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Home My WebLink About1000-48.-1-44.2 s4` TOWN OF SOUTHOLD Rental Permit Nt 1142 g Owner Jonathan Divello & Isaac Israel Occupied as Single Family Dwelling Located at 255 Corwin Street Greenport 48.-1-44.2 Maximum Permitted Occupancy 8 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. 5/30/2024 Code t ce t Official This Notice must be posted by the main entrance at all times h TOWN OF SOUTHOLD—BUILDING 'D'��'� A PENT m Town Hall Annex 54375 Main Road P. O. Box 1179 Sc utli ald," � 7 -9 �' Telephone (631) 765-1802 Fax (631) 765-9502 lt, s:d� ww.sottloldiownn . .n a RENTAL PERMIT APPLICATION Rental Permit Fee $300 (Application must be renewed every two years) Section A. Property Information: Rental Property Address: 25 S Gn ram► S �Q vl n �- Tax Map Number: 1000 SECTION ..BLOCK _-LOT If�- Z SECTION B. OWNER INFORMATION: n� Property Owner Name„ SA,+c SIr'd.*EL- "��rt � 01 V p Y �Ac) Property Owner Legal Address: Property Owner Mailing Address: (Cannot be the same as Rental Property Address) i ®1 � ►h �a c� P �� C l ��V,Vijon Telephone Number (s): Daytime L07- I" -'Evening Emergency-AI (. 02-•52�� Property Owner Email Address: e �i .1A ►o p,LV c, ) V^--..w,w, 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 Unit: Number of rooms in Rental Dwelling Unit: Use and Dimensions of each room in Rental Dwelling Unit: 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 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) 1 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, Mana i"ng Agent, or Site Manager. � "mow Property Owner's Name: µ Property Owner's Signature: Sworn to before me this 1q day of A - L , 2014 Official Notar ublic Sign ur an"Oninal'N �tary tamp Carol Ann Del Vecchio Notary ohlic, State of New York NOS 91 DE0000524 Coun of U 01 Page 4 of 4 Commission Expire Town Hall Annex 40, Telephone(631)765-1802 54375 Main Road Fax(63 1)765-9502 P.O.Box 1179 °T a, Southold,NY 11971-0959 � BUILDING DEPARTMENT TOWN OF SOUIVOLD RENTAL PROPERTY CERTIFICATION Form Is to be completed by a license architect, licensed engineer or licensed borne inspector Separate form Is required for each Individual Rental Dwelling unit bra esslo al seal' e trirec or irSli t ct r Ott Me r icy r er t or a set �xst,p� �rl, opy of yofid crrrrrt certiftegVon Rental Property SCTM Number: ion . i- Rental Property Address: „ I Hy . Owner/Name: Rental Dwelling Unit Identifier: Number&Square footage of each bedroom as depicted in the attached floor plan: (Le. Bedroom#1 -100 sq., Bedroom#2-90 sq., etc.) Property Description (Include all Improvements indicated on survey) I certify that I have done a physical inspection of the subject rental dwelling unit and find that it fully compiles with all the provisions of the Code of the Town of Southold,the Residential Code of New York State,the Building Cade 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, r , Print Name and Title tiinal ure r N e� 1 1 Please place professional seal: ` w � Y * TOWN OF S 631 -765-18 2 e /_ INSPEC I ImmON [ ] FOUNDATION 1ST [ ] ROUGH PL13G. [ ] FOUNDATION 2ND [ ] INSULATION/CAI [ ] FRAMING / STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY IN® [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PE [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (EII [ j CODE VIOLATION [ ] PRE C/O [ REMARKS: ak. '` Sam G7G 49- --------- C CCAA'?- TOWN OF SOUTHOLD PROPERTY RkCgR -STREETVILLAGE DIST. SUB. LU ;j J FORMER OWNER Lek C"O N E ACR. e."f,I V W TYPE OF BUILDING z RES. 4 SEAS. VL. i FARM COMM. CB. MICS. Mkt. Value LAND IMP. TOTAL DATE REMARKS --j C c 4(- ,7 A Tillable FRONTAGE ON WATER - Woodland FRONTAGE ON ROAD ——-------- Meadowland DEPTH House Plot BULKHEAD Toto I tt 3L10 _ �, / -- _ eF E T _OR R RIM L, i i — t c € v E — �_ - — — -- I I - wit k it 1000-48.4-44.2 3/2023 f € M. Bldg° Extension _ _ - - - s I� T 10VC/ Extension '1 I € Extension � 9� �' 'l� � � � - � --9 --� �_m �� •fie A Bath 3 1 X 3 3 O �-3 p p ►� Foundation Dinette Porch Basement — Floors = K. 'Porch f Ext. Walls Interior Finish iR ` Br wa Fire- Place Heat y C S y E C3 O — O I D e R m Garage i Type Roof 'Rocrns 1st Floor 1BR I € I Lj it.Recreation Room' Rooms 2nd Floor I : FIN B 0. B. Dormer Driveway {� Total s s 7 �KS __,w. ......_ ..... .......... lltit Town of Southold 6/8/2023 P.O.Box 1179 53095 Main Rd Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 44139 Date: 6/8/2023 THIS CERTIFIES that the building SINGLE FAMILY DWELLING Location of Property: 255 Corwin St,Greenport SCTM#: 473889 Sec/Block/Lot: 48.-1-44.2 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. 47269 dated 12/27 2021 ; was issued, and conforms to all of the requirements of the applicable provisions of the law. The occupancy for i which this certificate is issued is: 1aatr°tcq< rtglwrralm cillnwllt rrrrmr ±lsllart arl,lmgcaprelrtr a, aPrcdae tm3 .: 7 a°�2latd 12/16/2021m. l 0 The certificate is issued to Divello,Jonathan r. of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL R-21-1920 3/20/2023 ELECTRICAL CERTIFICATE NO. 47269 10/27/2022 PLUMBERS CERTIFICATION DATED 2/10/2023 W robing -leating -.....__ a hor' Signature. . . ...... _ ...... d 4 x � 11'1t s Town of Southold 6/8/2023 P.O.Box 1179 p� 53095 Main Rd , ,O Southald,New York11971 COt z C TIFICATE OF OCCUPANCY No: 44137 .... .8/2023 Date: 6/ THIS CERTIFIES that the building OTHER Location of Property: 255 Corwin St, Greenport SCTM#: 473 889 See/Block/Lot: 48.-1-44.2 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 1/10/2023 pursuant to which Building Permit No. 48839 dated 2/l/2023 Was is..... ..sued....'.__ ... and conforms to all of the requirements of the applicable provisions of the law. The occupancy for which this certificate is issued is: C clral' arar ewtca I,t ng J a xr1 rune �Ail'1'�rlri pcaca „ �.:Pl lied for,w. The certificate is issued to Divello,Jonathan&Israel,Isaac . of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED a .._. ..... ... _,.... .,, ll�c �17 �1 Sty ..,......._....... ..... .......... A atu e DAA ■_ DiGiovanni& Associates r Architects pt611.71-364 tt ; fax1515}i69]136 s- T r" 1 W t 517E PLAN I GELLAR PLAN 4 Corwin St. Residence 255 Corwin SGeet Greenoart,N.Y. 517E& G.LLAR FLOOR PLANS NN D6 DAA DlGiovanni& Associates Architects 26 pm— I'Va ——— -—————— L —4—L 2c!.- 4- A P r go GI 57— -TT j 0-1 4-1 i, J : 1 ---------- ffe.-------------- ^, FIRST FLOOR PLAN _,fir ��_ .�- SEGOND FLOOR PLAN '� - ' Corwin St. Residence 255 Corwin Street Gmenport,NN. -'P 5T ' FLOOR P-ANL5 as A-2 ---------- oF