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Home My WebLink About1000-3.-1-4 -.' TOWN OF SOUTHOLD Rental Permit a : 0397 Owner FIFAP, LLC Occupied as Single Family Dwelling Located at Clay Point Road Fishers Island 1-1-4 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. 3/6/2023 Code Enforc of Official This Notice must be posted by the main entrance at all times Town Hall Annex �� Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1179 Southold,NY 11971-0959TM`, BUILDING DEPARTMENT 'S TOWN OF SOIUTHOLD TOWN OFSODTH ° Oi-[) RENTAL PROPERTY CERTIFICATION Form is to be completed by a license architect, licensed engineer or licensed home inspector Separate form is required for each individual Rental Dwelling Unit era essional seol re lxired or Architect or ineer licensed Home ins a "ar must rovide My of valid current cerci cation Rental Property SCTM Number: 1000 --- 3 --- 1 ---4 Rental Property Address: 7656 Clay Point Road, Fishers Island, NY Owner/Name: FIFAP, LLC c/o Peter Williamson Rental Dwelling Unit Identifier: Unit 1 Number&Square footage of each bedroom as depicted in the attached floor plan: (i.e. Bedroom#1 -100 sq., Bedroom#2-90 sq., etc.) Bedroom 1: 262.5 sq. Bedroom 2: 170 sq. Bedroom 3: 237.5 sq. Property Description (Include all improvements indicated on survey) Single family residence on two-acre parcel on Fishers Island Sound. The house has an open air aeck along the water si e o the ouse, and an attached garage with gravel drive. I certify that I have done a physical inspection of the subject rental dwelling unit and find that it fully complies with all the provisions of the Code of the Town of Southold,the Residential Code of New York State,the Building Code of New York State,the Plumbing Code of New York State, the Fuel Gas Code of New York State, and the Energy Conservation Construction Code of New York State. Sam? Ii Id, Architect print Signature� + �� r�; Ori gi 1 a Si na � 3 Plea ro pi e e $q9A !: �� T� I„12 t3' � ' of IF "a T "'AAIN OF SOUTHOLD UWW Rental Permit ER 0397 Owner FIFAP, LLC Occupied as Single Family Dwelling Located at Clay Point Road Fishers Island 3,14 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. 3/9/2021 2Lt4 Code Enforcement Official This Notice must be posted by the main entrance at all times `f l Town Hall AnnexTelephone(631)765-1802 54375 Main Road 1 Fax(631)765-9502 P.O.Box 1179 Southold,NY 11971-0959 BUILDING DEPARTMENT MAR 4 TOWN OF SOUTHOLD 2021 RENTAL PERMIT APPLICATION Rental Permit Fee$200 (Application must be renewed every two years) Section A. Property Information: Rental Property Address: -2656 Clay Point.,RQad, Fishers Island, NY Tax Map Number: 1000 SECTION 3 -BLOCK 1 -LOT SECTION B. OWNER INFORMATION: Property Owner Name: FIFAP, LLC Property Owner Legal Address: Property Owner Mailing Address: c/o Peter Williamson Same . 220 East 73rd Street, Apt, 8C NewYork, NY 10021 Telephone Number(s): Daytime, Even ing212-535-38331imergendy Property Owner Email Address: peter—williamson@moma.org Page 1 of 5 e a` Town Hall Annex Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1179 Southold,NY 11971-0959 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 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 Town Hall Annex Telephone(631)765-1802 54375 Main Road Fax (631)765-9502 CP P.O.Box 1179 Southold,NY 11971-0959 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.-' 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: Unit I Requested Maximum number of persons allowed to occupy Dwelling Unit: single family Number of rooms in Rental Dwelling Unit: 10*(including bath roo ms,foyer, walk in closet, and 9 rooms, 1 foyer, 2 storage, 1 walk in closet and 3.5 baths storage) Use and Dimensions of each room in Rental Dwelling Unit: Living Rm: 372 S.F. Bedroom 1: 262.5 S.F. Storage: 102 S.F. Dining Rm: 233 S.F. Bedroom 2: 170 S.F. Study: 215 S.F. Solarium: 94.5 S.F. Walk in'Closet: 55 S.F. --Bath 1: 87 S.F. 'Powder Rm: 24 S.F. Kitchen: 133 S.F. Bath 2: 41 S.F. Laundry and Storage: 90 S.F. Bedroom 3: 237.5 S.F. Bath 3: 62 S.F. Foyer: 176 S.F. Page 3 of 5 Soll .4 Or,Mo U.; Town Hall Annex Telephone(631)765-1802 54375 Main Road CP Fax(631)765-9502 P.O.Box 1 179 Southold,NY 11971-0959 c®m�, 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. ❑ 1 am requesting a fire safety inspection to be performed by a Code Enforcement Official from the Town of Southold IX I 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 Pt, T i 1�a�%LS��,4o FA-P , certify under penalty of perjury,the following: 1. 1 am the owner of the property identified in "Section A" of-thi§•40plidAkn: 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 X01 Town Hall Annex Telephone(631)76.5-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1179 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: F1 Fn C�o �p, W1��Iaf4soflti Property Owner's Signature: �� LLYI�rrs s;-� G (� �1 F P Aj Sworn to before me thi day oFQQCa& , 2OPZ Official Notary PubftcsIgnature and Original N Stamp NATASHA LASHLEY-WILKINSON Notary Public,State of New York No O1LA6157277 Qualified in Kings County Commission Expires Dec.4,2022 Page 5 of 5 ®�Utz' � Town Hall Annex - � Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1179 r Southold,NY 11971-0959 - BUILDING DEPARTMENT TOWN OF SOUTHOLD RENTAL PROPERTY CERTIFICATION Form is to be completed by a license architect, licensed engineer or licensed home inspector Separate form is required for each individual Rental Dwelling Unit Protessiondl,seal reauiredforArchit_ect,orEna_ineer,.licensed Nome/nspector=mustpro,vide copy of valid current certification Rental Property SCTM Number: 1000 --- 3 --- 1 ---4 Rental Property Address: 7656 Clay Point Road, Fishers Island, NY Owner/Name: FIFAP, LLC c/o Peter Williamson Rental Dwelling Unit Identifier: . Unit 1 Number&Square footage of each bedroom as depicted in the attached floor plan: (i.e. Bedroom#1 -100 sq., Bedroom#2-90 sq., etc.) Bedroom 1: 262.5 sq. Bedroom 2: 170 sq. Bedroom 3: 237.5 sq. Property Description (Include all improvements indicated on survey) 3 Bedroom single family home with attached garage on Fishers Island. I certify that I have done a physical inspection of the subject rental dwelling unit and find that it fully complies with all the provisions of the Code of the Town of Southold,the Residential Code of New York State,the Building Code of New York State,the P e of New York State, the Fuel Gas Code of New York State, and the Energy Con `tet` i Ion Code of New York State. .<" 0;a M pip - V'CJ1/ W• �J r. Print Name and Title �ig ' 'St ul:e OF Please place professional seal: 1 61 - Town Hall Annex Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1179 ,, Southold,NY 11971-0959 A POM BUILDING DEPARTMENT TOWN OF SOUTHOM RENTAL PERMIT APPLICATION ADDENDUM Rental Dwelling Unit Identifier: Unit 1 Requested maximum number of persons allowed to occupy each dwelling unit: single family Number of Rooms in Rental Dwelling Unit: 16 (including bathrooms, walk in closet, foyer and Use and Dimension of each room: storage): .rooms, oyer, 2 storage, 1 walk in closet and Living Rm: 372 S.F. Bedroom 1: 262.5 S.F. Storage: 102 S.F. 3.5 baths Dining Rm: 233 S.F. Bedroom' '2:170 S.F. Study: 215 S.F. Solarium: 94.5 S.F. Walk in Clos: 55 S.F. Bath 1: 87 S.F. Kitchen: 133 S.F. Powder Rm:24'S.F. Bath 2: 41 S.F. Laundry and Storage: 90 S.F. Bedroom 3: 237.5'S.F. Bath 3: 62 S.F. Foyer: 176 S.F. Rental Dwelling Unit Identifier: Requested maximum number of persons allowed to occupy each dwelling unit: Number of Rooms in Rental Dwelling Unit: Use and Dimension of each room: Rental Dwelling Unit Identifier: Requested maximum number of persons allowed to occupy each dwelling unit: Number of Rooms in Rental Dwelling Unit: Use and Dimension of each room: _ TOWN OF SOUTHOLD PROPERTY RECORE OWNER STREET VILLAGE DIST , _OT F1 P- FORMER OWNERr,EF-W' ►Ctm6,0n N E ACR. a e- VsTiUs 1 I Sa -elirte L. oJ, Il I an1Slly) S W TYPE OF BUILDING ES SEAS. VL. FARM COMM. CB MISC. Mkt. Value LAND IMP. TOTAL DATE REMARKS Z2 Z \ � t %/ I �L: r(m 1 I l I J_ I '•I!1..� ,.+--��' 00 tb (000 3 r3 z - LIl7953,�22- WII(itilam. 1, 1-3 '01 l1' 0ims6 'aa-��1� _L 1795 —�',) ��v� s� �-r; l�; I�►ar� y-�'►�usf�1G _ 2 9 Z-qeoo 406 -VJ i/I W ilb i) d AGE BUILDING CONDITION ��lAm.SrrY r'usf _ NEW NORMAL BELOW P.EGVE Z �or?�L Zy�D�L�Q$_��'ICryyl,S(jl�►�llYf,(1�- VJ t II Gl1Y) SD�'1 L(D�S N�C. FARM Acre Value Per Vclue Acre S ?� O(rJ ��. Z�loo —V1!I ��IQkUYf (�✓S >r� /�( L L-L' /`�L`�' Tillable 1 Tillable 2 Tillable 3 Woodland Swampland FRONTAGE ON WATER Brushland FRONTAGE ON ROAD House Plot - , DEPTH BULKHEAD Total DOCK f ■■..■- - ■ ■■ ■■. • ■■■ on� ■�■■RP IWE No ONE M ■■■MEMO■■■ mom M MREPE®EME ■■■MEO= ■■■■■■ID ,:i�'■■■E■■Flee■-'� i M■■ O s ■ E ■OMN _M MM■■MMI1 ■■ ■■ ■■M■MEmommoomMMMMMMMMMMIUI NEI No M■MMM■M■EII■■ ■is■E■M MMM■■■■ MMM■ MM■MI�NW Elm■■■■ mom Rooms 1st Floor Rooms 2nd Floor' : o 4 Town of Southold 10/31/2020 X P.O.Box 1179 53095 Main Rd Southold,New York 11971 CERTIFICATE OF OCCUPANCY - No: 41576 Date: 10/31/2020 THIS CERTIFIES that the building SINGLE FAMILY DWELLING Location of Property: Clay Point Rd., Fishers Island SCTM#: 473889 See/Block/Lot: 1-1-4 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 10/27/1987 pursuant to which Building Permit No. 43783 dated 5/22/2019 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: one familv,dwellinQ with unfinished basement. front and side stoops.rear deck and attached two car garage LWplied for. The certificate is issued to FIFAP LLC of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL R10-19-0111 12/13/2019 ELECTRICAL CERTIFICATE NO. 43783 8/13/2019 PLUMBERS CERTIFICATION DATED 10/19/2020 Mattoew olod'cki Autho zed§ignattVrie C1,14 O p o BE C� m G d w z as o J � � JW — x � LL LL UNFINISHED BASEMENT (2191 sqft.) ARC • �' ltr'v a � A 0 s Cd cc Lly— cn Vu a V€.i 11 Q O co BASEMENT,FLOOR PLAN N O ui SCALE-1/8"=1'-0°, ,f m Z hwe 00 0 } N Lu VI m Z U Q JU) r- JW — x � N LL Lif W LIVING i i DINING C3 (372 sqft.) I I (233 sqft.) BEDROOM 3 LL i (237.5 sqft.) BEDROOM 1 (262.5 sqft.) STUDY (215 sqft.) 0 O --�--------------------- WET BAR S FOYER o (176 sqft.) " BATH 3 —""% STORAGE P=- 7 PW RM 102 sqft.) (62 sqft.) O O ii C.� ii 24sgft.) WALK-IN ---------------- �j CLOSED KITCHEN (55 sqft.) • O - FREEZER k L BATH 1 (87 sqft.) –-- (133 sqft.) O ATH2 (41 sqft.) — SOLARIUM D W REF (94.5 sqft.) uo 'All RYAN GE gft') BEDROOM 2 (170 sqft.) GARAGE C� C go� `•I�N��C��G (529sq) ARCO 4 14 �� E ¢ AN Par 7;p 01 iS a ao 1, L.Mo I `F LI: co GROUND LEVEL FLOOR PLAN �� SECOND LEVEL FLOOR PLAN cc N a O SCALE:1/8"=V-0" SCALE:1/8"=V-0" Lei m ,� �2