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Home My WebLink About1000-87.-3-36 , TM TOWN OF SOUTHOLD u, w Rental Permit m,Mr 0485 s Owner Mark & Audrey Ammirati Occupied as Single Family Dwelling Located at 3205 Minnehaha B1v Southold 87.-3-36 Maximum Permitted Occupancy 4 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. 7/11/2023 e ford t ficial This Notice must be posted by the main entrance at all times TOWN OF SOUTHOLD BUILDING DEPT. 631-765-1802 � r �,3(o IN S P E%C"T 10 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 (FINAL) [ ] CODE VIOLATION [ ] PRE C/O [ ] RENTAL REMARKS: 1- 4 �� DATE 41,01 DW2 INSPECTOR)* Q W Qu Town Hall Annex _; Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1179 Southold,NY 11971-0959 u_ t ,. BUILDING DEPARTMENT _ TOWN OF SOUTOLD � - RENTAL PROPERTY CERTIFICATION VV 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 rsirnrl seal agured cr�rciect car engineer, iiesed dome Jectcr mstrsvide coat/a, valid current cerci cation d Rental Property SCTM Number: r � —7 0 Z ,(6 Rental Property Address: -3 '7 12 S ell+Wwk-NADA I?+—V0 a0VTH0L-0 /VV Owner/Name: At"PIP,A`1 Rental Dwelling Unit Identifier: 1 04s Number& Square footage of each bedroom as depicted in the attached floor plan: (i.e. Bedroom#1 -100 sq., Bedroom#2-90 sq., etc.) +L 1 �3 Irk zr L 0 Property Description (Include all improvements indicated on survey) �� +-r �y �- �,L-1-i V(� % C�c�t�a.S � �r.,�� rr A,.r� o 11�7� 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. H 0 EA 1 f'F Printed i Original Signature 0 7-7 t l I ( sem down l F- I s range j 3 O "s/co2 in crawl space closet closet bath s co2 w/d closet O s 70s bedroom 01 bedroom 02 AMMIRATI RESIDENCE FLOOR PLAN 3205 Minnehaha Blvd.,Southold NY 11971 �1�� TOWN OF SOUTHOLD Rental Permit � o 0485 Owner Mark & Audrey Ammirati Occupied as Single Family Dwelling Located at 3205 Minnehaha Blv Southold 87-3-36 Maximum Permitted Occupancy 4 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. 6/25/2021 Code Enf ment Offic This Notice must be posted by the main entrance at all times • pF SD!l�yol. Town Hall Annex Telephone(631)765-1802 54375 Main RoadN Fax(631)765-9502 P.O.Box 1179 Q Southold,NY 11971-0959 Q �ye4UN1'l,ta�� .BUILDING DEPARTMENT TOWN OF SOUTHOLD RENTAL PERMIT APPLICATION Rental Permit Fee$200(Application must be renewed every two_y a M AY - 4 2021 Section A. Property Information: ✓ .T; Rental Property Address: ` 3a4v- &u je=k Lvb- SdJholl Ny IIIF7-1 Tax Map Number: 1000 SECTION -BLOCK S -LOT 3� - SECTION B. OWNER INFORMATION: Property Owner Name: "��`- /� •M �� Property Owner Legal Address: Property Owner Mailing Address: a Y�-� C✓'a�✓S a2`f� Lro tis �,.� Telephone Number(s): Daytim Evening Emergency Property Owner Email Address: ?'�i� �A��w+ «�`l`; C2- 9 n- �-- G�n-1 Page 1 of 5 oV SOUTyolo Town Hall Annex Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1 179 Southold,NY 11971-0959 OIyC� N,�aa® 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, 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: Number of rooms in Rental Dwelling Unit: Use and Dimensions of each room in Rental Dwelling Unit: Page 3 of 5 SOUIyDI , � o Town Hall Annex Telephone(631)765-1802 54375 Main Road N Fax(631)765-9502 P.O.Box 1179 • Southold,NY 11971-0959 O a 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. li- I am requesting a fire safety inspection to be performed by a Code Enforcement Official from the Town of Southold V, 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) t ,kz/,- 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 ®r socp U�y� Town Hall Annex ! Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1179 • O Southold,NY 11971-0959 D 000UNv 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: �QIlk— Property Owner's Signature: Sworn to before me this J-7 day of lUe Nl . 2011 XnaQ®o.. –W-11 ca— Official Notary Public Signature and Original Notary Stamp KATHLEEN FORD NOTA.fW pN�L01F0631612NEWY0RK 0ua1i#ied in Nassau County My Corfimittwn Expires 12-08-2022 Page 5 of 5 Town Hall Annex i : Telephone(631)765-1802 54375 Main Road I a. Fax(631)765-9502 P.O.Box 1179 r 1, Cc ��-},ff Southold,NY 11971-0959 , l M AY 1 3 2021 BUILDING DEPARTMENT TOWN OF SOUTHOLID T F 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 Professional sw'al reauired for Architect or Enafneer;.licensed Home.-inspector must provide �copy of valid current certification Rental Property SCTM Number: 000 w 09-1 — 0-3 — 3 Rental Property Address:.;,- '�Z.o 5 - h 1NvC H pH A- 13LV O 50' uTHOL-10 . A/Y Owner/Name: A00RE-1 AI"►mi (?ATf Rental Dwelling Unit Identifier: P)*'v H®ulC OWLY Number&Square footage of each bedroom as depicted in the attached floor plan: (i.e. Bedroom#1 -100 sq., Bedroom#2-90 sq., etc.) (to SF 80moom qa r 040 SF Property Description (Include all improvements indicated on survey) t7h-1 f [-IouSq oNir, (:Mnu q 0 /Jf.L 4JU WIENcf-ostP PON(-H AWO 4(CCS0Al &g446L. S7pucr(ruftl< 60 dt Z 11 v)3 S ru�I�Svr�V S H+eo: C-.04T �iS`900� 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. `FO-ons-s 0'0L'1'y6Ai PE Print N P� and Vftfll Original Signature YD m Ple cg 2 � o Oy yOFES SIONP� N-71 L "T7 0 *aWraol"Is;m aw AMMIRATI RESIDENCE FLOOR frIAN ?V6 Minvrohirq SNI.. NY I Wt I TOWN OF SOUTHOLD p 7 :ORD CARD � OWNER STREET £' tom- VILLAG I DISTRICT SUB. LOT r - ¢ {{FORMER OWNER q)L ) "4 40 {'^+'}I E t ( p ._..v.:..- ACREAGE /( W TYPE OF BUILDING RES. SEAS. VL. FARM COMM. IND. CB. ( MISC. Est. Mkt. Value LAND IMP. TOTAL DATE REMARKS Jam.,.^' f ,e� p��y 1, ft7 J 1103 k9� w�/�.5��+,a� ,��•1�1. tom' -CrF-. w r A ,E BUILDING CONDITION NEW NORMAL BELOW ABOVE FRONTAGE ON WATER Form Acre Value Per Acre Value FRONTAGE ON ROAD 671 Tillable 1 1 LU� �. 111[ - _._ __.....- -- -----___------- -- Tillable 2 DOCK Tillable 3 Woodland Swampland ;. BrushldO ' s ` House Plot — Tota I r { ,' �,,' ';`�'� °. tea•. x s" . —°- E__ r ! _ ! { - — i . M. Bldg. 70 + F undation Bath Extension 1 Basement Floors Ext. Walls r �` , Interior Finish I Extension � i ° Extension ? Fire Place i Heat - i _ Porch Roof Type _ I — Porch Rooms 1 st Floor Breezeway Patio 1 Rooms 2nd Floor _..__.........._....._.._....._..._... _..__T ..... .. ..__ ....._ r ...........__.. __._,... __...... �. _ .... ........ Garage __- - .. e rf , I ! Driveway Dormer 4. B. � 4 FORM NO.4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy No. 2,11435. . . . . . . . . . Date . .January. .18. . . . . . . . . .,. . . . . . . 19 .83 THIS CERTIFIES that the building P. .(?) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Location of Property 3 q 3, MIININEHAHA BOULEVARD SOUTHOLD House IVo. Street Hamlet County Tax Map No. 1000 Section . . .H-7 . . . .43. . . . . . . . .Lot , , , ,03 6. . . . . . . , . Subdivision . . . . . . . . .XX. . . . . . . . . . . . . . . . . . . .Filed Map No. . .XX. . . .Lot No. . . . XX. . . . . . . Re uirem ts. or a r v te. on ly dwellinq built prior to con orms sus antra y to th� App�icarww ��diu$ '.euis�t-her afe il�d-i�l-this €�s�dated April _23. . . . _ . . _ . . , 19 57 pursuant tE%Qamjpoefi?RC0uPancy Z11435 . dated . . . . . JanuarX 18 . . _ _ . . 19 83 ,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 . . . . . . . . . A, private .one-familX dwelling with enclosed porch and accessory garage . . . . . . . . . . . . . . . . . structure. The certificate is issued to . .GFQRQ7E.F.•. XWIA & HIS .WIFE, ELIZABETH H (owner,/MmmYMM of the aforesaid building. Suffolk County Department of Health Approval . . . . . . . .N/.A. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . UNDERWRITERS CERTIFICATE NO. . . . . . . . . . . . . . N/A Building Inspector Rev.1/81 FORM NO.4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold,N.Y. Certificate Of Occupancy No. . . .%15477. . . . . . . Date . . . . December. 9. .. . . . . .. . . . . . . .. 19 .86 THIS CERTIFIES that the building . Addition. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Location of Property . . 3205,Minnehaha Blvd.. . . . . . .Southold . . House IVo. StreetHamlet+ County Tax Map No. 1000 Section .0 8 7. . . . . . . .Block . .Q3. . . . . . . . . . .Lot . .1 6. . . . . . . . . . .. . Subdivision qj?. of ,Laughing Water . . , , .Filed Map No. ..9P.. .Lot No. . . 36. . . .. . . . conforms substantially to the Application for Building Permit heretofore filed in this office dated . . . . . .$eP.t: . ?�. . . . . , 19 .$6 pursuant to which Building Permit No. . ,l A 3 4 6 . . . . ... . . . . . dated .Sept. 27 . . . . . . . . . . . . . . . . . 19 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 . . . . . . . . . Degk addition to an existing one family dwelling. . . . . . . . . . . . . . . . . . . . . The certificate is issued to . . .WILLIAM .& ,PATRICIA HUMBURGX , . , , (owner, X&AXNW of the aforesaid building. Suffolk County Department of Health Approval . . . . , Ro. . . . . . . . . UNDERWRITERS CERTIFICATE NO. . . . . . . . . . . . . V.44. , Iding Inspector Rev.Val FORM NO.4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town'Hall Southold,N.Y. Certificate Of Occupancy No. . . . . . Z15800A. . . . . .May 26 , 1987. . . . . Date THIS CERTIFIES that the building . . . . . . Accessory, shed;,. , , , Location of Property . . . . .a205 a4rlx�eha a. 13JMd;, Aouthold House No. Stre&t Hamlet County Tax Map No. 1000 Section . . . . . . .9 7. . .Block . . . . . . . . .3. . . . .Lot . . . . . . . .36. . . . . . . Laughing Water 917 36 Subdivision . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Filed Map No. . . . . . . . .Lot No. . . . . . . . . . . . . . conforms substantially to the Application for Building Permit heretofore filed in this office dated March 17, l 9 8 7 5 7 8 4 Z pursuant to which Building Permit No. . . . . . . , . . _ . . dated . . . . . . . .March 21, . .1987. . . . . . 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 . . . . . . . . . Accessory shed. The certificate is issued to . . . . . . . . . WILLIAM R. & PATRICIA R. HUMBURG (owner,� �F�i�rt�t1 of the aforesaid building. Suffolk County Department of Health Approval . . . . . . . . . . . . . . . . . N/A . UNDERWRITERS-CERTIFICATE NO. . . . . . . . . . . . . . . . . . . . . . . . . N/A. . . . . . . . . . . . . . . . . . . . . PLUMBERS CERTIFICATION DATED: N/A nspector Rev.1/81