The URL can be used to link to this page

Home My WebLink About1000-34.-1-10 TOWN OF SOUTHOLD Rental Permit y 1063 Owner Victorian Bay LLC Occupied as Apartment - Unit 1A Located at 1075 (1215) Main St. Greenport 34.-1-10 Maximum Permitted Occupancy 2 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. 2/5/2024 WIL d nfo n Official This Notice must be posted by the main entrance at all times0 �F TOWN OF SOUTHOLD Rental Permit 1064 Owner Victorian Bay LLC Occupied as Apartment - Unit 1B Located at 1075 (1215) Main St. Greenport 34.-1-10 Maximum Permitted Occupancy 2 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. 2/5/2024 # t cuee e Official This Notice must be posted by the main entrance at all times t T "'WN OF SOUTHOLD 0' 3 AY Rental Permit 1065 Owner Victorian Bay LLC Occupied as Apartment - Unit 2A Located at 1075 (1215) Main St. Greenport 34.4-10 Maximum Permitted Occupancy 2 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. 2/5/2024 .ode E efjOffidal This Notice must be posted by the main entrance at all times -f-- OWN F SOUTHOLD NCO Rental Permit $g g� 1066 Owner Victorian Bay LLC Occupied as Apartment - Unit 2B Located at 1075 (1215) Main St. Greenport 34.4-10 Maximum Permitted Occupancy 2 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. 2/5/2024 � art ficial This Notice must be posted by the main entrance at all times (Ten Town Hall Annex Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1179q W Southold,NY 11971-0959 i " BUILDING DEPARTMENT TOWN OF SOUTHOLD RENTAL PERMIT APPLICATION JUN 2 2 2020 ° Rental Permit Fee $200 (Application must be renewed every two years) ; Section A. Property Information: Rental Property Address: 1075 (1215) Main Street Greenport, New York 11944 Tax Map Number: 1000 SECTION 34 -BLOCK 01 -LOT 10 --- SECTION B. OWNER INFORMATION: Property Owner Name: Victorian Bay LLC Property Owner Legal Address: Property Owner Mailing Address: 1215 Main Street PO Box 413 Greenport, ew YorK Bast Marion, NY 11939 Telephone Number(s): Daytime 477-6248 Evening 477-6248 Emergency 646-201-3560 Property Owner Email Address: acetweety@aol.com µ Page 1 of 5 w H _ . Town Hall Annex Telephone(631)765-1802 54375 Main Road �' Fax(631)765-9502 P.O.Box 1179 Southold,NY 11971-0959 � P Cod BUILDING DEPARTMENT TOWN OF SOUTHOLD Section C. Authorized Agent Information: Sofia Antoniadis Name of Authorized Agent of dwelling unit, if any: , Address of Authorized Agent (no P.O. Boxes): 12500 Main Rd East Marion, NY 11935 Mailing Address of Authorized Agent: PO Box 413 East Marion, NY 11939 .._. Telephone Number(s): Daytime 477-6248 Evening 477-6248 Emergency 64620135E Email Address: acetweety@aol.com Section D. Managing 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): 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):__ Page 2 of 5 4'� Town Hall Annex Telephone(631)765-1802 54375 Main Road , Fax (631)765-9502 P.O.Box 1 179 Southold,NY l 1971-0959 f BUILDING DEPARTMENT TOWN OF SOUTHOLD Mailing Address of Managing Agent: Telephone Number(s): Daytime Evening Emergency_..,.-- Email Address: SECTION F. PROPERTY DESCRIPTION: Number of Rental Dwelling Units on property: 4 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." First Floor Front Unit 1A Rental Dwelling Unit Identifier: Requested Maximum number of persons allowed to occupy Dwelling it: 6 Number of rooms in Rental Dwelling Unit: 4 Use and Dimensions of each room in Rental Dwelling Unit: Kitchen (1Y22) Living Room(168), Dining Room(103), Bedroom 1(123) Total livable floor area 516 Page 3 of 5 Town Hall Annex Telephone(631)765-1802 Fax(63 l)765-9502 54375 Main Road P.O.Box 1179 Southold,NY 11971-0959 OUR 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. ❑ 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. SECTION H. DECLARATION: Signature must be notarized and MUST be the owner of the dwelling unit. STATE OF NEW YORK) ) COUNTY OF SUFFOLK) I Victorian Bay LLC , 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 ta 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 SOS 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. Victorian Bay LLC Property Owner's Name: Property Owner's Signature: ---••••M � Sworn to befca me thisAdayof �J CAYI e 2070 ,Iazll Official Notary Public Signature and Original Notary Stamp IGOR GdREVICH NOTARY Nc��-�,U5Q15664OF EW YORK QU011fled In Kings County f-1 MY COMMIsslon Expires July 26, 20— Page 5 of 5 Town Hall Annex Telephone(631)765-1802 54375 Main Road I Fax(631)765-9502 o t P.O.Box 1179 R Southold,NY 11971-0959 BUILDING DEPARTMENT TOWN OF SOUTHOLD RENTAL PERMIT APPLICATION ADDENDUM Rental Dwelling Unit Identifier: First Floor Rear Unit 1 B I fRequested maximum number of persons allowed to occupy each dwelling u t: 4 )" Number of Rooms in Rental Dwelling Unit: 3 Use and Dimension of each room: Kitchen (114), Living Room (166), Bedroom (109) Total Liveable Floor Area 389 Unit 2At U F Floor Front n Rental Dwelling Unit Identifier: Second Requested maximum number of persons allowed to occupy each dwelling u 1 : 4 Number of Rooms in Rental Dwelling Unit: 3 Use and Dimension of each room: Kitchen (121), Living Room (140), Bedroom (108) Total Liveable Floor Area 369 Rental Dwelling Unit Identifier: Second Floor Rear Unit 213 Requested maximum number of persons allowed to occupy each dwelling un t: 3 Number of Rooms in Rental Dwelling Unit: 2 Use and Dimension of each room: Kitchen , Living Room,Bedroom 1 (281) Total Liveable Floor Area 281 ho�.�oe souryo6 / �f��J AA A" '^ ' �Q# TOWN OF SOUTHOLD BUILDING DI 631 .765-1802 yt INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION/CAI [ ] FRAMING / STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY IN; [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PE [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FI [ ] CODE VIOLATION [ ] PRE C/O [ I REMARKS: I o�3 n � t �t� � z Oct tb�lll ............ V�m ►oz.s v � a ................................... DATE 1 INSPECTORq6o� qso, TOWN OF SO '1P"I OILD BUILDING DEIN. 631-765-1802 , ty._. ... O I N S&L P E T 1N [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION/CAULKING [ ] FRAMING /STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) h [ ] ELECTRICAL (FI L) [ ] CODE VIOLATION [ ] PRE C/O [ RENTA�� REMARKS: JDA I l - Z . 0 �I) l un I� lM w OAT DATE INSPECTOR 0 COW Al 11 Bedroom 10'3"x12' Living Room 11'7"x14'3" CL D s Kitchen Dinette Ref 9'2"x13'3" 7'8"x13'3" MW/D CL Common Entry Dn— on LEGI COMBINATION CARBON MONOX!D-r_l O .SE) OK DET t R 1075 (1215) MAIN STREET, uREENPORT NY 11944 Apartment 1A (First Floor) "-�l CL Bedroom 10'4"x10'5" CL 3 s a 4 Kitchen D Living Room 10'4"x11' Ref 12'9"x13' Common Entry D on LEGEND: ONION CARBON MONOXIDE-:11' cccxso SMOKE DET OR 1075 ( 1215) MAIN STREET, GREENPORT NY 11944 Apartment 1 S (First Floor) Bath Ref 6'11"x4'11" Fo Living Room 12'7"x10'11" Kitchen 0 7'8"x14'5" Closet Dn } Bedroom 9'x12' Up LEGE COMBINATION ARG 1G G IDE/ uw SMOKE DET ECTOR 1075 (1215) MAIN STREET, GREENPORT NY 11944 Apartment 2A (Second Floor) 0 e Ref - Bath COISD 6'11"x4'11" Dn CUS0 Bedroom 10'9"x26' Up COMBINATION CARBON MONOXIDE/ cow SMOKE 1075 (1215) MAIN STREET, GREENIORT NY 11944 Apartment 213 (Second Floor) S&M #y SF. 'f 1 TOWN OF SOUTHOLD PROPERTY RECORD CARD OWNER STREET VILLAGE DIST, SUB. LOT ACEI. REMARKS /v4i- -} -4 ` , vim___ - a� TYPE OF BLD. PROP. CLASS LAND IMP. TOTAL DATE 14 op ` 5aoo a.<<��aoo fou } I FRONTAGE ON WATER HOUSE/LOT I BULKHEAD TOTAL TOWN OF SOUTHOLD PROPERTY RECORD CARD OWNER STREET VILLAGE DIST. SUB. LOT FORMER OWNER N E ACR. S W TYPE OF BUILDING Al i s _ RES. r(f l I SEAS. VL. ;FARM �T 'COMM. CB. misc. Mkt. Value - �.- REMARKS LAND IMP, TOTAL DATE p f LA �r tee.. ! � � .:._. = _1� �:�J � . .,� •.;.. a- � _ �' � _ _ _�a "4r(Cc� K� J off '?C;'r! iF . - 1211 .r _ 3 AGE BUILDING CONDITION 0/ a � NORMAL BELOW ABOVE Fr(M Acre Value Per Value39 f `� s _> Acre = 15, Tillable 1 �- _ ,t c Tillable 2 Tillable. 3 Woodland I Swampland FRONTAGE ON WATER FRONTAGE ON ROAD Brushlond House Plot DEPTH s I I BULKHEAD r Total 'DOCK I 4 Y 4f COLOR s i i r Y TRIM 77 0 I _ Bathe `' binette = _ M Bldg. _ Q Foundation C, _ I . =e _ asecnent Floors K. dension S I � �' 3 -�ll enslon � 1 . Interior Finish LR. Walls Jendon Fire Place Heat am= 1 �_ Q t� �'Z°° Type Roof .-Rooms 1 st FI I e s i Pard a� ecreation Room l Rooms 2nd Floor! I FIN. B, ol Dormer 4 IQriveway I Tree . oY � Garage Patio 4-7 O. B. 3 , Total � � SUPERVISOR'S OFFICE TOWN CLERK'S OFFICE I& South Street Main Street Greenport, N. Y. BUILDING DEPARTMENT Southold, N. Y. Tel. Greenport 7-0550 TA Southold 5-3783 SUFFOLK COUNTY, N. Y. BUILDING I'NSPECTOR'S OFFICE Gr nportl, St N.reet CERTIFICATE OF OCCUPANCY Tel. Greenport 7-0101 J No. Date_ . 3-.1— I9il- THIS CERTIFIES that the building located at Street, Map No. , Block No. """" , Lot No. in the Town of Southold, conforms substantially to the approved plans and specifications heretofore filed in this office with Application for Building Permit dated .. ? Ili, pursuant to which Building Permit No.,LA-3-, dated J _ 19 , was issued, and conforms to all of the require. ments of the applicable provisions of the al. The occupancy for which this certificate is issued is OF V This certificate is issued to V low` w, I of the aforesaid building. 7AA ?� Building Inspector {The Ce4ificate of Occupancy will be issued only after the Building Inspector is convinced of the completion of the construction in compliance with the Multiple Residence Law and with other laws, ordinances or regulations affecting the promises, and in conformity with the approved plans and specifications.} � C Por��r' fan ► 2 ��` r BA ' „ r r / i PHOTOELECTRIC J rY 1 Ishii h/r � rtiobPo iYxrupi�M-'�h IW�M Ilugly)y�" I% i, IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII 9u!gl / i/ ri///// � rii� r� � r VVVVVVVVVVVVIIVVV IIS / / r / ��..r �........ .,i/ i r uuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuu r ii V V I" for IIIIIIIIIIIIIIIIIIIIIIIIIIIIIII �i ff s o,� 0 r / / 1 r „/a l �� i, �I VVVVVVVVVVVVVVVVVVVVVVIVilllllllllllllllllllllllllllllllllllll ' IIIIIIIIIIIII ililililililililililiillllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllll i (f r i / f %i %f �1 it 1 r' I j 1 j �" ? N. , ��•II�� III II uV I I�� I i� � ��S l�ii!�� I� �II � r 1 i v I r I � I IpII I few y l �II ' rr ii All r Ip SIJ gol (fxleuwf��rmW` �/a i , ,�,,,,,,, iii%/�%/H�'�r Nl///v�j /i//J//� iirir'r� ///iiu r��r�� i%,/r r, ,+,;1/�//.i/,',,:�� ,,,, ��o// 1�r l 0 IJ �� %l,� �� f r ��r f� �% �� 1 '' ,, �, �j �, f1,, � uu ,��II` ��11 r � 1 � I�� I ,�i��Vl�l��' ��I��iiia uPi�i��,,, � �I'p' ��i��`r� ��JI �/,',/��%�� /�"� �,,,,,,r �,,,� ,��i, ��,�!/�� /s I//�a/, ��i ;��r� �` %� f�i ,%%D � r / '�� .,iii i it �// �, ,, f;- 1'p/ �: �i �� / f �! 1 j i r i t � ', � � 1 ;, / �,; %/ /;�; % I` %/ (/ r '�P � � i' t 1 f� � I( time ".,r� f r VVVVV �i i!i .... i IIIIIIIII ii 1 I ��, s, h� �' �' �<; ��1 r,; niiii�, � ��II i;,,,�ll(��NR�°�IV��Il�l�li�� lr i��n r r� jai � � � � ; iy /r � ��r � III /�i/p% r� � �� i � � � u 'i%. � f t�i�44'�'i��V��4 I��I�Iplllllll'IuIIIVIIIIIIIIIIIIIIIIIIIIUIYIYIIIIh��IVh�I�I�Iu IIVVI�lll�ll��N�II�uI D. i � 4 I QUI V 14 iY � l ii«i0� � hh�� l � •;; �� r �......� G � �� / l fI i f / / < � '�' �%�� G IliiiiiiiP � / L. f � r,% ; �� l � � r, iU�,,,, , ,.n / �I� � i iii J � 9 � �� J �I i �� i i; i�9'di 1, �i ��," y x'611 �� { , .4 rr ls�lli I,III y��f �� r � r j , �� ufiuuuuuuuuuulul�lq � ' �� I r �� i' � ��, � ,, I � 41 �' �. �i;' , Sl1PEftYI50R'S OFFICE TOWN CLERK'S OFFICE Main Street 16 South Street BUILDING DEPARTMENT Southold, N. Y. Greenport, N. Y. Tel. Southold 5-3783 Tel. Greenport 7-0550 TOV"V14 F S UTHCO SUFFOLK COUNTY, N. Y. BUMDING PNSPECTOR'S OFFICE 307 Fourth Street Greenport, N. Y. CERTIFICATE OF OCCUPANCY Gr Tel. Greenport 7-0101 J No. Date_ � 'I 4 THIS CERTIFIES that the building located at G^ Street, Map No. Block No. , Lot No. in the Town of Southold, conforms substantially to the approved plans and specifications heretofore filed in this ' office with Application for Building Permit dated MM, pursuant to which Building Permit No. 7 dated 1 , was issued, and conforms to all of the require- ments of the applicable provisions of the aw. The occupancy for which this certificate is issued is 41 (a4D This certificate is issued to.. of the aforesaid building. Building Inspector d (The Certificate of Occupancy will be issued only offer the Building Inspacfor is convinced of the completion of the construction in compliance with the Multiple Residence Law and wifh other laws, ordinances or regulations affecting the premises, and in conformity with the approved plans and specifications.) TOWN OF S UTH L Multiple Residence Law Permit PERMIT NO. ` b 19 APPLICATION NO. 10 19, LOCATION C a '66a r "' Application having been made on (O 19-S(o , for a permit covering construction on a (new, altered, or converted) multiple residence building, by or in behalf of ( roerl for a dwelling vacated as above stated, and the said application having been examined and recommended for approval on IUDG a PERMIT is hereby issued for the performance of the _ (archiwecturel, structural, mechanical, ofc.) work described in the above numbered application and any accompanying plans and specifications. If no work is performed within one year from the time of its issuance, this PERMIT shall expire by limitation. Approved 0� �19 Enforcement Officer Original for Municipal Building Department STATEMENT OF REGISTRY To be filed in duplicate with the municipal building department or local enforcement agency by every owner of a multiple dwelling, as defined in subdivision 33 of section 4 of the Multiple Residence Law. Within 30 days after the filing of this statement,the municipal building department or en- forcement ogency is required by section 300, Multiple: Rosidence Low, to file a duplicate copy hereof with the"State Building Code Commission, 1740 Broadway, New York 19, N.Y, 1. Location of multiple dwelling: _ r (a) Street and number I.;V Y...,.(,.y!9.'l. �V.....,5. (b) Municipality .,.,. ..";,./C°✓, °„ »........................,»,.,,.......,...»..»,....,.........,,..... 2. Description: (a) Type of construction .,..�, ..... (b) Height of building, including nuniber of stories .,. ... !'„”r ,, '.......... (c) Type of heating foailitirs ✓. fps' / (d) Number of apartments tom"" .elf:., ..... ". ... ...... (e) Number of living rooms. — ..... ... ............................................. Numb ' -bathrooms (f) Number of ski ` (h) Nu er of water closets ........a . ». ,.. (i) hdaa ttlaer of occupants for which buildingwas designed or intended to be occ o used 3. Age of multiple clwOling: (a) Dote when constructed ..,r'!�:7:��"` ��•• • �°� �"'°"» (b) Dates of substantial additions, alterations or modifications of dwelling, with brief+d�e c iption thereofr�ri4:/)e (c) If now under construction, state when construction commenced and anticipated dateof completion .,...».....».......,....,...,.,..»..»»......................................,,,.,..,...,.,.,.,, 4. Use: Describe the pr'incipol use rnode, Or, in the case of buildings under construction, to be mode,of the multwpge dwelling (such as apartment house, hotel,apartment hotel, lodging house, boarding house, school, convalescent, old age or nursing home,pri vote dwelling two or more stories in height with five or more boarders, roomers or lodgers, or other classificotion of multiple dwelling including those specified in sec- tion 33, Multiple Residence Low)- r. .,....,.A.f .: .................................................................. Dated at .. 01 ....,...QQ..................... 4.....4allV........ . 11'--/1.-!/New York piclL i2'aft 195........ Af� dNarne. of rnrir) f dress eat er) -/ , 4;wl fir'- ... StfA"1" Ju1lh1"f OF � of the Filed with the ••• G (Building 1:arnad Via ,. . a g....,p Fcataaw,carte t trgirct> an.(Name o�unlcl�llt $11e. !V•� .,.»..�.,. .....„, """oaf Filing) 4t 4exaaie ze and e filipla vhorn rstatennent of FUS& strY was Me( y TOWN OF S UTHOL APPLICATION FOR BUILDING PERMIT PURSUANT TO MULTIPLE RESIDENCE LAW Altered or Converted Multiple Residence Building APPLICATION NO. I I!> —5- 4:�_ � 19 r57� LOCATION Nor, J'I 150 ft. Rd4 Houre Number Street pistancw from ser+rF neer Height:� ae_ _ _.,,..Area —Southold (1) Type of Occupancy of Building to be altered or converted (Permanent, Transient, or Private) >t, (2) Type of Construction (Fireproof or Non-fireproof) (3) Use and Occupancy after Alteration or (4) A new C of O(will) (will not)be required __ A naw n of 0 .ri 11 b9 rog_:ipAd Stoat ncMut4a EXISTING OCCUPANCY PROPOSED OCCUPANCY e Basement) Persons to be Apts. Rooms Apts. Rooms Accommodated C or B First Second Third Fourth _.._ Fifth ww...�.... __... ..........�...W_...�..... ...._......nw Sixth Seventh TOTAL ........,_�...._._a ._._ ......_... �..��.. (5) State generally in whet manner the Building will be altered or converted Electric to be devided into (4) separate meters. Additional plumbing to be installed. Minor interior alterations. (6) Estimated Cost of Alteration or Conversion tl,800_00 tr (7) Is Application made to remove violations? If yes,: State Violation Number (B) State what disposition will be made of waste and sewage ^e _&PQ01 (Public sewer, private sewer, cesspool, efc.) Page I FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY NO: Z-27944 Date: Q 13 01 THIS CERTIFIES that the building ALTERATIONS Location of Property: 1075 MAIN ST _ GREENPORT (HOUSE N0.) (STREET) (HAMLET) County Tax Map No. 473889 Section 34 Block 1 Lot 10 Stibdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated JUNE 27 2001 pursuant to which Building Permit No. 27495-Z dated JULY 25, 2001 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 DECK REPAIR & WINDOW REPLACEMENT TO EXISTING DWELLING AS APPLIED FOR. The certificate is issued to PAUL LOEB (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A �w ELECTRICAL CERTIFICATE NO- _ NIA PLUMBERS CERTIFICATION DATEDw N/A Authorized........ .. natwww._ � ure Rev. 1/81 Q II IIF • Au �. 8 4a +w� a toi CLI a„N ¢, oa•� A d] to .� L4 r x U CU Q Or. m F4 bO ;3�ow w O Q 41 w u V) o C13 m ff � CD Cd +3 r f H V H 41 R H ri O O 4J Cd ridd1 Irl lll N (D flJ w O 'O w E-4 w w p .moi O O q, U R4 4,0 O m (t) ,�� amc4 to m > m o m > O > o +3 t N 0 co. 9 �+ M ° + .e 04 a 0 +� HO V cim 0 CdO 04 Cd F!+ W U w w w � J4' U w ao V 0tl r �. k Town Hall Annex Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1179 Ct-1 - 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 Rroessional seal required or Architect or n ineer licensed Home InsLector mast rovide coov of valid current cerci cation Rental Property SCTM Number: 1000-34-1-10 Rental Property Address: 1075 (1215) Main Street, Greenport, New York 11944 Owner/Name: Victorian Bay LLC - Rental Dwelling Unit Identifier: Unit 2B Number & Square footage of each bedroom as depicted in the attached floor plan: (i.e. Bedroom #1 -100 sq., Bedroom #2-90 sq., etc.) Bedroom 1 (281 sq) Property Description (Include all improvements indicated on survey) 2 1/2 story frame building of undetermined age with 4 units 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. Igor Gurevich, Professional Engineer Print Name and Title original Signature Please place professional seal: Town Hall Annex Telephone(631)765-1802 Fax(631)765-9502 54375 Main Road Na P.O.Box 1179 Southold,NY 11971-0959 M 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 Rro ess/anal sea!re aired Lor Architect or Fo sneer licensed Home Insectormustrovide co o t�aiid current certification Rental Property SCTM Number: 1000-34-1-10 Rental Property Address: 1075 (1215) Main Street, Greenport, New York 11944 Owner/Name: Victorian Bay LLC Rental Dwelling Unit Identifier: Unit 2A Number &Square footage of each bedroom as depicted in the attached floor plan: (i.e. Bedroom #1 -100 sq., Bedroom#2-90 sq., etc.) Bedroom 1 (108 sq) Property Description (Include all improvements indicated on survey) 2 1/2 story frame building of undetermined age with 4 units 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. Igor Gurevich, Professional Engineer Print Name and Title Original Signature Please place professional seal: Town Hall Annex Telephone(631)765-1802 54375 Main RoadFax(631)765-9502 fr V P.O.Box 1179 v Southold,NY 11971-0959 m , 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 Fro essional sea!re aired gar Architect car Fn iraeer licensed Home iris +actor must rovide co o valid current certi cat/on Rental Property SCTM Number: 1000-34-1-10 Rental Property Address: 1075 (1215) Main Street, Greenport, New York 11944 Owner/Name: Victorian Bay LLC Rental Dwelling Unit Identifier: Unit 1 B Number & Square footage of each bedroom as depicted in the attached floor plan: (i.e. Bedroom #1 -100 sq., Bedroom #2-90 sq., etc.) Bedroom 1 (109 sq) Property Description (Include all improvements indicated on survey) 2 1/2 story frame building of undetermined age with 4 units 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. Igor Gurevich, Professional Engineer Print Name and Title Original Signature Please place professional seal: Town Hall Annex "V Telephone(631)765-1802 54375 Main Road �� Fax(631)765-9502 P.O.Box 1179 d Southold,NY 11971-0959 BUILDING DEPARTMENT TOWN OF SOOTOOLD 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 Professional seal required for Architect or Engineer, licensed Home lns ector must rovide cop y of valid current cerci catlon Rental PropertySCTM Number: 1000-34-1-10 Rental Property Address: 1075 (1215) Main Street, Greenport, New York 11944 Owner/Name: Victorian Bay LLC Rental Dwelling Unit Identifier: Unit 1A Number & Square footage of each bedroom as depicted in the attached floor plan: (i.e. Bedroom#1 -100 sq., Bedroom #2-90 sq., etc.) Bedroom 1 (123 sq) Property Description (Include all improvements indicated on survey) 2 1/2 story frame building of undetermined age with 4 units 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. Igor Gurevich, Professional Engineer i Print Name and Title Original Signature Please place professional seal: