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HomeMy WebLinkAbout1000-52.-1-9 TOWN OF SOUTH OLD Rental Permit 1258 Owner: Raymond Tamayo , Ellen Tamayo Occupied as: Single Family Dwelling Located at: 54505 CR 48 Greenport 52.-1-9 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. Issued: 02/11/2025 £ Expiration: 02/11/2027 Code Et , r a nedt04ciai This Notice must be posted by the main entrance at all times TOWN OF SOUTHOLD—BUILDING DEPARTMENT „1" Town Hall Annex 54375 Main Road P. O. Box 1179 Southold, NY l )909 Telephone (631) 765-1802 Fax(631) 765-9502 htt,ps://www,so :t ol town" ,. taws D 024 RENTAL PERMIT APPLICATION Rental Permit Fee $300 (Application must be renewed every two years) Section A. Property Information: Rental Property Address: Tax Map Number: 1000 SECTION -BLOCK .-LOT--- SECTION B. OWNER INFORMATION: Z 41 CProperty Owner Name: �r�c °" .CC U &,AjJ)W dVft'le I L C Property Owner Legal Address: Property Owner Mailing Address: (Cannot be the same as Rental Property Address) Al Telephone Number (s): Daytime ' �' Evening— ' Emergency Property Owner Email Address: C S ' Page 1 of 4 Section C. Authorized Agent Information: Name of Authorized Agent of dwelling unit, if any: Address of Authorized Agent (no P.O. Boxes): tx Mailing Address of Authorized Agent: 4, r p Telephone Number (s): Daytim Evening Emergen Email Address: .......................... Section D. Managing Agent Information: Name of Authorized Agent of dwelling unit, if any: n�� Address of Authorized Agent (no P.O. Boxes): 2 �� �� �, C � Mailing Address of Authorized Agent: � 10-D Telephone Number(s): Daytime Eenmg Emergency Email Address: a. SECTION E. SITE MANAGER INFORMATION: (required for rental properties containing 8 or more rental units) Name of Managing Agent of dwelling unit, if any; 4i 4 � � � - - Address of Managing Agent (no P.O. Boxes): Mailing Address of Managing Agent: '° �1lLe- 11T7 0 51-k' �1a Telephone Number (s): Daytime Evening Emergency Email Address: .... �— Page 2 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, 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 Di ensions of each room in Rental Dwelling Unit: .7- � 7 �- I e X 17 �v �o X 4 SECTION G. �I fo !�X /O 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 afire 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 SUFFOL.K) 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, M Agent, or Site Manager. Property Owner's Name: X anagin 1 � Property Owner's Signature: Sworn to before me t' 1 day of 11Vd V1(1�1 bell- , 20 2- 1 Official Notary Public Sonature and Original Notary Stamp r,TH G BANK, Notary pubitc state oD26 New 040,01 BA64 7 Qu iNfied in*Say°t�8k My(�;c,en4mission�".dKp" rolls Page 4 of 4 t1F SpU m TOWN OF SOUTHOLD BUILDING DEPT. 631-765-1802 IN S T 10 N [ ] FOUNDATION 1 ST/ REBAR [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION/CAULKING [ ] FRAMING /STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FI L) [ ] CODE VIOLATION [ ] PRE C/O [ . RENTAL DATE ���� S- INSPECTOR FatTown Hall Annex � Town of Southold 54375 Main Road ` Rental Inspection Report PO Box 1179 r � Southold, NY 11971-1179 Tel: 631-765-1802 SUM # So?- /_ DateSUM Owner 6Q UGG! Phone AddressS' (',C�, Visible Hamlet &to Ld Inspector Floor Level Quantities Sub 1 2 3 Smoke Detectors(not located in bedrooms Carbon Monoxide Detectors Fire Extinguishers Exits% Bedrooms 1 2 3 z 4 1 5 1 6 Smoke Detectors Egress 10-1 Occupant Count �» Building Systems Maintained&Operational Condition of Property Heating Building interior _ Hot water Building exterior Electrical Property clean, maintained &safe Mechanical Handrails&guards installed &secure Pool Safety Pool on Site Surface water alarm Date of CO issuance Door alarms Pool completely enclosed Self closing J latching gates Pool fence to code requirements CO's for all items present Prior Rental Comments: l l' /7/18 TOWN OF SOUTHOLD PROPERTY RECOF'�/ OWNER STREET VILLAGE —DI ST. SUB.�- LOT, mfy�jt 1 1 -L-�FORMER OWNER N E ACR. S W TYPE OF BUILDING RES. SEAS. VL. FARM COMM. CB. MISC. Mkt. Value LAND Imp- TOTAL DATE REMARKS v 4L L I YA, ACHE r; B CqNDITIQJ� PJ-4— PING 'A NEW— BE (ABQ-\/E -7 FARM Acre Value Per Value Acre Tillable 1 Tillable 2 Tillable 3 Woodland 1 FRONTAGE ON WATER Swampland Brushkind FRONTAGE ON ROAD House PISDEPTH IBULKHEAD , !DOCK Total , LGR I [ i i s \\ , i E t , — I a RIM 3 - _ I f € - 3 _ I E I I : } I € 52.4-9 12/09 a M. Bldg Foundation i Bath e I Dinett ; Extension �_ I Basement 11 Floors K. Q _ 1. a I Extension al v Ge Ext. Walls ' Interior Finish LR. I Fire Place eat p r .I phi 3 {Type Roof i Rooms 1 st Floor ; ` BR. Rooms 2nd Floors FIN. B I� Porch Recreation Roorr� I s `` -- - Porch _ Dormer - I i diveway I Breezeway ,- is I � Garage F ,_ ,i g g� = TY Patio I 1 Total ti F � s £2 COLOR TRIM t ` r i - Dinette $ WRAWL $� Foundation Bath ; Exension Basement Floors _ ; . \ . K't SLAB : Extension Ext. Walls Interior Finish L.R. Fire Place \ Heat D.R. Extension ���V = \� 3 2 0 I Patio :X Woodstove BR. _ 17— Porch Dormer Fin. B. I Deck Attic - A a Rooms 1st Floor Garage f Driveway Rooms 2nd Floor 4 / Al ,3 a �e j Ir � , FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. PRE EXISTING CERTIFICATE OF OCCUPANCY No: Z- 26948 Date: 02/25/00 THIS CERTIFIES that the building DWELLING Location of Property 54505 CR 48 GREENPORT (HOUSE NO. ) (STREET) (HAMLET) County Tax Map No. 473889 Section 052 Block 0001 Lot 009 Subdivision Filed Map No. Lot No. conforms substantially to the Requirements for a ONE FAMILY DWELLING built prior to APRIL 9 1957 pursuant to which CERTIFICATE OF OCCUPANCY NUMBER Z- 26948 dated FEBRUARY 25 2000 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 GARAGE UNDER HOUSE The certificate is issued to RAYMOND T & ELLEN M. TAMAYO (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. N-460868 7/31/98 PLUMBERS CERTIFICATION DATED N/A *PLEASE SEE ATTACHED INSPECTION REPORT. Authd#eized Sig attire Rev. 1/81 Town of Southold Annex 9/13/2011 54375 Main Road Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 35215 Date: 9/13/2011 THIS CERTIFIES that the building HISTORICAL -- - ------------------- ... ... Location of Property: 54505 CR 48 GREENPORT, SCTM#: 473889 Sec/Block/Lot: 52.-1-9 .......... Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Pen-nit heretofore filed in this officed dated 4/15/2010 pursuant to which Building Permit No. 35503 dated 4/23/2010 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: MINOR INTERIOR ALTERATION TO AN EXISTING BEDROOM& LIVING ROOM AS APPLIFT) FOR. The certificate is issued to Tamayo, Raymond&Tamayo,Ellen (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 35503 9/12/11 PLUMBERS CERTIFICATION DATED " fOI/"41" ' Town of Southold 5/7/2015 P.O.Box 1179 53095 Main Rd Southold,New.York 11971 CERTIFICATE OF OCCUPANCY No: 37543 Date: 5/7/2015 THIS CERTIFIES that the building ALTERATION Location of Property: 54505 CR 48,Greenport SCTM#: 473889 Sec/Block/Lot: 52.4-9 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 1/10/2014 pursuant to which Building Permit No. 38637 dated 1/23/2014 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: INTERIOR AIA ERA rIC.NS TO AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR The certificate is issued to Tamayo,Raymond&Tamayo,Ellen of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 38637 04-01-2015 PLUMBERS CERTIFICATION DATED 02-05-2015 Mattituck Plumbing At ima i a mtur a ` Town of Southold 12/30/2015 t P.O.Box 1179 53095 Main Rd Southold,New York 11971 CERTIFICATE F OCCUPANCY No: 38007 Date: 12/30/2015 THIS CERTIFIES that the building ACCESSORY GARAGE Location of Property: 54505 CR 48,Greenport SCTM#: 473889 Sec/Block/Lot: 52.-1-9 Subdivision: Filed Map No. Lot No. ------------------ conforms substantially to the Application for Building Permit heretofore filed in this office dated 4/23/2015 pursuant to which Building Permit No. 39717 dated 4/30/2015 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: non-habitable accessM two car, ara e ilhApfini he t% ace above as a lied for. The certificate is issued to Tamayo,Raymond&Tamayo,Ellen of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 39717 10/9/2015 PLUMBERS CERTIFICATION DATED utlttr Sig__.,...... FIRS" FLOOR, FLAN w SCREENED IN GAZEBO 12'x 12' FIRST FLOOR - 1 g DINING ROOM KITCHEN 1 a x 10' 16'x 10' DESKP REP. wr DN... , r �Np f 4 i, 1NriM.wrrw�wi�., up Q STONE �+ FRONT .µ......_. .. . ....,_ „ PATIO P1? LIVING ROOM *—UP DECK -� 14'x 28' 29'x 20' 8'x 20' Q BEDROOM 3 1 r x l o' LLBEDROOM 4 y 1'x 10' BAH 14 SHERI WINTER PARKER c;631.848.7730 swp@corcoran.com pro/�✓/� �� 1'i i S E C 0 N F LW)"" P L AN BEDROOM 2 ,183 'CL 13 x 1 a' e�DN PRIMARY BATH W.I.O 8' x16`, 1 0' x 6' i r CL IPRIMARY BEDROOM 13' x 17' SHERI WINTER PARKER c:631.848.7730 I swp@corcoran.com 15 i IS O � f - ??�� Gam,ERE jug t L_! i _ i U , c $ � i v 1�-G N?? FI.103t�,.P�-LN N„ will } l�I 11 F_ kj zSSS"s.-Q s ._J �K t-J MONTH - �s i a':ti Ir',r`,J ! �Y`u `�i1 4 x .f� ���c'n°�`4�6� � Truss A l� i..,rar.,, .+<•.be tn�_:�,e.r+. � �� J. - — f --.. 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