HomeMy WebLinkAbout1000-70.-12-27 TOWN OF SUTHLD
Rental Permit
1419
Owner: Kelly Ross , Stephen Stromp
Occupied as:
Located at: 910 Oakwood Dr Southold 70,12-27
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.
Issued: 02/10/2026 Q\OL
Expiration: 02/10/2028 c� �°� � Official
Notice must be posted by the main entrance a times
TOWN OF SOUTHOLD—BUILDING DI~PA
A&I
, 4 1 Town Hall Annex54375 Main Road P. O. Box 1179 Southold,NY 11971-0959
Telephone(631) 765-1802 Fax(631) 765-9502 littjI //�vww,soi tli ldto\viil")Y.-99Y
RENTAL PERMIT APPLICATION
Rental Permit Fee $300 (Application must be renewed every two years)
Section A.
Property Information:
Rental Property Address:
0wo,a
Tax Map Number: 1000 SECTION — lo, —-BLOCK -LOT 27
SECTION B.
OWNER INFORMATION:
Property Owner Name: %-,F�e_v)
Property Owner Legal Address: Property Owner Mailing Address:
(Cannot be the same as Rental Property Address)
1+
Apt 2____
ra 0 t1
r
Telephone Number (s): Daytime W-5(0134vening Emergency
Property Owner Email Address: �S. +royvl,
to �,�-a
Page 1 of 4
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: � � � t I
Requested Maximum number of persons allowed to occupy Dwelling Uni .
Number of rooms in Rental Dwelling Unit: I&
Use and Dimensions of each room in Rental Dwelling Unit: We-C)o�
,
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
❑ I am submitting a completed Town of Southold certification form from a licensed
architect or a licensed professional engineer.
Page 3 of 4
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
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 s to any change to the information
regarding Authorized Agent, Managing Agent, or Site Manager.
Property Owner's Name: She `, vn S�Tro M
Property Owner's Signature:
CONNIE 0,SUNCH
Sworn to before me th�s'r day of ..,�r , 20 ( Notary Public,State of New York
No.01 BUe;1 SO a0
l Qualified in Suffolk County
Commission Expires Aprii 14,2n0_�
Official Notary Public Signature and Original Notary Stamp
Page 4 of 4
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TOWN OF SOUTHOLD BUILDING DEFT.
631-765-1802
INSPECTION
[ ] FOUNDATION 1ST/ REBAR [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INSULATION/CAULKING
[ ] FRAMING / STRAPPING [ ] FI L
[ ] FIREPLACE & CHIMNEY [ ] IRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ FIRE RESISTANT PE RATION
[ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (F AL)
[ ] CODE VIOLATION [ ] PRE C/O [ ] RENTAL
MA KS:
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TOWN OF SOUTHOLD PROPERTY RECORD 313
WNER—, STREET VILLAGE DIST• 5)Ub. LOT
e
f
Lr
.s
FORMER OWNER �
\ i E ACR.
S TYPE OF BUILDING
j p
RES. ; T 1 SEAS. VL. 'FARM COMM. CB. MISC. Mkt. Value
i
LAND IMP. TOTAL I DATE REMARKS
126 tee,,
l >. Sf l ! id 37 I'17PVr YYI; . '
I NEW NORMAL BELOW ABOVEif
- <�
x`
FAM Acre Value Per Value s
a
I Acre 2 'f �P _ C=
}
Tillable 1 -L /2776 _ 9
Tillable 2 F ��.
.-#
Tillable 3 i
Woodland
Swampland , FRONTAGE ON WATER
Brushland FRONTAGE ON ROAD
House Plot DEPTH _
BULKHEAD
I
t
Total ` DOCK
- — — - - '—
I
COLOR
E
i €
I i
TRIM I
71
3
- -
E
s �
..
\ f g'�
71
t t
t t
70.-12-27 9/09
1. -
M, Bldg. _ /C � `' 'Foundation Ba*h Dinette
f rr I
Extension o / asemenY i Floors K.
�-
Extension I __ Interior i
-t. Walls Finish LR
Extension Fire Place Heat QR.
t
I s !Type Roof , Roams 1st Floor [BR.
E
{
Porch �g ? !Recreation Room Rooms 2nd Floor 3 FIN. B
�
[
'!Dormer i
3
Breezeway Driveway 1 i
— -
Garage
i
I }
� 1
1�
Patio
i
O. B.
Total I j
�j
N
4
r�
FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN CLERK'S OFFICE
SOUTHOLD, N. Y.
CERTIFICATE OF OCCUPANCY
., Date ... 0--T7�r .../�. 1!t. .. .19., (
THIS CERTIFIES that the building located at :.�t<,ti,..�y . .., ,�.f..,.,..r... Street
Map Nash.. r.::�.�... Block Na . ..,�' .., Lot No Ki• . '� /V f
conforms subs ontsally to the Application for Building Permit heretofore filed in this office dated
......... pursuant to which Building Permit No ."")�,-:�C,.l... ..�fY
dated ... .199. . , was issued,and conforms to all of the requirements
of the applicable pr he low The occupancy for which this certificate is issued is .......»,»..
This certificate is issued toia. r. ... .,.... .«».......................
(owner, lessee or tenant)
of the aforesaid building
BuiIdtng Inspects
FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN CLERK'S OFFICE
SOUTHOLD, N. Y.
CERTIFICATE OF OCCUPANCY
No. .Z14 2% ..... .. . Date ... b4?� ? ? ? �... 19t.
'THIS CERTIFIES that the building located at ..W✓S.. . jDakwood Dmive Street
Map -No. Block No.79=. .. ....Lot No. ...X=.......sf?.Ltthold.... . .... . ... ... .
conforms substantially to the Application for Building Permit heretofore filed in this office
dated . ... . . .JUly... . .11, 19.62. pursuant to which Building Permit No. .=5.
dated . . ....... . 3u3.3c .•11 , 19.62., 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 Pr Y4.tle Q171D f=11Y. dWelU09
This certificate is issued to Owner.
(owner, lessee or tenant)
of the aforesaid building.
hA
.. a . .: .. . . ... .. .. .
Building Inspector
FOBU NO. 2
TOWN Of SOUTHOLD
BUILDING DEPARTMENT
TOWN CLERKS OFFICE
SOUTHOLD, N. Y.
BUILDING PERMIT
(THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL
COMPLETION OF THE WORK AUTHORIZED)
N° . 1815 „ Z Date ........ ... .................JWly .3a. .... 19.62.
Permission is hereby granted to:
` Raker-k- VickesBcyt -*-- -/10' Mahard•-O e1P
.......• xid
........... ........... ....
to .... ......... . . .................... ............. ...
.............................. ...................... ..................... ...........,......,...., +..,................... .----...........
atpremises located at ..V/tt....t ..D.*ve... ... ......... . . ... ........................ ......... .........,......
...... ...................... ..I..... ... t 1-dv..*:'g*........ .,...... ........ ..... .. ....,............................................
pursuant to application dated .. ............................. .gym .11. ......19 ..., and approved by the
Building inspector
Fee $ .. . ...........
Ilding* Inspector
p
,p
FORM NO. 4
f<
TOWN OF SOUTHOLD
BUILDING DEPARTMENT;
TOWN CLERK'S OFFICE.
SOUTHOLD, N. Y.
CERTIFICATE OF OCCUPANCY
No. Z...41V..... ........ Date .... ..... .......JIMP.....4A............ .. 19.0—
THIS CERTIFIES that the building located at ....0akWQOd,Dr.jlte................................... Street
Map No. ........—........... Block No. ..,.....,....,........ Lot No. ...............................................I.....................
.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
.............. ...,,,,.,.,„,,..M...,,..,».,,.. 196#).... pursuant to which Building Permit No. AR94..Z
dated ... ...................... 19.W., was issued,chd conforms to all of the requirements
of the applicable provisions of the low. The occupancy for which this certificate is issued is ........
private one„ e family.. e�31�ri9................... ..................,.........,..,...,.................
The certificate is issued to .......... t + d {)$Ttter 4c ►Cl ........ .... ... .... ...... .....
(owner, lessee or tenant)
of the aforesaid building.
Building Inspector
fi
FORM NO.2
TOWN OF SOUTHOLD
BUILDING DEPARTMENT,
TOWN CLERIC'S OFFICE
SOUTHOLD, N. Y.
0
BUILDING PERMIT
(THIS PERMIT MUST BE KEPT ON THE PREMISLS UNTIL FULL
COMPLETION OF THE WORK AUTHORIZED)
NI? 3894 Z Date .......... ............ ...... ........ ..
Permission is hereby granted to:
........... . Itt1, 9,� . .... .................... .:. ...............
to ..............,......................................
at premises located at ..: ... ......
..............�.........................................................
........................I...... . . 14........v'% A................ ........___...........................................
.. ........................................................................................ . ...........................................................
n
pursuant to application dated ...........................X*y............ —1...... 19... and approved by the
Building Inspector.
Fee $....f.c.. . ........
A�w ti
Building Inspawctor,
a
FORM NO.4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold,N Y.
Certificate Of Occupancy
No Z . 1 523 1 , . Date . . . .January .gO,. .1.987. . .
THIS CERTIFIES that the building DECK ADDITION
Location of Property 910 Oakwood Drive Southold , New York
House No Street Hsrrrfet
County Tax Map No. 1000 Section 70 Block . . .1 . . . . . . . . .Lot . .2 7
a
Subdivision . Filed Map No Lot No » «
conforms substantially to the Application for Building Permit heretofore filed in this office dated
January 2 , 1987 pursuant to which Building Permit No. 1 5 6 16 Z
dated January 10, 1987 ,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 . . . . . . . .
DECK ADDITION TO EXISTING ONE FAMILY DWELLING
The certificate is issued to , , « „ RICHARD OSMER
(owner,lk�MijWX X
of the aforesaid building
Suffolk County Department of Health Approval N J . . . . . . . .IA
«
UNDERWRITERS CERTIFICATE NO . . . . .N . . . . . . . . . . . . . . .
PLUMBERS CERTXFICATION DATED: N/A
B ding inspector
Rev 1/81
Town of Southold Annex 6/9/2011
Ac 54375 Main Road
a Southold,New York 11971
yyy
.................
CERTIFICATE OF OCCUPANCY
No: 34990 Date: 6/9/2011
THIS CERTIFIES that the building RESIDENTIAL ALTERATION
. ...............
Location of Property: 910 OAKWOOD DR. SOUTHOLD,N.Y. 1197 1,
............111,111,111,11,................ ...........
SCTM#: 473889 Sec/Block/Lot: 70.42-27
............
Subdivision: Filed Map No. Lot No.
................... .. .......................... ..
conforms substantially to the Application for Building Permit heretofore filed in this officed dated
12/2/2009 pursuant to which Building Permit No. 35199 dated 12/7/2009
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:
eas ftrgplacc as gppligd f �aL
The certificate is issued to Jerdan,John&Forte,Donna
...........
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 35199 5/16/11
PLUMBERS CERTIFICATION DATED
.............
Aut ed ��. .
at,ure