HomeMy WebLinkAbout1000-48.-1-41 4 TOWN OF SOUTHOLD
�5
Rental Permit
0596
Owner Charles & Kirsten Knight
Occupied as Single Family Dwelling
Located at 450 Seventh Street Greenport 48.-1-41
Maximum Permitted Occupancy 6
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.
8/5/2024 40,1
e E car t Official
This Notice must be posted by the main entrance at all times
TOWN OF SOUTHOLD—BUILDING DEPARTMENT
` Town Hall Annex 54375 Main Road P. O. Box 1179 Southold, NY 11971-0959
X
Telephone (631) 765-1802 Fax (631) 765-9502 (7; t�� ��"t� r ���lltlt��lc���� S
, .rW
RENTAL PERMIT APPLICATION
Rental Permit Fee $300 (Application must be renewed every tw s
Section A.
Property Information:
Rental Property Address:
.. S
Tax Map Number: 1000 SECTION V16.7 -LOT
SECTION B.
OWNER INFORMATION:
Property Owner Name: jqd Se, A
Property Owner Legal Address: Property Owner Mailing Address:
(Cannot be the same as Rental Property Address)
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, 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:
4-
Requested Maximum number of persons allowed to occupy Dwelling Uni
Number of rooms in Rental Dwelling Unit:
Use and Dimensions of each room in Rental Dwelling Unit:
71 n✓�LtF" l/�I( 9e %"` , `P 4B Gin
r
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 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 , 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: v RrT" l �r f
Property Owner's Signature:
P Y
Ila—
Sworn before me this day of , 2C -
444
Official Notary Public Sig Lure and Original Notary Stamp
DEBORAH A.WOJCIK
Notary Public,State of New York
No.4990159
Qualified in Suffolk Coun
Commission Expires Dec.30,Y06
Page 4 of 4
Town Hall Annex °� 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 PROPERTY CERTIFICATION
Form is to be completed by a licensed architect, licensed engineer or licensed home inspector
Separate form is required for each individual Rental Dwelling Unit
Professional seal re ulired for Architect or Engineer, Licensed Home Inspector must
provide copy of valid current certification
Rental Property SCTM Number:
Rental Property Address:
Owner/Name:
Rental Dwelling Unit Identifier:
Number& Square footage of each bedroom as depicted in the attached floor plan:
(i.e. Bedroom #1 — 100 sgft., Bedroom#2—90 sgft., etc.)
eZ � o MAR"""'
Property Description (Include all improvements indicated on survey)
eo
Z cam
I certify that I have done a physical inspection of the subject rental dwelling unit and find that it fully
complies with all the provisions of the Code of the Town of Southold, the Residential Code of New York
State, the Building Code of New York State, the Plumbing Code of New York State, the Fuel Gas Code of
New York State, the Fire Code of New York State, the Property Maintenance Code of New York State
and the Energy Conservation Construction Code of New York State.
Print Name and Title Original Signature
Please place Professional Seal:
p4' oU
rte
TO I OF SOUTHOLD BLIIL.DIeGDEPT.
631-765-1802 f. - ` - t�
INSPECTION
[ ] FOUNDATION 1 ST/ REBAR [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INSULATIOWCAULKING
[ ] FRAMING /STRAPPING [ ] FINAL
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FIN )
[ ] CODE VIOLATION [ ] PRE C/O [ RENTAL
DE ARKS
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FORM NO.4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
Certificate Of Occupancy
No. Z10972 . . . . . . Date . . . . . . . . . May. 3 . . . . . . . . . . . . . . . .. 19$2.
THIS CERTIFIES that the building,. .440 tAG0.p. .940. P.01.p. . , , , . , . , , „ . . . , .. . , ,
Location of Property 45.0 . . . . . . . . . . . ,Seventh. Street « . « , . , . Greenport
Horse No. . 5 .t .Hamlet
County Tax Map No. 1000 Section .Q40. . . . . . . .Block . .03. . . . . . . . . . .Lot . . . 44.1. . . . . . . . . . .
Subdivision . . .4. . . . . . . . . . . . . . . . . . . . . . . . .Filed Map No. .x .Lot No. X .
Requirements for a private one-family, dwelling built priorµ
conforms substantially to the on-ferge"I'tr-FemVjt-itemtofera-bled•twthismf"-tt TM
Certificate of Occupancy
t o. .A p r it .2 3. . . . . . . . . 195.7 .pursuant to which-0aHdiag Permit No. . . . .Z 19 9.7,? . . . . . . . . . .
dated . . . May. 3. . . . . . . . . . . . . . . . . . . 19 82,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 .a. . . . . . .
pri�[atS. .Q4�- $tp �y, dwelling Hith addition and a swimming pool and, a
detached garage (one-car) .
The certificate is issued to . . . . Marion ,V. Martoeehia
%'creamer,• .�C�J' . . . . . . . . . . . . . . . . . . . . .
of the aforesaid building.
Suffolk County Department of Health Approval . . .P/A . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
UNDERWRITERS CERTIFICATE NO. . .H39P.W. (for. swimming. poµol) . . . . . . . . . . . .. .
*This Certificate of Occupancy includes building permit #2073 Z
issued 5/27/63 for an addition to an existing dwelling, and
building permit #9462 Z issued 9/21/77 for a private swimming
pool with fence, accessory & patio.
Building Spector
Rev.1/81
4 BUILDING DEPAR1ME-NIT
TOWN OF SOUTHOLD, N. Y.
HOUSING CODE INSPECTION REPORT
Greenport
Location: e I�Nasniipa it
Huber & street
Map No, x Lot(s)_x
Subdivision xx
Name of Owner(s) Marion V. a,rtocchia
Occupancy -1 owner-tenat
type Admitted p y: same
by: rs. lartocchia
Accompanied b
Key available__------Suffolk Co. Tax No.1 CMG-48-1-41
source of requests Jeri. k J. Tsdeschi . 6 1981
DWELLING
Type of construction d �`���amed
Foundation Cellar i"u�meal space.
end.Total. rooms, lst. F`I
Fl . rd. F'1-
SatNaro m( ) Toilet roo a($)
Deck, type Patio, type
Porch, type � ":� ...
Breezeway Garage Utility room.
Beat rt'arm Aix, Hotwater x
Type 2 Airconditioning�
Fireplaces) No. Exits
Domestic hotwratr
e heater i i.rea
Other
JCC Y S URA: 7.
Garage, type const. uest, type const.
- ne cartorage, type const.
Swimming p
ool no-C.O, G
Other
VIOLATIONS: Housing Code, Chapter 52
Location
Descri tion Art. Sec.
17 2-27-B
Remarks:
Inspected by: d � Dcite of Insp.L2L.L-U— ..-...-
Time start 11 . .5 end_ 1
Curtis W. Horton
FORD NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN CLERK'S OFFICE
SOUTHOLD, N. Y.
CERTIFICATE OF OCCUPANCY
No. Ai... U§............ Date ....................$, ex..16..... .. 19 63...
THIS CERTIFIES that the building located at'� �a,..g ��e �...G�� ry�prt:,,...�51..y ....... Street
MapNo. .....'................ Block No. ....................... Lot No. .............b.*............,....,..,............I.................
conforms substantially to the Application for Building Permit heretofore filed in this office dated
.................Ity..17.................... .1 19.63.. pursuant to which Building Permit No. .�..�rQ.7..
doted ....................
...................... 19-63., 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 ........
..................... ............. UVA"... .............................................................
The certificate is issued to .......Albert..martocchia,....osm.....................................................
(owner, lessee or tenant)
of the aforesaid building.
«Building lnspe�tor
FORM NO.4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
Certificate Of Occupancy
No. .Z1.09173. . . Date . . . . . . May. 3. . . 19 8 2
THIS CERTIFIES that the builciiug . . poal . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Location of Property 4. 0 . . . . . . . . . . . . . . .44YOAW ATr99t. . . . . . . . . . . Greenport.
Horse No. Street Hamlet
County Tax Map No. 1000 Section . .448. . . .. . .Block . .Q I . . . . . . , . . . .Lot . . .04 J. . . . . . . . .. .
Subdivision . . . . .X. . . . . . . . . . . . . . . . . . . . . . . . .Filed Map No. A . . . . . .Lot No. . . X . . . . . . . . .
conforms substantially to thefApplication for Building Permit heretofore filed in,this office dated
.S e p t<e mbex: .23. . . . . . , 19 .7.7 pursuant to which Building Permit No. . .94b.2 .Z. . . . . . . . . . . .
dated . . . Se.pt O be,r. 2.1. . . . . . . . . . . 19 7.7 ,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 . . . . . . . . .
. . a. .,swimm:Lzg. pool. wt th. gape... . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
The certificate is issued to . . .04AA P. V, .0;1rt99PM4 . . „ . . . . . . . . . . . . . . . . .
(owner, $414
of the aforesaid building.
Suffolk County Department of Health Approval . . . .*a/.r . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
UNDERWRITERS CERTIFICATE NO. . . . . . . Na9204.7. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . „ „
Building Inspector
Rev.1/81