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Home My WebLink About1000-34.-5-13 a TOWN OF SOUTHOLD g Rental Permit 0895 Owner 340 Robinson Rd LLC Occupied as Single Family Dwelling Located at 340 Robinson Road Greenport 34.-5-13 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. 5/5/2023 ` e Earc rte t (ficial This Notice must be posted by the main entrance at all times ( I soy . Town Hall Annex "4 Telephone(631)765-1802 Fax(631)765-9502 54375 Main Road P.O.Box 1179 Southold,NY 11971-0959 BUILDING DEPARTMENT TOWN OF SOUTHOLD RENTAL PERMIT APPLICATION Rental Permit Fee$200(Application must be renewed every two years) Section A. Property Information: Rental Property Address: 340 Robinson Road, Greenport NY 11944 Tax Map Number: 1000 SECTION 34 -BLOCK 5 -LOT 13 SECTION B. OWNER INFORMATION: Property Owner Name: Richard &Valerie Davis Property Owner Legal Address: Property Owner Mailing Address: 4 Cobblestone Court, Centerport, NY 11721 same same 516-428-719 Telephone Number(s): Daytime %vening Emergency. EyeGuyPec@me.com Property Owner Email Address: q—AD" Page 1 of 5 aD-D 20'x--1044 Dg ,10 f / Wbk Town Hall Annex a Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1179 014 Z Southold,NY 11971-0959 cQ� ;, x:rr,rm �,a BUILDING DEPARTMENT TOWN OF SOUTHOLD Section C. Authorized Agent Information: Nicholas J. Pianamento Name of Authorized Agent of dwelling unit, if any: Address of Authorized Agent (no P.O. Boxes): 7160 Horton's Lane, Southold NY 11971 same Mailing Address of Authorized Agent: Telephone Number(s): Daytime 631-948-014Ivening Emergency same NJP@TCHamptons.com Email Address: Section D. Managing Agent Information: Name of Authorized Agent of dwelling unit, if any: See Section C Address of Authorized Agent(no P.O. Boxes):_._., Mailing Address of Authorized Agent: Telephone Number (s): Daytime Evening Emergency Email Address: SECTION E. SITE MANAGER INFORMATION: (required for rental properties containing 8 or more rental units) Name of Managing Agent of dwelling unit, if any: n/a Address of Managing Agent (no P.O. Boxes): Page 2 of 5 Town Hall Annex Telephone(631)765-1802 54375 Main Road Fax(63 l)765-9502 CA P.O.Box 1 179 �A Southold,NY 11971-0959 BUILDING DEPARTMENT TOWN OF SOUTHOLD n/a Mailing Address of Managing Agent: Telephone Number(s): Daytime Evening Emergency Email Address: .............. SECTION F. PROPERTY DESCRIPTION: (1) Number of Rental Dwelling Units on property: one 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 Dw111ringAE Number of rooms in Rental Dwelling Unit: I j n c �o� l�or Use and Dimensions of each room in Rental Dwelling Unit: QnOm I �3 K1 ��► /P l6r i®�r /G' JI x `9,�✓ 10, -L� �i Ids B, .S '�� +�✓ �� /Y IS /" IZ XlI ' Qat, Page 3 of 5 I Town Hall Annex" Telephone(631)765-1802 5437.5 Main Road Fax(631)765-9502 P.O.Box 1 179 Southold,NY 11971-0959 � k y li j 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. ❑ 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 #AIZI�7 " 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 1179 ` Southold,NY 11971-0959 �� II yryIl BUILDING DEPARTMENT , TO OF SOD OLD 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: w_,,,,mm_ww Property Owners Signature: __, ... .. Sworn to before me this day of ... �:. 20 9-9 Not . O anal Nota ry y Official Pubnat ure and Stamp JEANMARIE cODDON Notary Public,State of New York No.01tOD62512 8 Qualifled in Suffolk County eem lgsl m 540VO NV@ltt f 00f 14,0,0=40 Page 5 of 5 „. r3f SO �ra Town Hall Annex �, Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1179 y Southold,NY 11971-0959 z, BUILDING BUILDING DEPARTMENT TOWN OF SO'II THOLD 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 Pro,essiorral seal re uired or Architect or E'n ineer licensed cane Insvector must rovid cogy of valid current cerci icatlon Rental Prope SC e Rental Prope r s: Owner/Name 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.) 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. Print Name and Title Original Signature Please place professional seal: Soy � , . . " Telephone(631)765-1802 Town Hall Annex Fax(631)765-9502 54375 Main Road P.O.Box 1179 �� Southold,NY 11971-0959 " Z . BUILDING DEPARTMENT TOWN OF SOUTHOLD RENTAL PERMIT APPLICATION ADDENDUM 340 Robinson Road Rental Dwelling Unit Identifier: people Requested maximum number of persons allowed to occupy each dwelling unit: p Number of Rooms in Rental Dwelling Unit: Use and Dimension of each room: Rental Dwelling Unit Identifier: Requested maximum number of persons allowed to occupy each dwelling unit: Number of Rooms in Rental Dwelling Unit: Use and Dimension of each room: Rental Dwelling Unit Identifier: Requested maximum number of persons allowed to occupy each dwelling unit: Number of Rooms in Rental Dwelling Unit: Use and Dimension of each room: tf so (o ir6owl TOWN OF SOUTHOLD BUI DING DI 631 -765-1802 .-- INSPEC ION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION/CAL [ ] FRAMING / STRAPPING [ ] E AE [ ] FIREPLACE & CHIMNEY [ FIRE SAFETY INS [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PE [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (Fit [ ] CGDE VIOLATION [ ] P RE C/ [ I I (,*S OWN *-t� v WNW N000ll DATE )0)el�7 INSPECTOR �M bardL PtN f t DOT = smoke Rt . - m _ F - 44AJOM ,MW t4� I �� Owls Y rmu�e I f YW° I j xr l r i A ------------- r F Q 4 t3 10 ; y �� eeic w r 4-i jv g Dan i J - i t —SOUTHOLD PROPE WOWt A iLo TOWN OF :RTY L L STREET _Z VILLAGE D I ST SUB. LOT ' , e .......... '�--_FORME WNER 060 N -A ACR. V (S'�'rj v S 77� Vic' t I-,)( TYPE 0 -'4 S w F BUILDING RESr= SEAS. VL. FARM I COMM. CB. mlsc, V lueSly 56� LAND IMP. TOTALDATE i REMARKS Jr 3 te" " tiA Q v _77— W jr V, Vllk' deek g 'afbIlL4 -2,z —4, f 00 NEN' L! MALS - -0 — A, J aA) FAV Acre Value Per QKue 06- f --a Ac, i IM211 h., Tillable 1 Tillable 2 ell f!en, Tillable 3 13P 'm _OA�q Woodland 6_1 4L 0 Swompland 1AWTAGE ON #(AA FRON ER Brushland k6 FRONTAGE ON ROAD 1 House Plot DEPTH Q �BULKHEAD DOCK Total Me,` 13 % HIM 7------- MEN- NO ""'R 0-0 "N Elm 01 I i"1111m. COLOR mi T, 0 "A TRIM Je� fcori 17, 7 702 'Dinette Foundation Bat M. Bldg. Extensions Basement Floors K. Extension iEInterior i xt. Walls 4- LR. -J, I% 4,� Extension Fire Place Heat L4 DR. A J loor 'Type Roof Rooms I st F BR. Y I �jr 30 Porch - �Rfcreation Room Rooms 2nd Floor i FIN. B. Porch ' Dormer 1 t5 7 n� Breezew y VDriveway PC 4f C,if) ,q(O A", Garage -ri, V 6 93 0 O. 13= Total 2-,1 774C 4,1 L 7 _ T — o i ? 2 I LF 7 V 5Z M. Bldg. Foundation cs Hath Dinette Extension T' 3. Basement F ^ Floors Kit, Extension 27x2� �9`{ �. , Ext. WallsyeK� T�� ►�1 Interior Finish _ L.R. 1z c2n � 24o extension Fire Place Heat o\ D.R. -72 Patio Woodstove BR_ Dormer Fin, B. Deck HBO S2O ,Z� l30 Attic f If 51( Breezeway Rooms 1st Flo 2. g L5 y $� Drivewa Rooms 2nd Flr �`►crs�exrY� Garage Z �xZ � O.B. Pool FORM NO.4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Clerk's Office Southold, N.Y. , Certificate Of Occupancy No. P 0336 . . . „ „ . . . . Date . . January..6, . . . . . . . . . „ . . . . . . . .. 1981. THIS CERTIFIES that the building . . . . . . . . . . . . . . . . . . . . , . . . . . , . . . . . . . . . . . . . . . . . . . . . Location of Property 340 Robinson Road Greenport House No. Street .Hamlei County Tax Map No. 1000 Section .O . . . . . . .Block .95. . . . , . . . . . . .Lot .913. . . . « . . . . . . . « Subdivision . . . . . . . . . . . . . . . . . . . . . . . . . . . .Filed Map No. .x. . . . . .Lot Now . X. . . . . . . . . . ,REgUiREME TS FOR A PRIVATE ONE-FAMILY LLIN BUILT conforms substantially to the P CCtIk'Altll PRIOR TO April 23 . , 1957.pursuant to which No. .Z.1.0336. . . . . . . . . . . . dated . . " � .6. . . . . . . . . . . , „ 19 $� ,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 . . . . . . . a private one-family dwelling The certificate is issued to David 0. .. Lois D. Hruckheimer of the aforesaid building. Suffolk County Department of Health Approval N�R« . . . . . . . „ . . . . . . . . . « . . . . . . UNDERWRITERS CERTIFICATE NO. . . . . . . . . . . . . . . . . . . . . . . . Building Inspector R•v V7B BUILDING DEPARTMENT TOW1 OF SOUTHOLD, N. Y. HOUSING CODE INSPECTION REPORT Location ;340 Robinson Road Green or 0' er street t'lunicipa it Subdivision XX Map No.� __- Lot(s)X Name of Owner(s) David 0. & Lois D. Bruckheimer Occupancy R-1 Owner typ e owner-tenant Admitted by: Mrs. Bruckheimer Accompanied by: same Key available,,,, Suffolk Co. Tax No-1-25�,„�„�;, , Source of request Richard F. Lark Date 12/26/80 DWELLING• Typ�onstruction wood #stories one Foundation cement block Cellar Crawl space X Total rooms, 1st. F1 6 2nd. F1 3rd. Fl Bathroom(s) 2 Toilet room(s) Porch, type Deck, type Patio, type Breezeway Garage 2 car Utility room Type Heat oil fired Warm Air X Hotwater Fireplace(s) 1 No. Exits 3 Airconditioning Domestic hotwater es Type heater as Other ACCESSORY%ES: none Garage, type const. Storage, type const. Swimming pool Guest, type const. Other VIOLATIONS: Housing Code, Chapter 52 Location Descri tion Art. Sec. outside o eneeds ainti.n gad ILL =- Remarks: Inspected by•Z " Date of Insp.�1/E . Curtis Horton Time start 11 : end 11 :50 FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-18264 Date AUGUST 8 1989 THIS CERTIFIES that the building ALTERATION & REPAIR. Location of Property 405 1:aAKE DRIVE SOUTHOLDI.N.Y.. House No. Street Hamlet County Tax Map No. 1000 Section 80 Block 03 Lot 16 Subdivision Filed Map No. Lot No. _ _ � conforms substantially to the Application for Building Permit heretofore filed in this office dated JANUARY 3 1989. -Pursuant to which Building Permit No. 17738_ dated JANUARY 1989 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 ALTERATION & REPAIR OF EXISTING ONE FAMILY DWELLING A8 APPLI.ED FOR.. The certificate is issued to HENRY ARBEENY (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. PENDING .. AUGUST 7 1989 PLUMBERS CERTIFICATION DAZED 7 28 1989 MATTITUCK PLUMBING & T114G Building Inspector Rev. 1/81 FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. CERTIFICATE OF OCCUPANCY No, -.1-334 Date .............................. ' ... ........... .. I9.n... THIS CERTIFIES that the building located at..S/W..RDb1nzoa.R*ad....... .........-... .... Street Map NOS..K..&A........ Block No. .......... .....».Lot No. ........! ? 1..—NA............... conforms substantially to the Application for Building Permit heretofore filed in this office dated .......................... ? .....U......... .. 19.M..,pursuant to which Building Permit No. .. ...�.�:��p............. dated ..............................99Pt...M......... 19.&..,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.............. ........................?#nte„have„fa .......rr.................................,,...................................... This certificate is issued to .. ? .... .........1,... .................... .... .............. (owner, lessee or tenant) of the aforesaid building. Building Inspector FORM W0. 2 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL. COMPLETION OF THE WORK AUTHORIZED) N° 450 z Date ........ 19:.x... Permission is hereby granted to: TAorant..m rfPman................................«................... .«-Robln.9071....�M-VIA... 1101MUM..PI)... ................. ..... ................ to .. .�I{i17.d. .an.. e .ttn••or�••a ..e► �� t w�s•11�ng...............................................«.... at premises locatedat .S/. .. �h'(•�lR.:. ...R�l.... .(P24-vFito• roa4l-).......................................-........ ............Qlt�llt�Orty.....N,.Y................................................«................,.«,..«.»««....« pursuant to application dated ..................Septerribar• 5...•.«•••••.••••«19.:y.., and approved by the •. Building Inspector Fee $S,.00....pe3.••d Building Inspector FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN! CLERK'S OFFICE SOUTHOLD, N. Y. CERTIFICATE OF OCCUPANCY No. ......... Date .............................duly.....9............ 19.64.. THIS CERTIFIES that the building located at ....S/S.. 6bjnSpn..A0g4......................... Street Map No. ...... K........ Block No. ....=.......... Lot No. ...mm....... ............... conforms substantially to the Application for Building Permit heretofore filed in this office dated ..,.....„........................Di9eem'bar.....1< . ., 19.63, pursuant to which Building Permit No. ..22.6bl. dated ..........................De-C-OIltbttir.....13., 19-63, 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 ........ .......... .................................................................. The certificate is issued to ....{'vv.'4�1;K`11.9..Pals.............. .1AM4r...................................................... (owner, lessee or tenant) of the aforesaid building. Building Inspector FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-24554 Date AUGUST 6F 1996 THIS CERTIFIES that the building ALTBRATION Location of Property 340 ROBINSON ROAD GREBNPORT, N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 34 Block 5 Lot 13 Subdivision Filed Map Na. Lot No.� conforms substantially to the Application for Building Permit heretofore filed in this office dated—DECEMBER 30 1988 pursuant to which Building Permit No. 17748-Z dated JANUARY 61989 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 ALTERATION TO EXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to DAVID MERZ (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N-376826 - FEBRUARY 1 1996 PLUMBERS CERTIFICATION DATED N/A Building I specto Rev. 1/81 .w ! FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No 2-24552 Date AUGUST 6_, 1996 THIS CERTIFIES that the building ALTERATION Location of Property 340 ROBINSON ROAD GRE RT N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 34 Block 5 Lot 13 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated SSPTXZMR 13 1995pursuant to which Building Permit No. 23029-5 dated SEPTEMBER 280r, 1995 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 ALTERATION TO EXISTING ONE FAMILY DWELLING AS APPLIED FOR- The certificate is issued to DAVID HERS (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N-376826 - FMWARY 1 1996 PLUMBERS CERTIFICATION DATED N/A zi Building Inspector Rev. 1/81 FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-25702 Date: 05/01/98 THIS CERTIFIES that the building ADDITION Location of Property: 340 ROBINSON RD GREENPORT (HOUSE NO. ) (STREET) (HAMLET) County Tax Map No. 473889 Section 34 Block 5 Lot 13 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated DECEMBER 5 1996 pursuant to which Building Permit No. 23862-Z-Z dated DECEMBER 12 1996 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 SECOND STORY ADDITION TO EXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to DAVID MERZ (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. PENDING 04/30/98 PLUMBERS CERTIFICATION DATED 04/29/98 HARDY PLUMBING «� r Buildi Inspecto Rev. 1/81