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HomeMy WebLinkAbout1000-9.-3-2.1 ry TOWN OF SOUTHOLD , Rental Permit 0979 Owner Rosemary Taylor Occupied as Single Family Dwelling Located at 780 Bell Hill Avenue Fishers Island 9.-3-2.1 Maximum Permitted Occupancy 14 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. 8/14/2023 t ffici�0 This Notice must be posted by the main entrance at all times Co E��f rc Town Hall Annex Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1179 Southold,NY 11971-0959 BUILDING DEPARTMENTroil TOWN OF SOUTHOLD 0 C T ( 4 -` BUILDING DEPT, RENTAL PERMIT APPLICATION TOWN OF SOUTHOLD Rental Permit Fee$200(Application must be renewed every two years) Section A. Property Information: Rental Property Address: ,�/t- d 4) Tax Map Number: 1000 SECTION -BLOCK -LOT - SECTION B. OWNER INFORMATION: Property Owner Name: R')S L� �- Property Owner Legal Address: Property Owner Mailing Address: I �IA DrF s V t V A- Telephone Number(s): Daytime C--,1to 1 -kvening Emergency Property Owner Email Address: UJryX Page 1 of S Town Hall Annex Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1179 _ Southold,NY 11971-0959 �� r BUILDING DEPARTMENT TOWN OF SOUTHOLID Section C. Authorized Agent Information: Name of Authorized Agent of dwelling unit, if any: Address of Authorized Agent (no P.O. Boxes): r3 ( y ,Q� �. Mailing Address of Authorized Agent: F=N'S 0Cp'�� -Ct-try- Telephone Number(s): Daytime W5''1 Yf(y Evening Emergency Email Address: �1 '"'� �ei� e �'"� S� I5 �� ���1��• L� 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 rn rental units) Name of Managing Agent of dwelling unit, if any: Address of Managing Agent (no P.O. Boxes): Page 2 of 5 £, Jr AZ <p� Town Hall Annex Telephone(631)•765-1802 54375 Main Road ' Fax(631)765-9502 _ P.O.Box 1 179 Spulhold,NY 11971-0959Coo 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: 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: - IS I x 14 , if Page 3 of 5 �X Town Hall Annex Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 E P.O.Box 1179 Southold,NY 11971-0959 BUILDING DEPARTMENT TOWN OF SOLYMOLD 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. Yl 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) I gSe.r•.�.� _ �o✓ , 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 1179zk Southold,NY 11971-0959 1& Ze BUILDING DEPARTMENT TOWN OF SO HOLD 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: Sa- �`� Property Owner's Signature: } , a( Sworn to before me this�t ay of ,� �'�, .� 20 Oficial otary P�ubhic Signature and Original Notary Stamp A Qua iF J in o lk County # = #r Notary oftee` ' a Page 5 of 5 X r' 6�,,por per-?,,,*-�- i Av�vl I TOWN OF SOUTHOLD BUILDING DEPT. 631-7651802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION/CAULKING [ ] FRAMING /STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ IRE SAFETY INSPECTION ( ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) [ ] CODE VIOLATION [ ] PRE C/O [ ] RENTAL REMARKS: 6MOke �2&e ed ccs �tnicx I cot kra DATE61 ° s 9 -�,3 INSPECTOR s kUl 71—'7 -77w TOWN OF SOUTHOLDBUILDING EP 631-765-1802 G�.�-3 - l INSPECTION [ ] FOUNDATION 1 ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION/CAULKING [ ] FRAMING /STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FI L) [ ] CODE VIOLATION [ ] PRE C/O [ RENTAL REMARKS: ��Wt6 -� RECTRICA IEGEND- .� �Munn n�Iltnu�mu�cwn ........» � ,r 6 Yl� o unn nrrvxe lntmsso) a ual nxrvsc luwc� `� � n awwa n�rmwmn aN0.1WIPMi9�A wrxsmrrpa ori JOAnR.&hmeder,AIA n—Isms) 59"7 MW Sa 1 C,,,.L ConMNG�leNl7 o[w. 'T, P:f06�5765fli6 'T,(dwEx)y` F(SSVJ 5769'v56 Es 526,956 mm RFaiTAaL(au) ,.. � oy FLGpn ueLNTfD f&!>IDiAal(wllPlpt) eR(mw(.-FAULT WTO-IMN) 6 l svmi(rinf G ...,,,.., _..:... 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GAN ert LP,F'MM 06+IL M; Itl G.lL>IGL 6l�f: A1.1 nol 10n'00'cnou t t �, f ��4 uaT rmm+E lid wouxt< tl �. %� . awl w9sVt7wwr ompw„uTJr7 "fold f� ®Ewlr nvvxE(WMaWE9) 6 &P o,;awrr eowruxti'.sxr;wPmxab �l/6• Cry W:W' ;VYJCAMUW"GI'ffi ExM,nxmM[(wsP6rs a sEassm Puu) John R.SEh.9d.,ALA 1 EwN,MKNAE(9mW) MM.Sl .l I*jy '+, 9 6uCIR/CO 0Ert0,09� ch"W,Cmn. wt 06412�� * �G ®xGT/ro OEIECrox P:196%463378 ©('` Q BECEPTA¢F lOsux) F(869)57&9556 {� }uo:Pr�ac(aJn) E:)rMhro.dseFwuam V 1 wLoo RFRPT�GE(0i01tlJ0 fNlli Mrt911PPa17 p f swTnl { sw,al lauuw> Y...�—...• �. 6 6wTal Lawe6a asvosT+7 , q d L�Pun C v M/DAr6 JA o �cPele Jrt3 u a r_np�. aVa'�rsy^ p SEM"ALAN m tx67nlost�t a Comm rt00o lwlr !D008 BEII CMR L 0008 M am ...Y.. ,.,.... � olmxo ro 9o9ux w 1� II 3MiS� Ww &91 y$7Edu........ 0Y4 tl --------__, � o ( tl a xtl tl fl L------------ EXISTING Ifti` CONDITIONS WAND Ma (> 2ND FLOOR PLAN& ELEC.PLAN 1yc^ (�m10 Jell l mP'1mOL M YC 9� �``` ioYl: Mw;hoV Wa MN71 m-.mlv otm 8o A, 1 OEM "M A1.2 60w51Po1CiI0w �� P�FCTBif IA(CC.FNd: a u�rm (� w, s uwr nrnuz IwDamD nmw 0 L D l ntnna(Kea=) W ton nm.:(se m e uatr mom tmwAU m KtC FUDt) Jnhn R.&hrodsr,AIA 8 uan mmn(9") rs 7mtx�se.e 0.4/DO at=. aorto,CrmMcMNt 06A73 NDnT(ar Kt[Crdl P.(86 S7&58BB 4 wtGTTAat(o pry) R,. 504t55t m Ei yaMwdaapeu ee t,actpruu fMaM an..ttmt uamtm w ,A-(wNaJ y IattpyAaf(aim"r"T MrpW") f srTw trrcx(rMR is sura'(atetm) L mm(DAmm OawOtw 6 KAM wort O 1&/DATA AMR UJU JAM BLCUMWtY AVAY C5 tHaamm T db CRiptat FLOOD aarr nr CWAt FAN 0 DDDR KLL aalt {.DDpI/Rt. . r p0tfilD f6 NOLtlt aim ct j tow EXISTING CONDITIONS M."W� GUEST HOUSE 1ST FLOOR PLAN& ELEC.PLAN DeAn m+mW.. Dean m ^n ... D�rcre elm: N A1.3 NOT FOR OMSIW UM .I.+nrrc ru•..owm e.wn nw IMw9 1 1•a wM IWw.I e.w+�.�s M1�1 9..•. nc m M M•+m AMS^tg...0 0 M�w.w/"I. l I.M IL SKIIA IJw.AIA r...w WO vin cslwr►.— .WAWK plawa/ul w Vwl I W 1f►11Y /� {•w.W ibM /I•Mw.Mbw��� N\ LAMw r1NO FNM Mlq } '{.a1•�wax waMw wr�rr.awrc r7••ww 0 1.1bolm o rW p aw./a wr a or rr O 4 g7 •� I F� H � __..________ fiWING � CONDITIONS .J w•Mw wa 2ND FLOOR PIAN ELEG PLAN dlft a •l�� T L s.M ro A1.2 r r *pa 0 104�\iL r,Yv Yr�9 •IMI Arm CMA p�W"yd�P� 4 MMM a ma MMM r� a,e�nrus aar0 rMP.6�WwJw.AlA ^y� � •,r.wr�sw ryaasnrer�run Cc N �mruw+,w r.paaatr�rwc». + �rrtr,us row �,,raarG wwraaRtlr rurMni.ru Onol L�..Wrw+rY,rar..r rwxW V 1 rna Mrs rr,c«7 rra,Mr 1 •wrrtA wog { ew am lomwo w• w oara n"w° 1 1 YF—Ia Wi e" ... •00or r rr,. "hl y - , .7 1 M i 7 EMSTINO CONDCTIONS 181 FLOOR PIJ�PI — � J i 1 t ELEC.PLM ID 0Q, Y,l Y wkr W yrl, A.Nr'M YQ.O � V] r ` � `k✓' I rmp b� � w G p w niw F7. w •M.yr ws.+ �, X"Jr ICP« t r000c Nl EWI+ •+r•�•rr• L rsrw w�r.u.a.rua 1 «� { =woo L►...we .ILA=" SID NOMMA40 + . am=Mw _,L w sew r _ _• oke .t~to r Q '� t •�.N1dY rTl E--4 w m EXISTING CONDITIONS GUESTHOUSE 1 ST FLOOR PLAN d ELEC.PLAN �sa.aomaru N� « A1,3 N�l oci: co a � TOWN OF SOUT L OWNER � - � STREET � � � ......... .... AGE DISTRICT SUB LOT s tl �._....._,_. t`4 E ACREAGE TYPE OF BUILDING ayy �� R.ES SEAS,�. COMM. V{_. FARM ................... MISC. IND. CB. D IMP TOTAL DATE REMARKS � LAN � cJ r� _ .,,. .. ....w.._.. _. _. . ,.. _ _.........._.........._ n s •,r r I u f a � k � ....,.,. .... � ' r Z _.. / _.. g L 17 ,,9 —, I { '+�'O N D I STT N,; M f r J � NEW NORMAL BELOW I ABOVE Acre Value Per Acre Value Farm Tillable 1 � ,. E u Tillable 2 t 1 G(J"� J �o � e�. ,w�� � kd � Tillable 3 I 1 .W��, � � " ViWoodland �d,�, Swampland d° ; 13rushland Nouse Plot 1 n � . ........... ..�� r .IT d 0411 �.......... i 14, gg g, i� o ; 97'j r .. . ��. ' Bath M. Bldg, Foundation Basement 1 r) Floors Extension �° •� � � aw � �_ � °` r" ��a � Ext. Walls nefor Finish Extension �a usr Fire Place H e a tf Porch Attic Porch Rooms 1st Floor� Breeze o Patio Booms 2nd Fig°or Gorag � p � � r � �,. �.� � Driveway J I FORM NO.4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy No. . .?-16948 . . . . . . . . Date + IIJune 2, 1988 . . THIS CERTIFIES that the building s . . . .ONE FAMILY DWELL ING . * . . . . . _ . Location of Property . . BELL HILL AVENUE FISHERS ISLAND, N.Y. House No. Street Ham/et County Tax Map No. 1000 Section . . .9. . . . . . . .Block . . . .3* . . .2. . . . . . . . . . . . . Subdivision . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Filed Map No. . . . . . . . .Lot No. . . . . . . . . . , . . . Re_ u`tent r ,a . rivate one-family dwellin built rior to conforms substantially to the �X 146 �� April 23 , 1 9 5 7 CERTIFICATE OF OCCUPANCY . . . . . . . . . pursuant to whicli Btiil Xttgt lMNo. dated June 2, 1 • • . . • • . . • . . .988. . _ . • . . . , . . 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 FAMILY DWELLING WITH 2 CAR GARAGE, WOOD PLAYHOUSE & SECOND DWELLING* _ The certificate is issued to . . . . . . . GEORGE R. FURSE (owner,•/ U M. . . . . . . . . . . . . . . . . . . . . of the aforesaid building. Suffolk County Department of Health Approval . . . , . . , N/A. . . . . . . . . . . . . . . . . . . . . . . . . . . . . UNDERWRITERS CERTIFICATE NO. . . . . . . . . . . . . . . . . . .N/A . . , . . . . . . . . „ PLUMBERS CERTIFICATION DATED: N/A 10 Ay e * Building lnspector SECOND DWELLING LOCATED ON PROPERTY BP #5819Z issued 4/17/72-CO Z4877 �Wggp DWELLING HAD AN ADDITION BP lr14457Z issued 12/9/85-CO Z16380. BUILDI7,.G DEP:,TT IEINT TOIN OF SOUTHOLD, N. Y. HOUSING CODE INSPECTION REPORT Location BELL HILL AVENUE, FISHERS ISLAND, N.Y. (numoer & street) (Municipality) Subdivision 'clap No. Lot(s) Name of Owner(s) GEORGE FURSE & WIFE Occupancy, R-1 OWNER (type owner-zenanz) Admitted by MR. FAULKNER Accompanied by: SAME Key available ` Suffolk Co. Tax No. 9-3-2 Source of request STEPHEN L. HAM IIIDate May 23, 1988 MIELLING• MAIN HOUSE Tyne of construction WOOD FRAMED 2 `stories Foundation Stone & block Cellar partial Crawl space Total rooms, lst. Fl 6 2nd. Fl 5 a _d . Fl Bathroom(s) 3 Toilet room(s) Porch, type Deck, type Patio, type Breeerray Garage Utility room Type Heat oil fired Jarm Air x Eotwater Fireplace(s) 2 No. Exits 5 Airconditioning Domestic hotwater YES Type heater ELECTRIC Other PANTRY, ATTIC ACCESSORY STRUCT"MSS' Garage, type const. 2 CAR WOOD Storage, type const.WOOD PLAYHOUSE Swimming pool Guest, type const. Other THIS DWELLING HAS SMOKE& FIRE DETECTUR S-79"JER VIOLATIOPIS: Housing Code, Chapter 45 N.Y. Stat] Uniform Fire Prevention Location Dp crintion Art. Sec. NO VIOLATIONS WERE FOUND SECOND DWELLING LOCATED ON PROPERTY. BP #5819Z issued April 17, 1972-C/O Z4877 SECOND DWELLING HAD AN ADDITION BP #14457Z issue 7 December 9, 1985 -CO Z16380< 11 Remarks: Property has two dwellings, one 2 car garage and wood playhouse Inspected by: ""'Date of Insp. May 31, 1988 aZEI� CURTIS W. HORTON Time start 1: 15Pm end 2:30 pm FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Clerk's Office Southold, N. Y. Certificate Of Occupancy No. Date . . . . . . . . . . . . Qct.26 . . _ . . . . ., 1972. . THIS CERTIFIES that the building located at . WIS. Bell. Hill.4 • . . . . . Street Map No. . xx. . . . . . . . Block No. . _xx . . . . .Lot No. . . . Fishers.1 4 . I J-9. . conforms substantially to the Application for Building Permit heretofore filed in this office dated . . . . . . . . . . . .1p>i.. .7 ., 1972. . pursuant to which Building Permit No. .5619Z. . dated . . . . . . . . . . .AprU. 17 . ., 19. 72, 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 -Q t Cot ga -(Aece ory. buildiug). . . . . . . . . . . . . . I . . . . . . The certificate is issued to . .G.e. .aomld.& Charlotte. F=00. . . . . . .*Ts. . . . . . . . . (owner, lessee or tenant) of the aforesaid building. Suffolk County Department of Health Approval Ponding . . . . . . . . . . . . . . . . . . . . . . . . . UNDERWRITERS CERTIFICATE No. . Pend . . . . . . . . . . • . . . . . . . . . • . • . . . . . . . , . • . . HOUSE NUMBER. 1 . . . _ . . .Street. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Building Inspector DORM NO. 2 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N: Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) N95819 Z Date ....................Apri'l......ill........... 19..E. Permission is hereby granted to: .............1ai ....N.;Yo................. to ...,......1�..new.ale..family cl.lin-................................................................................... at premises located at ....X/3..B*jj..8a1..AV&.............................................................................. ..............................................Fi-1htrs-1-sla d• ................................- ...............--...... ....,. pursuant to application dated ........................A►rax,1,7.....In.......... 19.r; .., and approved by the Building Inspector. Fee $311.25.......... ..... ............... ............ Building Inspector FORM NO.4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy 163801 + Y Date . :November. .9 1987. . . . . . . . . THIS CERTIFIES that the building . . d i t i o n ; • - _ , . £ . . - . - .- ... , . Location of Property R/W OFF Bell Hill Ave Fishers Island , I; )VF* .. r ,. < , . . . . , .. . . . . . . .. County Tax Map No. 1000 Section . . .9 . . . . _ . , .Block - 3. . . . . . . . . . . . .Lot ?. . .. . . .. . . . . . . . . Subdivision . . . . . . . . . . . . . . . . . . . . . . e . . . , . . .Filed Map No. . . , . . . . .Lot No. . . . . ,. . . . . .. . conforms substantially to the Application for Building Permit heretofore filed in this office dated * * Dec{ 9 , } 19$5 . y pursuant to which Building Permit No. ..14 4 5.7 Z ., ,, . dated .Dec.., -9.,. . .19,8.5 . . - ; , . . ; . . 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„ to a, summer c}welling , , , , , , , , ,, , , , , , issued The certificate is to . . , .GE. _ .Q. . E E .FU. . , SSE . . . ,, . . . I . . _ . . • . . . . . . ,VA of the aforesaid building. Suffolk County Department of Health Approval . . . . . . . . . . ,N/A . . . . .. .. . . . . .. . . . . . . . . . . .. . UNDERWRITERS CERTIFICATE NO. . . . . . . . . . . . . . . . . . .N 7 7 0 8 18{ . . . Y . - { . . . . . - . _ . .. . PLUMBERS CERTIFICATION DATED: N/A Building Inspector Rev.1/81