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Home My WebLink About1000-40.-5-21 TOWN OW SOUTHOLD Zvi Rental Permit 1107 Owner Estate of Judith Walker C/O Meaghan Walker Occupied as Single Family Dwelling Located at 630 (aka27) Madison St. Greenport 40.-5-21 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. 4/15/2024 Code �r et Offi al This Notice must be posted by the main entrance at all times TOWN OF SOUTHOLD—BUILDING DEPARTMENT Town Hall Annex 54375 Main Road P. O. Box 1179 Southold,NY 11971-0959 Telephone (631) 765-1802 Fax (631) 765-9502 ht_t as://www,southoldtowm � RENTAL PERMIT APPLICATION Rental Permit Fee $300 (Application must be renewed every two years) Section A. Property Information: Rental Property Address: � n 10 �so Sk Tax Map Number: 1000 SECTION -BLOCK -LOT—Z—t-- SECTION B. OWNER INFORMATION: Property Owner Name: W( 0 maxb*Am ux�� Property Owner Legal Address: Property Owner Mailing Address: (Cannot be the same as Rental Property Address) Rib com- un.......... 14 Doa s : Daytime_ Venin Emer enc Telephone Numberg g Property Owner Email Address: p 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, 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: Requested Maximum number of persons allowed to occupy Dwelling Unit: _ Number of rooms in Rental Dwelling Unit: 9. Use and Dimensions of each room in Rental Dwelling Unit:W "0 (Cv ,�\)I Vre"(4 ��PC4 Ck X �0 XQ, ) Ocw c-1 C,21� C1 �. SE ION 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 So hold, the laws and sanitary and housing regulations of the County of Suffolk and by the la 's adopted by the New York State Fire Prevention and Building Code Council. i:i I am requesting a fire safety inspection to be performed by a Code Enforcement Official from the Town of Southold 0 lam 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) IU,—),qu-VZ 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. d � Property Owner's Name: Property Owner's Signature Sworn to before me this o a day of Iq OY VI , 20d y , -1A aaq, 9 f)UUV Official Notao Public Signatur nd Original Notary Stamp ` iACEY t.. D YER T,AIRY PUBLIC,STATE OF NEW YORK NO.UIDW63o goo C0114 ISSI0Ng PIE E S A COUNTY a Page 4 of 4 fat so TOWN OF SOUTHOLD BUILDING C 631 765*1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PL13G. [ ] FOUNDATION 2ND [ ] INSULATION/CA L l FRAMING / STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INI [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PI [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FI [ ] CODE VIOLATION [ ] PRE C/O [ REMARKS: PVC, TE "" � INSPECTOR `� Town Hall Annex Town of Southold 54375 Main Road Rental Inspection Report PO Box 1179 Southold, NY 11971-1179 °aY"` Tel: 631-765-1802 ....�..a .... . ......... . ..... Date .. .... CTM # I Owner Phone . .......... .. Address °� ..... .... "" _.._ Visible �w. ......w.w .� . �� .... .... .... sib RR HamletInspector [Floor Level Quantities Sub 1 2 3 Smoke Detectors(not located in bedrooms) _w ..._ ........... ,..�. R �m��w.n�......�............... �. ..� Carbon Mo noxide Detectors Fire Extinguishers f .... Exits . .. .. ..�.,..�_ - ....�.. a.. .w.�.�,.,.. ..............w . ... �� .�.. ....w. �....� B. .. ml �._ _.....__. 6....�� N. ..... . edrooms ...._ �1 . 5 j 6 co f.�. Smoke Detectors �. �...�„.. ..,..,.,o e,m. �..m� .a. ,,.,,, ,.,.. / w ._ ....... . �. �.....e..., w, f.. ,.... . . ....... .. ...m.... ,. . ... �. ....oG Egress V �,"", Occupant�Count � .. ..� .. Building Systems Maintained &OperationalCondition of Property Heating Building interior .., Hot water Building exterior � �..... .m� ... ..� �..,.. �. ....". .��.. m. ." �,,,,�,e,w ectrical Property clean, maintained &safe " ,... .,.. ....w . ........m, Mechanical Handrails&guards installed &secure .�. .Pool Safety Pool on Site [ 1 Surface water alarm Date of CO issuance _. ..� .....,. _. .w ..��wRR..., �.R.�... . ....... an. .......... I ,Door alarms Pool completely enclosed w, eI� �a..., ,. ..�. .�.....� ��. ..w ..rvrv .. .�.....,�.� a. . w� ...�.. m... .. W,. .. .....� g ��_... ._ . ements f closing/hatching gates � Pool fe.. .. nce to code requir� -CO's for all items present Prior Rental .. ...W.. ....._... .... ... .. omments .._.....w .,...,.... ................. ........... .......... ....... . ....... ....... ....., . �. ... u. .. . ........ ............ ... ...�.. .......m.... ..._ . .......... .......�...� f .. .. ........ ... ......... ...............� ..,..,...,.... .....«. .......w .... ... »««.,,.,....,..... .... Main Floor 9.1,f_ T 6" -25'5" ' Bathroom = N Dinette Kitchen o c Rear Left Bedroom - '6' 2,4' l etf j st - T e 1 'n 4" all l Cl c �"(I) N 19'4 ,9„—1 Clot 1) e VT - ) 12'6' _ i# � n Living Room F2'4' Front Left Bedroom n 4'4` Garage IT 36'3f 1� 8 Main Floor WALKER—CONTENT—DEB-1 12/5/2023 Page:7 Second Floor ' 20' " 1 4' 10" ir Bathroom loset f 00 Left Bedroom Hallway Right Bedroom �O d r oset 61 et 20' 101 12' Tv 21-1 711 -- 1 a Second Floor WALKER—CONTENT—DEB-1 12/5/2023 Page:6 Basement =t 11 5' 3" Unfinished Area 61 It' f II -1 11 I Closet (2)r ' 11II174 Ct ti 91811 � 81, A,t n t II Oc oe Main Area tt 341811 L�J Basement WALKER—CONTENT—DEB-1 12/5/2023 Page: 8 I OF SOUTH-OLD PRIPERTY R1EC( S //(0//8 OWNER I STREET _ VILLAS DIST. SUB. LOT l FOR R WNER N E ACR. - � l S TYPE OF BUILDING F a. . SEAS. YL. F Rim � -` COMM. CB. MISC. Mkt. Value LAND IMP. TOTAL DATE REMARKS ro t - . AGE BUILDING CONDITION RMAL BELOW ��., s N N41ff�� - a t FARM— - i - Acre Value Per value � E _ z Acre 3 Tillable 1 Tillable Tillable 3 Woodland Swampland ' FRONTAGE ON WATER ' Brushland FRONTAGE ON ROAD s House Plot � DEPTH l BULKHEAD Tit DOCK 1., € i g t l OLOR E _ I I 40.-5-21 4/11 t T n. M. Bldg p g`' Fation Bath Dinette Extension Basement € Floors ; K. Te _ Extension Ext. Walls � � Interior Finish LR. I Extension - Fire Place f Heat i. DR. Tyke 1 Rooms 1 st Floor BR, s Porch 3 3; E R kreotion n I Rooms 2nd Flo= FEI B Porch Dormerp y Breezeway- 1 Driveway i Garage Patio ° 1 i O. B= i i Total F FORM W0. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLEWS OFFICE SOUTHOLD, N. Y. CERTIFICATE OF OCCUPANCY No. A.A99............ Date .............................4=0....IQ.... 19-05. THIS CERTIFIES that the building located at ....X/ Noi.1son-st............................. Street .. ....... ..... Map No. ..J,..».».......... Block No. .....XPM...... Lot No .........Q:rA1R4P9;ftt..... conforms substantially to the Application for Building Permit heretofore filed in this office dated .1.——.I"... ........--........APY.MNM......U' 19... pursuant to which Building Permit No. ...Z579..X dated ............... ...........NoVembp��.A3, 19... was issued, and conforms to all of the requirements ............. of the applicable provisions of the low. The occupancy for which this certificate is issued is ........ ......j�*" 1%u...QAe..XAr.;Uy"d!d"ealm............I............................ ......................... ................. AV. The certificate is issued to .... ........... ......(were..................... (owner, lessee or tenant) of the aforesaid building H.D. ApproVal Jelly 19, 1965 by R. Vi a .......... ........... .. ................. uilding Inspector Allow. �EFtat , Town of Southold 4/6/2024 P.O.Box 1179 53095 Main Rd Southold,New York 11971 CERTIF CATS OF OCCUPANCY No: 45103 Date: 4/6/2024 THIS CERTIFIES that the building ALTERATION Location of Property: 630 Madison St, Greenport SCTM#: 473889 Sec/Block/Lot: 40.-5-21 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 9/30/2010 pursuant to which Building Permit No. 50497 dated 4/l/2024 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: 1tcr t c n .Lg ex,L t ing 4tkara r ,g p,plied..for. The certificate is issued to Durking,Ruth of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 35927 3/11/2011 PLUMBERS CERTIFICATION DATED 12/14/2010 Mattitu Win- g& deatin .utho rize i . . r Certificate# 268011 Surrogate's Court of the State of New York Suffolk County File#: 2023-1655 Certificate of Appointment of Administrator IT IS HEREBY CERTIFIED that Letters for the Estate of the Decedent named below have been granted by this Court, and such Letters are unrevoked, are valid and are in full force as of this date. Name of Decedent: Judith E Walker Date of Death: October 15, 2022 Domicile: County of Suffolk Fiduciary Appointed: Meaghan Walker Letters Issued: LETTERS OF ADMINISTRATION Letters Issued On: August 23, 2023 Limitations: NONE THESE LETTERS, granted pursuant to a decree entered by the court, authorize and empower the above-named fiduciary or fiduciaries to perform all acts requisite to the proper administration and disposition of the estate/trust of the Decedent in accordance with the decree and the laws of New York State, subject to the limitations and restrictions, if any, as set forth above. and such Letters are unrevoked and in full force as of this date. Dated: August 30, 2023 IN TESTIMONY WHEREOF,the seal of the Suffolk Riverhead, New York County Surrogate's Co,,.art has been affixed. WITNESS, Honorable Vincent J Messina Jr, Judge of the Suffolk County Surrogate's Court. M 5 Doreen A. Quinn, Chief Clerk Suffolk County Surrogate's Court This Certificate is Not Valid Without the Raised Seal of the Suffolk County Surrogate's Court