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Home My WebLink About1000-80.-1-35 TOWN OF SOUTHOLD Rental Permit fi u` 0641 Owner Thomas & Ann Brady Family Trust Occupied as Single Family Dwelling Located at 825 Oak Drive Southold 80.-1-35 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. 5/12/2022 de E(Im 7fficial This Notice must be posted by the main entrance at all times Ur Town Hall Annex '> Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1179 scr Southold,NY 11971-0959 BUILDING DEPARTMENT TOWN OF SOUTHO _ RENTAL PERMIT APPLICATION Rental Permit Fee$200(Application must be renewed every two yeais) Section A. Property Information: Rental Property Addr S. civ o1AN f l i Tax Map Number: 1000 SECTION I/79T? q -BLOCK �� -LOT—�_�- 35 SECTION B. OWNER INFORMATION: Property Owner Name: B Property Owner Legal Address: Property Owner Mailing Address: 2L2-S- - ( ( T X31_, Telephone Number(s): Daytime venIng�_ Emergency 8-4 3 Property Owner Email Address: -V)L- `f q r Q s2 �I n f Page 1&S Town Hall Annex ` Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 =m P.O.Box 1179 Southold,NY 11971-0959 a. BUILDING DEPARTMENT TOWN OF SO SOLD Section C. Authorized Agent Information: Name of Authorized Agent of dwelling uni ` any: Address of Authorized Agent . Boxes : Mailing Address of Authozed Agent: y_ Telephone Nurnbr(s): Daytime Evening Emergency Email Address: Section D. Managing Agent Information: Name of Authorized Agent of dwelling unit, if any: ff la 1.Vee3` i Address of Authorized Agent(no P.O. Boxes): IW)-7 _ � �� ! Y KL Mailing Address of Authorized Agent: b31- X31 - �� _ Telephone Number(s): Daytime 7lnS SII lv Evenin 1.7 Emergency "3 ZZ� Email Address: �i SECTION E. SITE MANAGER INi`OI TION: (required for r properties containing 8 or more rental units) Name of Managing Agent of dw lt, if any: Address of Managing Agee o.O. Box Page 2 of 5 JdP Z� SOL/,' Town Hall Annex Telephone(631)765-1802 54175 Main Road Fax(631)765-9502 P.O.Box 1179 Southold,NY 11971-0959 3- BUILDING DEPARTMENT TOWN OF SOUTHOLD = Re M JOU I hd�q Mailing Address of Managing Agent: tie i CC .t E-Cf (,3( b3 Telephone Number(s): Daytime 't(oSEvenin y S`V 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: d 111 {rA 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: Z�L /0" X 15r L:1 VIV`0\4-m Zq, X 13 Iz` )e 2,D` X 17 ' X 'F5 Page 3 of 5 3�=a SOUP Town Hall Annex Telephone(631)765-1802 AM (631 54375 Main Road Fax )765-9502 11 V P.O.Box 1179 Southold,NY 11971-0959 , 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 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) Pips ir\ .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 It 79 Al Southold,NY 11971-0959 _ �VU�� =. BUILDING DEPARTMENT TOWN OF SOUrrHOID 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: CLO1 _ C Property Owner's Signature: 0 11 4 Sworn to before me thi4'U day of fi , 20,,� Official Notary Public Signature and Original Notary Stamp CONNIE D.BUNCH Notary Public,State of New York No.01 BU6185050 Qualified in Suffolk County l Commission Expires April 14, Dl-- Page 5 of 5 bo Q-S�ev, beAvo@llV-: 7 ' 22 e Av'c c vv� 'X I K 9-01 311e-c' vocoo- Li bi %I A 1_5 -DjTvnev yyL 2, Lo C)yy Li v t v\� Lt u Y- Yvx- v Town Hall AnnexTelephone(631)765-1802 Fax(631)765-9502 54375 Main Road P.O.Box 1179 . Southold,NY 11971-0959 BUILDING DEPARTMENT TOWN OF SOiTTROLD 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 rtesional peal rearired dor, rcritect or Fncineer,licensed Dome insectvr rrst de copy ovalid current certi cati€n Rental Property SCTM Number: 1 0 -0 1 Rental Property Address: 5'�"'ve � Owner/Name: Rental Dwelling Unit Identifier: � Cc� T—/?--17/ - - I Number&Square footage of each bedroom as depicted in the attached floor plan: (i.e. Bedroom#1 -100 sq., Bedroom #2-90q,, etc.) 4 ) -. zc.�-1 � 2 15--0 'tea , Property Description (Include all improvements indicated on survey) 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 Cos ation Construction Code of New York State. f. Print Name and Title Original ign �lr G Please place professional seal: - - `' s sl,!r 00,�, �r. c,% wwo U, -! TOWN OF SOUTHOLD BUILDING DEPT 631-765-1802 +� INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATIOWCAULKING [ ] FRAMING /STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] EL T ICALFI L [ ] CODE VIOLATION [ ] P E / [ T L o Nk DATE 7�� d(�-LD �r 5 w. w, 1 w�� -) ,._ TOWN OF SOUTHOLD PI(OPERTY Rl' 3 14P� RD OWNER STREET ) VILLAGE DISTRICT SUB LOT . �5 � I ,� m l� �' i�J ��I"'M� ,,,' ,, .,'"._ ° .., ,.„„„„wftr .... ..... �'��i�*`�"6D`_.. A � - - ��,«; ,..,...,,, h�rdlE ' �.. ACREAGE FOR.MER OWNER, N p t r S � W TYPE OF BUILDING . .....,,...,, .., . , .. .., . , �. �._ .. �... ... . Value RES � p SEAS VL FARM COMM. I ND CB MISC, Est Mkt ND P, TOTAL DATE REMARKS LAND IM .. ,,,,,,. .�.�.. ..... 2'/1 J CJ'�"� ",, '� fin' '� �� " n _ tn�°.m� �o 1 r"" ✓ i �m ti !� 1 - r M u `�—$-� '.ww�, ". ��4 !. ,�;',',,. �� „ ? �' ,,j ' r�"�`� '�"j',�Jv'Fi f ✓ / .� ... ... B� C- '. A ,CSV L FRONTAGE. NTAGE ON WATER (Farm Acre Value Per Acre Value FRONTAGE ON ROAD " ' �� rs- m -- .... `r Tillable 1 BULKHEAD a DOCK Tillable 2 1/1 Tillable 3 Woodland Swva arwc 01 el, ___ , .... . _._ _.w..... .._. _w_...._ ...... . ....__.__. . ..�_. . _ .....�.,..,....._ .......... Bre tpr House Plot ... Tota __ ................._.._. mmw_. .... _� � M r a,ri� COLOR d ..........--—--------jl� PC r f r n � ._.. _ _... .. L Foundation _....... .. ...._.._ . ... ...._Bath ... xtEnMC� r ...x.... _ . ..._ __. _. ..... _ _. ._.. ......... . . .. WLBnt Floors' w_ Kit, SLAB . .....^ _ ......_....... _. �, .. .. _.... Extension Ext. Walls Interior Finish L,R. Extension Fire Place Heat D..._ .. ....._.._...� .�.... .. ..__�. ____w.�.,,..�,....._ .. .... a �...u.�._.., � .....�......... ,...�..__.�,,_w. � .._.. �m BR, 02 Patio r �„ _..w_... __... _.. ._...._ � . .. .mm _..._. .....__... w...............u._ _... _. _..._.._ ......... . . ...........__...w_... .__ ....Woodstove ... _.. ._.. _... .... Porch Dormer � F"� BAIa4 Deck Attic _� ...�_w...w �.. .. . _,.� ..... .....__........._.._.. _ .. ___. ., . Breezeway Rooms 1st Floor ._._...... _.. .. _.__................ _. . ..,,_ �.. _. __m.___ .. Garage � �...��..��._��._ ....�.�....�.._..�..�....�. . M__ .... _.�w............ ..._.... _.2nd Floor ..w��p �....,...._..._..... _,....... Driveway Rooms._........�_...,.___ ..._..�_...___..�.._. ....... _._vv._ ..._....��..._.......... O.B. Pool ._.w.........._. µ. _ _-_..w....._ ..._.._....._..._ __......... _ . _...® ._. _....m.. ............. °iNM4 � uI t t7r,-U P TOWN OF SOUTHOLD PROPERTY RECORD CARD ......... DIST. SUB. LOT OWNER STREET VILLAGE ..._.._-_.... ..,.,.^ _...,, ------ -a- -+ ACR. 33fc REMARKS TYP�OF BLD. PROP. CLASS LAND IMP, TOTAL DATE ............ .......... ........ .................. .................... ...... TILLABLE FRONTAGE ON WATER ... .......---......... ..... . FRONTAGE ON ROAD WOODLAND DEPTH MEADOWLAND BULKHEAD BULKHEAD HOUSE LOT "'- "ITOTAL f w b ML f- m i i h ef I IN 4 u. f 0 I r Bath "� � dation B� »�, 6 X '3 °y r �-� F � Faun Extension h� Basement i2 I- Y f1loors a t Extension .. � 1Ext. Walls Interior Finish oh Extension Fire Heat e 1 ,. I y � _. 14 rt/t1d, �. 0 6 �� o X q , « , Arch i Roof Type �� .. .... . ...,w r �' b�. ,� �orch Rooms 1st Floor r air OZr w�� »��" ......... Breezeway �� Patio Rooms 2nd Floor Garagergl'i Driveway Dormer O. B. ..w w w TOWN OF SOUTHOLD OFFICE OF BUILDING INSPECTOR TOWN HALL SOUTHOLD, NEW YORK February 16, 1983 CERTIFICATE OF OCCUPANCY NGNGEhN1-'8R-MhNG-PREHVIiSES No. Z11483 THIS IS TO CERTIFY that the Land _/ Building(s) /X Use(X) located at 825 Oak Drive Southold Street Hamlet shown on County tax map as District 1000, Section 080 , Block 01 , Lot 035 , doesj� conform to the present Building Zone Code of the Town of Southold for the following reasons: the use is permitted in this 'A' Residential-Agricultural Zone. On the basis of information presented to the Building Inspector's Office, it has been determined that the above x(Rixconforming / /Land / /Building(s) /X/Use(i§) existed on the effective date the present Building Zone Code of the Town of Southold, and may be continued pursuant to and subject to the appli- cable provisions of said Code. IT IS FURTHER CERTIFIED that, based upon information presented to the Building Inspector's Office, the occupancy and use for which this Certifi- cate is issued is as follows: a private one-family dwelling. The Certificate is issued to MARY MASSARELLA (owner, ��ssee-or tenatrt) of the aforesaid building. Suffolk County Department of Health Approval no record UNDERWRITERS CERTIFICATE NO, no record NOTICE IS HEREBY GIVEN that the owner of the above premises HAS NOT CONSENTED TO AN INSPECTION of the premises by the Building Inspec- tor to determine if the premises comply with all applicable codes and ordin- ances, other than the Building Zone Code, and therefore, no such inspection has been conducted. This Certificate, therefore, does not, and is not intended to certify that the premises comply with all other applicable codes and regula- tions. �iiidi?g hispe for FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-20704 Date MAY 7, 1992 THIS CERTIFIES that the building ACCESSORY Location of Property 825 OAK DRIVE SOUTHOLD, N.Y. House No. Street Hamlet County Tax Map No_ 1000 Section 80 Block 1 Lot 35 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated DECEMBER 18, 1990 pursuant to which Building Permit No. 19597-Z dated DECEMBER 20 1990 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 GARAGE AS APPLIED FOR. The certificate is issued to THOMAS & ANN BRADY (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED /A Buildinq Inspector Rev. 1/81 r FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-23357 Date NOVEMBER 17, 1994 THIS CERTIFIES that the building ALTERATION & ADDITION Location of Property 825 OAK DRIVE SOUTHOLD, N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 80 Block 1 Lot 35 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated DECEMBER 6, 1993 pursuant to which Building Permit No. 21841-Z dated DECEMBER 17, 1993 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 ADDITION & RECONSTRUCTION OF EXISTING ONE FAMILY DWELLING AS APPLIED FOR The certificate is issued to THOMAS & ANN BRADY (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE NO. N-332069 - NOVEMBER 1, 1994 PLUMBERS CERTIFICATION DATED NOV. 15, 1994 - H. SMITH PLUMB. & HEATING Building Inspe or IV Rev. 1/S1