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Home My WebLink About1000-40.-1-20.1 of so TOW N OF S UTH L NC Rental Permit 1304 Owner: Wine Country Promotion LLC Occupied as: Single Family Dwelling Located at: 63615 CR 48 Oreenport 40.4-20.1 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: 05/05/2025 Expiration: 05/05/2027 Code forc4ptent official This Notice must be posted by the main entrance at all times TOWN OF SOUTHOLD—BUILDING DEPARTMENT APR �� 9 �9 �°° Town Hall Annex 54375 Main Road P. O. Box 1179 Southold,NY 11971,,0959 Telephone (631) 765-1802 Fax (631) 765-9502 htt ://www. uth Ld!t)wIMY� ll V 71, RENTAL PERMIT APPLICATION l Doi �{Z Rental Permit Fee $300 (Application must be renewed every two yea F e3co q012,C Section A. Property Information: Rental Property Address: 63615 COUNTRY ROAD 48-GREENPORT NY 11944 Tax Map Number: 1000 SECTION 40 -BLOCK01 -LOT20 ti 1 SECTION B. OWNER INFORMATION: Property Owner Name: WINE COUNTRY PROMOTION LLC Property Owner Legal Address: Property Owner Mailing Address: (Cannot be the same as Rental Property Address) 11 E.BROADWAY 8B 448 W.37TH 7E. NEW YORK,NY 10038 NEW YORK,NY 10018 Telephone Number (s): Daytime646.418.8331 Evening646A18.8331 E m e rge n cy+41 793448555 Property Owner Email Address: CALLE.LIN@INFOMANIAK.CH Page 1 of 4 SECTION F. PROPERTY DESCRIPTION: Number of Rental Dwelling Units on property: One 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: Unit 1 Requested Maximum number of persons allowed to occupy Dwelling Unit: 6 Number of rooms in Rental Dwelling Unit: 3 BEDROOMS Use and Dimensions of each room in Rental Dwelling Unit: BEDROOM 1 (11'-4" x 17'-2"), BEDROOM 2 (11'-4" x 17'-2"), BEDROOM 3 (17'-0" x 21'-10") 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 Ilk 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) rrff I U c J-1-V-1--1_ 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 anaging Agent, or Site Manager. Property Owner's Name: . Property Owner's Signature: CHELSEA L. CHA _mm.. . SW to before me this day of r " t ---, 20Z.� notary Public, State of New E Registration #01 CH6287106 York" Qualified in Suffolk County Commission Expires Aug, 5,20 5L Official Nota is Signature and Original Notary Stamp Page 4 of 4 Town Hall Annex �� w Telephone(631)765-1802 54375 Main RoadF„ P. O. Box 1179 Southold, NY 1 1 971-0959 BUILDING DEPARTMENT TOWN OF SOUTHOLD RENTAL PERMIT APPLICATION ADDENDUM Rental Dwelling Unit Identifier: UNIT Requested maximum number of persons allowed to occupy each dwelling unit: B Number of Rooms in Rental Dwelling Unit: 3BEDROOMS Use and Dimension of each room: BEDROOM 1(11'-4"x 17'-2"),BEDROOM 2(11'-4"x 1T-2"),BEDROOM 3(1T-0"x 21'-10") Rental Dwelling Unit Identifier: NA Requested maximum number of persons allowed to occupy each dwelling unit: Number of Rooms in Rental Dwelling Unit: Use and Dimension of each room: Rental Dwelling Unit Identifier: NA Requested maximum number of persons allowed to occupy each dwelling unit: Number of Rooms in Rental Dwelling Unit: Use and Dimension of each room: ��aF sovey� TOWN OF SOUTHOLD BUILDING DEPT. 631-765-1802 (-/a --/- IN S P rEm 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 (FINAL) [ ] CODE VIOLATION [ ] PRE C/O [ RENTAL po�2. so ill oCC v I�JQ-� avl aje 64-h an- DATE INSPECTOR � --- Town Hall Annex " Tale ho 31)765-1802 5437 d Main Road �'« F 31)765-9502 P.O. Box 1179 Southold, NY 11971-0959 r tldt 1 � o 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 aired for Architect or Engineer, Licensed Home Ines ector must rovlde copy of valid current certification Rental Property SCTM Number: 1000-40-01-20.1 Rental Property Address: 63615 COUNTt ROAD 48 Owner/Name: WINE COUNTRY PROMOTION LLC Rental Dwelling Unit Identifier: UNIT 1 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(194SF),BEDROOM 2(194SF),BEDROOM 3(370SF) Property Description (Include all improvements indicated on survey) SINGLE FAMILY DWELLING LOCATED IN THE WOODS+-283 FEET FROM ROUTE 48. 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 State and the Energy Conservation Construction Code of New York State. ZACKERY E.NICHIOLSON,RA NI Print Name and Title Original Signature Please place Professional Seal: aS 0 4 4 42 C� : # . jTOWN OF SOUTHO D PROPERTY RE RD OWNER I STREET VILLAGE DISTJ SUB. LOT } , L �, 1 rvP �O C((;Tf _ L , 6FORMER OWNER =` r _ / ''N ;� E I�CR. " r� e c -,.. S W TYPE OF BUILDING RES, SEAS, I VL FARM ;COMM. CB. MISC. Mkt. Value LAND IMP" TOTAL DATE REMARKS s vie- I a 3 - AGE BUILQ[NG CONDITION. J - -" NEW NORMAL BELOW ABOVE ' 1 �'2C, 7�, L ' FARM Acre Value Per Value Acre 91 Tillable 1 Ti I lable 2 Tillable 3 lq—L Z7 _. �� I ZY�>� 6� _ ` � ul - � h Woodland ��l �, Swampland FRONTAGE ON WATER ; s y !' Brushland FRONTAGE ON ROAD House Plot DEPTH i !BULKHEAD w I � s I Total I ! DOCK I 1 - 1 3 )LORs I i ' 4-1 . M 1 , I E v z � = I I 3 40-1-20.1 10/02 BldCg �� M. 12 �[ iz 4 t Foundation a Bath M t 2 Dinete '� _ �Qc Extension 1 7 t7 = Zak Basement Floors -tt , .�, s �,', �_ K. .F—xtev.sion 1 r7f_ — 3 z ',Ext. WaIIs i tKN 17 Y - 5�1� E tr^ Interior Finish F T t_� LR.C'zc t' e ! �orwt V Extension 7 �fl� t531 Fire Place Heat DR. i cc h� I CQ ..,, ��r, i Type Roof `�` �s Rooms i st Floor ; B - t �Recreation Porch �� Rooms 2nd Floor a . I id Fo t x om : la(o ' ' - rch - !Dormer I � ��3 Breezeway — i IDriveway i Z 2N�Fl _ . \ Garage , x Patio 12 IZ��h Ito 1�8P, 7� 2-Cl �1 k35 92o c? 1 0. B. 5�n', �o Total t , FORM 110. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-29908 Date: 12 11/03 THIS CERTIFIES that the building NEW DWELLING Location of Property: 63615 CR 48 GREEN"PORT (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 47889 Section 40 Block 1 Lot 20.1 Subdivision Filed Map No. Lot No- conforms substantially to the Application for Building permit heretofore filed in this office dated L 23 2001 pursuant to which Building Permit No. 27719-Z dated SEPTEM:SER 21, 2001 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 SINGLE FAMILY DWELLING WITH ATTACHED ROOF OVER WOOD DECKS AS APPLIED FOR The certificate is issued to EDGEWATER I LLC (OWNER) of the aforesaid building. SUFFOLK COW7TY DEPARTM Wr OF HEALTH APPROVAL R10-01-0012 12 05 03 ELECTRICAL CERTIFICATE NO- 110647 07 24O PLtMERS CERTIFICATION LATED 10/06/02 EDWA.RD J. TIMM Authorized Signat r Rev. 1/81 ZEN DESI 1250 EYERGREE CIRCHOGUE,NY - r PHONE:63151 t ` mmYmu�a� u,+mwo mya,n�,».�..a mmo.x�o...umn wen oannmr m�a. - NO. ISSUE 01 RENTAL PERMf KROOM p A ¢.{E.Ni v m 0444, r F OF NE ri ROiOM WINE COI PROMOTI( 63615 COUNTRY GREENPORT,N SCTMC SOOO-60 SCALE DATE: j DRAWN eV: t LEGEND FIRS SMOKE DETECTOR FLOOR I CO2 DETECTOR COMBINATION SMOKE A-1 &CO2 DETECTOR ZEN DES .50 EVERGRff CUR:HOBUE,NY_....s. PHONE:63,L51 i DRESSING ROOM BAT H e .� _{ Ij NO. ISSUE � a tx OS RENTAL PERM. �_ ! m i5 t� i E.Ni G N T � BEDROOM_ 0444 OPEN TOBELOW V?y T WINE COI PROMOTII BEDROOM 2' M15 COUNTR' OREEN PORT,N SCTM#1000-4f SCALE DATE: DRAWN BY: LEGEND SECO � SMOKE DEFECTOR FLOOR I 3 CO2 DEFECTOR AA SMOKE &CO2 DEFECTOR