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Home My WebLink About1000-57.-1-7 Rental Permit 1282 Owner: Starkie Living Trust Occupied as: Single Family Dwelling Located at: 630 Tarpon Dr Greenport 57.4-7 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: 03/26/2025 Expiration: 03/26/2027 c e E emet otficiai This Notice must be posted by the main entrance at all times Town Hail Annex '%'% Telephone(631)765-1802 54.375 Main.Road R P.O.Box 1179 Southold,NY I1971-0959 M 1 025 9 BUILDING DEPARTMENT tt Orl;�jg Dnportm ent TOWN OF SOUT'HOLD 'n of�S"ctut( old RENTAL PERMIT APPLICATION1/1 S 3 S Rental Permit Fee $200 (Application .must be renewed every two years) Section A. Property Information: Rental Property Address: Tax Map Number: 1000 SECTION 1 -BLOCK QU -LOT QQj SECTION B. OWNER INFORMATION: Property Owner Name: _w � Property Owner Legal Address: Property Owner Mailing Address: .............. � 1 �,�.a . Telephone Number (s): Daytime... _` � � Evening _ `�"� Emergen' << _(I. ,,,"� ._ Property Owner Email Address: e `�... "' __ ... gym. Page 1 of 5 Town Hal[Annex /�'"��t1;' , Telephone(63d)7b5-1802 54375 Main Road. Fax(631)765-9502 P.O.Box 1 179 Southold,NY 11971-0959 BUILDING DEPARTMENT TOWN OF SOUTHOLD Section C. Authorized Agent Information: Name of Authorized Agent of dwelling unit, if any: _ " 1 _t _ Address of Authorized Agent (no P.O. Boxes) �� vy\ Mailing Address of Authorized Agent . ....... .. PA Emergency _ ...Telephone Number(s): Daytime c �v nnrw�'_ Email Address: Vvx o-s . V"A C-e G...t.-- A U 32 3 Section D. Managing Agent Information: Name of Authorized Agent of dwelling unit,if anvr.,_w,, Address of Authorized Agent (no P.O. Boxes): _ ... ...... Mailing Address of Authorized Agent: Telephone Number (s): Daytime Evening Emergency Email Address: SECTION E. SITE MANAGER INFORMATION: (required for rental properties containing 8 or more rental units) Name of Managing Agent of dwelling unit, if any: _ Address of Managing Agent (no P.O. Boxes): . . ... Page 2 of 5 �fe Town Hall Annex " »��'�� 'i% Telephone(631)765-1802 10U% ✓r T 54375 Main Road Fax(631)765-9502 P.O.Box 1179 12 ' Southold,NY i 1971-0959 f, 'm BUILDING DEPARTMENT TOWN OF SOUTHOLD Mailing Address of Managing Agent. Telephone Number (s): Daytime Evening Emergency Email Address: 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: . ...._.. �_..........._..w...... _...... .,. a p occupy g _Requested Maximum number of arsons allowed to occu Dwelling Unit: (, Number of rooms in Rental Dwelling Unit: . .._... Use and Dimensions of each room in Rental Dwelling Unit Page 3 of 5 Town Hall AnnexA A % Telephone(631)765-1802 gg l�` ° � Fax 631 76.S-9502 4375 Main Road P.O.Box 1179 % , ,' i?iI%%i Southold,NY 11971-0959 BUILDING DEPARTMENT TOWN OF SOUTHOI..D 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 ❑ 1 am submitting a completed Town of Southold certification form from a licensed architect or a licensed professional engineer. SECTION H. DECLARATION: Signature must be notarized and MUST be the owner of the dwelling unit. STATE OF NEW YORK) COUNTY OF SUFFOLK) VIC 2 �_.. _....�-f 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 Page 4 of 5 r Town Hall Annex Telephone(631)765-1802 54375 Main Road ' Fax(631)765 9502 P.O.Box 1179 Southold,NY 11971-0959 BUILDING DEPARTMEN"IF aiwi~uV'ucable laws and omLdes. i further acknowledge that W Mfl rm, ify the down of Southold Budding yepartn uent of any chainges of address withfin fiTT (5) days of cur° y charuges ��°� a�N7l�� ff"il��''��.�d�g\�`V.'�'�� i�'y`r rah" N,..��"'@i� 61°F°w�„' bl.�� ';M'� Ni. Vu.. I��.ik� N:" . � .� .�, � hVo�T�:4r U�."�I� � � h @. ��.. � r.av1J1'4 o'f s4dtIfl"!o 4 aruc�' yap ueed t(,.) abklk.'? [:y the syuruue, 4, V v`uPM 0"Po,%fy'ih ('.� 'vl d'I''k'I hh/e (°..I) i,hr:>ys as to ark r h..,),lufljrr.:^ to the IIfI ir.U�"B�Ifl�«4N..�I� 6 a°gp;vlC`(Ifl ",q Auth"1,G°..ff"Rzed /kge nt, 7�� I� 6�I,�,!��11r h`1��,,.;��;, u::e@° S1t':,' fl'ilanrqger' b u Ob (.k ".)v r .k dfi; b ry'X 9 J lF 4yaPu.)rr'Y 'I(") I.xa'fore �60d;.' 4i�lu"W.... ......I�..��.IU.u,� Official iq,iotary Pub8uu. Signature and Or inal Notary Stamp MANNA, OARTOLOT A NOTARY p1JBIjC-STATEOF NEW YORK No.01 BA0024740 QtIalified 4rj Sti fiosV,,County My Commission Exp�res 05-15-2028 TOWN OF SOUTHOLD BUILDING DEPT. 631-765-1802 57 /- 1 N S Pm(Clk T10 N [ ] 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) [ ] ELECTRICALN L) [ ] CODE VIOLATION [ ] PRE C/O [ (FI RENTAL REMARKS: KS: DATE �'a7�a INSPECTOR Town Hall Annex Town Of Southold54375 Main Road Rental Inspection Report PO Box 1179 "F 1� °� Southold, NY 11971-1179 Tel: 631-765-1802 SCTM # Date Phone Owner Address Visible Hamlet Inspector Floor Level Quantities Sub 7 1 2 3 Smoke Detectors(not located in bedrooms) Carbon Monoxide Detectors Fire Extinguishers Exits Bedrooms 1 2 3 4 5 6 Smoke Detectors Egress Occupant Count Oz 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/latching gates Pool fence to code requirements CO's for all items present Prior Rental Comments: TOWN OF SOUTHOLD PROPERTY �IECCIRV CARD OWNER STREET VILLAGE DIST. SUB. i./_ LOT ,; v a a ORME�O � R N E ACR. � y S W TYPE OF BUILDING v g RES. SEAS. VL. FARM COMM. CB. MISC. Mkt. Value I LAND IMP. TOTAL DATE REMARKS Oh - s s -- e gi , � s _ - i AGE BUILDING CONDITION NEW NORMAL BELOW ABOVE FARM Value Acre I Value Per ' Acre i _ Tillable 1 i Tillable 2 Tillable 377117 Woodland F FRONTAGE ON WATER Swampland Brushland i FRONTAGE ON ROAD '- House Plot DEPTH e. f IBULKHEAD I �` Total 'DOCK f COLOR — i s I ITRIMelf - E e F f s f �g ., ea x- we. - #1 I t 57,14 3/06 1 � s � _ Both �I D ine eBIdg' P�- g Extension '' !Basement i _ Floors , K. i.�' — t Extension 'j Ext. Walls Interior.Finish I L.R. Xs ' c cf ;Fire Place DR _ eat tIDormer e Roof IRooms 1 st Floor tBR. Ireation Room [Rooms 2nd FloorFIN. B. l�or� t 2 / 2-.`� 2 S - �' - e l Breezeway Driveway ' Gar I c� € ae�io o.B I 16� 2-03 2-0 � � 2_co 1 15 Total I C_ ..... ................. ... FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-31902 Date: 10 05/06 THIS CERTIFIES that the building ACCESSORY �ww.... Location of Property: 630 TARPON DR �w _ GREENPORT (HOUSE NO. ) (STREET) _ (HAMLET) County Tax Map No. 473889 Section 57 Block 1 Lot 7 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated _ JULY 131998 pursuant to which Building Permit No. 25459-Z dated _ JANUARY 6 199w9 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 ACCESSORY 16' X 20 ' STORAGE SHED AS APPLIED FOR & AS PER CONDITIONS OF ZBA ##4 6 2 0 DATED 10/2 7/19 9 8.The certificate is issued to GEORGE H STARKIE, JR. ,.... (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. H-065860 09/09/99 PLUMBERS CERTIFICATION DATED A ho "ized Signature r Rev. 1/81 FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z18858 Date MARCH 5, 1990 THIS CERTIFIES that the building ONE FAMILY DWELLING Location of Property 630 TARPON DRIVE SOUTHOLD House No. Street Hamlet Y Lot Count Tax Map 007 No. 1000 Section_ 057 Block 001 � _ „ Subdivision SOUTHOLD SHORES Filed Map No. 3853 Lot No. 39 conforms substantially to the Application for Building Permit heretofore filed in this office dated FEB. 18 1988Pursuant to which Building Permit No. 16939Z dated MAY 6 1988 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 ATTACHED DECKS & GARAGE. The certificate is issued to GAIL & GEORGE STARKIE (owner, XXXXXXXXXXXXXXXX) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL 87-SO-237 FEB. 26 1990 UNDERWRITERS CERTIFICATE NO. N086333 AUG. 10 1989 PLUMBERS CERTIFICATION DATED ROGER CULLEN GARDINERS BAY PLUMBING 3 5 90 Building Inspector Rev. 1/81 ,. tj I � N _1 cz dJ' �ft6m P1 Bi.'COk I€ g � s RON r I , I �• I L2:�•re. 3 I « 3 I � t (( E iN it lo q it cj� 4 i E —zjlid IL PLUMBER CERTlf 3 I —®�----,I 1 ONLEADCONTEN 'Q;� f k 't ( CERTIFICATE OF OC . SOLDER USE SUPPLY SYSTErvI EXCEED 2/10 of? c� te fro r fI � r Elll� 3{ I. { 3€ I i1 ( €(I ffi -1Imi "I �i 3_i I �[ � { { � { { -U-14 H I I I EiiE tlit ( I t I I aEtI I i II 3 E:f if - - --- '--- -- - -----` i LOW PT FL--( _ } I I �-�€ 3 - E 3 3 � I I I{ii-('iI; M�pi ' G? ` {_{ I EII3 iI{ { i�lf � ! 1EI II tf � � i -III { i�{3f �� { � I - _3 E ii !I F O '� !"'-�.` i � � !{ _•i I1 �E .k f 1 ( { I : : i 1(II!�tl�ifl --ritJ.�� LEA_ — - { ii E �Z �11 (E II L.Ow F'.rYi �T I ! I I i Q it