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Home My WebLink About1000-33.-4-37 F � � TOWN OF SOUTHOLD Rental Permit a } 1159 Owner Declan Hanlon Occupied as Single Family Dwelling Located at 950 Tasker Lane Greenport 33.4-37 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. 6/24/2024 e%KL j ode fo � t Official This Notice must be posted by the main entrance at all times Jai TOWN OF SOUTHOLD—BUILDING DEPARTMENT F 71°- . Town Hall Annex 54375 Main Road P'. O. Box 1179 Southold,NY i 1 59 Telephone (631) 765-1802 Fax(631) 765-9502 ht Ls //www (N)gtliold,towLll,,gL)YA,Ni 2 202 RENTAL PERMIT APPLICATION Rental Permit Fee $300 (Application must be renewed every two years) Section A. Property Information: Rental Property Address: N i ' � Tax Map Number: 1000 SECTION J3 -BLOCK -LOT 3- - SECTION B. OWNER INFORMATION: Property Owner Name: e C ) UI\ H 't Property Owner Legal Address: Property Owner Mailing Address: (Cannot be the same as Rental Property Address) 3 I 1;4V \ 5 ,± 60 SAME q�7 Telephone Number (s): Daytime 76' ' '1 Evening Emergency Property Owner Email Address: eG�c .�1�i t3'w mad , rzx\A Page 1 of 4 Section C. Authorized Agent Information: Name of Authorized Agent of dwelling unit, if any: v Address of Authorized Agent (no P.O. Boxes): . : Mailing Address of Authorized Agent: Telephone Number (s): Daytimeai°"0 �ening Emergency Email Address: ° 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): 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: 0 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: 47.E O Requested Maximum number of persons allowed to occupy Dwelling Unit" Number of rooms in Rental Dwelling Unit: .1 bed ' Use and Dimensions of each room in Rental Dwelling Unit: '-C/ K 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. ❑ 1 am requesting afire 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 h SECTION H. DECLARATION: Signature must be notarized and MUST be the owner of the dwelling unit. STATE OF NEW YORK) COUNTY OF SUFFOLK) W,4 )rw'► , 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: Qec,16Ll Pe", I C Property Owner's Signature: Sworn?Se me this '.Aday of XJ-t , 20 kad Official Notary Public Signature a Original Notary Stamp VERA LUCIA KAROLCZAK NOTARY PUBLIC,STATE OF NEW YORK Registration No.01 KA6367174 Qualified in New York County Commission Expires November 13,202 Page 4 of 4 TOWN OF SOUTHOLD BUILDAIG D � m 631 765-18 T INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION END [ ] INSULATIOWCAI [ ] FRAMING / STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY IN! [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PE [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL L l CODE VIOLATION [ ] PR [VI REM RKS: &4xt/ O, oq;+ I w aI Q 01 A € [ -O s � b dama I Vri �( 3 r_ _-.------------- ---------....- uj MY [ a rl x lu m ; Qz Q s � a FIRST FLO OR PLAN - e a� § i �mro.�e wmrro.w.cc w,ww - - 1 r.wi ernm>m wwH.v..rwn - � �-�"' Azawwc rorw�n win win wppwee�e. � s ��_�_ ' waeves.+v x.wa row..n I ��a - •��. cor+..awwaa wren"""ws [ xia�s€+ +�a«.s� swcn.vi.iawra wrAa ww wt.+e>o-etw xxmww�uvwwwm rmna'rn -.+.•_ � *.�� xa�sa oA,E�NYMrZo33 iI nwK[ueuae w rai itr.�r✓m � fire _ y a.rot eaesaMC h W pacrptva Ew l` [ RCGIi - �. `3is`, � peMrtra N ne]0]O PLNVS t� p„Ay -�-' AIR SEALING DETAILS 3 € € t 4 4 .. � Q J-7 Son,- e� JJ n. iQ E € w. Q o - - —_ € q o n � � ,e ` 5EC.OND FLOOR PLAN I � € -tom � — --———---- ---sue..-�€_s€ 1— w � ab awe. fl 1 ,w s9 ,wnetae IX�wa .eee---�yyy 1{€�_J..€'� �' � � xvc¢rM a mwirtn uen w we1.me tmeao-at+an �"�. �-�. €ern.€a � U.nut.M oom vtl �•� 4T�Y' m��1 TOWN . F SOUTHOLD PROPERTY RECORD NER � STREET,-'_,"i- VILLAGE DIST. SUB. LOB` Vie_ 3 a _a FORMER OWNER N E ACR. _r S W TYPE OF BUILDING F 2ES. SEAS. 'VL 'FARM COMM. CB, MISC. Mkt. Value LAND IMP, TOTAL DATE REMARKS JY 3 _ -- 3 F� I AGE BUILDING CONDITION NEW i NORMAL BELOW ABOVE FARM ' Acre Value Per Value Ac re Tillable 1 Tillable 2 Tillable 3 1 �/oodland - I 'FRONTAGE ON WATER Swampland FRONTAGE ON ROAD 3rushland louse Plot DEPTH BULKHEAD _ ' Total DOCK Town of Southold 6/24/2024 P.O. Box 1179 53095 Main Rd Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 45304 Date: 6 2....... .... ...._......_. THIS CERTIFIES that the building SINGLE FAMILY DWELLING Location of Property: 950 Tasker Ln., Greenport SCTM#: 473889 Sec/Block/Lot: 33.-4-37 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated P g _.._._... ..._............... 1/ 9/1/2022 pursuant to which Building Permit No. 48720 dated 1/12023...,. ....._ was issued an.... ..._ d conforms to all of the requirements of the applicable provisions of the law. The occupancy for which this certificate is issued is: Sin° l fat jly. welEqa..g..with_unfi fished ba et11 c n, gr p(Lr w�r�t�y lap cd_I E The certificate is issued to Wyandanch RE Corp of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL R-22-1260 4/23/2024 ELECTRICAL CERTIFICATE NO. 48720 6/20/2024 PLUMBERS CERTIFICATION DATED 4/24/2024 Cha s Sanders 17 iz , AgriatUr