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HomeMy WebLinkAbout1000-34.-1-9 'OWN OF SOUTHOLD Rental Permit 0722 �s Owner Kristina Scaglione Occupied as Single Family Dwelling Located at 1155 Main St Greenport 34.-1-9 Maximum Permitted Occupancy 3 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. 1/12/2024 ' ore er t Official This Notice must be posted by the main entrance at all times E A U E B NOV 2 7 2023 � TOWN OF SOUTHOLD BUILDING DEPARTME Town Hall Annex 54375 Main Road P. O. Box 1179 Southold,NY 11940510 Telephone (631) 765-1802 Fax(631) 765-9502I t s��f 1 . c t � l tc n ,,. )V RENTAL PERMIT APPLICATION Rental Permit Fee $300 (Application must be renewed every two years) Section A. Property Information: Rental Property Address:.( ddress; ``' ( � J S ��r1 �`• l5�eerl o� ) ` Tax Map Number: 1000 SECTION 3 -BLOCK -LOT - SECTION B. OWNER INFORMATION: Property Owner Name: r� d'"M Property Owner Legal Address: Property Owner Mailing Address: (Cannot be the same as Rental Property Address) d Telephone Number (s): Daytime "Z \0� Evening Emergency Property Owner Email Address: 3-0p P -fig-X3 Page 1 of 4 Section C. Authorized Agent Information: Name of Authorized Agent of dwelling unit, if any: A/ Address of Authorized Agent (no P.O. Boxes): Mailing Address of Authorized Agent: Telephone Number (s): Daytime Evening Emergency Email Address: Section D. Managing Agent Information: n / Name of Authorized Agent of dwelling unit, if any: ►v 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: Address of Managing Agent (no P.O. Boxes): Mailing Address of Managing Agent: Telephone Number (s): Daytime Evening Emergency Email Address: Page 2 of 4 SECTION F. PROPERTY DESCRIPTION: Number of Rental Dwelling Units on property: —LO—(1,(e, ................ 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: On Requested Maximum number of persons allowed to occupy Dwelling nii Number of rooms in Rental Dwelling Unit: Use and Dimensions of each room in Rental Dwelling Unit: 17 DC-Sin , b �•5 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 ❑ I am submitting a completed Town of Southold certification form from a licensed architect or a licensed professional engineer. Page 3 of 4 SECTION H. DECLARATION: Signature must be notarized and MUST be the owner of the dwelling unit. STATE OF NEW YORK) COUNTY OF SUFFOLK) I - �0C,� 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: 1-,f�n �'`� 1 l OKI Property Owner's Signature: 7 Sworn to before me this day of , 201) �- Chrtstim&Iva t O(Wy PuWW StaB of Now York NO,of tt 14 5„&WOlkCo,* Corm""M Ex(Oms Oct,26,20� Official NotaryµPublic Signature and Original Notary Stamp Page 4 of 4 DI 631 -765-1802 bq 10-1 INSPECTION [ ] FOUNDATION 1ST ROUGH PLBG. [ ] FOUNDATION 2ND [ ] 1 S RATION/CAI [ ] FRAMING I STRAPPING [/] FIRE AL [ ] FIREPLACE & CHIMNEY [ SAFETY IN: [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PE [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (Flu [ ] CODEVIOLATION [ ] PRE CIO [ RE 'ARKS* a 14An_A+j b r A A/t -1 ........ 0044 64�- k7 om DATE INSPECT . € j I i e � I z 3 BORM AA C CL r.r ] c a € (1 a rim AOQ m-same nom lit 13 - 7 7 7 LEGE D � 7 } F� SMOKE&CO DElECr4R 7 ' F� L a s Flow Plan i SCTM # TOWN OF SOUTHOLD PROPERTY RECOR' - a� IQ OWNER STREET ( � ��- VILLAGE 3. LOT ACR. REMARKS c_.. TYPE OF BLD, g r 3 {� PROP. CLASS ` -_� _Cj - F LAND IMP TOTAL DATE ,Ca. ye- Zi1 � i FRONTAGE ON WATER HOUSE/LOT I BULKHEAD TOTAL TOWN OF SOUTHOLD PROPERTY RECOI V I LLAGE STREET �- fj OI M R OWNER, 'RMsE - . N �F TYPE OF BUILDING RE p SEAS. VL, I FARM COMM. CB. � $ MIC& Mkt. Value LAND IMP. TOTAL - DATE REMARKStx r, s � LA _ >r t _ g /7on 17 op P: a = - a r \ 5 Tj F" Y r q _ 1 j AGE BUILDING CONDITION 3 t ! _ NEW NORMAL BELOW ABOVE FARM Acre Value Per Value Acre � Tillable FRONTAGE ON WATER Woodland m FRONTAGE ON ROAD Meadowland DEPTH House Plot BULKHEAD _ Total DOCK l z , � 3 w 1F - - �'' e e e i „ o i Cy I .-1-4 3118/2022 , 1 ;M� Bldg. �, _ � f Foundation Pc Bath c anette _ F Di ' Extension - Basement - ---- Floors K Kit ExtensionC�. � ©n Ext, Walls _� Interior Finish L.R- xtens Fire Place ~-' Heat D.R Woodstove BR. Parc ; Dormer Fin 8 Deck { � � Attic Breezeway Rooms 1st Floor 4 g Driveway Rooms 2nd Floor Gara e Pool FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. PRE EXISTING CERTIFICATE OF OCCUPANCY No Z-22888 Date MARCH 71 1,994 THIS CERTIFIES that the building ONE FAMILY DWELLING Location of Property 1155 a/k/a 1085 MAIN ST. GREENPORT N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 34 Block 1 Lot 9 Subdivision Filed Map No. Lot No. conforms substantially to the Requirements for a One Family Dwelling built Prior to: APRIL 9f 1957 pursuant to which CERTIFICATE OF OCCUPANCY NUMBER Z-22888 dated MARCH 7 1994 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 ACCESSORY GARAGE The certificate is issued to THEODORE C. HENKEL (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A *PLEASE SEE ATTACHED INSPECTION REPORT. uilding Inspector Rev. 1/81 BUILDING DEPARTMENT TOWN OF SOU711OLD HOUSING CODE INSPECTION REPORT LOCATION: 1155 MAIN STREET GREENPORT, N.Y. number 6 stre7et w� —µ" — """'" —`"'"""'"`""'"" �suniclpaliLy SUBDIVISION, MAP NO.—4 W mm LOT (:) NAME OF OWNER (s) THEODORE C. HENKEL OCCUPANCY A-1 RES. type � � �� w ADMITTED BY: NICK LAGUDIS ACCOMPANIED By: NICK LAGUDIS KEY AVAILABLE SUFF. CO- TAX MAP NO. 1000-34-1-9 SOULC.: OF REQUEST: WILLIAM PRICE, JR. ATTY_ DATE FEB. 3, 1994 DWELLING: TYPE OF CONSTRUCTION WOOD FRAME W „—� STORIES 1-1/2 $ EXITS 3 FOUNDATION STONE CELLAR PARTIAL CRAWL SPACE TOTAL ROOMS: IST FLR. .4 2ND FLR. 3 3RD FLP. BATHROOM (s) I FULL BATH, TOILET ROOM (s) UTILITY ROOM PORCD TYPE FRONT COVERED DECK, TYPE _ PATIO, TYPE BREEZEWAY FIREPLACE ONE (CLOSED OFF) GARAGE_TYPE­ BREEZEWAY 11OTWATER TYPE HEATER LILCO GAS AIRCONDITIONING TYPE HEAT LILCO WARM OTIIER: AIR T11 T11A1ER S _ ACCESSORY STRUCTURES: C,=CE, TYPE OF CONST. WOOD FRAME STORAGE, TYPE CONST. SWL`L`fING POOL GUEST, TYPE CONST_ OTHER: VTOi 1TTONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION b BUILDING CODE LOCATItDESCRIPTION _ ART. SEC. ELECTRICAL Electrical futures, devices, wiring and systems shall be p,Y,S.R.R. 9 (B) maintained in safe working condition in a manner which wit + . A avoid a potential source of ignition or shock. Deteriorat material and equipment shall be removed and replaced, as may be required. 2ND FLOOR Ceilings, walls, floors and stairways shall be maintained 1242. (A in a safe and sound condition- FOUNDATION Exterior walls, including foundations ,shal.l be maintained 1242. A so that ground and surface water does not 'penetrate into basements 6 Cellars. EXTERIOR Exterior surfaces shall be maintained in good condition. 1242.5 (E) Surfaces not inherently resistant to deterioration shall be treated with a protective coating of paint or other, suitable preservative. HEATING Chimneys, flues, smoke pipes and connectors shall be 1243.1 (b)W maintained structurally safe It smoketight, so as tonV -� REMARKS: INSPECTED BY:_��— BATT.' ON INSPECTION FEB. 7, 1994 —� FI U TIML•' START 9:4510:15 END FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY NO: Z-28221 Date: 02LL9LO2 THIS CERTIFIES that the building ACCESSORY Location of Property: 1155 MAIN ST GREENPORT (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 34 Block 1 Lot 9 Subdivision Filed Map No. Lot No_ conforms substantially to the Application for Building Permit heretofore filed in this office dated JANUARY 28t 2002 pursuant to which Building Permit No. 28043-Z dated JANUARY 2 8�.. 2002 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 ACCESSORY SHED AS APPLIED FOR. The certificate is issued to ROBERT W BRUCE ��.�. (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL NY A ELECTRICAL CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A Authori4o Signatu e 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-32227 Date: 03/07/07 THIS CERTIFIES that the building ALTERATIONS Location of Property: 1155 MAIN ST GREENPORT (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 34 Block 1 Lot 9 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated DECEMBER 15 2006 pursuant to which Building Permit No. 32582-Z dated DECEMBER 1.8, 2106 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 REPAIRS & AL E'RATIONS TO AN EXISTING SINGLE FAMILY 'DWELLING AS APPLIED FOR. The certificate is issued to ROBERT W BRUCE (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 3024048 02/21/07 PLUMBERS CERTIFICATION DATED 02/271x7 GREENPORT PLUMB.& HEATING r" ed ign,ature Rev. 1/B1 So Fot� Town of Southold 6/24/2022 P.O.Box 1179 53095 Main Rd Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 43183 Date: 6/24/2022 THIS CERTIFIES that the building ALTERATION Location of Property: 1155 Main St., Greenport SCTM#: 473889 Sec/Block/Lot: 34.-1-9 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 4/28/2021 pursuant to which Building Permit No. 46395 dated 6/10/2021 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: interior alterations and"as built`_'alterations to existine,single famil dwell in&qLWplied for. The certificate is issued to Salt Boxx LLC of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 46395 6/17/2022 PLUMBERS CERTIFICATION DATED 12/27/2021 Jos Whilec age on e Signature d �uN01 ��YINVr l 'f 'a i 1 11r r i �° uulll i u r 11 �������uuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuup iu ��������������� t , lJ li Jr� 6 � �Dl � SA,ir)(g, ��� ,. °I' I�� //)J � u Il iui rva m���,������ , �� I�ii�rl�(il, � f, f ���������������� � ��Ilmul � �� uiiy� r� �i��� f� d� ^i II II III�� � � �� f ilio ii i� V /// ", � i ��i � //�� /% , /� , d �` G ������� Oi � / �� uuum u �� ��� �1 �/�� J✓� i u Illi � i% (% �� dY ..m i ��,,,,, mai/�f��f�ip S�� y � I�/, �� � �ii�, 1 ,c r, n i r ��, i,. r e ,,;vi r i -, - ,�, �- �- ,,,,,,,, �o. ,, y,., / i,,,, .., h �� �� �„ �' � � �,, � i t/ l'' �� �`/ i � � ,„,,, ,, r �� I i, i� /r I Y p i�� ii �� � Id i�l'il� i it�,li I I,I�y ��I d, � I � � 6 ���� ����'i� �i�I j�� ���ii��� i' i % %O� i:, f if / � /.: l �r / !�/ < l n i �, A �/ ,,, i 1 ��/ �Ili � �r` ��� � �iY �� � � ! �hU� i �' LII f/� �' 1��/� ��, r