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HomeMy WebLinkAbout1000-42.-2-10.5 (Unit 7) TOWN OF SOUTHOLD Rental Permit 1467 Owner: Greenport Group LLC Occupied as: Apartment - Unit #7 Located at: 920 Chapel Ln Greenport 45.-2-10.5 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 arran ing for the bi-annual inspection. Issued: 05/12/2026 Expiration: 05/11/2028 cod fn et official This Notice must be posted by the main entraoceattim s s , 'Z'own�Jl A»nex �'eiephiane(t43t)7G5�-18((�2 4 ,54575M.WA ROM P,Q.;Box:1379 �ww P" Soufftold.-NY f 19 7{=9". TowN of SOS OLD �y �(n7;.f7y r,°camr 7T. ftKWA1 P IT "-A7"itl . Rental ftrMit Fee $200(Application maw be rvn9wC-d 9very t O yePrs) Section A. Uo *4- # 7 Property (nfOrmatio. . Rental Property Address: Tax Kap Number: 10 SEC110 l � i~,4T SEMON B. OWNER IMORMAT1ON: 0 Property owner Nernei � Propert_}V owner Legal Address: Property Owner Malling Address: Telephone Number(s): Daytime- t*"08 13 l&rr n .Emergency PrvPorty Corner Ernail Addrett, O.A „ P�. Page 1,0f 5 Town F�tt11 retie Telephone(63 1)165-1802 Fc(63 1)7,65-9502 p 0,Sox It 79 URMING DEPART48W TOWN F SO OLD section Authorized Agent Information: Marne of Authorized Agent of dwelling unit,if an Address of Authorized Agent(no P.O. go Mailing Address of Authorized Agen .w Telephone Number (s):D yti ___Evening_� m rgen y tmif Address: �-�-- Section Q. Managing Agent:Information:. Name of fitrthoriz�ed Agent of dwelling unit,if any: � Address of Authorized Agent(no P.O. Boxes):--!;a ��� 40 Mailing Address of Authorized Agent: P Telephone Number(s):Daytime I."' ' erring Emergency Email Address: '3L L SECTION E. SITE MANAGER INFORMATION:(r tal properties containing a or more rental units) Name of Managing Agee of d relll 'g unit,If any: Address of Managing Agent P.O. Page I of 5 rvMµ, a '�� i iS � { ry Tele0 tie(631)7 5-180 : s ( 31)765-9,50 '4�75 On 10 4 tR i t„,1j(.r) P"() 01SPIARDARNT TOWN OF . O VIIHOLD M;ajlIn0Addr6ss bf its neging;,Agent. T' le0boo i�d1, 'lrs� 'laytllnmeninl ,p t'rtr ' y .,, SECTION F. PROPERTY DESCRIPTIOW Number of Rental Dwellil Units on property; For eath ROM91'DwellingUnit set forth the Reft0l Dwelling U1tlt Identifier(%r example; Unit 1, Unit 2,Unit 3 or Apt A;a',c).the usa pf+ ac#1 roiam in the'Re"tel Dwelling Unit (for example, Kitchen,Bedroom 1, Bedroom 2, Living Room)and the dlrnelnsions of each room.. For properties with rr ultii0e Rental Dwelling Units use O'�Rental:Permit Application Add d. a" 'Reinta1 Dwelling Vhit idi§ntif1 r Requested Maximum nurn er Of persol is'a 11d e4 to + cupy Dwelling VnitR Number of roornt in �ntAl Dwelling Unit: Use and Dlmen.siuns,of ea It Ott l m its w�� w a R'L",Nazi"J'tlM,%.,:k,dtl'�nttdL'Y«'a;7w"^."". k"dui4w;zbwv+:Sm2:wm.rJuua',H.m�w mwwaawwumrwwuw .w°.r,i a wrnw�w:rvin.avw wm µ Town HA Atin6x i37 Sli i$ C ti Fax f63 L) 6 9+C. a F.0-60A Southold,NY 11971-0959 TOWNOF 80t"OLID $E TION Gj ild,SPECT'ION: Pursuant to the Town Code of the Town of Southold Chapter t 7(Rental Properrlesl,a safety Inspection by Code Enforcement Official is required. If the owner ehopses not.to have said inspection performed by the Town, a certification from a licensed architect, a licensed proIfessioq al engineer or a horne inspector who has a valid New York Mate Uniform Fire Prevention Building Code Certification is required stating that the property which is the subject .. .... . . . . . . . of the rental permit application is in compliance with all of the provisions of the code of the Town of Southold,the laws and sanitary and housing,regulations of the County.of Suffolk and .by the laws adopted by the New York State Fire'Prevention and Buiiding:Code Council. 1 am requesting a fire safety Inspection to be performed by a Code enforcement 4fficlal from the Town of Southold a i am submitting a comple ed Town of Southold certification form from a licensed architect or a licensed professional engineer, SECTION H. _ .._ .... .._. DECLARATION.- Signature must be notarized ed ond! USr be the cawnerof the diffolfing unit STATE OF NEW YORK). COUNTY SUFFOLK) certify under penalty of perjury,the following. 1, 1 m the owner of the property identified in "Section.Vie" of this application. The property owner's legal address set forth irt"$ectipn 8" of this application Is my legal address and f understand the Town will use the address for service pursuant to all Page 4 of 5 u Telephone<53 765-1 1 Town Hall Anmx 54175 Make R �� � (Oat)�t55-�5U2 P10i BOX It 79 ` aoistlh ld,NY:11971 M 59MJILDING DEPARTMENT TOWN of SOUTHOLD pplicalbie laws and rubs; I further acknowledge that 1 will n014 the Town of Southold Building Department of any changas of address within.five(5)days of any changes thereto. 3. i have read and re elved a copy of Chapter 207 of the Code of the Town of Southold and agreed to a4ide by the same. 4: I will lnotIfy. the Town Within.five,15)busing-ss days as to arty�hartae to the information regardin8 Authorized Agent, ivlonagirig Age*tt or Site M nager, Property Owner's Name Prc per. Owner's Signature: Sworn to before me this; dray of offlclat Notary PubllcSi ature:and 0elginal Notary.$tamp DIEGO F VARELA Notary Public-State of New York NO.01VA6392915 Qualified in Suffolk County My Com'mission Expires Jun 3, 2023 Page Sof5 T'eteptma(63 i�Z65. �802 ern e13 Annex µ Fax(M 1)765-95b! 375 Mein P-aad P.O.130K1179 ' thoid,NX11971-0"�9 N" Grllx x' � j,V fj-D1N4b DER' R 1 RIVN 1 TOWN OF So OLD RENTAL PERMIT APPLICATION ADDENDUM Dental dwelling Unit Identl 1 r. Requested maximum ni rnbe ����ed to occupy each d.w0llitig unit —�, Number of Rooms In Rental Dwelling grit. Use and OirsiensiOn of each room: -------------- Rental ©Weilft UNifi Identifier Requested ax-rmum numberof persons allowed to occupy each dwelllrig unit:. Number of.rooms in Rental Dwelling Unii: . � Use and Dimension of each roOrn: Rental Dwelling U ilt Identifier; Requested maximum tttimber of persons allowed. d to occupy each duelling nI Number of Room**In Rental Dwelling Unit: Use and.plmension of each roti " Tetephone(b3t)765-1902 'own HWI Astit*X � "INC ,(M 13 7i63-95 2 k 5�437a N4�kn Road iM . Southold,NY 11971-"M 9 *, 1jUILDINO DEPARTMENT TOWN OF BOLIMOtm RENTAL PERMIT APPLICATION ADDENDUM Rentarl towelling Unit id+entif cir.: Requested moxirnum number of persons allowed to occupy each dwelling unit: Number of Rooms In Rental Oweliing unit: �^ Ust find i l nen i n of each rOOrn: Re.hta bwel€trig Uilit tdenti itr:: Requested m g&lrmum:numherof persons allowed to occupy each dweill rig unit: .- Number of roams In Rental Dwelling Unit. Use and Dimension of each room: AW Rental Dwelling Unit Identif r: Requested maximum number to occupy each drilisg ni Number of Rooms in Rental Dwellfng Unit:— Use ans Dimension of each roor i so co TOW O �O T�OL.D BAIL I IG DEPT. 631-765-1802 ', Ao' wqh' E "T I Ok N I Nbr t.; [ ] FOUNDATION 1 ST/ REBAR [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] SULATION/CAULKING a [ ] FRAMING / STRAPPING [ FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ FIRE RESISTANT FE O TRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL ( NAL) [ ] CODE VIOLATION [ ] PRE C/O [ ] RENTAL .r REMARKS: I T DATE lNSPEC,7T0ffR&ygW;: CERTIFICATE4COTTAGES ul TOWN 9F SOLD BUILOING DEPARTMENT Town Hatt h*f ;N.Y. colotatey LWAter Cunty Tax Msp W 1,000 section .h s. .. .," .., �.. 'Cunfoxw to,fha APPUCAIaft for Dullft hmit helacron lutd Zvi V&bMwa d6fod qr tie Appliobw Of tilt 2kras4id bv3dwj. r.1 Blx nu. .a .. ♦. brj AA few Sf¢°i ,p u °�g 11 C� ��1j DATE:3-12 24 B.P.#�� i Rear FEE 1 (}$ •Q�} BY:-�t•A�-L--i--- Rear NOTIFY BUILDING DEPARTMENT A 631-765-1802 aAM TO 4PM FOR THE FOLLOWING INSPECTIONS: NEVV YORK S[A �. FOUNDATION-TWO REQUIRED i j [ j AS REQUIRED H1Vl�i H I- :'- FOR POURED CONCRETE wh 6' 2 ' `- III - SOU,HOLD �y+L ZG+ ROUGH-FRAMING&PLUMBING 6''S' 6-5- I SGUTHGLDTG15rlPLA I,IN�Ey : LATtON € T CL SOUTHOLCTGv+NTRLSTc-S FINAL-GONSTRUCTIONMUS' —Till, Bed ( E COMPLETE FOR C.O. I I i � N.Y.S.DECDEG � Iseb. Room Lr— _ ? Bed 13=�6' SOUTHOLDHPG ALL CONSTRUCTION SHALL MEET�I S(}{D REQUIREMENTS OF THE CODES OF GIL Room YORK STATE. NOT RESPONSIBLE FO DESIGN OR CONSTRUCTION ER?OR 6 ,9 1 6 9 �— jI5=-iG�' Additional , L y, ; Certification I a ash/dry woshfdry I I 41 eatn� May Be Required.} Living 6=_ai U f T FP EP U f T' x -E aGtn Room c/L =�� � ® �'-� � c/L3, 54 '® I i ''ij 'f��r� y, �h t i� �; Living 18�? ELECTRICAL i RoO INSPECTION REQUIRED G/T D- I I ; Kitchen [ s„qJ T-3• 9,_5. f- O Kitchen,,-5. 3'I3` P-7,, j 10CII ! Ii i I I ef. id/w i d w ref. —3 Stor. Bed i Room I I Bed 'G.s . 5-10' Front s-1G` Room FronI i i a'-8 -3•-3� UNIT 7 st�:. UNITt8 3'�=4-' 13' 1 Elec. -10 = -a FLOOR PLAN 3/16" = 1' f ---.- gineer g Cor=_ul'.irq F.C. ---. - JLT Tam LLC--_-.. -. ' 20d g Rve, NY 732•e 9G- I 92G Chepei Lane Greengort h7 I Residential FLOOR PLAN rg Ri-5_.. .crosi��i�gmal.ccm ' 5 UNITS 7 & 8 -_ --__--_ -_ SCTM # 1000-045.00-02,00-010.005 x`-4