Loading...
HomeMy WebLinkAbout1000-53.-4-44.11 o OWN F S UTH .D Rental Permit 1317 Owner: Helen Dayen , Dimitry Dayen Occupied as: Single Family Dwelling Located at: 2890 Kerwin Blvd Greenport 53.-4-44.11 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: 05/21/2025 Expiration: 05/21/2027 ode lWorcementiVfflcial This Notice must be posted by the main entrance at all times TOWN OF SOUTHOLD—BUILDING DEPARTMENT Town Hall Annex 54375 Main Road P. O.Box 1179 Southold,NY 11971-0959 Telephone(631) 765-1802 Fax(631) 765-9502 litt s:,//w .sonthol Ito nn o RENTAL PERMIT APPLICATION Rental Permit Fee$300(Application must be renewed every two years) Section A. Property Information: Rental Property Address: rN Tax Map Number: 1000 SECTION ' -BLOCK LOT SECTION B. OWNER INFORMATION: Property Owner Name: `) i`11 ' 4 Property Owner Legal Address: Property Owner Mailing Address: (Cannot be the same as Rental Property Address) 5 Z 5 F �' n S�azkl �����5����� S�, N Q o X,(C 100 7 A)Qw Yori,u 4�f 100 a e Telephone Number(s): Daytime Evening Emergency Property Owner Email Address: � a �" 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: Requested Maximum number of persons allowed to occupy Dwelling U ' ° ��-- Number of rooms in Rental Dwelling Unit: Use and Dimensions of each room in Rental Dwelling Unit: G'VO �'"" ���eho„ 1�� (2. � ,� f�l x� wrr► �S 1 r� ;r � � fly 1> I �a�� 3 IZ 15 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. V, am requesting a fire safety inspection to be performe d 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� 1 �� � C+ `� .certify under penalty of perjury,the following: I. I 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: tom' ` ` Property Owner's Signature: Sworn to before me this ;441 of MG Can , 202�: Official Notary Public Signature and Original Notary Sta h_NRY CI-EN Notary Public-Stage of New York id0.01CH0004648 Qualified in New York County My Commission Expires Mar 31,2027 Page 4of4 TOWN OF SOUTHOLD BUILDING DEPT. 631-765-1802 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 (FINAL) [ ] CODE VIOLATION [ ] PRE C/O [ "f-ENTAL REMARKS: .� LAskil C44-"bon t4 on Qxu we- oL e- m btS49,144j�,J. Gua-A-g- otx& m l on a,l� tires h � DATE INSPECTOR Town Hall Annex lip Town Of Southold 54375 Main Road Rental Inspection Report PO Box 1179 Southold, NY 11971-1179 � Tel: 631-765-1802 SCTM# 3— — Date Owner N, Phone Address /rl /"+✓ Visible Hamlet jInspector Floor Level Quantities Sub 1 2 3 Smoke Detectors (not located in bedrooms) Carbon Monoxide Detectors Fire Extinguishers Exits Bedrooms 1 2 3 5 6 Smoke Detectors Egress Occupant Count a: Building Systems Maintained &Operational Condition of Property Heating Building interior Hot water Building exterior Electrical Property clean, maintained &safe Mechanical lHandrails&guards installed &secure Pool Safety Pool on Site Surface water alarm Date of CO issuance a Oo2 Door alarms Pool completely enclosed Self closing/latching gates Pool fence to code requirements CO's for all items present Prior Rental Comments: d is TOWN OF SOUTHOLD PROPERTY RI e OWNER STREET 2 VILLAGE DIST SUB. LOT AM r REMARKS 4? i --7 9 -T TYPE OF BLD. PROP. CLAW tV -'FLAND IMP, TOTAL DATE ` 4-1 2- 0 31 1 FRONTAGE ON WATER TILLABLE FRONTAGE ON ROAD WOODLAND DEPTH MEADOWLAND BULKHEAD HOUSE/LOT TOTAL L-1 ci� � -g h s 7 I Tf I COLOR 3 l r l « s J_]; F I t i i I _ TRIM � r 53-4-44.11 3/03 l t Bldg. X 'f jr 2.3Z Jas (D���Q� Foundation ce Bath Dinette Extension Basement Floors Kit. SLAB - _ Extension l� k /+c� 173� Ext. Walls Interior Finish -, �a L.R. Extension 2 x-' : /µ 2 Fire Place Heat ©t` D R_ TV, 2j_ Woodstove BR. 39O r � r. ( T Porch Dormer Fttt-B. Deck S VOT 2>©b Attic Breezeway Rooms 1st Floor Garage �G11 x fir, �j]�_ ?s 7 Zf� Driveway Rooms 2nd Floor O.B. 4'��! Poc _3 _ _ 3( 000L " N911SAJ1SN07 O Il11SOd HVtJ ma tt a9 Q 1914-3 �23s:) H3339 9Lk XDG 0*J — ­ Srima�Yaav nq ZZ$9l Vd `d33 -Z98 G6d aNOHJ taaHs - XVd IIIZ r9 7 LU O tyI M BZ1VS mrecte I Y rya Y 9NOMIA33 � � 1 ;aR U 9 AIpl L r� ffi 1"M g dt A. 1111 rp IN Lzi lit InET Its wM M' jL , n A � a e z = e � d o Ep �' gY I I IL wr t � � »,..... �.... .,,,.. ....,_ w. ti» f i I �, �N N01150M19N07 071 ITISOd �._..w �a 1���i�H��i� ZZB9t i i-se ?l� H033A JJ Z9B (L18J 3NOHd laiHs 041 X17A 'O'd i Met � '!U j S9W0 �a�aa 9139Z IT �« VS SHoisinaa U 9 A 0 ~x N g fit INS � �o= a - ` s`414 slit III Fiat I all d a . �a { \A 'Y f 97 m, Z i Mk a ' a � � r a H I FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-28024 Date: 10/22 01 THIS CERTIFIES that the building NEW DWELLING Location of Property: 2890 KERWIN BLVD GREENPORT (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 53 Block 4 Lot 44.11 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated NOVEMBER 16 2000 pursuant to which Building Permit No. 27000-Z dated JANUARY 5 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 ONE FAMILY DWELLING WITH ATTACHED TWO CAR GARAGE (MANUFACTURED HOME) AS APPLIED FOR. The certificate is issued to FRED & DOROTHEA T SALZBERG (OWNER) of the aforesaid building. SIIFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL R10-00-0203 OS 01 ELECTRICAL CERTIFICATE NO. N 565763 07 30 OA. PLUM13MS CERTIFICATION DATED 07 13 01 ROBERT VANETTEN Authorized° Signatu Rev. 1/81 I FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Mall Southold, N.Y. CERTIFICATE OF OCCUPANCY NO: Z-29762 Date: 10/09/03 THIS CERTIFIES that the building ADDITION Location of Property: 2890 KERWIN BLVD GREENPORT (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 53 Block 4 Lot 44.11 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated JULY 17 2002 pursuant to which Building Permit No. 28572-Z dated JULY 17, 2002 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 DECK ADDITION TO EXISTING SINGLE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to FRED K. & DOROTHEA T. SALZBERG (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMMP OF EBALTH APPROVAL NIA ELECTRICAL CERTIFICATE NO. N/A PLUNBffi2S CERTIFICATION DATED NIA Authorized Signat Rev. 1/81 � gu Town of Southold 4/24/2024 P.O.Box 1179 53095 Main Rd Od Southold,New York 11971 or CERTIFICATE ICA F OCCUPANCY No: 45140 Date: 4/24/2024 THIS CERTIFIES that the building 'SOLAR PANEL Location of Property: 2890 Kerwin Blvd.,Greenport SCTM#: 473889 - Sec/Block/Lot: 53.4-44.11 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed is this office dated 9/l/2022 pursuant to which Building Permit No. 48413 dated 10/17/2022 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: roof mounted solar panels t idwelliw r a _ liedcr. The certificate is'issued to Salzberg,Fred&Dorothea of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 48413 1/9/2023 PLUMBERS CERTIFICATION DATED Authorhz.W Town of Southold 4/25/2024 P.O.Box 1179 ' ;. 53095 Main Rd WA Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 45145 Date: 4/25/2024 THIS CERTIFIES that the building IN GROUND POOL Location of Property: 2890 Kerwin Blvd.,Greenport SCTM#: 473889 Sec/Block/Lot:- 53.4-44.11 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 9/15/2021 pursuant to which Building Permit No. 46866 dated 9/23/2021 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: aceesso in roaund swimmin oolfenced to code as a lien for. The certificate is issued to Salzberg,Fred&Dorothea of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 46866 4/23/2024 PLUMBERS CERTIFICATION DATED Auth ri ._. Signature ti � r I e � 1 � ,° �� W0� f, � �o l ,�� � ,, l 1 � �����um��.. ��� � � ,�, J��r� i �� � �' �„ � �J � �J111� �� �: �� �'i .I� uuu a ��� �� ,/ �f�, ,o� �i%/ I / / l�� � �����,/ �f�, � // / ,��� f// f ,,� ,!//%/! �%/ ,,t «� �, �l' ��� � �� � ,�i;� ���i �I�N, �' '� i r � r � � � , /f �I i � � li I �� ioio� �`�' �, i,., it j/ VON OF 1- 000 t 4 �1 0 i wxu��i ~m ,�, "'��r''�" � rr is �i ~off � ✓,u m,// I i I !, I p i r` ✓ / l J � 4/i/ �/��I 1 l/r/; '� 'Yl it � i ���. i �9 /�Y�'��' r i yi�p����� y,✓/�i /� ��i� � rr, ��>'///r � s✓/r� p t n a r a k any n