HomeMy WebLinkAbout1000-42.-2-10.5 (Unit 2) of so TOWN OF SOUTHOLD
Rental Permit
1462
Owner: Greenport Group LLC
Occupied as: Apartment - Unit #2
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 inspection.
Issued: 05/12/2026
Expiration: 05/11/2028 Co eE ° 2 tofficial
This Notice must be posted by the main entra ce at 11 times
4
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w �' F�1cpHa�te(E3,U)'7554802
5i375:M.00 ROWFax(fr31)7b5-95�Ya:
P,Q.Box j 1.79 ;
�tiitIo,�� I t�fit�9� � °'m" � • �° w� ��
SUILD1,1140 DEPARIVENT J AUG - 2 2019
"SOWN OF S T LD
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l`�" i M�u0. �F I ,.N �'a s'�H`��TL�P��1. Ian
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R,antal hermit Foe$200(Applrcotl an muq be rerrt ederY twO yeOr-O
Section A.
Property Information:
Rerttaf Property re ssr
""� �
'Tax Map Number, 1000 SECTION , �..,. ,.. BL ;�
.: T ,fir ,
SEMON B.
OWNER MFORMATION:
Pr0gaerty Qwner Name! '
Property Dwyer Legal Address; Property Owner Malling Andress:
Telephone Number(s)c DaytfMe ' 1 �� 13 l&nfrtg_ Emergency
Propertyi�rr:er Errra�i Address;
� �3C)
OFF All d w
Town 1�11 i0.n c Telephone(bat)765-1802
� 75 Main Road Fax(63 t)76S-4ao2
P40.9m It 79 :
'kV `
lALDIN DESG"'AR.T RNT
TOWN OP OLD
Section C.
Authorized Agent Information:
Norne of Authorized Agent of dwelling unit,if an
Address of Authorized Agent(no P.O.gox
Mailing Address of Authorized Agen .
Telephone Number (s): ►eyti ��. Evening Emergency
Ertiei Address:
Section D.
Managing Agent Information.
Name of Authorized.Agent of diling anit,if any.
Address of Authorized Agent(no P:0. Ld
k �a
Ma*iiingAddress of Authorized Agent:
Telephone Number(s):DWime,j 1" v+erring_Emergency
Email Address: two .
SECTIO14 E.
SITE MANAGER INFORMATION:(require, r rental properties containing s or more rental units)
Name of Managing Agent of d reii nri t,if any: .�
Address of Managing Agent o P.0 . Boxes):—,
page I of 5
fl
TOWN OF r OVA n LID
Mol ling Addrdts 0 Managing Agent:
Tole0horie$ '1a r tlrrle, l' 11I r« vw C ¥
rnpil d row a^^V,ry 6"r',.wc,�,r„ttwumMrwman„FCC'r.^.x...urv,r¢na ,y„+..w'u:;, ,rwo"+^.w vk'k rwrgwJ :r wrcmm^ruurnwra rw axx„r;mw;u.w^rn:swmiwu,;.ww'., in ww ,�nw'Wuw+wumiwuu
SeCTION F.
PROPERTY DESCRIPTION:
d
Number of Rental Dwelling Units on property'
For eaO AmallOwelling Unit set forth the iRen it towelling Unit Identifier(for example..
Unit 1, Unit 2, Unit 3 vr Apt A %C);th-e user of'ea0h Mom in the Rental Dwelling Unft
(for example, Kitchen,Bedroom 1, Bedroom:2, Ting Room)and the dinnenslpns of each
room,
i or properties with multiple Dental.Dweliing Units use''Rental Permit Appl Cation
d.
Rental Dwelling.Unit identifber
Requested Maximum oumb,er Of per°s "sap ed t r���upy [ewe#{lr�g�nit�
Number of roc)rr€s lb Aental'welling:unit:
'.k
Town Hall Ahnex
`i ewphone( 3 3)765-1902
�4 75 Main RdAd
Fax(63l)765-
P.O.I BOX 1179
sia tiwid,NY t t971-0959auiLDINGTbEPARTMENT
e
TOWN OF SOUTHOLD
SECTION G!
Pursuant to the Town Cod:e of the Town of Southold Chapter 2,07(Rental Properties),a safety
Inspection by Code Enforcement Official Is requ€r-0d. if the owner choruses not,to have said
htpec lon petforn ed by tfie Town, a ceruf Iatio.n from a llcansed architect,, a not,
profession(engineer 4r a home inspector who has a valid New York State Uniform Fr&e
Prevent�io.h.SWII.ding Cade itertification is regof*red stating that the property which is the subject
of t€.e rental permit application is in,compliance w€th ail of the prc visions of the code of the
Town ofsvuth.o€d,the laws and sanitary And hcsusing,regulatlons of the.County ref Suffolk and
:by the iaws adopted by the New York State Fire'Prevent€on and Building:Code Council.
I am requesting a fire safety inspection to be performed by a Code Enforcement Official:
from the Town of Southold
0 I am submMirig a-completed Town. cif Southold:certification form from a licensed
architect or a:iicerise:d professional engineer,
5ECTI .N.H.,
l ECLAR IO Signature must be notarized and M,UST he the owhOr of th.e 4woff ng unit
STATE OF NEW YORK)
COUNTY OF SUFFO j
certify under penalty o perjury,the follovvlrrg:
1. l am the owner of the property identified i "Section:K' of this appilcation.
2. The property pwnee legal address set forth in 'Sect"ron V of this application is my legal
address and 1 understand the Town will use the address for service pursuant to all
Page 4 of S
Tairin Hall � x �� Or
"� '�'Cle�+tio�c(633)765-1902:
r
w
at.-R LC ING DEPARTMENT
TOWN OF Is m HO
applicable laws and rubs; i'further acknowledge that i Wilt notify the Town of Southold
,Building Departrnant'of anY changes of address within five(5)days of any changes
thereto.
I I 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. l Wit notify the Town within five 15)..business clays as to a0yz change to the information
re.garding Autho izbd Agent,Managing Agent,�or Site lvl na era
Property Owner's Name.
Property Ov nees Signature,
Sworn to before Me this day of�� �.�20a
official rotary Public 5ignatare:and 0elginal Notary5tarnp
DIEGO F VARELA
ENotary Public.State of New York
N0.01VA6392915
qualified in Suffolk County
Commission Expires Jun 3, 2023
page,5 of 6
7vvvn Halt.Ar x Tejobot t(631).765-190
b sv Fax�631 j 765-9502
54375 I AJO Rb
1 r'3
BUILDING DEPARTMENT
MENTAL PERMIT APPL"TIONADDENDUMI
Rentat Dwelling Unit Id ntifle �
Requested maximum num#aer of Ise ed to oc each dwelling unit:
Number of Roams in Rental Dwelling Unit:
he and Dlm6ns9orr.of each roan:
a�� I
Rental DWelling Unit IdtntiflOr: V
Requested maximum n.umber:of:persofts allowed to occupy each dviwellin&unit;
Number of Rooms ki Rental Dwelling Unit;
Use and Dimension of each roam;
Rental L wteliing Unit Identifier
w
Requested maximurn number of persons allowed to occupy each dwelling unit: 12,
Number of Rooms In Rental OW.61141911kti'<
Use and Dimension of:each room:
so
qw C&04..-- L*�
TOWN OF SOUTHOLD BUILDI G DEFT.
co 631-765-1802 NS',
'OaklNtirECTIO
[ ] FOUNDATION 1 ST/ REBAR [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INSULATION/CAULKING
[ ] FRAMING / STRAPPING [ ] F AL
[ ] FIREPLACE & CHIMNEY [ FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANX(FAL)
RATION
[ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL
CODE VIOLATION [ ] P'RE C/O [ TAL
REMARKS:
doe
DATE INSPECTOR
Y°
:CERTIFICATE
1-WMAWN
to
Of SOUTHOLD
WILDING 1)(PARTWNT
offoe oft 01win liv e
_H
k tfvwl Nly,
fir. y K pp q y
LGtt�xi� � a�y Tv �' ^bit
.. fii3kYPM"A Y'v 1 4 a v. e a a o.x a.m a a N..<em a r i a b &J4ti#JA 1®i�g^f'%Vi a ` c.. •a ® 4 0.> .......
4021fdM6"Wuntiany, to the Appucallark for D� 1djrq Pormit t�f f dry t f dot
a t 40A,, .,.,...®, 1 x aS''atr ,"c"formstoallof
requkaments
tho gpo lei ou f the i _Thnupwy tat,,l l,h thl, 6,01W6 i d it
.. .,,,, .....
a Wtv lavylifime is to .��w� .Of Bic AfMaMd bUdjvg
„ , b ,.
gffbik County Depirtment.Dea l Awoni pPA ,0 ";
MRTIVICAM
.1 1
of
p&r 10
is
Rear 11•�
Rear pATE:�-Ierdl B.P.# ;7 .
FEE it i
NOTIFY BUILDING DEPARTMENT AT
r Additional 631-765-1802 8AM TO 4PM FOR THE
wh FOLLOWING INSPECTIONS:
Certification
I a'-s - I May Be Required.
FOUNDATION-TWO REQUIRED
f 0 FOR POURED CONCRETE
C !
4,_l0, S to( ROUGH-FRAMING&PLUMBING
r Bed
ELECTRICAL INSULATION
13'-5' 3 Room ,3_6• FINAL
Bed I lNSPECTIONREQUIRED -CONSTRUCT ON MUST
BE COMPLETE FOR G.O.
Room
A 0 ALL CONSTRUCTION SHALL MEET THE
( 6 II 9' 5'-4' REQUIREMENTS OF THE CODES OF NEW i
YORK STATE, NOT RESPONSIBLE FOR 1
DESIGN OR CONSTRUCTION ERRORS
iwash/dry wash f dr I° ll -9f COMPLY WITH ALL CODES OF
NEW YORK STATE&TOWN CODE
Bath
Living
�`-�
Both 6'-m3 j U fT EP a U f T -2 I AS REQUIRED AND CONDITIONS OF
CA I ( I g j�� Room SOUTHOLD TOWNZSA
la'-3' Living s• 2'—"--" ' I h I `h� I�—I �I—! 18` 3° _SOUTHOLD TM NPLLAN IN
Room �" ` 1�5` ® SOUTHOLDTOINNTPUSie=
I C/L CA a'-3 N.Y.S.GEG
I ' SOUTHOLD HPC
Kitchen I ( SCHD
3,�4 3'-3' ^Kitchen `v 0 3'=3' j
� i �3 I
ref. 'd f WI ,d/w ref. —,
1
i
— Stor.
Bed i Bed [
lo' a' Room 5' 1@' Front s`'c' Room lo'-e` ti
! Frond
i
UNIT 2
r3•-3• I UNIT 1 stor.
i E `
I Flee
i
FLOOR PLAN 3 f 16" = 1' to` j)JJ
c Rcsi,i, P.E. Engineering Cens 16N F.C. 1L7 Team LLC
2C42N Courty Rd Suite 105 B2o Ch pel Lan Greenport NY
wi dint' Ri_r NY 11792
9�i 66C 2<85 ernesiores r:�gmti 1 com '; Residential FLOOR PLAN ,
_ _... .. 3 UNITS 1 & 2 I
SCTM # 1000-045.00-02.00-010.005 4` - I "°�""�' �" nxn R By 1st�a'E GkG G s"T M