The URL can be used to link to this page

Home My WebLink About1000-53.-4-35.3 TOW N OF SOUTHOLD f, 2- 1.&0 :r Rental Permit �= '£ 0860 Owner Jeffrey John Weber Occupied as Single Family Dwelling Located at 1030 Bay Shore Rd Greenport 53.4-35.3 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. 4/14/2023 Code En rce_ Official 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 TOWN OF SOUTHOLD RENTAL PERMIT APPLICATIONS � MAR )I a Rental Permit Fee $200(Application must be renewed every two % orS) r 1,,. ,�, c...a•,... n JCt•iI VII hs Property Information: x Rental Prope y Address: Tax Map Number: 1040 SECTION -ILOCIC –�-LOT - SECTION B. OWNER INFORMATION: Property Owner Name: SCI Property Owner Legal Address: Property Owher Mailing Address: k �� Telephone Number(s): Daytime µ-/ffEvenin �mergencyA" g Z— Property Owner Email Address._ ` � "1�) —/ _ i Page 1 of 5 a, W Town Hall Annex Telephone(631)765-1802 54375 Main Road �� Fax(631)765-9502 P.O. Box 1 179 " Southold,NY 11971-0959 wezr.'cX BUILDING DEPARTMENT TOWN OF SOIG1 HOLD Mailing Address of Managing Agent: Telephone Number(s): Daytime Evening Emergency Email Address: SECTION F. � YRT" DESCRIPTION: "� ,' ICT� x'Aw!� `jl -,Number of Rental Dwelling Units on property: for each Rental Dwelling Unit set forth the Rental Dwelling Unit identifier(for example, reit 1, Unit 2, Unit 3 or Apt A, B, Q the use of each room in the Rental Dwelling Unit Y1 (for example, Kitchen, Bedroom 1, Bedroom 2, Living Room) and the dimensions of each :. Ll) i—or oom. 1 /'Q For properties with multiple Rental Dwelling Units use "Rental Permit Application dendum." -A - /' 2�/Irental Dwelling Unit Identifier: .M Oquested Maximum number of persons allowed to occupy Dwelling Unit: SQ 01 D Number of rooms in Rental Dwelling Unit: / w and Dimensions of each room in Rental Dwelling Unit: .0(T " X Page 3 of 5 Ap 'town Hal I Annex pk 'relephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1179 �a k u r Southold,NY 11971-0959 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 thatthe 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 pws and sanitary and housing regulations of the County of Suffolk and by the laws adopted by he New York State Fire Prevention and Building Code Council. i I am requesting a fire safety inspection to be performed by a Code Enforcement Official from the Town of Southold c 1 am submitting a completed Town of Southold certification form from Z)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 9&��ertify under penalty of perjury,the following: Z. I 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 A 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 N 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 Cade of the Town of Southold and agreed to abid- 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: Sworn to before i thisoty day of _M_ , 20cR ficial Nota ublic Signature and Original Notary Stamp DaW11 J(°hascw Nov,av Notary 1*uj)jjc"+Mate of Nero York ioC'b11fim �a',�1� r PUSU k h s4s1,e am: msftarc :ooat r Page 5 of 5 P� w.. f 7 cad w TOWN OF SOUTHOLD BUILDING DEPT. PT". 631.765-18012 15-3 � - 36. 3 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION/CAULKING [ ] FRAMING /STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) ELECTRICAL (FINAL) [ ] CODE VIOLATION [ ] PRE C/O [ RENTAL REMAKS: e" oo U t DATE INSPECTOR WN OF S UTHOL PROF � �� TO s --OWNERSTREET _ ;�� ti ; � = VILLAGE� T. SUB. LOT FORMER OWNER ` ' N E I ACR, r a - t I 5 W TYPE OF BUILDING T, RES. '; SEAS. VL. # FARM COMM. CB. MISC. Mkt. Value /0 LAND IMP. TOTAL DATE ' REMARKS = j- LJP`a s / r 7 17 el-td . a �.. L .' r r GE UI[ INGNDi lO _ v N _ as 3 f, e FARM _ Acre Value Per �nlu A`�17 Acre7.4., �a Tillable 1 Tillable 2 Tillable 3 Woodland SwamplandFRONTAGE ON WATER 1 I - - - FRONTAGE ON ROAD Brushland SS t� House Plot DEPTH ;BULKHEAD Total DOCK �y s11v---i-j V-1 --j �1r FF J1 tie E .c e� 53.4-35.3. 24014 M Bide. Foundation ` Bath Dinette :. _ Extension Basements AB Floors Kit _ r Extension Ext. Walls e x Interior Finish L.R- = i Extension Fire Place Heat D.R Patio Woodstove BR, Porch j _.. ° e _.t DormerFin B £ Deck Attic Breezeway Rooms 1st Floor ' Garage 4 z ` " Driveway Rooms 2nd Floor 1y z 0,13, Pool c'4 d Ong fj � 1 •` I ee Z61, I s )LORI 3 E — °- ! \\ E * 3 t 53.-4-35.3 3/2014 M. Bldg—Foundation # Bath Dinette Extension v, BasementFloors . i Extension iExt. Walls =Interior Finish _LR. t e Fire Place Extension _ ri Heat DR � 'Type RooI Rooms 1st Floor ;BR, _- 7-7 - - Rorch iRecreation Room' f Rooms 2nd Floor Fly. B Porch jDormer � �vray t D fveway Garage Patio i - I 0. B. ! Total z . 4 V IL z r. FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT " O l �, Town Clerk's Office Southold, N. Y. Certificate Of Occupancy No. Z5837 . Date . . . 14ar . .26. . , 19. 14 THIS CERTIFIES that the building located at . S/rS Bay Shorn. Road . . Street MapA?,,l oended Map. p 9P#b.Lair. W 3t. Lot No. .88 y 8.g,90 . Greenp-ort, N.Y. conforms substantially to the Application for Building Permit heretofore filed in this office dated Nov . 20 19.73 pursuant to which Building Permit No. 69972 . dated N.Ov . 21 19. ,7.3, was issued, and conforms to all of the require- ments of the applicable provisions of the law. The occupancy for which this certificate is issued is private -one -family dwelling The certificate is issued to Harold. R. Webber • Owner • • . • • • • • • • . • • • • • • • • • (owner, lessee or tenant) of the aforesaid building. Suffolk County Department of Health Approval Feb . 19 1%4 by.. R. Villa . . UNDERWRITERS CERTIFICATE No. N. 11+$267. - .Mas .14. . .t974 . . . . . . . . . . . . . . • . HOUSE NUMBER 143p Street . . . . . .Bagshore •Road. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Building Inspector .............. ........... ............... ........ Town of Southold Annex 12/12/2014 F04,t P.O.Box 1179 54375 Main Road Southold,New York 11971 till,, .......... CERTIFICATE OF OCCUPANCY No: 37325Date: 12/12/2014 .............. .......... THIS CERTIFIES that the building ADDITION/ALTERATION Location of Property: 1030 Bay Shore Rd, Greenport, ..... .................. SCTM#: 473889 Sec/Block/Lot: 53.4-35.3 Subdivision: Filed Map No. Lot No. .............. conforms substantially to the Application for Building Permit heretofore filed in this office dated 12/5/2013 pursuant to which Budding Permit No. 38593 dated 12/26/2013 mm was issued,and conforms to all of the requirements of the applicable provisions of the law. The occupancy for which this certificate is issued is: TO AN EXISTINQ ONE EATAILY DWELLING A$_AP_PLIED FOR The certificate is issued to Weber,Jeffrey ............ ......._................(OWNER)....... N of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 38593 10-28-2014 PLUMBERS CERTIFICATION DATED 11-13-2014 Cu ogue Plumbing&Heating ................ ........... _, ..., _ ....... .f -t riz ignat e Town of Southold Annex 4/3/2014 P.O.Box 1179 54375 Main Road 'Sb Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 36846 Date: 4/3/2014 THIS CERTIFIES that the building ELECTRICAL, Location of Property: 1030 Bay Shore Rd, Greenport, SCTM#: 473889 Sec/Block/Lot: 53.-4-35.3 Subdivision: Filed Map No. Lot No. _. _ . ...... .. conforms substantially to the Application for Building Permit heretofore filed in this officed dated 10/30/2013 pursuant to which Building Permit No. 38467 dated 10/30/2013 was issued, and conforms to all of the regti irements of the applicable provisions of the law. The occupancy for which this certificate is issued is: 00aAggr a electricwservice. The certificate is issued to Weber,Jeffrey _ ............. _. _ ..............._..ry.. _...., (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 38467 4/1/14 PLUMBERS CERTIFICATION DATED Authorized Signature FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No 219587 Date_ DEC» 14 1990 THIS CERTIFIES that the building ADDITION Location of Property 1030 BAYSHORE RD GREENPORT House No. Street Hamlet County Tax Map No. 1000 Section 53 Block 04Lot 35.3 AMENDED MAP A 8$ subdivision. PECONIC BAY EST Filed Map No. 1124 Lot No. 89 & 90 conforms substantially to the Application for Building Permit heretofore filed in this office dated MARCH 9 1988 ______pursuant to which Building Permit No. 16821Z dated MARCH 16 1988 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 CONSTRUCT A SUN-ROOM ADDITION TO EXISTING DWELLING The certificate is issued to HAROLD & CATHERINE WEBER (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N A UNDERWRITERS CERTIFICATE NO, N027517 AUGUST 12 1988 PLUMBERS CERTIFICATION DATED N A 8 ding Inspector Rev. 1/81 APPROVEDA!MED ..A%V loan F i '71 AN, 0a Omn ILUMM a 4 OR La 6 LMAWRL figh"S T.7— iF- map= r W EQtw��D jv�HAI < wi-_FmovVon i I J, 1 W up i V, 4 0--w. vwx of LT JIM!� lot N 'a '57