HomeMy WebLinkAbout1000-33.-1-17 TOWN OF SOUTHO D
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Rental Permit
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0901
Owner 2100 Sound Drive LLC
Occupied as Single Family Dwelling
Located at 2100 Sound Drive Greenport 33.-1-17
Maximum Permitted Occupancy 7
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.
5/17/2023
Codornt Official
This Notice must be posted by the main entrance at all times
�i�� "1°elelrha�nt�(631)7 '.-LCb"�
Town Hall Annex y 1„� y Fax ( 31KF)765 C)54375 Main Road [ilk
P.O.Box ]179
Southold,NY 11971-0959
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BUILDING DEPARTMEI�1ST � �I .� ,�,
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TOWN OF SOUTHOLD
s o�rn no1
RENTAL PERMIT APPLICATION
Rental Permit Fee $200 (Application must be renewed every two years)
Section A.
Property Information:
Rental Property Address
p y
Tax Map Number: 1000 SECTION -BLOCK ,. ..._......-LOT__....!.� .. ... �...7
1000 -
SECTION B.
OWNER INFORMATION:
property Owner Name: .—.-Z.: _hl-.. .. ... .. ...__ ._ � �..t.s
Property Owner Legal Address: Property Owner Mailing Address:
'7 _
S'*�t
Telephone Number (s): Daytime ening_ Emergency_,
Property Owner Email Address: ,_ . . „
Page 1 of 5
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Town Hall Annex al Telephone(631)765-1802
Fax (631)765-9502
54375 Main Road �r
P.O, Box 1 179
Southold,NY 11971-0959
' a
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
Mailing Address of Managing Agent: .....,__._._m.. ... ...... ._._ ...... -... .
Telephone Number Os : Day-time _w .. ro. Evening_,.—, ...... .w...... Emergency....__... _..ro. ....
Email Address: ._.__. ,.. __._w...._. .
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, Q 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:
g Unit-:
Requested Maximum number of persons allowed to occupy Dwellin - -:
.e
Number of rooms in Rental Dwelling Unit: w _ _. ......
#,/ Z�Ss
Use and Dimensions of each room in Rental Dwelling Unit . ... '�. ...
eell—
Page 3 of 5
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11 fel/'
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Al
Telephone(631)765-1802
Town Hall Annex
Fax(63 I)765-9502
54375 Main Road
Y.O.Box 1 179 7flIW
Southold,NY 11971-o959 /
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
the New York State Fire Prevention and Building Code Council.
by the laws adopted ba
I am requesting a fire safety inspection to be performed by a Code Enforcement Official
from the Town of Southold
O lam 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 QF SUFFOLK)
I Zan I I a-f� fi.b�,Vertify 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
jJ
P
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Telephone(631)765-1802
Town Hall Annex Fax(631)765-9502
54375 Main Road
P.O.Box 1179
Southold,NY 11971-0959
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
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.
i
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 tE day of—Apr-1 202a
Official Not r Public Signature Original Notary Stamp
Page 5 of 5
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TOWN OF SOUTHOLD BUILDING I
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6311 -7654 802
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INSULATION/CAL
[ ] FRAMING / STRAPPING [ ] FINAL
[ ] FIREPLACE & CHIMNEY [ FIRE SAFETY IN.c
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PE
[ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (Fit
[ ] CODE VIOLATION [ ] PRE C/O [v<1
x
REMARKS:
Af
Coe
00
DATE INSPECTOR
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.+
TOWN OF SO THOLD BUILDING T1
631 -765-1802
INSPECTION
[ FOUNDATION 1ST [ ] ROUGH PL13G.
[ FOUNDATION 2ND [ a INSULATION/CAt
[ FRAMING / STRAPPING [ ] FINAL
[ FIREPLACE & CHIMNEY [ FIRE SAFETY INS
[ FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PE
[ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FII
[ ] CODE VIOLATION [ ] PRE C/O [ t.
REMARKS: 2
--h� - �
DATE INSPECTOR
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TOWN OF SOUTHOLD BUILDING DI
COMM 631 -765-1802
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PL13G.
[ ] FOUNDATION 2ND [ ] INSULATION/CAI
E ]
FRAMING / STRAPPING [ ] TI L
E ]
FIREPLACE I NEY FIRE SAFETY INE
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PEI
[ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL [TIt
[ ] CODE VIOLATION [ ] PRE C/O [
DATE 02/407/-OX-2-- INSPECTOR
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631 -765-1802
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IN PEC ION
[ ] FOUNDATION 1ST [ ] ROUGH PLTG.
[ ] FOUNDATION 2ND [ ] INSULATIOWCAl
[ ] FRAMING / STRAPPING [ ] T L
[ FIREPLACE & CHIMNEY [ FIRE SAFETY IN;
[ FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PE
[ ]
ELECTRICAL (ROUGH) [ ] ELECTRICAL
LS T ICAL (F
I ] C E I L TION [ ] PRE [ I
REMARKS:
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BASEMENTAIR CONDITION 3
2100 SOUND AVE
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TOWN OF SOUTHOLD PROPERTY k RD CARD
OWNERI STREET VILLAGE — DIST` SUB. V LOT F
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FORMER OWNER N E ACS,
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S W TYPE OF BUILDING
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RES. SEAS. ? VL.p i FARM COMM. CB. MICS. Mkt. Value
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LAND IMP. TOTAL DATE REMARKS
3 ,
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F e
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AGE BUILDING CONDITION
NEW NORMAL BELOW ABOVE
FARM Acre
Value Per I Value
Ac re
Tillable FRONTAGE ON WATER
Woodland FRONTAGE ON ROAD 4
Meodowland DEPTH
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House Plot i BULKHEAD
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Total DOCK
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33,1-17 11/1/2014 -
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7 . ? i
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Extension 3
Extension i
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`2 I Foundation h Dinette
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Porch 1 1 '/5 ? '_.B t`,r £F
asement floors K
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Porch �,, Ext. Walls interior Finish r ;w._` i_R.
Br e� y .Fire Place � � �` A 'Heat DR.
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Garage4 Type Roof Rooms i st Floor BP
Patio Recreation Ron [Rooms 2nd Floor FI N. u g
Q. B. Q r Driveway
Total1 `T►�± 03 _
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FORM X0. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Town Clerk's Office
Southold, N. Y.
Certificate Of Occupancy
No. 24184. . . . . . Date . . . . . . . . .$P.ri.l. . . . .14. . . _ . ., 19.71.
THIS CERTIFIES that the building located at . .Sound. Drivw. • • • • • • . . . • . . Street
Map NoP"t!. Shra. Block No. . . . . . . . . . .Lot No. . .»9 . . . . . . .ar!D!"4p'wrt . . . P.Y.
conforms substantially to the Application for Building Permit heretofore filed in this office
dated . . . . . . . . . .Mugust. . .10, 1970. . pursuant to which Building Permit No. 48.9-3Z . .
dated . . . . . . . . ku&. . . .10. . . . ., 19 7Q., 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 PTIVOO .OVA X*Wily. � 011in . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
The certificate is issued to MrP. . . • • • . •QVMVr
(owner, lessee or tenant)
of the aforesaid building.
Suffolk County Department of Health Approval . April. . •9 9. 1971• • .bp. :%. .Villa. .
House # 2100
Building lnsp for