HomeMy WebLinkAbout1000-90.-2-27 TOWN SOUTHOLD
� � �� a
Rental Permit
0301 4
Owner K Mac Realty LLC
Occupied as Single Family Dwelling
Located at 405 Cedar Point Dr W Southold 90.-2-27
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.
4/13/2023 'Y"
Code Ery orce +t Officia
This Notice must be posted by the main entrance at all times
[f QIJ (1
TOWN OF SOUTHOLD 13UILDING DEPT.
31
- o-
FOUNDATIONINSPECTION,
FOUNDATION 1ST ROUGH PLBG.
INSULATION/CAULKING
FRAMING i
CHIMNEY STRAPPING FINAL
FIREPLACE & INSPECTION
FIRE RESISTANTI IRE RESISTANT PENETRATION
ELECTRICALI I
CODE VIOLATION PRE C/O RENTAL
DATE INSPECTOR
�'
TOWN OF SOUTHOLD
Rental Permit
Permit No. 0301
Y
Owner K.Mac Reality LLC
Occupied as Single Family Dwelling
Located at 405 Cedar Pt. Dr.W Southold 90.-2-27
Address Village S/13/1-
Maximum
/B/LMaximum 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.
3/4/2020 John Jarski
Date of Issue Code Enforcement Officer
This Notice must be posted by the main entrance at all times
i�
10
Town Hall Annex
Telephone(631)765-1802
r� � � _
54375 Main Road `Fax-(631)165-9502
P.O.Box 1 179
Southold,NY 11971-0959
i JAN 2 4 2020
BUILDING DEPARTMENT
TOWN OF SOUTHOLI)
RENTAL PERMIT APPLICATION
Rental Permit Fee$200(Application must be renewed every two years)
Section A.
Property Information:
Rental Property Address, 5-e5tA:-1M��� L(ZION6-ym �,n�T c'�/�,✓� �w� , 1W7/
Tax Map Number: 1000 SECTION -BLOCK L0 -LOT -Z -11
SECTION B.
OWNER INFORMATION: /d
Property Owner Name: �7 /Zlt � �T
Property Owner Legal Address: Property Owner Mailing Address:
_ Ate,) — " S` 2.✓ Lv�
Sl( �Y
y Telephone Number(s): Daytime Evening Emergency
Property Owner Email Address:
Pagel of S
r
ti �D
Town Hall Annex Telephone(631)765-1802
54375 Main Road Fax(631)765-9502
P.O.Box 1179
Southold,NY 11971-0959 ,
BUILDING DEPARTMENT f
TOWN OF SOUTHOLD
Section C.
Authorized Agent Information: n Q
Name of Authorized Agent of dwelling unit, if any: �AMLI
Address of Authorized Agent (no P.O. Boxes): �� M��� Ko h "G` �'' kV
Mailing Address of Authorized Agent:
Telephone Number(s): Daytime&�l` 76� Evening Emergency
Email Address: � e 11 N�� C-5.5-d"� mss, <2�
Section D.
Managing Agent Information:
l �Name of Authorized Agent of dwelling unit, iftany:
Address of Authorized Agent (no P.O. Boxes):
Mailing Address of Authorized Agent:
Telephone Number(s): Daytime Eve ln Emergency
Email Address:
SECTION E.
SITE MANAGER INFORMATION:(required for rental properties containing 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
S�UlyO
Town Hall Annex l Telephone(631)765-1802
54375 Main Road O- Fax(63))765-9502
P.O.Box 1 179
Southold,NY 11971-0959
�CDUPti`�;• -
BUILDING DEPARTMENT
TOWN OF SOL TSOLD
Mailing Address of Managing Agent: � ��t�-
C
Telephone Number(s): Daytime 570 99s MEvening SpWL"- Emergenq (-" 11`
G
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, 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.-2 &tV J— ".51' All
Requested Maximum number of persons allowed to occupy Dwelling Un'
Number of rooms in Rental Dwelling Unit:
Use and Dimensions of each room InRentalDwelling Unit: C2 8'' �' del �Zpw
'wAL1 R �� /Z ' L> 12 �` ItD 1i0' ' �` �e tJ r�& if( 7�/��� 4
l r[r , 2 / Ill 0y '
Page 3 of 5
d
�43► d -
Town Hall Annex Telephone(631)765-1802
54375 Main Road ,"_ Fax(63 1)765-9502
P.O.Box 1179 .�
Southold,NY 11971-0959
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
SECTION G.
INSPECTION:
a
Pursuant to the Town Code of the Town of Southold Chapter 207(Rental Properties), asafety
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 ( ws adopted by the New York State Fire Prevention and Building Code Council.
i
I am requesting a fine safety Inspection to be performed by a Code EnforcementiOfficial
from the Town of Southold
❑ 1 am submitting a completed Town of Southold certification form from a licensed
architect or a licensed professional engineer.
i
SECTION H.
DECLARATION: Signature must be notarized and MUST be the owner of the dwelling unit.
i
STATE OF NEW YORK)
)
COUNTY OF SUFFOLK)
'I 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
. laf'so��yo
Town Nall Annex J Telephone(631)765-1802
54375 Main Road j Fax(631)765-9502
P.O.Box 1179
Southold,NY 11971-0959 •
BUILDING DEPARTMENT
TOWN 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 any change to the information
regarding Authorized Agent, Managing Agent, or Site Manager.
Pro Owner's Name: � z "'' ` A14q--
Property �
Property Owner's Signature:
Sworn to before me this_day of . 20
Official Notary Public Signature and Original Notary Stamp
Page 5 of 5
Dl
oFsooryo D _0 ► '' P � $ °�(, q°'
# TOWN OF-SOUTHOLD BUILDING DEPT.
765-1802
_ INSPECTION
[ ] FOUNDATION 1 ST [ '] ROUGH PL13G.
[ ] FOUNDATION 2ND [ ]` INSULATION/CAULKING
[ ] FRAMING/STRAPPING [ INAL
[ ] FIREPLACE & CHIMNEY [ ] �FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT CONSTRUCTION [ ]- FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL)
[ ] CODE VIOLATIOW [ ] PRE C/O
REMARKS:
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LIVNG AREA.1,325 80.FT. y G �] •
B SMDKE DEFECTOR GiDr;�U r. J . s•3- 0'6' IA G E• -
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e CARBON MONOXIDE DETECTOR
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§RR315 4RR314 §RR4P7
STAIlTWAYS i FIANDRAHS COL[1h1N5 1
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Town of Southold Annex 2/21/2014
P.O.Box 1179
54375 Main Road
4�*-
Southold,New York 11971 I ov
CERTIFICATE OF OCCUPANCY
No: 36777 Date: 2/21/2014
1
THIS CERTIFIES that the building SINGLE FAMILY DWELLING
Location of Property: 405 W Cedar Point Dr, Southold,
SCTM#: 473889 See/Block/Lot: 90.-2-27
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this officed dated
4/11/2013 pursuant to which Building Permit No. 37966 dated 4/23/2013
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 covered porch, rear entry deck, second floor deck and attached two car garage as applied for
The certificate is issued to Manzi,Mary&Humes,Susan
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL R10-12-0031 10/25/13
ELECTRICAL CERTIFICATE NO. 37966 1/21/14
PLUMBERS CERTIFICATION DATED 2/11/14 William Schwamb Plumbing
�dthdrizA Sigdature
at' Town of Southold 1/27/2020
y� P.O.Box 1179
0
rn
53095 Main Rd
Southold,New York 11971
CERTIFICATE OF OCCUPANCY
.,No: 41019 Date: 1/24/2020
THIS CERTIFIES that the building , IN GROUND POOL
Location of Property: 405 Cedar Point Dr W.,Southold
SCTM#: 473889 See/Block/Lot: 90.2-27
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
4/16/2019 pursuant to which Building Permit No. 43664 dated 4/19/2019
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:
Accessoryin-ground swimming pool fenced to code as applied for.
The certificate is issued to K Mac Reality LLC
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 43664 07/05/2019
PLUMBERS CERTIFICATION DATED
th riz ZA ignature