HomeMy WebLinkAbout1000-35.-1-17 §# = T OWN OF SOUTHOLD
a I c1:01 X,'i Rental Permit
1110
Owner Josephine Porco
Occupied as Single Family Dwelling
Located at 340 Sound Rd (aka 18) Greenport 3 5-1-17
Maximum Permitted Occupancy 4
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
�t Official
This Notice must be posted by the main entrance at all times ode f c
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
RENTAL PERMIT APPLICATION
Rental Permit Fee $300 (Application must be renewed every twojy_ee rs V E
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Section A.
Property Information: / &R ci '34 D Souk
Rental Property Address: l..
IS �,� (Jk D 4) 6Qi�PO Rrt n �N
Tax Map Number: 1000 SECTION 35 -BLOCK ( -LOT
SECTION B.
OWNER INFORMATION:
Property Owner Name: o_S H, 1\'-+ic P&t-c o
Property Owner Legal Address: Property Owner Mailing Address:
(Cannot be the same as Rental Property Address)
w ° : 19 SoLx"be=D
Telephone Number(s): Daytime 03-2yq-ioO2- Evening Emergency 2C,"�-"1"f 12
...2-
tel
Property Owner Email Address: ��`eCp �G Yv"A I vl-'
_3CC)
3-( - a- y
�Q C to C`7 6 1 Page 1 of 4
Section C.
Authorized 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 D.
Managing Agent Information:
Name of Authorized Agent of dwelling unit, if any: N R
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: NIA
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: �-
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 Unit
(/?1"b
Number of rooms in Rental Dwelling Unit:
Use and Dimensions of each room in Rental Dwelling Unit: klTGrfEN AVLM: 1I'2"x 2,4'4"
JV(Ntt P-ow Iri 11"1G 9.L,cm #r2 : ; 4'3"
L� ii if\t /L01W 4f2 : 12' I" x I 'lo'' f3 TAU l I y' X �' t 7)110"x _3
r3 ��r2c ,vl i 1z' Oft Th'-f-U M #2-:, 'Z" x
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.
Gd 1 am requesting a fire safety inspection to be performed by a Code Enforcement Official
from the Town of Southold
1 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 p(i t C c) , 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: vi
Property Owner's Signature:
Sworn to before me this day of a/[ C` 2 `` f� E
Official Notary Public Signature and Original Notary Stamp s MAR 20,2,!
n t
CONNIE D.BUNCH
Notary Public,State of New York
No.OIBU6185050
Qualified in Suffolk County
Commission Expires April 14,,i C,)),V, Page 4 of 4
f so
is IWA�
TOWN OF SOUTHOLTD i IL,DING DEPT.
631-765-18 2 fir.
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INSULATION/CAULKING
[ ] FRAMING /STRAPPING AAL
[ ] FIREPLACE & CHIMNEY [ FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FI L)
[ ] CODE VIOLATION [ ] PRE C/O [ RENTAL
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DATE
Nu INSPECTOR
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TOWN OF SOUTHOLD PROPERTY RECORD x axl- IQ
OWNER . STREET...w..,.. _.._ . ���.
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Woodland FRONTAGE ON ROAD
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Pot o Recrea i'�J
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FORM NO. 4
TOWN OF SOUTHOLD
13UJIDING DBPARTMSI3'P
Office of the Building Inspector
Town Hall
Southold, N.Y,
pRE EXISTING
CERTIFICATE OF OCCUPANCY
No - ' Date U,2.tg 19'10
THIS CERTIIIES that the building .,%%ONEN �EAR " j1NG
0 SOUND ROAD G"RE" �t�PO ' M YORK
Location of Property _. ._House No. street Raas�let
County Tax Map Ho.
1000 Section 35 Block ? _ 17 ---—
Map No_ Lot
conforms substantially to the requirements for a private one family
dwelling built prior to- ,,
Ama a 1° 5"7 —pursuant to which
CERTIFICATE OF OCC. dated—AD
G"T P 1 00
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 ONE FAMILY DWELLING
The 'certificate is issued to.,,,,,-- MOLL'` R. HARROM
(owner)
of the aforesaid building_
S=OLK coUN*1'Y DFPAIZTMENT OF HEALTH APPROVAL o K4� D FRE 'EXISTING
UNnERWRIfiERS CERTIFICATE N0._N0 REC9P--9 E 'RISTLNG
pLUHBFRS CERTIFICATION DATEDHO.RECORD PRE EXISTING
PLFASE SEE ATTACHED INSPECTION REPORT.
Bu lding Inspector
Rev. 1/61
B n
BULDIe;C DEPART:,Lr*iT
TO:Rd OF SOUTHOLD, N. Y.
HQi15I?iG CODE INSPECTION REPORT
Location 320 SOQIND ROAD G➢.1:HNPORT,
V numt er stre,E �raa x �k�y j
Subdivision Man No. Lots)------
Name of Owner(s) HOLLY B. HARRDrdER
occupanc;p A-1
i typ e�-.. ovrn er-c eYidn
Ad.;litted by:_J4nC1l6SL VERITY Accompanied by: SAM
Key available Suffolk Co. Tax Ido. 35-1-17
Source of request rA'9L A. C6MINITm-- �; AI7Y Dade �+BC. ], 1990
I,TFiLLI!IG;
Type of construction WOOD MWE
Foundation �"Lcy r - Cellar-Crawl space F
Total roams, ].st. Fl 5 2nd, Fl 3rd. 71
Bathrooms)_2 FULL BATUS Toilet room(s)
Porch, type � Deck, type ._,Patio, type '
Breezeway Garage Utility room
Type Heat ELECTRIC-9ASEROA7Arm Air__ Hotwater�
x'ireplace(s) oNE NO Mcits Airconditioning
Domestic hotwater LILCO GAS °I re heater __
Other_ _.�
ACCESSORY STRUC&'Gift
Garage, type cvrlst. Storage, type coast.
Swimming pool Guest, type coast.--
0 the r_..�,-.,��.w....__�.,.,_.._ ....�...�..,........
V_IOLATIO?I,5:- ,CRAPT..R 45—N.Y. STATE UNIFORK FZ�TION 6 IIATLDING CODE
Tntl Lion DPecrintion _ Art. «
Remarks: BP 1193IS - Co i,--19316 ALT.{2ad FLOOR BLTHRO00
° " Date of Insp. Aycusr R. 1990
Znspect2d by aw -"FISH 9:40 and 10:00
�; .r. •Time star't��
FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector.
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No: Z-30841 Date: o4/olw/o5
,Mls C1welirms; that the hu±lding ACCESSORY
Location of Property: 340 SOUND RD GREENPdRT
(HOUSE NO ) - (STREET) (HAMLET)
County Tax Hap No. 473889 Section 35 B1ock 1 Lot 17
subdivision � � .Filed Map 170.
conforms substantially to the Application for Building Permit heretofore_
filed in thin office dated J'UNE--2, 2004 pursuant to which
Duilding Permit No. 30401--Z dated JUNE 1.5 2004
was issued, and conEormt to all of the requirements of the applicable
provisions of zhe law, The occupancy for which this certificate is issued
ON-F{ABITABLE ACCESSORY TWO CAR GARAGE AS APPLIED FOR.______
w��,, ,,�, ,,_„„
The Certificate is issued to LYNNE CARLSON_ ,,- ..,_
(QiJi�ER)
of the aforesaid building.
SUPPOLK COURTY DEPARTRM" OF 'FTSALTH APPROVAL td/A
BLW711RICAL CERTIFICATES NO. 2032156 2 / /05
PLVL6MRRR CERTIFICAPICIT DATED
_... �n. ..._.,_,... th sized ignat.ura
Rev. 1/B1
tl
FORM NO. a
TOWN OF SOUTHOLD
'BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CBRTTFYCATF OF OCCUPANCY
Date_ AU I1S`1' 23 1990
TTlI3 CL,RTIrIES that the building �,,�
Location of I�rcper"t ._ 1�I,T TIOi�
320 SOUND R RE'E POR`i" -Y-
y xe Hamlet
House No.
St et
County Tax Map NO. 2000 section 35 Block 1 Lot 17
Filed Map No. lot No-�........--.--�- °°
Subdivision.__..... — ---�-
conforms substantiallY to the Application for Building Permit heretofore
filed in this office dated AUGUST 1C1 1990 _pursuant to which
Building Permi.t No._ ' ~ 31 .._,..-..dated AUGUST 10 1990
was issued, Bind conforms to all of the requirements of the applicable
provisions of the law. The occupancy for which this certificate is
issued is° .n'i"IJdt 1 "0 1.dfaf 5EWND VFLOOR "�THROO'R AS P'PL t�D IwO
The cef ica L•a is issued to MOLL
ownex HARROWER
r.o
of the aforesaid building.
SUFFOLK COTjRTy DEPARTMENT OF BMTIi AP'PRO"VA —g ,
U;IDERWRZTERS CERTIFICATE NO,
N A
PLUMBERS CERT.I:'ICATION DATED -
�uj,jng Tnspectoz
RDV, 1/81
POR14 NO. 4
`I~ONN OF SOUTHOLD
5UI'LDING DEPARTMENT
office of the Building Inspector
Town Hall
Southold, N.Y.
CBRTIFI= OF OCCUPANCY
Date FEBJ�UARY 26, 1992
THIS CERTIFIES that the building— ACCESSORY
ACCESSORY"�
Location of Property- 340 SOUND ROAD GR ENVORT, N.Y.
house No. Street Hamlet
County Tax Map NO. 1000 Section 35 Block 1 Lot 17 ,
Suhdi.vision__— Filed Map No. Lot No.
conforms substantially to the Application for Building permit heretofore
filed in this office dated .-Kt,' RU' RY 19g1 pursuant to which
Building Perm-it No. 19659'- dated r7BRUARY 8 1991
was issued, and conforms to all of the recpairements of the applicable
provisions of the late. .Cho occupancy for which this certificate is
issued is C"CFS FOR °:�'�J' AgE Sj" RI R� IN REAR, YARD AS APPLIED FOR.
rho eert.if.icate is issued to MIC 3•VERITY --
(owner)
of the aforesaid building.
SUFFOLK COUNrf Dr•pARTMZNT OF H ALTR APPROtTALw N A .„„„
UNDERWRITR_RS CFRTIFTCATE N A..
PLUMBERS CERTIFICATION DATED -- �
Building Tnapactor m
Rev, 1/a1
FORM NO. 4
TOMq OF SOUTHOID
BUILDING DEPARTMENT
Offize, of the Building Inspector
Town Hall
Southold, N.Y.
aERTIMATE OF OCCUPANCY
No Z-22670 Date OCTOBER 20
---()1 19,33
THis cERTIFTES that the building M91TIRN
Location of Property 340 SOUND RD
Sousa No. Street 'Hamlet
County Tax Map No. JUDO section 35 Block I Lot 17
Subdivision Filed Map No. 1,ot No.
conforms mibsLantiall,Y to the Application for Building Permit heretofore
filed in this office dated JM 16 1992 arsilarit to which
Building Permit No__?o:132--Z dated__JUNZ_164_V9�92 ...
was issued, and conforms to al,l Of the requirements of the appIluable,
provisions of -the law. The occupancy for which this certificate is
issued is CENT BLOCK FOUNDATION UNDER EXISTIJ(G ONE FAXILY DWEIZING
& INSTALLATION OF HBATING SYSM01 AS ARSE-1—FA) MR—z
is issued to MICHAEL J. VERI
The certificate (owner)
of the aforesaid building-
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A
TINDERWRITERS CL?RTIFICATE No-jr-029315 z JUNE 151- 1992
pLUj4BZ,RS CERTTFrr-ATION
6 uilding Inspector
Rev.
U3
FORM NO, 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building In4pb6tor
Town Hall
Scutholdi N.Y.
C=TIFICATS OB OCCUPAXCY
No Z-2d200 pate 14ARC14 S 1996
THIS CERTIFIES that the building_____ADULIZff0 .w,.
Location of Property 3hDjk/a 28 SOUxD ROAD _µ 1L*NPR „N.Y.
House No. Street Ramlet
County Tax Map No. 1000 section 35 sloak 1 Lot 17
Subdivision Filed Man No. Lot No.—
conforms substantially to the Application for Euildirg permit heretofore
filad in this offipe datsd4 BURR 131I �° PB pursuant to which
Building Permit No. 173a--Z dated_ L=XOB A .£ 199
was issued, and conforms to all of the requirements of the applicable
provisiono of the law. The occupancy for which this certificate is
issued is DECK ADDITIOR To EXISTING orX FAMILY DWELLING AS APPLIED POR.
The certificate is issued be )41CML VZRITY
(owner)
of the aforesaid building.
SUFFOLX COUNTY DEPARTMENT OF HEALTH APPROVAL N/�+ __
UND9RWAITER9 CERTIFICATE NO, N/A
PLUMBERS CERTIFICATION DATED—-.. ,_.......,_.,....., ._ ,. /A
Building Inspector
Rev. 1/61
Town of Southold Annex 5/21/2012
P.O.Box 1179
54375 Main Road
" q Southold,New York 11971
CERTIFICATE OF OCCUPANCY
No: 35704 Date: 5/21/2012
THIS CE.RTIFIFES that the building AS BUILT ALTERATION
Location of Property: 340 Sound Rd,Greenport,
SCTM#: 473889 Sec/Block/Lot: 35.-1-17
Subdivision: bled Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this officed dated
4/3 0120 1 2 pursuant to which Building Permit No. „Y 37203 ._._. dated „5/9/2012 ^„
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:
'";as dxuilt"a tars io slir�"" r n1 i m "ttt tin arl Kilt.ao�istett arse trail!
�Yollin%y as
lli� pl
The certificate is issued to Carlson.Lynne
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 37203 4/30/l2
PLUMBERS CERTIFICATION DATED 519/12 Pho x Plumbing&14 ing
_..,.�.. Art- iSu. ire ...�.��.-.,.,_
1 0/3120 1 8 southoldcofopic.jpg
IIt � Town of Southold 4/30/2018
P.O.Boa 1179
53095 Main Rd
Southold,New York 11971
CERTIFICATE OF OCCUPANCY
No: 39581 Date: 4/30/2018
THIS CERTIFIES that the building ADDITIONIALTERATION _ _.µ.. _........
Location of Property: 340-. °.am.n d R. _G_wwr_a...mport
_ .._..._.�....ww
SCTM#: 473889 Sec/Block/Lot; 35--1-17
Subdivision Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
P 2018
3/2/2018 pursuant to which Budding Permit No. ..._ 42428 dated 3/27 m. �. .
was issued,and conforms to all of the i rluirements of the applicable provisions of the law. The occupancy for
which this certificate is issued is:
l7 K A1)pl 1()X W "' 1 11 TO AN 1 ,1n fl QNr' A 1.,) " ,j W N " 11 BA Dl?C-lS1't N ffi .
L3Tlmmj . .?.. ,� 14, 1'1'111�r1w) ,
The certificate is issued to Berman,Roger
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
B
ELECTRICAL CERTIFICATE NO. ._ w ,._.. 428 -28-2018.. „ µ....
PLUMBERS CERTIFICATION DATED
A h Signature
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