HomeMy WebLinkAbout1000-43.-4-2 of so TOWN OF SOUTHOLD
Rental Permit
1526
Owner: Julia Moran, Cathleen Moran, & Coleen Moran
Occupied as: Single Family Dwelling
Located at: 285 Sandy Beach Rd Greenport 43.4-2
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: 07/21/2026
Expiration: 07/20/2028 co a n ement o�;"a'
This Notice must be posted by the main entraUpall tiftaf
TOWN OF SOUTHOLD—BUILDING DEPARTMENT f&C ��b-� 14
s
Town Hall Annex 54375 Main Road P. O. Box 1179 Southold,NY 11971-0959
Telephone (631) 765-1802 Fax (631) 765-9502)°tlll.,'://W VW SOLI(h,oldtowliiI
RENTAL PERMIT APPLICATION
Rental Permit Fee $300 (Application must be renewed every two years)
Section A.
Property Information:
Rental Property Address: CAD/ GTLCCC P-1-
zY s sir N D`( ff�Ac N F
CC��II``��
Tax Map Number: 1000 SECTION -BLOCK 4 -LOT -
SECTION B.
OWNER INFORMATION:
Property Owner Name: JvL,11\
Property Owner Legal Address: Property Owner Mailing Address:
(Cannot be the same as Rental Property Address)
Telephone Number (s): Daytime'�4Z-97S Evening Emergency I 5�J �77D
Property Owner Email Address:
Page 1 of 4
Section C.
Authorized Agent Information:
Name of Authorized Agent of dwelling unit, if any: `'0 Ll h Ko J2 �
Address of Authorized Agent (no P.O. Boxes):
Mailing Address of Authorized Agent: � � "� '� ►`' I r r
Telephone Number (s): Daytime Z)Zg7� _ Evening Emergency 717_-5--J3 a-770
Email Address: ' SCE ` m
Section D.
Managing Agent Information: ,,,,
Name of Authorized Agent of dwelling unit, if any: SA-OeE A,5; fbve-
Address of Authorized Agent (no P.O. Boxes):
Mailing Address of Authorized Agent:
Telephone Number (s): Daytime Evening Emergency
Email Address:
SECTION E.
SITE MANAGER INFORMATION: (required for rental properties containing 8 or more rental units)
Name of Managing Agent of dwelling unit, if any:
Address of Managing Agent (no P.O. Boxes):
Mailing Address of Managing Agent:
Telephone Number (s): Daytime Evening Emergency
Email Address:
Page 2 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, C);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 Uni D
Number of rooms in Rental Dwelling Unit: VI I Vi vo 3'S
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.
❑ 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.
STATE OF NEW YORK)
COUNTY OF SUFmou�s,)
FOLK)
I ��I h , 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: I .V
p Y
F
Property Owner's Signature:
Sworn to before me thi s 'day of , 20aG
Official Notary Public Signature and Original Notary Stamp
CONNIE D.BUNCH
Notary Public,State of New York
No.01BU6185050
Qualified In Suffolk County
Commission Expires April 14,2�� Page 4 of 4
TOWN OF SOUTHOLD BUILDING DEP
631-765-1802
lNbrECTION
[ ] FOUNDATION 1ST/ REBAR [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] IN ULATION/CAULKING
[ ] FRAMING / STRAPPING [ ] INAL
[ ] FIREPLACE & CHIMNEY [ FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (F AL
[ ] CODE VIOLATION [ ] PRE C/O [ REN AL
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� of sorr y Town of Southold
P.O. Box 1179
53095 Main Rd
# Southold, New York 11971
CERTIFICATE OF OCCUPANCY
No: 46745 Date: 12/22/2025
THIS CERTIFIES that the building SINGLE FAMILY DWELLING
Location of Property: 285 Sandy Beach Rd Green art NY 11944
Sec/Block/Lot: 43.4-2
Conforms substantially to the Application for Building Permit heretofore,filed in this office dated: 08/29/2023
Pursuant to which Building Permit No. 49873 and dated: 10/11/2023
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:
Modular single-family dwelling with an unfinished basement, covered front porch, and an
attached garage with a 2nd floor deck above as applied for.
The certificate is issued to: Arthur Smith Mary Ellen Smith
Of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL: R-23-0581 3/28/2025
ELECTRICAL CERTIFICATE: 49873 11/06/2025
PLUMBERS CERTIFICATION: Raymond Maeoroni 12/08/2025
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SEE FOUNDATION DETAIL SHEET 5 %14
L _ _ J � "Foundation walls,piers,grade beams and all other
€SYMBOL HOLD-DOWN ... .� f h foundation elements shall be designed b aregistered
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ATT(4) UD14ORYTOV.FORAT{ON 4YITH: - € - ,err
tprofessional haven knowledge of the local soil conditions.
{4}XUOi4OR EeL4V.FOR 52,8O1# - � g
ATTACH W STORY TO FOUNDATION WITH; =HOLD DOWN DEVICE.BUILDER TO PROVIDE HOLD I I In addition to all code requirements,foundation design
(1)STHD15Rd OR EQUIV.FOR 3,330 '� OOWW TO T14E FOUNDATION FOR THE LOADS LISTED. shall incorporate all point loads,hold-down devices equal
_ _ l _POINT LOAD.FONT LOADS ARE FROM 10STORY � � to the hold-down capacity as indicated atal!hold-down
CEIUNGORABOVEANDNWTEECONSIDERE0IN i locations,uplift loads,lateral loads,and gravity loads t .
ADDITION TO UNIFORM PLF LOADS-POINT LOADS AT
MARRIAGE LINESARETOTAL,NOT PERHALF, induced by the modular structure" — hT°
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LOT AREA:14,637 SO.FT=0.336 ACRE CERTIFIED TO:ARTHUR J.SMITH
MARYE.SMITH
CURRENTZONING:R-40 WESTCOR LAND TITLE INSURANCE COMPANY
NON CONFORMING LOT§280-124 B
FRONT YARD:35'
REAR YARD:35'
SIDE YARDS:10'MIN.25 TOTAL JOB NO.:2022-195
MAP NO.:4709
FILED:AUGUST25,1966
ALLOWABLE€ T V 2927 SO.FT.-20°/ RE R..
VISIONS: of f
� ��� LOT CCOVAe f SOFT f 0 4% ADD TEST HOLE 12/19/22 �, �.
ADD SITE PLAN,PREP FOR ENGINEER
FLOOD ZONE BOUNDARIES HEREON ARE AS DEPICTED ON SANITARY DESIGN 2/23/23 --
THE F.M.A.FLOOD INSURANCE RATE MAP,MAP NO.:361 03CQi76 H ADD PROP.SWIM POOLW8123
` EFFECTIVE DATE:SEPTEMBER 25,2009 '
ADD STRMWTR MGMT CRTL PLN 8128123 ; e
it REV.PROP.DWELL 9/26123
LOC.FOUNDATION 12/29/23
FINAL SURVEY:1125125 , 538
DIGITAL RELIERASE
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COPIES OFTHISSURVEYMAP,EITHER PAPER OA ELECTRONIC,NOTBEARfNG
-s� ns,,,,cte6 an„rbr cer!find by this L`e92rEment ar other agenees and teTer.6 THE LAND SURVEYORS INKED SEAL OR EMBOSSED SEAL SHALL NOT BE
tc ne safisfapa}FORARIfikiFOcIPR OF '---BEDROOMS. CONSIDERED TO BEA VALID COPYAND SHALL NOT BE USED FOR ANY PURPOSE.
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f FLOOD ZONE X THE LOCATION OF CESSPOOLS,WELLS AND OTHER
n LOT FLAE(EL6�E o UNDERGROUND INSTALLATIONS,IFANYARE SHOWN IN _
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f ACCORDANCE WITH SOURCES BELIEVED TO BE ACCURATE
w HOWEVER,THIS OFFICE DOES ACCURACY
s A�CTPYA
RESPONSIBILITY FOR THEIR ACCURACY
R E Pg T
T014W SOUTHOLD
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E'1'=30' DATE-*DEC 2
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BEDROOM f 14-S"X 9-1 PRIMARY BATH
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BEDROOM i` W1.G _ � \\ 7
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76-3'X 137' OPEN TO BELOW ;�X 13 M
i KITCHEN s
S 13'0"X 15'3" I
' BREAKFAST NOOK
_ � SECOND FLOOR
FAMILY
10'1'X1S3'
€
' GARAGE
12'1"X 1611'
-�s
BEDROOM _ LIVING ROOM
11'6"X 13'3' 13'3'X 137'
BATH 4 BASEMENT
X . 47'4'X 27'5'
11 ATH
X 6 3'
£ 6�
PORCH
918"X 410'
19
FIRST FLOOR LOWER LEVEL
Sandv I1cach Ind, Grecriport
Scale in feet.Indicative only.Dimensions are approximate.All information contained herein is gathered from sources believed to be reliable.However,accuracy is not guaranteed and interested persons should rely on their own enquiries.