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HomeMy WebLinkAbout1000-9.-9-22.1 TOWN OF SOUTHOLD Rental Permit i° 0367 Owner Kennedy SR Rev Trt Occupied as Single Family Dwelling Located at Off Equestrian Ave Fishers Island 9.-9-22.1 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. 4 7/17/2023 Code Enfeem— This Notice must be posted by the main entrance at all times TOWN OF SOUTHOLD BUILDINGEPS`. ag 631-765-1802 1INSPECOMT10m [ ] 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 (FIN ] [ ] CODE VIOLATION [ ] PRE CO [ RENTAL D-7 3 TOWN OF SOUTHOLD BUILDINGDEPT. 631-765-1802 [ ] 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 (FINAL) [ ] CODE VIOLATIO [ ] PRE C/O [ RENTAL DATE .� l3INSPECTOR TOWN OF SOUTHOLD Rental Permit Permit No. 0367 Owner Kennedy SR Rev Trt Occupied as Single Family Dwelling Located at Off Equestrian Avenue Fishers Island 9-9-22.1 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. 11/23/2020 Mike Verity 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 bar Fax(631)765-9502 P.O.Box 1179 Southold,NY 11971-0959 Al BUILDING DEPARTMENT TOWN OF SOUTHOLD _RENTAL PERMITAPPLICATION Rental Permit Fee$200(Application must be renewed every two year �'� - JUN 2 1 209 Section A. Property Information: Rental Property Address: a Som�— Tax Map Number:1000 SECTION 417 3 egg --BLOCK -LOT 12 =. � SECTION B. OWNER INFORMATION: 2 Property Owner Name:, e v l� , ��,��o-q— Property Owner Legal Address: Property Owner Mailing Address: Y\ ,14 Telephone Number(s): Daytime Evening gra Me_ Emergency_ - 7[U - [y 2T Property Owner Email Address:sk_cw2 ON (� Gala Page 1 of 5 `� Town Hall Annex spy Z- Telephone(631)765-1802 54375 Main Road .x Fax(631)765-9502 P.O.Box 1179 .: Southold,NY 11971-0959 , .emsv BUILDING DEPARTMENT TOWN OF SOUTHOLD Section C. Authorized Agent Information: Name of Authorized Agent of dwelling unit, if Address of Authorized Agent(no P.O. Boxes): Mailing Address of Authorized Agent:T (V 3i >- 1<6- �rT (CIC\t) Telephone Number(s): Daytime_ Q • - Evening C Emergency-26p-- 0 .-068 L, -- Email Address,­j(� ,1/k_QQ •4 M CK C f-6-TYNA 0 01 Stion Do a Managing Agent Information: Name of Authorized Agent of dwelling unit,if any: Address of Authorized Agent(no P.O. Boxes): MailifigAddress 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 Town Halt Annex 54375 Main Road }};; � � r ��� � Telephone(631)765-1802 �i �x w Fax(631)765-9502 P.O.Box 1 179 X N, Southold,NY 11971-0959 COU BUILDING BUILDING DEPARTMENT TOWN OF SOUTHOLD Mailing Address of Managing Agent:73�ycn_ c� d'� ' l-T% AA- Telephone �Ium'6er(s): Daytime. �� Evening VY1 P Emergency k�-� $ - 0�g-6 Email Address: "1 'nom: SECTION F. PROPERTY DESCRIPTION: Number of Rental Dwelling Units on property!`A p�� 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:_ 1�— Sk nQ 'C '1PC;Q V) Requested Maximum number of persons allowed to occupy Dwelling Unit: Number of rooms in Rental Dwelling Unit:_ _ , �_ ' �Q,�,ccc3y' 0_s;� -377— Iloa � Use and Dimensions of each room in Rental Dwelling Unit: A o4 ) `3 33 14 o Ch's Up( r5* i I- 0 P'a_r) km -- �� c11 M 1 Page 3 of 5 _ -. -- ___-- __ .___ ,�. , --- -__ -_-__ __ _. .__..._____._-- _, r(,��„� 1 _oil--v_�._.• Town Hall Annex x Telephone(631)765-1802 54375 Main Road _y - r � : �� Fax(631)765-9502 P.O.Box 1179 Southold,NY 11971-0959 BUILDING DEPARTMENT TOVN 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. I`� i 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 fi UST be the owner of the dwelling unit. STATE OF NEW YORK) ) COUNTY OF SUFFOLK) 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 Sw - � Town Hall Annex � � Telephone(631)765-1802 i1 54375 Main Road Fax 631•- ' ( )765-9502 P.O.Box 1179 Southold,NY 11971-0959 � d BUILDING DEPARTMENT TOWN,OF SOUTH®LD 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:. _ 2 --R Property Owner's Signature: Sworn to before thisA/ day of L20a Official NotaryPublic ' nature and Original Notary Stamp C55.7-Y°, 2,2 Page 5 of 5 Alaf tit, # * TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION/CAULKING [ ] FRAMING /STRAPPING [ ] FINAL [' ]-:--FIREPLACE & CHIMNEY [wrlFIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION ' [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) [ ] CODE VIOLATIO [ ] PRE C/O REMARKS: ©� DATE INSPECTOR - OE so # TOWN OF SOUTHOLD BUILDING DEPT. 765-1602 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLRG. [ ] 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: C �• ���� Jol DATE G9 �! INSPECTOR . !/ 28310 t\!-'rj' 28310 4 112' i1'-6' 16 R15ER5 5'-1 314' i'-2 112' f 0 10_3" 1 HkTN #2 2 o AT 7.9375' ' Yr DOR E .— OAK TREADS' isERS sE o in I L tg w e a g D F� 0 0 M # y� 'ter AND LANDING 6A7N a3 m a o x � _... _� (� v TRA LABELS(2) ' - H3 `- LOCATED UNDER ° H3 3 3° 2/4 - SINK ON Wall tllE tY, 211 1I1E4 E �^ BY OWNER 4 BY OPINk BY OWN R 2/4 _ PEC60 PE960 _ BYR60PINER H3 DY OWNER - _..-U Ql'INEK, rJ/ 2/6 d w os/co i PULL ON s r" 2 X 3' NAI L I ATTIC STAI1s m H3 ,oMonSIl4 ---._--- H4 4 0" BYPASS iti(ICS _ 1-1/2" X 18' MICRO- -_.^.__.—._.-.—. -- - 11 �A�I�ACH HAIf' F 216 ^2/6® BEAM 5Uf PORT 3 51,05 9'-0 112' IRA LOU N3 f 4'0" BYPASS 4'0" BYPASS IOCAiED ABOVE DOOM IN CLOSET SR BEDF� OOM # 2 BEDROOM # 3 BEDROOM # I ` o 14'-tf°10 j!4 4 t4'-0' 2452-3452•04% (� E452-3452-2452 HZ 2452-3452-2452 0 V-6, 7_.-6' 4_ 14 '' 44'-0' Nf 283E 112 _ ,!4'3!0 2E�10 H2 . 20310 _ J2,-.W 842 OAK TREADS,RISERS 6,-a'3'-2 112' ��a � TO H0R5-,___ b27ST IBWT 18IBNT 163 B30ST , -�� �� -------- - 5�r3t~M�t ►? Gi�1�rp xopo 0 4A9691404" O _ �� ,e TyQx14-10' FRAMING TO FRAMING ' , �-b. u - x� _- 2" -2' FRAMING TO FRAMING ,� W.C. �p - -� 5100 WALLS DEN / 5 If Y rI iii 1 i e e..a R (9:1)c i --- �► K ( TGHEcu � - , fiTATE, DATA AND i kv i + °� 9AT' i 2/41m 5'- 112' 13'"1173" �__ GARBAGE F N� IRA [015 LOCATED ; 0 1 5P05A1 - - I1110EK 5INK ON WALLS' I �a 019M,1S1EA H-A-Y � � o 2/6 i ------ --- >� I Q _ z I ` � EF:I-3d �Ys i m 5EA'4 5UP- i i G O N4 ` (I PORI 3 STUDS ' " i mi 111E _ _ __ __ i _BY USHER__ i 16'141DE RAISED ..-----..—•—• —N�f.ON00D—- •DAR 42' A.F. — —_rv. —• _ - - -- 3'_0' SO. RCHNAY Dr OWNER LAN 1-112 E1 1 HIP kAIF n li i 2- X 4" SUP- NFAOEA AT 7'-6 1/2' A,I.F. 112' 3' 6' an,affs Floor Sohl"HEla1F WMI PORI WALL - 2- 1-112' x 5-112•RICO- DOUBLE 2' X 4' MARRIAGE WAIL— HARDWOOD EX11 ND5 IM DEN fA01 IIAIF At BEAM SUP- aUNOER BAR 1'1 FIR%FIOX CEILING PORI 3 STU05 SNORT WA u r� psum oviou ryx`ar.ywcev �- �� ,r _ . ,- PROVIDE OPEN ' ' I FRAXIING FOR 5'01r , ALL WIDE FIREPLACE d = HEADEBY R IAT} X b'0' o HEARTH: 2'0" fv�1 O ' .N DINING ROOM FAMILY ROOM N I L I V_ I N 6 FZ O d M - — lur OF TAANSONS TRA LABEL FOR IH15 F-AT SK HEIGHT N 0-m' oJERF I THERE M051 DE AT UNIT LOCATED UNDER ---� LEA51 3 STUDS KUH4143 SINK 4 DAIH S3 OETYJEEN THE HEADER 7'-8 1/2' HEaCaEA HEIGHT ��Z f'�.•,�I,aaov -c►-►►s 6 1/2' AND TOP PLATE, WIONE -1'-B 112' HEADER HEIGHT STUD LOCATED AT THE " CENTERLINE OF FIP 41'-1113 _ HEFtIA-TAU S1l8 3'4' TI&:FPHA-TRU Si! fi°.p• 114 `L' r ` 14'0' NI Ia244T ABOVE W/ 19200T ABOVE `_ a YF ONP4f062 T N/ TNT4i4i4 ABOVE T- 1 10 ONP3452 TNT3410 1W2452 W/ iWT24f0 TN2452 III THT2410 ORP3452 TMT34i0 TW2452 kJ TWT24f�;� �� 14.-6'44'-0' . m m 1 / 1 TOWN OF SOUTHOLD PROPERTY R! OWNER STREET VILLAGE DIST 1 SUB LOT ACR. / REMARKS c TYPE OF BLD- u Koi rVr L4 PROP. CLASS 33��3 LAND IMP. TOTAL DATE _ �., 4 oc� Scoom Soo y' z A - FRONTAGE ON WATER TILLABLE FRONTAGE ON ROAD WOODLAND DEPTH MEADOWLAND BULKHEAD HOUSE/LOT - TOTAL - I ■■■■■ ■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■ - .___ - �►r ���■i�i1■■■■■■®■iii■■■■■■■■■■■■ IAI�11111@111111011�1� - - - ■■■■■ilii■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ Woodstove 9- L Attic • Floor 'Rooms ist Floor Rooms 2nd T()FA-13 OF SOUTH0i.D BUILD-90 DEPARTMEST Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY Date;: 02 25/09 No: Z-33553 s :iglg CBRTMMS that the building N D[+�LLING iMpg)ULAR) OFF EQUESTRIAN A`TE FISFFERS ISLAND yccatis»u 9f- p+opiF= (STREET) tom} (HOUSE NO.) ( Blflc�C 9 3�t �— CaMty Tans Map No. 473889 Section 9 Filled subd visioa Lot Mo. con€orme substantially to the Application for Building Permit heretafore €:Lied tt�i s officedated FEBRUARY 16, 200? Pursuant to which Building Pexuit NO. 32772-Z dated MARCH 5 2007 "was issued, and conforms to all of the xequ3re8tents of the applicable provisions of the law. The occupancy for which this certificate is issued io ONE FAMILY MQDMAR D[WEL16ING WITH ATTACM ONE CAR 'GARAGE WITH DECK ABOVE AS APPLIED FOR. The certificate is issued to SHBILA $ D(0WNER) of the aforesaid building. s MMM COMM MPARTMMgr OF MMM APPROVAL R10-06-0082 Y2-3J 08 c C No- 4008_ a9p ! 10 17 _ pLtRgWM CEgTMCAMLOt DATHD11/ 0/08 $EtTER W�toWKA Vc d Signature Rev, 1/81