HomeMy WebLinkAbout1000-117.-9-25 of so TOWN OF SOUTHOLD
Rental Permit
O
1477
Owner: Jonathan Zames , Sarah Zames
Occupied as: Singled Dwelling
Located at: 2395 Jackson St New Suffolk 117.-9-25
Maximum Permitted Occupancy: 4
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 ins econ,
Issued: 05/18/2026
Expiration: 05/17/2028 Code En(ortemeAlt Official
This Notice must be posted by the main entrance at i `mes
µ 77�
TOWN OF SOUTHOLD—BUILDING DEPARTMEN" .' MAY 1 20'21
Town Hall Annex 54375 Main Road P. O. Box 1179 Southold,NY 1191-0959
Telephone(631) 765-1802 Fax(631) 765-95021� -./�wNv .sog lioldto in . ors `
�'e c 4- 1123 og
RENTAL PERMIT APPLICATION
Rental Permit Fee $300 (Application must be renewed every two years)
Section A.
Property Information:
Rental Property Address:
2395 Jackson Street New Suffolk NY 11956
Tax Map Number: 1000 SECTION 117 -BLOCK 09.00 -LOT 025 - 000
SECTION B.
OWNER INFORMATION:
Property Owner Name: Jonathan Zames
Property Owner Legal Address: Property Owner Mailing Address:
(Cannot be the same as Rental Property Address)
Jonathan Zannes Jonathan Zames
376 President #3k Brooklyn NY 376 President #3k Brooklyn NY
11231 United States 11231 United States
Telephone Number(s): Daytime 9172240605 Evening9172240605 Emergency 9172240605
Property Owner Email Address: ionzames@gmail.com
Page 1 of 4
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 Unit: 6
Number of rooms in Rental Dwelling Unit: 8
Use and Dimensions of each room in Rental Dwelling Unit:
Living Room:23'6" x 19'4", Iidrri 13'3`" "6""„ ,ll +an: 13'9" x 18'3",
aun ry:rr,x Down, airs a room: ass r Bedroom: x ,
Master Bathroom:8'2" x 1011", Office: 132"x 142", Bed
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
Q 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)
I Jonathan Zames 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: Jonathan Zames
Property Owner's Signature:
Sworn to before me thisl7th day of May , 2026
Notary Public,State of Texas County of Hays Edward Rico
g�off
Official Notary Public Signature and Original Notary Stamp
*� ID NUMBER
1226750.2
r * Pd �44 COMMISSION EXPIRES
March 8,2028
Electronically signed and notarized online using the Proof platform.
Page 4 of 4
Town Hall Annex 40 Telephone(631)766-1802
54375 Main Road Fax(631)765-9502
P. O. Box 1179 `
Southold, NY 11971-0959
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
RENTAL PROPERTY CERTIFICATION
Form is to be completed by a licensed architect, licensed engineer or licensed home inspector
Separate form is required for each individual Rental Dwelling Unit
i
Professional seal required for Architect or Engineer, Licensed Horne Inspector thrust
rovle copy of villig cur Lent certification
Rental Property SCTM Number: 000 - 11-7-69 . 25
Rental Property Address: >A44jN y'r- 4W 41JW CJ. ' 11 q S10
Owner/Name; -------------
Rental Dwelling Unit Identifier: 04 i7
Number& Square footage of each bedroom as depicted in the attached floor plan:
(i.e. Bedroom#1 —100 sqft., Bedroom#2—90 sgft., etc.)
M
Property Description (Include all improvements indicated on survey)
if
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i
f
I certify 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, the Fire Code of New York State, the Property Maintenance Code of New York State j
and the Energy Conservation Construction Code gN York State.
� p .
Print Name and Title ." Nw `gnature
Please place Professional Seal:
' '
041
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Town Hall Annex Telephone(631)765-1802
54375 Main Road P. xs � 542
P.O.Box 1179a �� & p
Southold,NY 11971-0959 �" � ,Mu. �,... p, .
L 8 21
BUILDING DEPARTMENT
TOWN OF SOUTHOLD I:
RENTAL PERMIT APPLICATION
Rental Permit Fee $200(Application must be renewed every two years)
Section A.
Property Information:
Rental Property Address:
2395 Jackson Street, New Suffolk NY 11956
Tax Map Number: 1000 SECTION 117 _BLOCK 09.00 -LOT 025 _ 000
SECTION B.
OWNER INFORMATION:
Property Owner Name: Jonathan and Sarah Zames
Property Owner Legal Address: Property Owner Mailing Address:
376 P 376 PrPsidPnt RtrPPt, 94N.
Brooklyn NY 11231 Brooklyn NY 11231
Telephone Number(s): Daytime 917-224-0605 Evening917-224-0605 Emergency
Property Owner Email Address: lonzames@gmaii.com
Page 1 of 5
:
Town Hall Annex, Telephone(631)765-1802
54375 Main Road 'r Fax(631)765-9502
P.O.Box 1 179
Southold,NY 11971-0959
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, 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." P
Rental Dwelling Unit Identifier:
Requested Maximum number of persons allow to occupy Dwelling Un' : 7
Number of rooms in Rental Dwelling Unit: 1
Use and Dimensions of each roo Rent welling it:
Bedroom 1: 11'4"x16'8" Bedr 2: 13'2"x14'2" Bedroom 3: 10'9"x17'4"
Bathroom 1: 8'2"x10'11" Bathroom 2: 6''1 x 3" Living Room: 23'6"x 19"4"
Dining Room: 13'3"x11'6" Kitchen: 13'9"x18'3" Laundry 9'7"x7'8" Foyer: 11'6"x 6'3"
Page 3 of 5
Town Hall Annex Telephone(631)765-1902
54375 Main Road Fax(631)765-9502
P.O.Box 1179 �
Southold,NY 1 1971-0959
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.
IN 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)
1 Jonathan Zames 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
qry
Town Hall Annex Telephone(631)765-1802
54375 Main Road Fax(631)765-9502
P.O.Box 1179
Southold,NY 11971-0959
t �J
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.
IN 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)
I Jonathan Zames 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 Annexb. Telephone(631)765-1802
54375 Main Road Fax(631)765-9502
P.O.Box 1179 -
Southold,NY 11971-0959 �
you ,
BUILDING DEPARTMENT
TO 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 ange to the information
regarding Authorized Agent, Managing Age or M alter.
Property Owner's Name: Jonathan
Property Owner's Signature:
Sworn to before me this day of , 20 Z,t
Official Notary Public Signature and Original Notary Stamp
KAMAL P.SONI
Notary Pubtl ,Stata cat t4ow York
OISUCI"912 J4
( a in Kinds +Oun "�
aaiac µ. 1etitr. t `s° 1I5
Page 5of5
�OUTI�OLD BUILDING DEPT.
� 631-765-1802 tjj-,ro[,rd
I N vqo5 P E T I o" N
[ ] FOUNDATION 1 ST/ REBAR [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INSULATION/CAULKING
[ ] FRAMING /STRAPPING [ ] FINAL
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PEN TRATION
[ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (F AL)
[ ] CODE VIOLATION [ ] PRE C/O [ ] RENTAL
REMARKS:
DATE INSPECTOR
Af so
TOWN OF SOUTHOLD BUILDING DEP"T.
765-1 EOM: 114
INSpar.CTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INSULATION/CAULKING
[ ] FRAMING /STRAPPING (X] FllRE
NAL4 ' "/FIREPLACE & CHIMNEY [ SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL)
[ ] CODE VIOLATION [ ] PRE C/O
REMARKS: J . --6 '
DATE INSPECTOR
TOWN OF SOUTHOLD PROPERTY REC
OWNER 1 STREET / --- -- VILLAGE DISTRICT SUB. ' LOT
f/ m j i
FORMER OWNER N E ACREAGE
A oil
1 W TYPE OF BUILDING
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Porch E Roof Type
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( „ r: f?rr- Mtn -$ ., 3 ✓ PU OTHER $
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Extens n � a 2
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Extension Fire Place Heat
` Garage, ? �� CG L Ext. Walls _ BR_
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Porch 1°X �k 2_ ; ` f Dormer
Baths
Deck/Patio °S Fam, Rm.I
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Pool oZ Foyer
A.C. Laundry V
- Library/
O.B. 4 � Study
Deck fn"7 1 t6 I
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Ott; Town of Southold Annex 10/15/2012
yF *
P.O.Box 1179
54375 Main Road
Southold,New York 11971
"
CERTIFICATE OF OCCUPANCY
No: 35999 Date: 10/15/2012
THIS CERTIFIES that the building ADDITION/ALTERATION
Location of Property: 2395 Jackson St,New Suffolk,
SCTM#: 473889 Sec/Block/Lot: 117.-9-25
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this officed dated
2/2/2012 pursuant to which Building Permit No. 36987 dated 2/9/2012
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:
Additions&AMilterrations to an Accessory Buildina.
ra c. Worksh Lnd t,Q 4!"c rk hop&P wdg R ,
All Non-Habitable). as annhed for.
The certificate is issued to Sweeney,Barry&Sweeney,Carol
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL R10-12-0022 9/13/12
ELECTRICAL CERTIFICATE NO. 36987 8/3/12
PLUMBERS CERTIFICATION DATED 8/1/12 C hogue East Plumbing
tt
._.._..__ . Sim turn .._._..
FORM No.4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
Certificate Of Occupancy
No. .�13061 Date . . . . .December .1.3 . . . . . . . . . ., 19 84
THIS CERTIFIES that the building , , . „ Renovation . « „ . . . . . . . . . . . . . . . . .
Location of Property 355 Second Ave. & 395„ Jackson Ave. New Suffolk
House No. . „ . �S'i`rert Ham%r
County Tax Map No. 1000 Section 117. . . . . .Block . . . 09 . . . . . . . . .Lot . . . . . . . . . . «
Subdivision . . . . . . . . . . .X. . . . . . . . . . . . . « . . . . .Filed Map No. . . . . . . . .Lot No. , . . . . . . . . . .
conforms substantially to the Application for Building Permit heretofore filed in this office dated
May . . . . .3 0 . . . „ . , 19 8 4.pursuant to which Building Permit No. . . „ . .. .. „1319 7 Z
dated . . . . . . . . . . . . . . .June . .$. . . . . 19 . 8 ,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 . . . . . . . . .
. . . . Reconstruct. Burnt ,Damacded Dwelling. . . . . . . , . . . ,. . . . . . . . . . . . µ „
The certificate is issued to . . . . . . . . . . . . . „ . .?'HOMAS & ANNE LOWRY . , . . . . . „
(owner,lessee-er-tena o
of the aforesaid building.
Suffolk County Department of Health Approval . . . . . . . . . .N/A. . . . . . . „ . . . „ . „ . . . . . . . . . . . . . . .
UNDERWRITERS CERTIFICATE NO. . . . . . . . „ . , . . „ . „ , „N 6 6 8 7 8 3„ „ 'N6 6 8 7 9 9
Building Inspector
Rev.1lai
�g�FQl, d Town of Southold 8/29/2016
P.O.Box 1179
' 53095 Main Rd
Southold,New York 11971
CERTIFICATE OF OCCUPANCY
No 38467 Date: 8/29/201.6
THIS CERTHUS that the building ADDITION/ALTERATION
Location of Property: 2395 Jackson St,New Suffolk
SCTM#: 473889 Sec/Block/Lot: 117.-9-25
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
9/16/2015 pursuant to which Building Permit No. 40130 dated 9/29/2015
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 and additions. includine rear covered porch to aq existing exisligg one family dwelling as a lied for.
The certificate is issued to Sweeney,Barry
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 40130 6/16/2016
PLUMBERS CERTIFICATION DATED 8/22/2016 Brad Picuch
Aut ed ai t e
7.......... ------
PORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTnNT
Office of the Building Inspector
Town Hall
Southold, N-Y.
CERTIFICATE OF OCCUPANCY
No Z19173 Date JUNE 26, 1990
THIS CERTIFIES that the building ADDITION
Location of Property 355 SECOND SIT. & 2395 JACKSON ST. NEW SUFFOLK
House No. Street Hamlet
County Tax Map No. 1000 Section. 117 Block n Lot 25
Subdivision Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated FEB. 28,t 1990 pursuant to which
Building Permit No. 18844Z dated MARCH 71 1990
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 SECOND STORY ADDITION TO EXISTING ONE FAMILY DWELLING.
The certificate is issued to ANNE & THOMAS LOWRY
(owners)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL NLA
UNDERWRITERS CERTIFICATE NO. PENDING SLIP JUNE 21r. 1990
PLUMBERS CERTIFICATION DATED N/A
//--Bui1ding Inspector
Rev. 1/81
FORM NO.4
TOWN bVSOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold,N.Y.
Certificate Of Occupancy
No. . Tt039$ . . . . . . . . Date . . F*bruatry .24.; . . . . . . . . . . . . . . .. 19 .8I
THIS CERTIFIES that the building . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Loc4tion of Property Hoare. •8".ond• ,Ave s• & •239& • AC Sala. at.s. .9ew. Suttol%x of.Y.
County Tax Map No. 1000 Section . . . 117 . . . . .Block . . . . . . m9 . . . . . .Lot . . . .0R& , . . . . . .. .
Subdivision . . . . . . . . . . ... . . . . . . . . . . . . . . . . . . .Filed Map No. . . .. . . . .Lot No. . . . . . . . . . . . . .
conforms substantially to the Application for Building Permit heretofore filed in this offte dated
. . August. .2 5 s• • • • • • , 1 SaG .pursuant to which Building Permit No. . l 9RA T. &... . . . . . . . . . .
dated . August. •26,. . . . . . . . . • . 19 SD ,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 . . . . . . .. .
. . • . . . . . . .Altemtioa -and. -Addition. to .Dw-allir . . . . . . . . . . . . . . . . . . . . . . . . . . . .
The certificate is issued to . . . . . . .Thomas .Louxy . . . . . . , . . » . . . . . . . . . . .. . . . . . . .
of the aforesaid building.
Suffolk County Department of Health Approval . . . . . I/R. . . . . . . . . . . . . . . . . . . . . .. . . . . . . . .. .
UNDERWRITERS CERTIFICATE NO. . . . .V/R . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
. . . . . . . . . . . . . . • . . • . . . . . . . . . . . ♦ . • . . . . .
Building Inspector
Rev.1/a1
k
2395 Jackson Street - 2nd floor
v — 1 `02 delector
smoke/
A- i
MASTER BATHROOM
87'x 10'1 X
x
HALL
MASTER BEDROOM
11 4"x 16'B"
X,
BEDROOM
v
A FAMILY ROOM 10'9"x 17'4"
137'x 147"
-V
GROSS INTERNAL AREA
FLOOR 1: 1297 sq ft,FLOOR 2:871 sq ft
EXCLUDED AREAS: ,GARAGE:217 sq ft Sands Media House
REDUCED HEADROOM BELOW I.SM:214 sq ft
TOTAL:2168 sq ft
1-7 j
2395 Jackson Street- 1 st Floor
X Smoke Detemr
CO
LAUNDRY
1 A
x 7
WORKSHOP GARAGE
10'5"x 20'11"
10'2"x 21'6"
LIVING ROOM
- ai
23'6" Ln 19'4" x _j in
KITCHEN
13'9"x 18'3"
DINING ROOM
13'3"x 11'6"
FOYER
11-6"x 6'3"
PORCH
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