HomeMy WebLinkAbout1000-9.-4-22.2 TOWN OF SOUTHOLD
Rental Permit
0205
Owner Zinnia Hill LLC
Occupied as Single Family Dwelling
Located at Oceanic Avenue Fishers Island 9.4-22.2
Maximum Permitted Occupancy 10
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.
10/2/2023
Code Enforcement Officia
This Notice must be posted by the main entrance at all times
TOWN OF SOUTHOLD BUILDING DEPT.
` IN,hww,�
631-7651802
1 "rmlm S P E,(w;` T I (AD'sh' N
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INSULATION/CAULKING
[ ] FRAMING /STRAPPING [ ] FINAL
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINA
[ ] CODE VIOLATION [ ] PRE C/O ( RENTAL
k
DATE D1'IX ,.1-3 INSPECTOR ,�
,.n
To3 2023
: k44
Building Department OUT
Town of Southold
54375 Main Rd R UIT MiNG DEPT.
PO Box 1179 . ,
Southold NY 11971-0959 T 1" w 1 '01 TT "t�.,
(631)-765-1802
From:
Kate Stevens
1 Oceanic Ave#595
Fishers Island, NY
06390
(860) 333 2270
Tuesday, September 26, 2023
Greetings!
I am following up today's email request with this letter requesting a town inspection to renew
my rental permit for:
Last Name: Zinnia Hill LLC
Tax Map Number: 1000-9.-4-22.2
Permit Number: 0205
Expiration Date: 10/25/2023
I certify that the property information in the current permit has not changed.
Please find enclosed a check for $200 to renew the rental permit.
Sincerely;
Kate Stevens r k
860 333 2270 (replaces old number in file)
kate.p.stevens@gmail.com
fat
TOWN OF SOUTHOLD
Rental Permit
0205
Owner Zinnia Hill LLC
Occupied as Single Family Dwelling
Located at Oceanic Avnue Fishers Island 9-4-22.2
Maximum Permitted Occupancy 10
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.
10/25/2021
Code E �fv ement Official
This Notice must be posted by the main entrance at all times
TOWN OF SOUTHOLD BUILDING DEPT.
765-1802P
iNSPECTION
FOUNDATIONIST ROUGH PLBG.
FOUNDATION21SID INSULATIOWCAULKING
FRAMING/STRAPPING I
[ FIREPLACE & CHIMNEYrlRE SAFETY INSPECTIOR
[ ] FIRERESISTANT CONSTRUCTION FIRERESISTANT
] ELECTRICAL ( ] ELECTRICAL (FINAL)
] CODE VIOLATION /
r
DATE
va-/
INSPECTOR
To: Building Department
Town of Southold
54375 Main Rd
PO Box 1179
Southold NY 11971-0959
(631)-765-1802
From: Kate Stevens
Zinnia Hill LLC
1 Oceanic Ave#595
Fishers Island, NY 06390
(860)333 2270
(631)788 7729
Re: renewal rental permit 0205
September 30, 2021
Dear Mike Verity,
I am writing to request the renewal of rental permit 0205 and a town inspection. I will be off island
Octobe3®8 but otherwise am around. If necessary,we can also arrange access. Let me know!
I can certify that the property information remains the same as the current permit.
Please find the$200 renewal payment enclosed.
Thanks so much and I look forward to meeting you,
Best regards,
Kate Stevens
7
3
v zs%juTH0%LD
TOWr F
Rental Permit
8 9
Permit No. 0205
Owner Zinnia Hill LLC
Occupied as Single Family Dwelling
Located at Oceanic Avenue Fishers Island 9-4-22.2
Village S/13/1-
Maximum
/13/LMaximum Permitted Occupancy 10
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
Date of Issue Code Enforcement Officer
This Notice must be posted by the main entrance at all times
'Town Hall Annex
'Telephone(531)765-1802
54375 Main Road '0 ) Fax(631)765-9502
P.O.Box 1179
Southold,NY 11971-0959 �
y,
BUILDING G DEPAT2.`i` ENFcD '1 �
TOWN F SOUTHOLD
RENTAL PERMIT APPLICATION Z 2019
Rental Permit Pee$200 (Application mast be renewed every two yrs)�,
0
Section
Property Information:
Rental Property Address
..ASJ ...m.m. _ .....v.. ()(o3 q D
Tax Map Number: 1000 SECTION
SECTION
OWNER INFORMATION:
Property Owner Name, Tj
- „ � 1 L.L LL(.,
�N
Property Owner Legal Address: Property Omer Mailing Address:
,,...a .. .
VS SBi6400(0
Telephone Number(s): Da time Even in Emergency,
Property Owner Email Address:
Pagel®f 5 �� �'
Town Hall Annex Telephone(63 l)765-1€11?
54:375 Main 12oacl Fax(6:31)76.5_9502
11.0.Box 1179
Southold,NY 11971-0959
BIJ11 DING DEPARTMENT
TOWN OF SOUTHOLD
Mailing Address of Managing Agent:
Telephone Number (s): [Daytime .� Evenin _._. � .. Erner ens y .
Email Address:
SECTION F.
PROPERTY ESQ IPTG
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, R, Q;the use of each room in the Rental Dwelling Unit
(fear 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 levelling Unit Ildentificr ...._.___.._.
Requested Maximum number of persons allowed to occupy [Dwelling Unit:
Number ofrooms in Rental Duelling Unit: � � � u.�.....
Use and Dimensions of each room in Rental Dwelling Unit,. ._
_. ... _._
Page 3 of 5
Town flail annex � �����/� i�; Telephone(631)765-1802
.54:375 Main Road r%%% /%i% jO Fax(631)765--4502
�J
P.O.Box 1179
Southold,NY 11971-0959
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
SECTION
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 horde inspector who has a valid New York State Uniform Fire
Prevention Building Cade 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,
SECTION
DECLARATION: Signature must be notarized and MUST be the owner of the dwelling remit.
STATE OF NEW YORK)
COUNTY OF SUFFOLK)
l _yel e. ZIN G�L5,.......> certify under penalty of perjury, the fallowing:
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
`I'owre I 111 Annex
Fax(631)76.5'-9502
54375 Main Road
P.O.Box 1179
Southold,NY 11971-0959
,r.
BUILDING DEPARTMENT
TOWN
FSOU"I'HOLD
applicable laws and rules. p further acknowledge that p will notify the Town of Southold
Building Department of any changes of address within five (5) days of any changes
thereto.
3, h have read and received a copy of Chapter 202 of the Cade of the Town of Southold and
agreed to abide by the same.
4. h 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: � . ....e �,�.w .. ....� e�. ..._
Property Owner's Signature: _
r�i this '"? d
Sworn to 'befre ay of� ,.� .'. .� "'...__ e.._.... ...�� 2.0j`"
c , ...
Official Notark Public 5ig ataure and Original Notary Starnp
, Z-
50
�
Page 5 of 5
CONSENT TO INSPECTION
the undersigned, do(es) hereby state:
Owner(s)Name(s)
That the Undersigned (is) (are)the owner(s) of the premises in the Town of
Southold, located at. . .
which is shown and designated on the Suffolk County Tax Map as District 1000,
Section mm , Block _, L of � '
That the undersigned (has) (have) filed, or cause to be piled,. Gin application in the
Stcelwn Buy a7s-�
Building l cto 's Office for the following
,. m,.
_. .....
That the undersigned do(es) hereby give consent to the Building Inspectors of the
Town of Southold to enter upon the above described property, including any and al l
buildings located thereon, to conduct such inspections as they may deem necessary with
respect to the aforesaid application, including inspections to determine that said premises
comply with all of the laws, ordinances, rules and regulations of the Town of Southold.
The undersigned, in consenting to such inspections, do(es) so with the knowledge
and understanding that any information obtained in the conduct of such inspections may
be used in subsequent prosecutions for violations of the laws, ordinances, rules or
regulations of the Town of Southold.
Dated: . ...
(Signature)
( i. Name)
(Signature)
(Print Name)
5 �2. Z
so ,*{
TOWN OF SOUTHOLD BUILDING DEPT.
765-1802
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INSULATION/CAULKING
[ ] FRAMING /STRAPPING [ ] �FIRE
[ ] FIREPLACE & CHIMNEY [ SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION j `] FIRE RESISTANT PENETRATION
( ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL)
[ ] CODE VIOLATION [ ] PRE C/O
DATE INSPECTORN
� r
TOWN OF S !IJTH L - BUILDING DEPT.
765-1802INSPECTION
[ ] FOUNDATION 1STROUGH PLBG.
[ ] FOUNDATION 2ND I LTI L
] FRAMING/STRAPPING I L
] ,FIREPLACE C I Y v FIRE T INSPECTION
RESISTANT CONSTRUCTION [ I F T TI
] ELECTRICAL (ROUGH) ELECTRICAL (FINAL)
CODEVIOLATION PRE C/O
w
..............
DATE INSPECTOR
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�tl�t Town of Southold 10/28/2016
53095 Main Rd
Southold,New York 11971
EXISTINGPRE
CERTIFICATE OF OCCUPANCY
No: 38626 ate: 10/28/2016
THIS CERTIFIES that the structure(s)located at: Oriental Ave,Fishers Island
SCT #: 473889 Sec/Block/Lot: 9.4-22.2
Subdivision: Filed Map No. Lot No.
conforms substantially to the requirements for a built prior to
APRIL 9, 1957 pursuant towhich CE RTIFICATE OF OCCUPANCY Z- 38626
dated 10/28/2016 was issued and conforms to all the requriernents of the applicable provisions of the law.
The occupancy for which this certificate is issued is:
woos fl frame mone family dwelling witl' overed front Tale porcl cs�ancl acccssaa y ar ge_*
Nqte,5L_RE,40821 deck addition COZ-38 24; 13 40990 "as built"alterations„COZ-38,625„
The certificate is issued to Chaves, Joan
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE .
PLUMBERSCERTIFICATION ATE
*PLEASE SEE ATTACHED INSPECTION REPORT.
Aut edi natty
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
HOUSING CODE INSPECTION REPORT
LOCATION: Oriental Ave.,Fishers Island
. ....... ------
SUFF.CO.TAX MAP NO.- 9.-4-22.2 SUBDIVISION:
NAME OF OWNER(S). Chaves,Joan
OCCUPANCY:
ADMITTED BY: Joan Ciiaves--
----------....... ... ................ ............................
SOURCE OF REQUEST: Chaves,loan DATE: 10/28/2016
............- ...........
........ .... ........ .......... .......................... . ........ ---------------------------................................................... ... ....... ...... ......
DWELLING:
0 STORIES: 2 #EXITS: 2
FOUNDATION: cement block CELLAR- x CRAWL SPACE:
BATI ROOM(S)-. 2 TOILET ROOM(S): 1. UTILITY ROOM(S):
POR
.......CH TYPE: DECK TYPE: PATIO TYPE:
.BRE . ............
. ......EZEWAY: FIREPLACE: yes--.- GARAGE:
DOMESTIC H6T-WATEk---'--.........X-" TYPE HEATER, oil AIR CONDITIONING:
TYPE HEAT: oil baseboard WARM AIR: HOT WATER: Oil
#BEDRO ---5- #KITCHENS: I BASEMENTTYPE- unfinished
................- ................
OTHER:
................. ...................................
..... .............. ............
ACCESSORY STRUCTURES:
GARAGE,TYPE OF CONST: wood frame STORAGE,TYPE OF CONST:
.......................... .................-
SWEVIMINGPOOL: GUEST,TYPE OF CONST:
OTHER:
............. ..................... ................. ................. ................ ........ ...... ................................ ....... . ......... .........
VIOLATIONS:
..... ......---............... .. ............. .. ......... ................ ................................................ ........
.............. ..........
REMARKS:
.......... ..............I'll,............................. . ............. -------------- ..................
...................................... ------
...............................
INSPECTED BY- MIKEV DATE OF INSPECTION: 7/14/2016
TIME START: 3:00pm END: 3:45pm
. ...............
of fat
Town of Southold 10/28/2016
P.O.Box 1179
53095 Main Rd
Southold,New York 11971
lop
CERTIFICATE OF OCCUPANCY
No: 38624 Date: 10/28/2016
THIS CERTIFIES that the building DECK
Location of Property: Oriental Avenue,Fishers Island
SCTM#: 473889 Sec/Block/Lot: 9.4-22.2
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
10/21/1991 pursuant to which Building Permit No. 40821 dated 7/6/2016
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 ad(lition to a1j s�,(ii c f it ily dwcl.l 4Mlsed for.
The certificate is issued to Chaves,Joan
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO.
PLUMBERS CERTIFICATION DATED
Autho V Sigmaat�
t?t , Town of Southold 10/28/2016
° P.O.Box 1179
53095 Main Rd
Southold,New York 11971
CERTIF. .CATE F
OCCUPANCY
No: 38625 Date: 10/28/2016
THIS CERTIFIES that the building ADDITION/ALTERATION
Location of o Oriental Ave,Fishers Island
SCT : 473889 Sec/Block/Lot: 9.4-22.2
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed int thisoffice dated
9/7/2016 pursuant to which Permit No. 40990 dated 9/13/2016
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:
it , built"alteratzola ,for a lau ndry rr onz a� ...tc�.ap, s r _s�:-L np kap a lve i ml r;
- _ _. _ l.l
The certificate is issued to Chaves,Joan
of the aforesaid building.
SUFFOLKCOUNTY DEPARTMENT OF HEALTHAPPROVAL
ELECTRICAL IC 40990 7/28/2016
--------
PLUMBERS CERTIFICATION DATE
thoAur gnatur