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Home My WebLink About1000-33.-4-51 y 7 WN OF SOUTHOLD Rental Permit 1157 Owner Kyle Reeves & Mria Giresi Occupied as Single Family Dwelling Located at 395(aka 39) Sunset Lane Greenport 33.4-51 Maximum Permitted Occupancy 5 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 %A1 'odQrc V Official This Notice must be posted by the main entrance at all times t r Town Hall Annex 1111f, � Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1179 Southold,NY 11971-0959 BUILDING DEPARTMENT TOWN OF SOUTHOLD RENTAL PERMIT APPLICATION Rental Permit Fee$200 (Application must be renewed every two years) Lcd<ot -SL4ns�p Ln) Section A. Property Information: Rental Property Address Tax Map Number: 1000 SECTION BLOCK LOT �_...- SECTION B. OWNER INFORMATION: Property Owner Name: Property Owner Legal Address: Property Owner Mailing Address: Telephone Number(s): Daytime �. " ning � Emergency M —Lj '3 Property Owner Email Address: l'� Pagel of 5 Town Hail Annex Telephone(631)765-1802 54375 Main Road �� Fax (631)765-9502 �= P.U.Box 1179 Southold,NY 11971-0959 BUILDING DEPARTMENT TOWN OF SOUTHOLD Mailing Address of Managing Agent: _�w. ..... ....w_.... ........ _�. _.._ Telephone Number (s): Daytime Evening_..,-,.,.,,....... ........_.Emergency._ ,_,_-- ..._........ Ema i I Address: .. _.._.....w . .m...........m.............._._................ ... ...........__...... w��....._..._.._ www......._...._......_._... . __ . ... SECTION F. PROPERTY DESCRIPTION: Number of Rental Dwelling Units on property* _ w__..............�_w 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: ........ Use and Dimensions.of each room in Rental Dwelling Unit: Page 3 of 5 Town Hall Annex Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1 179 "m Southold,NY 11971-0959 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 ❑ 1 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) 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 Town Hall Annex Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1179 Southold,NY 1 1971-09590 k,�1 r BUILDING DEPARTMENT TOWN OF SOUTHOLD 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. Property Owner's Name: Property Owners Signature: .. Sworn to before me thi day of J . k:. ,� 20 a3 Official Notary Public Signature and Original Notary Stamp CONNIE D.BUNCH Notary Public,State of New York No.01 BU6185050 Qualified in Suffolk County Commission Expires April 14,2 � Page 5 of 5 TOWN OF SOUTH OLD BLIIL DI G DEPT. 631-765-1802 q - s� INSPECTION [ ] FOUNDATION 1 ST/ REBAR [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION/CAULKING [ ] FRAMING /STRAPPING [ ] FI L [ ] FIREPLACE & CHIMNEY [ FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) [ ] CODE VIOLATION [ ] PRE C/O [ RENTAL DATES INSP ECo:T R M as Dote TOWN OF SOUTHOLD BUILDING DEPT. 631-765.1802 3 3.-`/ S ) INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION/CAULKING [ ] FRAMING /STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FIN L) [ ] CODE VIOLATION [ ] PRE C/O [ RENTAL REMARKS:S: 4avlde. 9p oYl otc/1e oL�o� %✓ ✓� -- AA41 ol /c- abe Lle- i 7/i�eA3 ATE INSPECTOR ti E a 2 � s 27'0 f �) A P f _ j c F F j [ S3 a a Phoiro477�i4b0' W� �'� es. IN- !vnit f _ } I ro _. i „ o N D N _N G KA C, ra s` - as n If Adi €. p t � o m Y n � � t = 'gg z s nPhow- 10 c' ice° i 4M ( ;� '� Main Road, cP: cam=cis R T N V,11944: Town Hall Annex SOUT T 54375 Main Road f PO Box 1179 Southold, Rental In Rtion NY 11971-1179 Tel 631-765-1802 Fax 631-765-9502 7, ................ Date SCTM # . ........... Phone Owner . ...... ....... Zip Address ...... Gr Inspector ✓city 3 2 SUB LEVELS Smoke Detectors d# bedroom detectors excluded) Carbon oncxide Detectors Fire Extinguishers (#) H Exits (#) rt Ilium 2 3 BEDROOMS Smoke Detector Alarms Carbon Monoxide Aiarms Egress (windows,� Y/N' N "a s N OF PROPERTY Y/ Y/N COND�T�O BUILDING SYSTEMS .... ..- — Building Inge or is clean ia,ned q system maintained/operationa� Heats �Buildtng Exterior is &ean ma:nLa,ned tained/operational s',em main of water Prolperty is clean safe maintained �tional ,tl2_ctrical 111. - - ards present _�ystern maintained/ Handrails & �ju �rational .",�'s ✓--"`, R11/11`1 f rar IW7', A Mechanical systern maintainedi'ope O rE 7p COMMENTS M M E Nll� ...... . .............. -------------- --—------- ............... 4/7/2021 Rental -ispection�orrr 1TOWN OF SOUTH OLD PROPERTY REt OWNER d STREET VILLAGE DIST SUB. LOT p 4'Q e FORMER OWNER w' ; S _ N E ACR. TYPE OF BUILDING 14 RES, SEAS. IFARM ICOMM, CB. MISC. Mkt. Value i i LAND IMP, TOTAL DATE REMARKS a T f z _ �' e CONb — _ NEW B A �� ` , !, FARM - Acre Value Per Value I Acre 01 Tillable 1 k r � F Tillable 2 _ Tillable 3 1-7 '1, = Woodland 'FRONTAGE ON WATER Swampland Brushland I FRONTAGE ON ROAD - - i House Plot [ s DEPTH BULKHEAD t Total ]DOCK z COLOR , s TRIM I t F � I , 3 - 64" � M. S� andation I Bath Dinette P pesernent i'Floors F� fl K Extension �#- Walls ;interior Finish t SLR. w Extension ,Fire Place Heat 'DR. ® - I l hype Roof ,' Rooms 1st Floor °BR, t Porch Recreation Room! Rooms 2nd Floor` FIN. B t Porch IDormer t reezeway Driveway ; Garage �� `� Patio f 0. B. l I Total ! . FORM NO.4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold,N.Y. Certificate Of Occupancy No. Z14323. . . » . » . . . , Date . . . . . . . . . . . . . . . . . . . . .. 1987. One family dwelling THIS CERTIFIES that the building . . . » . . . . . . . . . . . . . .. . . . . . . . « . . » • . . . . . . • . . , . Location of Property . 39.5 .Sunset. Lzk3e, . . . . . . . . . . , , , t . . . . . . . . . . . House No. Street Hamlet County Tax Map No. 1000 Section 033 Block . . .4. . . . . . . . , . .Lot . .5�. . . . . . . . Subdivision . . . . . . » . . . . . . . • . . . . . « • » . . . . . . . .Filed Map No. . . . . . . . .Lot No. . . . . . . . . « . . . conforms substantially to the Application for Building Permit heretofore filed in this office dated . , . NoV:. .2 6. . . . . . . . . . 19 .$4pursuant to which Building Permit No.i 3 5 9 8 Z . . . . . . . . . . dated . . . . . . .NPv- . 3 9. . . . . . . . . . . . . 19 .8 4, 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 . . . . « , . . . One family dwelling. The certificate is issued to . . . . „ ,JOEiN & „MTHLEEEN BOWNES (owner, of the aforesaid building. Suffolk County Department of Health Approval . . . » . . . . . « .14-SD.-.196. . . . » . . . . . . . . . . . . . . . . UNDERWRITERS CERTIFICATE NO. . . . . . . . . . . . . . . . . . . <N 7 2 6 5 2 5. « , . . , . . , , , . . *-*Plumbers Certificate Jan. 20 , 1986 Building Inspector Rev,1181