HomeMy WebLinkAbout1000-90.-2-19 TOWN OF SOUTHOLD
Rental Permit
0216
Owner John Reardon
Occupied as Single Family Dwelling
Located at 920 Cedar Pt. Dr. E. Southold 90-2-19
Maximum Permitted Occupancy 10
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.
4/22/2022
Code Enorc nt Official
This Notice must be posted by the main entrance at all times
SL D TOWN Town Hall Annex
OUTHO
54375 Main Road
�.
Rental Inspection PO Box 1179 Southold,
NY 11971-1179
0 Tel: 631-765-1802
20) w
1 Fax 631-765-9502
SCTM # Date
Owner Phone
Address
Hamlet Inspector
Address visible from street?
LEVELS SUB -- 2 3
Smoke Detectors (#- bedroom detectors excluded)
Carbon Monoxide Detectors (#)
Fire Extinguishers(#)
Exits
BEDROOMS 1 2 3 4 5
Smoke Detector Alarms (#)
Carbon Monoxide Alarms (#)
Egress (windows) (Y/N)
BUILDING SYSTEMS /N CONDITION OF PROPERTY ION
Heating system maintained/operational tiding Interior is clean/maintained
Hot water system maintained/operational ij, Building Exterior is clean/maintained
Electrical system maintained/operational Property is clean/safe/maintained
Mechanical system maintained/operational Handrails &guards present
POOLS Y/N POOL BARRIERS Y/N
Pool present Pool is completely enclosed
Pool surface alarm and/or door alarm Barrier is a min.48" high
resent
POOL GATES Y/N All openings in barrier less than 4"
Self-closing, self-latching Max. 2"clearance @ bottom of barrier
Latch on pool side of gate, meets height Barrier capable of being locked &child-
requirements proof when unattended
COMMENTS:
T OWN OF SOUTHOLDRental Permit
Permit No. 0216
Owner John Reardon
Occupied as Single Family Dwelling
Located at 920 Cedar Pt. Dr. E. Southold 90-2-19
Village s/B/L
Maximum Permitted Occupancy 10
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.
11/8/2019 John Jarski
Date of Issue Code Enforcement Officer
This Notice must be posted by the main entrance at all times
/N
IUPC gg2g5
Town Hall Annex "ra
r Telephone(631)765-1802
54375 Main Road Fax(631)765-9502
P.O.Box 1179
Southold,NY 11971-0959
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
RENTAL PERMIT APPLICATION
Rental Permit Fee$200(Application must be renewed every two years)
Section A. � , � ... .
Property Information:
01TVILN or, ks"011,T1
Rental Pror y dr s;
VointDvIV-e
" Tax Map Number: 1000 SECTION3L--BLOCI(, . ,-LOT
SECTION B.
OWNER INFORMATION:
Property Owner Name: jo6n J i Leardon
Property Owner Legal Address: Property Owner Mailing Address
.� mmnnn l j �
+may wnwi mlue w
pe
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1102-0 -A-Plc 1
Telephone Number(s): Daytime Evening, Emergency
Property Owner Email Address; t
I - 1 r ► Pa4 r I
o&� Pea r-do y
Pagel of 5
Town Hall Annex `. Telephone(631)765-1802
54375 Main Road Fax(631)765-9502
P.O.Box 1179 ���� ��"� ���,,��
Southold,NY 11971-0959 ' 67 �
BUILDING DEPARTMENT
TOWN OF SO TH'' OLD
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 Emergenc
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. HIA
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 Road Fax(631)765-9502
P.O.Box 1 179 6G
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:
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: 10. �
Requested Maximum number of persons allowed to occupy Dwelling Unit: j 0/11111
Number of rooms in Rental Dwelling Unit,
Use and Dimensions of each room in Rental Dwelling Unit:
s� Z �
15 [
Zo I w
I
' ( Ih--R Page 3 of 5
Town Hall Annex ��� Telephone(631)765-1802
54375 Main Road C Fax(631)765-9502
P.O.Box 1179 �
Southold,NY 11971-0959 Ij
R
BUILDING DEPARTMENT
OF SO OLD
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: Al J
.��� �^ '
Property Owner's Signature: ,� � ���.��,�" �' �'" 7L,
Sworn to before me this/�day of .ai 2
Official Notary Public Signat re an riginal Notary Stamp
PATRICIA MURPHY
Notary Public, State of New York
No 0903160
Oualifled in 3.Jfolk County
Commission Expires 3/17/
Page 5 of 5
1� N
Town Hall Annex ��'� Telephone(631)765-1802
54375 Main Road u '�t Fax(631)765-9502
P.O.Box 1179
Southold,NY 11971-0959 ^$rir
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.
CY 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 ertify 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
SAO 0 01,
* ' TOWN OF
� S
765-1802
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INSULATION'
[ ] FRAMING /STRAPPING [ ] INAL
[ ]
FIREPLACE,& CHIMNEY FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL)
[ ] CODE VIOLATION' [ ] CAULKING
I ✓ i.
I
DATE INSPECTOR
TOWNOF SOUTHOLD BUILDING DEPT.
765-1802
IN
SPECI"110N
FOUNDATION 1ST [ ] ROUGH PLBG.
FOUNDATION 2ND [ ] INSULATION/CAULKING
FRAMING / STRAPPING
FIREPLACE &"CHIMNEY [V FIRE SAFETY INSPECTION '
FIRE RESISTANT-CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL)
[ ] CODE VIOLATION [ ] PRE C/O
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FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Town Clerk's Office
Southold, N. Y.
Certificate Of Occupancy
No. Z5143 Date .
THIS CERTIFIES that the building located at Cedar, -Point. -East Drive Street
Map NoCedar-Beaeh ER6 No. . . . . . . . . . .Lot No. . .102&1.03. , .Southold- . Y.Y. .
conforms substantially to the d 1. blgcode
datpaii.t
- r. " ' occupancy
dated
before� Apr- . 23 1957, . pursuant to which
°'Z5183- - -
. . . . . . . . , wJune 19 73 ., 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. one .family. dwelling . . . . . . . . . . . . . . . .
The certificate is issued to -Alfred. Mahler . . . . .Owner.
of the aforesaid building. (owner, lessee or tenant)
Suffolk County Department of Health Approval -4.., eaistin
UNDERWRITERS CERTIFICATE No. . . . . . .
HOUSE NUMBER. . . . . . . . . . . . .Street.. . . . . . . . . . . . . . . .
. . . . . . . .
Building Inspector
HOUSING CODE INSPECTION
June 6 , 1973
#920 Cedar Point Drive East
Southold, N.Y.
Tax Roll: Alfred W. Mahler
Subdivision: Cedar Beach Park #90
Lots 102 and 103
Upon request of the Southold Town Building Department,
I made inspection of this one family dwelling and found
no violations of -Local Law #1, Housing Code, Town of Southold.
I was admitted to front entrance by Mrs. Mahler and
accompanied by Mr. Mahler on inspection which began at
approximately 9:20 a-.m. and terminated at approximately
9 :45 ; .m.
R ectfu11 sub i.tted,
dward x1i:nd:erz ann
Building Inspector
EIS:tle
FORK NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Town Clerk's Office
Southold, N. Y.
Certificate Of Occupancy
No. 27843 . . . . . Date . . . . . . , . . .Aug. . .19. . . . .. 19. .7.7
THIS CERTIFIES that the building located at Qedar. .PQ1P.t. .Dr. East. . . . . Street
Pk (90)
Map NoCedar -Beach Block No. . . . . . . . . . .Lot No. 142.&103• • • - -Southold. • -N-Y-9.
conforms substantially to the Application for Building Permit heretofore filed in this office
dated . . . . . . . . . . . .biar . .29- -, 19.77. pursuant to which Building Permit No. .9134Z .
dated . . . . . . . . . . .r�r. . .29. . .11, 19. 7?, 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 .one. .family. duelling. with addition. . . . — . . . . . . . . . . . . .
The certificate is issued toYkr. & .Y►rs. .Frank .Francia. . . . . . �metrs. .. . . . . . . . . . . . .
(owner, lessee or tenant)
of the aforesaid building.
Suffolk County Department of Health Approval N.R.. . . . , • . . . . .
UNDERWRITERS CERTIFICATE No. X. . ./ .!.35 . .� l . . . . . . . . . . . . . . . . . . . . . .
HOUSE NUMBER . . . . 920. . . . Street . . Cedar. Point .Dr. East. . . . . . aouthnld.
Building Inspector
FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No: Z-31443 Date. 02/22/'06
THIS CERTIFIES that the building ADDITIONS/ALTERATIONS
.. R.....P SOUTHOLD
Location of Property: 920 E CEDAR POINT DR
(HOUSE NO.) (STREET) (HAMLET)
County Tax Map No. 473889 Section 90 Block 2 Lot 19
Subdivision Filed Map No Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated MARCH 3, 2005 pursuant to which
Building Permit No_ 30974-Z dated MARCH 3,_ 2005
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 & ALTERA"T"IONS TO AN EXISTING SINGLE FAMILY DWELLING AS
APPLIED FOR. W
The certificate is issued to JOHN J & ELIZABETH G. REARDON "
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL _ N/A
ELECTRICAL CERTIFICATE NO. 2018438 08/12/05
PLUMBERS CERTIFICATION DATED 02/17/06 MATTITUCK PLUMB.&HEATING
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Rev. 1/81