The URL can be used to link to this page

Home My WebLink About1000-5.-2-6 TOWN OF SOUTHOLD Rental I AN Permit No. 0052 y,� a Owner Marshall Reid & Ors. Occupied as Single Family Dwelling Located at Pvte Rd off E End Rd Fishers Island 5-2-6 Address Village S/13/1- Maximum /B/LMaximum 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. 5/14/2019 John Jarski Date of Issue Code Enforcement Officer This Notice must be posted by the main entrance at all times Town Hall Annex Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 Am- P.O.Box 1179 „ Southold,NY 11971-0959 Q U- 93 711 BUILDING DEPARTMENT D Ll: TOWN OF S O MAR 8 2019 RENTAL PERMIT APPLICATION T. Rental Permit Fee $200(Application must be renewed every two years) Section A. Property Information: Rental Property Address: U Ie 3 I d Tax Map Number: 1000 SECTION -yd BLOCK LOT SECTION B. OWNER INFORMATION: Property Owner Name: �^`.` ` C� —� `"� s. l2ej G- ae Property Owner Legal Address: Property Owner Mailing Address: (Cannot be the same as Rental Property Address) LI �r6 q Lock �.e� L\ �-o Lac Lc Telephone Number(s): Property Owner Email Address: Page 1 of 4 SECTION F. DESCRIPTION:PROPERTY 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 Unit: Number of rooms in Rental Dwelling Unit: 1111- .> 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 NYS licensed architect, a NYS 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 y 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. Page 3 of ❑ I am submitting a completed Town of Southold certification form from a licensed architect, a licensed professional engineer, or a licensed home inspector who has a valid New York State Uniform Fire Prevention Building code Certification. SECTION H. DECLARATION: Signature must be notarized and MUST be the owner of the dwelling unit. STATE OF NEW YORK) COUNTY OF SUFFOLK) 1 ��k Re. 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: Property Owner's Signature: : Sworn to before me this day of 206 Offi is Nola Public Signature and Original Notary Stamp Page 4 of 4 ti lXk y • 2 4�y ryp� TOWN OF SOUTHOLD BUILDING DEPT. 1,4 �yyryypJ 765-1802 INSPECTION I FOUNIDATI10IN is r ROUG11,,,NN P11.......BG. m IF::::OUINDA nOIN 2ND II INS IN.......Al 11011M IFI III N /STIRAIPIII:::PIING IIC, „III IRINAL IFN IN AGE & CIHIIIMINIEYIIC, IFII IE 'I °"r IINSIPEc"°nI „III FNllf1II[II Nl 1181, III T N I COINS"'NN"'llRU 1'°1IIC „III HIRE RE III '°M INTIIPllflml 111:11 T111°1 'SNI I „C Ill lEc rI IN JL (ROUGH) 111 Ell II[I°" "' I III III (I NI I ) „III IN; II[;;;: V110LATI10IN CAM ml IIIN : :.. mow:_.. �. m ... DATEII 9 ,�ilir 5-. TOWN OF SOUTHOLD, BUILDING DEPT. 765-1802 INSPECTION „m FOUNDATION is r �„ � ROUGH PLBG, IIS II II ,,,,fro 211MD IIS III A ni III FRAMING s"nRAIRIPING FlllFlEllPlACEIIN' III Il 111 m [,Vr FIRE SAFE ry INSPECTION Fro 111 RESISTAIM 1„ w1,,,ro 111 114 [ ] Fro 111111.. E 111 11 T lREll lll,Im VTro IDE V111 01,,,, rm CAULKING ,,, llfi REMARKS ”" ... .. DATE -- a INSPECTOR r �J\ }C G C m (e i P 6 . ...... .. ........ . .... ... ... II BR If acid I-R "ZI i m_ Trm r M-"I!7 1 m ral ell . 11 MYSTIC ISLE REALTY 17 Pe v fe t ec"w- Apo'l �' SU✓�vl� �l1 v �. ,P MYSTIC ISLE REALTY P.O.BOX 475 FISHERS ISLAND,QTY 06390 63I.788.7882 W .MYSTICISLEREALTY.0 M iMd1J r/ r Al ISM r Au %� � �� '�✓q h M �. �' l/ r, /� FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-18162 Date JULY 5 1989 THIS CERTIFIES that the building_ ONE FAMILY DWELLING Location of Property EST END ROAD FISHERS ISLAND, N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 005 Block 02 Lot 005 Subdivision_ Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated JULY11,1984 ______pursuant to which Building Permit No. 1,3328-Z dated AUGUST 7 1984 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 ONE FAMILY DWELLING The certificate is issued to MARY DENNY SCOTT WRAY (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL 14-SO-1.48-J E 9 1988 UNDERWRITERS CERTIFICATE NO. N-717247-NOVEMBER 13 1985 PLUMBERS CERTIFICATION DATED JUNE 14 1988-THOMAS J. SHILLO Building nspector Rev. 1/81 FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-18163 Date JULY 5 1989 THIS CERTIFIES that the building ADDITION Location of Property EAST 'END FISHERS ISLAND& N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 05 Bloc: (32 Lat 06 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated. SEPTEMBER 24,r 1986 ursuant to which Building Permit No. 1.6349-Z_ mated SEPYEMBER 27, 1986 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 ADDITION TO EXISTING ONE FAMILY DWELLING AS APPLUM FOR The certificate is issued to MARY DENNY SCOTT WRAY (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL14-SO-148-jam 1 UNDERWRITERS CERTIFICATE NO. N-831548-SEPTEMBER 11 1987 PLUMBERS CERTIFICATION DATED JUNE 14 1988-THOMAS SI'ILLO M BI-A-1 ing' Inspector Rev. 1/81 TOWN OF SWTHOLD BUILDING DEPARTMENT office of the Building Town Hall Southold, N.Y. CHRrIFIC2= No- Z-2"27 Date jazz 13Y 1996 THIS CERTIFIES that the building ADDITION AND RECONSTRUCTION Location of Property EMT END HARD VISHEM ISLAND NY House ® Street BamlWt County Tax Map ® 1000 Section 5 Black 2 Loi Subdivision PLIed Map No. Lot NO. conforms substantially to the Application it filed in this office dated—, SEPTRHM 30, 199 Building Permit e . 22392-2 —dated— OCTOBER IZ, 1994 was ® and conforms to all of the requirementsapplicable provisions m The occupancy for whichcertificate Issued is M AWITICK MW EXIMMO OW FAMILY DWELLING; AS ;QED certificateThe issued ( aforesaidof the -94-0 1 1996 DNDMkWRITZRS CZRrjpjCATz NO.- W365008 & 9365089 OCTOBER 2, 2995 PLUMBSRS m 1995 KMXG ZARGA-ZETT-1 JR. I ,/oz IdIng 1 TOWN OF SOUTH OLD PROPERTY CARD OWNERL, , �.6 STREET VILLAGE SUB. LOT J71 ,f,,PP,,MEk OWNER N ACR jry r ,vc, x Ywc! 2 S W TYPE OF BUILDING L RES. SEAS. L, FARM 1COMM. CB. MISC. Mkt. Value LAND IMP. TOTAL DATE REMARKS ro 0P, 4D 74 ec e�"i 7 2 vv /Vic AGE BUILDING CONDITION ail NEW NORMAL BELOW ABOVE FARM Acre Value Per Value Acre Tillable I Tillable 2 Tillable 3 Woodland Swampland FRONTAGE ON WATER Brushland FRONTAGE ON ROAD House Plot DEPTH 'BULKHEAD Toa DOCK a. • s ,' - 1 e 44-1 PC M. Bldg � Foundation C Bath Dinette 714 S ca l K.3 0 Cn3h l3� �..r � j _ Extension �� _ �,� � � � �r" .� t��- Basement � &- y. Floors �� nn_ Kit. Extension Ext. Walls Interior Finish L.R. Extension Fire Place ✓ Heat �U D.R. Patio Woodstove BR. t/ Porch Dormer Fin B Deck - "r! 0"7$ Attic Breezeway' LIf q a O ( �c�ns\ Rooms 1st Floor Garage Driveway Rooms 2nd Floor O.B_ Pool - COLOR �T I+ 3 � k \` c r E � TRIMFT— i ! b E _ 5 I ! E E �I -- � — _ - � _ € s � , 1d L5-X SO r-r ,iFondation ! P� Bath Dinette 2 � 1= to ss r X / �^ :2 S g oser ent = Floors !K. sn I X // _ SO 1t. Walls ' I0terior Finish LR. 66 ExtensionFire Place F` Heat DR. x , 7a - ; - pp S. 196D g� Type Roof 6 [Rooms 1st Floor d 'o SBR. 3 : X X Recreation Room Rooms 2nd Floor FIN. B -Porch - � - Pormer f 2 70 26i ; riveway Pctb- s 0. B. i Total -- - --