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Home My WebLink About1000-75.-4-21 T OWN OF SOUTHOLD W W Rental Permit 1057 Owner Glendon & Mindy Homer Occupied as Single Family Dwelling Located at 2740 Main Bayview Rd Southold 75.4-21 Maximum Permitted Occupancy 6 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. 1/29/2024 Code Eqfo4Vent Official This Notice must be posted by the main entrance at all times KC>P JAN I I A'-310 tjol qv�'% TOWN OF SOUTHOLD—BUILDING DEPARTMENT 14 Town Flall Annex 54_375 Main Rol". 0 ad � . l3ox 1179 SOUthold, NY 1197"l southoldtowrin Telephone (631) 765-1802 Fax (631) 765-9502 litt , //\y _rYm ........... y,'goy RENTAL PERMIT APPLICATION Rental Permit Fee $300 (Application must be renewed every two years) Section A. Property Information: Rental Property Address: 2740 Main Bayview Road, Southold, NY, 11971 Tax Map Number: 1000 SECTION 75 -BLOCK 4 -LOT 21 SECTION B. OWNER INFORMATION: Property Owner Name: Glendon & Mindy Homer Property Owner Legal Address: Property Owner Mailing Address: (Cannot be the same as Rental Property Address) 2850 Main Bayview Road 2740 Main Bayview Road Southold, NY 11971 Southold, NY 11971 Telephone Number (s): Daytime 347-782-3033 Evening 347-782-3033Emergency 347-782-3033 Property Owner Email Address: glenh019@yahoo.com Page 1 of 4 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 Un . Number of rooms in Rental Dwelling Unit: Use and Dimensions of each room in Rental Dwelling Unit: Living Room - 19' x 12.75', Dini ig Room - 15.5 x 12.25, Stud - 11' x 95, Kitchen - 16' x 15.25', 1st FI Bath 7.75' x 75 , Bedroom 1 - 17.5' x 15', Bedroom 2 -12.25' x 12.5', Bedroom 3 - 12' x 11', 2nd FI Bath - 12' x 7.75', Pool House - 17.5' x 17.5' 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. X I am requesting afire 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) Glendon Homer , 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: Glendon Hoare Property Owner's Signature: Sworn to before me this It 4-day of��OLL(A-r , 20, t`' ~�. � �� Official Notary Public Signature and Original Notary Stamp CONNIE D.BUNCH Notary Public,State of New York No.01BU6185050 Qualified In Suffolk County Commission Expires`April 14,2 7 Page 4 of 4 4f so TOWN OF SOUTHOLD BUILDING DI cou 631 -765-1802 75— INSPEC [ ] FOUNDATION 1ST [ ] ROUGH PL13G. [ ] FOUNDATION 2ND [ ] INSULATION/CAL [ ] FRAMING / STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INS [ ) FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PE [ ELECTRICAL (ROUGH) [ ] ELECTRICAL (FII [ CODE VIOLATION [ ] PRE C/O [,]"'I . ° REMARKSLIZ e &A l DATE SINPECTOR Town Hall Annex " ✓ Town of Southold 54375 Main Road Rental Inspection Report PO Box 1179 Southold, NY 11971-1179 Tel: 631-765-1802 _�. SCTM # Date Owner . _ ... ,. ..... _ .----- Address . Phone " Visible e, _ Inspect-----, ns ector Hamlet P Floor Level Quantities Sub 1 2 �. ...m 1 m.... _ . _,.�.... _ .w .. ...... .... Smoke Detectors (not located in bedrooms) i _...� .�.., �..�.. _. .... ....�_. „... �.. .. y Carbon Monoxide Detectors - .. , Fire Extinguishers.�.. ........... . . �.._ .. ..... _ .. . Exits �. . . . .. _ .. ..._. ._ Bedrooms r 1 2 3 i 4 5 6 Smoke Detectors _ _ - Egress Occupant Count tion of Property Building Systems Maintained & Operational Heating Budding interior ui Hot water , .ng Bur m ex error .. . , . _.., Property Electrical p y ele an, maintained &safe Mechanical Handrails N&guards installed & secure Pool Safety j Pool on Site Surface water alarm Date of CO issuance !+ Door alarms Pool completely .........w. ,.. .. ...._. ...._.._.�.,. ,.,_....� ._... .._,. .. _. .e....nclosae.d . Self closing latching gates Poo fence to code require ment _s_ ...,�„_ CO's for all items present Prior Rental Comments: i J - �� C) , 1 E 79.Pl.WE7 LANE NUffRl KYI,W 111" < F LL 11, I � 2 3F s a E i� 1 t _ i HOMER RESIDENCE IOUT.0to,14Y 11171 3 1 YIC D6®7l1 IS 1711 �m i } - 5 �+!\ EXN ' f I EX 3.1 TOWN OF SOUTHOLD PROPERTY RECOR6 STREW VILLAGE' DISTRICT SUB. LOT s l F0RNAER OWNERN E EAG i S TYPE OF BUILDING SES. SEAS. \/L. FARM COMM. IND. t CB, M ISC _, _ LAND IMP — `TOTAL DATE — = REMARKS '7.1 c,) 61 Add s e s s ASEB U:, G CON D TJ 1 � f � - �� NEW NORMAL BELOW ABOVE Farm Acre Value Per Acre Value Tillable 1 Tillable 2 i s � Tillable 3 Woodland s E Swampland Brushland House Plot —9,4 T , l . �yH — a� 1 f z _ �f a 75.4-21 4/07 M. Bldg Foundation Bath E., nBasement F Floors L- _ nv, n Fact. Walls Interior Finish Extension Fire Place = Heait \. .-, Porch Attic _ _�- .- t _ � �. _ � � Porch � - Rooms 1st Floor ; _, - B.eezewoy Patio Rooms 2nd Floor amara e Driveway E o. B. T _ FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. PRE EXISTING cimirICATE OF OCCUPANCY No 8-22915 Date MARCH 24 1994 THIS CERTIFIES that the building ONE 'FAMtILy I Location of Property 27401 MAIN BAYVIEB ROAD ,HOLD N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 75 Block 4 Lot 21 Subdivision Filed Map No. Lot No.� conforms substantially to the Requirements for a One Family Dwelling built Prior to: APRIL 9 1957 pursuant to which CERTIFICATE OF OCCUPANCY NUMBER 8-22915 dated MARr3 24t 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 DwzMING WITH ACcSS&:ORY 2 CAR GARAGE i STORK= SEED WITH SMALL COAL BIN * The certificate is issued to GEORGE STEPNOSKI ESTATE (cw:er) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. PENDING - ;MARCH 17, 1994 PLUMBERS CERTIFICATION DATED N/A *PLEASE SEE ATTACED INSPECTI T. tuildinorTnopector Rev. 1/81 BUILDING DEPARTMENT TOWN OF SOUTIIOLD HOUSING CODE INSPECTION REPORT LOCATION: 2740 MAIN BAYVIEW RD- SOUTHOLD,NEW YORK number 6 street municipality SUBDIVISION MAI' NO. LOT NAME OF OWNER (s) GEORGE STEPNOSKI, EST., OCCUPANCYSINGLE FAMILY DWELLING rype ^ -----ouner—rcnan[) ADMITTED BY: DAN SMITH ACCO.`3PANIED BY: DAN SMITH KEY AVAILABLE SUFF. CO. TAX MAP NO. 1000-75-4-21 ^ SOULCO OF REQUEST: SOPHIE RYBA DATE: MARCH 11, 1994 DWELLING: 3 TYPE OF CONSTRUCTION WOOD FRAME E STORIES 2 E%ITS FOUNDATION ^BRICK CELLAR PARTIAL CRAWL SPACEKRTTIXM TOTAL ROOMS: IST FLR. 2ND FLR. 44 3RD FLR. BATHROOM (s) ONE TOILET ROOM {s) _ UTILITY ROOM PORCH TYPE FRONT SIDE COVE'REDDECK� SPE PATIO, TYPE BREEZEWAY FIREPLACE NONE GARAGENONE DOMESTIC DOTWATER ELECTRIC TYPE BEATER AIRCONDITTONING WAIL UNIT TYPE UEa4T OII. _�..... 4dRhG AIR .....�.,_.__�--•. ;1 R ........ ........._... .�,,....., OTHER: ACCESSORY STRUCTURES: GARAGE, TYPE OF CONST. WOOD — 2 CAR WITH ELECSTORAGE, TYPE CONST. WOOD STORAGE WITH SMALL ElRI�— SWLLMING POOL �, GUEST, TYPE CONST. OTHER:_..—.�� VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE LOCATION —� DESCRIPTI0—N m �W q ART SEC. REMARKS: WATERTES NE 3/15/94 NEED RESULT — UPSTAIRS AS IS CONDITION (2) HEATING DUCTS INSPECTED BY: . 1 . _ DATE ON INSPECTION...161994 .IO N. BOUFIS TIME START 9:30 AMEND 9:50 AN FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY NO: Z-34075 Date: 11/17/09 THIS CERTIFIES that the building _PORCH ADDITION Location of Property; 2740 MAIN BAYVIEWRD.....—----- SOUTHOLD (HOUSE NO.) (STREET) (HAMLET) County Tax Map No- 473889 Section Block 4 Lot 22 subdivision Filed Map No. _ Lot No_ conformssubstantially to the Application for Building Permit heretofore filed in this office dated SEPTEMBER 16, 2009 pursuant to which Building Permit No. 35003-Z dated SEPTEMBER 16, 2009 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 PORCH ADDITION TO AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to GERALDINE MCCONNELL (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL --N/A izT CTgICAL CERTIFICATE NO. 4028617 05/22/09 PLUMBERS CERTIFICATION DATED ut rf:z:ed�Signature Rev. 1/81 FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERKS OFFICE SOUTHOLD, N. Y. CERTIFICATE OF OCCUPANCY No. Date ............S9ptA:T'P......1AF.........19.��.. g Street THIS CERTIFIES that the building located at .S .�....� Tt�.�J@t..�0�......«...........«... Map No. ..................—............... Block No. .....,............................ .. L*0 ...SMthOUv. ....N.Y* conforms substantially to the Application for Building Permit heretofore filed in this office dated tX j. a...........19�....., pursuant to which Building Permit No ........Z. , .....,... ...... $ •5�........ dated ..................J.11IT.....1.9.,.................19..7., was issued,and con Forms to all of the requirements of the applicable provisions of the law. The occupancy for which this certificate is issued is ............ .................................firATE D�..:.:..I ................,........«.«.......,...............„....,,..........«.... This certificate is issued to .:CB"Iyn.... ....... ............„.........».„.............,„........ (owner, lessee or tenant) of the aforesaid building. ..................»..,.,,Building „Inspector..,.....,.,,. ........«. FORM NO. 2 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES WITH ONE SET OF APPROVED PLANS AND SPECIFICATIONS UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) No. .....Z.53......... Date Y..... Permission is hereby granted to: 4o�d s�it�.....gro�.�...�t�•.��1�..Lrc��ll.... ......Southolds.....BL*Ya..................................... to ..... ................................................ at premises located at . .g/&..gg7..VIw-Road ................................................„.........................a.... ...................................................,....,....m.......... ..... pursuant to applicotion dated ....19..5 ..•, and approved by the Building Inspector. Fee $..5,oa....Pa- d .. .. .......`? :.z..,, ....... Building Inspector flk't" Town of Southold Annex 10/22/2013 P.O.Box 1179 54375 Main Road Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 36572 Date: 10/18/2013 THIS CERTIFIES that the building IN GROUND POOL Location of Property: 2740 Main Bayview Road, Southold, SCTM#: 473889 Sec/Block/Lot: 75.-4-21 Subdivision......................... Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this officed dated 9/16/2009 pursuant to which Building Permit No. 38137 dated 6/26/2013 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 cs:a rl ;rfau d whir lkiing ._gL _r wtth feng to d a ltc (pr. The certificate is issued to McConnell,Gerald (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 38137 PLUMBERS CERTIFICATION DATED 6/12/13 Author .. t t .. �r Town of Southold Annex 10/20/2013 P.O.Box 1179 54375 Main Road Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 36571 Date: 10/18/2013 THIS CERTIFIES that the building ACCESSORY ALTERATION Location of Property: 2740 Main Bayview Rd, Southold, SCTM#: 473889 Sec/Block/Lot: 75.-4-21 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this officed dated 9/13/2013 pursuant to which Building Permit No. 38398 dated 10/9/2013 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: exist%hcd_ onv __.:_.;,,to non-1 ai&tatr _,laun ocoi ith sink ""as baifl,t gas a e l ar, The certificate is issued to McConnell,Geraldine (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 38398 190/3/13 PLUMBERS CERTIFICATION DATED 10/18/13 I a wsl:i./S"mith Plumb&Heat A ... . _cxl atttr.. . Town of Southold Annex 10/20/2013 ' P.O.Box 1179 54375 Main Road "q Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 36569 Date: 10/18/2013 THIS CERTIFIES that the building AS BUILT ALTERATION Location of Property: 2740 Main Bayview Rd, Southold, SCTM#: 473889 See/Block/Lot: 75.4-21 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this officed dated 10/9/2013 pursuant to which Building Permit No. 38399 dated 10/9/2013 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: 'Was:built" tr.. aetiop yIlrrg a Icee„for, The certificate is issued to McConnell,Geraldine (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 38399 10/3/13 PLUMBERS CERTIFICATION DATED 10/18/13 1*alko /Stnith ” umb& 1' t Aut