HomeMy WebLinkAbout1000-103.-3-3 1 TOWN OF SOUTHOLD
Rental Permit
r" 0411
WN
Owner Elizabeth Choe
Occupied as Single Family Dwelling
Located at 1400 Beebe Drive Cutchogue 103.-3-3
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 inspection.
6/30/2023
Code fare ent Offici
This Notice must be posted by the main entrance at all times
TOWN OF SOUTHOLD BUILDING I
r
631 -765-1802
INSPECTION
] FOUNDATION 1ST [ ] ROUGH PL13G.
[ ] FOUNDATION 2ND [ ] INSULATION/CAL
] FRAMING / STRAPPING [ j FINAL
] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INE.
[ ] TIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PEI
[ ] ELECTRICAL (ROUGH) C ELECTRICAL (FII
[ ) CGDE VIOLATION [ ) PRE C/O [ eF
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PO Box 1179 SOUthold
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Renta� ction- NY 11971
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Fax 631 -765--9502
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TOWN OF SOUTHOLD
Rental Permit
Permit No. 0411
Owner Elizabeth Choe
Occupied as Single Family Dwelling
Located at 1400 Beebe Drive Cutchogue 103-3-3
Village
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 inspection.
3/26/2021 John Jarski
Code Enforcement Officer
This Notice must be posted by the main entrance at all times
� Griev�
Town Hall Annex � �s 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)',,
J A N 1 5 2021
Section A.
Property Information: r,3, °t.0 rr
Rental Property Address:
CiC,A Ve
Tax Map Number: 1000 SECTION _-LOTS=
SECTION R.
OWNER INFORMATION:
Property Owner Name: �� c1� �s�
Property Owner Legal Address: Property Owner Mailing Address:
4304 I is f—•-61j--tet s-}- 3 i-
o r ae_e- e Ori'.ve.
Telephone Number(s): Daytime k/ Evening ✓ Emergency ✓
Property Owner Email Address: Ono
"4* •�a-�.
-ao0
Page 1 of S
A � a
Town Hall Annex t Telephone(631)765-1802
54375 Main Road _'g Fax(631)765-9502
P.O.Box 1179
Southold NY 11971-0959 air'
y ,
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
Section C.
Authorized Agent Information:
Name of Authorized Agent of dwelling unit, if any: SI
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:
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: tj ®r
Address of Managing Agent (no P.O. Boxes):
Page 2 of 5
Town Hall AnnexTelephone(631)765-1802
54375 Main RoadFax(631)765-9502
P.O.Box 1 179
Southold,NY 11971-0959
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.
❑ 1 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. Bolin &Drn Lc+,4 00" ` -JI"u -1m
0,t-i l C6 w c4 121�°Q O
SECTION H.
DECLARATION: Signature must be notarized and MUST be the owner of the dwelling unit.
STATE OF NEW YORK)
}
COUNTY OF SUFFOLK)
I i j"� Choc, , 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
t"���'
A CS
Town Hall Annex �`. Telephone(631)765-1802
54.375 Main RoadFax(631)765-9502
P.O,Box 1179
Southold,NY 11971-0959
.ti a
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.
Property Owner's Name:
Property Owner's Signature:
Sworn to before me this/—day of 20�(
LYNDSEY BARKER
NOTARY PUBLIC,STATE OF NEW YORK
Official Notary Public Signature and Origin N tary Stamp No. 01 BA6156676
Qualified in Suffolk County
Commission Expires November 27.20o
Page 5 of 5
O��UF SOGTyO I q jo o gee tw /va jFlo
TOWN- OF SOUTHOLD BUILDING DEPT.
°`ycourm��' 765-1802 X03 3
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION"2ND [ ]' INSULATIOWCAULKING ..
[ ] FRAMING/STRAPPING [ ] INAL �
[ ] FIREPLACE & CHIMNEY ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT"CONSTRUCTION [ ] FIRE RESISTANT PENETRATION
[ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL)
[ ] CODE VIOLATION [ ] PRE C/O
REMARKS:
Ou./OMA-Ng
DATE 3 Lv INSPECTOR
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TOWN OF SOUTHOLD PROPEI ID CARD
OWNER, STREET/ VILLAGE DISTRICT SUB. I LOT
Ali 7C"I)
.FORMER OWNER q E ACREAGE ?72'
S W TYPE OF BUILDING
v
RE�Ajo SEAS. VL. FARM comm. I ( CB.IND. M ISC. Est. Mkt. Value
LAND IMP. TOTAL DATE REMARKS 5-6/ r-
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�QGaNlDgl I -fn7e (SA fZ) �nC_p_ -$-72-7
ABOVE FRONTAGE ON WATER
NEW NORMAL BELOW j fi,,, tr
FRON �
- _ I L
Form Acre Value Per Acre Value FRONTAGE ON ROAD COQ
Tillable 1 BULKHEAD
Tillable 2 DOCK,_
Tillable 3
Woodland
L/ 'y
Swampland
Brushlqpo Lf 4"5,)
House Plot
Total
3 -3
"—
M. Bldg. Foundation c Bath /
Extension Base- 4 Floors 0 K
Extension Ext. Walls Interior Finish
Extension Fire Place Heat
Porch Roof Type
Porch Rooms 1st Floor I
Breezeway I r Patio Rooms 2nd Floor --
Garage way Dormer
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Town Hall Annex Telephone(631)765-1802
54375 Main Road xFax(631)76.5-9502
P.O.Box 1179
Southold,NY 11971-0959 �AP
BUILDING DEPARTMENT
TOWN OF SOUTTHOLID
Mailing Address of Managing Agent: ( �a 430 4 i
914-2X3— 33fq /`i 11— 991-401+
Telephone Number(s): Daytime Evening Emergency
Email Address: Gk o f- 2, 1-7
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: J_ -no
Requested Maximum number of persons allowed to occupy Dwelling Unit: i-SI
Number of rooms in Rental Dwelling Unit: 9 �4
Use and Dimensions of each room in Rental Dwelling Unit, KI i-a,en - i2 K I-1 V
oM — x eco o n I — 1 is rao^,% 2 — 17x I I.q
I vi c � ,-oma —11,5D94' p f, ce- — G X1 3' 'I-au.,d+, rao n —e,5 /X9
Page 3 of 5
FORINT NO. 4 ND
-t)e-Gf2- b vJ4- L0
TOWN OF SOUTHOLD, I n
BUILDING DEPARTMENT t
Town Clerk's Office
Southold, N. Y.
Certificate Of Occupancy
No.Z4091-t . . . . . . Date . . . . . . . . . . � C_21 . . . . . . , 19.7Q.
THIS CERTIFIES that the building located at .,T�oe.�A .Dr.i.vo. . . . . . . . . . . . . Street
Map No. KQQ$e, 0.07e Block No. . . . . . . . . .Lot No. .21 . Cutq Zogue. . J;f. .. . . .
r
conforms substantially to the Application for Building Permit heretofore filed in this office
dated . . . . . . . . . ..Tuly. . . 17. . , 19. 70 pursuant to which Building Permit No. .48.654.
dated . . . . . . . . . . . . J:Uly. . . .20 1970 ., 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. dwell-Ing . , . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
The certificate is issued to . Joseph .liataier. . . . . . Qz+rnex . . . . . . . . . . ... . . . . . . .
(ovArner, lessee or tenant)
of the aforesaid building.
Suffolk County Department of Health Approval .D-oe . . �f p .1870. . by .lin. Villa . . . .
lions e 1400 --
. . . .kA
. . . . . ... . . . . . . . . . . . . . . . .
Building Ins actor
ti
FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No: Z-25398 Date: 11/26/97
THIS CERTIFIES that the building ADDITION & ALTERATION
Location of Property: 1400 BEEBE DR CUTCHOGUE
(HOUSE NO. ) (STREET) (HAMLET)
County Tax Map No. 473889 Section 103 Block 3 Lot 3
Subdivision Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated MAY 15, 1997 pursuant to which
Building Permit No. 24174--Z dated JUNE 9, 1997
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 ADDITION & ALTERATION TO EXISTING ONE FAMILY DWELLING AS APPLIED FOR.
The certificate is issued to JOSEPH D FOELSCH
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A
ELECTRICAL CERTIFICATE NO. N436726 11/04/97
PLUMBERS CERTIFICATION DATED N/A
r-
ZL Q
//,B7ing Inspector
Rev. 1/81
FF D4coG� Town of Southold 5/13/2019
o -
P.O.Box 1179
o 53095 Main Rd
Southold,New York 11971
CERTIFICATE OF OCCUPANCY
No: 40376 Date: 5/13/2019
THIS CERTIFIES that the building AS BUILT ALTERATION
Location of Property: 1400 Beebe Dr, Cutchogue
SCTM#: 473889 Sec/Block/Lot: 103.-3-3
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
5/16/2018 pursuant to which Building Permit No. 42713 dated 5/23/2018
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:
"as built"bathroom in basement as applied for.
The certificate is issued to Roeper,Daniel
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 42713 4/29/2019
PLUMBERS CERTIFICATION DATED 5/1/2019 e ge Berry r.
A thore Signature
Town of Southold 9/21/2020
o -
P.O.Box 1179
C0
s53095 Main Rd
✓.jj�l ,�o �a o9 ' Southold,New York 11971
I
CERTIFICATE OF OCCUPANCY
No: 41457 Date: 9/21/2020
THIS CERTIFIES that the building ADDITION/ALTERATION
Location of Properly: 1400 Beebe Dr, Cutchogue
SCTM#: 473889 Sec/Block/Lot: 103.-3-3
Subdivision: Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore filed in this office dated
9/10/2019 pursuant to which Building Permit No. 44253 dated 10/3/2019
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:
interior alterations and deck with stairs,to an existing one family dwelling as applied for.
The certificate is issued to Choe,Elizabeth
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
ELECTRICAL CERTIFICATE NO. 44253 8/7/2020
PLUMBERS CERTIFICATION DATED 8/7/2020 Elibeth Choe /?
utho ' e ignature