HomeMy WebLinkAbout1000-48.-3-20.1 (2) "AIN OF SOUTHOLD
Rental Permit
1193
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Owner 465 Brown St. Gpt. LLC
Occupied as Single Family Dwelling
Located at 711 Linnet Street Greenport 48.-3-20.1
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.
9/3/2024
.o Erg rc meutfficial
This Notice must be posted by the main entrance at all times
to
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TOWN OF SOUTHOLD—BUILDING DEPARTMENT
Town Hall Annex 54375 Main Road P. O. Box 117 ► Southold,NY 1 1 71',0O �
Telephone(631) 765-1802 Fax(631) 765-9502tkt a : wrw.statloldtom �. "'
MAR 2 1
RENTAL PERMIT APPLICATION
Rental Permit Fee $300(Application must be renewed every two years)
Section A.
Property Information:
Rental Property Address: T I
711 Linnet St Greenport, NY 11944
Tax Map Number: 1000 SECTION 48 -BLOCK 3 -LOT20 - 1
SECTION B.
OWNER INFORMATION:
Property Owner Name: 711 Linnet St Greenport LLC
Property Owner Legal Address: Property Owner Mailing Address:
(Cannot be the same as Rental Property Address)
PO Box 591 PO Box 591
Shelter Island Hts, NY 11965 Shelter Island Hts, NY 11965
Telephone Number(s): Daytime 631-749-3217 Even ing631-902-4402 Emergency 631-902-4402
Property Owner Email Address: hilyamused@gmaii.com
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: t*A—
Requested Maximum number of persons allowed to occupy Dwelling ni,.
Number of rooms in Rental Dwelling Unit: 0.1000
Use and Dimensions of each room in Rental Dwelling Unit:
PJ rot 10 S f� /olo � �
oef, c 10 0
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
." 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 , :e i under penalty of perjury,the following:
„�..,. ��fY p Y p 1 Y g:
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:
Property Owner's Signature:
S� L(
Sworn to before me this R1 day off'?
Official No ar Public Signature and Original Notary Stamp
Notary Public,State of New"Vo
P '5 ration No 01E E�f 059 70
Glusiif ed in Suffolk Coun
Cortrnisskm expires July 23.&25
Page 4 of 4
�O I= SO THOLD BUIL NG DEPT.
"' 1-76 -1802 qq 3 20 - I
INSPECTION
[ ] FOUNDATION 1ST/ REBAR [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INSULATION/CAULKING
[ ] FRAMING /STRAPPING [ ] FINAL
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (F AL)
[ ] CODE VIOLATION ( ] PRE C/O [ RENTAL
SE ASKS:
l
OATS INSPECTOR
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
Profes i n I seal Leaulrgd for ArobiterAEnginggr, Licgnjged 11ome In for rngg
P.Lqyyide copy of vali rr t certification
Rental Property SCTM Number. 1000-48-3-20.1
Rental Property Address: 711 Linnet Street Greenport NY 11944
Owner/Name: 711 Linnet St Greenport LLC
Rental Dwelling Unit Identifier: N/A
Number&Square footage of each bedroom as depicted in the attached floor plan:
(i.e. Bedroom#1 — 100 sqft., Bedroom#2—90 sgft.,etc.)
Bedroom#1 - 114sf
Bedroom#2- 115sf
Bedroom#3- 115sf
Bedroom#4-115sf „
Property Description (Include all improvements indicated on survey)
2 Story 1 Family dwelling
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 New York
State, the Building Code of New York State, the Plumbing Code of New. o S , the Fuei as Code of
New York State, the Fire Code of New York State,the Property Main an ode of New rk State
and the Energy Conservation Construction Code of New York State.
Matthew Sherman, PE
NAk
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Print Name and Title J! ginal4g nature
Please place Professional Seal:
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TOWN OF S UTHOLD PROPERTY RE COI
OWNER STREET r VILLAGE Duo .= LOT.
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FORMER OWNER N E ACR.
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RES SEAS. YL, 1 FARM 1COMM. CB. MISC. Mkt. Value >
LAND IMP. TOTAL DATE REMARKS
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OWNER !STREET VILLAGE DIS SUBS LOT
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FORMER OWNER N E AOR.
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- — ` REMARKS
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LAND IMP. TOTAL DATE REMARKS
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illable
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House Plot
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TOWN OF SOUTHOLD PROPERTY --u*%RD
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Tillable 2
Tillable 3
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Brushland 1 FRONTAGE ON ROAD
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M. Bldg. 50- Foundationb '$ 3 Bath r t Dinette
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Extension _ Basement _ Floors �: = K.
Extension 'to v 2S Ext. Walls j Interior Finish ' LR.
Extension Fire Place Heat DR.
x 3 Type Roof {, Rooms 1st Floor = BR. g
Porch g •� 1 Recreation Roo Rooms 2nd Floor ` FIN. B.
Porch E Dormer
Breezeway Driveway L � .
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Patio _A b4
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Extension Ext. Walls Interior Finish
Extension Fire Place Heat
Porch Attic
Porch F Rooms ?st Floor
Breezeway, Patio Rooms 2nd Floor
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Garage Driveway
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t1t101, t Town of Southold 9/3/2024
53095 Main Rd
Southold,New York 11971
.a
PRE EX�ISTING
CERTIFICATE OF OCCUPANCY
No: 45516 Date: 9/3/2024
THIS CERTIFIES that the structure(s) located at: 465 Brown St, Greenport
SCTM#: 473889 Sec/Block/Lot: 48.-3-20.1
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- 45516
... .... __........ __ ..... ......
dated 9/3/2024 was issued and conforms to all the requriements of the applicable provisions of the law..
The occupancy for which this certificate is issued is:
wood frame single_family dwelling with front enclosed„ aoacl * For dwellin f _ g w _ ,w_KA 71 ..........
Street
The certificate is issued to 465 Brown St Gprt LLC
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
CNI
*PLEASE SEE ATTACHED INSPECTION REPORT.
io, i d i rnuttire
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
HOUSING CODE INSPECTION REPORT
LOCATION: 465 Brown St,Greenport
SUFF.CO. TAX MAP NO.:... 48.-3-20.1......... .... SUB IVIS...
DIVISION:
NAME OF OWNER(S): 465._ .....v_ ...._. ....... _ ...._ ....,_.
Brown St Gprt LLC
_.............................. .... ... ..... ..... ry... ....
OCCUPANCY:
ADMITTED BY:
SOURCE OF REQUEST: 465 Brown St Gprt LLC DATE. 9/3/2024
DWELLING:
#STORIES: 2 #EXITS: 2
_.... .............. .......
........... ... ..._
FOUNDATION: poured concrete CELLAR: full CRAWL SPACE: x
.. ... UTL... .... . ......
BATHROOM(S): TOILET ROOM(S). LITY ROOM(S):
PORCH TYPE: front enclosed DECK TYPE: PATIO TYPE:
BREEZEWAY FIREPLACE: GARAGE:
DOMESTIC HOTWATER: yes TYPE HEATER: electric AIR CONDITIO
NING:
TYPE HEAT: FHA oil WARM AIR: forced hot air HOT WATER:
... .... ........ .... ......... _.._.._ ....._,__-______...... ._... ... ..._.._ _.........w..........
#BEDROOMS: #KITCHENS: BASEMENT TYPE:
OTHER:
ACCESSORY STRUCTURES:
GARAGE,TYPE OF CONST: STORAGE,TYPE OF CONST:
SWIMMING POOL: GUEST,TYPE OF CONST:
OTHER:
VIOLATIONS:
REMARKS:
INSPECTED BY: JOHNJ DATE OF INSPECTION: 6/27/2024
TIME START: END:
tt0t Town of Southold 9/3/2024
P.O.Box 1179
53095 Main Rd
Southold,New York 11971
CERTIFICATE OF OCCUPANCY
No: 45514 Date: 9/3/2024
THIS CERTIFIES that the building ELECTRICAL
............. .. ............. ........
._...
......... .. ...................
._.......... .........
Location of Property: 465 Brown St, Greenport
SCTM#: 473889 Sec/Block/Lot: 48.-3-20.1
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
7/30/2024 pursuant to which Building Permit No. 51005 dated 7/30/2024
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:
"as built" electric grvicu pgrgd .
The certificate is issued to 465 Brown St Gprt LLC
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 54005 9/3/2024
PLUMBERS CERTIFICATION DATED
Aut ortaed §Signature...