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1000-53.-5-5
of so TOWN OF S UTHOL Rental Permit 1385 Owner: John J. Nolan & Rita J. Kavanagh Occupied as: Single Family Dwelling Located at: 465 Tarpon Dr Greenport 53.-5-5 Maximum Permitted Occupancy: 4 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: 10/15/2025 Expiration: 10/15/2027 c cle E or ement Official This Notice must be posted by the main ent ance t all 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 ltt s: . cwtholdt> n o RENTAL PERMIT APPLICATION ..� Rental Permit Fee $300(Application must be renewed every two ass r5 CDA Section A. 100101 Property Information: ° Rental Property Address: „ Tax Map Number: 1000SECTION �J 0D -BLOCK O -LOT 0ds - 000 SECTION B. OWNER INFORMATION: Property Owner Name: :Jc—, r r4OLA-f'3 Pu TA -j" KRv"k&-b+- Property Owner Legal Address: Property Owner Mailing Address: (Cannot be the same as Rental Property Address) �3 Leg eq, , a pi u E 3 3 Telephone Number (s): Daytime 516—on:�' Evening '5 I6.65o• Emergency S16,65a - Property Owner Email Address: fj�_ O - Page 1 of 4 Section C. Authorized Agent Information: Name of Authorized Agent of dwelling unit, if any: A1QWG Address of Authorized Agent (no P.O. Boxes): Mailing Address of Authorized Agent: Telephone Number (s): Daytime Evening Emergency Email Address: Section D. Managing Agent Information: Name of Authorized Agent of dwelling unit, if any: 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: A(QW Address of Managing Agent (no P.O. Boxes): Mailing Address of Managing Agent: Telephone Number (s): Daytime Evening Emergency Email Address: Page 2 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: 41, Requested Maximum number of persons allowed to occupy Dwelling Uni Number of rooms in Rental Dwelling Unit: 1 Use and Dimensions of each room in Rental Dwelling Unit:_ 1� " 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. 1Z I 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) ) COUNTY OF SUFFOLK) I kri, ffev " ` �-1h , certify under penalty of perjury,the following: _ � its 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 Site Manager. Property Owner's Name: row 'uej `t- 1? k'-1V Vd, Aji e,. J z.. Property Owner's Signature: CONNIE D.BUNCH Notary Public,State of New York No.01 BU6185050 q Qualified in Suffolk County Sworn to before me this/ ay of "� ' , 20�� Commission Expires April 14,2ba� Official Notary Public Signature and Original Notary Stamp Page 4 of 4 TOWN OF" UTHOLD 61JILPING DEFT. 631-765-1802 INSPECTION , [ ] FOUNDATION 1 ST/ REBAR [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] IN LATION/CAULKING [ ] FRAMING /STRAPPING [ ] INAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PEN ' RATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (F AL) [ ] CODE VIOLATION [ ] PRE C/O [ ] RENTAL _(qLa�v A4 l gyp'Y` DATE 10 W)o INSPECTON TWA OF SOUTHOLDPROPERTY RECORD STREET VILLAGE DIST wo. LOT FORMER OWIERz N E ACR. cl r� •;�- �� 1 r �� ) S W TYPE OF BUILDING RES. i SEAS. VL. FARM COMM. CB. MISC. Mkt. Value LAND F IMP. TOTAL DATE REMARKS f . ,` tiPl- 77 co t � _ 2 ter . AGE ; BU.I�DING CONDITION —_ z x� r FARM Acre Value Per Value • Tillable-- _ �, (f °. �� � '° �� `..; s L� i Tillable-2— # �� 2 i ` r70, Tillable 3 ), �©' - 0101 Woodland Swampland ' FRONTAGE ON WATER 1 s Brushland 1 FRONTAGE ON ROAD House Plot DEPTH l I 'BULKHEAD e 4 ' Total 1DOCK - 46Z AL -_ LCR [ € i : f E • , 1 E _ I t 7 71 1P I } y E i 3 i I € s 3 51-5-5 12/16/2020 I I Fun ' Bath Dinette M. Bldg. -- o dation . I i s Extension i j > v. Basement I __- , = _ K.Z- Floors 4 i Interior Finish LR. Exterrsrar i D /` Ext. Wails Extension r q •- ' ' 1, =F"re Place Heats 1-1 4 DR 'Cie.CL' Kea 232 �2 S� Type Roof Rooms 1st Floor BR. l3at�n E _ w - Parch !Recreation Room, I Rooms 2nd Floor V� �Qf FIN. B. Porch ,Dormer ; Driveway Breezeway42 i . !� Garage p ?� o 1570 1 l I�E1� i1 1 s . I Total i FORM NO,4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hail Southold, N.Y. Certificate Of Occupancy No. Z 1 1 396w µ a Date . . . . . December. 2ry1µ . . . . . . . ., 19 82 THIS CERTIFIES that the building . . . , . . . . . . . . . . . . . . . . . . . . „ „ . . . , . . . . . , . . . . . . . . . . . . Location of Property 465 Tarpon Drive Southold . . House No. Street Hamlet County Tax Map No. 1000 Section . . .0 5 3. . . . . ,Block . . .Q 5 . . . . . , . . . .Lot . . .Q 0. . . . . . . . . . Subdivision . Shores ., . 4 , , „ „Filed Map No.3853 . » . ,Lot No. .48. . . . conforms substantially to the Application for Building Pen-nit heretofore filed in this office dated . . . . . . , , 19 8 2 pursuant to which Building Permit No. 1 1878. . . . . qZ dated . . . . Aut;us t .26. . _ . , . . . 19 82, ,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. private one—family dwelling. . , , . , . . . . . . „ . . The certificate is issued to . . . . . . . . . .LEONARD & BETTY L. GIALTERS !owner,/aweof-tet� of the aforesaid building. Suffolk County Department of Health Approval . .1.2-5�.:? ,. 1.1/24/82 Villa, P ,F UNDERWRITERS CERTIFICATE NO. . . . . . . . . F . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Building Inspector 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. Z12329 . . . . Date March 8, 1984 . . . . . . . . . . . . . . . .. 19 . . . THIS CERTIFIES that the building , Garage addition to existing dwelling. . . . . . . . . . . . . . . . . . . . Location of Property ,4b5, Tar n po .Drw.w w . . . , , „ . . . . . . .Green ort ' . . House No. Greet Hamlet County Tax Map No. 1000 Section . .0 5 3. . . . . . .Block . . . . . . . . .Lot . . . . �.5 . . . . , . . . . Southold Shares .Filed Map No. 3853 . .Lot No. 48 Subdivision . , . . . . . . , , . » . . . . . . . . . . . . . . . . . . . . . . . , . , . . . conforms substantially to the Application for Building Permit heretofore filed in this office dated April 2 8 . „ „ , 19 8 3 pursuant to which Building Permit No. .122.88Z. . . . . . . .. . . . . -dated . .. QriI. ZR . . . . . . . . . . . . . . . • 19 8.3 ,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 . , . . . . .. . . Garage ,addition to, existing ddwelling . . . . . . . . . . . . . . . . . . . The certificate is issued to . Leonard. & Betty l� t rs , tovvn r,to or*tevsand of the aforesaid building. Suffolk County Department of Health Approval . . . . . . . . .. . . P0 . . . . . . . . . . . . . . . . . . . . . . .. . UNDERWRITERS CERTIFICATE NO. . 624423 . . . . . . . . . . . . . . . . . . . . . . . . .. .. . . . . . . . . . . . Building Inspector 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 Z18006 Date MAYS 1989 THIS CERTIFIES that the building ADDITION Location of Property 465 TARPON DRIVE SOU OLD House No. Street Hamlet County Tax Map No. 1000 Section 053 Block 05 Lot 05 Subdivision SOUTHOLD SENORES Filed Map No. Lot No- conforms substantially to the Application for Building Permit heretofore filed in this office dated 3'AN. 4, 1989 ursuant to which Building Permit No. 17745Z dated JAN, 6, 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 ADDITION TO AN EKISTING ONE FAIII+Y DWELLING.. The certificate is issued to B Y WIL 1 (owner, E' of the aforesaid building_ SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N069702 MAY 2 1989 PLUMBERS CERTIFICATION DATED, JOHN E_ WALT.ERS PLUMBING 47 89 Building Uspector 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 Z18070 Date JUNE 1 1989 THIS CERTIFIES that the building ADDITION Location of Property 465 TARPON DRIVE GREENPORT House No. Street Hamlet County Tax Map No. 1000 Section 53 Block 05 Lot 05 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated MAY 4, 1989 pursuant to which Building Permit No. 18106Z dated MAY 10 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 DECK ADDITION TO EXISTING ONE FAMILY DWELLING. The certificate is issued to WILLARD BARRY {owner, } of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL NIA, UNDERWRITERS CERTIFICATE NO. N A PLUMBERS CERTIFICATION DATED N/A Building Inspector Rev. 1/81 FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.X. CERTIFICATE OF OCCUPANCY No Z-22492 Date AUGUST 2 1993 THIS CERTIFIES that the building LTICKS Location of Property 465 TARPON DRIVE GREENPORT. NEW YORK House No. Street Hamlet County Tax Map No. 1000 Section 53 Block 5 Lot 5 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated MAY 4, 1993 pursuant to which Building Permit No. 21403-Z dated MAY 11. 1993 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 ADDITION & DECK ADDITION To EX:rSTING ONE FAMILY DWELLING AS APPLIED FOR_ The certificate is issued to WILLARD EARRY (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N A UNDERWRITERS CERTIFICATE NO. N-284119 - JULY 27 1993 PLUMBERS CERTIFICATION DATED N A i wild ng Inspector Rev. 1/81 £ B ClzawL eM�ry�'4�C1�} �'1,0Y 3 wl kFN AtSUtrx F.q�Qe Pn4 �` [# ( �s ' � � '�NYilc KGEs•�$ YHNw 1 x -" CA 1 _ 0 g ,q3 M ( � 6 i r z s 1 , ntr I OCCUPANCY OR USE IS UNLAWFUL _ F a = WITHOUT CERTIFICATE e OF OCCUR x FOR POURIDN CONCREtf 3//t £ 4f S.ROWN-ON FRAMING a PLUMSING • - - of tr.-Lzkwk ,IIATB RCERTIF104T10N .. Phone477-0400 Mein Road 4.FINAL - CONSTRUCTION MUST UNDERWRITERS CERTIFICATE _ ,j'O E�BEFQ E ' aLL COMGTWJCMM P6fiPSFOR bwu Me�T REQUIRED CVMMAT OF OCCUPANCY GRCEN PORT,NY.11944 Twfi a ENEAGY SOWERUSED IN WATER com XFN'mmpctmu FOR SUPPLY YRTE I CANNOT PEW FOR EXCVfD 2110 of 1 sA(?> Iowa,i ALM UN ea73 icr r I .a t r^ r I � te It Vv �,4oVRET? COW, 17 4�4a S/yt DICE , o�reC-ro r _ Xi 4 ??Er lop Li e z � - p-` 1 It � • �- AND iqk Law OQ �- g c ► 21'��a" s►'—d' t , f T7 dyV4 ; < 01 t E f y 4, K e 3 3 E i 91 1 s j5r,ttf,� t+vi✓� �•� i k • ,AAA i� f ep �a¢s SZs��CENC6 4 9T !� Touw a aTnd