HomeMy WebLinkAbout1000-35.-6-35 TOWN OF SOUTHOLD
Rental Permit
0535
Owner Joseph & Carolyn Ferrara
Occupied as Single Family Dwelling
Located at 185 Osprey Nest Rd Loop Greenport 35-6-35
Maximum Permitted Occupancy 5
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.
9/20/2021
de En f rc ffical
This Notice must be posted by the main entrance at all times
N„ °`
Telephone(631)765-1802
Town Hall Annex
54375 Main Road h Fax(631)765-9502
P.O.Box 1 179 q ��
Southold,NY 11971-0959
o
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:
Tax Ma Number C � m
Map �BLOCK � -LOT
_��..
1000 SECTION �,,,
SECTION B.
OWNER INFORMATION:
Property Owner Name:
"\ V�
Property Owner Legal Address: Property Owner Mailing Address:
S t "
Telephone Number(s): Daytime„, -'" �1-4vening_ Emergencya
Property Owner Email Address:,
Page 1 of 5
Srw,.,
Town Hall Annex Telephone(631)765-1802
54375 Main Road Fax(631)765-9502
P.O.Box 1 179
Southold,NY 1 1 971-0959
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
Section C.
Authorized Agent Information:
Name of Authorized Agent of dwelling unit, ifany:
Address of Authorized Agent (no P.O. Boxes): ���'
Mailing Address of Authorized Agent: ( �°
Telephone Number(s): Daytimeftlq- '60 "9;bEvening Emergency
UEmail Address: (4j"V,
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
µ;pa
Town Hall Annex Telephone(631)765-1802
54375 Main Road Fax(631)765-9502
P.O.Box It 79y b
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, 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:
a.
Requested Maximum number of persons allowed to cc y Dwelling Unit:
Number of rooms in Rental Dwelling Unit:
Use and Dimensions of each room in Rental Dwelling Unit:
Page 3 of 5
sow p.
Town Hall Annex 1q Telephone(631)765-1802
54375 Main Road y Fax(631)765-9502
P.O.Box 1 179
Southold,NY 11971-0959
COUN
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.
I am requesting a fire safety inspection to be performed by a Code Enforcement Official
from the Town of Southold
❑ 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 C1F SU 0LK)
I certify under penalty of perjury, the following: `
1. A a t e 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
Ig Sol/
Town Hall Annex 4u Telephone(631)765-1802
54375 Main Road Fax(631)765-9502
P.O.Box 1 179 r,
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, M 'naging Agent, or Site Manager,
Property Owner's Name:
Property Owner's Signature:
AI+NG L.A 1"N;„l3FlllwRA
NmNotary Public,state of New Yerlc
Sworn to be r lrle this . f 20 1~~No,4a84s
e, oualm ied in New YWr atm
, d i
commission ,*re � ;r;m'
�l el �.. �
Official ot-6y Public Si' i fore and Original Notary Stamp
Page 5 of 5
Buildin De artment Application
AUTHORIZATION
(Where the Applicant is not the Owner)
residing at jK
(Print property Yowner's name) ("Ma
do hereby authorize Ali
r1
6( I C) � ,m '11
(Agent)
to apply on my behalf to the
Southold Building Department.
D ignature) (Date)
ANGELAFERRARA
(Print Owner's Name) Notary Public,State of New York
No.4k469
Qu ` e ` New York oun
o ission xpires
fj
t� 05
90PA wT 33 - (o
TOWN OF SOUTHOLD BUILDING DEPT.
765-1802
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INSULATION/CAULKING
]
FRAMING/ T I [ FINAL jf,,� /`!`f
[ ]
FIREPLACE I EY [ ] FIRE SAFETY INSPECTION
FIRE RESISTANTI IRE RESISTANT PENETRATION
ELECTRICAL [ ] ELECTRICAL (FINAL)
CODE VIOLATION [ ] PRE C/O
rj�OV &V `�� r c!✓
a, A& 1 C
Imo' I qq . awat, V edwt'c- avi c-&
4
vtva4 , k v
Y
DATE INSPECTOR
141
p
ll/j".
TOWN OF SOUTHOLD1 BUILDING DEP
765-1802 ��,---' b -037
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[ ]
FOUNDATION 2ND [ ] INSULATION/CAULKING
[ ]
FRAMING /STRAPPING [ ] FINAL f .-
[ ] FIREPLACE CHIMNEY [ FIRE SAFETYINSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL)
[ ] CODE VIOLATION [ ] PRE C/O
Marr a�Z v-v
Cl g �'P •� ,,.
al�'ING CDM!' KaTCh,^i N bfD RC JM -
�vSTti a�
" u
' re
—� 12 OVER
—.... ,,,�� 9•q O 'Cb 1C7 fll
� °. �.��.,..�. ...�..,.,� w Eb•1ptl�rii �0�a�..� �
2/2 1Il
'0 E°�&�
tii Mr,�, "•8°k4� NR ARCH
r
CL
" Oo
u
C " LIVING R®M FNTRY C
ob 0 ¢ n.........,..�w. -,.."..�..... �' 4"� lOe A1�rm IM p LoV !-
T M
IS'z 1214 .�':B .s.........,�...�..a.�,. ,.
rypytl w.0 c vf.12 overt �r r
— cczvt-,A 3
LL T 0
SM
z " 0 it
e+rer�amw sr,�
gyp--_---^ e �
- ". ..r 9xwu dw'a'S�cx�ip: Mfi'+i�uk
�s
" ,.
®.._... E=7—�..�. �_.� a-."e•gone rrAM
NIOMT LLLVATION CNOSLCTIOM
w
. ,• mitis ;' .......�.
: xna_° rias}
f
1 tp "4 r'„
u
Pev G �r
"L'� j � uv I d uv
1p w cry
�h' FA Q
r a „
LYT LLLVATION
ren.rusn�wo
ASmALT tnM4L^o
i
m 4 0
4
_ �..•_. m M _ _, "..-.••.,�.. ram't=K
Z�
aZ
1 G -qV
� 1
q q d V U d car&
RM LLrt.VATION
5s'-o'
I
¢g- 1:4„
...E tl
71
}
� -
W. a rt tl�rr.ac. 0 r °.d *Fm�nna r � +
p a
4-
49 4'COfiC-tl,AV �
E va ca p
�UNEACAVATEfl
q
f
TOWN OF SOUTHOLD PROPE RTYloll
:
OWNER STREET 3 VILLAGE . LOT t
E s
�FORMER OWNERI N E ACREAGE
SW
TYPE OF BU I LDI NG
RES. I�SEAS. I VL. f FARM COMM. IND. CB. MISC. Est. Mkt. Value
LAND IMP. TOTAL DATE REMARKS
I
ml
_ - -
.._.s�_. � e.��.,_. �. -_� _ � �. �.m.r�� _�._ •. � .,_.—tom
i
AGE YULDING C0ND I-T
NEW NORMAL i BELOW ABOVE FRONTAGE ON WATER
Farm I Acre i Value Per Acre Value FRONTAGE ON ROAD (o
Tillable 1
Tillable 2 DOCK
Tillable 3 I
Woodland
Swampland I
a
Brushland
House Plot
Tota I
-
- tet_
M. Bldg. '` Foundation s Both
Extension - - - = Basement Floors
Extens Ext. Walls �� b� ` . Interior Finish
Exten 9n ` Fire Place Neat
Porch Roof Type
E
r
E
Porch Rooms 1st Floor
Breezeway Patio Rooms 2nd Floor
r
Sarage a f u 'r € Driveway Dormer
/ ?
D, B. Arc
l i
W
Ok ' - I
, ��
FORM NO. 4
TOWN OF SOUf*•HOLD
BUILDING DEPARTMENT
Town Clerk's Office
Southold, N. Y.
Certificate Of Occupancy
No. .Z Z. 35.16. . . . Date . . . . . . . . . . . au_ly. . . . .7.. . . . ., 19.6.9.
THIS CERTIFIES that the building located at .Osprey. Nest. Road . . . . . . Street
Map No. . . 7. . . . . . Block No. . . . . . . . . . .Lot No. .4, • Gr-eenport,• -New. Yprk. . . . .
conforms substantially to the Application for Building Permit heretofore filed in this office
dated . . . . . .N v:erabex . . f. •, 19.68. pursuant to which Building Permit No. A173. Z .
dated . . . . . .January. . .21,. . ., 19. 6.9, 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. .dwell ing . . . . . . . . . . . . . . . . . . • . . . • . . . . . . . • . . . .
The certificate is issued to . .Elizabeth.A_Gsyer. . . . . . . . . . . . . . . . . . . . . . . • • • • • • • • •
(owner, lessee or tenantry)
of the aforesaid building.
Suffolk County Department of Health Approval May. .26, • 1969,• •Robext-V11.1a• - - • .
r f� J � /�► �_ �"'�� �y�� Building Inspector
FORX x0. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Town Clerk's Office
Southold, N. Y.
Certificate Of Occupancy
No.Z701. . . . . Date . . . . . . . . . . . . . . June 2 . . . . . ., 19. 77
THIS CERTIFIES that the building located at . Osprey. XQ$t ,13p�.d, . . . . . < . Street
Map No. Q 1e e . Ft,Block No. . . .T. . . . . .Lot No. . 4 . . . . ti e en.p ; .t. .Y
conforms substantially to the Application for Building Permit heretofore filed in this office
dated . . . . . . . . . . . . .Iv;fir. . .8. ., 19.7.7. pursuant to which Building Permit No. �P71 Z. .
dated . , . . . , . . . , . . r. . .8. • . ., 19.77., 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 Alt.. . . . . . . . . . . . .
The certificate is issued to1 . i?e k1. .Gey x . . . . . . .9v..rner. . . . . . . . . . . . . . . . . . . . . . . .
(owner, lessee or tenant)
of the aforesaid building.
Suffolk County Department of Health Approval 'x. . . . . . . . . , . . . . . . . . . . .
UNDERWRITERS CERTIFICATE No. . N33 x9.7.7. . . . May. 24 . . 19.7'7 . . . . . . . . . . . . . . .
MOUSE NUMBER . . S . . . . . . . . Street . .Osprey. Yj.est_ toad. . . . . . . Graenp.ort-
. . . . . . . . . . . . . . .. .. . . . . . . . . . . . . ... . . . . . . .. . ��..
113 rpv
?a
Building Inspe or