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HomeMy WebLinkAbout1000-9.-3-4 TOWN OF SOUTHOLD N Rental Permit 11 AT 0350 Owner Christopher S. Gaillard Revocable Trust Occupied as Single Family Dwelling Located at Bell Hill Avenue Fishers Island 9.-3-4 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. 11/29/2022 Code Enfo cement official This Notice must be posted by the main entrance at all times VV ® +! - TOWN OF SOUTHOLD BUILDING DEPT. 631-765-1802FOUNDATIONINSPECTION FOUNDATION 1ST ROUGH PL13G. FRAMING /STRAPPING FINAL FIREPLACE & CHIMNEY 'FIRE ] FIRE RESISTANTI IRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) VIOLATIONCODE / Bunch, Connie From: Bunch, Connie Sent: Tuesday, November 29, 2022 10:13 AM To: 'Christopher Gaillard' Subject: Rental Permit Renewal on Fishers Island Good Morning, I am processing your rental permit renewal and noticed I don't see a receipt for the renewal. At your earliest convenience please submit$200.00 made payable to the Town of Southold. Thank you, Connie Bunch Southold Town Building Dept. i Bunch, Connie From: Christopher Gaillard <christopher.gaillard@gmail.com> Sent: Monday, December 19, 2022 9:49 AM To: Bunch, Connie Subject: Rental Permit/incorrect owner Hi Connie, Thank you for sending the rental permit. However, the owner of the property is no longer the Wm. D. Gaillard Trust & Peter Gaillard (the ownership changed in 2021). It is currently owned by my trust, the Christopher S. Gaillard Revocable Trust. Would you please reissue the certificate to reflect this change? Many thanks, Christopher Gaillard ATTENTION: This email came from an external source. Do not open attachments or click on links from unknown senders or unexpected emails. i TOWN OF SOUTHOLD Rental Permit Permit No. 0350 Owner Wm. D. Gaillard Revoc Trust & Ano. Occupied as Single Family Dwelling Located at Bell Hill Avenue Fishers Island 9-3-4 Village S/B/L 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. 10/13/2020 Mike Verity Date of Issue Code Enforcement Officer This Notice must be posted by the main entrance at all times SD(jT��� Town Hall Annex Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 COO- P.O. P.O.Box 1179 Southold,NY 11971-0959 '. CO S/lfi 5-��•' BUILDING DEPARTMENT TOWN OF SO OILD RENTAL PERMIT APPLICATION Rental Permit Fee$200(Application must be renewed every two years) Section A. Property Information: Rental Property Address: 5-4� C— // Ale Tax Map Number: 1000 SECTION i� —B-LOCK' LOT SECTION B. OWNER INFORMATION: Property YOwner Name: i ff, -- Property Owner Legal Address: Property Owner Mailing Address: (Cannot be the same as Rental Property Address) a a47 r Telephone Number (s): Property Owner Email Address: &A!t j acy Qej a�J�r O�► ��+ Ake, 41 -C�.o aUC)4 � Page I of 4 r S 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): Email Address: Section D. Managing Agent Information: Name of Authorized Agent of dwelling unit, if any: A)C,-"c Address of Authorized Agent(no P.O. Boxes): Mailing Address of Authorized Agent: Telephone Number(s): _ 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: VIA t Address of Managing Agent(no P.O. Boxes): Mailing Address of Managing Agent: Telephone Number(s): Email Address: Page 2 of 4 SECTION F. PROPERTY DESCRIPTION: Number of Rental Dwelling Units on property: Q 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: S�- Number of rooms in Rental Dwelling Unit: 15-h6 Use and Dimensions of each room in Rental Dwelling Unit: AD 'e'9roou. 2- SECTION 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 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. Page 3 of 4 ❑ 1 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) i��R ,c //�4c2 � -,-(�04+:1(A rig: 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: c/�%� G< './/A Property Owner's Signature: Sworn to before me this2 day of _ L 20/ Official Notary Publi S' nature and Original Notary Stamp NOBmAP�aJANKOWSKI uc OF CONNED ICUT MY COMMISSION EXPIRES 0613012020 Page 4 of 4 �o��pF SO(/lyO6 # # TOWN OF SOUTHOLD BUILDING DEPT. °`y�ourm ' 765-1802 INSPECTION _ [ ] FOUNDATION 1ST r ( ] ROUGH PL13G. [ ] FOUNDATION 2ND [ ] INSULATION/CAULKING [ ] FRAMING/STRAPPING [ ] FINAL [ ] - FIREPLACE & CHIMNEY = [ ] FIRE SAFETY INSPECTION [ °] FIRE RESISTANT CONSTRUCTION [ ] -FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) [ ] CODE VIOLATION [ ] PRE C/O REMARKS: == - � fP. DATE INSPECTOR - crc 41 - a b o = anyT-F I I I ILA I , t I _ k94 too Co F i I f k c44e. a Sq,e� , ►- lPbYb 7: 7,- Z"N77- J T01 VN =e3F ' 'O:UT4� 'O =D R ir ?, -�.--REColt-W CARD rd, -f r'y- v ,1 OWNER ..i STREET �:-DIST. SUB. LOT ;xhI f LAC)i D c3z�W� h1l r ve ,"FORMER 0w NEP I E ACR. -'ell! ;7 A lbett. w TYPE OF BUILDING /0--k WcAi RES. SEAS. VL. FARM COIJ4M. CB MICS. Mkt. Value LAND IMP. TOTAL DATE REMARql= 624-61 Ale-- A— ID t4 7.el�?K '--� 7,g lao/7 �r hZ-Likar-x =-�ot ip--o- \Alv+4 GcA*,0&yd Eat V&:L.Go ► -f 1 -4 a. I,/,yd 4 h 4 6-:Vba Y 8030 ko27 5 - S -;;i a'Yh" 4- 1 0- IQ 7 F3 Vqt4 4gowin :r,,, An V�-j �(,v N y1c,- -'I y u r=4, 165; -:4 a116 � 626141irl 7n1Yj12 Tillable FRONTAGE ON WATER Woodland FRONTAGE ON Meod"kphld DEPTH vouse plot BULKHEAD Notal � . . i . �� ■■■■■■■■■■■■■■■■i■■■■iii■■■■i1 .r. 10, r ; A .__�__ .t ■�■■■■■■.■�■■e■■e■■■■■■■■■■■■ BEEN ■i■.Sar.■■■■■ee■■■■■©■■e■ ■gee■■■s.■■■■■■e■■■■■■■■■■e■■■■ William D.Gaillard 17 Meeting House Road F E 8 2 6 2019 Greenwich,CT 06831 203-661-4716(phone&fax) 203-921-5406(ceH) (kandwgafflard@optonline.net) e-ir February 21,2019 Southold Building Department Town Hall Annex Building P. 0 Box 1179 Southold,NY 11971 Att'n: Ms. Connie Bunch Re: Fishers Island Rental Permit Dear Ms.Bunch: Following up on our previous mail,email&telephone communications concerning the Gaillard cottage located at 556 Bell Hill Avenue on Fishers Island,I enclose a completed,executed&notarized Rental Permit Application,together with floor plans,for the cottage. Our separate application for a certificate of occupancy for this pre-existing building was sent to you last month,and that certificate,when issued,should be considered incorporated in this new application. I understand that Mike Verity or one of his staff will be on Fishers Island next Thursday,February 28,to conduct building inspections,and we have asked your d6partment to include an inspection of our cottage that day for purposes of both the enclosed application and the previous certificate of occupancy application. Tom Shillo of the Z&S island contracting firm has agreed to meet your representative on the island to show him our cottage and to open it up for him. Please let me know promptly if your department needs any further information from us concerning these applications., Thank you for your help Sincerely yours, Enclosures �SgFOL 0��? Town of Southold 10/22/2020 o Gy-N 53095 Main Rd N z Southold,New York 11971 PRE EXISTING CERTIFICATE OF OCCUPANCY No: 41531 Date: 10/13/2020 THIS CERTIFIES that the structure(s)located at: Bell Hill Ave,Fishers Island SCTM#: 473889 Sec/Block/Lot: 9.-3-4 Subdivision: Filed Map No. Lot No. conforms substantially to the requirements for a built prior to APRIL 9, 1957 pursuant to which CERTIFICATE OF OCCUPANCY NUMBER Z- 41531 dated 10/13/2020 was issued and conforms to all the requriements of the applicable provisions of the law. The occupancy for which this certificate is issued is: seasonal wood frame one family dwelling with covered entry and garage under.* Notes: BP 7496 accessory garage COZ-6221;BP 44339 electrical survey COZ-40934;BP 45320 "as built"additions/alterations COZ-41530 The certificate is issued to Gaillard Wm D Rev Tr&Ano. (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED *PLEASE SEE ATTACHED INSPECTION REPORT. Autho ' ed Signatu BUILDING DEPARTMENT TOWN OF SOUTHOLD HOUSING CODE INSPECTION REPORT LOCATION: Bell Hill Ave,Fishers Island SUFF.CO.TAX MAP NO.: 9.-3-4 SUBDIVISION: NAME OF OWNER(S): Gaillard Wm D Rev Tr&Ano. OCCUPANCY: ADMITTED BY: Tom Shillo SOURCE OF REQUEST: Gaillard Wm D Revoc Trust DATE: 10/13/2020 DWELLING: #STORIES: 2 #EXITS: 1 FOUNDATION: block CELLAR: CRAWL SPACE: BATHROOM(S): 1 TOILET ROOM(S): UTILITY ROOM(S): PORCH TYPE: covered entry DECK TYPE: PATIO TYPE: BREEZEWAY: FIREPLACE: GARAGE: under DOMESTIC HOTWATER: x TYPE HEATER: electric AIR CONDITIONING: TYPE HEAT: none WARM AIR: HOT WATER: #BEDROOMS: 3 #KITCHENS: 1 BASEMENT TYPE: OTHER: ACCESSORY STRUCTURES: GARAGE,TYPE OF CONST: STORAGE,TYPE OF CONST: SWIMMING POOL: GUEST,TYPE OF CONST: OTHER: VIOLATIONS: REMARKS: INSPECTED BY: MIKEV DATE OF INSPECTION: 2/28/2019 TIME START: I:00pm END: 1:40pm FORM NO. 4 TOWN OF SOiITHOLD BUILDING DEP.ARTM04T Town Clerk's Office Southold, N. Y. Certificate Of ®ccuponcy No. . . . . . . . Date . . . . . . . . .Dee. . . . ! THIS CERTIFIES that the building located at M/O. AQ4. dill, TIP. . . . . . . Street Map No. . AX. . . . . . . . Block No. . . XX . . . . .Lot No. .mac . . i conforms substantially to the Application for Building Permit heretofore filed in this office dated . . . . . . . . . . . .j1aY. . .12, 19. 9?+. pursuant to which Building Permit No. .?!-k9.�bz. dated . . . . . . . . . . .Av,g . .?6. . . ., 19. , 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 . Priva.t.ct . (aacessory). .garage. buildizig. . . . , approved by Bd App®als) The certificate is issued to . . WM Uwor . . . . . . . . . . . . . . . . . . . . . (owner, lessee or tenant) of the aforesaid building. Suffolk County Department of Health Approval ' °. . . . . . . . . . . . . . . . . . . . . . . . . . . . . UNDERWRITERS CERTIFICATE No. . NAR. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . HOUSE NUMBER . . . .none. Street . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . /J Building Inspecto a�=zz- 'OFOL'tcoGy Town of Southold 12/14/2019 o - P.O.Box 1179 53095 Main Rd Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 40934 Date: 12/16/2019 THIS CERTIMS that the building ELECTRICAL Location of Property: Bell Hill Ave,Fishers Island SCTM#: 473889 Sec/Block/Lot: 9.-3-4 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 10/28/2019 pursuant to which Building Permit No. 44339 dated 10/28/2019 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: "as built"electrical survey. The certificate is issued to Gaillard Wm D Revoc Trust of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED Authorized Signat re o�SufFal,f�oG Town of Southold 10/22/2020 yj4 P.O.Box 1179 H z 53095 Main Rd oy�oao� Southold,New York 11971 1 ,r CERTIFICATE OF OCCUPANCY No: 41530 Date: 10/11/2020 THIS CERTIFIES that the building ADDITION/ALTERATION Location of Property: Bell Hill Ave,Fishers Island SCTM#: 473889 Sec/Block/Lot: 9.-34 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 1/31/2020 pursuant to which Building Permit No. 45320 dated 10/11/2020 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: "as built"'additions and alterations,including garage converted to living space,second floor deck and exterior stairs to second floor,to an existing seasonal one family dwelling as aapplied for per New York State Petition number 2019-0556. The certificate is issued to Gaillard Wm D Revoc Trust&Ano. of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED Authoized SignaKe