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HomeMy WebLinkAbout1000-47.-2-22 TOWN OF S UTHOLD Rental Permit 1339 Owner: Patrick Bencivenga Occupied as: Single Family Dwelling Located at: 935 Shore Dr Greenport 47.-2-22 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: 06/25/2025 Expiration: 06/25/2027 d 0 rcement Official This Notice must be posted by the main entrtcet TOWN OF SOUTHOLD—BUILDING DEPAI N1` 40.'�" Town Hall Annex 54375 Main Road P. O. Box 1179 Southold,NY � ' nit "town of SotioW Telephone (631) 765-1802 Fax (631) 765-9502 Igtks://www.sou.tlioldt, n g;0,�� RENTAL PERMIT APPLICATION Rental Permit Fee $300(Application must be renewed every two years) 5e e ik Section A. Property Information: Rental Property Address: Tax Map Number: 1000 SECTION — 1 -BLOCK -LOT SECTION B. OWNER INFORMATION: Property Owner Name: Property Owner Legal Address: Property Owner Mailing Address: (Cannot be the same as Rental Property Address) ,-r " Telephone Number (s): Dayti:411-:;!�9Y t �E ing Emergency l _ Property Owner Email Address: c- t 1i Page 1 of 4 SECTION F. PROPERTY DESCRIPTION: Number of Rental Dwelling Units on property: l.J 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: Number of rooms in Rental Dwelling Unit: Use and Dimensions of each room in Rental Dwelling Unit: K'i�-c ke- k, . 4 ell �60 Art r 1 , •' 46 ilk, 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 ❑ 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) ) O NTY OF SUFF LK) I 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 ° e Manager. Property Owner's Name: "" vle Property Owner's Signature: -rv, Sworn to before me this day of May , Official NotarVPublic Signature Vao2r�iinal Notary Stamp TI~ACCY L. DWYER NOTARY PUBLIC,STATE OF NEW YORK NO.01 DW6306900 ("J!VFIED IN SIXrFOLK COUNTY COMk PMON EXPPAC-S DUNE:X,2- Page 4 of 4 v o. z O a v CJ Ly a.i 10 a zi f rv' ay �Y iCs a C7 Qn[ cis ca 4}4 uD z S. 0 f41 49 QYL 4.Y ss 21 'c pppuIu� _ ... n„r � 12 f er — ry M� fAg.,v pIIIIIY CD U)Y F R ........ wwM..,.....,...m� <X IV czFour Cy Iv If3 Ij h � � LL— i7 rrr v LL'_ a o�rr, %gyp/ �D044., TOWN OF SOUTHOL.D BUIL.DI G DEPT. 631-765-1802 INSPECTION [ ] FOUNDATION 1ST/ REBAR [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] I ULATION/CAULKING [ ] FRAMING /STRAPPING [ FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANYPE ETRAT"ION ELECTRICAL (ROUGH) [ ] ELECTRICALAL) CODE VIOLATION [ ] PRE C/O [ ENTAL RE KS 'PA Villil'AAA RATE IINMSPECTOR .. z TOWN OF SOUTHOLD PROPERTY RECORD CARD z = ' STREET VILLAGE DISTRICT i SUB LOT N e ACREAGE } s S W TYPE F BUILDING s - � L,' ; ' 4tl Tn__A_ DATE REMARKS , Aw- QL- _n e AG v BUILDING CONDITION r NEW NORMAL 6 El-L UN-V ABOVE Farrar Acre owe Per Acre vo[ue iiIC7ble 1 `� `��a I`�� � \,l Senn�s I u,b- 3 _ ` .v ic,nd wompland rushland -lam . 01M 1E C--3 L, (�?C) 4��,�` i r VV\ • I E i I I f I IT[ • 3 s F 47.-2-22 1 3Q 2019 f f 7 C' _ Alt 3.o © � i M. Bldg, Foundation ion Bath 4 I F Extension J Basement #£` Floors Extension ? Ext. Walls -� C (-c � .� Interior Finish Extension Fire Place (1 Heat 4A kA I � Attic Porc;i Rooms 1st Floo, " Breezeway Patio Rooms 2nd Floo ? Garage Driveway f i � 0 S00 Town of Southold P.O. Box 1179 53095 Main Rd Southold, New York 11971 _..._... .........� PRE-CERTIFICATE OF OCCUPANCY No: 46273 Date: 06/25/2025 THIS CERTIFIES that the building PRE-CO Location of Property: 935 Shor 1°)r (.'iKe pprc',aq ' 11944 Sec/Block/Lot: 47.-2-22 Conforms substantially to the Application for Building Permit heretofore, filed in this office dated: 06/17/2025 Pursuant to which Building Permit No. 52033 and dated: 06/25/2025 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: Wood frame single family dwelling and wood frame accessory shed as applied for. Violation: None The certificate is issued to: Patrick Bencivenga w _....._m�_ _ _..w. _..m_._,,,_ww.. ............mMm..ww... Of the aforesaid building. Please see attached Housing Inspection Report. Atztl trice Si nature Housing Ins e+ction Report Property SCTM # 47.-2-22 Property Class: 210 ONE FAMILY RESIDENCE _......... _.....aa... ...........�.._.._...._ ....�w_.ww_.... .. www_.......... w_ ..... ....._... .Addressor_._....... ._.935 Shore Dr _......_.....�_ , ....... _..... .w.......... Hamlet: G re e n p o rt..._ .._......__.....m.._........_..._ __.._............... w.wwww..._...�... Owners: Patrick Bencivenga Condition of Property: Structure Type of Construction: Wood frame Number of Stories: One Foundation Construction: Cement block �w ITMwmmM ww Number of Exits: 2 ._.__,., Finished Basement: Cellar:__w._...... w Cellar..._«..._ _......... .._._....__ .www Crawl Space: . __. .. �_. w_ww ....................... __....._-..w._................. � . Deck---- Breezeway:w... __w _�w... —...Type: .. _w_._w.. _...... � ___...... .....m_ Porch Type: Patio Type:. Mudroom: Building Systems .Type of Heater: Electricww__....._._M_.......�.........mm.... ..........ww.w_.... ww..... _Fuel Type: _.....Oil .._orµ .ww .. w..._....._.._ , .._....._.__ ............_m..w__._.. Hot Water: Yes Electric Panel: mmw.........._w...�...... www .....w..__...�.ww __. __.........._ ..�.._........... Air Conditioning: . Fireplace:. Dwelling Components Rooms/ Floor Levels_....- ..Sub._.... 1. 2... _ ....__...3._.._ ..�_�.�..�...._...__ ............_..Additional Items:... ..�.n�.�_....._�_._.M.�.__....�.ww� Kitchen 1 .....w ..... ....._....... Living Rooms DiningRoom_...........w_..�...................... _.........._ .. Bedrooms2 _........._...__...... min_ _......._. w_.._...�.......w __._.��_._.....w._�..._..mm.....w.w..............�._.--------_,. . .�. Bathrooms_._....._ ......w.w_w.....,.w w__ ___.__w ?_.......... _w_. _ ._w_.....___. w_.... _. w_.__..�.._ . _ ___.._w .. ............_.w Toilet Rooms Utility_...mRooms .._ wwww ...._w__. .....-__ _._ ......... ,.�.........�..Hw _m_. ....... ._,w.._. _.. _........ ��_w Entry Areas w.Other.._..._..............-...Crawl space o.�..._�._..��.� ............_.._ p only Accessory Structures: _Garage: Construction:wwIT w __........_ _w._.ww...._._..wwww_.........._..w_ . Foundation____ _... _. _ ......m_.._ ..�_. Barn: Construction:._..w ___wwwwww.. nstruction:. _Shed.:...� w . One _ ....Construction: WWoodfram.e.........._._�Ww -- __w_.... mmFoundation:_ �w__ �.. ._ w . ...............�....... ._�._ Sleep Quarters _ .... Kitchen Facilities ........... ....�wwww...... Plumbing: w Swimming Pool: . Other: Comments: Violations: Inspected By: John ec Jarski Inspection Date: 06/24/2025 .. _ www._........_ �.......w_.._ w_ ._ p._�..._...... ..... .__ Of SO o Town of Southold P.O. Box 1179 53095 Main Rd Southold, New York 11971 CERTIFICATE OF OCCUPANCY No: 45851 Date: 12/19/2024 THIS CERTIFIES that the building ALTERATION Location of Property: 935 Shore Dr green ort NY 11944 Sec/Block/Lot: 47.-2-22 Conforms substantially to the Application for Building Permit heretofore,filed in this office dated: 11/02/2023 Pursuant to which Building Permit No. 50049 and dated: 11/20/2023 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 alterations to an existing single-family dwelling as applied for. The certificate is issued to: Patrick Benci n a Of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL: ELECTRICAL CERTIFICATE: 50049 9/24/2024 PLUMBERS CERTIFICATION: Joseph Wiftecavage 7/8/2024 uth ` ed ignature k F0ZX xa s TOWN OF SOUTHOLD WELDING DEPARTMENT Town Clerk's Office Southold, N. Y. Certificate Of Occupancy No. Z6 + . . . . . Date . . . . . . . . . . . .! . . . . 22. . . . ., 19. 75 THIS CERTIFIES that the building located at . 8.49rl. P34YA . . . . . . . . . . . . Street Map No.4pt... US. . . Block No. . . . . . . . . . .Lot No, . I.Q.*. 011. . . .4rlexpgrt . . . . . . conforms substantially to the Application for Building Permit heretofore filed in this office dated . . . . . . . . . . . . . ."y. . . , 19. .74 pursuant to which Building Permit No. . .7243Z dated . . . . . . . . . . >�y. . . .9. . . ., 19.74., was issued, and conforms to all of the require- ments of the applicable provisions of the law. The occupancy for w 'ch this certificate is issued is . .PrlvaaU aoc"sorr .(s g*). b�.d g. . . . . . . The certificate is issued to . -4410. U. . . . . . . . .00or. . . . . . . . .. . . . . . . . . . . . (owner, lessee or tenant) of the aforesaid building. Suffolk County Department of Health Approval . .NOR* . . . . . . . . . . . . . . . . . . . . . . . . . . . . . UNDERWRITERS CERTIFICATE No. A.R. . . . . „ . . . . . . . . „ . . . . . . „ . . . . . . . . . . . . HOUSE NUMBER . . . .935. . . . . . . Street . . Shoran, Road. . . .ar+ 4%p9rt. . . . . . . . . . . . . Building Inspector FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z19525 Date NOS; ER 21 1990 THIS CERTIFIES that the building ADDITIONS Location of Property, 735 SHORE DRIVE GREENPORT House No. Street Hamlet County Tax Map No. 1000 Section 047 Block 002 Lot 022 SEC. ONE Subdivision. GREENPORT SHORES Filed Map No. 1759 Lot No. 1.0 conforms substantially to the Application for Building Permit heretofore filed in this office dated DEC. 23 1988pursuant to which Building Permit No. 17732Z dated JANUARY 4, 1989 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 ADDITIONS TO EXISTING ONE FAMILY DWELLING. The certificate is issued to ROBERT AND JOAN BASSOLINO (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL fA UNDERWRITERS CERTIFICATE NO. N149010 SEPT. 13 1990 PLUMBERS CERTIFICATION DATED ROBERT BASSOLI'NO AUG. 20E 1990 ui. ding Inspector Rev. 1/81 s � tl � Town of Southold 9/12/2023 P.O.Box 1179 ram. 53095 Main Rd Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 44524 Date: 9/11/2023 THIS CERTIFIES that the building ADDITION/ALTERATION Location of Property: 120(aka 13) Silver Ln, ireenport ww�................................ ......www... SCTM#: 473889 Sec/Block/Lot: 47:2-2 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 7/6/2023 pursuant to which Building Permit No. 49585 dated 8/16/2023 ............. ..._..............— 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: `a built""ells c sand addi i n in 1 din nclr e a ch convert tq-1iyjpg,.sppqe,with enty depkL i tin singe " rail dwellina as annfied for. u r The certificate is issued to ' Lekkas,Irma A of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL 'ELECTRICAL CERTIFICATE NO. 49586 9/5/2023 PLUMBERS CERTIFICATION DATED 7/5/2023 *A�t� riz as _.w . inattrre _w..._w_....._