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Home My WebLink About1000-9.-6-9 `OWN OF SOUTHOLD Rental Permit ia s 0149 Owner FI Tack Box LLC Occupied as Single Family Dwelling Located at Oceanic Avenue Fishers Island 9.-6-9 Maximum Permitted Occupancy 10 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. L 2/16/20239�0.ioi4pt Code Enforce ent Officia This Notice must be posted by the main entrance at all times - TOWN OF SOUTHOLD iaft Rental Permit ik _ 0150 3. Owner FI Tack Box LLC Occupied as Accessory Cottage Located at Oceanic Avenue Fishers Island 9.-6-9 Maximum Permitted Occupancy 2 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. 2/16/2023 Code Enorc ent Official This Notice must be posted by the main entrance at all times r, Town Hall Annex " Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1179 � � k, A Southold,NY 11971-0959 BUILDING DEPARTMENT TOWN OF SOUTHOLD AUG 9 2021 RENTAL PERMIT APPLICATION $ ,;j DING DEPT. Rental Permit Fee $200(Application must be renewed every two ye OT SOtTYffOLD Section A. Property Information: Rental Property Address: � 2 �c.c�-� v i�.J �4 J e - 1 s�.►�,rts �Sc�.n r� C�3°)a Tax Map Number: 1000 SECTION -BLOCK -LOT _-� SECTION B. OWNER INFORMATION: Property Owner Name: %Z �—t-�— Property Owner Legal Address: Property Owner Mailing Address: &aaz,5 DrL Telephone Number (s): Daytime 7 1 rEvening :?A- Emergency - S -isZl Property Owner Email Address: o► rbJ c;ar-- Page 1 of 5 Sod ,. Town Hall Annex Telephone(631)765-1802 7.54375 Main Road Fax (631)765-9502 P.O.Box 1179 Southold,NY 11971-0959 41, `` C � BUILDING DEPARTMENT TOWN OF SOUTHOLD Mailing Address of Managing Agent: �w Telephone Number (s): Daytime enni 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: Requested Maximum number of persons allowed to occupy Dwelling Unit: _ C �J fSaFH) Number of rooms in Rental Dwelling Unit: Use and Dimensions of each room in Rental Dwelling Unit: Y � x!3 Z )3 S' 4 16 Page 3 of 5 f so Town Nall Annex Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1179 "mk Southold,NY 11971-0959 � BUILDING DEPARTMENT TOWN OF SOUTHOLD Section C. Authorized Agent Information: Name of Authorized Agent of dwelling unit, if anyX Address of Authorized Agent (no P.O. Boxes): ` Mailing Address of Authorized Agent: Telephone Number (s): Daytime ning Emergency Email Address: Section D. Managing Agent Information: Name of Authorized Agent of dwelling unit, if any: g g Address of Authorized Agent (no P.O. Boxes): 5 7) 7��su ��{ �o f� � � ply 06390 Mailing Address of Authorized Agent: ►3 rf 1_�'°~'�', 9 sem---- Telephone Number (s): Daytime Evening Emergency Email Address: �zs" «^'�r�� w` c.5�-- SECTION E. SITE MANAGER INFORMATION: (required for rental err ertles con ing 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 Telephone(631)765-1802 Town Hall Annex Fax(631)765-9502 54375 Main Road P.O.Box 1179 Southold,NY 11971-0959 BUILDING DEPARTMENT TOWN OF SOUTHOLD RENTAL PERMIT APPLICATION ADDENDUM q d Rental Dwelling Unit Identifier: rlA6('' Requested maximum number of persons allowed to occupy each dwelling unit: W Number of Rooms in Rental Dwelling Unit: -/ Use and Dimension of each room: 1131 v Z 10 x 1� Rental Dwelling Unit Identifier: Requested maximum number of persons all d 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 alto d to occupy each dwelling unit: Number of Rooms in Rental Dwelling Unit: Use and Dimension of each room: S µ Town Hall Annex � „ Telephone(631)765-1802 54375 Main Road � � Fax(631)765-9502 P.O.Box 1 179 Southold,NY 11971-0959 V, Cou BUILDING DEPARTMENT TOWN OF SO FOLD 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 ❑ 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 MUST be the owner of the dwelling unit. STATE OF NEW YORK) ) COUNTY OF SUFFOLK) "'�Z( �� I `�, 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 Town Hall Annex ° Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1179 Southold,NY 11971-0959 �Nu Ou 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. Z � . 13 Property Owner's Name: k oX Property Owner's Signature: Sworn to before me th' day of 20Z� Ofici 'I Nota y blic Signature and Original Notary Stamp 2-2.7-53-3 Page 5 of 5 as 11 0 1 TOWN OF SOUTHOLD BUILDING DEPT. 631-765-11802 INSPECTION FOUNDATION 1ST ROUGH PLBG. FOUNDATION 2ND INSULATIOWCAULKING FRAMING /STRAPPING I ] FIREPLACE FIRE RESISTANTI IPENETRATION ELECTRICAL ) ] CODE VIOLATION -_ 2�c ... ............................... DATE OS Q . _ TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLPG. [ ] 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 1 0,11 REMARKS: - ' ool DATE z/ INSPECTOR —,detector detector FIRST FLOOR I r1a -j- - f WIC 3 s i MW Kitchen Mu 3RM 40'6'.37'2- 0- jay,Y 14'H bath Fj 8r!drtorn o A + 23'Y 3E1+t" D Hing Rm CI ?, o - ar: 1 Carsrid ry Scale % cift� apleniDean 9estimate existing structures&features.All measurements are approximate&r4otguaranteed X1:192 (1116" = I') act 0 FIRST FLOOR 7"w", -4R,, Sitting Rm 12'x 101" Bedroom Living Rm 2016"x 14'8" WIC Kitchen " MudRm 40'6"x 372" IC��;� 10'x14'8" Bath o',ar wus. Bedroom � 41 CI Dining Rm 20'2"x 14' ' �' 10x11 wawrrrr�" Laundry Scale in Feet.Floor pian is an estimate of existing structures&features.All measurements are approximate&not guaranteed p°2` ° `. to be exact or to scale.Design by Shanplan 1:192 (1/16"m 1') SECOND FLOOR '... Bedroom . . Bath 12'x11'7" �9'9'Y11'7' pp 22'2"x4'6" k 8navu us rr4u�ur, 2dp'8"-30'3" Bedroom 12'x27'8" Bedroom 12'8"x 13'8" 0 NMMMIMNMFIMM� "'�IIIYNMNINIIMM".,,„." Scale In Feet.Floor plan is an estimate of existing structures&features_All measurements are approximate&not guaranteed 0' 2' 4' 6' to be exact or to scale.Design by ShanPlan ::10011c120 (P-10') tector ,SECOND FLOOR \ � o ( tof Ldetec 9'9' 11 T NV f z\*S yam » .»r it. Bedroom : i2'h 27'81 Idetector BASEMENT Storage 37'2"x 37'Y Storage/Utilities Storage 32'8"x 28'7" 10,x25'7" 'NNW ' Scale In Feet.Floor plan is an estimate of existing structures&features.All measurements are approximate&not guaranteed 4' 61:120 (J" 10') to be exact or to scale,Dw�4n by ShanPlan JJ l!/ l iIp i. �; ;�wx�ur w „,� �� arra�l �www✓niU a i��/� m ��,��?G�a �w .... ,.......,.... , VL so L 1 wwr Iwo , n . f e ... v Twp �. ....... . f � w " .........�� _ ff f, i " 1 �9+� „J➢ f - r .. s ! y � � m �l�t/�,�^Dllfa/n9yR /"• I 1 1 r. I � m. 5 .. awU rvaro,ma wWwmwsry W R mm. w a. I e� I I f R f 1 V 4,�4 4111 11 ............ "Of ., / / Oo n>,Y mf //// 1)x'11✓ff'�lµ�� uw � �,o m ww•ww W � I ywn �iM9 1 Yamw w �f✓p/ /6't/ / j v,�I r i '�; I'l�� SCTM # aF = TOWN OF SOUTHOLD PROPS Q D OWNER STREET VILLAGE _ ui5 i= SUB. LOT f r r ACR. REMARKS TYPE OF BLD. Ll 4:7 rF. PROP. CLASS 4 f r LAND IMP_ TOTAL DATE r i j FRONTAGE ON WATER HOUSE/LOT I BULKHEAD i TOTAL TOWN OF SOUTHOLD P ' it i OWNER f STREET VILLAGE DIST= SUB. LOT E _ a FORMER OWNER - N C 5 W TYPE OF BUILDING RES. SEAS. VL FARM COMM. CB. MICS. Mkt. Value LAND IMP. TOTAL DATE REMARKS e r t s� ., 3 e -al- 41 4 AGE BUILDING CONDITION I NEW NORMAL BELOW ABOVE FARM Acre ' Value Per Value Acre Tillable FRONTAGE ON WATER Woodland ! FRONTAGE ON ROAD Meadowland DEPTH Hoose Plot F $BULKHEAD Tota I F DOCK I f x_ - i k_ TRIM a It r , _ x � v { E � - JL- Extersion —_ a Extension n i Extension 'Foundation =` Bath ei(e Basement �_ F,ocrs n orc, , o 'Ext, Walls Interior Finish Porch FA place Heat D i —Breczeway . Floor ,, _ 'Rooms �Si FI EBR Recreaiion Room; Roos 2nd Flocr t .Drivewcy Total j l I ..A......__.�..��,��#,� Town of Southold 8/16/2019 53095 Main Rd Southold,New York 11971 ...... _w................. PRE EXISTING CERTIFICATE OF OCCUPANCY No: 40621 Date: 8/14/2019 THIS CERTIFIES that the structure(s) located at: Oceanview Ave,Fishers Island,_,__,__.. - - o SCTM#: 473889 Sec/Block/Lot: 9.-6-9 Subdivision: Map Filed MNo. ._w..._.......�._�.,... Lot No. ...�._..�._.�m._..........._ conforms substantially to the requirmnents for a built prior to APRIL 9, 1957 pursuant to which CERTIFICATE OF OCCUPANCY NUMBER Z- 40621 dated 8/14/2019 was issued and conforms to all the requriements of the applicable provisions of the law. The occupancy for which this certificate is issued is: o,) fr t e liq ly dwZQ g, .fpsjyc-tta q A-n a ..^,..•+ar woad fralue Stora c t ldin Dotes: BP 66 a ditio eco C 91_1 241 i e u lr cl Ol- Sb(i 4� """ts,ta ei t""alt ti xa tq m Q.P:,sti star gotta e 040 i t . ajx-) g d ncP `a11 on 5/ 2J20Q .._......_w ,Al. dBogert,The certificate is issued to Mckown,Alexander& g,Hil m...� .. � ary.___�_mm (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED *PLEASE SEE ATTACHED INSPECTION REPORT, Authorized Signature - _... . Town of Southold 8/1612019 P.O.Boa 1179 53095 Main Rd �*CV40-0,j Southold,New York 11971 CERTMCATE OF OCCUPANCY No: 40620 Date: 8/14/2019 TMS CERTIFIES that the building ALTERATION Location of Property: Oceanview Ave,Fishers Island SCTM#: 473889 Sec/BlocldLot: 9.-&9 , Subdivision: Filed Map No. Lot No. conforms substantially to the,Application for Building Permit heretofore Bled in this office dated 5/24/2019 pursue a to which Building Permit No. 43837 dated 6/10/2019 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: The certificate is issued to Mckown,Alexander 8t Bogert,IFilary of the aforesaid building. _ SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECnUCAL CERTINCATE NO. 43837 7/30/2019 PLUMBERS CERTIMCATION DATED ' Autho Sigt► Town of Southold 2/18/2023 P.O.Box 1179 53095 Main Rd Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 43858 Date: 2/16/2023 ................. THIS CERTIFIES that,the building ALTERATION -----------—' ..............—---------- Location of Property: Oceanview Ave.,Fishers Island SCTM M 473889 Sec/Block/Lot: 9.-6-9 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 1/18/2022 pursuant to which Building Permit No. 47501 dated 2/28/2022 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: I terationsincludin seGond floor bathroorns,and"'as built"first floor bathroomto existak,single fa!pfly dwelfingis gp at e d 'o r.. The certificate is issued to F1 Tack Box LLC . .................--...... of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL .............. ELECTRICAL CERTIFICATE NO. 47501 12/31/2022 PLUMBERS CERTIFICATION DATED Authoriz d Signature