The URL can be used to link to this page

Home My WebLink About1000-53.-4-44.36 of so OrRi"WN OF SOUTHOLD Rental Permit 1251 Owner: Daniel Halioua , Rebecca Grossman-Cohen Occupied as: Single Family Dwelling Located at: 190 Pheasant PI Greenport 53.4-44.36 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. Issued: 01/21/2025 Expiration: 01/21/2027 !Cod o rent Official This Notice must be posted by the main entrac at 11 times k TOWN OF SOUTHOLD—BUILDING DEPARTMENT AUG 2024 Town Hall Annex 54375 Main Road P. O. Box 1179 Southold,NY 1197 - 959 Telephone (631) 765-1802 Fax(631) 765-9502 htt ://www.sotitholdto r�tiii . � 5O� 1t . RENTAL PERMIT APPLICATION l 0808 f ftv�� `a Rental Permit Fee $300 (Application must be renewed every two years) Section A. Property Information: Rental Property Address: 190 Pheasant Place, Greenport, NY 11944 Tax Map Number: 1000 SECTION 5-3 -BLOCK 4 -LOT - 3(o SECTION B. OWNER INFORMATION: Property Owner Name: Daniel Halioua and Rebecca Grossman-Cohen Property Owner Legal Address: Property Owner Mailing Address: (Cannot be the same as Rental Property Address) 377 6th Street 377 6th Street Brooklyn, NY 11215 Brooklyn, NY 11215 Telephone Number (s): Daniel 917.428.8085 Rebecca 202.744.3101 Emergency Property Owner Email Address: 19OPheasantPlace@gmaii.com -� dhalioa@gmail.com rgrossmancohen @ g mail.com Page 1 of 4 SECTION F. PROPERTY DESCRIPTION: Number of Rental Dwelling Units on property: 1 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: Requested Maximum number of persons allowed to occupy Dwelling Unit E Number of rooms in Rental Dwelling Unit: 8 Use and Dimensions of each room in Rental Dwelling Unit: Kitchen Living room 16'x12.5' Dining room 17'x13.5' Sifting room 17'x13.5' Bed 1 17x14.5" Bed 2 12.5'x9' Bed 3 10'x9' Bed 4 10'x8' � t 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. IF<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. 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) Daniel Haliouaand Rebecca Grossman-Cohen 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: aniel Ha&Llla Property Owner's Signature: t �Jk .,� H � Sworn to before me this Z54 day of ----------- 20 Official Notary Public Signature and Original Notary Stamp DEBORAH BESHAW-FARRELL Notary Public,State of New Yore No.01 BE5076617 Qualified in Kings County Certificate on file in New York Cou Commission Expires April 21, ..''1 Page 4 of 4 d V DaMI y4F,// 10 0 ?keAU,+ �\- bf0AD4. hM, "' tiG7 TOWN OF SOUTHOLD BUILD G DEPT. �co 631-765-1802 ,��r4LA.�p INSPECTION [ ] FOUNDATION 1ST/ REBAR [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION/CAULKING [ ] FRAMING / STRAPPING [ ] INAL [ ] FIREPLACE & CHIMNEY [ FIRE SAFETY INSPECTION [. ] FIRE 5ESISTANT CONSTRUCTION [ ] FIRE RESISTAN/(FAL) PENETRATION [ ] CTRICAL (ROUGH) [ ] ELECTRICAL CODE VIOLATION [ ] PRE C/O [ NTAL REMARKS: o" rOA Y 214- bm, Af&Ml- (Atc, '' s►19&6�1 l"v) vh�at4l of h+. .� AYA DAIrE l3 INSPECTORS __ .� \ v v fi sm v _ .v vim` w a: ._. .. ..: 3 � H ", IMRvy z \ a \ _ Fes— a e^ F to EAM 43 MAMEAD HO - Lp tq r. R 040 -A >_ Q g. {(j - i Li COLOR 53.4-44.36 12/09 TRIM Aeon Bldg. _ Foundation Bath Dinette U Extension a Basement Floors KIL SLAB Extension Ext. Walls j Interior Finish L.R. c u � $ Extension Fire Place Heat _ D_R. Patio S q Woodstove Bar- Porch - Dormer ` Deck 'j Q ` Ufa Attic Breezeway Breez - t-+ 4 Rooms 1st Floor Garage 6 X2- t = i - Driveway t Z I L ®� Rooms 2nd Floor O.B. L Pool &Po �. :1'tS B �co S X, 97 4 FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY Not Z-26892 Date: 01/21/00 THIS CERTIFIES that the building NEW DWELLING Location of Property: , 190 PHEASANT PL GR.EENPORT (HOUSE NO. ) (STREET) (HAMLET) County Tax Map No. 473989. Section 53 Block 4 Lot 44.36 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated MAY 5, 1999 pursuant to which Building Permit No. 25831-Z dated JUNE 26 1999 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 WITH COVERED FRONT PORCH AND ATTACHED TWO CAR GARAGE AS APPLIED FOR. The certificate is issued to POSILLICO CONST. CO. INC. (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL R10-99-0054 1,2/29/49 ELECTRICAL CERTIFICATE NO. 32451 O'l/12/00 PLUMBERS CERTIFICATION DATED 12/29/99 G.A.H. :PLUMBING HEATING Authorized Signatui Rev. 1/81 Wq w u ..�..ram.....-�.....-.� _... . FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-34353 Dates 05/17 10 THIS CERTIFIES that the building GARAGE Location of Property: 190 PHEASANT PL GR$ENPORT (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473899 Section 53 Block 4 Lot 44.36 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated MAYm31 2009 pursuant to which Building Permit No. 34'67 Z dated MAY 11 2003 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 ACCRSSORY THRIEJ?C �GJ Ob -HX EAI ND NON-8LE PING F APPLIED FOR. The certificate is issued to WILLIAM F BOGARDUS & KIM PALERMO (OWNER) of the aforesaid building, SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL Rr EL-11 1CAL CERTIFICATE NO. 12769 0411611 , PLUMBERS CERTIFICATION DATED //AUt��ized tune Rev. 1/81 m FORM NO, 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y, CERTIFICATE OF OCCUPANCY No: Z-34354 Date: 05 14 10 THIS CERTIFIES that the building SCREENED PORCH,& DECK _ Location of Property: 190 PHEASANT PL RZENPORT (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 4130$9 Section 53- Block 4 Lot 44.36 subdivision ` Filed Map No. Foot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated AUGUST .25, 2009 pursuant to which Building Permit No. 35012-Z dated SE TEMB R 21�2009 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 SCREENED .PORCH AND DECK AMITtON TO ASAP SXTSTING ONE FAM1"LY DWELLING AS APPLIED .FOR. The certificate is issued to WILLIAM F & KIM BOGARDUS ....................�.. ,...... (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMM OF HEALTH APPROVAL N/A, SLBCTRICAL CERTIFICATE NO. 1192µ6 12/11 09 PURRS CERTIFICATION DATED 6a ized ignature Rev. 1/81 Town of Southold 7/18/2020 P.O.Box 1179 53095 Main Rd Southold,New York 11971 ,CERZ`IFICATE OF OCCUPANCY No: 41269 Date: 7/18/2020 THIS CERTIFIES that the building GENERATOR Location of Property: 190 Pheasant P1,Greenport SCTM ti: 473889 See/Block/LOt: 53.4-44.36 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 3/16/2020 pursuant to which Building Permit No. 44833 dated 6/4/2020 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; ted fir, The certificate is issued to Greenport W Holdings Inc c of the aforesaid'building: SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 44833 7/13/2020 PLUMBERS CERTIFICATION DATED tatlari aiuc Town of Southold 5/21/2024 P.O.Box 1179 53095 Main Rd Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 45193 Date; 5/21/2024 THIS CERTIFIES that the building IN GROUND POOL Location of Property: 190 Pheasant Pl, Greenport SCTM#: 473889 See/Block/Lot: 53.-4-44.36 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 5/17/2024 pursuant to which Building Permit No. 50702 dated 5/17/2024 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: The certificate is issued to Greenport W Holdings Inc of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 45618 07/23/2021 PLUMBERS CERTIFICATION DATED ........ nth` C acre Ov, ............ � , r �.6,A 1 n,v, v r G f �V 1, 1 4