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HomeMy WebLinkAbout1000-9.-9-25.2 TURN OF SOUTHOLD e Rental Permit 0214 Owner A & H Braun Realty Trust Occupied as Single Family Dwelling Located at Equestrian Avenue Fishers Island 9-9-25.2 Maximum Permitted Occupancy 6 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. 7/25/2022 Code EnforcTment Offic I This Notice must be posted by the main entrance at all times alf SO TOWN OF SOUTHOLD BUILDING DEPT. 631-765-1802 INSPECTION FOUNDATION 1ST ROUGH PL13G. FRAMINGFOUNDATION 2ND INSULATIOWCAULKING INSPECTION100FIREPLACE & CHIMNEY vr'FIRE SAFETY FIRE RESISTANTI IRE RESISTANT PENETRATION ELECTRICALI CODE VIOLATION PRE C/O RENTAL go, lv; DATE � E 4 . iINSPECTOR Pakf so 7- 7— �-� *)TOWN OF SOUTHOLD BUILDING DEPT. 7651802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION/CAULKING [ ] FRAMING /STRAPPING [ ] 5MAL [ ] FIREPLACE & CHIMNEY [ FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION ( ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) [ ] CODE VIOLATION [ ] PRE C/O REMARKS: 00 DATE 04ZZ INSPECTOR TOWN OF SOUTHOLD co Rental Permit Permit No. 0214 Owner A & H Braun Realty Trust Occupied as Single Family Dwelling Located at Equestrian Avenue Fishers Island 9-9-25.2 Village S/13/1- Maximum /B/LMaximum Permitted Occupancy 6 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. 11/4/2019 Mike Verity Date of Issue Code Enforcement Officer This Notice must be posted by the main entrance at all times Town HailAnnex Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1179 Southold,NY 11971-0959 BUILDING DEPARTMENT TOWN OF SOUTHOLD RENTAL PERMIT APPLICATION_ Rental Permit Fee$200(Application must be renewed every two years) Section A. Property Information: Rental Property Address. W 103- -'EGv eg--Ar;a n Aye., 'T�s6 rs �s�car� �Q N 6 G-3770—6103 Tax Map Number: 1000 SECTION lI 3 $q -BLOCK -LOT 7 -_ZS 2— SECTION SECTION R. OWNER INFORMATION: Property Owner Name: 61j��n. A Kecd� Property Owner Legal Address: Property Owner Mailing Address: 25[1 ��¢c,� �1. 2�1( • �2rr�,r 5� . (c-jGNl-1201 _ C ,--L GOfd-I1-120 Telephone Number(s): Daytime fOb yt°i Even in 50.-]'=-7V,,Emergency3 2-SfoG'zo�Z Property Owner Email Address: 5W • �f1cN M Page 1 of 5 d sor�T Town Hall Annex , Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1179 Southold,NY 11971-0959 Tu BUILDING DEPARTMENT TOWN OF SOUTHOLD Section C. Authorized Agent Information: Name of Authorized Agent of dwelling unit, if any: 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: Address of Authorized Agent(no P.O. Boxes),.- Mailing oxes):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 5 S.k Town Hall Annex Telephone(631)765-1502 54375 Main Road ; CA Fax(631)765-9502 P.O.Box 1 179 Gam, Southold,NY 11971-0959 Comm f BUILDING DEPARTMENT TOWN OF SOUTHOLD Mailing Address of Managing Agent: Telephone Number(s): Daytime Evening Emergency Email Address: SECTION F. PROPERTY DESCRIPTION: Number of Rental Dwelling Units on property: I �- _nym t no-s@ For each Rental Dwelling Unit set forth the Rental Dwelling Unit identifier(for example, Unit 1, Unit 2, Unit 3 or Apt A, B, Q 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: Use and Dimensions of each room in Rental Dwelling Unit: Page 3 of 5 i Town Hall Annex Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.D.Box 1179 Southold,NY 11971-0959 BUILDING DEPARTMENT 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. VII 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) ) COUNTY OF SUFFOLK) I ✓1 �/ .� 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 Page 4 of 5 Town Hall Annex �4 Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1179 t , Southold,NY 11971-0959 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: Swor before me this day of L,/ . 20 j OFFICIAL SEAL R08FRANK GOMEZ NOTNOTARYPUB PUBLIC-STATE OF ILLINOIS , MY COMMISSION`XPIRES.01/27/21 Officia Notary Public Sig ure and Original Notary Stamp Page 5 of 5 SOUTh�� # # TOWN OF SOUTHOLD BUILDING DEPT. `ycourm,��'' 765-1602 INSPECTION _ [ ] FOUNDATION 1ST [ ] ROUGH PL-BG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING /STRAPPING [ ] FI AL [ ] FIREPLACE & CHIMNEY : [ kf FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION ` [ ] FIRE RESISTANT PENETRATION [ ]_ ELECTRICAL (ROUGH). [ ] ELECTRICAL (FINAL) [ ] CODE VIOLATION [ ] CAULKING REMARKS: ` Citi► ...� �•O ��� +�. DATE �* /� / INSPECTOR ` V SOUlyolo # * TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING /STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ IRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) [ ] CODE VIOLATION [ ] CAULKING REMARKS: �o . DATE Ora INSPECTOR S • / P � s r { i i r t a '• , , �P. t 1 " 40 LE-1 - i2 C � � � `✓'r.L'��..r•r^..,.r d` � � �'f �!. �""t' Yl.n �/ ` ���\ � - �r ' � i } i • 1 t f/�ljt 4 • — t_�1: , a 1 .. .� ; .,_ . + 11 ' 1A 6t -_____�_.__, ,_.. �_•... . - � � .. y 1 _-'_ .. __' __-N....._ - =ti�r� t`i .. .. . � , '1;.����-`�`,p � . . a , 1 ff��(--fit! � ' l�: — _. _. _ �1 •_7:CLYt°G. _- -'�,- t. .! y' �� �i'.Li tl•f`f �'� --' - - - - ��.J•k.i ' .. 'Ii � � '","x.y j• fr��=�.._� � �..� �.. ._,. � ..... _. � ,.. � i "_ j" '�•� 1 �..... w a i } , i i ,, {., ! �'_ - ! ��}1!'(T-+i,�' '�.y-T f'!✓r1110f�.1 , i-- i1 ; � !�;� � .''.`. •C• '{ _1. 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ANPKEW ]FAUN Vo LFt N 'V—I 6l fft -v'; � ry A / N 'tit".,•�,�,;�;':��°- �.te��r-�A-Y�N GcN�i !�la5ti 2 n3•�f t. •�'�5(o :."'��� - Nc .t �i �c : Y � � �=' L� ; �/4 • r PAN • r # Z ' t i 1 + ' ,�+ a FIT IV - J1 ► 1 'V i r •r hG , ( __...__.._.__._._._—_----.__—_._ _•,.__ f''".I� i! >•-' , 'f`-f' foolI _ !!i f �.;a stot\�itg t�Ev�i "OUSE- 16 LAN P New yor-V— �Y - •i}*:ti.F'� • r":•.tip w i f•� U Y!N C.:•n•..► %,r• SRROM�NMN � tit f-W k.Avet•; r_.^ �� 5 t S . :'S`'.,r j Y'�r h,Cl'i k o to u 4 - • r 1 rL i v 114 7 a i . _ . � } `! • �. 4t -.W .,ir .✓ 1 V r--Y Y ►�jl;r 1.:'`` ,ra+tE hL . �(��1��,� ,'' 'j�; ,;,1�,�4�,t ►��-�..r'..�1,..,,, ..,tet TOWN OF SOUTHOLD PROPERTY _(;ARD OWNER STREET VILLAGE PISTJ SUB. LOT No&ewA, 1-ia-len 3(aun FO ER OWNE�,, N3 vp E/, I ,, I j V,� �r ccn 6 4 S W- TYPE OF BUILDING P 6"; F"� "? ,v/ V -61-4 16 SEAS. VL. FARM comm. CB. MICS. Mkt. Value LAND j IMP. TOTAL DATE REMARKSF -7 _ !_ 7;o 7_ -7920 ,q -9 , B 4-12 6 27 Jp— 7� 7 S, /p w C-" tj AGE BUILDING CONDITION NEW NORMAL BELOW ABOVE FARM Acre Value Per Vclue Acre Tillable FRONTAGE ON WATER Woodland I FRONTAGE ON ROAD Meadowland i j DEPTH House Plot BULKHEAD Total I DOCK COLOR l`}�rj�r.� �r to TRIM • - - � I ( I i i � ! I I i I I I I I i � - 44C,.D QGtYn; j ri ,�`i I;• Y° :� I ! I ! I I ! ! i � ��� �� _ .. -- - - -, '-'�� � I � i �C�t, t h � 'i •�• r t� ''1 ! i I ( ! � � I i ' I � � �,..���--,d- � �V"vr�,,�`,�`•�_�;,"3� .� � I _ f I �,, �� r(i 1{ I/s � lei� i � � f ,�- Myst- �r-3"r`�k�.�s-..%l-'Tch`'-,��.r+-�'�7�'+;�-�•''�.�"�+. �._ 1 � r S 11 4� Z CI-f r A` !1 �I ✓L� �j �"'�,i I I 'I�! ` i -! I I f - I �V.� /-i r Y,r•�. 141 M. sla9. ,q , -_blx 7. $ V Cf3 P?oLCGi(r,r Extension e f X77 ! ! I i ! ! ! I i ! I ' i i ! I 1 Extension' I ! I lI Ii 1 ! I i Extenslo ` ! =;t' 'f -3 G '7Z -77 ------ Foundationi 1 Bath I � Dinette - - f' rch P i I Basement I �„ rs`] Floors ! K. Porch" ' r J Ext. Walls r ;Interior Finish S o LR. /7� ! �Ja S�����4 Breezeway > '� Fire Place Heat ; DR. Rooms 1st Floor i BR. .Type Roof i f Patio .` ��^e I 3 i Recreation Room` Rooms 2nd Floor ; i FIN. B 0. B. i 1 f Dormer Driveway j 1 i Total Illi , FORS NO. 4 TOWN OF SOUTHOLD BU11 DING DEPARTMENT Town Clerk's Office Southold, N. Y. Certificate Of Occupancy No. Z72.89. . . . . Date . . . . . . . . . . . . . .©etober. . . . 13 19.7.6 . , THIS CERTIFIES that the building located at . L/0"'. Equestrian .Ave. . . . . Street Map No. . ?x. . . . . . . . Block No. . .M . . . . .Lot No. . . . . . . conforms substantially to the Application for Building Permit heretofore filed in this office dated . . . . . . . . . . .June ,28, . ., 19.75 pursuant to which Building Permit No. .8155Z . dated . . . . . . . . . . . . . '.I 4Y. . ?9, 19. 75, was issued, and conforms to all of the require. ments of the applicable provisions of the law. The occupancy for which this certificate is issued is .Private one family .dwelling. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . The certificate is issued to . Xr. & .Mrs, .Andrew. Braun. . . . .CwMers . . . . . . . . . . . . . . . . . (owner, lessee or tenant) of the aforesaid building. Suffolk County Department of Health Approval 54 :-.1.70. by, q �n�.tb. . . . . . . . . . UNDERWRITERS CERTIFICATE No.X2542.& . . .Ykay. . 24 . . 197.6. . . . . . . . . . . . . . . . . HOUSE NUMBER . . none. . . . . . . Street . . .Aque s.tr ian. Ave. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 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