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HomeMy WebLinkAbout1000-9.-7-9.1 TOWN OF SOUTHOLD Rental Permit 0788 Owner Christopher & Marion Briggs Occupied as Single Family Dwelling Located at 320 Oceanic Avenue Fishers Island 9-7-9.1 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. 12/12/2022 iRr c� o inial This Notice must be posted by the main entrance at all times Town Hall Annex (631)765-1802 54375 Main Road z ax 631)765-950 P.O.Box 1179 re f M [; Il ^ " Southold,NY 11971-0959 �r ° �,;�� ........ �' DEC 2 t 2021 LD BUILDING DEPT BUILDING DEPARTMENT TOWN OF SOU7HOLD TOWN OF SOUTHOLD RENTAL PERMIT APPLICATION Rental Permit Fee$200(Application must be renewed every two years) Section A. Property Information: Rental Property Address: (.76S�o Tax Map Number: 1000 SECTION -BLOCK -LOT— SECTION B. OWNER INFORMATION: Property Owner Name: ' k Property Owner Legal Address: Property Owner Mailing Address: FryL, 3"" ' - L a LfZ-7, Telephone Number(s): Daytime '-1'-2-13 Evening Emergency Property Owner Email Address: o �aoD Page 1&S f2e,0- 00��: 1 Town Hall Annex °, Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1179 Southold,NY 11971-0959 0 t COUA r BUILDING DEPARTMENT TO OF SO THOLD Section C. Authorized Agent Information: Name of Authorized Agent of dwelling unit, if any: Samuel W. Fitzgerald Address of Authorized Agent (no P.O. Boxes): 1420 The GloaminF' r Mailing Address of Authorized Agent:--P0 Box 447, Fishers Island, NY 06390 Telephone Number (s): Daytime 860.287.3808 Evening Emergency Email Address: sam@sfapc.net 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 Town Hall Annex Telephone(631)765-1802 54375 Main RoadFax(631)765-9502 P.O.Box 1 179 Southold,NY 11971-0959 11ou 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: 1 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: Unit 1 Requested Maximum number of persons allowed to occupy Dwelling U it: 8 Number of rooms in Rental Dwelling Unit: 7 Use and Dimensions of each room in Rental Dwelling Unit: Kitchen: 16'-3"x 11'-11" Dining Room: 11'-6"x 19'-7" Living Room: 19'-7"x 27'-11" Bedroom 1: 11'-6"x 14'-3" Bedroom 2: 11'-5"x 19'-7" Bedroom 3: 11'-6"x 19'-7" Bedroom 4: 19'-7"x 19'-0" Page 3 of 5 u � S � r Town Hall Annex - Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1179 Southold,NY 11971-0959 �M � �. 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 ❑ 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 , 1 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 b Telephone(631)765-1802 54375 Main Road ,' Fax(631)765-9502 P.O.Box 1179 Southold,NY 'OUN o � n ip 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. l a Property Owner's Name; �� "°� �� " �� � �� � ' ,� Property Owner's Signature: lALEI J Sworn to before me this h day of 20al kig ate of Florida elsinGG 820502 023 Official Notary Public Signat Original Notary Stamp Page 5 of 5 1 raf so TOWN 0 OUTHOLD BUILDING 631 -765-1802 INSPEC ION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INS LATIOWCAL [ ] FRAMING / STRAPPING [ ] AL [ ] FIREPLACE 8� CHIMNEY [ FIRE SAFETY INE [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PES [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (Fit [ ] CODE VIOLATION [ ] PRE CIO 11-OOKF REMARKS: , Town Hall Annex Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1179 " Southold,NY 11971-0959 �� w � ' BUILDING DEPARTMENT TOWN OF SO HOS 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 P'ro Fessional seal re uired lar Architect or En ineerlicensed Home Ins actor mast rovid+e copy of valid current certification Rental Property SCTM Number: 1000-9-7-9.1 Rental Property Address: 320 Oceanic Avenue Fishers Island NY 06390 Owner/Name: Christopher and Marion Briggs Rental Dwelling Unit Identifier: Unit 1 Number &Square footage of each bedroom as depicted in the attached floor plan: (i.e. Bedroom#1-100 sq., Bedroom#2-90 sq., etc.) Bedroom 1: 164 SF Bedroom 2: 223 SF Bedroom 3:225 SF Bedroom 4: 372 SF Property Description (Include all improvements indicated on survey) Two sto framed single fami1v residence with two larcie o en decks I cfgtdy 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 ode of New York State. Samuel W. Print Name a � Origins gnature Please placef �s,�� ' ��� U k ! ! 2 2 ! LU = DINING ROOM ! D§ ( 2236) : �§ LU w . . ! m ! � � SHED LV� ING�O Klemm DSK \ ( 457s) (1Hs) , ! § � ,. 7� � - . ( , ; . .. . . . F� Via § | , ~ � - . (1&s) z n- / \ DECK \ ! ` = r • . � _ . . . . - = ! §� / CARBON MO O»D-S OKE \t DETEC7rO COMBO § 2 Sq ` SOEDE`rEC7rO o#5 g�k FIRST FLOOR PLAN 2k 2 SCALE: 1q" = 1'" Uo Z LL UJ �� LL LL N¢ c W N C7 BEDROOM ; 0 (223 sqft.) m SD I BEDROOM 4 (372 sqft.) t SD BEDROOM (225 sqft.) i CARBON MONOXIDE-SMOKE DETECTOR COMBO C G� SMOKE DETECTOR (!D = it u� W N �LL SECOND FLOOR FLAN SCALE: 1/8 V-011 1 TOWN OF SOUTHOLD PROPERTY RECt t �: OWNER u} STREET -{ VILLAGE DIST` SUB. LOT l r FORMER OWNER N EI ._ I r , v •fie t� ✓ S � Vx� TYPE OF BUILDING i RESP SEAS, VL. FARM i COMM. CB. MISC. Mkt. Value LAND IMP, TOTAL DATE REMARKS .. f 2 7/ 7! �. :; _. � d" �!� CJ � � � r rf L/ � � t l�i'_�+/� � ,fit �. '�` `�:� �3 ✓�raAtC' �� -=� /v� m?��. �` � �`;3 f� b � -7 AGE F BUILDING CONDITION f NEW NORMAL BELOW ABOVE - - z 1 1 FARM I Acre Value Per ; Value Acre � � � r.jr ftp• Tillable l Tillable 2 Tillable 3 I Woodland Swampland , ' FRONTAGE ON WATER. , E cY�$r - ' FRONTAGE ON ROAD Brushland _ ._ �? .�:-.._. _ �' House Plot i i DEPTH BULKHEAD Total •� ^� i '°f` . DOCK _r COLOR ' 3 $ I § t TRIM '.Orr, I , - i F - - E � S s B M, Bldg i - Foundation �� _ ath - Dinette G2S .:- ExtensionBasement ,c,, Floors K _ = D j r r Extension 'Ext. Walls ' Interior Finish LR, Extension Fire Place i µ j Heat DR, 1 Type Roof Rooms 1st Floor BR. � a Porch-_ Recreation Roorri Rooms 2nd Floor,� FIN. B Porch ` `Dormer Breezeway _ Driveway ; i Garage Patio I 0. B, I I Total j f ,_ t FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Clerk's Office Southold, N. Y. Certificate Of Occupancy No. Z3.949. . . . . . Date . . . . . . . . . . .AUgUst. . . .27. , ,, 19,70. THIS CERTIFIES that the building located at Rttrick.,. -Ori entalOceaniOrTflt Map No. xx. Block No. . xx. . . . . Lot No. Vishets. •jsland . . .Xjoy, conforms substantially to the Application for Building Permit heretofore filed in this office dated . . .j4tq . . . po , _, 19. .70 pursuant to which Building Permit No. . 1+7,59Z. dated . . . . . . . . 21. . . . ., 19 '70 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. nne. family. Avelllug. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . The certificate is issued to -Robpr.t.X-.- -Sgelhoff . . . . . . Ownar. . . . . . . . . . . . . . . . . . (owner, lessee or tenant) of the aforesaid building. Suffolk County Department of Health Approval . . . . . PoAdltng . . . . . . . . . . . . . . . . . . . . . . Building pector ............ pllRlt Town of Southold 7/11/2021 "'�• P.O.Box 1179 53095 Main Rd ` Southold,New York 11971 0 CERTIFICATE OF OCCUPANCY No: 4214.8 Date: 7/11/2021 THIS CERTIFIES that the building AS BUILT ADDITION Location of Property: Oceanic Ave,Fishers Island SCTM#: 473889 Sec/Block/Lot: 9.-7-9.1 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 6/4/2021 pursuant to which Building Permit No. 46435 dated 6/16/2021 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: " . w. i ions to existing,single-family d��!t�,Lljn, as_ap lied for perwZBA#7477 datedw3/18/2021. _as built" deck additions The certificate is issued to Briggs,Christopher&Marion of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED Authori..,, Signatur " FUJI,*- Town of Southold 12/10/2022 P.O.Box 1179 53095 Main Rd Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 43678 Date: 12/10/2022 THIS CERTIFIES that the building ALTERATION Location of Property: Oceanic Ave.,Fishers Island SCTM#: 473889 Sec/Block/Lot: 9.-7-9.1 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 3/22/2022 pursuant to which Building Permit No. 47733 dated 4/22/2022 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: "° -bt it;t"'glterations includitr ba wittdeaw acrd interior scccnd floor hall alteration to ea�istin sin ale farnil dvellin. g applied fora The certificate is issued to Briggs,Christopher&Marion of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 47733 9/29/2022 PLUMBERS CERTIFICATION DATED . . .._. _....... ® tt.. ;igxrat��r .__ _..._� I ..