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Home My WebLink About1000-48.-1-36 A WN OF SOUTHOLD Rental Permit 1398 Owner: Kristian Iglesias , Marta Suzel Iglesias Occupied as: Single Family Dwelling Located at: 325 Seventh St Greenport 48.-1-36 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: 11/13/2025 Expiration: 11/13/2027 c°a Enforc nt Official 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 k�'ipalvy .scutholdtwr'rov RENTAL PERMIT APPLICATION Rental Permit Fee $300(Application must be renewed every two years) Section A. Property Information: Rental Property Address: - 3 (A A 4qD Tax Map Number: 1000 SECTION / --BLOCK -LOT-3-6 - SECTION B. OWNER INFORMATION: Property Owner Name: ( � Property Owner Legal Address: Property Owner Mailing Address: (Cannot be the same as Rental Property Address) ,0 s Am& r a c /3. '` ` ' Telephone Number(s): Daytime917 P S Evening Emergency Property Owner Email Address: o yx 4 1 w 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: '� .1 t114+h 4cuS 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: 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. 0 1 am requesting a fire safety inspection to be performed by a Code Enforcement Official from the Town of Southold IZ/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 r� .°" ` A _, 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 Site Manager. Property Owner's Name: rs* 1 .''oAS Property Owner's Signature: Sworn to before-me kh V`day of NQV�", 20 Z)/-- Official otary Public "gnature and inal otary Stamp Btu TANY A cON A C ofar F00 Stag of t York fa C ter. r^ eoaisn Syaqolk t:,ouraf� f( Page 4 of 4 so TOWN OF SOUTHOLD BUILDING DEPT. 631-765-1802 /—,3 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 (FIN L) [ ] CODE VIOLATION [ ] PRE C/O [ RENTAL REMARKS: A-04 6 OaXS017OdGv A w"v( .5,4ye, 1/7 /&,m Town Hall Annexes »4 Telephone(631)765-1802 54375 Main Road ; Fax(631)765-9502 P.O. Box 1179 Southold, NY 11971-0959 � 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 Horne Inspector must provide copy of valid current certification Rental Property SCTM Number: DC10 Rental Property Address: 2 6±4�4o) Owner/Name: Rental Dwelling Unit Identifier: Number&Square footage of each bedroom as depicted in the attached floor plan: (i.e. Bedroom#1 —100 sgft., Bedroom#2—90 sgft.,etc.) tA r e 41tym " " 1 lelet Property Description (include all improvements indicated on survey) 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 Main trance Code/ ew York,State s and the Energy Conservation Construction Code of New York Stat e Print Name and Title ' inal Signa Please place Professional Seal: t TOWN OF SOUTHOLD PROPERTY Q n OWNER S-1 l VILLAGE DIST. SUB. LOT FORMER OWNER N E AGR. S w TYPE OF BUILDING o _ SEAS. VL. FARM COMM. CB. MICS. Mkt. Value LAND IMP. TOTAL DATE REMARKS l , f t. F j i [ F I i _ I i AGE BUILDING CONDITION NEW NORMAL BELOW ABOVE FARM Acre Value Per Volue Ac re Tillable FRONTAGE ON WATER Woodland FRONTAGE ON ROAD Meadowland 1 DEPTH ' F House Plot I BULKHEAD I Total DOCK i � I t l U a s P AN t M. Bldg Extension a _ _ 2 Extension -- , d_ Extension Foundation Bath C�ia c;te Porch Basement :Floors K. Porch Ext. Walls f `Interior Finish LR. I Breezeway (Fire Place Heat ,_ CDR. �3s - Garage , =_,'Type Roof Rooms ist Floor . Patio Recreation Room Rooms 2nd Floor F71N, B O. B. Dormer ,. Driveway Total � �® i i FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. PRE EXISTING CERTIFICATE OF OCCUPANCY No Z-25074 Date JUNE 6, 1997 THIS CERTIFIES that the building ONE FAMILY DWELLING Location of Property 325N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 48 Block 1 Lot 36 Subdivision Filed Map No. Lot No.� conforms substantially to the Requirements for a One Family Dwelling built Prior to: APRIL 9 1957 pursuant to which CERTIFICATE OF OCCUPANCY NUMBER Z-25074 dated JUNE 6 1997 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 ACCESSORY GARAGE The certificate is issued to FRANK & FLORENCE CORWIN w (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A *PLEASE SEE ATTACHED INSPECTION REPORT. 100* ,,e�^,i,Yding Inspector Rev. 1/81 BUILDING DEPARTMENT TOWN ursoumoo voonzwo omDc Innrucrznm nnrnnz (a/k/=/ 440) /.ncxrTnmz 325 rvw STREET ____-___-___�?��@� ----'—T iT-- �°°.~orxnmx^��» unonzvInIom ____nx, nn._______ wxmo OF onmsn (") FRANK D. mORWIN__________________ oCcunxmcr x-| aau. OWNER -----K -------'-------- -- --- -----l��er-te"antr--- xmuzrrsn BY: zm xccmwpumuno oY ----��-�\n KEY xo^v�4m/. nxp mn_ SAW __ .................. __ mnoaco or REQUEST: FRANK FLORENCE CORWINoxTm: MAY n /p*r �_-__ I nTnnzn�� w nnIno aTYPE OF pmOo FRAME FOUNDATION CEMENT BLOCKxou.xx FULL nnxnL orxco - - - 'mrx/. nomwx, /oT pLu. 5zmn rI.n. 2 3xn FLn'________ nxzonoow (v) zn/xxr nuna (°) or��rY PORCH TYPE ancu, rYpn PATIO._ onooznwxY FIREPLACE oxnuGo nowoozm noxWxTonYoS rnpu HEATER OIL uznnnmnxzznmImo rrrn nu _ wumm xIn nomwTnn�____ onIcn: ACCESSORY STRUCTURES: oxxxnn, TYPE OF uONnr'_ oCAR CONCRETE BLOCK or"nxoo, rveo cnnxr. ow/mwImu non� ~ oounr, zYrn nrxs�� ____ ---------------------'------~--------------------------------^--------~--------~------- VIOLATIONS, C� _ _ mnrno �� m r srxzn vm/rnna r/nc rnxvuwr/nw « nnILnzmn nono I.()CAT ON DESCRIPTION REMARKS:— , /mxrocTvo m� DATE OF `~~^~^^^`~ MAY zwm� TIME START _u�:4o_AN__ END _11-V0_AN�_ Heat Exchange Oil Tank Smoke/CO detector Smoke & CO Detector locations Basement 440 (aka325) 7th street Greenport, NY 11944 —Smoke detec Living Room Kitchen Dining Room smoke/CO detector CO detector smoke/CO detector Bedroom Smoke & CO Detector locations 1st Floor 440 (aka325) 7th street Greenport, NY 11944 Bedroom Attic Smoke/CO Smoke/CO Bathroom Smoke detector Bedroom Smoke & CO Detector locations 2nd Floor 440 (aka325) 7th street s Greenport, NY 11944