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HomeMy WebLinkAbout1000-44.-1-6 �r s� TO wN OF SOUTHOLD Rental Permit 1169 Owner Uyanik RS & SA Rev Trt Occupied as Single Family Dwelling Located at 55055 CR 48 Greenport 44.-1-6 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. 7/15/2024 Cod r for a ent offici - This Notice must be posted by the main entrance at all times �791 TOWN OF SOUTHOLD—BUILDING DE�PARTM NT JA op "1"'ora n Hall Annex 54375 Main Road P. O. Box 1179 Southold, NPH,0,' � ( 59 Telephone (6 1) 765-1802 Fax(631) 765-9502 RENTAL PERMIT APPLICATION Rental Permit Fee $300(Application must be renewed every two years) Section A. Property Information: Rental Property Address: ` o r Tax Map Number: 1000 SECTION BLOCK__._-LOT_ I,,,,-L-__ SECTION B. OWNER INFORMATION: S e Property Owner Name: Property Owner Legal Address: Property Owner Mailing Address: (Cannot be the same as Rental Property Address) ww Telephone Number (s): Daytime Evening ... Emergency Property Owner Email Address: 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: Use and Dimensions of each room in Rental Dwelling L 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. 4?'*'"l am requesting a fire safety inspection to be performed by a Code Enforcement Official from the Town of Southold ❑ I 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 �Qr1 aoil, 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. k Property Owner's Name: f W Property Owner's Signature:. Sworn to before me this eday of �, 2Q2y Official Nota rTU blic Signature a I Original Notary Stamp TRACEY L. DWYER NOTARY PUBLIC,STATE OF NEW YORK NO.OIDW6306900 QQALIFIpEI[D tN StaFFOLK COUNTY COIF S ON EXPIRES JUNE 30,2bXto Page 4 of 4 Of so TO'VII""N OF SO1,1"' "HOLD BUILDING DE:PT. COO631-765-1802 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 (FINAL) [ ] CODE VIOLATION [ ] PRE C/O [ Lill"RENTAL REMARKS: hslo.,H smole-e o14A�,,Ioe- A);1-11 gA 0, DATE _ INSPECTOR % ; at Town Hall Annex Town Of Southold 54375 Main Road cz Rental Inspection Report PO Box 1179 Southold, NY 11971-1179 Tel: 631-765-1802 SCTM# �— Date Owner ..w__. .. ._.�.. ....... . .- .. Phone -.a —.... --... Address Visi ble .a.......... ._ ... . _.... ....__.._._ ._..._.. Hamlet — ..... .._.... Q°tl .. _m -....... .. .... _. .- Inspector __...._....°.° �..........°-w_ Floor Level,Quantities Sub 1 2 3 Smoke Detectors(not located in bedrooms) Carbon Monoxide Detectors Fire Extinguishers °ww°° _.... _° / . ..mm. .. ° ...._ Exitswµ� .............. °w — _-.. µ .w. —° .......—�....._.. w— .... .°°. _.._° ... _.. f..w .°. _ . .... °,._ ...° _._. Bedrooms _�....m....° ��...�_.,.d..���...a_.,�_,.°..�°...............�.°d_..d �_.�..1 2a _,... 3 4.°.°°°°°°.. 5 .6..°°�°_ SmokewDetectors �.- °mm.. ..........w i Egress N � °w.. °...... ...... ° . .,-.°°. °.°..,M. Occupant Count e Building Systems Maintained &Operational Con�ona Condition of Property Heating Building interior erior Hot water Building exterior Electrical Property clean, maintained &safe �� ° . °w ��.ro���° �w°°°°° ..... �.°�ero�°°°° ._�� ..��... . .°° _. s&guards installed &secure Mechanical �� — . Handrail Pool Safety Pool on Site Surface water alarm Date of CO issuance Door alarms Pool completely enclosed Self closing/latching gates Pool fence to code requirements CO's for all items present Prior Rental _ .. .._...... .....- . . Comments: Se,44 1, 1 .aW.. _.........°: �.........° . _._...._...° ...__ _ . _..... ...° .. ... _.,. °.°°... ............._°.°. ... .. ..-- .............. _...._ .... __._........ _ _. _........�......°. _ ......�...I . ...... .._... ... I.mm. ......... ..... .. ........ .�.... .._..� ..°.....w... .. .. i €_- s's N 4 _ a x s � a i h , a TOWN OF S UTH LD PROPERTY REC R : 1 v -- OWE � STREET TYILLAGE - DIST - SUB.; ° LO _ z FORMED OWNER N E ACR. TYPE OF BUILDING RES 1 ° SEAS VL. t FARE CB. MISC. Mkt. Value - LAND 11r1P. TOTAL DATE RE�,ARKS - s - _ 45 V t 3 FU ell 6 AGE B I ING C DITION`_- I � .- c NQA1 i . A.' BELOW AbbVE -- - t - R V�, e value Tillable 1 i Tillable 2 t Tillable 3 l Woodiand a Swampland FRONTAGE ON WATER Brushland FRONTAGE ON ROAD House Plat DEPTH 3 BULKHEAD g - DOCK �L+ s z _ } COLOR f TRIM _ r y • i a gx: F E 3 z s a f E M. Bldg. Foundation Both = Dinette .' Extensions $Basement Floors K. Extensions. Walls Interior Finish LR. Extension ?c?g � ;Fire Pface `e Heat 'Type Roof Rooms 1st Floor BR, Ll Porch Recreation Rooms Rooms 2nd Floor: F r N. B Porch Dormer Breezeway IDriveway z Garage l `s Patio 0. B. Total t Town of Southold 7/13/2024 53095 Main Rd x` Southold,New York 11971 ." �1 PRE EXISTING CERTIFICATE OF OCCUPANCY No: 45349 Date: 7/13/2024 THIS CERTIFIES that the structure(s) located at: 55055 CR 48,Greenport SCTM#: 473889 Sec/Block/Lot: 44.-1-6 Subdivision: Filed Map No. Lot No. conforms substantially to the requirements for a built prior to APRIL 9, 1957 pursuant to which CERTIFICATE OF OCCUPANCY NUMBER Z- 45349 dated 7/13/2024 was issued and conforms to all the requrrements of the applicable provisions of the law. The occupancy for which this certificate is issued is: dam% .delli 1apktjished basement.* . t l: t The certificate is issued to Uyanik FS Rev Trt (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED *PLEASE SEE ATTACHED INSPECTION REPORT. on d...Sig atur.. BUILDING DEPARTMENT TOWN OF SOUTHOLD HOI)SING CODE,INSPECTION REPORT LOCATION: 55055 CR 48,Greenport " ......................— " ­­,"""'". ........... . ...... SUFF. CO.TAX MAP NO.: 44.-1-6 SUBDIVISION: NAME OF OWNER(S): Uyanik F§Rev Trt ............ OCCUPANCY: ADMITTED BY: SOURCE OF REQUEST: Uyanik FS Rev Trt DATE: 7/13/2024 ............. ............. ........... .......... ............................ DWELLING: #STORIES: I #EXITS: 2 FOUNDATION: block CELLAR: partial CRAWL SPACE: partial . ... ................ ....... BATHROOMS 2 TOILET ROOM(S): I UTILITY ROOM(S) .............. PORCH TYPE: DECK TYPE: PATIO TYPE: .......... ........... ........... BREEZEWAY: FIREPLACE: 1 GARAGE: DOMESTIC HOTWATER: x TYPE HEATER: AIR CONDITIONING: .................... . ...... TYPE HEAT: oil WARM AIR: forced air HOT WATER: .......... #BEDROOMS: 2 #KITCHENS: I BASEMENT TYPE: OTHER: .......... ...... ACCESSORY STRUCTURES: GARAGE,TYPE OF CONST: STORAGE,TYPE OF CONST: SWIMMING POOL: GUEST,TYPE OF CONST: OTHER: ............... . ................... ........ .......... VIOLATIONS: ........... REMARKS: ............ ................................ ............ ........... ......................................... . ... .. .. ... ............�.__.... ...... ... ...._.. .... ._ .... .. ... .....m INSPECTED BY: NANCYD DATE OF INSPECTION: 1/30/2024 TIME START: END: , lt Town of Southold 7/13/2024 P.O.Box 1179 53095 Main Rd � sy Southold,New York 11971 . elf CERTIFICATE OF OCCUPANCY No: 45348 /2024 Date: 7 13...................................._.... THIS CERTIFIES that the building AS BUILT ALTERATION Location of Property: 55055 CR 48, Greenport SCTM#: 473889 Sec/Block/Lot: 44.-1-6 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated P 4 4/2/2024 pursuant to which Building Permit No. 50669 dated 5/1 /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: »k4w,built" irteror:.. ,ltratiorarucll, C_tiaw : StllaI1 rrly: lvlin .artlllid fall., The certificate is issued to Uyanik FS&SA Rev Trt of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 50669 7/8/2024 PLUMBERS CERTIFICATION DATED i ig-nat-ure FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. CERTIFICATE OF OCCUPANCY No. ..7a..30-7.6........... Date .................149W..........?1................., 19..0.$.. THIS CERTIFIES that the building located at +c� 1. ».«.................................. Street Map No. 44.f fQIX.Q.Q.Block No. ...................... Lot No. J.7......... ............. Map 585 conforms substantially to the Application for Building Permit heretofore filed in this office dated .......,.«.......5.egt.......2,5............. 1967... pursuant to which Building Permit No. .3668••a• dated ...«..............««,4P.ARtr......s�r.,�?�.......... 19.67..., 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 ........ private..garage-...�accei�. Q Y... to ,Xd X1B. .................«. ...,,,.»......,.,,...........,.................... The certificate is issued to ..... wner........... ....«..»............. (owner, lessee or tenant) of the aforesaid building. t ........w» «.'...« ....... ..,»..««.«...«. Building Inspector FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N. Y. CERTIFICATE OF OCCUPANCY No.U. ................ Date ........................ 4W.........25.......... 19.74.. THIS CERTIFIES that the building located at ...1/8..N*rth,.Am1 ,..(CA . )................ Street Map No.y ..&..a. Block No. ...................... Lot No. 4rf.4..p*..16....01'"aport.......NoXe conforms substantially to the Application for Building Permit heretofore filed in this office dated ................................may.........b.............. 19-70. pursuant to which Building Permit No.^? ..... dated ................................. .......J1......... 19..70, 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 ........ ..............fti,W+ . .1'ami17..+ *13 .............................................................----........... The certificate is issued to ...Kather .►*4bkD.......... 3 .......... ....................„..,„,,., (owner, lessee or tenant) of the aforesaid building. Hous• IF 55055 .... BuildingM Inspector FORK NO. S TOWN OF SOUTHOLD BUILDING DEPARTNMM Town Clerk's Office Southold, N. Y. Certificate Of Occupancy No. 867n. . . . , . Date . . . . . . . . . . . . . .4� . .2. . „ . . . ., 19.75. THIS CERTIFIES that the buildinglocated at . .9r.� .11�4 X . 4 .(M). . . . . . . Street Map No. . . . . . . . . . Block No. .401 . . . . . .Lot No. .g• • 4"Opport • •1R.Y. . . . . . . . conforms substantially to the Application for Building Permit heretofore filed in this office dated . . . . . . . . . .Apr . .22. . . ., 1975 . pursuant to which Building Permit No. 7'839Z. . dated . . , . . . . . . . . . Aar. . 22 . ., 19 75., was issued, and conforms to all of the require- ments of the applicable provisions of the law. The occupancy for which this certificate Is issued is Pr1r4Lto. .oao. Xa"1y. A .ad4#ir;2,ox. . . . . . . . . . . . . . . . . . . The certificate is issued to .XA 400 010*4 . . . . . . . *r . . . . . . . . . . . . . . . . . . . . . . . . . . (owner, lessee or tenant) of the aforesaid building. Suffolk County Department of Health Approval N.R . . . . . . . . . . . . . . . . . . . . UNDERWRITERS CERTIFICATE No. VPA . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . HOUSE NUMBER . . . 5595.5. . . . . Street . Aort►h 900 . PARV . . . . . . . . . . . . . . . . . Building Inspector