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HomeMy WebLinkAbout1000-9.-6-4 s T WN OF SOUTHOLD Rental Permit 0206 Owner George & Mary Guimaraes Occupied as Single Family Dwelling Located at Equestrian Avenue Fishers Island 9.-6-4 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. 10/28/2019 Mike Verity Code Enforcement Official This Notice must be posted by the main entrance at all times m� )ate Town Hall Annex ,S Z, 4 Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1179 Southold,NY 11971-0959 DdINI ,�a , BUILDING DEPARTMENT TOWN OF SOUTHOLD MAY 1 4- 2019 RENTAL PERMIT APPLICATION O OF SO�J T " 7 ;� Rental Permit Fee$200(Application must be renewed every two years) Section A. Property Information: Rental Property Address: ( �<o E c V ES71?_)A A AOL � 5 T-S[..ASA, Tax Map Number: 1000 SECTION `f 73 9- -BLOCK -LOT = 9 SECTION B. OWNER INFORMATION: Property Owner Name: (3lrO e&G 6111 AfAKLES.4 AMP—V4, 6UIM,l-A£5 Property Owner Legal Address: Property Owner Mailing Address: 95n EQL,t---s7_4�A7J6 -r"l-5H&:45 JISLA4 ply p© 06= 2 6 -Ft514 t✓z5 ok3�0 Telephone Number (s): Daytime( l_zMfr-7foEveningtiY-teq�-?_Iy �Fmergency Property Owner Email Address: i yu a qq g cj 5a o'1 9 Page 1 of 5 so j Town Hall Annex �rz �s� Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1179 C� YO Southold,NY 11971-0959COY BUILDING DEPARTMENT TOWN OF SOUTHOLD Section C. Authorized Agent Information: Name of Authorized Agent of dwelling unit, if any: tkd6, Oavllj�k IYA,�I t&Ob Address of Authorized Agent (no P.O. Boxes): Mailing Address of Authorized Agent: Telephone Number(s): Daytime Evening_ Emergency Email Address: Section D. Managing Agent Information: Name of Authorized Agent of dwelling unit, if any: W0AJL-: 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):. Page 2 of S y �� Town Hall Annex ,apt, i Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1 179 ® �� Southold,NY 11971-0959 Yzrr:� BUILDING DEPARTMENT TOWN OF SOUTHOLD Mailing Address of Managing Agent: N®"iE Telephone Number(s): Daytime Evening Emergency Email Address: SECTION F. IPROPERTY DESCRIPTION: Number of Rental Dwelling Units on property: I Lo'?g� 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: /O Use and Dimensions of each room in Rental Dwelling Unit: r ry)-)l cAjc-k� 0,0 7ci.poi RAA9 5 Page 3 of 5 Town Hall Annex hrl, Telephone(631)765-1802 54375 Main Road Fax(631)76.5-9502 P.O.Box 1179 - �Q Southold,NY 11971-0959 BUILDING DEPAR'T'MENT TOWN OF SOUTHOLD 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. $4 am requesting a fire safety inspection to be performed by a Code Enforcement Official from the Town of Southold ❑ 1 am submitting a completed Town of Southold certification form from a licensed architect or a licensed professional engineer. SECTION H. DECLARATION: Signature must be notarized and MUST be the owner of the dwelling unit. STATE OF NEW YORK) ,.,0,t�,, ), COUNTY OF SUFFGNC) y IM ft 1ZtES certify under penalty of perjury,the following: E. Li MCc,rO-e5 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 Page 4 of 5 so Town Hall Annexe L� l® 5 Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1179 Southold,NY 11971-0959 ��O cou BUILDING DEPARTMENT TOWN OF SOUTHOLD 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 as to any change to the information regarding Authorized Agent, Managing Agent, or Site Manager. Property Owner's Name:__ Property Owner's Signature: 1A, Sworn to before me this day of 20! Offi al Notary P blic Signature and Original Notary Stamp MARK F. SHKREU Not" Public, State of NIN waxy Pio. 03 4996849 QuaneBmx CW* COM Reed i WlestcMg*C6(�y 001nmWimn EW*ft Page 5 of 5 OF SOUIyo� # TOWN OF SOUTHOLD BUILDING DEPT. `ycourm,Ne'' 765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING /STRAPPING [ ] FIN L [ ] FIREPLACE & ,CHIMNEY [ IRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) [ ] CODE VIOLATION [ ] CAULKING l REMARKS: o c. n. - ;� DATE � /9 INSPECTOR �'' OF SO(/lyo� # TOWN OF SOUTHOLD BUILDING DEPT. coum, 765.1802 INSPECTION , [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING /STRAPPING [ 'FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) [ ] CODE VIOLATION [ ] CAULKING REMARKS: DATE 0 7 0 9117 INSPECTOR 4z TOWN OF SOUTHOLD PXOPER-8/4��//8 C ARD [CO�W�I�ERpI Mo,((A E- GU'V-y 0( �TREET -�� VILLAGE DISTRICT SUB. LOT I FORMER 0 ER N E ACREAGE je�1 iC�� �-15�z �G ��'DU�'� . C� cr�c� W J TYPE OF BUILDING 1/ J` ' r is _ t t c�_ �? t ", d e o/i l ' _ G� S RES. SEAS.,=` VL. FARM COMM. C I IND. I CB. I MISC., I Est. Mkt. Value LAND IMP. TOTAL DATE REMARKS - - - -- ��� !o �,���-y ��'ao `�-�`z if��� ►�r',� So�fi'�no �•ti���i`3f--���5�0 �H� �-�. IE��Fn.,ra.. ��a�wa AGE BUILDING CONDITION 0/ NEW NORMAL BELOW ABOVE FRONTAGE ON WATER ' Farm Acre Value Per Acre Value ( FRONTAGE ON ROAD 511910,t— Tillable 1E)0 Tillable -1 I BULKHEAD 612 --L 2. q7 Z&5- rYQk_r-fs1S Tillable 2 DOCK r f 4 Tillable, 3 S�o 6S tv_ c_ o/z"pa(a_ Woodland Swampland Brushlon House Plot - ;wr�� 3)443Y3 FlocC C)018 Tota I , f:,f�e;:aT sr` �'•',a.}'„_,_.,�'::�:.^✓_,�T:`~` - _ �., - _,t.�:' ',� _r..E •,�,� -- LyLy — t-'--—--- J � III$ 4A I �-?r4'�' �;r�'�"^ ='�*`�,'�iz �`t ,�"'r'3aa>P�:'�,z �'p� iC�..�s,'.Ks�.�c--.-c�-.." •�'-r4a a �'` ,t.�' j � i ( � ,a+O I '_,moi�:v� '' f3�a�. 3 �...:• ro,�+.,r,�. �&+.'�, ,•�`ti��1'`'.'�'=.« -3t;�,-. _,�-_.� S � �y-.�' i yam,. Cv#�,�,__, .Y' • =;5�i„Nk�_.>>.�`C.t- �s`t;: `,C:^'z�. �`fi`a" I I � i � + Jr 9,64 3/13 9-6-4. 02/02 M. Bldg. �'o� r� I`� �' Foundation Bath i Extension Basement Floors C I m ' 4 Extension ;` ry� ! ' , E Wails Interior Finish ExtensionKIS; F ��- j Fire Place / Heat 0`\> a - LJ _ I I3 Porch - --- _Roof Porch Rooms 1st Floor Breezeway ° j Patio Rooms 2nd Floor Garage j iveway Dormer ez- 1 f Ci?n s a No I ?,U *"Oe � en FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. PRE EXISTING CERTIFICATE OF OCCUPANCY No: Z- 26126 Date: 11/20/98 THIS CERTIFIES that the building DWELLING Location of Property EQUESTRIAN AVE FISHERS ISLAND (HOUSE NO. ) (STREET) (HAMLET) County Tax Map No. 473889 Section 009 Block 0006 Lot 004 Subdivision Filed Map No. Lot No. conforms substantially to the Requirements for a ONE FAMILY DWELLING built prior to APRIL 9, 1957 pursuant to which CERTIFICATE OF OCCUPANCY NUMBER Z- 26126 dated NOVEMBER 20, 1998 was issued, and conforms to all of the requirements of the applicable provisions of the law. The occupancy for which this certificate i issued is ONE FAMILY DWELLING WITH ACCESSORY GUEST COTTAGE The certificate is issued to JOHN F KRAMER & ANO. (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. PENDING - 11/17/98 PLUMBERS CERTIFICATION DATED N/A *PLEASE SEE ATTACHED INSPECTION REPORT. B ilding Inspector Rev. 1/81 + • BUILDING DEPARTMENT TOWN OF SOUTHOLD HOUSING CODE INSPECTION REPORT LOCATION: EQUESTRIAN AVE FISHERS ISLAND SUBDIVISION: MAP NO.: LOT (S) NAME OF OWNER (5) : 4QHNE KRAMER & ANO. OCCUPANCY: RESIDENTIAL JOHN F KRAMER & AND, ADMITTED BY: ACCOMPANIED BY: KEY AVAILABLE: YES SUFF. CO. TAX MAP NO.: 9.-6.4 SOURCE OF REQUEST: STEPHEN HAM. III 9/23/99 DATE: 11/20/98 DWELLING: TYPE OF CONSTRUCTION: WOOD FRAME # STORIES: 2.0 # EXITS: 4 FOUNDATION: MIXED - BLOCK/CEMENT CELLAR: PART. CRAWL SPACE. PART. TOTAL ROOMS: 1ST FLR.: 2ND FLR.: 3RD PLR.. _Q BATHROOM(S) : 3.0 TOILET ROOM(S) . 1.0 UTILITY ROOM(S) : PORCH TYPE. DECK TYPE: WOOD PATIO TYPE: BREEZEWAY: FIREPLACE: GARAGE: DOMESTIC HOTWATER. YES TYPE HEATER: TANKLESS AIRCONDITIONING- TYPE BEAT: OIL WARM AIR: HOTWATER: XX OTHER.- ACCESSORY THER:ACCESSORY STRUCTURES: GARAGE, TYPE OF CONST.: STORAGE, TYPE CONST.: SWIMMING P006: GUEST, TYPE CONST.: WOOD PRAMS OTHER: VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE LOCATION DESCRIPTION ! ART. ! SEC. i I I 1 { 1 I 1 1 1 I I I i + + I f + I I I I + 1 I i f t I I 1 1 1 I f1f 1 I 1 1 I I 1 I I REMARKS: INSPECTED BY: DATE ON INSPECTION: 11/17/98 ROAWP. WALL TIME START: END: FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-30934 Date: 05/26/05 THIS CERTIFIES that the building ADDITION Location of Property: EQUESTRIAN AVE FISHERS ISLAND (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 9 Block 6 Lot 4 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated MAY 18, 2005 pursuant to which Building Permit No. 31143-Z dated MAY 1B, 2005 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 DECK ADDITION TO EXISTING SINGLE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to-PHILIPPE KRAKOWSKY - - (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A uth riz Signature Rev. 1/81 Town of Southold Annex 6/22/2011 54375 Main Road Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 35009 Date: 6/22/2011 THIS CERTIFIES that the building ACCESSORY GARAGE Location of Property: EQUESTRIAN AVE FISHERS ISLAND,N.Y. 06390, SCTM#: 473889 See/Block/Lot: 9.-6-4 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this officed dated 9/29/2011 pursuant to which Building Permit No. 36274 dated 3/29/2011 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: alteration to an existing accessory garage as applied for. The certificate is issued to Guimaraes,George&Guimaraes, Mary (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED Yho ed S' ature TT.IL.1y Town of Southold Annex 6/27/2011 f4� 1% 54375 Main Road Southold,New York 11971 :`'1♦'�1 � Baa t;�' CERTIFICATE OF OCCUPANCY No: 35027 Date: 6/27/2011 THIS CERTIFIES that the building RESIDENTIAL ALTERATION Location of Property: EQUESTRIAN AVE FISHERS ISLAND,N.Y. 06390, SCTM#: 473889 Sec/Block/Lot: 9.-6-4 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this of6ced dated 3/29/2011 pursuant to which Building Permit No. 36272 dated 3/29/2011 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: alterations to an existing one family dwelling as applied for. The certificate is issued to Guimaraes,George&Guimaraes,Mary - - - -------- (OWNER) -- -- --- ----- of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 36272 6/27/11 PLUMBERS CERTIFICATION DATED Peter Mrowka 6/7/11 �/— <t�4 A tho ' d Si ature Verity, Mike From: MaryBeth Guimaraes <megui544@gmail.com> Sent: Friday,June 14, 2019 1:49 PM To: Bunch, Connie;Verity, Mike Cc: George Guimaraes Subject: [SPAM] - Fishers Island rental permit inspection Connie and Mike-- The additional work required, following our first rental permit inspection on May 29th, has been completed: • a "relief valve extension" has been installed on the furnace in the basement • a smoke/CO2 alarm has been installed in "bedroom #6" (2nd floor, above kitchen) • a smoke alarm has been installed in the hallway between bedroom #6 and bedroom #5 (master) Two additional smoke alarms have been installed: • smoke alarm in bedroom #3 (sitting room/office on 2nd floor) • smoke alarm in "parlor/office" on 1st floor (front). Please let us know when it will be convenient for you to re-inspect to complete our rental permit application. Thank You! MaryBeth & George Guimaraes 1950 Equestrian Avenue Fishers Island, NY 06390 megui544@gmail.com guimaraes.george440gmaii.com 631-788-7569 (home) 914-216-1428 (cell) r A 4 - - — — — — — — — — — — — — —— — — — — — - - — — — — — — — — — — — — — — — — — — — — — — — - - — — — — — — — — — — — — — — — ———— — — — — — — — —— — t ! IV I I I i 1 PORCH pq I NEW DOUBLE-FRENCH ! DOOR IN PLACE OF I ! I EXISTING DOOR U_ 1 D M, #1 NEW HEADER: 94 2-1-3/4"x 94/2"MIGROLAM 71` I PARLOR FDYE E-., I I I 1 ✓SOS. CLOS. 111 i UP j U O NEW RANGE/OVEN s WITH MICROWAVE AND ;. EXHAUST HOOD Lu I� KITCHEN e r u1 - IY IN FP, CL i , ,�� ✓+� ' �~�, NEW CABINETS,COUNTERTOPS, FIXTURES AND APPLIANCES RAF t ' 0Lu 860-536-5325 3 a I r i t NEW FLUSH BEAM, , I S M of/- oa. 3-1-3/4"x 9-1/2"MICROLAM p E -MAIL: PETERSPRINGSTEEL 6NET.NET SPRINGtSTEEL FIT — — — — — — — — — — — — — — — — — ! I ice e?ane 5r. I r - — — — — — — — — — — — — — — — — — — — — — — — — — - - �. w ..; '1"bTtC.C?06359 12'.4" x 1,10" o _._ I 860 572 7306 L - - - - - -- - ° ARCIiITECT PaNTRI' 1 I - - - - - - - - - - - - - - - - - - � U I B.� — NEW FISTURES,ROUGH PLUMBING i i t AND FINISHES .1N G I "' I IL - - - - - - - - - - - - - - - - - - - � -� I I I ' I 1 t ECK I � :�777 7-711-4 I I r — I , I I I I I f I + PORCH I + I I , I I t t t , t — — — — — — — — — — DATE= 9 AUGUST 2005 r , is FIRS"" FLOOR NEW CONSTRUCTION PLAN SCALE:1/4" =1'O" A 21 r ; i I I I I I I I � CIO I t PORCH I , I , I a.! I , as f I -r - I , 3 ' r - I , I I ,-- - --- --- - - --- - - - - - - - - - - - - - - - - - -I- 54k ,,, x HALL DN. F- Lu I � I 5 Mau e I Z i Ilk I I X X 111 N NCL05, t CL05,- ; 111 FAX= IL 860-536-5325 _ E -MAIL- PETER.SPRINGSTEELia SNET.NET I � i P J s R)iNQ��'BIIL f O 105 iii 3Ail � �✓� 06355 I ,... �.: ..,a.: - _ I nra� - y , 85® S72 7306 - - - --- - - - - - - - - - - r -----I - --- -I I Q- - - - - - - - - - - - - - I - - - - - � : A R C 111[ T E C T BA: 03/1 , - �--+--ALL NEW PLUMBING FIXTURES' j I ROUGH PLUMBING AND FINISHES I •b , L POO' I I � I NEW IS"pIA.WINDOW DATE: 9 AUGUST 2005 N -�A SECOND FLO - NEW CONSTRUXTION PL '1 �02 SCALE:114" --IV' 1