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Home My WebLink About1000-52.-5-55 �of so TO"W. N F S UTH L Rental Permit 1422 Owner: Gabrielle Stern , Alexander Stern Occupied as: Single Family Dwelling Located at: 2055 Albertson Ln Greenport 52.-5-55 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: 02/20/2026 --Xle�n Expiration: 02/20/2028 a n o mentO is This Notice must be posted by the main entrance at all times � asaa 1 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 htt :Hwy ,� ,:otitalolcltoNviiii�,.) RENTAL PERMIT APPLICATION Rental Permit Fee $300 (Application must be renewed every two years) Section A. l �>. Property Information: Rental Property Address: Tax Map Number: 1000 SECTION �2, -BLOCK 5 _ _-LOT 55 SECTION B. OWNER INFORMATION: Property Owner Name: Alexander Stern Property Owner Legal Address: Property Owner Mailing Address: (Cannot be the same as Rental Property Address) 313 clinton avenue 313 clinton avenue Brooklyn, NY 11205 Brooklyn, NY 11205 Telephone Number (s): Daytime 914 774 1949 Evening 914 774 1949 Emergency Property Owner Email Address: atstern@gmaii.com 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 Unit: Number of rooms in Rental Dwelling Unit: Use and Dimensions of each room in Rental Dwelling Unit: Dining Area: 160" x 3"0" Mudiroom 0'0" x 0'0" Deck: 20"0" x 14'0" Kitchen". 1 "0" x 11"0" 1.....ivinq Floorn, 4"0" x 20A " Foyer: "13'0" x 13"0" p:::::arnHy Room: 18'3" x 10'0" WLC1 : a"B" x 50" L-au ndr 1 "0"° x '0"" Fu11 Bath, m1�1'0" x 0'0"" Deck (Upper):: "16'0"" x 0"0"" Master, y� � � � � IC�1� ) Bedrooff'a 160" x 10'0" Bedroom En uite: 14"0" x 13'0" Deck (L.Jpper): 10"0" x 0"0"a /q1.3_�edrooma"".�°��1,0'0" x �14'0'"pI^��p^a11. �2pC��M'�ro^0"" xd"�0,p"0'" U ^I C.. 0"�9y" x/3'0"' Bedroom, &0"0"g x 14'0" 2 Car Garage: d."...3'0"" x 22'6" 1n»4,.o0. House: G.+�,..W'0" x u68" 1:::I✓oL `"0' "' x L°g M..�"O"" SECTION G. �e d d 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. ® 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. Florida STATE OF NRl>f XXEMK) Brevard ) COUNTY OF %NPO24C) Alexander Stern , 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: Alexander Stern Property Owner's Signature: � tB96 �i INDIRA FIELDS Sworn to before me this 15 day of december 2025 Notary Public-State of Florida � r Commission#HH321996 ,..0� .. Expires on October 13,2026 Official Notary Public Signature and Original Notary Stamp Notarized remotely online using communication technology via Proof. Page 4 of 4 F C1Cit TOWN OF SOUTHOLD BUILDING DEPT. 631-765-1802 5;;? I NSPECTI oAlm" N [ ] 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 (FINA [ ] CODE VIOLATION [ ] PRE C/O [ ENTAL REMARKS: h- i,i roa I �� Town Hall Annex Town of Southold 54375 Main Road n Rental Inspection Report PO Box 1179 Southold, NY 11971-1179 �z. µ Tel: 631-765-1802 SCTM # Date Owner Phone Address Visible Hamlet Inspector Floor Level Quantities Sub 1 2 3 Smoke Detectors(not located in bedrooms) Carbon Monoxide Detectors Fire Extinguishers Exits Bedrooms 1 2 8 4 5 6 Smoke Detectors Egress Occupant Count Building Systems Maintained &Operational Condition of Property Heating Building interior Hot water Building exterior Electrical Property clean, maintained &safe Mechanical Handrails&guards installed&secure Pool Safety Pool on Site Surface water alarm Date of CO issuance ll Door alarms Pool completely enclosed Self closing/latching gates Pool fence to code requirements CO's for all items present Prior Rental Comments: r SCTM # 1 U OCD--5 — 57-- 5 TOWN OF SOUTHOLD PROPERTY RECORD CARD T OWNER STREET _ VILLAGE - DIST SUB LOT V,ef ACR REMARKS TYRE OF BLD - _ PROP_CLASS R� '2_ I0 LAND � IMP TOTAL DATE SO 0 t� CcZS } FRONTAGE ON WATER HOUSE/LOT 5 I BULKHEAD _ TOTAL � 1 c \\ e � _ �,L. o�� a�-0 5 � 5TRIM WJ,7 r S� \\\� i z 0� ;l F t I 1 € F 2 I _ _ = 4 i 52.-5-55 12/23/2020 _ z 6 ; M. Bldg. 11, X = 1.SIq kQ ' Extension To}a _ � � f _ I � - Extension �� X - _SIR lC c s _. I _ LL s ; i a , i Extension Tbtq I 'Foundation C `Bath I !Dinette S :yam SC) orch - BasementUl� Floors ✓K. Porch Ext. Walls Interior Finish LR` Breezeway - - ?Fire Place Heat 1 DR. awltT- Garage _ Type Roof Rooms lst Floor LA. g= ¥BR. ® ° Patio }70 ,� 4ZoaFe., i(� X �� _3 sZ�� 3 p Recreation Room Rooms 2nd Floor 041 ; FIN. B Q 0 'Dormer Driveway 1 _ Total I ,' L4 -- 1 ✓� j�2- ,UFtrddGM Town of Southold 1/8/2022 P.O.Box.1179 53095 Main Rd 4, Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 42662 Date: 1/8/2022 THIS CERTIFIES that the building SINGLE FAMILY DWELLING Mµw wmmmm . Location of Property: 2055 Albertson Ln.,Greenport SCTM#: 473889 Sec/Block/Lot: 52.-5-55 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 6/26/2019 pursuant to which Building Permit No. _ 46910 _ dated 10/1/2021 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: n lie arr►il dwelllc vitl covered fr an p h,side stoo�,,,,rczof deck and rear c lc as.gppli for. The certificate is issued to Manos,Arlene of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL R10-19-0043 1/4/2022 ELECTRICAL CERTIFICATE NO. 46910 3/17/2021 PLUMBERS CERTIFICATION DATED 6/23/2021 M 'tuck Plu ing u o �:kd Signature .�......�...._..... t-F044ip Town of Southold 1/8/2022 P.O.Box 1179 53095 Main Rd a' q Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 42663 Date: 1/8/2022 THIS CERTIFIES that the building IN GROUND POOL Location of Property: 2055 Albertson Ln.,Greenport SCTM#: 473889 Sec/Block/Lot: 52.-5-55 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore fled in this office dated 6/26/2019 pursuant to which Building Permit No. 46912 dated 10/1/2021 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: acc,essu in- ound swiniming pool fenced to—de- applied for. The certificate is issued to Manos,Arlene of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 46912 9/21/2021 PLUMBERS CERTIFICATION DATED .......... ..... __ Signature ........... ................ Town of Southold 1/8/2022 P.O.Box 1179 53095 Main Rd Southold,New York 11971 .................. CERTIFICATE OF OCCUPANCY No: 42664 Date: 1/8/2022 THIS CERTIFIES that the building ACCESSORY Location of Property: 2055 Albertson Ln.,Greenport ............ SCTM#: 473889 Sec/Block/Lot: 52.-5-55 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 6/26/2019 pursuant to which Building Permit No. 46911 dated 10/1/2021 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: g ps r h a:t l j1pp-sleeping garage/pLcolhouse as ap lied for. The certificate is issued to Manos,Arlene of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 46911 /'17/2021 PLUMBERS CERTIFICATION DATED h ize Si n re 0 uuuuuuuuoi a / i / uuuuul uu VVVVVVVVVV VVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVVV 1 Illlllllllllllllillllllllllllll IIIIIIIIIIIIIIII 1 a. r / IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII ^ I B a ter.. `"""'°°..°.-.— .., + r ''ii� uuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuu ✓f 1,l �6 < , i u / J 1 i TOF� f fit ... � as•.., y 'i� t M CONNECTION DETAIL STRUCTURALBEA � I NTS � { � FU l 31> -° F, 1 I SINGLE-FLIT PLATE DETAIL g E NT5 E� � 1 T` � `-a�•s'` I O a ` c 3 S 171 k> MULTIPLE EL€TCHJPLATE DETAIL n u� NTS py 3 n: „a ' i'c'_E.^ .;. ... �� '. i5 mac•_" 1ST.FLOOR PLAN T � - SGAEE-ita'-t 9� £ I 1 . k ,v 1F � Y rn I 'U \ :a n -sue v crvc,�„vrzurs.ea az.v.^r�s.,..- afi I Aft A-4 . v ,, A� E: 3 „1.... .......... ..-,.i �. ..� �s is En � ++}}��,,ttRR //��//��pp ems' ns�' .s eUe�v wMx. -ax..xsm.ac LiYl..±FLlJlltt ri.t'lt�s Z e ShE - _ =s i+rw tk^ra ccoo-.[�ec e.vcucr�.+c_x j y�t �_� A-5 I ci000 NorFs: - --- ! 7 1 i r 777777 �� 1. 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