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Home My WebLink About1000-87.-3-55 TOWN OF SOUTHOLD T� gZ-0 ffy I �" Roo �t Rental Permit 0821 Owner Scott & Julia Osler Occupied as Single Family Dwelling Located at 2335 Minnehaha Blvd Southold 87.-3-55 Maximum Permitted Occupancy 6 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. 2/17/2023 ode Eyffor rn7fFicia This Notice must be posted by the main entrance at all times Town Hall Annex Telephone(631)765-1802 Fax(631)765-9502 54375 Mein Road P.O.Box 1179 c 11971 f( -0959 Southold,NY fII p 6 ]BUILDING DEPARTMEINT APR TOVM OF SOUTHOLD 202 BUILMNG DEPT � RENTAL,PEr APPLICATION TOWN OFU`FIOt.�:: Rental Permit Fee$200(Application must be renewed every two years) Section A. Property Information: Rent Property Rental Pro ert Address: . - - . Tax Map Number:1000 SECTION -BLC —, -=LOT— SECTION S. - OWNER INFORMATION: i Property Owner Name: Property Owner Legal Address: Property Owner Mal g Address: ..3' sr �•.. ` err( � r - W (e3 I Telephone Number(si: e 3E e°6f 1, Emergency .. Property Owner Email Address: �- Page 1 of 5 " woo A . Town Hall Annex Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1179 p Southold.NY 11971-0959 " w BUILDING DEPARTMENT TOAM OF SOUTHOLD Section C. Authorized 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.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 INIAD=Agentof quired for rental properties containing 8 or more rental units) Name of MIt,if any: Address of Managing Agent(no P.O.Bo es): Page 2 of 5 Town Ball Annex Telephone(631)765-1802 54,175 Main Road Fax(631)765-9502 P.O.Box 1179 Southold,NY 1 1 971-0959 BUILDING DEPARTMENT TOWN OF SOUIHOLD 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,8,C);the use of each room in the Rental Dwelling Unit (for example,Kitchen,Bedroom I,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: t" R to t Requested Maximum number of persons allowed to occupy welling Unit:' Number of rooms in Rental Dwelling Unit: Use and Dimensions of each room In Rental Dwelling Unit: w — f'Vlas� Page 3of5 I�,��Vb crn�2 Town Hall Annex Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 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 I am submitting a completed Town of Southold certification fiorm 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 se-4 L 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 so Town Hall Annex Telephone(631)765-1802 54375 Main Road Pax(631)765-9502 P.O.Box 1179 Southold,NY 11971-0959 BUILDING DEPARTMENT OF SOUMOLD 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 game: Property Owner's Signature: ��rt►illllttl�� Sworn to before me this day of 20 ;� CIS"`; AVBLIG «" ON Official Notary Public Signature and Original Notary Stamp ��"� �` C ,`` Page 5 of 5 jo 0, VA Vo (A� TOWN OF SOUTHOLD BUILDING D� 631 -765-1802 INSPEC ION j ] FOUNDATION 1ST j ] ROUGH PL G. j ] FOUNDATION 2ND [ ] INSUL C I [ ] FRAMING / STRAPPING [ ] E L [ ] FIREPLACE & CHIMNEY [ EIRE SAFETY IN! [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PE [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (F11 CODE VIOLATION [ ] PRE C/O [ N REMARKS: Ifo lv� L4A 4, DATE E E 4 Osler • = Smoke Detectors 2335 Minnehaha Blvd ■ = CO Detector Southold ............................ ......aa ..... First Floor Deck Family Room • Kitchen Utility Room Crawl Space r1/2...�.n......._....... Family room Family Room Roof Second Floor deck _ w ...............-...... ................ .........—-""', —-- —L Office Full Bath Closet Bedroom Closet w. • Closet Ids r-P •_wwwwww_..._a Bedroom a Bedroom u Full Bath n d r y �PgO�PE�Rl --TOWN OF SOUTHOLD Pil _' PE RD OWNER WNER STREET VILLAGE 1 DISTRICT SUB. LOT ? Y, 2L4 FORMER OWNER N A CREAGE SW TYPE -471ATI?i- OF BUILDING 'T D aE SEAS. VL FARM comm. IND. CB. misc. Est. Mkt, Value LAND IMP. TOTAL I DATE REMARKS L-A.W L4 _3 r1 � � � � �, �4 . � -- - _ Z?b 4- 41 BUjLQ_LNG BOV _R R D OA BULKHEAD nq, DOCK _77 6_4 W t Swampland Brushland u it/ AML� House Plot. 'W" 41 7V Tota,I 76- ,e z COLOR e TRIM t !? r _ / i 87.-3-55 11/04 1 st 2nd PC z x£ = � Foundation ce i Bath = — - tvt. Bldg _ / - Fin B , Dinette / tte COMBO i Basement PARTIAL Floors m. a � Extension , - - 1"4 Interior Finish L R Ext. Walls = Extension _ DR Heat i - He Fire i • Exti>Rsio Woodstove BR. �. Place WOOD K6 F _�� - � _ 3 �me - Dormer � - � � �� p m R Baths i �� Porch ; a • Deck - Dock In A.C. Garage g_ �@ E t - _ i Yl _ - _ g M. BIdQ, Foundation B arh Extension Basement A Floors Extension � Xt. � all � `. i Interior-F--i is-h— - -Y _ Extension Fire Place _ �# Heat } Porch Roof Type Porch Rooms 1 st Floor Breezeway Patio j Rooms 2nd Floor Garage1-' - Y -< j Driveway Dormer y, �- _, C1.6,111 FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-30635 Date: 12/14/04 THIS CERTIFIES that the building NEW DWELLING Location of Property: 2335 MINNEHAHA BLVD SOUTHOLD (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 87 Block 3 Lot 55 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated NOVEMBER 6, 2002 pursuant to which Building Permit No. 28899-Z dated NOS 6, 2002 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 SINGLE FAMILY DWELLING WITH COVERED ENTRY & REAR DECK AS APPLIED FOR, & AS PER.CONDITTONS OF ZBA #5200. The certificate is issued to PATRICK W. LOHN of the aforesaid building. (OWNER) SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL R10-010-148 11/16/04 ELECTRICAL CERTIFICATE NO. 1,181497 06/25/04 PLUMBERS CERTIFICATION DATED 07/23/04 MIKE JACOBI PLUMB & HEAT Au •ie Sig ature Rev. 1/81 Ll ........... ...... Town of Southold 10/23/2021 P.O.Box 1179 53095 Main Rd Southold,New York 11971 .......... CERTIFICATE OF OCCUPANCY No: 42476 Date: 10/23/2021 THIS CERTIFIES that the building ADDITION/ALTERATION "-. ......... ........ ------ Location of Property: 2335 Minnehaha Blvd., Southold SCTM#: 473889 Sec/Block/Lot: 87.-3-55 Subdivision: Filed Map No. Lot No- -- conforms substantially to the Application for Building Permit heretofore filed in this office dated -------- 3/13/2015 pursuant to which Building Permit No. 45874 dated 3/3/2021 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: gddftiQp a Li ctAftqrra—tims ipsNkst jLwqAtrn&g�_app.Ljqd for. The certificate is issued to Osler,Scott&Julia of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 45874 3/4/2021 PLUMBERS CERTIFICATION DATED t ed Signature I F Town of Southold ._...._......____.wMw.w_.____w_.._......_._...._...... ..�...w.._._......�....__..�_..w_�...�.__..._.__ ..w_..._._....4/18/201._..._...._....v.w�.._.....n....__,_..._�.. f' 6 P.O.Box 1179 53095 Main Rd + Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 38244 Date: 4/18/2016 THIS CERTIFIES that the building SOLAR PANEL _..www.__.._�..w..�..._....�......__.._ ..._.,._.._......ww_......_..��..._.�_._..__�._.............._._w._..........._�.�.._.. Location of Property: 2335 Minnehaha Blvd, Southold SCTM#: 473889 Sec/Block/Lot: 87.-3-55 nw __...._....�._.........w . �..n� _.w_M.._. _....._..� .w ...w........... _._w.M...... .... _ .._�...w_._. Filed Map No..... ... ....... ..........�.__�.__ Lot _... ... ......... _.__..... Subdivision: No. conforms substantiallyto the Application for Building Permit heretofore ........d _. ww._. .w_.......... pP � � g re filed in this office dated 1/27/2016 pursuant to which Building Permit No. 40446 dated 2/2/2016 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: ROOF M01 N I"'lily SOLACI l'AAN1 L TQ AN E 1S'1'1'NO ONE 1 CL Y T [1 JC mm A1�I'L1 1 FOR The certificate is issued to Osler, Scott of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL __._._.._.40446 .... w 03-30-20.1.6......_..._ ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED .._......._ ......... _ _. uthoz is ed Signature 0!�3 FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-30636 Date: 12/14/04 THIS CERTIFIES that the building ACCESSORY Location of Property: 2335 MINNEHAHA BLVD SOUTHOLD (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 87 Block 3 Lot 55 Subdivision _ Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated DECEMBER 26 2002 pursuant to which Building Permit No. 29053-Z dated JANUARY 2, 2003 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 NON-HEADED NON- ITABLE ACCESSORY G' OE IN TH'E RE UIRED REAR YARD AS APPLIED FOR & AS PER CONDITIONS OF ZEA #5200. The certificate is issued to PATRICK W. LO: of the aforesaid building. (OWNER) SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL NIA ELECTRICAL CERTIFICATE NO. 1181497 06/25/04 PLUMBERS CERTIFICATION DATED N/A e ...�..,....... ....�. t, ri z e Sign ture Rev. 1/81 Lj « Nk WOMNQ4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Cleric's Office Southold, N. Y. Certificate Of {occupancy No. 0925 . . . . . Date . 0? uAry. . . .6. . . . . . . . . . . 19 7$ . THIS CERTIFIES that the building located at 24W. U . �ha #. .BZ"o,* . . . Street Map No. . . . . . . . . . . . , Block No. . . , . , , . . . .Lot No. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . , conforms substantially to the Application for Building Permit heretofore filed in this office dated . . .July. . . . .16. . . . . . 1, 19.77. pursuant to which Building Permit No. "74-94052 dated July, . . . .16. . . . . . . ., 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 . . . Accossory. Building. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . The certificate is issued to . . . . . B„ .Lytta .Vont .Lehn. . . . . . . . . . . . . . . . . .. . . . . . . . . . (owner, lessee or tenant) of the aforesaid building. Suffolk County Department of Health Approval . . .NIR— UNDERWRITERS , UNDERWRITERS CERTIFICATE No. . . . . . . . . . . . NIR . . . . . . . . . . . . . . . . . . . . . . . . . . . . Mimi#h vd HOUSE NUMBER . . .2400 . . . . , Street . . . . .. . . . . ..tt� B1. . .'. . . . . . . . . . . . . . . . . . . . Southold . . . . . . . . . . .. . . w . . ►... . . . . . . . . . . . . . . . . . . . . r Building Inspector u W Townof Southold ........_._,.....�..._._�,_........._w...._...,_.m..w._. P.O.Box 1179 10/23/2021 53095 Main Rd Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 42477 . . Date: 10/23/2021 THIS CERTIFIES that the building WOOD STOVE Location of Property: 2335 Minnehaha Blvd., Southold SCTM#: 473889 See/Block/Lot: 87.-3-55 Subdivision: _....- ww_....._ _...._.ww�,.......... _ ....._ Filed Map No.........ww _....... Lot No. _... conforms substantially to the Application for Building Permit heretofore filed in this office dated 12/21/2017 pursuant to which Building Permit No. 45891 dated 3/8/2021 was issued,and conforms to all of the requirements of the applicable provisions ons of the law. The occu a licable p visip ncy for which this certificate is issued is: v qpd—burpi s y as aapPfa f The certificate is issued to Osler,Scott&Julia of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED t r. FRI, r� r `rrrrvo, r ori rr r �o y z r 4. r i///%% SURDOIGDEPT WJMld„(WaW�X'�' i