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HomeMy WebLinkAbout1000-9.-11-7.13 Rental Permit 1337 Owner: Lucinda Herrick Occupied as: Single Family Dwelling Located at: Ocean View Ave Fishers Island 9.41-7.13 Maximum Permitted Occupancy: 16 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-annu ection. Issued: 06/24/2025 Expiration: 06/24/2027 de f cer a t official This Notice must be posted by the main a trance at 11 mes st Town Hall Annex i Telephone(631)765-1802 54375 Main Road °; Fax(631)765-9502 P.O.Box 1179 P r Southold,NY 11971-0959 � P BUILDING DEPARTMENT TO" OF SO HOLD RENTAL PERMIT APPLICATION Rental Permit Fee$200(Application must be renewed every two years) Section A. _ � .. Property Information: JUL Rental Property Address: w 1 Tax Map Number: 1000 SECTION 1*-�-_Z,P,%, -BLOCK a- � LOT SECTION SECTION B. OWNER INFORMATION: Property Owner Name: Lu C' C Property Owner Legal Address: Property Owner Mailing Address: 0 Telephone Number(s): Daytime 9l7 g;?- ,� vening Emergency Property Owner Email Address: UC 01� /11 a 0 w- Page 1 of 5 4 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 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: C)()V) LO 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 d luu Telephone(631)765-1802 54375 Main Road � Fax(631)765-9502 P.O.Box 1179 � Southold,NY 11971-0959 r, of In BUILDING DEPARTMENT TOWN OF SO HOLD Mailing Address of Managing Agent: 10 n A 12 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 Uni Number of rooms in Rental Dwelling Unit: Use and Dimensions of each room in Rental Dwelling Unit: Page 3 of 5 Town Hall Annex �� Telephone(631)765-1802 54375 Main Road '� �f Fax(631)765-9502 P.O.Box It 79 a Southold,NY 1 1 97 1-0959 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. 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) 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 f Southold,NY 11971-0959R BUILDING DEPARTMENT TOWN OF SAC U SOLD 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: Property Owner's Signature: Sworn to before me his ay f 201Y Official Notary P blic Sig ure and Original Notary Stamp 6 p-l-" b '` .ZZ -4 "1 Page 5 of 5 qF o 4WWNld01lF SOUTHOLD BUILDING DEPT. 631-765-1802 Ot. INSPECTION [ ] FOUNDATION 1 ST/ REBAR [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION/CAULKING [ ] FRAMING /STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FINE RESISTAN7PERATION ELECTRICAL (ROUGH) [ ] ELECTRICAL. ) CODE VIOLATION [ ] PRE C/O [ TAL REMARKS: eDon N 4 p Wj( 4 f-�c I YK • 1 DATE INSPECTOR TOWN OF SOUTHOLD BUILDING DEPT. 631-765-1802 INSPECTION [ ] FOUNDATION 1 ST/ REBAR [ ] ROUGH PLBG. [ ] 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 [ ] RENTAL REMARKS: L 66 RATE 0 I SPECTOR Of so TOWN OF SOU THO►L.D BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING /STRAPPING [ ] FI AL [ ] FIREPLACE & CHIMNEY [ FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) [ ] CODE VIOLATION [ ] CAULKING REMARKS: coor c �= ,. NIY • L DATE INSPECTOR _ OWN OF SOUTHOLD PROPERTY RECORD CARD OWNER 'STREET VILLAGE DIST SUB. LOTS ew FORMER OWNER :, N E ACR a x . r x 1 _ , � S TYPE OF BUILDING W a a RES. SEAS, VL. FARM COMM. CB. MICS. Mkt. Value LAND IMP. TOTAL DATE r REMARKS Wo �x t r s_ x . L �1 - i+ x irj - w - M AGE BUILDING CONDITION NEW NORMAL 1 BELOW ABOVE FAR�14 Acre Value Per Value Acre - Tillable FRONTAGE ON WATERS a _ Woodland �a FRONTAGE ON ROAD -� Meadowland DEPTH w House Plot BULKHEAD Total a ,�' DOCK LA o LA 3 I TOWN OF SOUTHOLD PROPERTY RECORD CARD LA OWNER STREET VILLAGE DIST, SUB. LOT d •, ACR. REMARKS o '. TYPE OF BLD_ PROP. CLASS II LAND IMP. TOTAL DATE If §a { S i a FRONTAGE ON WATER TILLABLE FRONTAGE ON ROAD WOODLAND =e - DEPTH MEADOWLAN w I BULKHEAD HOUSElLOT TOTAL c� - Ida COLOR TRIM k r t E o.y. s E s g _ } a . 41 . t -. k ICZ Ex _ 1 - Extension � p j ndation Both Dinette d .Porch - basement :Floors K. Porch � �' Ext. Walls Interior Finish LR, Breezeway Fire Place Heat DR. Garage ,, Type Roof Rooms I st Floor BR. Patio < -• Recreation Room: Rooms 2nd Floor FIN. B O, B. Dormer Driveway f I.S M Total z_fo _ S ' r r - r a - rr ; FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. PRE EXISTING CERTIFICATE OF OCCUPANCY No: Z- 26386 Dates 04/21/99 THIS CERTIFIES that the building DWELLING Location of Property OCEAN VIEW AVE FISHERS ISIJM (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 009 Block 0011 Lot 006 Subdivision Filed Map No. Lot No. conforms substantially to the Requirements for a ONE FAMILY DWELLING built prior to APRIL 9 1957 pursuant to which CERTIFICATE OF OCCUPANCY NUMBER Z- 26386 dated APRIL 21 1999 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 OPEN PORCH COTTAGE AND AC-CESSORY STORAGE SHED.* The certificate is issued to GUNTHER STROTHE (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A *PLEASE SEE ATTACHED INSPECTION REPORT. q 11 Ice /,Pfiiylng Anspector Rev. 1/81 Y. 7 BUILDING DEPARTMENT TOWN OF SOUTHOLD LOCATION SUBDIVISION: MAP NO.: LOT (S) NAME OF OWNER (S) : ER MM=E OCCUPANCY: ADMITTED BY: ACCOMPANIED BY: XEY AVAILABLE: BUFF. CO. TAX MAP NO.: 9. 11-fA SOURCE OF REQUEST: G=9Z TA09M DATE: 04/21/99 DWELLING: TYPE OF CONSTRUCTION: , WOOD PUN # STORIES: 3.0 # EXITS: 4 FOUNDATION: bcmm CELLAR: 5% CRAWL SPACE: 95% TOTAL ROOMS: 18T FLR.: -A 2ND FLR.: 3RD FLR.: S BATHROON(S) : 5.0 TOILET ROOM(S) 1.0 UTILITY ROOMS) : � 1 , PORCH TYPE: ll�I b DECK TYPE: PATIO TYPE: BREEZEWAY: FIREPLACE: 4 GARAGE: DCMESTIC HOTWATER: YES TYPE HEATER: .� AIRCONDITIONING: TYPE HEAT: QIL-ZIRZIL WARM AIR: HOTWATER: _Z _,,___,__ OTHER: GARAGE, TYPE OF CONST.: gQttm= BLOCK STORAGE, TYPE CONST.: SW274CCNG POOL: XxrZ GUEST, TYPE CONST.: OTHER: VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE q � N E { a � { � 0 I 4 REMARKS: BP#11750 110 RML S=g-A62A4,, patio wr Q 633 INSPECTED BY: DATE ON INSPECTION: 01/03/99 FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. PRE EXISTING CERTIFICATE OF OCCUPANCY No: Z- 26386 Date: 04/21/99 THIS CERTIFIES that the building DWELLING Location of Property OCEAN VIEW AVE FISHERS ISLAND (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 009 Block 0011 Lot 006 Subdivision Filed Map No. Lot No. conforms substantially to the Requirements for a ONE FAMILY DWELLING built prior to APRIL 9, 1957 pursuant to which CERTIFICATE OF OCCUPANCY NUMBER Z- 26386 dated APRIL 21# 1999 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 OPEN PORCH, COTTAGE AND ACCESSORY STORAGE SHED.* The certificate is issued to GUNTHER STROTHE (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A *PLEASE SEE ATTACHED INSPECTION REPORT. 14-44s;:e q 11 ;1-4-� /,Ki,ving nspector Rev. 1/81 BUILDING DEPARTMENT TOWN OF SOUTHOLD HOUSING 99DE INSP . T_TON REPORT LOCATION: SUBDIVISION: MAP NO.: LOT (S) NAME OF OWNER (S) : GUNTHRR SIgQ!�� OCCUPANCY: GUNTHER STROTHE ADMITTED BY: ACCOMPANIED BY: _w KEY AVAILABLE: SUFF. CO. TAX MAP NO.: 9.-11-6 SOURCE OF REQUEST: 9=0 LAMEM DATE: 04/21/99 DWELLING: TYPE OF CONSTRUCTION: WOOD FRAME # STORIES: 3.0 # EXITS: 4 FOUNDATION: S= ,_� CELLAR: $% CRAWL SPACE: 959a TOTAL ROOMS: 1ST FLR.: 2ND FLR.: —2 3RD FLR.: BATHROOM(S) : 5.0 TOILET ROOM(S) : 1.0 UTILITY ROOM(S) : PORCH TYPE: DECK TYPE: PATIO TYPE: BREEZEWAY: FIREPLACE: 4 GARAGE: YES DOMESTIC HOTWATER: YES TYPE HEATER: TAMAR29 AIRCONDITIONING: TYPE HEAT: OIL FIRED WARM AIR: HOTWATER: 8X__ OTHER: GARAGE, TYPE OF CONST.: CONCRETE BLOCK STORAGE, TYPE CONST.: SWIMMING POOL: YES GUEST, TYPE CONST.: OTHER: VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION E BUILDING CODE ART. I s s s c p s ) � � s s o s s s s s s s s s s s s s s s s s s s a s s s s REMARKS: Patio coy#yard4o# Z-,26383 INSPECTED BY: DATE ON INSPECTION: 01/03f ROEBERT L TIME START: END; � FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY Nos 2-26304 Dates P4 19/9 THIS CERTIFIE'S that the building ACCZSSORY Location of PrOpOrtYs OCEAN VIEW AMM. FIS ISLANDISL (Smog NO.) (ST T) ( LET) County Tax Map No. 47� Section 9 Block 11 Lot 6 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated JUNZ 94 1982 pursuant to which Building Permit No. 11 dated JUKE 28 1982 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 IN GROUND SWXMING POOL WITH r=409 TO CODE PATIO AND Olin ND POOL XqUIPMXNT SHED AS APPLIED FOR. The certificate is issued to 9UNTHIR STROME A LUCINDA HERRICK (OWNER) of the aforesaid building. SUFFOLX COUNTY DEPAR 1UT OF HEALTH APPROVAL � i/A ELECTRICAL CERTIFICATE NO. NN 651852 27 16 84 PLUMXRS CERTIFICATION DATED N/A c //Wuqdinq fnapector Rev. 1/81 n h FORM NO.4 TOWN OF SOUTHOLD' BUtLD;NG DEPARTMENT Office of the Building Inspector Town Halt Southold,N.Y. Certificate Of Occupancy Date . . . . . . . . . . . . . . P41?V-. . .13. . . . . . .. 1984. THIS CERTIFIES that the building . . . . .Tenxsis, Catttxt . . . . . . . . . . . . . . . . . . . . . . . . ... . . Location of Property . . . . . . . . . . . ,Ocean. .a ;J„t , . . . . . . . . . . . . . . . . ' : .•. . House No. Street Hamlet County Tax Map No. 1000 Section . .4 9. . . . . . .Block . . .IX. . . . . . .. . .Lot . .0 4 0. . . . . . . . . . . . Subdivision . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Filed Map No. . . . . . . . .Lot No. . . . . . .. . . . . . . conforms substantially to the Application for Building Permit heretofore filed in this office dated March , ,30, , , , , , , 19 $4 pursuant to which Building Permit No. . .1A 21Z. , , , , , , dated . . .Mai'. . . . 12 . . . . . . . . . . . . . . . 19 84 ,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 .. . . . . .. . . . . . . . . . . . . . . . . . . . . . . . Court . . . . . . . . . . . . . . . ,. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . The certificate is issued to . . . . . . . . .LQ ,. » � ��. . .. . . . . . . . . . . . . . . oVMer,l rrtJ • , of the aforesaid building. Suffolk County Department of Health Approval . , . . .NIA . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ... . UNDERWRITERS CERTIFICATE NO. . . . . . . . . . . . .NIA . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . Building Inspector Rev.1/81 FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-26383 Date: 04/20/99 THIS CERTIFIES that the building ADDITION Location of Property: OCEAN VIEW AVE. FISHERS ISLAND (HOUSE NO. ) (STREET) (HAMLET) County Tax Map No. 473889 Section 9 Block it Lot 6 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated JANUARY 3, 1982 pursuant to which Building Permit No. 12224-Z dated MARCH 31, 1983 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 PATIO COURTYARD ADDITION TO AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to GUNTHER STROTHE & LUCINDA HERRICK (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A � ELECTRICAL CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A "P Bui ding Inspector Rev. 1/81 FORM No. 4 TOWN OF SOUT ' LD BUILDING DEPARTMENT office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY Not 2-26385 Date: 04/ 20/99 THIS CERTIFIES that the building ACCESSORY Location of Property: . OCEAN VIEW AV . ris RS ISLAND (SOUSE NO.) (STREET) ( MET) County Tax Map No. 473889 Section 9 Block 11 Lot 6 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 3ANUARY 7 1963 pursuant to which Building Permit No. 2321 _Z dated MARCH 31 1983 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 GUNTHER STROTHE & LUCINDA HE'RRICK (OWN'ER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A BLECTRICAL CERTIFICATE NO. NN 651851 07/ 16/84 PLUMBERS CERTIFICATION DATED N/A 8 , ldi Inspector Rev. 1/81 FORM NO. 4 r 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: 2-26985 Date: 03/14/00 THIS CERTIFIES that the building ALTERATIONS & REPAIR Location of Property: OCEAN VIEW AVE FISHERS ISLAND (HOUSE NO. ) (STREET) (HAMLET) County Tax Map No. 473889 Section 9 Block 11 Lot 6 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated DECE'MBER 16 1998 pursuant to which Building Permit No. 25679-2 dated APRIL 19, 1999 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 ALTERATIONS & RESTORATION OF VIRE DAMAGE FOR AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to GUNTHER STROTHE (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. PENDING 03/03/00 PLUMBERS CERTIFICATION DATED 01/20/00 B.NZMZSXAY PL' .&HEATING c �6th-7 ized ignature Rev. 1/81 Zo 20 9 t I Q 4 FoyeR DINING rS ` o '' l! SUN LIYtNb [ KiTCNt=rt � 4 E _ pff KY ® G I ® ( NOOK pOWAElk t t 01 -.. — 7 3 — 3 s� I p 10 - 1-*4—— 4 OCEAN VIEW 4 ® O l ® © O 0 0 � O BEDROOM 2 6ED0.o0M I MASTER I 21 0 c I s 16 t3EogoeM 3 STVDY _ 3ED0.�M 'h /3 t 1� IT li �I It p 0 \l O 3 OCEAN VIEW Z"* FL SUED 2 enrrf r 34 OFFICE s4m z c iof Q 5 6�/IrooH 3 � it KAucwnY DEDRoaNt � BrbgooM 7- _ tr i t r OCEAN V I EW 374 FL 3 AN }NIv \ t n It 13 l til 3 1 _ 1, IOTES- c T,-IL �o AN =oR (jEOROE D.F. LAMBORN 1 OCEAN VIEW AVE.AND 8EACN AVE ttSrttRtzISLAND t EW yp€zx av`; tr SGAtE t"<¢0 _cHAMDLER PAt„MFRt Kf7v5 ` - - ��$ o eo as reo Pof1RWlCN- G4.VN, i f_.