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Home My WebLink About1000-97.-7-14 TOWN 06F SOUTHOLD ={ Rental Permit 0445 Owner Charles Chumas & Deanna Hagen Occupied as Single Family Dwelling Located at 455 Beebe Drive Cutchogue 97.-7-14 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. 6/2/2023 Code oi� est Official This Notice must be posted by the main entrance at all times TOWN OF' SOUTHOLD BUILDING DEPT. 0 7-11(1 INSPECTION [ I FOUNDATION1ST [ ] ROUGH PL13G. CFOUNDATION 2ND INSULATIOWCAULKING ] FRAMING / STRAPPINGFINAL FIREPLACEIMNEY FIRE SAFETY INSPECTION ] FIRE RESISTANT CONSTRUCTION FIREI T T PENETRATION CELECTRICAL C ELECTRICAL=TAL CODE VIOLATION J [ , . ...............___.......... ....... .. _ww _.._...._. DATE ....__._.mw_. INSPECTOR Town Hall Annex SOUTHOLD TOWN 54375 Main Road /lrr, r + PO Box 1179 Southold, Ai U�, rY i"�fi� Ren � " ICY9l NY 11971-1179 Tel: 631-765-1802 Fax 631-765-9502 SCTM # �� ..,Date Owner _......_w_.M_ Phone _�. _._... Address ... zip City Inspector LEVELS SUB2 3 Smoke Detectors #- bedroom detectors excluded) Carbon Monoxide Detectors Fire Extinguishers Exits (#)"-- B E D R 0 0 M #)"—BEDROOMS 2 3 —5 Smoke Detector Alarms (#) _....u... .-. ....,.. _. .. __... _ _..... ._. ..._ _ _w.. Carbon Monoxide Alarms f .. _ _. 9 n.(w BUILDING SYSTEMS YIN CONDITION OF PROPERTY Y/N Heatin, stenx maintained/o°er°ational Building Interior is clean /maintained 9 _. .. _..... .... "' Is clean /maintained Hot waters maintained/oer�tt Building Exterior i _ maintain �t � w Pro Property is clean safe/maintained Mechanical s stem maintained/a er nal p il _ �n — -- Electncal s stem ed( t Forst �� atianal ..__.......m_.. Handrails & guards resent COMMENTS' Rental Inspection Form 4/7/2021 N Town Hall Annex Telephone(631)765-1802 54375 Main Road t ( Fax(631)765-9502 P.O.Box I179 Southold,NY 11971-0959 BUILDING DEPARTMENT TOWN OF SOUTHOLD RENTAL PROPERTY CERTIFICATION Form is to be completed by a license architect, licensed engineer or licensed home inspector Separate form is required for each individual Rental Dwelling Unit ' �.. �,. mo ral sect!regr lr d f rF lr riMa" ct car rI incer li ensed Home Inspector►gyrus ovi g oapy.,PLmlKa!rrqnt ceLtjfLrotLarr Rental Property SCTM Number: -17 Rental Property Address: Owner/Name: —,_ VlA iL. Rental Dwelling Unit Identi er: Number&Square footage of each bedroom as depicted in the attached floor plan: (i.e. Bedroa 1 -100 sq., Bedroom#2-90 sq., etc.) 3 Property escription (Include all improvements indicated on survey) 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, and the Energy Conservation Construction Code of New York State. Print Name a d Title Origina Signature Please place professional seal: TOWN OF SOUTHOLD w ental Permit Permit No. 0445 Owner Charles Chumas & Deanna Hagen Occupied as Single Family Dwelling Located at 455 Beebe Drive Cutchogue 97-7-14 Village 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. 5/20/2021 e n Official This Notice must be posted by the main entrance at all times ode En r So Town Hall Annex Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 11791 , y Southold,NY 11971-0959 BUILDING DEPARTMENT f TOWN OF SOUTHOI D _-- •- i . RENTAL PERMIT APPLICATION --- • � MAR 2 1 2020 Rental Permit Fee$200(Application must be renewed every two years) Section A. Property Information: Rental Propert Address: QCs, . �� r.vL C w�ck)a L Tax Map Number: 1000 SECTION �1� y��l _ -BLOCK -LOT ( �l SECTION R. OWNER INFORMATION: I_ Property Owner Name: _�`'1��{S °'-��t s �`zt""'` j j``�•� Property Owner Legal Address: Property Owner Mailing Address: Lrs P", b y�f �n �t�� .+ �/I/Y /lg3s-. Ll -7 Telephone Number (s): Daytime 63( Evening t` Emergency o Property Owner Email Address: (- Page 1 of 5 Town Hall Annex Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1179 Southold,NY 11971-0959 COU BUILDING DEPARTMENT TOWN OF SOUTHOLD RENTAL PERMIT APPLICATION INSTRUCTIONS Rental Permit Fee $200 (Application must be renewed every two years) The items listed below are required to be submitted with the completed application. [Floor Plans: Floor plans of each Rental Dwelling Unit, please show location of all smoke &carbon monoxide detectors. Certificates of Occupancy and Pre-Certificates of Occupancy: Certificates of occupancy or Pre-Certificates of Occupancy for each rental dwelling unit. ❑ Certification of Code Compliance(form enclosed): Must be submitted by a license architect or engineer or license home inspector if an inspection by Town of Southold Inspector is declined. YJ Rental Permit Fee: $200.00 Town Hall Annex Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1179 } Southold,NY 11971-0959 �C�Uh�, , BUILDING DEPARTMENT TOWN OF SOUTHOLD 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 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: 1 l 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 Southold,NY 11971-0959 VU BUILDING 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: Requested Maximum number of persons allowed to occupy Dwelling Unit: 0 Number of rooms in Rental Dwelling Unit: Use and Dimensions of each room in Rental Dwelling Unit: 4, LiaSen-�c�., 1 ;.n i.,'�' 1z' fL-) /2 -3 L1tt?' (,.,,+-fl uv Page 3 of 5 SO Town Hall Annex Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1179 Southold,NY 1 197 1-0959 BUILDING DEPARTMENT TOWN OF SOUTHOLD RENTAL PERMIT APPLICATION ADDENDUM Rental Dwelling Unit Identifier: Ca'' Requested maximum number of persons allowe to occupy each dwelling unit: Number of Rooms in Rental Dwelling Unit: Use and Dimension of each room: > [/ r Rental Dwelling Unit Identifier: ' Requested maximum number of persons allowed to occupy each dwelling unit: Number of Rooms in Rental Dwelling Unit: Use and Dimension of ea-6z room yr r G w C �� a5 G Rental Dwelling Unit Identifier: Requested maximum number of persons al owed to occupy each dwelling unit: Number of Rooms in Rental Dwelling Unit: Use and Dimension of each room: SO Town Hall Annex 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 PROPERTY CERTIFICATION Form is to be completed by a license architect, licensed engineer or licensed home inspector Separate form is required for each individual Rental Dwelling Unit Professional seal required for Architect or Engineer, licensed Home Inspector must provide copy of valid current certification Rental Property SCTM Number: Rental Property Address: Owner/Name: Rental Dwelling Unit Identifier: Number&Square footage of each bedroom as depicted in the attached floor plan: (i.e. Bedroom#1 -100 sq., Bedroom#2-90 sq., etc.) Property Description (include all improvements indicated on survey) 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, and the Energy Conservation Construction Code of New York State. Print Name and Title Original Signature Please place professional seal: Town Hall Annex Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1179 Southold,NY 11971-0959 •ij�,, ��y{ .'�`,"+ C®V IY 1`ti fti 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. l 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) �ICC,"Ack I 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 SO- Town Hall Annex 'f Telephone(631)765-1802 5437.5 Main Road 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. I 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. ��.1r,rJ c , Property Owner's Name: ea r Property Owner's Signature: 61 & ... �"/ �—,/0� - 7 Sworn to before me this,44ay of 2020 1 � ficla ar a re and Original Notary Stamp THOMAS R.MANSFIELD NOTARY PUN LIC,STAT OF NEW YORK o.QUALIFIED IN SUFFOLK COUNTY-: MY COMMISSION EXPIRES APRIL 17,2421 Page S of 5 � JJr : Cis/�` ✓� -- - E SO(/Th° TOWN OF SOUTHOLD BUILDING DEPT. cou 765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ]- FOUNDATION 2ND [ ] INSULATIOWCAULKING [ ] FRAMING /STRAPPING [ ] INAL4&w� [ ] FIREPLACE & CHIMNEY [ FIRE-SAFETY-INSPECTION f ] FIRE RESISTANT CONSTRUCTION [ ]- FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) [ ] CODE VIOLATION [ ] PRE C/O REMARKS: oc OLA/ DATE INSPECTOR = Mar,(, iv r '?)Cc z I L.3 kle" 'OU .It �L r C"Vt+ fik rt r�ne�V;4 Jzi7k ILI re.4, C:J'� z'jr Aewj FeUA 4v e4w- t:( d A5 A r CA^ l� L A A4,1 - Lj X ii � • itWz 5'r— V-11' CLce-xrS o'� S' Wei ki rl 0 k�ck^ e, 'wt- i,,," L3 okk�- N Ck cA ��ftvxwAtceAj6-t CL � �� 1 N _ L � � _ , a r ,. � z � ` _ � �1 � I ' y y/ •\ s'�x C� k u C � s � ' _ ` r .� C � � � i-�. T �_I - � - 1 � I - � - i z � H I o IZ- - Z v s v I s - —1– f 1 10-3 �Y a 1 I a t 5 V S _ I ( i SCTM+#o _ TOWN OF SOUTHOLD PROPERT' OWNER STREET Li GJ — VILLAGE DIST SUB. LOT \ lk 'l c�DPA ACR. REMARKS TYPE OF BLD. PROP. CLASS LAND IMP. TOTAL , DATE FRONTAGE ON WATER HOUSE/LOT BULKHEAD TOTAL i r..) _ TOWN OF SOUTHOLD Plto�, q ) CARD OWNERSTREET VILLAGE .ICT SUB. LOT 0� V - FORMER OWNER N E ACREAGE 72-0 u I� ' ;� a�j:�; i� c f� S W TYPE OF BUILDING RES. SEAS. VL. ' FARM comm. I IND. CB. I misc. Est. Mkt. Value LAND IMP. TOTAL DATE REMARKS RFs )b)(A- IaA7n-p5a 5-- Le r-mk4' 4p Z-ovna s Cewhqr�, �m� - — 1 1 01 - '�!V LS -0 &-14' Q 76- OF L)Uftla 5 &-IY+ 4) L -f-6 cf 40 P/ z? C-0 60 e6 a f il;Tle Y abqlca-L i o-Q I-7.014k-)- &Mt S v JC, f I . I 4 X,-A ONeMcw%- q C-43 qb(40�3 NEW NORMAL BELOW ABOVE FRONTAGE ON WATER, Form Acre Value Per Acre Value FRONTAGE ON ROAD Tillable I BULKHEAD Tillable 2 DOCK Tillable 3 31-4-&q A,1300-4p :h:l Woodland /4-0 -WL Swampland Brushland House Plot ------------------ ------------- Total i ,fffii J �� ._r,CC �[.a.,�/Tc T<'i•N I �l.J�-�'1 r — —1 - -- - - —- I 'FI_„, .gook., Ac-wgM1'1- J 97-7-14 02/02 1 - M. Bidg. i fxiq 3&� t oundation �C Both — --- — Extension8Sp IMBasement FJ�� Floors ��---- Extension � — _ _ Ext. Walls Vl' f Interior Finish S�Q --— — — -- Extension 3 75 1 v Fire Place Yes Heat — 8 i 12 o y5 � w 1-5r' 7h Z,�14 _--- - /�f "�•C Porch Roof Type — ---- ------ vP FFo...d 60 - Porch Rooms 1st Floor Breezeway i Patio Rooms 2nd Floor C -- Garage �$V Driveway Dormer viz 0 FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-27842 Date: 07/31/01 THIS CERTIFIES that the building NEW DWELLING Location of Property: 455 BEEBE DR CUTCHOGUE (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 97 Bloch 7 Lot 14 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated JANUARY 10, 2001 pursuant to which Building Permit No. 27065-Z dated FEBRUARY 13, 2001 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 FRONT PORCH AND ATTACHED ONE CAR GARAGE AS APPLIED FOR. The certificate is issued to ZOUMAS CONTRACTING CORPORATION (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEAT APPROVAL R10-00-0113 06/26/01 ELECTRICAL CERTIFICATE NO. H 072108 07/13/01 PLUMBERS CERTIFICATION DATED 06/26/01 HI-TECH PLUMBING AZ'thoriz4d Signature Rev. 1/81 �p�g�FFot,�cp Town of Southold 9/7/2019 P.O.Box 1179 53095 Main Rd Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 40683 Date: 9/9/2019 THIS CERTIFIES that the building ELECTRICAL Location of Property: 455 Beebe Dr,Cutchogue SCTM#: 473889 Sec/Block/Lot: 97,7-14 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 3/11/2019 pursuant to which Building Permit No. 43545 dated 3/11/2019 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: electrical survey. The certificate is issued to Peter Harbes of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 43545 3/18/2019 PLUMBERS CERTIFICATION DATED Authorized Signature ��0�0�tF�t'�COGy Town of Southold 12/6/2019 P.O.Box 1179 53095 Main Rd oyo� oo�� Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 40897 Date: 12/6/2019 THIS CERTIFIES that the building AS BUILT ALTERATION Location of Property: 455 Beebe Dr, Cutchogue SCTM#: 473889 Sec/Block/Lot: 97.-7-14 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 6/26/2019 pursuant to which Building Permit No. 43955 dated 7/11/2019 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: "as built"interior alterations and stoop addition to an.existing one family dwelling as applied for The certificate is issued to Harbes,Peter of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 43545 3/18/2019 PLUMBERS CERTIFICATION DATED 12/4/2019 R s 'c and Wined /A4t riz d Signature