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Home My WebLink About1000-36.-2-23.4 3{=�Off 'OWN OF SOUTHOLD ,. � A� _ental Permit £v 0881 Owner Butler ML Living Trust Occupied as Single Family Dwelling Located at 3327 Manhanset Ave. Greenport 36.-2-23.4 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. 4/25/2023 ode0foiVern tofficial 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 11971-0959a ; APR 14 2023 BUILDING DEPARTMENT TOWN OF SO`CtTH011,I) 0'im OF60 RENTAL PERMIT APPLICATION Rental Permit Fee $200(Application must be renewed every two years) Section A. Property Information: Rental Property Address. Tax Map Number: 1000 SECTION BLOCK LOT g;j� ' SECTION B. OWNER INFORMATION: f Property Owner Name: � � wND Property Owner Legal Address: Property Owner Mailing Address: (Cannot be the same as Rental Property Address) " w N y, Telephone Number(s): �i -- Property Owner Email Address: ,Y"-' k- ° 0or-A 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): Email Address: Section D. Managing Agent Information: Name of Authorized Agent of dwelling unit, if any: g Address of Authorized Agent(no P.O. Boxes): Mailing Address of Authorized Agent: Telephone Number(s): Email Address: f SECTION E. ' SITE MANAGER INFORMATION: (required for renta pro erti containing S 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): Email Address: Page 2 of 4 SECTION F. PROPERTY DESCRIPTION: �Q 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: 14 Use and Dimensions of each room in Rental Dwelling Unit: LA to 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 NYS licensed architect, a NYS 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. Page 3 of 4 I am submitting a completed Town of Southold certification form from a licensed architect, a licensed professional engineer,or a licensed home inspector who has a valid New York State Uniform Fire Prevention Building code Certification. SECTION H. DECLARATION: Signature must be notarized and MUST be the owner of the dwelling unit. STATE OF NEW YORK} COUNTY OF SUFFOLK) 1 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: (,l19 Property Owner's Signature: —Ub > Sworn to befor *Sature of 2B� McCARTHY w ,J. a Now v > �a C • I0a 790 Official Notary and Origin I Notary Stamp N wamber 23,02L Page 4 of 4 D1 * , TOWN OF SOUTHOLD BUILDING w , 631 -765-1802 INSPEC ION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION/CAL [ ] FRAMING / STRAPPING [ ] FINAL [ ] FIREPLACE +& CHIMNEY [ ] FIRE SAFETY INS [ j FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PE [ j ELECTRICAL (ROUGH) [ ] ELECTRICAL (FI C 3 CODE VIOLATION [ ] PRT C/O I REMA a w INSPECTOR0"UA IN DATE , V17 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 RENTAL PROPERTY CERTIFICATION Form is to be completed by a license architect, licensed engineer or licensed home inspector Separate form is required for each individual Rental Dwelling Unit P!ro es ionalseal re lire r rchitect otIrl Ineer ticen + d Ilorlle lr actor nlust rotride copy oI valid current cerci motion Rental Property SCTM Number: 1600–3 6 – Z – Z 3 Rental Property Address: 33.7--7r, + 42eW Owner/Name: ( u fl eZ Da — Rental Dwelling Unit Identifier: Number&Square footage of each bedroom as depicted in the attached floor plan: (i.e. Bedroom#1 -100 sq., Bedroom#2-90 sq., etc.) �( aLSa 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 New York State, the Fuel Gas Code of New York State, and the Energy Conservation Construction Code of New York State. , m Print Name and TitleE Orl Iun I Signature C(o 00 l2 oI l0 7 THOMAS J.MCCARTHY Notary Public,State of New York S olk County-No.5004790 Please place professional seal: ornrni n ire overnber23,20j�j a TOWN OF SUOLD PROPERTY RECORD OWNER1 STREET VILLAGE -� --T _ e_ J - -- Xk 46 A FORMER OWNER cAYH u. cl-scf krn N E € ACR. - . . NIL Y �n STYPE OF BUILDING e .. - RES. SEAS. VL FARM COMM. CB. MICS. Mkt. Value LAND IMP. TOTAL DATE REMARKS t g s � t 7600 ` 2 00 ff ZL~3 `®mak C7 CJ 'ice `-. .-, -€ a _ _# �z< �Z A, F z' as a F i z t 2232- Tillable 232- Tillable FRONTAGE ON WATER 1j Woodland FRONTAGE ON ROAD Meadowland DEPTH House Plot BULKHEAD Total i 3 x= COLOR �, TRIM � � ti t E \ 14 1 iA +-, s E k r� t LLjL I k 36.-2-23.4 10/2014 _ p Extension —_ i 3 Extension -� _ t Extension s Foundation Bath Dinette Porch i Basement Roars i< _ So f h t� - Ext. Waifs i Interior Finish :1 R- _ e _ - x y E Fire Place Heat C ,-X -7�5- 7 Garage Type Roof 'Rooms 1 st Floor R.. � ZIF Y,,2 - fpr k,� L + 1 Patio Recreation Room Rooms grid Floor '3 -t p, B. Rarmer I Driveway Tota{ 3 3(`� � 4=0'r FORM NO. 4 TONIN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z19776 Date MARCH 7 1991 THIS CERTIFIES that the building ONE VAMTLY DWELLING Location of Property 3327 R.O.W. M' SET AVE. GRE�ENPORT House No. Street Hamlet County Tax Map No. 1000 Section. 36 Block 02 Lot 23.4 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated SEPT. 2 .1988 ursant to which Building Permit No. 17417Z dated SEPT. 14 1983 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 WITH ATTACHED GARAGE AND DE The certificate is issued to RICHARD AND MARY BUTLER (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL 86-SO-34 JAN. 3j_1990 UNDERWRITERS CER'T'IFICATE NO. PENDING SLIP MARCH 1 1991 — VWT IN FI�E PLUMBERS CERTIFICATION DATED PECONIC PLUMBING & T1NG- ` . 17 1991 uil.ding Inspector Rev. 1/81 McCARM MANAGEMENT, INC. 46520 COUNTY ROAD 48 SOUTHOLD, NY 11971 -r JOB N (631) 765-5815 FAX (631) 765-5816 ATTENT�OIV TO WE ARE SENDING YOU ❑ Attached ❑ Under separate cover via w._.. .. ___...................w_ _ . w__........__..the following items: y p^"'ry El Shop drawings El Prints Prints Plans ❑ Samples IMJ Specifications ❑ Copy of letter ❑ Change order .p ......... ?.- -Q _..�.. ___........�.__.w....'.�._...............__..._._m .Hw�_..w..._.�ww.........� ...m,.w .. ww........._......w.._wwwb..,w..................�...._................,�.__.............. ,.....�.._..........w..._.__m._.w..._..........M.wkww._ww.�_......... �....... . .......... .............. w�p.ww_.�' .0........ _....ww.. _....w... p.µ* __..........._m.._.ww_,w ..... .M.M.... .__ ......... ...... ....w_.._ ... ...._. ..__.w...._. 'M. w._..... ww........_m_......w_ _. �r�0.3..........M� " °w _. .w "i :: fir`_....... ww .w...� ......__......_. _.__.. _......... 2`>e i 0 _........1. ............ _..... �.._....... .vw_w_ ............ ._m_..w�w�.�W�..............................__. �.�.�.�........M.... w_............... " `...�.�... ._. _ _ _................_�..__...w�w�. THESE ARE TRANSMITTED as checked below: ❑ For approval ❑ Approved as submitted ❑ Resubmit copies for approval ❑ For your use ❑ Approved as noted ❑ Submit copies for distribution ❑ As requested ❑ Returned for corrections ❑ Return corrected prints ❑ For review and comment I ... .. ............._...��..................__ .._.......... . � �� _. .._.._.w............. ❑ FOR BIDS DUE . ... .. _w ❑ PRINTS RETURNED AFTER LOAN TO US REMARKS COPYTO _....._.. ..._.................... .. ..... _...... SIGNED: _ ..... _.... ...... .... . ... .........._ If enclosures are not as noted,kindly notify us at once. a .:., \ \\ ��.\\ \\ \\\ =tea\\ � a •, a, �:.. ._ \ \ � .\ :� \ \.�. \ \ \\ \.. , \.\ \\ _ \ \\ \ \\ �\ \. Al % IU 0 �ij _ T A E 0 " N EW RK Be it known that Kyle Matheson N NO has successfully completed the requirements of a Basic Code Enforcement a Training Program established by the Minimum Standards for Code Enforcement Personnel (19 NYCRR Part 1208) in the State of New York as a: g _. John R.Addario,P.E.,Director v Division of Building Standards and Codes � RK Building Standards Certification Al v y - = and Codes \, vv , \ a o maintain this certification,such person musts ati sfy annual in-s ervi ce training requirements and advanced in-service training. TI \ \ F y -760001241r,7 D en f SCOY tc I I IQI '0Vt<ICNSING SERVICES o. 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