DEPARTMENT TOWN OF SO MOLD RENTAL PERMIT APPLICATION V A R -` q 020 Rental Permit Fee$200(Application must be renewed every two years) Section A. Property Information: Rental Property Address Tax Map Number: 1000 SECTION ._a .... -BLOCK. _",.LOT 006 SECTION B. OWNER INFORMATION: Property Owner Name: Property Owner Legal Address: Property Owner Mailing Address: 01-71640 q fo31 7SY 75'�Z 631-?96-657 9 Telephone Number(s):Daytime Evening Emergency D� P` MC NI Property Owner Email Address: A.�,_�., .�.�..,w..�... .........�. _. ., Page 1 of S Town Hall Annex Telephone(631)765-1802 54375 Main Road Pax(631)765-9502 P.O.Box 1179 Soulhold,NY 11971-0959 BUILDING DEPARTMENT TOWN OF SOITMOM 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,6,Q;the use of each room in the Rental Dwelling Unit (for example,Kitchen,Bedroom 1,Bedroom 2,Wing Room)and the dimensions of each room. For properties with multiple Rental Dwelling Units use"Rental Permit Application Addendum." Rental Dwelling Unit Identifier:.&+"ir Requested Maximum number of persons allowed to occupy Dwelling Un Number of rooms In Rental Dwelling Unit: 00II ""� Use and Dimensions of each room In Rental Dwelling Unit: HOD RcuA (OAM 1j'JA14,goo 1-1 Page 3 of 5 % n% 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 SOUMOLD 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. N I am requesting afire 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) CW 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 It 79 Southold,NY 11971-0959 BUILDING DEPARTMENT TOVIN OF SOATMOLD 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 Y ` regarding Authorized Agent, Managing Agent,or Site Manager. Property Owner's Name: . rr...a .. .�. .6 ..m... ._. ,,. Property Owner's Signature: Sworn to before me this ay ofµ ..e. ._., 207-0 ota Pu .-„ ��. _ 1 Notary ........ _..._a.. _. .W ry gnature and Origl�m.. Stamp JOSETTE HERNANDEZ NOTARY PUBLIC-STATE OF NEW YORK No, 01HE62BB334 Guolllled In Suffolk Counly my Commission Erplres Sepfamper A3,20rrf( Page 5 of 5 &,.46tm IcAsead 1514 11 K a(. Q 1L1 2 " ar i ii I K 10' 101 y, ILI MRSTER B+ �M .'s 9 ., S�X(n1 �. l al4Zl-IRocSM �L- _ .. ....... Y, lit Zo e E>vcom Q �7�&"a � f f TOWN OF SOUTHOLD PROPERTY RECORDARD OWNER STREET VILLAGE DIST SUB LOT ACR. REMARKS L 0 -TYPE OF BLD. rPROP. CLASS f ell, 7 s TOTAL DATE LAND 2L-l! Y zo 5�2 1 tl V-:16,11 7 A-Ta�s-cmt-p- FRONTAGE ON WATER TILLABLE FRONTAGE ON ROAD WOODLAND DEPTH MEADOWLAND BULKHEAD HOUSE/LOT .......... T TOTAL I m COLOR �F f s 1 TRIM _ M. Bldg. 12 X z = (p L — I S Foundation g Bath Dinette -- - -__ - FULL Extension Z — l� — L�t Basement sLAa L Floors Kit. Extensioni s, , r Ext. Walls Interior Finish L.R. Extension Fire Place Heat D.R. Patio Woodstove BR. Porch Dormer Fin, B, X = '� I Deck Attic""1 <� �_ Breezeway Rooms 1st Floor ra Driveway Rooms 2nd Floor —4-64 O.B. I Pool FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z17992 Date MAY 2 1989 THIS CERTIFIES that the building CONDOMINIUM Location of Property PIPES COVE 5 UNIT E GREEMPORT House No. Street Hamlet County Tax Map No. 1000 Section 49 Block 001 Lot 25.1 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated NOV. 10 1986 ------Pursuant to which Building Permit No. 155422 dated DEC. 4 1986 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 CONDOMINIUM UNIT E--PIPES COVE The certificate is issued to HOWARD ENTERPRISES INC. (owner, ) of the aforesaid building. WATER & SEWER SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL VILLAGE OF GREENPORT UNDERWRITERS CERTIFICATE NO. 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