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Home My WebLink About1000-52.-4-5 sWdamh� "" TOWN OF SOUTHOLD 45 VM Rental Permit 0862 Owner Phaedra Brown & Jason Pagan Occupied as Single Family Dwelling Located at 690 Albertson Lane Greenport 52.4-5 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. 4/18/2023 2023 / Code E fore ent Offici 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 Southold,NY 11971-0959 BUILDING DEPARTMENT TOWN OF SOUTHOLD x RENTAL PERMIT APPLICATION !LIf)jG TOWN OFQ s« Rental Permit Fee $200 (Application must be renewed every two years) Section A. Property Information: Rental Property Ad ress: Tax Map Number: 1000 SECTION 52. -BLOCK -LOT SECTION B. OWNER INFORMATION: ��aed � ar6 wv1 aAd J&scn\ cc Q� Property Owner Name: ....._.. -- Property Owner Legal Address: Property Owner Mailing Address: m Telephone Number (s): Daytime O Evening Emergency Property Owner Email Address: DI , _ � Yb Page 1 of S � 0"' } Town Hall Annex _ Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1 179 Southold,NY 11971-0959 _ _ ,e 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: 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: Requested Maximum number of persons allowed to occupy Dwelling Unit: Number of rooms in Rental Dwelling Unit: 3 6 CAV-0 ave Use and Dimensions of each room in Rental Dwelling Unit: k`+&&eiA '° z= x( yon ��` � (`�� (V1 r F r-" , 7 7 ' Page 3 of 5 Tele ho Town Hall Annex P ne(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1179 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 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 ❑ 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 f3y'C�k� , 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 NZ Town Hall Annex Telephone(631)765-1802 54375 Main Road Fax(631)765-95012 P.O.Box 1179 Southold,NY 11971-0959 ` .. BUILDING DEPARTMENT TOWN OF SO TOLD 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: Sworn to before me this Z day of /5�U7� 20 2Z a NAFALYA SOBOLEV Official Notary Public Signatu and Original Notary Stamp notary p - -a e -' New York No '1 S06176 885 Q a fiec K,.,nS COWMY rrmmssion e j ;,,23, 2023 Page 5 of 5 * , TOWN OF SOUTHOLD BUILDING1 631 -765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION/CAI [ ] FRAMING 1 STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY IN: [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PE [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL {FII [ ] CODE VIOLATION [ ] PRE C/O [wl iei*,!� ho It 0 an*2�- e�4- f � �V4e, Town Hall Annex SDUTHOLD TOWN 54375 Main Road PO Box 1179 Southold, _ Rental Inspection NY 11971-1179 Tel: 631-765-1802 Fax 631-765-9502 SCTM # Date "/• b ' Owner Phone Address 00 >1be Zip City Inspector LEVELS SUB 1 2 3 Smoke Detectors (#- bedroom detectors excluded) 1't 1 1 Carbon Monoxide Detectors (#) 1 1 Fire Extinguishers (#) Exits (#) BEDROOMS 1 2 3 4 5 Smoke Detector Alarms (#) Carbon Monoxide Alarms (#) Egress(windows) (YIN) BUILDING SYSTEMS Y/N CONDITION OF PROPERTY Y/N Heating system maintained/operational Building Interior is clean/maintained Hot water system maintained/operational Building Exterior is clean /maintained Electricals stem maintained/operational Property is clean/safe/maintained Mechanicals stem maintained/operational Handrails &guards present COMMENTS: . Wo Rental Inspection Form 4/7/2021 ---------------- TOWN OF SOUTHOLD PROPERTY RECORE STREET VILLAGE D I ST." SUB. LOT WNESk, FOR' R OWNER N E ACR. 7 T W TYPE OF BUILDING M. CB. mics. Mkt. Value J-2,177 RES, AS. VL. FARM COm LAND IMP TOTAL DATE REMARKS '7 7-- ca 4 IT -.2 -4 AGi BUILDING CONDITION NORMAL BELOW ABOVE I........ 2 ....... NEWI. .._......... ..... FARM Ac re Value Per i Value Ac re Tillable FRONTAGE ON WATER Woodland FRONTAGE ON ROAD DEPTH Meadowland BULKHEAD House Plot Toto I DOCK ' � r 1 _ r 4 u � i Y r ii _......... ,,, ,....._.. .._...,...,_.................... ...._,,,_..._......:....,.. .. r a COLOR TRIM 1 M Bld 71 �......�.._ , . . .._�._. Extension �., " .. .. � I f i Extension a... ._m._�..... . ...M_.._... . .. l b � Extensionp _... Both Dinette 1 _... ,....... _... .__. _ ._..___. __:_ ....._. _..w,_m. . _, .. .. _ _ _, _.._.. m..m Foundation ParchBasement J� ^Floors K. ._. .,.. .. __ ,...�.._........... _.. .._ w_ ,. ,_.,.,,__ ..0 � , . .._w.. _.. . ...__ � .,., __,_ �� t.m� .a J wre..MK Porch a Ext Walls Inferior Finish L.R. 9 Breezeway Fire Place Heat t / DR c Garage Type Roof Rooms 1st Floor BR. ., Patio Recreation Room Roams 2nd Floor U FIN. B 0. B. Dormer Driveway Tota1.,. _�,._,. .�_.__..�.._.._�....,... ...,_... I Y _C7 w. X00, I y . a a , 52.-4-5 09/2015 Alk j-p I Bld �? 2 .Foundation„ a. Bath Dinette � .W. � Basement Extension _.. .a. ,.. _...__._. ... " Kit ., _..,..,. �_ _........ ,..._. �.....- ___.. ....,.. ,�_,..,_..�„_,.,. _._._..._.�...._ ........,._w._.. �__...., ., .,._..._.. _........, ._.. ........... . ... Floors��.. ._._ Extns+off j &_ .,.... -�...". Ext. Walls ° "� c ..�... . ., ... Interior Finish S I_ R. f Extension Fire Place Heat 0 � Patio �..,.w..�._. .., ...._._..�,.____,... .,..�,..,_._..�,..._ �.� �.�.�.. • �� ,.�,tw�,,� Woodstove�_..�_w.__._...__••___..,,. .,,. ..BR mmPorch Dormer Fin. B ._.,.._,_ . ........ . Deck A, ...... ...Attic_ Breezeway �TT~Y Rooms 1st Floor �h Gara aDriveway Rooms 2nd Floor 0,B, Pool �,w ..... ..... ..........m,.. ...,� ... ..1--':- _,. ,.. _,,,.,.,.ry _------- .-MM.. ��4 S \` m� F y� gg 120 ONE 7 y `` W q € 4 iii i I II.. I TOWN OF SOUTHC) _J OFFICE OF BUILDING INSPECTOR TOWN HALL SOUTIIOLD, NEW YORK CERTIFICATE OF OCCUPANCY NONCONFORMING PREMISES THIS IS TO CERTIFY that the / Land Pre C.O. #- Z-15907 Building(s) Date- July 2, 1987 Use(s) located at 690 Albertson Lane Greenport, New York Street Hamlet shown on County tax map as District 1000, Section 052 , Block 04 Lot 005 does�'not)conform to the present Building Zone Code of the Town of Southold for the following reasons: Insufficient total area; accessory garage in front yard; front yard set-back On the basis of information presented to the Building Inspector's Office, it has been determined that the above nonconforming /—V Land /_X/Building(s) / /Use(s) existed on the effective date the present Building Zone Code of the Town of Southold, and may be continued pursuant to and subject to the appli- cable provisions of said Code. IT IS FURTHER CERTIFIED that, based upon information presented to the Building Inspector's Office, the occupancy and use for which this Certifi- cate is issued is as Follows: Property contains 1� story, one family, wood framed dwelling; accessory garage and all situated in the 'A' Resideatial Agric.sltural zone with access to Albertson Lane, a Town maintained road The Certificate is issued to ESTATE OF BEVERLY R. WHIPPLE (owner, � Xtilf }X of the aforesaid building. Suffolk County Department of Health Approval N/A UNDERWRITERS CERTIFICATE NO. NIA NOTICE IS HEREBY GIVEN that the owner of the above premises HAS NOT C NSENI EED TO AN INSPECTION of the premises by the Building inspec- tor to determine the premises comply with all applicable codes and ordin- ances, other than the Baildin4 Zane Cade, and therefore, no such inspection has been conducted. T ,is Certificate, therefore, does not, and is not intended to certify that the premises comply with all other applicable codes and regula- tions. \� ;a=u�>din ��spzctor Town of Southold 1/5/2017 P.O.Box 1179 53095 Main Rd Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 38763 Date: 1/5/2017 THIS CERTIFIES that the building ALTERATION Location of Property: 690 Albertson Ln.,Greenport SCTM#: 473889 See/Block/Lot: 52.4-5 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 6/17/2016 pursuant to which Building Permit No. 40782 dated 6/17/2016 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: ALPS (IONS A REP S O AN 5 fLNG ONE FAMILY DWELLING AS-APPLIED FOR The certificate is issued to Kutchins,Algren of the aforesaid bull SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 40782 12-29-2016 PLUMBERS CERTIFICATION DATED Signature _ ...........__....................... SCHNEIDER ,aas E� xtx ,ax, E U((.HINS RESIUENGE cxx�F.wv, V' �5 w 1 � y AT i _._ ° l�d s� �, ' !�� I. �� F flu`su� AT— e n,E�s�E,x o„x e �l I _... „ w Ia ,Mai„ ;,N/' F a � — ��xs,aHEMFlxxaxa,x�x,�� r �.>a, s u � EXISTING FOUNDATION PIAN r „ v; PROPOSED 1ST FLOOR PLAN ° kl N EXISTING FOUNDATION -- &FIRST FLOOR PLAN SCHNEIDER Ml�n�p95nnfGyi,WORKa ca,a NUl'CHINS RESIDENCE 14 I. oson , I I ca[E sae .t9N NINE 'A"1G� � ••_ rNn4U>H w+w ': RGPAM Nc ruu aw <<,n,xZa 0 T— A u,,. ` E�s .,«°°Earn10 .. _ 1 Ca'tip @EJd329.M_t Y��. v N �1 PROPOSED 2ND FLOOR PLAN f 1�� '� Y &XIS'fING ROOF PLAN zxz kPf Er!tMxn SECOND FLOOR PLAN& -- EXISTING ROOF PLAN