HomeMy WebLinkAbout1000-42.-2-10.5 (Unit 8) of so TOWN OF SOUTHOLD
Rental Permit
1468
Owner: Greenport Group LLC
Occupied as: Apartment - Unit #8
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 arranging for the bi-annual ins coon.
Issued: 05/12/2026 '
Expiration: 05/11/2028 cod no a nt cia
This Notice must be posted by the main entra ce at all mes
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Town t all A nn x Telephone(631)765�18C12
F"(6311)765-9502
54375 amain Road Awl
P,Q."Box It 79
�
Southold,NY 11971-N'.W
BUILDING DEMIT AUG 2 21 ..
T OV SOU OL
T' ,T)'TNi G P-7'7.
RE A E9 i L TiON
Rental Permit Pee $200(Application rnuSt be renewed every two years)
Section:A.
Property Information;
Rental Property Address:
Tax Map Number: 1000 SECTION OT
-_
SECTION B.
OWNER INFORMATION:
Property Owner Name!
Property Owner legal Address: Property Owner Mailing Address
Telephone Number(s): DaytheUi ��� 13 i Venln . Emergency
Property Owner Email Address;._ r
Pare I Of's �-e � I I► �� �
Town*fall Annex+a Telephone(631)765-113U2
502
5437i 1 AIA A I6 Fax(fr31)7 3 9
P;0:Box 1179
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SatjthoK NY 11971 uMSP
BUILDING DEPARTMENt SOUTHOLD
Authorized Agent informatiom:
Name of Awthoiized Agent of dwelling unit,If an
Address of Authorized Agent(no P.O. Box :
Mailing Address of Authorized Agen
Telephdne Number (s): Ua ti .� � Evening_ . Emergency!
Email Address:
Section D.
Managing Agent Information:
Name of Authorized Agent of dwelling unit,if any:
Address ofAutfi€�riz d Agent(no P.O. Boxes ......_���. " , ..
Mailing Address of Ai thorized Agent;
Telephone Nurrifier(s): Daytime }�'` -A venin Emergency ,
�"
SECTION E.
SITE MANAGER INFORMATION: (require f r ntal pr-operties containing 8 or mare rental units)
Name of Managing Agent of delimit, if any.
Address of Managing Age n P'O.
Page I of 5
Ply
Fax(63 t)7 -5-950
sr° .neck # i
10
BUILDING rXIPARTMFNT
TowN or souTHOLID
lei.ai ling;address of N16maging Agent
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5AItA F �"�t „y.;r"pwl`uuY^^ihraar!wamzrr:,C..mmrk.m:'w,:Caraw* Wtr+"]^f.^•^NSG 'ix�w.mm•Ja'Nr+:wwvc ti+ mr mmi'mn�wn+o miwu.w".: rpw.wm mau+onw. iwia wul mrc
SeCtION F.
PROPERTY DESCRIPTION:
Number of Rental Dwelling Units on proper ty�
For each Rental'Dwelling Urnit Set forth the Rental Dwelling Unit identifier lair example.
Unit 1, Unit 2;UWt,3 or rapt A, 8, ); the use of eech room:in the Rental Dwelling Voit
(for example,Kitchen,Bedroom 1, fed oom 2, UvIng Room)and the d3rnensions of etch
room.
For properties with multiple Rental Dwelling Un is use"'Rental Permit Application
'Rental Dwelling Uhit identifier:
Re we s ad Maximum ry mb µ o,f:pryyso3-y3:3 ll/we ,to,
occupy Dwelling
w llini Unit: wwwmr++wrwww.
Number of ro uts!n Rental Dwelling Unit.-1
U844 and Dimensions pf each, Mae l it:
L --h 4LI
� w . . �
0 SR �
To, wn Hall Annex
1437 s Main iL 04d Fax(fi3 f)7Et r 95U2
P.O.Box l£79
r i H
SECTION G.
Pursuant to the Tawn Cade of the Town of Southold Chapter 207(Rental Properties), a Safety
Inspection by Code Enforcement Official is required. if the owner choruses not.tea havc'said
inspection r#orrn d lay t1,e T6wn, a certification fror�n:a licensed architect,a licensed
professional engineer rw:r a home inspector who has a valid New York State Ainlfori. Fii e
ftiiven#ion.Building Cade Certlff0 i6n Is required ttating that the property which is the subject
of the rental p.errnit pplkation is in compliance with all of the:pro.
.vislvns o€the code:ofthe
Town ofSouthv:Id.the laws and sarnitary and housing regulations-of the.County of Suffolk and
y Me lairs adopted by the Now York,State Rre Pr0entibn and euilding Code Council,
l am requesting a fire safety Inspection to be performed by a Code Enforcement Official
from the Town of,Southold
0 i am subrnMing.A completed Town of Southold certification farm from a licensed
architect or a licensed professlonol engineer,
SECT ON M.
DECLARATION: Signature must.be notarized and MU r ire the owherof the dwelfingr unit.
STATE OF NEW YO K):
COUNTY OF SUFFOLK)
i�
i I certify under penally of perjury,the fol[owing:
1, lain he owner df the:property Identified In "Section fig"df this application:
2. The property gwnees legal address set forth M:`$ection 8"of this appikati.on is my legal:
address:and 1 understand the Town will use t#ie address for service pursuant to all
Page 4 of 5
"1`t1�1 n 1W Annex
Telephone:s<631)76 -1.
,54375 Main Road
DEPARTMENT
111 IF iS O
applicable laws and rules, I further acknOW-ledge that i will notify the Town of sauthnld
Building Vepartment of any changes:of address wIIthin five JS)days of anY changes
theret�a;
A. i have read and received a copy-of 6appter 207 of the Cade Of.the Tdwn of Southold an t
agreed to abide by the same.
4. twill nothihe:Town within five f 5)business days asto any changeto the informatlon
regrding Authorized Agent,Manag'ing Agent;,or bite NI' na er,
Property Owner's Name:
PrQperty t canes Signature:
I
5wom to before me this day cif 2- 4
Offs I Notary Public Signature and Original Notary Stamp
DIEGO F VARELA
Notary Public-Stake of New York
No.01VA6392915
Qualified in Suffolk County
My Coro iss6on Expires Jun 3, 2023
Page 5 of S
a
so
TOWN 0 SO TOLD BLJ71 Dl DEPT.
631-765-1802 JLQ,
I N S P E CA0;6T 10' N
[ ] FOUNDATION 1 ST/ REBAR [ ] RO H PLBG.
[ ] FOUNDATION 2ND [ ] I SULATION/CAULKING
[ ] FRAMING / STRAPPING [ FINAL
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTA7( INAL)
TRATION
[ ] ELECTRICAL (ROUGH) [ ] ELECTRICA
CODE VIOLATION [ ] PRE C/O NTAL
REMARKS: ww
Tomv AAYI
DATE INSPECTOR
VA
CERTIFICATE OF OCCUPANCY FOP,COTTAGES
6
"OF soul"Rxt
"ILDINO DEPARMW
Ofto of the ftrdlidir� t for
Toro d
outwdm
0
ceffifkato Of occupovicy
Cbuiy Tim ht .imo section tfS_ ..4104 .... _.Lot
ftbdivNifta,. ..,.,.,<..,. ,,, No, ......w ...,r.
conforou spa stanlitlL r to tw,Avotmift cor rii ng: fi .d this ofyke fjited
y-
dated --Jan—'Po.. .. . ,. .,. rB,� a irrr.sto t i Ct9k3
of the appilotbto pm0twu of em law,Tho OMPWY tOr:WhIWI Sit mitftile is ksVod iS ;..._,....
otthe afarer id bu0ing,SoU
V
k,C t
NaERVIUM ?ATt `jcAT'pWow....r...,►TC 32............. r.•
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Page 113
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APPROVED AS NOTED
Rear
Rear FEE BY:;, 2
NOTIFY BUILDING DEPARTMENT AT
631-785-1802 8AM TO APM FOR THE
1 - I FOLLOV+'ING INSPECTIONS:
Le—
�, �• FOUNDATION-TWO REQUIRED
-[ FOR POURED CONCRETE
i 6 6'-5' '
aI L ROUGH-FRAMING&PLUMBING;
BBC s'^`D;[ INSULATION
�'-5 Room E Iz=6. j
FINAL-CONSTRUCTION MUST
Bed I BE COMPLETE FOR C.O.
CJ- Room ALL CONSTRUCTION SHALL MEET THE
��
EQUIREMENTS OF THE CODES OF NEW
o` D E r` ORK STATE, NOT RESPONSIBLE FOR
€ �p, ES
IGN OR CONSTRUCTION ERRORS
s-ID`—
v� Additional
sh il dry jwash/dr,, ; x-� ;
I Certification
_iVInQ Both' : ` C` I May ,RefltlYreCl.
6 A U f T ER CEP U f T `� Both ;
Room C/L # —= 4 1' i lj c }y E,' ® l ..i Ir G'`L3' s COMPLY WITH ALL CODES
I 1/�� 0'
3 s�ij=!I I'I (— I f '!i i1 Living NEWYORK STATE&TOWN C�QC
iI Ia' 3' W'
Raam !�S REQUIRED AND CONDIT
--=''-3` C/L -_l.• ? S' CI j SDUi OWTOWNZ@A
I SOUTHOU)TOPJN PIANINING
Y
SOUiHO1DTOWNTrTJS�ES
Kitchen 0 =C) Kitchen .15' a's` q
C 1 N.Y.S.DEC I
!6, y 1, o 0 Oil SOUTHQID HPC
SCHD
3 f �- i IOI ? I
_ ref. dt '' 'M ref. I i ELECTRICAL
INSPECTION REQUIRED
'4 star.
`[[[
' feed Bed
F 3 I
Room Front ' Front sr_I=' Room I i
UNIT 7 UNIT 8
3 ( F Elec. ..�j
s �
Ui
� ! � FLOOR PLAN 3f16" = 1'
-N 2 � is s c ati ul FLOC