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Home My WebLink About1000-33.-4-84 g r TOWN OF SOUTHOLD "C 4 :1 Rental Permit g z 0825 Owner JWMJ LLC Occupied as Single Family Dwelling Located at 1250 (aka 50) Sound Avenue Greenport 33.4-84 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. J 3/3/2023 %Ls�rl YO fo en cial 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 1' Southold NY 11971-0959 BUILDING DEPARTMENT TOWN OF SO1Ll`THOLD JUL 2 2022 . RENTAL PERMIT APPLICATION 7`01AN OF sumu Rental Permit Fee$200(Application must be renewed every two years) Section A. Property Information: ental operty Address: l a 5p Sovv�d (?-oa.d, G✓,elev, + °° 1"`( l I_q UA Tax Map Number: 1000 SECTION -BLOCK -LOT SECTION B. OWNER INFORMATION: Property Owner Name: T—eo 1 ' �PAI TO,KO 14v WcL*s Property Owner Legal Address: Property Owner Mailing Address: L ctS walt-de TeSSUp CT ��- Gir-es S 40 N C Z7 5S mm q��'ty3-zaoe Telephone Number(s): Daytime Evening Emergency Property Owner Email Address: CLhdtvvia i ( . co wl a Page 1 f 5 -1V � `O�� m Town Hall.Annex y. �t Telephone(631)765-1802 54375 Main Road " Fax(631)765-9502 P.O.Box 1179 Southold,NY 11971-0959p � „y BUILDING DEPARTMENT TOWN OF SOUTHOLD Section C. Autho zed Agent information: ow e.+� lr,�ah0.5ed Name of Autho ed Agent of dwelling unit, if any: Address of Authorized nt(no P.O. Boxes): __ , Mailing Address of Authorized nt: , Telephone Number(s): Daytime,,,_,-. Evening Emergency Email Address: Section D. Managing Agent information: Name uthorized Agent of dwelling unit, if any: Address of%Autho " ed Agent(no P.O. Boxes): Mailing of of Autho ed Agent: Telephone Number(s): Daytime Evening Emergency_. Email Address: SECTION E. nnCLVn09 d SITE MANAGER INFORMATION:(required for rental properties containing 8 or more rental units) Name of Managing Agent of dwelhimg unit, if any: Address of Managing Agent (no P.O. Boxes):_ Page 2 of 5 Town Halt Annex Telephone(631)765-1802 p 54375 Main Road Fax(631)76-5-9502 �c P.O.Box 1179 Southold.NY 119714W9 BUILDING DEPARTMENT TOWN OF SOUTHOLD Mailing Address of Managing Agent: Telephone Number(s): time„_w.._„wEveningp Emergency Email Address __. .,.. _.�.. _..,, _.._�__ _.,_........ —........... SECTION F, PROPERTY DESCRIPTION: J — 51 yrt-e 'Pa Vk a 1 dip Number of Rental Dwelling Units on propert): .,_._.. � ,- oAP— For each Rental Dwelling Unit set forth the Rental Dwelling Unit identifier(for example, Unit 1,Unit 2,Unit 3 or Apt A,B,D),the use of each room in the Rental Dwelling Unit (for example,Kitchen,Bedroom 1,Bedroom 2,Uving Room)and the dimensions of each room. For properties with multiple Rental Dwelling Units use'Rental Permit Application Addendum.' Rental Dwelling Unit identifier: S tan d R d CA a Requested Maximum number of persons allowed to occupy Dwelling U Number of rooms in Rental Dwelling Unit: t- a � 1 TM 1 ''tnro Use and Dimensions to ch room in Rental Dw Ilin Unit , ,a,� ,f '"i_..< all .,.. .... 1.r , d�oa ra�owt � � � r vawj a, w� � (iu,� w 04,�' SS aet� �V I I hct�t4?- �� 2 q, rat' � Yas la gaseter� n ta . 71vioq 6Lve . l Tv raov-i J Page 3 of 5 Town Hall AnnexTelephone(631)765-1802 54375 Main Road " ' Fax(631)765-9502 P.O.Box 1179 Southold,NY 11971-0959 p � BUILDING DEPARTMENT TOWN OF SO OLD 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. ❑ 1 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) I len V1'-�-V Smvn-i�,- , 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 w C,2 Town Halt Annex Telephone(631)765-1802 Fax(631)765-9502 54375 Main Road P.O.Box 1179 Southold,NY 11971-0959 �� " U 17 BUILDING DEPARTMENT TOMN OF SO OLD applicable laws and rules. I further acknowledge that 1 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: \'N��"�V g��4111 dC�"B9dnyA Sworn to before me this-7hlJ day of 20 _ _ •°" NOTARY „% z My , a� O Pao ficial Notar Public Si nature and Ori inal Notar Stam Page 5 of 5 lz (let IVT O T T S TT LD T I L� N DI 631 -765-1802 lot INSPEC ION FOUNDATION 1ST [ ] ROUGH PLBG. [ I FOUNDATION 2ND [ INSULATION/CAL [ ] TEAMING / STRAPPING [ FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INS [ ] FIRE RESISTANT CONSTRUCTION [ FIRE RESISTANT PE ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (Fit [ ] CODE VIOLATION [ ] PRE C/O [ q/1 PA� Pell, ......................................... ...............w:,.., 4VL ................... DATE 10-07 INSPECTOR 11 0 TOWN OF SOUTHOLD BUILDING DI 831 7 6E-1802 INSPEC ION [ ] FOUNDATION 1ST [ ] ROUGH PL13G. ] FOUNDATION 2ND [ ] INSULATION/CAL [ ] FRAMING / STRAPPING [ ] FINAL ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY WE. ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PEI ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (TII [ ] CODE VIOLATION [ ] PRE C/O [ r REMARKS: (To If tn__*w VA k F oll -foo-1 .• ! /1 ct, provAj DATE INSPECTOR G as �° ua��ws Cn,r K <' y, .a 4 w m x . u ryp� ryy^ mw�maa�d � m �y y M.� S. w O+h9l].G1'A �-mn a^r 8a rtalatte •_ ¢D+• CG mak"�Cr4 MR yp app rym �� M� . 4° u oQ uQ �a (:1.1'SU WE 6�EPWPvp"1 'cU'fLI1zE SEG ' �&""'C r, u fl Qn _ W a � * d � pQ Q u 9 b Q Q upQ Q � Q � 0 1 LAO— F TOWN OF S UTH LD PROPERTY RECORD po OICL C, °STREET I V I LLAGE S 5Ut3. LOT r FORMER OWNER N E ; ACR. Jr. SW TYPE OF BUILDING 1 f y �k 1t� Icy £ 4 a I RES. SEAS. VL 1 FARM COMM. CB, MICS. Mkt. Value �® LAND IMP. TOTAL j DATE REMARKS a t E _ x fA13 _ _ I t Jr io t a_ 3 —71311 71Lt VO ID _ 4-4 t 3 AGE BUILDING CONDITION NEW NCRMAL BELOW ABOVE FARM Acre Value Per Volue Acre Tillable FRONTAGE ON WATER Woodland FRONTAGE ON ROAD a Meadowland DEPTH House Plot BULKHEAD Total DOCK s r. ate COLOR WRITE- .. H TRIM 33.-4-84 3/10/2022 1 SQ. FT. Fin'B" 1 st Floor 2nd Floor TOTAL i s M. Bldg. °� x q ' C� q Foundation Pc OT Bath [' Dinette 1x13 ��S IOr J �D � � 1 d� OTHER .�..,7 Extension # to '" aT II st-1 00V PARTIAL 1 05 i. � �b � Ig s � Basement L PPARTIAL Floors Kit. � SLAB Extension 9� x&A ^Lt. o 0 A YO Finished B. Interior Finish L.R. X:SExtension &)c 5 - c �.nd FP/WBS Heat D_R, V/ ,I- S ; to Fao✓ Garage �/ Ext. Walls BR. Porch5X t b �5 Dormer Baths _ Deck/Patio Roof Fam. Rm. Pool Solar Foyer A.C./GEN pal Laundry Library/ O.B. Study Dock L\9. aP, dal Ak a Y a COLOR ,�'� TRIM a A F _ s , E s � s t M. Bldg a � a _ Extension ` i Extension Y: X Extension � i Foundation .Berth Dinette' Porch -�_ Basernent oors K. T Fl Porch Ext. Wal lsInterior Finish LR. Breezeway . Fire Piace Heat - D. Garage _ L) -We Roof ;Roams i st Floor Patio Recreation Room-, .Rooms 2nd Floor FIN:,B O. B. Dormer Driveway Total P wti „, Town of Southold 3/3/2023 P.O.Box 1179 53095 Main Rd Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 43864 Date: 2/17/2023 THIS CERTIFIES that the building SINGLE FAMILY........DWELLING Location of Property: 1250(aka 50)Sound Rd. Greenport SCTM#: 473889 Sec/Block/Lot: 33.4-84 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 8/10/2020 pursuant to which Building Permit No. 45145 dated 8/31/2020 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: sin le family dwelling with finished basement and cov red- Orches a. )lied fear. The certificate is issued to JWMJ LLC of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL R-20-1014 1/13/2023 ELECTRICAL CERTIFICATE NO. 45145 1/23/2023 PLUMBERS CERTIFICATION DATED 7/28/2022 Bra cuch nature